or Connect
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › Unassisted Childbirth › Messed up perineum :( (xpost)
New Posts  All Forums:Forum Nav:

Messed up perineum :( (xpost)

post #1 of 35
Thread Starter 
I'm coming to you in hopes that UCers can share their wisdom.
I had a midwife assisted homebirth. Directly after the birth, she checked me and said I had no tears. The following day, I felt stinging when I used the peri bottle. I thought maybe it was a hemorrhoid? She said she hadn't seen any.
Now that I've healed some more, I explored and noticed my perineum is much much much shorter than it used to be. I feel like I've torn. But the midwife swears I didn't tear. I didn't have a mirror to check.
So I asked her to check me today. She got me a mirror too. It looks like I tore a long time ago or something. I had a major tear with my first and was stitched up. It looks like the skin along the scar has separated. But the area looks smooth and healed although a little red. It isn't just the perineum surface, it goes way back there.
I'm a little depressed and worried. Will this heal? I figured UCers would know about healing tears without stitching. Is there anything I can do to help the skin knit back together? Or am I now stuck with a gaping open vagina for the rest of my life?
post #2 of 35
I'm not a UCer (nor do I play one on TV), but I will tell you that it will heal beautifully.

Our bodies are amazing. IF there is one part of our body that I trust to heal without intervention, it's our vaginas. Think about it: why would we be designed to tear some during birth, only to never heal right and have it adversely affect our sexual and reproductive health and hygeine?

Kegel, kegel, kegel. You will heal.
post #3 of 35
I read an article about written by a mid-wife about using sea weed to heal tears and cuts. Here is the article. I don't know if it will help or not but I would say it is worth asking about. I certainly haven't had any personal experience. Good luck, hope you heal well!

http://www.midwiferytoday.com/articl...=healing+tears
post #4 of 35
Thread Starter 
I'm just worried because it's on a scar and the skin doesn't seem to want to knit back.
Thanks for the article sarajane
post #5 of 35
Thread Starter 
I just read the seaweed article and I'm wondering if it will do any good since the skin isn't raw and doesn't even look like a recent tear. It's totally smooth and healed looking but gaping open.
post #6 of 35
I have no idea. I was wondering that too but that article was the first time I had ever heard of such a method. It sounds good but I don't know much about it. Any mid-wife's around who have heard of this?
post #7 of 35
anyone know what kind of seaweed is meant by the article? Kombu, nori, wakame...etc. ?
post #8 of 35
IMO, if it's minor enough for seaweed, it's minor enough to leave alone. I rarely suture and the women heal beautifully. It's nori sheets that are used. I just think that anything like that - superglue, etc. - is not necessary! We need to trust the body more. Really, if it's minor enough for those things to "help", leave it be!

It sounds like you're really worried, and not too satisfied with your mws opinion. I'd say go to a doctor. One thing that can be done is they can "rough up" the edges and suture it. It's a bit late to be messing with it now.

That said, I would also advise keeping your legs together and NOT looking at it for awhile. Give it time to heal. But, that's just me.
post #9 of 35
Thread Starter 
Thanks Pamela. It's been two weeks. I've only looked at it the two times I mentioned. I now have a house full of puking kids and I'm sick on top of it and my husband has to work 25 hours between today and tomorrow. That's not counting commute time. So I'm pretty much on my own and can't really rest or keep my legs together since I have a lot of laundry and puke stuff to clean up. Argh.
My midwife didn't seem to have an opinion. She just said she was positive there wasn't a tear there directly after the birth and could tell I was worried so offered to stitch it. I asked her how stitching two weeks later would help. She said it wouldn't. I didn't think a doctor could do anything but I wasn't sure.
I just dind't know if it would heal since it looks so smooth and practically healed open already.
post #10 of 35
Quote:
Originally Posted by kavamamakava
I'm coming to you in hopes that UCers can share their wisdom.
I had a midwife assisted homebirth. Directly after the birth, she checked me and said I had no tears. The following day, I felt stinging when I used the peri bottle. I thought maybe it was a hemorrhoid? She said she hadn't seen any.
Now that I've healed some more, I explored and noticed my perineum is much much much shorter than it used to be. I feel like I've torn. But the midwife swears I didn't tear. I didn't have a mirror to check.
So I asked her to check me today. She got me a mirror too. It looks like I tore a long time ago or something. I had a major tear with my first and was stitched up. It looks like the skin along the scar has separated. But the area looks smooth and healed although a little red. It isn't just the perineum surface, it goes way back there.
I'm a little depressed and worried. Will this heal? I figured UCers would know about healing tears without stitching. Is there anything I can do to help the skin knit back together? Or am I now stuck with a gaping open vagina for the rest of my life?

All right, this might be TMI, but when I was younger and I lost my virginity, I noticed that this had happened to my perineum, too. It was different from the hymen that had broken... I realized that my perineum covered much less vaginal area than it used to. But it was not bleeding. It was just... stretched. I think maybe the perineal tissue just has the ability to do that, to stretch and not tear. It was sore for awhile, but it went away. I'm sure you'll be fine, if you aren't bleeding there.
post #11 of 35
Thread Starter 
Thanks for the TMI. lol. Well, the area in there looks actually separated. Maybe it was just stretched funny and it will get elastic again? I hope so. I just hope it doesn't stay that way forever.
post #12 of 35
liliesandliars, I am trying to understand how deep is this wound? Is it on the surface or is it .5 cm deep, 1 cm deep. . . and how long is it? I am visualizing a significantly deep wound ie .5 - 1 cm deep with edges that are not well approximated (edges that do not meet). I am a RN and I can tell you re wound healing that wounds must heal from the inside out. So you wouldn't want the top to heal together and pocket to be left underneath. That said. . . your "wound" could take a while to heal because new cells need to grow. Cell granulation can be destroyed in various ways so I would agree the less you intervene the better. And yet keep an eye on it.
post #13 of 35
maybe the scar tissue is just irrtated.. but it is your body, you sound confident so to me that is clear!!!
if you wait a bit using shea butter might help it some.. i know with scarring too.. chickweed can help and after a bit comfrey...of course using herbs on your pereium would be hard..but in a sitz bath or something might help a bit
not that long ago i went to an ob becasue i felt somethign on my cervix.. my midwife couldn't see anythign really.. but i was worried about herpes as I am planningto have my baby vaginally..heh
anyways the ob said it was an old cervical tear.. i walked away feeling relieved but than i thougth wait a minte a tear fro when and what??? i have four kids every birth i have been told i didn't tear?? weird..
post #14 of 35
how well did she check afterwards? did she use some gauze or something and look deep inside? you might have had an internal tear with the skin nearly split and it finished splitting postpartum-- I looked at one of these types of tears on someone who birthed alone and wanted stitching-- go to a doctor and have it evaluated.
post #15 of 35
When my daughter was born, I tore, was stitched, was told the wound approximated really well, never heard another word about it from my caregiver. Sex was painful the first time out, but I didn't think much of it.

When I finally "looked" months later... it looked like I'd never been stitched, like the wound had healed open.

It still looks that way, 11 years later. I also have a cystocele and rectocele. Keep in mind that I pushed in a terrible position, flat on my back, which I believe caused the majority of the damage.

The best things for it have been walking daily for 10+ minutes per day. Kegels don't do much for me. I expect that in another 5 years, maybe less, I'll have some pelvic reconstructive surgery.

Will it heal if it's an old wound? Not shut, not likely, IMO. It would have to be "reinjured"... edges roughed up and made raw, then forced back together.

I get sort of upset when people blithly assume such things will just "heal", even if they're old. If mine was going to heal, it would have. And it did...but not "together".
post #16 of 35
Thread Starter 
Thanks Jenrose. I really think this won't heal unless I have surgery. I have an appointment with my PCP tomorrow so I can get a referral to an OB/GYN. Ugh I'm no longer pregnant so I can't just waltz into an OB/GYN office with my insurance but have to see a reg doc first and get referred to a specialist.
post #17 of 35
I thought that there was a law allowing women to do just that go to ob gyn care if they so desired
post #18 of 35
Thread Starter 
Is there really? Well, if I have a referral, the OB/GYNs in the area are more likely to take me on. Otherwise, they claim that they aren't taking on new patients. I might have gotten in with the one I originally wanted to see but had been told she was booked until May.
post #19 of 35
Wise Woman Herbal by Susan weed has some great remedies on pages 78-80.

Hope this helps.
post #20 of 35
In brief--comfrey leaf, or aloe vera gel, or slippery elm bark (a paste recipe is included on page 79), vitamin e...

FWIW, I used the slippery elm bark paste with my tear and it healed nicely.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Unassisted Childbirth
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › Unassisted Childbirth › Messed up perineum :( (xpost)