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I received a 4th degree tear after my first delivery (baby was 9.5 pounds). For my second I decided to not get an epidural so that I would have the option of pushing in a different position and would push only when I had the urge. That did the trick. I pushed on my side (no perineal pressure) and actually didn't "push" at all -- my body did it for me. I tore very minimally along my old scar, had two stitches, and recovered amazingly. Like you, I was terrified that I might incur permanent damage.
The key is not to push on your back -- think of all of the pressure it puts on your bum to push that way.
|Has anyone experienced this??? How was your second delivery?? Did you tear as badly with the second delivery?|
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mama to (4/05), (6/07vbac), (8/09vbac), and (9/11vbac)
They said that it's true... a second tear can have a "worse" outcome just because there is already scar tissue, the muscles/sphincters have already lost some elasticity during the previous repair, and the tissue may not heal as well. SO if you've had one tear AND you have another your risk for complications is higher than it would be for a woman with her first tear. Sort of like a mama having a second c/s is at higher risk for complications than a woman having her first c/s.
However, they reassured me that the risk of tearing really isn't that much greater.
I am also completely terrified of having another 4th degree tear. I've been doing heaps of research but i cannot find anything like my situation. I actually tore on my second birth. As far as i can tell i was in a good position not to tear either. I was drug free with a wonderful midwife, I was on all fours and pushing didn't go too long or quick. When the pushing began another midwife came in to calm me and coach me along with breathing and what not which was wonderful while the other mw got ready to catch. I felt great after the birth even though i had to go straight to surgery under general anaesthetic for an hour and a half to be stitched. The OB who stitched me is great with an impeccable reputation.
So after all that the OB tells me at my following check-up that i will require a c/s next time because i risk having permanent damage to my bowels. I am now 29 weeks pregnant with my 3rd and trying to decide what is best for me and my baby. The only reason i can think why i tore with my 2nd was because he was big - 9" 4 ounce. Maybe i am just susceptible to tear.
Although i do not have any extreme problems with my bowels things certainly have not been the same since i had no. 2. I'm worried no. 3 just might tip the scales and make things a whole lot worse when they are kinda teetering on the edge.
Mum to 2 DS 17 Oct 2002 and 18 Feb 2005
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