View Full Version : Vaginal birth or cesarean?

02-09-2006, 02:10 AM
To all mothers with IC out there, would any of you share whether you gave birth vaginally or via c-section? I'm 22 weeks pregnant and worried that a vaginal birth could put a lot of strain on my bladder. On the other hand, I've read about women who got IC after a c-section. I don't know what to do! :hmm:

Thank you,


02-09-2006, 02:55 AM
That's a tough one, isn't it? My IC kicked in a month after my second c-section. I hope you get some feedback from women who've had to make the choice. I know it's been discussed here before. :)

02-09-2006, 03:49 AM
Hi There,

My IC came 2 years after my last c-section. I feel that my IC is not related to it. I had 2 c-sections before IC and one after I was diagnosed. Hope that helps,

02-09-2006, 03:53 AM
C-sections are considered major surgery and it is MUCH harder to recover from than a vaginal birth. Congrats on your pregnancy.


02-09-2006, 11:19 AM
Hello I wish I had an answer for you. I am 36 weeks pregnant and I am considering a c section for some personal reasons. I really don't know if I have IC or not. One doc says yes, one says no and one says she don't know. What I am scared about that if I do have a mild case of IC will it make it worse? I have been up every night crying and wish I knew what to do. Please let me know if you find any info. What does you doc say? Mine does not know much about IC so I am confused. Please help us.

02-09-2006, 11:28 AM
I got IC 6 weeks after the c-sect birth of my son. It is hard to say. If it is medically neccessary I would not hesiate, but if it is a personal choice weigh all the cons and pros. I had placenta previa so I could not go into labor I would risk the chance of me bleeding to death and losing my son.

Having a c-section is major surgery so look into it real well. Congrats on the baby

02-09-2006, 01:20 PM
Hi everyone,

Thank you for your responses and support. I really appreciate it.

JoJo13 - If I were you, I would definitely seek specific advice from a specialist, maybe a urogynecologist. My pain is mild right now, like yours, but I really don't want it to get worse after giving birth. All the best to you.

Patricia1 - I also have placenta previa. If after the next ultrasound it's not moved, it's very likely a c-section will be medically necessary, just like yours was. Still, to have a healthy baby and to be able to be there to take care of her is what's most important.

Thank you all,


02-10-2006, 04:14 AM
That is what happened to me. After the last ultrasound it did not move so I had the schedule c-section 2 weeks earlier, just to be safe. He was still big for 2 weeks earlier he weighed 8pds 2 oz. It is scary.....Good luck.

02-10-2006, 09:33 AM
Hi I just wanted to let you know what my urogyno said about this. He said that there is no documentation ever that says a c section will make IC worse. He said a that IC of course is inflamation inside the bladder so it is hard to say what causes or what will make it worse. There was only ever one study done on IC and preganacy and the results are on ICHelp. And it doesn't say what is better. My doc says that a vaginal birth can flare your IC just as much as a csection, no body knows and every one id different. What has your doc's said about IC and C sections?

From what I have reserached back in the archives. Some people think vaginal and some think c section made there IC come on. I just pray that it doesn't make it worse.

Good luck to all.

02-11-2006, 01:13 PM
I had a horrible C-section! I devolped IC 2 months after! I also had kidney stones, and severe UTI and kidney infections during my pregnancy! Then the fool doc didnt clean out all of the miconium & I developed Ecoli in my insecion. It was awful... but the Lord got me through it... I would really pray about it... You will recover faster naturally!
-Good Luck... e-mail me if you have any questions...

02-15-2006, 10:58 PM
Hello everybody,

I didnīt know a c-section could make IC worse. Now I am totally confused. My due date is next week and I had no doubts that a vaginal birth would be best until my urologist said that there could be problem with the permanent urinary catheter that I wanted to use as soon as I get an epidural. And then my gyn. explained that each contraction can be compared to a weight of 50 kg that also squeezes the bladder.
My IC is quite severe already and I donīt want to make some terrible mistake that makes it worse. 50 kg sounds pretty bad and I donīt want the bladder to start bleeding or the catheter to hurt the most vulnarable spots of the bladder. So I thought a c-section would be a better option. The only reasion why I still havenīt made up my mind is that I had hoped that my problems of emptying my bladder which in my case go along with IC might disappear after a vaginal birth. but thatīs only my personal theory and no doctor could confirm it. It may or may not be helpfull. Also the bladder might change itīs positon by vaginal birth and give me more trouble in future than it already does.
I have to make the dicision quickly, so please give me some advice.
Thank you

02-16-2006, 06:48 AM
Your friend Christina asked me to respond to you, because of my midwifery background. I truly feel that a vaginal birth will be easier on those of us with IC. Fist, I want to address the urinary catheter situation. With a C-section, you will also have a urinary catheter, that will stay in for quite awhile. There is really no difference between having to get a catheter for an epidural, or a C-section.

Also, to address the bladder changing it's position by vaginal birth, I think that you may mean you may get a cystocele? It is not a common side effect from vaginal birth, and can happen to any woman at any time. I would not concern yourself about it. It all has to do with your pelvic floor muscle control. If you are worried about it, after you give birth, you can maybe see a physical therapist that specializes in pelvic floor muscle control.

My advice is this: Vaginal birth will be easier on your body. It is not abdominal surgery like a C-section is. Also, many women have reported their IC starting after a C-section, so that alone would really make me think twice. The healing time is much easier with a vaginal birth, and most of all, as women, our bodies are made to give birth vaginally! Many many doctors out there try to push women to have a C-section, because it is easier for THEM. They know when it will be scheduled for, so they can plan their dinner or golf plans around it, and it is quicker for them, as well as they get more money from it. I get so upset at doctors that try to push women into having caesaerian births for their own motives. That is why I am studying to become a midwife and not an OB. Plus, if you do get a C-section, you may be forced to have any subsequent baby by C-section again and again. Trauma after trauma to the body.
There sure is a time and place for a C-section, but that is for emergencies. The baby's heart tones are dropping, It is asynclitic (positioned so it is stuck on the pubic bone and not dropping), or any other emergent situations. But a planned C-section is wrong, in most cases. That I truly believe. Give your body a chance to do it naturally.

And lastly, there is another option that I can give to you. Giving birth vaginally with no epidural (natural birth) would be what I feel is the best possible outcome for an IC patient. Your body will do what it has been made to do, and you will not have the problem with the catheter or what commonly happens with epidurals, not being able to feel the urge to push, so being forced to get a C-section at the last stages, or else having the doctor use a vacuum exractor to pull the baby out.

Being a doula, the births that I have been to that have been natural, with no epidural, the baby birthed vaginally, have been very gentle on the mothers. The one that I have been to where the mother got an epidural turned into a C-section, and that was traumatic for both the mother and baby. The mother took a long time to heal afterwards.

So that is my 2 cents. Sure, I am biased, but I feel that my bias is based on experience and education. I would hate to see you have a negative birth experience. Wishing you the best,

02-16-2006, 06:57 AM
Hi Ellen,
I personally had a c-section with my son 8 months. I don't think it made it worse... my symptoms have remained about the same. My ob/gyn gave me the option of c-section or vaginal but recommended that I go the c-section route not only because of my IC but also because I had a very difficult labor with my daugther 4 years before. I was in labor for over 50 hours and ended up getting a c-section anyways. I would recommend that you try vaginally if this is your first.

02-17-2006, 03:33 AM
Hi Emily

thank you very much for your reply and your advice. I feel much better now and I have decided to have a vaginal birth.

It isnīt the catheter itself that worries me, because I use one each night. Thatīs because my bladder doesnīt tolerate more than than 100 ml anymore and getting up 15 times and more had become far too stressful. Sometimes my urethra is a bit sore but I can still bear the pain.

What I was (and still am a little) worried about is that the ballon that holds the catheter inside the bladder will also be pressed into the pelvic and thus also against urethra with each contraction and may cause the bladder to bleed or give me more pain afterwards. The doctors said that permanent damage is unlikely and that the bladder will heal within a few weeks if some damage should occur.

Iīll definitely have an epidural, because Iīm in enough pain already. But they explained to me that they will use a dosage that will wear off quite soon. If Iīm not ready to push then theyīll give me some more. But theyīll always make sure that I wonīt lose control entirely. They even said I might be able to walk after the epidural.

Thank you again for encouraging me, Iīll let you know when the the baby is born and will tell you how things went.


02-17-2006, 04:27 AM
I have had both (vaginal & c-section) & I have to say that vaginal is the way to go & I even did it without any drugs! Recovery was soo much easier & quicker.

My c-section was not an emergency situation, but it was neccesary. I don't want to scare anyone here with the details, so I'll leave it at that.

Best of luck to all you soon to be new mommies!

02-17-2006, 08:48 PM
Just joined and had a baby girl about nine months ago. My advice is to have a natural vag birth! It worked for me and recovery was much easier!! The midwife is right!!

02-20-2006, 06:39 PM
I had a baby 5 months ago and went through this same exact problem. We had a lot of discussions about it on this board. You may want to look in the archives, as we had a lot of people give their two cents.

My first labor and delivery was very traumatic and, I believe, brought on my IC. But the circumstances were very different, and any normal doctor on this planet would have taken her by emergency c-section. I sometimes watch a baby story on cable, and any time a mother has the problems I did, they take her in to have a c section right away.

Anyhow, after much thought and prayer, and a lot of reading on this board, I decided to have her vaginally. It was definately the right decision. I had a quick and easy delivery and recovered very quickly.

My advice would be to definately try to have the baby vaginally. If anything happens they can get you in to have a c-section right away, but most people are able to deliver naturally without any problems. It is best to avoid abdominal surgery if you can.

Don't be afraid to have a c-section if it happens to be necessary. Many people with IC have had them without any problems.

Congratulations on your pregnancy :woohoo: and good luck!