4th degee laceration - Mothering Forums
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#1 of 8 Old 04-02-2004, 03:53 PM - Thread Starter
 
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this is all so reassuring. thank you everyone.

i am fortunate to have had a very good surgeon (he was a peri-recal specialist) do my repair, although i had to leave my home and newborn baby to do it.
most of the posts who have had the 4th degree laceration were due to OB's episiotomies or forceps (interventions) in the hospital . my situation seems unique, my body did this all itself. do you think the best place for me the next time is in the hospital just in case this should happen again?i do believe the body can heal itself and i have faith in that.
onlyboys...i am so sorry to hear your pain in that area. i can totally relate to what happened. i actually have some trouble with gas expelling , my muscles must be weak there.i should have done some physical therapy to strengthen it..too late?
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#2 of 8 Old 04-02-2004, 04:06 PM
 
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Hi mommamiagal, I thought you said that the doctor put his hands up inside your vagina? That's definitely not a situation of your body doing it (the 4th degree laceration) all itself. I know there was the dystocia, but there are non-invasive ways of dealing with that. It sounds like there was a lot to the management of your birth that contributed to the laceration being as severe as it was, so if you avoid that style of management there's no reason to expect that you'll tear like that again.

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#3 of 8 Old 04-02-2004, 04:52 PM
 
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I had 4th degree tears all 3 times - no interventions at all. I don't know why...the babies were big (8.5 - 10 pounds), but that certainly doesn't lead to 4th degree lacs in every case. Perhaps once it has happened once you are more prone to it?:

In any case, I have no idea of any statistics about the probability of it repeating...but sometimes it does, for no apparent reason. It certainly isn't pleasant, but I've recovered!:
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#4 of 8 Old 04-02-2004, 08:25 PM
 
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Just wanted to say, having had to transport after birth to hospital for major suturing with my second birth, I would still birth out of hospital, even knowing I "may" need to transport after for suturing. I brought baby to hospital and my midwives let the hospital know to keep away from baby. I lucked out and had no problems with hospital staff and baby was left alone and our wishes respected. It does suck having to get up and out the door right after birth, but to me, it still beats having baby in a hospital.

And I would bet money that my tear would have been 3rd or 4th degree had I been in the hospital to begin with.
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#5 of 8 Old 04-03-2004, 03:23 AM
 
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I wanted to write because this is something that really interests me too. I had a 3rd degree tear (no episitomy) with my son. I am worried about next time - tearing again -as one doctor did tell me I could have a 4th degree tear/ fecal incontinence with my next birth. (I have bladder incontinence now). Not really adding anything just wanted to get in on the discussion.
-chester
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#6 of 8 Old 04-03-2004, 10:03 AM
 
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Chester ~ it is interesting that your doctor warned you of fecal incontinence. Like I said, I've had three 4th degree lacs, and while the initial recovery was not fun, I have no lasting effects at all. The only person to ever mention incontinence was my BIL ( a doctor) a few years after my last birth. I'm glad no one ever mentioned it to me ahead of time...who needs one more thing to worry about? Anyway, I guess I'm a good example of how these dire predictions don't necessarily come true.
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#7 of 8 Old 04-03-2004, 02:34 PM - Thread Starter
 
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is it possible for this area to heal, even with all of the scar tissue from the suturing and still have enough integrity to allow a baby to come through without ripping open along that same line again..or is it just luck??????
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#8 of 8 Old 04-03-2004, 02:38 PM - Thread Starter
 
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so i assume everyone would agree that taking a chance of it happening again, even with thr risks of pelvic floor problems, is better than having a c section???????
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