Messed up perineum :( (xpost) - Mothering Forums

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#1 of 35 Old 03-03-2005, 11:51 PM - Thread Starter
 
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I'm coming to you in hopes that UCers can share their wisdom.
I had a midwife assisted homebirth. Directly after the birth, she checked me and said I had no tears. The following day, I felt stinging when I used the peri bottle. I thought maybe it was a hemorrhoid? She said she hadn't seen any.
Now that I've healed some more, I explored and noticed my perineum is much much much shorter than it used to be. I feel like I've torn. But the midwife swears I didn't tear. I didn't have a mirror to check.
So I asked her to check me today. She got me a mirror too. It looks like I tore a long time ago or something. I had a major tear with my first and was stitched up. It looks like the skin along the scar has separated. But the area looks smooth and healed although a little red. It isn't just the perineum surface, it goes way back there.
I'm a little depressed and worried. Will this heal? I figured UCers would know about healing tears without stitching. Is there anything I can do to help the skin knit back together? Or am I now stuck with a gaping open vagina for the rest of my life?
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#2 of 35 Old 03-04-2005, 12:06 AM
 
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I'm not a UCer (nor do I play one on TV), but I will tell you that it will heal beautifully.

Our bodies are amazing. IF there is one part of our body that I trust to heal without intervention, it's our vaginas. Think about it: why would we be designed to tear some during birth, only to never heal right and have it adversely affect our sexual and reproductive health and hygeine?

Kegel, kegel, kegel. You will heal.
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#3 of 35 Old 03-04-2005, 12:26 AM
 
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I read an article about written by a mid-wife about using sea weed to heal tears and cuts. Here is the article. I don't know if it will help or not but I would say it is worth asking about. I certainly haven't had any personal experience. Good luck, hope you heal well!

http://www.midwiferytoday.com/articl...=healing+tears

Stay at home wife to Jason for 7 years Mama to Larissa Mae 2 years old :, Gavin Clay 7 months :, and Neveah Ann April 24, 2005 to July 13, 2007 ED for my food allergic babe. :::
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#4 of 35 Old 03-04-2005, 03:39 AM - Thread Starter
 
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I'm just worried because it's on a scar and the skin doesn't seem to want to knit back.
Thanks for the article sarajane
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#5 of 35 Old 03-04-2005, 03:47 AM - Thread Starter
 
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I just read the seaweed article and I'm wondering if it will do any good since the skin isn't raw and doesn't even look like a recent tear. It's totally smooth and healed looking but gaping open.
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#6 of 35 Old 03-04-2005, 03:57 AM
 
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I have no idea. I was wondering that too but that article was the first time I had ever heard of such a method. It sounds good but I don't know much about it. Any mid-wife's around who have heard of this?

Stay at home wife to Jason for 7 years Mama to Larissa Mae 2 years old :, Gavin Clay 7 months :, and Neveah Ann April 24, 2005 to July 13, 2007 ED for my food allergic babe. :::
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#7 of 35 Old 03-04-2005, 11:25 AM
 
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anyone know what kind of seaweed is meant by the article? Kombu, nori, wakame...etc. ?
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#8 of 35 Old 03-04-2005, 01:18 PM
 
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IMO, if it's minor enough for seaweed, it's minor enough to leave alone. I rarely suture and the women heal beautifully. It's nori sheets that are used. I just think that anything like that - superglue, etc. - is not necessary! We need to trust the body more. Really, if it's minor enough for those things to "help", leave it be!

It sounds like you're really worried, and not too satisfied with your mws opinion. I'd say go to a doctor. One thing that can be done is they can "rough up" the edges and suture it. It's a bit late to be messing with it now.

That said, I would also advise keeping your legs together and NOT looking at it for awhile. Give it time to heal. But, that's just me.
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#9 of 35 Old 03-04-2005, 03:11 PM - Thread Starter
 
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Thanks Pamela. It's been two weeks. I've only looked at it the two times I mentioned. I now have a house full of puking kids and I'm sick on top of it and my husband has to work 25 hours between today and tomorrow. That's not counting commute time. So I'm pretty much on my own and can't really rest or keep my legs together since I have a lot of laundry and puke stuff to clean up. Argh.
My midwife didn't seem to have an opinion. She just said she was positive there wasn't a tear there directly after the birth and could tell I was worried so offered to stitch it. I asked her how stitching two weeks later would help. She said it wouldn't. I didn't think a doctor could do anything but I wasn't sure.
I just dind't know if it would heal since it looks so smooth and practically healed open already.
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#10 of 35 Old 03-04-2005, 03:37 PM
 
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Quote:
Originally Posted by kavamamakava
I'm coming to you in hopes that UCers can share their wisdom.
I had a midwife assisted homebirth. Directly after the birth, she checked me and said I had no tears. The following day, I felt stinging when I used the peri bottle. I thought maybe it was a hemorrhoid? She said she hadn't seen any.
Now that I've healed some more, I explored and noticed my perineum is much much much shorter than it used to be. I feel like I've torn. But the midwife swears I didn't tear. I didn't have a mirror to check.
So I asked her to check me today. She got me a mirror too. It looks like I tore a long time ago or something. I had a major tear with my first and was stitched up. It looks like the skin along the scar has separated. But the area looks smooth and healed although a little red. It isn't just the perineum surface, it goes way back there.
I'm a little depressed and worried. Will this heal? I figured UCers would know about healing tears without stitching. Is there anything I can do to help the skin knit back together? Or am I now stuck with a gaping open vagina for the rest of my life?

All right, this might be TMI, but when I was younger and I lost my virginity, I noticed that this had happened to my perineum, too. It was different from the hymen that had broken... I realized that my perineum covered much less vaginal area than it used to. But it was not bleeding. It was just... stretched. I think maybe the perineal tissue just has the ability to do that, to stretch and not tear. It was sore for awhile, but it went away. I'm sure you'll be fine, if you aren't bleeding there.
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#11 of 35 Old 03-04-2005, 04:58 PM - Thread Starter
 
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Thanks for the TMI. lol. Well, the area in there looks actually separated. Maybe it was just stretched funny and it will get elastic again? I hope so. I just hope it doesn't stay that way forever.
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#12 of 35 Old 03-09-2005, 07:21 PM
 
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liliesandliars, I am trying to understand how deep is this wound? Is it on the surface or is it .5 cm deep, 1 cm deep. . . and how long is it? I am visualizing a significantly deep wound ie .5 - 1 cm deep with edges that are not well approximated (edges that do not meet). I am a RN and I can tell you re wound healing that wounds must heal from the inside out. So you wouldn't want the top to heal together and pocket to be left underneath. That said. . . your "wound" could take a while to heal because new cells need to grow. Cell granulation can be destroyed in various ways so I would agree the less you intervene the better. And yet keep an eye on it.
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#13 of 35 Old 03-09-2005, 10:04 PM
 
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maybe the scar tissue is just irrtated.. but it is your body, you sound confident so to me that is clear!!!
if you wait a bit using shea butter might help it some.. i know with scarring too.. chickweed can help and after a bit comfrey...of course using herbs on your pereium would be hard..but in a sitz bath or something might help a bit
not that long ago i went to an ob becasue i felt somethign on my cervix.. my midwife couldn't see anythign really.. but i was worried about herpes as I am planningto have my baby vaginally..heh
anyways the ob said it was an old cervical tear.. i walked away feeling relieved but than i thougth wait a minte a tear fro when and what??? i have four kids every birth i have been told i didn't tear?? weird..
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#14 of 35 Old 03-10-2005, 02:03 AM
 
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how well did she check afterwards? did she use some gauze or something and look deep inside? you might have had an internal tear with the skin nearly split and it finished splitting postpartum-- I looked at one of these types of tears on someone who birthed alone and wanted stitching-- go to a doctor and have it evaluated.
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#15 of 35 Old 03-10-2005, 03:05 AM
 
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When my daughter was born, I tore, was stitched, was told the wound approximated really well, never heard another word about it from my caregiver. Sex was painful the first time out, but I didn't think much of it.

When I finally "looked" months later... it looked like I'd never been stitched, like the wound had healed open.

It still looks that way, 11 years later. I also have a cystocele and rectocele. Keep in mind that I pushed in a terrible position, flat on my back, which I believe caused the majority of the damage.

The best things for it have been walking daily for 10+ minutes per day. Kegels don't do much for me. I expect that in another 5 years, maybe less, I'll have some pelvic reconstructive surgery.

Will it heal if it's an old wound? Not shut, not likely, IMO. It would have to be "reinjured"... edges roughed up and made raw, then forced back together.

I get sort of upset when people blithly assume such things will just "heal", even if they're old. If mine was going to heal, it would have. And it did...but not "together".

Jenrose, Mama to DD1, born 1993, DD2, born 2005, and DS1, Jan. 2012. Babywearing, cosleeping, homebirthing mom with fibromyalgia and hashimotos.  DD2 has a rare chromosome disorder. 

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#16 of 35 Old 03-15-2005, 03:58 PM - Thread Starter
 
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Thanks Jenrose. I really think this won't heal unless I have surgery. I have an appointment with my PCP tomorrow so I can get a referral to an OB/GYN. Ugh I'm no longer pregnant so I can't just waltz into an OB/GYN office with my insurance but have to see a reg doc first and get referred to a specialist.
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#17 of 35 Old 03-15-2005, 11:35 PM
 
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I thought that there was a law allowing women to do just that go to ob gyn care if they so desired
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#18 of 35 Old 03-16-2005, 06:29 PM - Thread Starter
 
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Is there really? Well, if I have a referral, the OB/GYNs in the area are more likely to take me on. Otherwise, they claim that they aren't taking on new patients. I might have gotten in with the one I originally wanted to see but had been told she was booked until May.
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#19 of 35 Old 03-16-2005, 07:51 PM
 
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Wise Woman Herbal by Susan weed has some great remedies on pages 78-80.

Hope this helps.
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#20 of 35 Old 03-16-2005, 08:00 PM
 
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In brief--comfrey leaf, or aloe vera gel, or slippery elm bark (a paste recipe is included on page 79), vitamin e...

FWIW, I used the slippery elm bark paste with my tear and it healed nicely.
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#21 of 35 Old 03-16-2005, 08:08 PM - Thread Starter
 
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Thanks I'll have to dig my book out.
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#22 of 35 Old 03-16-2005, 08:12 PM
 
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I'm not an UC but I had something similar happen. I had an episiotomy with dd1 due to falling heartrate. With dd2 I had just a small tear that didn't even require stitches. She came out after just a few pushes but was a smaller baby. So after I healed I noticed a long skin tag near the bottom part of my vag. opening where the old epi scar was/is. I haven't talked to my midwife about it yet but I plan to. It doesn't seem to affect anything but it sure wasn't there before. It's been over a year since her birth so I guess it's there to stay.

I hope you get some answers. I just wanted you to know you are not alone.

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#23 of 35 Old 03-16-2005, 08:20 PM
 
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Quote:
Originally Posted by kavamamakava
Thanks I'll have to dig my book out.
Cool, you have it. I was hoping you would. If not, I'll type out the recipe for you. Susan Weed is so awesome!!!!! That paste really make all the difference to my sweet perineum.
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#24 of 35 Old 03-16-2005, 08:25 PM
 
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Quote:
Originally Posted by USAmma
So after I healed I noticed a long skin tag near the bottom part of my vag. opening where the old epi scar was/is. I haven't talked to my midwife about it yet but I plan to. It doesn't seem to affect anything but it sure wasn't there before. It's been over a year since her birth so I guess it's there to stay.
I had this happen too. I didn't tear in my perineal area, but I tore inside the birth canal and then had a big perineal hematoma. It got much smaller, but then I was left with this extra flap of skin that really annoyed me when I felt it while wiping because it wasn't supposed to be there, darn it! Then with my second birth, I tore a fair amount and needed about 10 stitches. When that was all healed, the floppy skin tag was gone, which pleased me greatly.
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#25 of 35 Old 03-16-2005, 10:38 PM - Thread Starter
 
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I had a skin flap removed as the initial tear was healing (about 2 weeks after the birth). There is a large scar and a keloid where the hematoma was. It's a mess in there.
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#26 of 35 Old 03-16-2005, 10:39 PM - Thread Starter
 
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If it's not super long, could you type the recipe? I'm not sure where my book is. I do have a paste that my midwife made under the direction of Susun Weed. But I think it's a bit different from the one in the book.
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#27 of 35 Old 03-16-2005, 11:18 PM
 
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Quote:
Originally Posted by Viola
I had this happen too. I didn't tear in my perineal area, but I tore inside the birth canal and then had a big perineal hematoma. It got much smaller, but then I was left with this extra flap of skin that really annoyed me when I felt it while wiping because it wasn't supposed to be there, darn it! Then with my second birth, I tore a fair amount and needed about 10 stitches. When that was all healed, the floppy skin tag was gone, which pleased me greatly.
re: skin tags
I didn't get a skin tag--but--my mws said it was possible that I might develop one, and if I did, and if I deemed it annoying, it would be super-simple to go to the OB/GYN and have the extra skin cauterized off. My mws made it seem like no big deal, and that it happens, and can be fixed.

HTH
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#28 of 35 Old 03-17-2005, 01:22 AM
 
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if it has healed apart comfrey will not tack it back together-- we have tried this the tissue still has to be somewhat raw on the sides still. we have had women who did not want to be stitched call us 2 days later wanting stitches and we have done it and used comfrey to help it heal together and it worked so well we couldn't see even where the tear was originally. but I have tried to put something together that was already healed and no go you could try it but I recommend keeping your appointment with the doc so you can have it repaired if the comfrey doesn't work.

Also I think that I should say that comfrey has some controversy in recent years it turns out that a hybrid commercially grown organic comfrey is high in toxic alkaloids so if you can get some that is from old stock and grown in north country then it would be best and low in toxic PAs
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#29 of 35 Old 03-17-2005, 02:57 AM - Thread Starter
 
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I'm thinking I'll need the comfrey even AFTER I get it repaired. I don't know why it came apart anyway.
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#30 of 35 Old 03-17-2005, 04:59 PM
 
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For some sitz baths now you could do some uva ursi or manzinita leaves with some lavender flowers and some yarrow. so the leathery leaves you can bring to a boil then shut off and let some lavender and yarrow steep strain through a dish cloth or an old tee shirt and put into a tub or a basin you can sit in we use about 2-3 hands full of the manzinita and yarrow and just 1 of the lavender. and we re-use the herbs for a second batch.

Before you put the herbal liquid into a basin fill it up in the bath tub and then sit in it so you can see how much water you displace you don't want to find out with the herbs and waste them. what ever amount of liquid stays in the tub is how full you can get it.
there are many herbal combos you can use I mention these because they will increase circulation, anti-inflammatory and astringent, antiseptic and smell pretty good as well. We had one dad who had some surgery and ended up using the soaks as well he really liked it.
If it were later in the spring in the north country I might use something like plantain leaves instead of yarrow and sweet melilotus instead of lavender because it is just so delightful and would be fresh.
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