went to 4th degree tear surgeon today for consult (urogynie) - Page 3

[Butterflymom]

Originally Posted by greenmansions

In your shoes, no way I'd NOT do a c/s, at or close to term. I'd so much rather be confident that I'd have bowel control. .....The tradeoff for me would not be worth it - I wouldn't even consider taking the chance. JMO.

: I just realized I've never given you my opinion on the matter (not that it matters), so just to put it out there, I agree with greenmansions. But I wish you strength to make this decision from within yourself.

[MrsMoe]

Just wanting to send you some postive vibes

[cdenuccio]

checking in

I've just found this thread and am wondering what you decided and how things turned out. My situation is very similar to yours: 2 4th degree tears during homebirths, some reduced control (not bad, but nothing I want to go below!), and now pregnant with my 3rd trying to decide what to do.

Right now I'm leaning towards c/s but my longing for a vag birth is so strong that I haven't let go of that yet. I appreciate all the feedback people have given and appreciate you sharing so much of your journey. I imagine you have a new baby now so I'll look forward to hearing from you when you come up for air!

[crazy_eights]

Originally Posted by OnTheFence

Well I hav read all about csections and never once come across such a reference, even in medical school texts. I've never even seen this mentioned on ICAN or other "anti" csection sites.

Look at a Anatomy and Physiology book. This is basic physiology for labor - the uterine muscle gets thicker at the fundus as labor progresses and thins in the lower uterine segment. This is actually used by OB's as an argument NOT to labor as 'the lower uterine segment will thin and you risk of rupture will be greater'. Never seen a reference for that one either, but the mechanics of labor are such that fundus thickens/lower uterine segment thins.