Annie said:  I once spoke to an MD who claimed that c/s was the best way to avoid this
problem.   He is a surgeon who does the repair work on prolapsed bladders, he
said, "Annie, it's a proven fact,   our hospital did a huge study, c/s moms have
less incontinence"   my reply was, "Did they separate medicated from
unmedicated?"   He said "No" I said, "then the study was flawed." 

They also need to separate directed pushing ("hold your breath to count of ten and don't make noise " for 2-3 hours pushing) from spontaneous pushing (the pushing a woman does on her own when she has the urge-open glottis, more gentle) or laboring down (with an epidural, rest and let the uterus push the baby down until crowning and mom assists with pushing her baby out then or when she has the urge and only as her urge tells her).    Also, did they separate episiotomy from no episiotomy and instrument assisted from not?  I suspect that the widespread medical control of second stage has caused many of the problems with the pelvic floor that are so common now.   Anyone know if studies like that have been done?  I ran across a book on Amazon.com called "Pelvic Health & Childbirth: What Every Woman Needs to Know" by Magnus Murphy, Carol L. Wasson, Linda Brubaker.  The reviews on Amazon talk about how it makes a good case for elective cesarean (written by an OB-GYN).  Has anyone read it?  I wonder if they mention breastfeeding in there?  
Sally Myer RN, BSN, ICCE, CLC
McCook, NE

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