I’m pregnant with my first and have been doing a lot of reading lately about elective c-sections. That’s where a woman chooses a c-section herself and does not attempt vaginal birth.
The reason many women pick this is because vaginal delivery causes urinary and sometimes bowel incontinence that can last a very long time (if not forever), and also uterine prolapse later in life. Elective c-sections, i.e., NOT emergency ones where you’ve already been in labor for awhile, reduces the incidence of these problems. Also, it is now such a safe surgery that OB’s are calling the risks and benefits of a vaginal vs. c-section to be "a wash."
At first I wanted a vaginal birth 100%, I didn’t want unnecessary abdominal surgery, I wasn’t afraid of pain or anything, etc. etc. but the more I read about it in large scientific studies, the less I believe that’s such a good idea.
This is partly because "natural" childbirth isn’t so natural anymore! The female pelvis has been accommodating 6 lb infants for much of prehistory, and now the average Western kid weighs 8 lbs at birth in some areas! According to the best research, more than half of all female bodies can’t handle an infant of this size "naturally" without causing some real damage to the muscles and nerves of the pelvic floor. I was stunned to read how common these problems were and how long they lasted – for many years in a significant number of cases. Nobody told me – and I feel like I didn’t sign up for that.
I am therefore strongly considering an elective c section. Sure, a perfect vaginal birth is the best option – but there is no guarantee that anybody’s birth can be really uncomplicated or perfect. I think I am changing my mind about it.
When I say this, I get a lot of strong negative opinions on elective c sections from women, and I am puzzled as to where this vitriol comes from. Are people merely afraid of surgery, or they just don’t like Western medicine, or they want you to suffer as much as they did, or what? It seems like a really viable option to me, since the modern c-section is such a safe procedure in 2010.
There are risks and benefits with both, so you just have to weigh those risks and choose which ones you can best handle.
It’s very rare but incontinence can happen through cesarean too, if the doctor accidentally cuts the bladder or bowels. Either way giving birth is risky.
That being said, I had a wonderful c-section experience. I had little to no pain and could move just fine and take care of my baby perfectly as soon as the catheter was removed. I prefer the c-section over vaginal any day!