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how can MW help you not tear with a waterbirth?

(45 Posts)
mad4mybaby Mon 27-Oct-08 17:49:51

Im planning on a waterbirth as never got time with ds1. I tore badly and want to do everything i can to prevent needing stitches. Alot of people say down to listening to MW but when i had ds1 was on a bed and MW could see everything and i DID listen to her but it still happened. Ive my bottom half is underwater how can they see well enough (apart from mirror) to help prevent tearing?

liahGeneMutatedMonster Mon 27-Oct-08 19:19:27

the thing in trying to prevent tearing mad is trying to control the emergence of junior.

Was your first birth fairly quick?

As you are planning on being in water, chaNCES ARE, THE WHOLE LABOUR WILL BE CALMER IF THAT MAKES SENSE, SO MAKING IT LESS LIKELY, (ALTHOUGH NOTHING IS 100%)

bugger stupid cap lock

She can use a mirror,or you could put your own hand down and support baby's head as it births. Thats a nice way of doing it.

BigAxeToChopOffYourThread Mon 27-Oct-08 19:24:47

i had a waterbirth and only had a small tear (no stitches) not sure it was down to the mw, more the water.

Star1ightExpress Mon 27-Oct-08 19:28:47

I tore, but I probably need not have done.

My fantastic mw was sitting on a stool 8 feet away with her mouth shut - exactly as was written in my birth plan.

Littlefish Mon 27-Oct-08 19:29:55

Sorry to tell you that I had a wonderful, calm waterbirth and an excellent midwife, but I still tore and ended up having lots of stitches.

Star1ightExpress Mon 27-Oct-08 19:34:24

stitches is where you find out that the gas and air actually does something!

mad4mybaby Mon 27-Oct-08 20:46:07

yes ds1 was only 4 hours. Although im pretty sure it wouldve been quicker if i stayed at home as i was 8-9cm on arrival of hosp but got stuck on my back on a bed and the pushing was the longest part and i could feel he kept sliding back up for quite a while...

Star1ightExpress Mon 27-Oct-08 20:52:29

If you're on your back it makes the hole smaller. Perhaps that's why you needed to tear?!

reikizen Mon 27-Oct-08 20:56:46

In my experience sometimes women just tear. One minute you are having a lovely controlled delivery and the next that awful 'giving' popping feeling and you know the perineum has gone. The midwife won't be able to control the baby's head crowning during a waterbirth but you probably will! You may have had a tear for any number of reasons last time which may not apply this time around even if you don't end up with a water birth. Have you thought of perineal massage as preparation?

mad4mybaby Mon 27-Oct-08 20:58:02

well thats my thoughts on it now 2 yrs later and reading up again on birth positions. When i was at home the only place i was happy/comfortable (as much as you can be) was sitting on the toilet with the seat up and a hot water bottle right at the bottom of my bump. I was freaking out when i had to get out to go to the hospital!

mad4mybaby Mon 27-Oct-08 20:59:49

sorry x post. I didnt do the massage thing with ds as it grossed me out plus i couldnt get the knack and didnt want dh doing it. This time round i can barely wipe my own arse i just barely reach! I have spd and a problem with the joint on the right hand side of my pelvis so any sort of unusual/bending type movements is agony.

chocbiscuits Mon 27-Oct-08 21:07:04

Oh I wondered that as well...

mad4mybaby Mon 27-Oct-08 21:08:28

wondered what choc?

chocbiscuits Mon 27-Oct-08 22:30:21

Sorry, bit cryptic probably as very pg! Wondered about tearing and waterbirths I meant. Tried for waterbirth last time but the water tubs were busy, also bit fretty about water getting awfully bloody or something and baby coming out and being difficult to find.

Maybe am just a bit of a worrit!

beanbearer Tue 28-Oct-08 00:40:38

Water helped me I'm sure. Had a bad 2nd degree tear with DD (on birthing stool, at my transitional insistence) whereas didn't need stitches when DS arrived even though I was in a similar position (squatting with my arms over the pool edge). Midwife and student had just said to each other "shouldn't be long now" when he popped out so it was quite quick too - they didn't even have their gloves on so just told me to reach down, bring him through my legs and up into my arms. Lovely!

Star1ightExpress Tue 28-Oct-08 12:16:23

choc My pool had NO blood or anything in it. I sat in it feeding for 40mins after the birth. Believe me, there is no way you would loose your baby though. In any case you could always follow the string grin.....

morningpaper Tue 28-Oct-08 12:18:39

I can't imagine what they can really do

I had a waterbirth and also tore to bits

I think you just have to hope for the best

morningpaper Tue 28-Oct-08 12:20:18

lol at following the cord grin

My pool was a mess but she still found the baby (I really should have done this myself but was so relieved it was OUT that I didn't care about anything else)

CharleeInChains Tue 28-Oct-08 12:23:35

Not sure about the waterbirth aspect of it but with ds1 i had a bad 4th degree tear due to my ds coming out with both hands clamped over his ears any way i needed over 40 stitches ect.....

With ds2 i told the midwife of my conerns and when his head emerged she (god this is embarrasing) held me open to let him come out slower and more carefully plus he was trying to force his hand out with his head and she was able to delay his hand for a few seconds to let his head come first.

electra Tue 28-Oct-08 12:25:43

If you spend some time in water it can soften you up so that tearing is less likely. Have ou considered perennial massage? I did that the last time and sat in water for a lot of the time I was in labour and I had only a tiny tear.

chocbiscuits Tue 28-Oct-08 14:55:03

lol star1ight smile

reikizen Tue 28-Oct-08 15:00:29

The midwife should be 'hands off' in a waterbirth so as not to stimulate the baby to breathe, so won't be able to control the head or your perineum. Have you thought of natal hypnotherapy or hypnobirthing as a way of taking more control of your delivery?

Star1ightExpress Tue 28-Oct-08 15:03:55

I had gas and air just for the pushing stage. I was told I did a fab job of 'breathing' the baby out, which the g&a definately helped with but.......I still tore!

Thomcat Tue 28-Oct-08 15:07:12

There ws no bhlood in the pool after I hd DD3. Think a pic is still up on my profile if you want proff. I stayed in for as long as poss with her. Then got out to deliver placenta. Don't know how to prevent tearing. I never did tear and think it was 8 parts luck 1 part preperation 1 part breathing her out and not doing a thing once the head was out.

Good luck.

mad4mybaby Tue 28-Oct-08 15:10:45

seems to be luck of the draw then? I practised hypno birthing with ds1 but the labour was so quick and so intense from the second it started that i didnt have time to 'get in the zone' so to speak! Ive put on my birth plan i want as much help as poss with it but i guess im going to have to take 50/50 chance on it?

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