Ok, I know this has been discussed before but almost everything I have found has to do with episiotomies gone bad.
I had been in labor with no progress for several days when I was admitted at 8 pm, at about midnight my water was broken. At 7 am I started pushing. At 7:42 my son was born. I ended up with a fourth degree tear. The doctor got there too late to do an episiotomy. The tear went out sideways and then tore back into my rectum in a v shape. The doctor (of 30 years) said that it was the worst he had seen. Recovery was a nightmare. I have ended up with a recto-vaginal fistula and incontinence problems.
My husband and I are TTC again and I am trying to way the consequences of delivering vaginally again versus scheduling a cesarean. Since my tear was not a result of an episiotomy I am afraid that my skin is simply not very elastic would tear again. If I were to tear again I have been told I would have major incontinence issues and would require additional repair surgeries. I am not sure I am willing to risk this. Is there anyone who has had a similar situation? Please, I would love any input!