I am hoping for some advice from you very wise women. I had a baby just over two years ago (my second, she was a 42week HBAC weighing 8lbs). At the very end when she was crowning, just after half of her head came out, she flexed her body, pulling her head back and this caused her to reflexively take a breath. But because her mouth was not out yet, she was unable to breath. Her body jerked inside and the midwife knew this was wrong so she pulled her out. I am not sure if it was with a contraction or not but the "aftermath" makes me think that she pulled her out between contractions, working against what my body was doing. It's all such a blur. Anyway, after the birth my dd was not breathing properly bc she was in shock from attemting to take a breath but not able to get air. We transferred to the hospital. Everything turned out fine (she regulated her own breathing after 1 hr with no intervention) but about 4 hours later the staff at the hospital checked me and discovered a second degree tear. They said that I tore at the vaginal opening and then just up inside the vagina toward the back of my vaginal wall. They stitched the area but the top two stitches at my vaginal opening did not stay. I have a rather obvious gap of about an inch where it looks like the bottom of a circle (the vaginal opening) now has a v at the bottom. I saw my gyn for my annual and he told me that he could repair the gaping at the opening. And, I didn't mention that I also have what I have diagnosed as a rectocele. I think it's looks worse than it actually is since more of the back of my vaginal wall shows anyway due to the gaping. I asked the doctor if closing the gap would afford more support for the rectocele and he said no, that it would affect/improve it at all. He said the rectocele was caused by ripped or stretched facia in that area and that he could sew/repair the facia and that would improve the rectocele. I am scheduled next week for both surgeries. I was not going to deal with the rectocele since it doesn't really bother me enough to warrant surgery. I do have some issues (needed to modify my position to evacuate) if I'm constipated. If not, and I've been very good about it, I have no issues. Sometimes I do feel a bulge at the opening of my vagina but it's minor and only intermittent.
So, of course, I googled rectocele repair and was frightened by how many people said they were worse after the surgery. It makes me question whether or not I want to do it but I'm not sure if ripped/torn facia is the same as a "normal" rectocele. I guess I have to ask him that at my pre-op. As far as the repair at the vaginal opening, I do really want to have that repaired because (1) it looks weird (totally vain, I know) and (2) I cannot have sex from behind anymore because of the friction on that part of my vagina. The skin is thin and fragile there so I have pain for days after sex unless we have sex from the front, so to speak. It's not the end of the world to limit sexual positions but if it's something that can be fixed, why not? And if he's already in there and I'm already under, why not do the rectocele repair if it would improve me? I am terrified that I would end up worse though.
So I guess my question to all of you is, why not? Has anyone had a perineal repair like this? I was told that they recut the skin around the tear and then restitch it. It is supposed to thicken up the skin and make it more durable. And in terms of the rectocele, does what I described sound like a typical rectocele? I'm not sure EXACTLY what a rectocele repair is. Do they close a gap in the vaginal wall or otherwise adjust the bowel?
I thought I should add that I have done chiro but am not being treated currently. I also purchased the DVD from Aligned and Well called "Down There" for Women by Katy Bowman. I have not watched it. Where's the embarrassed smilie?
Thank you for your advice.