incontinence

[Carol Thorogood]

Dear all   I can't resist giving my bit about Sam's comments. During an interview with a prominent WA ob/gyn I was informed that he did 'social' Caesars because so many of his clients were elderly primips who were concerned that they would have post-menopausal stress-incontinence. He felt that good preventative medicine included Caesars. When I pointed out that there is (I think) no quality research which actually proves that vaginal delivery per se leads to stress incontinence  he stumbled around a bit. His next comment was that he was unable to say no to women since it was their choice to have a Caesar!   I didn't really see much point in pursuing the issue. What is that saying - there are none so blind as those that cannot see. I couldn't help asking if he thought that routine preventative cholecystectomies were needed to stop a few women developing cholecystitis when they became fair fat and forty! He then became so rushed for time the interview was terminated fairly quickly.   Golly, I've just realised what I've done - the cholecystectomy rate is gonna double!   Carol