Dr. 琼斯: The normal vaginal birth of a baby can be a joyful time, but most women will say that nothing is ever the same down there.
Humans are not the only species that can have trouble getting their babies out, 但大发娱乐似乎遇到的麻烦最多. Our babies' heads have evolved to get bigger and bigger, and good nutrition have made babies get bigger and bigger. And the baby has to pass by muscles and tissue and bowel and bladder on the way out, and often there are long-term consequences.
Today in 范围 studio we're talking with Dr. 奥德拉·乔·希尔. Dr. 希尔是一个 团体手中, a gynecologist who specializes in problems with the pelvic floor, the "down there" that isn't always the same after childbirth. 欢迎来到范围， Dr. 山.
So what are the reasons that those happen? How come women who, having just vaginal birth . . . we populated the planet with vaginal births, even though people think C-section is the most common. 事实上，它不是. 但 what are kinds of things that happened during a birth that can lead to these kinds of problems?
Dr. 希尔: So some of the risk factors that we've identified have to do with having a larger baby, 有时 an older mom and just how their tissues are different than younger moms, 还遗传学.
Dr. 琼斯: 不那么有弹性，也不那么容易撕裂 . . . 我是说，我已经不再是老妈妈了. 我是说，你说的老妈妈是什么意思?
Dr. 希尔: 我想是35岁以后吧, just the complications of pregnancy in general, 虽然仍然很小, 做增加. I think more medical comorbidities also increase. And I would say that the recovery of the tissues after the normal birthing event 有时 is slower.
Dr. 琼斯: 正确的. Well, we were engineered to get to 35, to get one generation of children to childbearing age. 所以 we're over-engineered, but everything starts to . . . You know, our eyes, our bones, our everything tends to be a little less resilient after 35. 哦,亲爱的. 好吧, well, I'm way after that, but that's . . . Well, let's go back to babies being bigger and mom's tissues maybe not so stretchy. What other kinds of things can make these problems happen?
Dr. 希尔: We find an increased risk of these complications or disorders, 比如脱垂, 尿失禁, or higher-level tears are associated with operative deliveries, which kind of means if we used forceps or a vacuum versus just a spontaneous vaginal delivery.
Dr. 琼斯: 好吧. So if the baby needed some help coming out, 产科医生, 或助产师, or family doc used something to help the baby through, that usually means that the baby was bigger anyway. 所以大发娱乐不知道. They might have torn even if you didn't put those things on.
Dr. 希尔: 正确的.
Dr. 琼斯: 只是这些东西能帮上忙. I don't want people to say, "Oh, I'm never going to have any equipment to help my baby out.“好吧，那也是一个.
And then we stopped doing episiotomies routinely. That used to be pretty much commonplace, meaning to cut the opening so it got a little bit bigger. Our fear back not that long ago was, "If it tore, it would tear irregularly. If we just cut it, it would be easier to repair." I think that that's kind of old science and wrong medicine now. 但人们确实会流泪.
Dr. 希尔: 他们所做的. 所以, again, an episiotomy, they're still performed for appropriate indications. That does increase the risk of some of these symptoms after birth. 但, 同时, it's just because you maybe had all of these, 一个大婴儿, 手术分娩. That doesn't necessarily mean you're going to experience any of these symptoms. 所以, 有时, that's how all these risk factors are joined together with your genetics, 以及你的身体在受伤后如何修复, 以及大发娱乐无法控制的事情.
Dr. 琼斯: Well, having a new baby can be a wonderful turning point in a woman's life. 但, 如果你的身体没有恢复正常, and you're having problems down there after your vaginal birth, 你没必要笑着忍受. 大发娱乐是来帮忙的. 感谢收看《大发体育官网》栏目.
