Devastating story in BMJ today: 'Living with obstetric fistula'

This is why I often say that there are TOO FEW cesareans in many parts of the world. Published in the BMJ on 9th June, 2011, 'Living with obstetric fistula' is a must-read for anyone who doubts the need for more obstetric care in the developing world.

And for those doubters who refuse to believe or accept that natural birth can have a devastating impact on the pelvic floor - remember that while this level of injury is the most rare, there is a whole sliding scale of damage that occur in women.

If we don't inform women of this potential risk when they are planning their births, then they are not equipped to make a truly informed decision.