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Childbirth

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

3rd degree tear then a 2nd degree and now a c section or a vaginal delivery?

6 replies

SarahJ2012 · 16/12/2017 23:45

My first birth was almost 3 days long and resulted in a 3rd degree tear which took the best part of 10 months to heal. It was all quite traumatic physically and emotionally not least of all because I struggled to bond with my baby for a long time due to the constant pain.

4 years later I delivered again at 37 weeks and despite midwives trying their best to prevent a perineal tear I ended up with a 2nd degree tear where the previous scar tissue basically collapsed as my little one came out. It took over an hour to stitch me up and I was later advised by the surgeon that if I had another child she recommended I opt for a c section.

3 years later and pregnant again, at 20 weeks I met with a consultant. It was a great meeting in the sense that she completely listened to me and I told her frankly about the lingering issues down there I have experienced since both births (including occasional mild bowel incontinence, sorry to be so graphic)

I was told to see her again at 34 weeks and if I wanted a c section she would sign it off. 34 weeks arrived and on the day she was in theatre and I was seen by another doctor who was totally dismissive of all my concerns and was insisting the fact that the second tear was a 2nd degree meant the 3rd delivery wouldn't be a 3rd degree tear and basically tried to scare me off a c section. I have no real desire to have major abdominal surgery but I also can't risk another 3rd degree tear when I have 2 small children to care for. She told me to come back again at 40 weeks if i really wanted an elective, despite my concern that I may go into labour before then.

I left that meeting feeling very tearful and totally confused. As if I'd gone from a positive headspace to a totally negative one.

Has anyone had 2 tears and then no more with heir 3rdvaginal delivery? Or 2 tears then a c section? Any advice would be greatly appreciated. I am so stressed and anxious right now.

OP posts:
Koala2018 · 17/12/2017 02:00

That's so unprofessional giving you mixed information and fear mongering. Please don't be anxious, whatever happens you'll be ok. What are leaning more towards at the moment? Is there any way you could seek another medical professionals advice and then make a decision from there?

SnowyChristmasWish · 19/12/2017 18:52

Call your midwife for help with this. That consultant is fobbing you off hoping you will go into labour before you get the c section organised. Electives are usually done at 39 weeks so waiting until 40 weeks to book it is ridiculous. Ask to speak to the head of midwifery ASAP. Tell her what’s happened and she will be able to help you and advise appropriately.

Bue · 21/12/2017 12:45

Did you actually have problems with healing after the second delivery? Or was all the damage done after the first one? That would play into my decision making- the fact that you had a second degree the second time around (which is very common) does suggest you'd be extremely unlikely to have another third degree tear.

Hobbit19 · 26/12/2017 22:30

Err. That doc is totally wrong. If you have ongoing complications from a previous 3rd degree tear then a CS should be at least considered. Definitely speak to your midwife and ask for another meeting with the doc who knows what they are taking about..
Having had a 3rd degree tear you are 5 x more likely to have a recurrence. Total chance of tearing is 7.5% in 2nd birth if you had one with your first. (Haven't seen research for 3rd births but can't imagine the odds improve!) The consequences of repeated tears are serious as you know. This has given me the rage on your behalf. Both my MW and consultant have recommended an elective CS to avoid a repeated tear.

Knackeredotcom · 01/01/2018 22:27

Hi, your story is very similar to mine!
I had a 3b tear with my first child but didn’t seem to have any complications and healed very well.
So I went ahead with a vaginal birth with my 2nd and that’s when my problems began.
It took me a loooong time to heal and I had a lot of pain/ discomfort for the next year.

When I became pregnant with my 3rd I started to worry about delivering again as during the pregnancy I also developed bowel issues Blush

I was adamant I didn’t want a section as I was worried about the recovery with 2 small children but when I spoke to the consultant about my bowl problems he suggested I saw a specialist dr who basically checked my rectum strength (was not a pleasant afternoon but not as bad as it sounds!) and she discussed the option of a section.

After the results of the bum test, I decided on a section and I don’t regret my decision at all!! Yes the recovery was rough for a few weeks but nothing compared to after my 2nd birth and I still have some minor bowel issues. These don’t really impact on my life too much at the moment, but I’m very glad they haven’t got any worse which is what may have happened if I had another tear.

That’s just my experience- good luck with your decision x

Knackeredotcom · 01/01/2018 22:31

Sorry- I should add that my 2nd birth was only classed as a 2nd degree tear, but it was still the one that seemed to cause the problems x

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