With DD 2.5 years ago was pushing for over 2 hours and in the end given episiotomy and ventouse was used to pull DD out. I have no details of severity of the cut as I gave birth in Hong Kong public health system where that sort of info. is not forthcoming. Cut healed up normally but was still uncomfortable to have sex up to a year later.
Now 30 weeks with no.2, also due to be delivered in Hong Kong public hospital. We get no pre-birth midwife support or indeed really much support during delivery (language barriers put midwives off speaking to westerners I think, I was just told 'push' then left on my own), so am doubly anxious.
My question is, if you had an episiotomy first time round did they insist on cutting again for second birth? Will it tear? Or can I hope to deliver without any cuts/tears?
Mine tore, yes. But it tore along the line of the cut that had been made 2 years ago so it was easy to stitch up. I didn't have any problems with it. I am not sure what the actual procedure should be though, because I was in a very severely understaffed hospital over a bank holiday weekend and was only just allowed into a delivery suite in time.
I had an episiotomy with ds1, because I had been pushing for over 1.5 hours, and in labour for 36 hours before that, and the midwife knew I was exhausted, and said an episiotomy would enable me to push ds1 out in two contractions - otherwise I'd have ended up with a forceps or ventouse.
With both ds2 and ds3 I had some very slight tearing at the episiotomy scar, but on neither occasion was it severe enough to need any stitches at all, and both times it healed quickly and with no problems whatsoever.
Each time I had thought about perineal massage (to make the scar more supple and less likely to tear) but never got round to it, and, as I say, never had a bad tear. But if you are worried, perineal massage might help.
Ds1 was back to back so had forceps and episiotomy. Ds2 was induced and I tore, but it was soooo much better than episiotomy. With dd (dc3) I had a very normal labour and no tears or episiotomies, even though she was 1lb heavier than ds2!
Now preg with dc4 and hoping this one will just fall out .
With DS1 I had episiotomy because he was breech. He was 4 weeks early and 5lb 5oz. DS2 I did have a tear, he was 7lb 14oz. I asked if it was absolutely necessary to have it stitched, and it wasn't. The healing was much better without stitches for me. I am very glad I spoke up, as they didn't ask, they were just going to do it regardless.
I had an episiotomy with both of my boys. DS1 was taking a long time and they needed to hurry him along. DS2 got stuck and I needed an assisted delivery. But at antenatal with DS2 my MW said there was no guarantee that I would need another cut, it just depends how it goes on the day. I was unlucky. But both healed OK and were not too sore with pain relief as supplied by the hospital.
I had an episiotomy, forceps and ventouse becuase ds1 was back to back, a 26-hour-labour. DS2, who was A LOT bigger, came very very quickly, and though I was given an episiotomy because of his big head, the healing was so much easier and pretty pain-free compared with no. 1.
DS was back to back so yes I had an episiotomy,took while to heal,scared badly.Dd was born 2years later,no tare,no stitches needed.was very relieved because had her at home and didn't fancy being transferred to hosp for big stitch up like before!