+ Reply to Thread
Page 3 of 3 FirstFirst 123
Results 21 to 27 of 27
  1. #21
    Join Date
    Dec 2008
    Posts
    2,567
    Thanks
    889
    Thanked
    575
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    I never forgot it All that for a 5lb baby too

  2. #22
    Join Date
    Dec 2008
    Posts
    2,567
    Thanks
    889
    Thanked
    575
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Quote Originally Posted by futuremamma View Post
    I can't believe they gave you such a large episiotomy! How awful for you.
    Yep, I never forgot it And all of that for my 'huge!' 5lb 15 oz baby

  3. #23
    Join Date
    Jan 2012
    Location
    Melbourne
    Posts
    427
    Thanks
    193
    Thanked
    77
    Reviews
    0
    I did heaps of research on this before my last birth. I had a 3rd degree tear with my ds, midwives at booking in visit in my second pregnancy mentioned said I had the option of vb or cs. I hadn't even considered a cs till then and I immediately asked a close friend who was also a midwife. She said "are you asking me as a midwife or as a woman?" and I thought this needs some serious thought. I'm happy to share my research with you (i'm typing on my phone and it's so slow) if you want to pm me or have any questions. Out of all the studies I read though, there were 2 things that made me elect for a cs the second time around. First was that all 4th degree tears and symptomatic 3rd degree tears should be offered cs (i had trouble with wind and urgency). Second was that damage from subsequent pregnancies may occur to the anal sphincter without a perineal tear occurring - occult injury. So the damage is done internally without a visible outer tear even occurring. So your risk of prolapse and incontinence later in life (or current) can be much higher if you have another vb even if you don't "tear". They may also do endoanal u/s months after delivery to check function and healing. Your personal risk with future vbs may depend on other factors including results of this test. Sorry if this doesn't make total sense, I hate typing on my phone, it's so slow and I have so much info on this I don't know where to start. Happy to share but also no regrets with my elec cs choice for #2.

    Sent from my HTC One X

  4. #24
    Join Date
    Jan 2012
    Location
    Melbourne
    Posts
    427
    Thanks
    193
    Thanked
    77
    Reviews
    0
    Oh and the other thing was that tears are often hard to predict - "risk" factors include things like size and presentation of baby (often not really known till you are in Labour) and being a first baby, delivering on your back, epidural etc. My babies were average size but my first was posterior and after a long Labour I ended up on my back with an epidural and vacuum assistance. I had done calm birthing and this was not my plan! In the end, I thought if many of the risk factors may not be evident until Labour, I'd rather not take the chance. The risk of having a second bad tear does not increase because you have had one already, but it's the difficulty in predicting and preventing tears that scared me. Add to that the possibility of occult injury to an already damaged area, I didn't want ongoing damage if it was possible to avoid it. Often weakness won't show until menopause when hormonal changes affect muscle tone. I already had weakness, and that was just a 3rd degree tear (3a).some people have worse with 3b, 3c or 4th degree. It is probably highly personal how individuals recover but make sure you see the hospital physios.

    Sent from my HTC One X

  5. #25
    Join Date
    Nov 2010
    Posts
    350
    Thanks
    0
    Thanked
    71
    Reviews
    0
    Thanks for all the great info veggiemama. I've been referred to the hospital perineal clinic where I will see someone 6-12 months down the track. They'll do an ultrasound at that stage. I've seen the hospital physios but will start private sessions soon. I know what you mean about the unpredictability during labour. My last labour was a breeze - I'd worked hard to do everything I could to have a successful vbac, but who could have predicted the ending. It was going so perfectly! I also ended up with a large vaginal wall tear - I'm guessing that will compound things further. Maybe I can have a positive elective c experience - and demand a more natural delivery - and no separation from baby etc.

  6. #26
    Join Date
    Nov 2010
    Posts
    350
    Thanks
    0
    Thanked
    71
    Reviews
    0
    Quote Originally Posted by veggiemama View Post
    Oh and the other thing was that tears are often hard to predict - "risk" factors include things like size and presentation of baby (often not really known till you are in Labour) and being a first baby, delivering on your back, epidural etc. My babies were average size but my first was posterior and after a long Labour I ended up on my back with an epidural and vacuum assistance. I had done calm birthing and this was not my plan! In the end, I thought if many of the risk factors may not be evident until Labour, I'd rather not take the chance. The risk of having a second bad tear does not increase because you have had one already, but it's the difficulty in predicting and preventing tears that scared me. Add to that the possibility of occult injury to an already damaged area, I didn't want ongoing damage if it was possible to avoid it. Often weakness won't show until menopause when hormonal changes affect muscle tone. I already had weakness, and that was just a 3rd degree tear (3a).some people have worse with 3b, 3c or 4th degree. It is probably highly personal how individuals recover but make sure you see the hospital physios.

    Sent from my HTC One X
    Veggiemama - how was your pelvic floor function after your c-section? do you mind if I pm you for info you found on this...any research etc?

  7. #27
    Join Date
    Jan 2012
    Location
    Melbourne
    Posts
    427
    Thanks
    193
    Thanked
    77
    Reviews
    0
    Feel free to pm

    Sent from my HTC One X


 

Similar Threads

  1. Birth after 4th degree tear and internal holes
    By Ahpez in forum Birth & Labour Questions
    Replies: 0
    Last Post: 10-10-2013, 11:18
  2. C-Section or Vaginal Birth after 4th Degree Tear?
    By ManchesterLass in forum Birth & Labour Questions
    Replies: 4
    Last Post: 29-09-2013, 20:56
  3. Natural birth after 4th degree tear?
    By superpip in forum Birth Trauma Support
    Replies: 15
    Last Post: 18-11-2012, 20:17

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
FEATURED SUPPORTER
Hunter Women's Health CentreHunter Women’s Health Centre care for women of all ages, in the full spectrum of their gynaecologic and obstetric ...
REVIEWS
"Made bed time less anxious"
by Meld85
My Little Heart Whisbear - the Humming Bear reviews ›
"Wonderful natural Aussie made product!"
by Mrstwr
Baby U Goat Milk Moisturiser reviews ›
"Replaced good quality with cheap tight nappies"
by Kris
Coles Comfy Bots Nappies reviews ›