WOMENS-HEALTH Messages for November, 2007: Re: UROGYNECOLOGY: Maternal- choice cesarean after vaginal?

Re: UROGYNECOLOGY: Maternal- choice cesarean after vaginal?

From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sat, 24 Nov 2007 11:22:24 -0600 (CST)

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Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health Forum Moderator

There is much discussion about Cesarean birth for maternal request. Afterall, women can request a face lift, or in your case, pelvic floor reconstruction. The best decision depends on many factors, among them how many more pregnancies would you like and do you need pelvic floor reconstruction yet. If you want several more pregnancies and you are in need of reconstruction now, an argument could be made to have vaginal deliveries and then reconstruction, 1 operation. If you want only this one and are not in need of reconstruction, cesarean is reasonable. If you are in need of repair now I would recommend another vaginal birth then surgery for prolapse and incontinence. After the first birth, subsequent births can be significantly easier. Hope this helps.

-- Amy Rosenman, M.D. Assistant Clinical Professor GYN Geffen School of Medicine at UCLA Santa Monica, California

http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Thu, 22 Nov 2007, Barbarella wrote: > >Hello I'm 37 years old and 16 weeks into my second pregnancy. I have >had one vaginal delivery (was induced after spontaneous membrane >rupture) and required no stitching, although my pelvic floor has >suffered considerable trauma (I wonder, what would it have been like if >I had suffered major tearing? It's bad enough as it is). I would like >to request an elective cesarean as I really, really do not want to go >through an other vaginal birth, with the risk of making my pelvic floor >even worse and to suffer agonizing hours like I did with my first baby. >I'm generally healthy. Would anu ob/gyn consultant agree to an elective >c-section after a "successful" vaginal birth? Any advice please?? >Thanks!!

Next message: Garry Siegel, MD: "Re: INFERTILITY: Hard cervix during ovulation"
Previous message: Dr. Herbert A. Goldfarb: "Re: HYSTERECTOMY: Two weeks post hysterectomy - nausea, vomiting, and pain."
In reply to: Barbarella: "UROGYNECOLOGY: Maternal- choice cesarean after vaginal?"
Next in thread: Garry Siegel, MD: "Re: UROGYNECOLOGY: Maternal- choice cesarean after vaginal?"

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