Being Pregnant

C-Sections & Vagina Preservation

Posted by danielle625 on February 2nd, 2011 at 12:30 pm

3404565311 bf2a710d36 225x300 C Sections & Vagina PreservationThis post is about vaginas.  So before I get started, why don’t we put on our adult face and say it all together… V-A-G-I-N-A!

Now that we got that out of the way… if one more person tells me a perk of having a c-section is to prevent damage to my vagina, or preserve my vagina… I just may scream. Of course it seems as though these people have either:

A) Never had a c-section or
B) Never dealt with the aftermath of adhesion’s.

My first thoughts were sparked about this topic last year after a popular blogger was quoted saying c-section mothers should consider themselves lucky because they won’t have to deal with the real aftermath of a vaginal delivery which we all know can include episiotomies, and all that kind of fun stuff.

But what these women aren’t taking into account is the internal scarring that causes pain for many mothers who have had c-sections. After my first cesarean in 2007 everything returned to normal, but after my second cesarean in 2009, I had a wide array of sex related issues. Most focused around pain during sex because of the internal adhesion’s I had experienced.  Taking sex from something loving, and fun that my husband and I enjoyed, to a task that lost everything that a sexual bond between a couple should be.

In turn the strain caused by the cesarean deliver itself, turned into much more… a strain on our marriage, and an emotional, and physical strain on myself. Can you imagine what kind of blow that does to your self esteem?  Way more than a skid mark, or a loose vagina as the result of a vaginal delivery. And while I have never experienced that, I can say… I wouldn’t wish the pain I went through on my worst enemy.

It wasn’t until I was exposed to a book called Ending Female Pain written by Isa Herrera, a physical therapist based out of New York City, that I knew I wasn’t the only person on the planet with this problem, and the more I talked with other mothers who had c-section deliveries, I realized my problem was more common. But unfortunately for all the c-section moms out there… especially those of us who didn’t just glow and rave about our surgical deliveries, it is just one of those topics that is too taboo to talk about. Ultimately leaving so many to suffer in silence.

After reading the book from cover to cover, I was able to go through the steps, and suggested home therapy options to really help the pain associated with my cesarean, and sex, and ultimately it helped in the long run. Obviously considering we are expecting our very unplanned third child.

But the point is… to many c-section mothers, the minor vagina preservation comments are not only offensive, but they can be more hurtful in the long run. And many women frankly don’t care about how tight their vagina is after having a baby. Life takes a different meaning, and the vain things in life we may have considered really important, aren’t important at all anymore.

photo: flickr.com/doberes

 C Sections & Vagina Preservation

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0 Comments

danielle, my wife had to have a c-section with the trips and i’m definitely with you when it comes to this: people seem to think that a c-section is just a walk in the park. Caroline had unbelievable complications from it. though none of them were manifested in our sexual lives, she wasn’t right for weeks. part of it was due to the arduous nature of a 105 pound woman in her late 30s carrying three babies. but part of it was due to the fact that it was a

MAJOR ABDOMINAL SURGERY.

people who think that having a c-section is akin to waving a magic wand that makes everything okay, including vaginal elasticity (i totally made that phrase up…i think), are, well, mistaken.

PS glad you used the word vagina, but next time, could you go with “tootie”? it’s a favorite of my 3 yo girl.

awesome post, Danielle.

johncaveosborne commented on Feb 02 11 at 12:45 pm

I agree with you 100%. I have had 2 vaginal deliveries and would not trade those in for a c-section for anything in the world. Recovery, while not a breeze, was not horrible. Bleeding is the worst part, and mother’s who have c-sections wtill experience that. C-sections are major surgery and should only be used when medically needed, which I’m sure is true in your case. They should not be an option because someone mistakenly believes recovery is easier or they don’t want to ruin their vagina, etc! Very good post!

Bridgitt commented on Feb 02 11 at 12:59 pm

All of my friends were shocked that I was up and around 3 days after my natural vaginal delivery… because they have all had c-sections. They were in pain a whole lot longer than me and also sometimes suffered from side effects of the painkillers for days afterward. So I am thankful I was able to give birth like I did, I can see it is a much longer recovery for some of my c-section friends.

Jenny B commented on Feb 02 11 at 1:16 pm

Thank you SO much for this. Not that I’ve personally had anyone actually “say” the above sentiment to me but I find that remark especially offending. I had left a message on one of your posts (on your personal blog) regarding your feelings about your upcoming c-section. And one of the last remarks by another poster (and I’m assuming what prompted this essay) made me cringe. I’ve got to check out that book because what you describe sounds very familiar. Thanks again.

Tanya commented on Feb 02 11 at 1:44 pm

I had a c-section and a VBAC, and I have to say that having a loose vagina has HELPED our sex life. Even if it hadn’t, I still prefer the vaginal delivery for better recovery (even though I had complications from the vaginal delivery).

Melanie N commented on Feb 02 11 at 1:57 pm

Yikes…I’m hoping to get pregnant this year for the 1st time…should I be paranoid or concerned if already my vagina just barely feels tight enough for my husband, without having given birth before? I truly can’t afford a millimeter of additional looseness. Perhaps in this case major surgery would be preferable? I’ll have to do more research.

Jenna M commented on Feb 02 11 at 2:14 pm

Having a c-section does not preserve or save your vagina from becoming less tight…

Danielle625 commented on Feb 02 11 at 2:20 pm

First off-after 4 vaginal births including a home birth my vagina is just fine thank you. That being said, my fifth birth was an emergency C and I would not wish a C-section on an ENEMY. The pain after and the recovery time are awful compared to the way you bounce back after a natural delivery. I don’t know what women are talking about if they believe C-sections are the “easy” way to go-they are NUTS!

NancyRoxanne commented on Feb 02 11 at 2:44 pm

After my first unplanned c-section, I seriously doubted that a. I would ever feel nomal again, and b. if I would have any more children. It was not my idea of a good time by any means.
I eventually got past both issues – to a point – and had 2 more c-sections – both necessary. Physically, not sure I will ever ‘feel’ 100%, but feel ‘normal’ – if that is possible!
Anyone who takes a c-section lightly apparently has never had one!
Glad to know I am not the only one out there that felt this way.

christa commented on Feb 02 11 at 2:47 pm

Great post,How important is your vaginal “tightness” when you die from major abdominal surgery and your husband has to raise your child/ children alone….. YES this happens!!!! Surgery is surgery no matter how it is sugar coated!

MamaKazoola commented on Feb 02 11 at 2:47 pm

Thank you for linking that book. I delivered my son vaginally almost 8 months ago and things… aren’t right still, we’ll put it that way. I’m going to go look into that book.

I was terrified of a c-section. In spite of a bunch of problems, I still am glad we avoided the c-section. Major surgery is just that, major surgery.

Jennifer H. commented on Feb 02 11 at 2:51 pm

I had a c-section due to my DD being breech at 39 wks and the last u/s estimating her at 10lbs . (she was 7lbs,9oz at birth).

Everyone tells me “You took the easy way out”..

My DD was born with fluid in her lungs and on oxygen .. I was reassured it wasn’t my fault, but happens sometimes with c-section babies. I blamed myself for months all cause I had a c-section. (didn’t want it, but it was necessary).

Rmenda commented on Feb 02 11 at 2:53 pm

I’m sorry the author had unpleasant complications. I haven’t heard anyone say cesarean surgery is EASY. I had a post-cesarean infection (as well as a weird postpartum blood pressure issue) and was back in the hospital (without my baby) for 3 days after coming home with him for one day (he was allowed to visit, but not stay with me). That was unpleasant.

That being said…I had my appendix out when I was 12, so I knew from abdominal surgery and was prepared. I found the immediate recovery from the cesarean much easier than the appendectomy and was up and walking around the hospital about 14 hours after the operation. The catheter actually improved some oversensitive bladder issues I had even prior to being pregnant. I was pleasantly surprised at how quickly I felt much better. Haven’t noticed any long-term differences, other than the visible scar.

The reason I’m writing is that there is so much anti-cesarean material that those of us who had to have cesareans (for medical reasons) spend a ridiculous amount of time either defending them or feeling guilty about them. I don’t think there are legions of people saying that c-sections are easy and fun and you hardly notice them. For the record, my son was breech, really big, and had a 93th percentile head. I was 38 and overweight. Trying to deliver him vaginally would have been extremely risky. But I constantly found myself having to explain why I didn’t have him turned (too big, too risky), dealing with someone who told me that evolution meant that we couldn’t have babies that were too big to deliver (I was delivered by c-section and so was my dad, so…), even someone who suggested that I try to cause pain to my baby through my abdomen so he would turn.

Vaginal childbirth is great! Cesareans are not evil, however. They can leave some physical damage in rare cases, but they mostly leave emotional damage in women who’ve been so conditioned by the “mommy wars” that they see a cesarean birth as a failure, live baby and live mommy notwithstanding.

Daisy commented on Feb 02 11 at 2:59 pm

@Jenna M…I hope you are kidding.

C-sections are not a joke. A vaginal delivery will not Loosen up your vagina. It made mine tighter. And really, who cares? MOST people that have researched or had both usually prefer to just have it vaginally and get it over with.

Leslie commented on Feb 02 11 at 3:18 pm

@Daisy – I am a mother who has had two c-sections, one I do not believe was necessary, and one I know saved mine, and my sons life. I am having a third scheduled c-section in May because I know that is the right and safest choice for myself, and my child. That being said… I do not feel any reason to defend my choice to anyone, I typically find that those mothers who feel like they have to go out of their way to defend their surgical delivery 1) Have doubts about how necessary their delivery actually was… 2) May have some serious doubts, or unresolved emotions about their delivery or 3) Really hated their delivery, but feel the need to put on a happy face because they are alive, and have a healthy child out of the deal. When I meet these women, I ALWAYS refer them to ICAN for support, because in most cases, that is exactly what they need. They need a good support system, and women to listen to and relate to.

Danielle625 commented on Feb 02 11 at 3:52 pm

Thank you for telling this very important side to the c-section story. My two and only deliveries have both been vaginal and although there is this fear of vaginas loosening up, it really isn’t like that. Vaginas look a little different after you’ve had a baby (well it’s really that the labia stay more spread apart than they used to), but they’re meant to stretch and return to their original capacity. Mine certainly has. For those that have difficulty doing kegels or feeling their vaginal muscles at all, I highly, HIGHLY recommend the book “Wild Feminine” by Tami Kent who is a pelvic floor physical therapist. If you thought that was just for old women, it’s not! Best of luck on your third delivery. I hear Maya Abdominal Massage can work wonders for scar tissue/adhesions and much, much more.

Scarlett commented on Feb 02 11 at 3:58 pm

Childbirth does not make the vagina loose. It has an accoridan shape and it meant to push babies out. The accordian shape is to allow stretching, and then it returns to it’s normal size (determined by genetics) after it heals from delivering a baby. I can’t believe people actually elect to get a c-section for that reason. My 5.6 year old son was a vaginal delivery, and I’m praying the 5 month baby I’m pregnant with is also. I’d much rather have my husband watch it naturally happen, and then marvel at the restorative properties and tightness of my childbirthing vagina.

Mary commented on Feb 02 11 at 4:57 pm

I recently had a vaginal delivery that I have still not recovered from (3 weeks out), but I would not want a c-section for anything. That was my worst fear going into labor. My mother had 4 c-sections, and I can remember the last one and the problems she had with the incision healing, not to mention the subsequent surgery to remove all of the scar tissue from having so many c-sections and how long it took her to heal from that. I was 103 lbs before pregnancy. I delivered an 8.5 lb baby vaginally, with my epidural worn almost completely off, I tore, and now I have several pelvic problems I am dealing with. And my worst fear when I think of having another baby is still that I will possibly have to have a c-section! I can’t stand when people tell me how great it is and I need to try to have an elective cesarean next time. I always tell them they don’t understand, a cesarean is a major surgery….

Tarah commented on Feb 02 11 at 5:46 pm

I had a vaginal delivery, my son was eight pounds one ounce, and not even a nurse can tell by looking at me and examining me vaginally that I have had a child. (The stretchmarks are a telltale sign, though.) A few kegels got everything right back to normal for me. Why make surgical something that doesn’t need to be surgical? Surgery comes with huge risks, far greater risks than an uncomplicated natural childbirth. Long-term health is really what is more important. Preserving your body should involve NOT having it cut open unnecessarily.

Cameron commented on Feb 02 11 at 5:55 pm

Btw, my above post was not ment to scare anyone. C-sections are surgery anyway you slice it. I understand that some women “need” surgery to deliver. The thing that gets me is the number of women and the # of Dr’s that will do it out of convience. Childbirth is an amazing rite of passage. Good luck to you however you deliver. Just educate yourself about all of your options. Knowledge is Power!!!!

MamaKazoola commented on Feb 02 11 at 8:07 pm

I’ve told you before – and you’ve seen it with your own eyes. My husband LOVES LOVES LOVES my post-vaginal-birth vagina. Loves it! And having the cesarean the first time did not get me out of any vaginal unpleasantness. Our vaginas are MEANT to do what they do. Birth does not “ruin” them (though I have heard of women with four degree tearing from an episiotomy and/or pushing on their back. That can usually be avoided all together by birthing with a better provider.)

TheFeministBreeder commented on Feb 02 11 at 11:01 pm

My mom suffered after having 2 c-sections. I actually should say that she still does, she gets pain around her scar still 25 years later. The first one was necessary, and the second (me) was also necessary, at least the doctors said. With my brother, she was in labor (dysfunctional labor) for 5 days. When she was ready to push, she pushed for a couple of hours. Finally she had to have a c-section. My brother’s chest had a larger circumference than his head, which is usually the largest part so that the rest of the body will come on out after it, so he kept getting stuck. With me, she never went into labor and she was 3 weeks beyond her due date. Back then, with the Navy hospital, they just said she (or they) must have miscalculated her due date but she laughed at them because there was only one time she could have gotten pregnant since my dad was often gone on a ship somewhere (and YES I’m his, there’s no doubt about that). Anyway since she didn’t go into labor, back then it was hard to get a VBAC and it may have been dangerous for her to be induced for a VBAC. In any case, she always told me that comment… “well at least my vagina was never stretched out.” I had to explain to her mine might not be as it once was but it’s pretty damn close because my husband always said he couldn’t tell and neither can I. She only asked me about that a few months ago, actually.

My point is: I think for her to think that thought “well at least my vagina was never stretched out” helped her psychologically deal with the fact that she had to have 2 c-sections so I’m kinda glad that she got to think that for several years. She really mourned not having unmedicated vaginal births.

Gladys commented on Feb 03 11 at 2:48 am

I had an emergency c-section almost a year ago. I was up and walking the next day and had no problems with my recovery at all. The surgery actually saved my life (my husband told me 6 months later) as well as my sons. My recovery with my son was so easy I have actually considered doing another c-section for my next child. I say this because it’s not fair for me to feel as though I’m being less of a woman or whatever because of the choice I want to make. As women we should be building each other up and encouraging one another through the miracle we get to go through and not making each other feel bad because of decisions of vaginal or cesarean, epidural or natural. It doesn’t really matter. To each her own.

LynnB commented on Feb 03 11 at 10:47 am

@LynnB – I am not sure what your choice really has to do with vaginal preservation, but as long as you are comfortable with the risks that go along with a repeat c-section, that is your choice to make.
My second c-section saved mine, and my son’s life, but I always said I would never elect for another cesarean without a real medical reason, which has come up for this delivery.

Danielle625 commented on Feb 03 11 at 10:53 am

A note of reassurance: birth can enhance our sexuality! I have had 4 vaginal births at home, all wonderful experiences, and each time my experience of sexuality has deepened and my capacity for sexual pleasure expanded. Labor and birth involve not only our bodies but also our brains, with lifetime peaks of the love (and orgasm) hormone oxytocin, which resets our love/caretaking system for motherhood. (For more about this, see my article on Ecstatic Birth on my website http://www.sarahbuckley.com.) Oxytocin shifts in labor and birth may also reset the sexual systems in our brains.For an exploration of the sexuality of childbirth, I recommend the film Orgasmic Birth.
And with all of my births, I chose my position (mostly upright) and had no coaching to push (which may be harmful, according to research by UK OB Constance Beynon). I have had no noticeable shift in my physical sexual functioning or pelvic floor.

Sarah Buckley commented on Feb 03 11 at 5:20 pm

Nice job, Danielle!

Kimmelin Hull commented on Feb 04 11 at 8:28 am

I was lucky, lucky, lucky after my cesarean to run into a physical therapist specializing in pelvic floor issues. She was able to put everything back together correctly; deal with the adhesions, replace organs the surgeon hadn’t put back right. And I am aghast that more women are not offered these services as normal rehab. I mean… other surgeries offer rehab services afterwards, why not cesareans? Oh yeah… because if you’re offered rehab, that must mean the surgery was a big deal. ::headdesk::

Laureen commented on Feb 04 11 at 12:47 pm

I have had 3 vaginal deliveries…the last one was actually a Frank Breech vaginal delivery. Given the option to attempt delivering my son breech or simply having a c-section, my husband and I…ok, I opted to attempt it vaginally in the OR with a team on hand to complete an emergency c-section if required. Because I had delivered vaginally twice in the bast they wanted to put this on the table. I was shocked as I knew the baby was breech and was prepared for a c-section. So, I pushed out a 7 lb 7 oz healthy baby boy within 30 minutes of starting with no tearing…that’s right ladies, no tearing. Apparently I have a vaginal canal that loves pushing out babies…no tearing or stitches with any of them. The sex life my husband and I share is just as beautiful as it was the first time we made love.

I was lucky to be provided an option when it came to delivering…not all women are.

Tanya commented on Feb 04 11 at 4:36 pm

Thanks Lareen for your breech birth story so great to hear of natural breech births and how easy it can be for our vaginas and all of us! , I forgot to add that of my 4 births,1 of my babies was breech and two were born posterior, with no tears, which I credit to choosing my position and no coaching. I think prenatal yoga helped too. You can read my ecstatic home breech birth story here http://www.sarahbuckley.com/maias-birth-a-family-celebration/

Sarah Buckley commented on Feb 05 11 at 12:20 am

Thanks Danielle. I also liked the links Babble put up about calming our Vaginal Anxiety & pelvic floor facts. While I learn to trust my body I find it awesome how well nature has worked and am glad foe the modern science that allows us to help when it’s needed. Obviously, myths like having a cesearean to preserve ur vagina need 2 be debunked to allow us to make safer real decisions. I love info. While I now better understand how vaginas & the like work for natural birth I donwonder what happens when ur body undergoes a cesarean birth. How does it go from
Being pregnant, preparing for birth, than recovering from surgery. My cesearean recovery was much longer & 3 yrs later I have more issues from it than the VBAC I had 6 months ago (even w a 4th degree epesiotomy & fun issues). I wonder di my body d not know how to heal itself correctly after a surgical birth? I went thru labor so before my cesearean so my cervix did dilate but had I not what would have the changes been. I really never

Sarah commented on Feb 07 11 at 1:14 pm

I LOVE this post (which isn’t surprising because I generally love everything that you post). I hear from more moms who have had C-Sections that they’re glad they still have “tight vaginas” (GOD I LOVE THAT WORD) instead of feeling like their husband has thrown a hot dog down a hallway. I don’t know why C-Section moms say that kind of thing to moms who have had natural deliveries. Maybe it’s to make themselves feel better about having a surgical birth? Whatever the reason, I didn’t realize that it was a stigma and that saying such things could lead to women being silent about the aftermath of their C-Sections. I have joked about it with women who have C-Sections but because of this post, I certainly won’t be joking about it any more. Thanks for opening the eyes of women who HAVE and have NOT had surgical deliveries.

Summer commented on Feb 09 11 at 11:13 am

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