Join Date: May 2002
Location: Kenmore, Washington
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If you get low on iron occasionally, maybe floradix is a good idea for general post-partum care, but I don't think it's the answer on this.
I'll "talk" outloud so you can see where I'm going - this is my understanding:
During your daughter's birth, your perineum experienced some extreme stress, breaking down the functional connective tissue along an old scar line. Several days after the birth, the skin also split along the scar, leaving the tissues gaping apart.
In addition, some of your skin has broken down, leaving only a thin line of mucosa between your vagina and rectum in at least one area.
The area was stitched over again, but is now apart again. The muscles of the perineal area are able to bring the edges together with your exertion.
Since the scar dehesized with this birth, I hypothesize that it did not heal properly the first time. It is not uncommon for a subsequent birth to "repair" the perineum, for a woman to be cut with her first birth, heal but be uncomfortable, and have the scar stretch and revise after her second birth, releaving the discomfort and lack of function. It is uncommon to see a complete failure of the scar with healthy tissues in a well nourished woman. So I think: is she healthy? is she well nourished? does she have undiagnosed STD or infection causing tissue problems? Since you did have prenatal care and I "know" about your nutritional status from your posts, these don't seem likely, but you tell me...
Next thought: something is keeping your body from laying down the foundation strips of scar that lead to full repair. You didn't lay down the collegen and fibrous tissue after the first repair, leading to the failure of the scar with this birth. You didn't lay them down again, leading to the second failure after the stitches started to wash away. Having lots of scar tissue to the touch doesn't mean it's orderly and working, even. Think of a pile of yarn compared to a knitted blanket - one holds tension and one would not. The underlying network to heal a scar looks a lot like a badly crocheted afghan blanket with lumps and bumps and a basic network. Over time, this strong but disordered net revises to be a thinner, more uniform (more experienced crocheter) net.
So next line - how is your blood, specifically platelets and iron? Do you have have the raw materials to repair tissue? Iron is important for that, but not the #1 item. It would be something that is NOT just now because it affected your first birth, too. If you had a global platelet problem, your midwife would have seen it during prenatals for one, and my questions would have rung a bell like "oh, yeah, my bloodwork is always interesting".
So, next thought.
How do you heal in general? Do you have lots of scars? How about past surgeries if any? Do you have thin pale skin? Are you red headed? Sprains, breaks, etc?
And final thought - stop with the vitamin E and anti-scaring, good healing stuff perhaps - a lot of that is designed to make thin efficient scars and supple, elastic skin. It might be the wrong direction to go for right now.
After 4 m/c, our is here!