All told, according to a study by researchers at the California HMO Kaiser Permanente, about 1 in 3 women suffer from a pelvic floor disorder a category that includes urinary incontinence, fecal incontinence, and prolapse , and roughly 80 percent of those women are mothers. A few doctors—such as Dietz and University of Michigan urogynecologist John DeLancey—are nevertheless studying the toll of pelvic injuries on women. And even after a woman heals from her immediate injuries, she can experience chronic nerve pain, muscle spasms, or numbness for months or years. So Claire went home and did her best not to worry too much about it. In some cases, that might mean a planned cesarean section, but there may be less drastic solutions. DeLancey has performed thousands of surgeries to fix childbirth injuries. In the United States, the overall rate of cesareans emergency or planned is 27 percent for mothers aged 20 to 24, but 41 percent for those 35 to 39 years old. Women who deliver vaginally are twice as likely to experience these injuries as women who have a cesarean or who have not given birth.
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