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Giving birth with vulvar varicosities

post #1 of 11
Thread Starter 
I am scared! This is my fifth and you think I would be ok, but I have never had so many varicose veins as I do with this pregnancy. I am scared of the pressure when the baby crowns that my veins will just burst. They bulge like crazy and hurt just when I sit down to go to the bathroom, so now imagine a watermelon coming through there

And now time for true confessions. My first three births were all induced (medical reasons - pre-e) and had epidurals, no problems, etc. All of those births went great.

Fourth birth, still had to be induced for same reasons, but I had found MDC by then and went without pain meds and survived and it hurt, but glad I did it.

The second thing I am scared of is scar tissue from previous births (always tear a bit). I feel like it is really tight there and extra sensitive with the varicose veins.

So all of this is leading up to me thinking I should do the epidural because I am scared out of my wits with the pain of the veins and scarring. Ack I just don't know what to do.

Any thoughts or BTDT. I need some encouragement
post #2 of 11
I had varicosities in my first birth and didn't even notice them during labor (or after, for that matter) AT ALL. My midwife had pointed out that the pain of labor (contractions) is so much worse than anything else that nothing would be a problem and she was right (I was also worried about my SPD, but didn't feel that, either).

I tore at that birth and so had scarring during my second labor and, while I tore again, I certainly didn't think about it during pushing and the scar didn't give me any additional pain that I felt on top of crowning or contractions. I tore again and it wasn't any different than the first time.

You won't NEED an epidural for those reasons (sorry ).
post #3 of 11
Most pain is in your head! The way you prepare for labor will really influence how you feel the sensations. I'm not saying that you can be pain free, but if you think you're going to be tight and that it will hurt terribly, then it will.

I don't have experience with your condition, but perhaps there are things you can do to make it a bit easier, like massage the area during labor with some olive oil to help you stretch... and think elastic thoughts. You don't have scar tissue everywhere - there still should be plenty of give. Hang in there momma!
post #4 of 11
I'm worried about the same thing. If I squat down for something I feel like my entire crotch is going to burst. I can't imagine how it's going to feel when there's a 9 or 10 pound baby coming out. (This will be my 7th baby to birth). And I know this is silly, but I'm delivering at the hospital where I work, and the baby's mom wants to catch the baby, but it's so ugly down there! I don't want all these people that I know seeing my nether regions in their varicosed condition! I know it will be okay, but I'm less than excited about it.
post #5 of 11
Thread Starter 
Quote:
Originally Posted by Kellyh_01 View Post
but it's so ugly down there! I don't want all these people that I know seeing my nether regions in their varicosed condition! I know it will be okay, but I'm less than excited about it.
Exactly, I am also very embarrassed by my veins. They are terribly ugly and it grosses me out. I have had maybe one vein in this region last pregnancy, but nothing like this pregnancy. They are on all sides of my nether regions and down all of my legs, I truly don't think other's understand this unless you have them this bad. What I feel is so funny this time, is I am the healthiest with this pregnancy than any of my others but I feel scarred for life with these veins and the pressure is so high sometimes (mostly when constipated, TMI). I am truly scared when a baby comes through there, they are going to burst. I am glad I am not the only one that feels this way and I will be talking to the midwife this week about them.
post #6 of 11
I had them quite badly with my previous pregnancy and again with this one. As another poster pointed out I totally did not feel them during labour and birth at all. Afterwards I still felt lots of pressure in the vaginal area for quite awhile (think months but only really after standing for a good part of the day) but not the same as the pregnancy discomfort.
As for the scar tissue a subsequent birth can actually help with that. I did not have a bad tear with ds1 but it always felt a little off afterwards. It wasn't until my midwife did a vag exam with my second that she told me that I had a knot of scar tissue there just becasue of where I tore. No tearing with my second and after that the knot was gone.
Kellyh....I wouldn't worry about the visual. Everything is stretched beyond recognition at that point and she (and everyone else) will really only be looking at the baby's head.
post #7 of 11
Thread Starter 
Thanks Lovnmyboys, you helped me mentally a lot, now I just need to get mentally into this birth. I am reading lots of birth stories now and started my hypnobirthing cds.
post #8 of 11
Are you taking anything for the varicosities? If not, I've found homeopathic hamamelis virginiana 9C VERY helpful in reducing their size!
post #9 of 11
Are you wearing any compression hose for the varicosities. My midwife said if you get the full version (not just thigh high), the blood/fluid is deposited above the pelvic region. Ok so they aren't the most comfortable things in the world (particularly with the summer heat) but the swelling in my legs has gone down and my pelvic region is much less swollen. I thought I had gained a whole bunch of weight in my legs and realized it was just swelling. Its crazy how much better I feel after only 3 days. Just something to think about.
post #10 of 11
Thread Starter 
I do have hose, but I live in Texas and well it's too hot without hose, I can't survive with hose on. Actually my veins are pretty good when I am not constipated, just sitting going to the bathroom hurts because of the pressure.

I talked to my midwife today and she reassured me just like you all that they will be fine during birth I just feel a lot of relief and that fear is now gone about giving birth with regards to the veins.

Thanks for all the support ladies!
post #11 of 11
Be sure not to massage any area w/ varicosities, as they are caused by pooling blood and you could make a clot break loose and go somewhere harmful (placental, lung, brain, etc.).
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