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Episiotomy vs. Tearing - Page 2

post #21 of 32

As an aside, I thought FOR SURE last time that I had MASSIVE tearing because holy freaking mercy jaw.gif doesn't it just feel like your entire bottom just EXPLODED into a million bits and pieces??!?!  Yeesh.  Surely I'm not the only one who felt this way....


Yes! Totally! I didn't tear with my last two and thought for sure I was because, wow, the "ring of fire" is no joke. 

 

post #22 of 32
Thread Starter 

Okay, just to dispell some of the fear here about "exploding bottoms"....    Yes, of course, when the head finally emerges the tissue is stretching as far as it can go and possibly tearing and you will most likely feel the resulting burning/stinging sensation.   HOWEVER, I have to say that compared to the sensations of transition and the effort I put forth pushing (with my first), the ring of fire was nothing.  I barely gave it a thought at all.    With my second I hardly put forth much effort pushing to get him down and once he was crowning, I was like, "whoo hoo! this is it!" and just pushed him on out!  Roar like a lion!  Scream like a banshee!  That baby is coming out!  And man what an extraordinary feeling it is when that baby comes out!  There are no words.  Have no fear ladies, compared to what you have all ALREADY been through with your pregnancies, this is nuthin'!

post #23 of 32

I just wanted to add to this, particularly for women facing delivery for the first time......I tore (no idea how badly) and I didn't feel it.  I didn't have an epidural, but my OB gave me a few shots (lidocaine?  Does that sound right?) to try to numb my pain/feeling.  I know at some point the baby was coming too fast, and he asked me to hold off on pushing for a minute.......and apparently that was to prevent too much tearing.  I literally didn't feel a thing and although I watched him stitching me up, I didn't feel that either.

 

I will add that this (tearing) was one of my greatest fears before pregnancy/delivery - my midwife and I had discussed it at length.

 

My final note:  perhaps TMI but I was terrified to poop after delivery - I waited 3 days!!!  I was obviously a little sore (nothing terrible), but I was just so conscious of the fact that I had stitches and I was afraid I was going to re-rip or something!!  I was really stressed out about it.

post #24 of 32
Quote:
Originally Posted by mommy55 View Post

I just wanted to add to this, particularly for women facing delivery for the first time......I tore (no idea how badly) and I didn't feel it.  I didn't have an epidural, but my OB gave me a few shots (lidocaine?  Does that sound right?) to try to numb my pain/feeling.  I know at some point the baby was coming too fast, and he asked me to hold off on pushing for a minute.......and apparently that was to prevent too much tearing.  I literally didn't feel a thing and although I watched him stitching me up, I didn't feel that either.

 

I will add that this (tearing) was one of my greatest fears before pregnancy/delivery - my midwife and I had discussed it at length.

 

My final note:  perhaps TMI but I was terrified to poop after delivery - I waited 3 days!!!  I was obviously a little sore (nothing terrible), but I was just so conscious of the fact that I had stitches and I was afraid I was going to re-rip or something!!  I was really stressed out about it.

 

Not my first time, but this is good to know. I tore last time, but I had an epidural so I didn't feel anything. I'm going to try going natural this time and was afraid tearing would hurt without the drugs. Not scared enough to get an epidural just for that reason, but not really looking forward to it. 

 

As for pooping, yes that first PP poop is so daunting!! It took me 3 days too. I took stool softeners the whole time and it was a 30 minute ordeal to get the job done the first time. I just couldn't push it out, bearing down at all felt so wrong. It didn't really hurt, but it wasn't comfortable. The stool softeners helped a lot, I didn't have to work too hard to get it out. Totally TMI, but I was really glad someone warned me about it ahead of time!
 

 

post #25 of 32
Thread Starter 

Yep, lidocaine, which unfortunately everyone reacts differently to.  Plus there are some locations in the vulva/vaginal canal that practitioners do not want to inject with lidocaine for risk of permanently killing the nerves.  So you may or  may not feel stitches.  I felt all of mine with my first as mine were actually inside the vulva and vaginal canal and I don't respond much to lidocaine.  But I already knew that I didn't respond to lidocaine from a previous injury, so I was somewhat prepared.  And the good news is, with minor tearing it's usually a pretty quick process and you can be staring at your newborn while they're doing it, hopefully distracting yourself. 

 

As for pooping, I had that same fear!  I had heard horror stories about it and decided that I was just going to get it over with- I still had a lot of that "power through" mentality from the high of the birth.  So I powered through and for me, it wasn't painful at all.  But I also only tore in the vaginal area, not anywhere near my anus.  Peeing did sting just slightly, but that's what the irri-bottle is for.  Just make sure to have that full of water near the toilet, squirt it on yourself while peeing and no problem!  Often care providers will wait for you to pee before they leave.  I highly recommend doing it in the shower as it will likely hurt less b/c of the water pouring over the area and you don't have someone watching over you while you're trying to pee!

post #26 of 32
Quote:
Originally Posted by birdhappy85 View Post

Quote:

Alright, I'm officially terrified of birthing right now. Thanks jbk21. ROTFLMAO.gif



No no no, don't be terrified.  My story ended well, remember?!  LOL  I did not tear, but I just thought I did- mostly probably because I was so afraid of tearing (had some friends who tore really bad.) The ring of fire is seriously no joke, like a PP said.  I don't know, I thought out of all of it the pushing was the worst HOWEVER I was forced to lay flat on my back (I begged the nurse to put the bed up so I'd be semi-sitting.  she refused.  I begged and pleaded and wouldn't do it.  I was in no position to do it myself!  I am SURE that laying on my back was putting SO much pressure on my perineum that it made it ten times worse.  I also kept begging for her to support it while the head was crowning.  She wouldn't do that either.  And of course, my midwife came in at the last possible second to catch the baby (hospital midwives *rolls eyes*).   So anyway, have a better position in mind that you'd like to push in, and have someone support the perineum.  It'll be fine :-)


But don't be terrified- your body can do it.  Childbirth is really, really hard but it's all for a good cause :-)  ETA: seriously, compared to pregnancy and other parts of labor (transition) possibly tearing should be the least of your worries!  You won't even feel it if it happens because everything is stretched and our bodies are designed to cut off nerve sensation at that point.  


Edited by jbk21 - 10/13/11 at 9:57am
post #27 of 32



 

Quote:
Originally Posted by birdhappy85 View Post

Quote:

Alright, I'm officially terrified of birthing right now. Thanks jbk21. ROTFLMAO.gif



hahaha It's just a massive pressure down there. All the muscles and tissue stretching. lol It's really not bad. Especially the 2nd time around because it's not such a new feeling, or scary because you've never felt anything like that down there before. It's fine, and if anything, it's a humorous analogy. lol.gif And I agree with J, if you can help it at all, don't be flat on your back. I honestly have no clue why OB's think/thought this was a good idea. eyesroll.gif

post #28 of 32
Thread Starter 
Quote:
Originally Posted by IwannaBanRN View Post

And I agree with J, if you can help it at all, don't be flat on your back. I honestly have no clue why OB's think/thought this was a good idea. eyesroll.gif


Oh, it was never about being a good idea for the women!  It was all about being easier for the OB to see what was going on and keep control of the situation as opposed to letting the mother be in control of the situation.  The lithotomy position is widely discredited as an effective birthing position, but it continues to be forced b/c doctors continue to maintain control of birth.

 

post #29 of 32
Quote:
Originally Posted by Jaimee View Post

Oh, it was never about being a good idea for the women!  It was all about being easier for the OB to see what was going on and keep control of the situation as opposed to letting the mother be in control of the situation.  The lithotomy position is widely discredited as an effective birthing position, but it continues to be forced b/c doctors continue to maintain control of birth.

 


Well, since when, until just recently have any OB's thought of the ACTUAL benefit of the mother? lol The sitting up position is not only BETTER than laying down for the mom, but still allows the OB to see. Besides blood pressure issues, I don't see any other reason for mom to be on her back. I look at the past 100 years of childbirth in America and shake my head.
 

 

post #30 of 32

As far as feeling yourself tear, there's so many sensations going on in that area at the time, you will have no idea. I tore really badly, and I had no idea it happened. I was still in the tub, and I mentioned to my midwife that it was starting to sting and asked if that meant I tore. She had been supporting my perineum when he crowned, and her eyes got really big and she said "Yeah, you  tore. Badly." But between the hormones and the high of meeting my new baby, I never realized it. They used a spray lidocaine to stitch me up, and even that wasn't that bad. It was definitely sore for the first week-ten days, but it really, really wasn't as bad as it sounds. I mean, I'm hoping not to tear this time, but I'm definitely not terrified of it happening, either. If you can get through labor and transition, a tear really isn't the end of the world!

post #31 of 32

I posted this in the thread that inspired this one, but I'll post it here too:

When I was in nursing school we learned about cuts with objects such as a knife and rips/tears of the skin are different and how they heal differently.  The straight cuts with knives had more scarring and took longer to heal than the skin that was torn (we were not talking about this in terms of giving birth, episiotomies vs tearing, this was just injuries in general).   What I was told and what was in my textbook was that a jagged cut has more surface area to mend together than does a straight cut with a knife so that is why it heals better and faster.

post #32 of 32
Quote:
Originally Posted by mommy55 View Post

I just wanted to add to this, particularly for women facing delivery for the first time......I tore (no idea how badly) and I didn't feel it.  I didn't have an epidural, but my OB gave me a few shots (lidocaine?  Does that sound right?) to try to numb my pain/feeling.  I know at some point the baby was coming too fast, and he asked me to hold off on pushing for a minute.......and apparently that was to prevent too much tearing.  I literally didn't feel a thing and although I watched him stitching me up, I didn't feel that either.

 

I will add that this (tearing) was one of my greatest fears before pregnancy/delivery - my midwife and I had discussed it at length.

 

My final note:  perhaps TMI but I was terrified to poop after delivery - I waited 3 days!!!  I was obviously a little sore (nothing terrible), but I was just so conscious of the fact that I had stitches and I was afraid I was going to re-rip or something!!  I was really stressed out about it.

 

A few years ago, a colonic care specialist  (and friend) recommended LBS II (Natures Sunshine brand) to me for after a laparotomy-type surgery where they messed around with my bowel as well as female reproductive organs. I didn't have stitches down there (I had those in my abdomen), but I did have trouble with the bowel working after interference and I found the LBS II really helpful in keeping my stool soft, as trying to use stomach muscles to push when they've got stitches and staples is no fun (neither is it fun on the internal organs). I took it for a few weeks, as well as eating really high fiber cerial and basic foods like rice and veges. I'll be using LBS II capsules after baby is born this time.

Dried fruits and LBS II - at least for the first 5- 7 days for me!

 

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