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I had a 3rd degree tear with my first delivery and a rectal fissure that just healed (that's after 18 months of suffering)<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/guilty.gif" style="border:0px solid;" title="guilty"> . I would like some suggestions for how to decrease the risk this time. I plan to go without an epidural this time and possibly have a doula (if I can get my husband to agree).<br><br>
Is there anything else I can do during pregnancy or during labor to decrease my risk this time.<br><br>
Thanks
 

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No epidural for sure. You'd be safer birthing at home.<br><br>
For sure no forced pushing and not on your back.<br><br>
good luck!<br><br>
-Angela
 

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I highly recommend this book, it has the great tip of sitz baths in the tub, starting at 34+ weeks. I know a lot of moms that did that & did not tear.<br><br><a href="http://www.amazon.com/gp/redirect.html?ie=UTF8&linkCode=ur2&camp=1789&creative=9325&tag=motheringhud-20&location=http%3A%2F%2Fwww.amazon.com%2FGet-Through-Childbirth-One-Piece%2Fdp%2F0595188680%2Fref%3Dsr_1_1%2F102-1453333-5900947%3Fie%3DUTF8%26s%3Dbooks%26qid%3D1177002999%26sr%3D8-1" target="_blank">http://www.amazon.com/Get-Through-Ch...7002999&sr=8-1</a>
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br><br>
Birthing in a location where you feel safest and most loved, surrounding yourself only with supportive people, avoiding medication, no directed pushing, staying off your back/being mobile, following your instincts and not doing something just b/c someone else said to <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> I highly, highly recommend checking into <a href="http://www.waterbirth.org/mc/page.do" target="_blank">waterbirth</a> <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I can't recommend it highly enough! Best wishes <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Yep. Stay home, be very comfortable with anyone who will be at the birth including your midwife or any family, listen to your body, give birth in the water, do your own perineal support.
 

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I had a 3rd degree tear with # 1, birthing semi-sitting in bed pushing with my own urges. I had adhesions from the repairs and spent 3 miserable months feeling like I had just given birth, not knowing better!<br><br>
With # 2, I had a home water birth and no tearing. Everybody is quite amazed that I didn't tear, because DS just came shooting out! One minute he was crowning, and the next he was born....I didn't even push! I was in a squatting position, and I KNOW the water helped a ton!<br><br>
Both babies were the same size <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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All of the above. Plus, AVOID perenial massage during birth. It can swell the tissues and lead to a greater likelihood of tearing. Massage all you want, if you want, before labor but not during. Stay hydrated. Push only when YOU are ready. Stay OFF of the tail bone during pushing. And I second, third and fourth the idea of waterbirth! Check out Barbara Harper's <a href="http://www.gentlebirth.org" target="_blank">website</a> for good info on this.
 
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