Help protect children from gaming harms.

Take our survey

Please or to access all these features

Childbirth

Share experiences and get support around labour, birth and recovery.

Second vaginal birth after a 3C or 4th degree tear?

14 replies

Newuser9 · 01/07/2026 19:23

Has anyone gone on to have a second baby as a spontaneous labour/physiological vaginal birth after their first birth which ended up a 3C or 4th degree tear?... I sadly had a 3C tear with first baby and would love to, if lucky enough to get pregnant again, have a vaginal birth again, my tear was completely spontaneous e.g. no assistance during birth like forceps/episiotomy etc.

OP posts:
Overthemoun · 01/07/2026 19:25

I opted for cs as when I asked about chances of incontinence, this was the only way to ensure no worsening. They would have absolutely supported vaginal delivery again if I was up for it, that was their default

MyPolitePeachSloth · 01/07/2026 19:26

I haven’t but my sister did, they gave her special massages to do to her perineum before she gave birth. She didn’t tear at all with her second (big age gap though, so not sure if that had anything to do with it).

Newuser9 · 01/07/2026 19:28

Thank you @Overthemoun

OP posts:
Newuser9 · 01/07/2026 19:30

@MyPolitePeachSloth thank you, that's interesting to know, she must have been made up to not tear the second time. I am hoping for a 3 year age gap to give my body time to heal.

OP posts:
MyPolitePeachSloth · 01/07/2026 20:04

Hers was 9 years

Moonhat · 01/07/2026 20:28

I had a second vaginal delivery after a 3rd degree tear with my first. I had a second degree tear the second time. The recovery was really straightfoward second time. I couldnt believe the difference as recovery feom my third degree tear was horrible and took ages.

Newuser9 · 02/07/2026 14:20

Thank you @Moonhat sorry if this is too personal, but do you know your grading of third degree tear e.g a, b, c?... Don't worry if not. Amazing to hear you didn't sustain another significant tear the second time

OP posts:
LetMeOverThinkIt · Yesterday 15:53

Sorry this is a month old but my experience is what you're asking about so thought I'd share!

DS1 was a forceps delivery I had an episiotomy but also had a 3c tear elsewhere. Awful recovery. Months of incontinence and physio.

Somehow worked up the courage to have a second. I had a due date C section booked with instructions that if I went into labour beforehand I'd continue naturally but have a low threshold for C Section if things went wrong again.

DS2 came 3 days early, I went to bed with twinges and woke up at 5am not very comfortable at all. Waters broke at 6, got my DS1 to nursery as soon as they opened and was at the hospital before 9am. Baby was born just before 10. I had a minor tear that had to be classed as 2nd degree due to a tiny bit of muscle being affected but honestly no where near as bad. I could have picked my eldest up from nursery that day as was out with plenty of time but decided I'd earnt the day off!

I couldn't have guessed that my second experience could have been possible based off of my first. When you have a bad first experience its so hard to decide what is best!

TheBirdintheCave · Yesterday 18:16

Moonhat · 01/07/2026 20:28

I had a second vaginal delivery after a 3rd degree tear with my first. I had a second degree tear the second time. The recovery was really straightfoward second time. I couldnt believe the difference as recovery feom my third degree tear was horrible and took ages.

Basically the same story with me!

Newuser9 · Yesterday 21:54

@LetMeOverThinkIt thank you SO much for sharing your experience. So pleased for you in that a further significant injury wasn't sustained in your second birth. I hope recovery was much easier from the 2nd degree.... Sorry if this is too much to ask but how long did you wait between births? And did you have any extra care for your perineum during pushing/massage/warm compress or coaching from the midwife?... Thanks again for sharing your experience

OP posts:
Newuser9 · Yesterday 21:56

@TheBirdintheCave thank you so much for contributing too, relief again to hear a VB is possible with no further significant tearing (grade 3\4)... I'd have the same questions again like I've asked of @LetMeOverThinkIt did you have any extra measures in place to protect your perineum second time round?

OP posts:
LetMeOverThinkIt · Today 11:19

Newuser9 · Yesterday 21:54

@LetMeOverThinkIt thank you SO much for sharing your experience. So pleased for you in that a further significant injury wasn't sustained in your second birth. I hope recovery was much easier from the 2nd degree.... Sorry if this is too much to ask but how long did you wait between births? And did you have any extra care for your perineum during pushing/massage/warm compress or coaching from the midwife?... Thanks again for sharing your experience

We agreed we were ready for a second when my eldest turned 2... and there is 2 years 9 months between them 🙈

Yes my midwife was amazing, it was all happening so fast and all I managed to say to her that I was really petrified of a repeat of before and she said she'd read my notes and was prepared. I had perineum support with a warm compress, I was told when to breath baby out rather than actively push and she gave me a few options for pushing positions that could reduce tearing. (For info I was kneeling fairly upright on a bed that time whereas first time I was like the tv shows, pushing whilst laying on my back)

TheBirdintheCave · Today 11:38

Newuser9 · Yesterday 21:56

@TheBirdintheCave thank you so much for contributing too, relief again to hear a VB is possible with no further significant tearing (grade 3\4)... I'd have the same questions again like I've asked of @LetMeOverThinkIt did you have any extra measures in place to protect your perineum second time round?

We started trying again when our son turned one as I was worried about it taking a long time like it did with him (I was right it took years and many miscarriages to conceive our little girl).

It was in my notes that I was meant to have a compress during pushing but it didn’t happen as no one believed I was in labour (just like the first time with my son 🙄) so by the time I was actually allowed into the room I was pushing and she came out in ten minutes.

I had a second degree tear and a graze. I got a few stitches and was home by lunch the next day 🥰

A fantastic experience compared to the previous births 3am surgery and three day hospital stay during Covid 🤦🏻‍♀️

WonderingWanda · Today 11:43

I did, 3 years after the first birth which was after an episiotomy which then tore. I have no idea of the grade but it went through thr muscle and then spent quite a long time prodding and trying to work out if it had gone through the skin and into my anus so I expect pretty bad. Had no follow up from this, wasn't really mentioned in preparation for my next birth. Had a very fast labour second time, baby literally flew out without me actively pushing, my body was just pushing. I told the midwife I wanted to be on all fours, she argued with me but in the end I just moved. Did get a tiny tear on the side, not in the original location because I pushed when crowning but that was it. No problems after.

New posts on this thread. Refresh page
Swipe left for the next trending thread