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#484: Isthmocoele, Infertility & Other Lesser Known Cesarean Risks

Episode 484 Published 1 month ago
Description

Cesarean sections can be lifesaving. But are women actually being told about the potential long-term consequences before they consent to one?

This week, Blyss and Stu dig into some of the lesser-discussed risks of cesarean birth, particularly the risks that may not show up until months or even years later.

Stu walks through research examining isthmocoeles and the broader long-term outcomes associated with cesarean delivery, including future fertility, placenta previa and accreta, uterine rupture, miscarriage, stillbirth, and potential childhood outcomes.

But this isn't an episode about frightening women away from cesareans. It's about informed decision-making. As Blyss points out, being informed shouldn't mean you're expected to consent. Women deserve to understand both the benefits and the risks, including the downstream risks that may affect their bodies, their babies, and pregnancies they haven't even had yet.


References:


Kristine’s instagram post

https://www.instagram.com/reel/DdB70-Ohaek/?utm_source=ig_web_copy_link&stkn=MzRlODBiNWFlZA==


FriYAY! Instagram.com/birthinginstincts


Allowed to Birth Ashland Screening

https://rova.live/event/allowed-to-birth-film-screening-presented-by-woven-moon-2026-10-27-1800


Classical Midwifery Conference - Tbilisi Georgia, 2027

gentlebirths.net/classicalmidwiferyconference


Birth Untethered Podcast: S2E31 - In Conversation with Dr Stu-What Doctors Get Wrong About Safety, Consent, and Birth Outcomes

https://podcasts.apple.com/us/podcast/s2e31-in-conversation-with-dr-stu-what-doctors-get/id1836371735?i=1000788208319


Return to Wisdom Podcast: “Free Birth is a Rational Response” — with Dr Stu Fischbein

https://podcasts.apple.com/us/podcast/free-birth-is-a-rational-response-with-dr-stu-fischbein/id1829401357?i=1000788354017


Ancient Health Podcast:  Your Gut Is Recirculating Your Own Bad Estrogen

https://open.spotify.com/episode/7okFAoLL6xeBkpxwhnqWpi?si=vTRhY-wLToeW6d7rm_gYLA&nd=1&dlsi=ed1bb63852ff4f5b


Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002494


Investigating the risk factors for isthmocele development after cesarean delivery

https://pmc.ncbi.nlm.nih.gov/articles/PMC11078695/pdf/main.pdf


Book: Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… And Why You Still Feel Terrible Despite “Normal” Labs

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