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https://www.bellybelly.com.au/birth/does-vaginal-birth-damage-the-pelvic-floor/
Jun 10, 2018 · Use of forceps requires an episiotomy, and is likely to result in damage to the pelvic floor. Continuous fetal monitoring (CFM), which forces women to remain lying down or semi reclining. This restricts the opening of the pelvis, and forces the woman to push her baby against gravity.
https://www.pelvicexercises.com.au/obstetric-forceps/
May 24, 2018 · However, both the rigidity and size of current obstetric forceps design may contribute to tearing of the pelvic floor muscles, nerves and supporting tissues during delivery. According to Professor Peter Dietz pelvic floor damage occurs in approximately 44% of forceps deliveries and the use of forceps is currently on the rise in some Australian ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279110/
Pregnancy and vaginal delivery are the risk factors cited most commonly. In fact carrying the weight of a baby as it drops lower into the pelvic region; laboring to bring the baby through the birth canal, and pushing the baby into the world. All of these combine to weaken the pelvic floor and create conditions for a prolapsed uterus.
https://www.uclahealth.org/womens-pelvic-health/childbirth-incontinence
Meyer S, Hohlfeld P, Achtari C, et al. 2000. Birth trauma: short and long term effects of forceps delivery compared with spontaneous delivery on various pelvic floor parameters. British Journal of Obstetrics and Gynecology 107;1360. Meyer S, Hohlfeld P, Achtari C, De Grandi P. …
http://www.mybladdermd.com/wp-content/uploads/2012/12/Effects-of-childbirth-on-the-pelvic-floor1.pdf
The majority of childbirth injuries to the pelvic floor occur after the first vaginal delivery. Cesarean sections performed after the onset of labor may not protect the pelvic floor. Elective cesarean section is the only true primary preven-tion strategy for childbirth injuries to the pelvic floor.
https://www.kegel8.co.uk/advice/pelvic-floor-exercise/symptoms-and-causes-weak-pelvic-floor.html
Even in an uncomplicated delivery there will be a degree of damage occurring to the pelvic floor muscles. If you are unfortunate and experience a complicated delivery, especially with the use of forceps, you will likely suffer from prolapses in later life.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877300/
Current literature suggests a strong association between vaginal delivery and both stress urinary incontinence and prolapse. Observational studies have identified certain obstetrical exposures, which appear to be more traumatic to the pelvic floor, particularly forceps delivery, prolonged second stage of labor and sphincter lacerations.Author: Hafsa U Memon, Victoria L Handa
https://www.birthtrauma.org.au/where-to-start/what-is-birth-trauma/what-is-physical-birth-trauma/pelvic-floor-muscle-damage/
The biggest risk, by far, is the use of forceps. Forceps increase the amount of stretch because they increase the size coming through the pelvis and a three times greater force is applied to the pelvic floor. Forceps triple the risk of trauma to the pelvic floor muscles and anal sphincter.
https://www.jmw.co.uk/services-for-you/clinical-negligence/obstetrics-and-gynaecology-claims/success-stories/mother-damaged-by-forceps-delivery
Case Study: Mother damaged by forceps delivery Compensation: £80,000 ... Also, because of the damage to the perineal and vaginal area she can no longer enjoy a full sex life. Her pelvic floor function is also likely to deteriorate in the future. Liability admitted in full.
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