Does anyone know of any research where they have compared the rates of 
incontinence in women who have had one or many CS but no vaginal birth? 
Surely if you wanted to prove that vaginal birth was the culprit and CS was 
ok, you would do that.
I know of someone who has had two CS, not by choice, and also now suffers 
from incontinence.
Judy


From: "Carol Thorogood" <[EMAIL PROTECTED]>
To: "Midiwifery mailing list" <[EMAIL PROTECTED]>
Subject: incontinence
Date: Wed, 8 Sep 1999 09:14:10 +0930

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



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