Can I ask you a question about tearing? - Mothering Forums

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Old 05-08-2007, 01:52 PM - Thread Starter
 
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I hope you don't mind my asking this here but I figured since you ladies are unassisted you might be best to answer my question. My midwife says most of her moms don't tear but if the mom tears most of the time she doesn't stitch. Have you torn during your UC? If so did you just leave it alone or did you go to someone later to have stitches?
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Old 05-08-2007, 02:18 PM
 
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i didnt tear, just a small skid mark, but I am not too worried about it. UC allows mom to push how and when she needs to, without coaching anyone, therefore there is a much much lower risk of tearing. If it was a small tear, i would do nothing just rest and maybe some homeopathics. if it was a severe tear, like 3rd or 4th degree, involving the anus, i would go get stitched, but that is me.

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Old 05-08-2007, 02:22 PM
 
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I just had a tiny skid mark but if I had torn I'd have left it alone, no stitches, unless it was a really bad tear.

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Old 05-08-2007, 03:11 PM
 
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I thought I hadnt tore because after a day it was feeling so much better. I had my husband check after a few days and he said I had in fact torn. I put some herbs on it that my mother in law gave me a couple times and the next time I felt of it it felt like a raised line. Again I had my husband look and he said it had all healed together. Originally the tear was over an inch long. Not very deep but a definate tear. I was concerned about the way it would heal. My husband said he thought it wouldnt heal together. And despite my quick return to normal activities it healed up great.

With my first homebirth I tore as well and while no muscle was involved I chose to have it stitched. I tore on the inside and toward the back and a part was hanging down. I thought I wanted that fixed. Stitches were far worse than I imagined. It would have to be pretty bad for me to get stitches again. That may have just been a fluke thing or it may have been because at first it didnt look torn and so we waited a day to stitch.
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Old 05-08-2007, 04:22 PM
 
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i tore a little last time, it was long but shallow, like a split from the pressure in the top layer of skin. i didnt get it stitche,d it was fine. if it was a deep tear like through the muscle or into the clit or rectum i would get it repaired.
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Old 05-08-2007, 04:54 PM
 
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I tore through my labia on one side. It didn't heal together, but it healed. If I had it to do over would I get it stitched? Probably not.....I find it to be cosmetic only, it doesn't really bother me. Maybe if I were going to do porn, it would be a problem.......

During my second UC I tore a bit right at the front and it healed on it's own in a few days.

My third, I just had some swelling, no tears.

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Old 05-08-2007, 05:27 PM
 
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Quote:
Originally Posted by rajahkat View Post
I tore through my labia on one side. It didn't heal together, but it healed. If I had it to do over would I get it stitched? Probably not.....I find it to be cosmetic only, it doesn't really bother me. Maybe if I were going to do porn, it would be a problem.......

During my second UC I tore a bit right at the front and it healed on it's own in a few days.

My third, I just had some swelling, no tears.
From what I've read I was under the impression that labia tears usually aren't stitched at all (hopsital or mw). I had a labia tear at my first hospital birth and they did nothing.

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Old 05-08-2007, 08:39 PM - Thread Starter
 
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Thank you I really appreciate it!
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Old 05-09-2007, 01:21 AM
 
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For skid marks, no stitching is really needed. You can also put a dab of superglue on if it's a small tear. I found stitches to be just awful (had a 2nd degree episiotomy with "extentions" all the way back and a second degree tear on the side. If I have slight tearing i'll just let it heal on it's own. Getting stitches hurt WAY more.

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Old 05-09-2007, 04:17 AM
 
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With my first birth (in the hospital), I had a big 'ol episiotomy, which of course tore deep into the muscle. The stitches were horrible and for 2 years afterward I still had some discomfort and pain with that site occasionally.

Second birth, my UC, I tore in two places (I think it's because I have an exceptionally small perineal area). I tore up high by my clitoris and then inside, down low I had a second degree tear. I stayed at home for 36 hours post-partum and kept my legs together, stayed in bed most of the time--no phsyically demanding ANYTHING. Two days later, the 2nd degree tear was still bleeding and not coming together at all. My husband thought it didn't look very aligned or something. I went to the hospital (for other reasons---it was legally necessary to get a birth certificate in the foreign country where I live) and they checked and said my husband's assessment had been right---it wasn't closing and it was still bleeding a lot.

They stitched the lower tear and it has healed wonderfully. I have had absolutely no pain whatsover with it and I'm glad I did get it stitched. The external tear by my clitoris healed (as pp said), but not together, so I have a little split area in between my clitoris and my labia minora on one side. I'm kind of glad they didn't stitch it because I think it will make me a little roomier for my next delivery That one does occasionally bother me after sex if there's been a lot of pressure put on that area (5 mo post-partum).

My thoughts: I think that if your body does tear in a UC (and if you're pushing without being coached and in a non-supine position--I was both), it will selectively choose the *best* way to tear for your body. I really do have a very small perineal area and even though I did tear, I tore in a way that was pretty safe and healed well. I think the stitches were beneficial but wanted to note that the stitches I had with my UC were incredibly easier/better than my hospital birth. I think part of that may have to do with the fact that in my hospital birth (not only did I have more extensive tearing thanks to the episiotomy) the doctor was working at 2 AM on me and he was in a hurry. I think he was too rough and my perineum was horribly swollen, black, blue, purple for weeks afterwards. With the stitching I had done with my UC, the doctor (who was a woman), made it a separate procedure, took her time, etc.
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Old 05-09-2007, 06:04 PM
 
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My dd was 4 weeks late and her head didn't squish AT ALL. I couldn't get past crowning before I felt a small tear starting and after we ended up getting med help at that point they put me on my back and held my legs open so I have a nice 4th degree tear. I suspect if we had forgone the assistance I would've torn less, but still enough to need stiches. I guess we'll never know...

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