I had an episiotomy with my 1st baby, after a 2.5hr. 2nd stage 3 yrs ago (May 2001). He was pretty large at 9lbs 11. I tore really badly with no. 2. who was born March 2003. She was 9lbs 10. Now I'm expecting no. 3 in 5 wks. and I'm finding myself really anxious about labour and I think that this is largely to do with a fear of tearing again. My midwife suggested that I consider an elective episiotomy because of the high likelihood of another tear, but I'm wondering if this is a bit drastic, because maybe I won't. Does anyone have any experience of elective episiotomies? Or tearing in each pregnancy. Does the fact I've had a tear and an episiotomy make me more likely to tear again. I'm about to embark on my birth plan and could really do with some advice. This baby is likely to be large too.. Thanks for any help!
Maybe you should just write in your birthplan that you want one if it seems like you are going to tear?
Tears actually heal better than if you are cut, but a cut can be strategically placed to cause least harm...
I wouldn't rush into saying yes to an episiotomy
I hate to be negative about this - I ended up with an episiotomy with DS2 as he was a forceps delivery - unfortunately I had a really bad 3rd degree tear AS WELL (some apparently class it as a 4th degree) so I think you 'could' still tear with or without the episiotomy
Even though I'm only very newly pregnant I'm also worried about tearing this time too - TBH it is the only thing that puts me off a home birth because if I do need stitches I want to be assured that they're done properly this time and don't need redoing 8 months later as happened last time. Think would rather have a straight cut that is easily stitched but am sure will change my mind over the next 9 months!
pooka - as I mentioned below I had an episiotomy and a tear, obviously the tear was further 'round the back' (srry if TMI LOL) but I think I really need 're-stitching' where they stiched the episitomy as doing the business with DH (TMI I know LOL) is nigh on impossible - I'm terrified of needles and am putting it off.