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Perineums can be functional after childbirth

39 replies

mears · 01/05/2004 23:04

Just thought I would start a thread to reassure the women out there who are planning vaginal birth that perineums are designed to allow babies an exit. It is more often than not that perineums recover without any problem after delivery.
I have had 4 children and needed an episiotomy with the first two. I had sex 2 weeks after DS2. The last 2 children I had without a stitch. I am now 43 years old, my youngest is 10 years old and not a drop of urine escapes when I sneeze

OP posts:
Are your children’s vaccines up to date?
motherinferior · 03/05/2004 18:55

I do them at my desk. At home, though

eddm · 03/05/2004 19:09

MI, I've now got a mental image of you sitting on your desk, going cross-eyed, pulling your navel in while simultaneously typing posts on MN!
Stripeymouse, I feel the same way but do do them in lifts when I'm alone - always wonder if there's a security camera in there though (just because you are paranoid doesn't mean...)

motherinferior · 03/05/2004 19:11

Freelance journalism is VERY glamorous, eddm, as you can see.

JJ · 03/05/2004 19:45

Just a question: how many of you have read these last few posts and done the exercises? I now must do them crosseyed and with all sorts of sucky-inny tummy stuff happening.

webmum · 04/05/2004 14:39

sTRIPYMOUSE

I do them waiting for the bus or the train, or at home, or doctor's surgery. DIdn't do much with first baby, and even though I only had a minor tear, but still have stress incontinece after 3 years! Mind you it started in pregnancy, and I thought once I had the baby it would get better, so taht's why I was so laid back about it.

I'm now 14 weeks with second baby and I do them everywhere, anytime I remember!!!

JJ to answer your question: I did!!!!

kiwisbird · 04/05/2004 14:46

I'm with you Mears, I have lawys done pelvic floors, not as often as I should and after two vaginal deliveries, have not really had any problems...
Nor any other problems, even the piles went away ish LOL

CountessDracula · 04/05/2004 14:49

surely perinea???

Mine is rubbish and I didn't even have a VB!

dinosaur · 04/05/2004 14:54

This reply has been withdrawn

This has been withdrawn by MNHQ at the poster's request.

Blu · 04/05/2004 15:25

My perineum is fully functioning, and thinking of signing up for an Open University Course....

SoupDragon · 04/05/2004 15:29

Episiotomy plus 3rd degree tear with huuuge DS1, "elective" episiotomy with DS2, no pelvic floor exercises and no leaking!

JanZ · 04/05/2004 16:44

No leaking - stress of urge - but apparently a kanckered pelvic floor!

It seems the two muscles that are still "working" are doing such a good job, plus I have developed good "coping" mechanisms, such as automtically "bracing" before coughing or sneezing, that I don't experience a problem.

Thnak you Pilates for that small mercy!

The only reason that I realise that I DO have a problem is (and sorry to be graphic) is that I can no longer hold a tampon in properly - if I go to the loo and strain at all, it just pops out.

Thanks to Mumsnetters telling me that this was not normal, I did arrange a referral to see a physio and am finally getting "treatment". (Much delayed, first by waiting lists, then by pregnancy, then miscarriage, then not getting round to making a new appointment o)!). Ds is only 3.5!

It turns out that the forceps and/or the episiotomy (probably the former) caused some damage - or it could have been ds' weight (over 4kg) or his big head (91st centile). 4 out of the 6 muscles (if that is the best way to describe them) are wasted and I have lost the "cough" reflex.

The point is, the exercsies that I have been given are just the standard pelvic floor exercies - I am just having to do more of them, plus once a day, do them with a bit of "biofeedback" (o) - a wee pointer that moves the right way if you are doing them right - at the moment, I can only get it to move a tiny bit).

I had compensated in my Pilates class and had developed good abs (beneath the layer of fat!) and very strong "back" pelvic floor muscles. My technique is apprently fine, I breath properly - it's just 4 of the muscles are wasted.

I'll find out in 2 weeks time (ie 4 weeks after my first real appointment) if there is any improvement. I hope so! This is hard work - although I do try NOT to go cross eyed!

JanZ · 05/05/2004 10:47

Oops - I meant "stress OR urge"! And I can be a camel, not going for ages!

Bugsy2 · 05/05/2004 14:39

Would also like to add words of reassurance. Two children, both vaginal delivery. First high forceps, ventouse, epi and tearing. Second, natural delivery but bad 2nd degree tear. Lots of stitching on both occasions.
Two years on lower regions in great shape: absolutely no leakage whatsoever even under the serious strain of hacking coughs, violent sneezing or having children jump on my stomach. Also, don't know whether it is fantastic stitching or doing pelvic floor but I am 'tighter' than I was pre-babies!!!

suedonim · 05/05/2004 17:16

Like Mears, I've also had four babies. I had three episiotomies, escaping the dreaded scissors for my last baby. I've never had any incontinence problems despite being remiss about PFE's.

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