I have 3 boys...
first was posterior and I had a 3rd degree episiotomy, but I healed just fine.
second was my biggest (I am 5 foot tall and petite) - he was 8 lbs, 7 oz, and came out like butter - no tears!
third was born 2 months ago, and was posterior, and I had a fourth degree tear.
My recovery has been great, except I am dealing with issues of gas escaping out of my V, and gas just in general - so lovely. I am hoping....praying.... this will get better and possibly fix itself?!!!
I was examined at my post partum check up and was told I do not have a fistula (common cause of gas coming out of the V). I was told I didn't have much "support" down there, but since she was a midwife, she couldn't expand on that. I have an appt. with my O.B. in a month to re-evaluate and I will have more answers then. She would probably advise me to have a repair surgery eventually if I can not address the issue with kegels.
I suppose my husband and I are greedy :) because we want at least one more baby...in a few years. I do not want to elect for a c-section, but I do not want to risk destroying my pelvic floor muscles for life.
I want to know what the chances are of delivering another posterior baby, since I've already delivered 2. And even if the baby is not posterior, will I run the risk of tearing badly in the same places again? I've read that tears re-occur where they naturally occurred before, or along the episiotomy line (which I've had both, but no issues in my second delivery after having an epi with first delivery).
I have been encouraged by the posts here by people who have had successful births after a 4th degree tear. I feel on some level that I'd be playing Russian Roulette, but I think there's risk no matter what!
I would appreciate any feedback, thank you!