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Childbirth

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

Birth choices after a tear

11 replies

Tinkles78 · 30/12/2021 16:56

I've just discovered I'm expecting DC2 😁

I had a 3b tear and lost 2L of blood with DC1, stitched in theatre, thankfully all healed well with no lasting issues. I was induced by breaking my waters and DC was born 1.5 hours later, so they think the speed of the labour meant my body wasn't well prepared for pushing.

Can't help but start thinking about the type of birth I might choose for this little one...does anyone have any experiences to share? I'm edging towards a ELCS as I'm basically terrified of the same thing happening again and being left with multiple issues. Any good/bad experiences of ELCS after a traumatic natural birth?

OP posts:
weegiemum · 30/12/2021 17:02

Hi there!

I had a ventouse delivery with 3rd degree tear for my first delivery (dd1 was posterior and weighed in at 9lb12oz). Was stitched in the delivery room, took about an hour while dh was having skin to skin. Dh is a doctor and the obstetrician pulled him in to satisfy the stitching!

After that I had ds (no bother) and dd2 (3rd degree as she was induced and born the push before the waters broke).

Poolhater · 30/12/2021 17:46

Congratulations on your pregnancy!

I had a third degree tear with DC1 after pushing for a good couple of hours. This was after the episiotomy (and because DC was born with her fist clenched to her cheek - ouch). Stitched in surgery with an epidural. That annoyed me as I’d done the birth with only gas and air. Then I had a right game with the catheter. So I wasn’t out of bed til 36 hrs after surgery.

Whilst pregnant with DC2 I was given an endoanal scan to access the likelihood of incontience. It was deemed to be a low risk despite the previous tear so I opted for a natural delivery again. That time round, I was more in tune with my body (not sure how or why) and the delivery was easier. I knew what I had to do and I chose my positions, used gravity etc and actually seemed to zone out of everything apart from the job in hand. I needed stitches again (first degree) but they were done in delivery suite. She was born at just after 8pm and I was home the next morning (after staying just off the ward in a parental suite as I wasn’t deemed to need any real medical care but too late to send me home that night).

When having DC3&4 as I had been told the risk of incontinence was greater again, I opted for csections. The actual surgeries were a breeze (compared to friends who had emergency sections). Well “breeze” is a bit over exaggerating. In one of them, I went into shock for a little while so surgery stopped whilst they got me stable again. And with the other one, the midwife (who was new to the hospital but not the profession) kept the baby in surgery with my husband holding her whereas with the previous one, after I’d had a cuddle etc, had been taken out to be warmed up (theatres first thing in the morning can be VERY cold) so this resulted in baby being cold and put into special care for the day to warm her up.

But overall the experiences were ok. Again problems with the catheters but I think that’s specific to me.

Obviously sections are major ops so recovery was 6 weeks and whilst not having the problems sitting down like after the third degree tear, there were difficulties in standing up/laughing/sneezing and going for a poo for a good week or more.

So after all that waffle on balance, my second delivery was the best and my two sections were better deliveries albeit slightly complicated by the cold baby in one and my shock in the other. And both the first delivery and two sections caused me catheter and “getting out of bed” issues for more than a day afterwards!

Speak to your midwife! Let them help and guide you! And ask about someone going through your delivery notes with you. That can help you understand what happened and why and may help you form any decisions/take some of the fear away.

Good luck!

Tinkles78 · 30/12/2021 18:33

Wow thanks so much for that detailed reply @Poolhater! You've experienced the lot! Gives me loads to think about. I think it would be really useful to go through my previous birth notes with someone, that's a great idea.

@weegiemum did you have any lasting issues after another 3rd degree tear? That's what worries me...taking the risk

OP posts:
Whatelsecouldibecalled · 30/12/2021 18:43

Following with interest. I had a 3c tear requiring theatre. Tough recovery back to back infections (I don't think the lack of care thanks to covid helped!!) I also had a reaction to the spinal they gave me in theatre and a 2l blood transfusion.

Hard recovery with prolapse type symptoms and severe vaginal wall laxity.

Whilst I am not pregnant we are considering a second baby so would be good to read others experiences.

Roselilly36 · 30/12/2021 18:44

I had a bad tear after DS1, DS2 21mths later, a minor tear, didn’t require any surgery, but did take some time to heal.

whosaidtha · 30/12/2021 18:54

I had a 3rd degree tear and episiotomy with my first. I was stitched in theatre. I was told that tearing once doesn't increase the risk of it happening again. I had a natural delivery with my second and only had a graze. Major surgery is probably harder to recover from than a tear, although that depends on if you're having any lasting side effects from the first. I healed pretty quickly.

Tinkles78 · 30/12/2021 19:10

@Whatelsecouldibecalled oh you poor thing, that sounds horrific! Are you ok now?

@whosaidtha that's interesting that it doesn't increase the likelihood of another tear. I think it was partially the bad reaction to the induction that caused my bad tear, I think I would refuse induction again and got straight to ELCS if circumstances dictate that a natural birth is out of the equation.

OP posts:
GladysTheOstrich · 30/12/2021 19:19

DS1 was 6lb7oz but turned around as he came out; luckily I had an episiotomy and it could have been much worse (3a tear). DS2 emerged in pool after 5 mins pushing and I only needed a couple of stitches.

Good luck OP Thanks

GaslighterDenier · 30/12/2021 19:41

I had 2 x 3rd degree tears with DC1&2. I was told it would likely happen with DC2 as I laboured fast both times and there is only 16 months between them. Labours weren't horrendous but babies both needed assistance due to shock/lack of oxygen.

We hadn't planned on having anymore so I never thought much about it, but surprise DC3 made me realise that I was a little traumatised by the whole situation and I pushed for an elective section with her.

As previously explained it wasn't 'easy' but in terms of my mental health, the difference postpartum was absolutely staggering. I am like a different person this time round and I really think the 'relaxed' birth to the reason!

Obviously everyone is different but as well as my mental health, I had healed really well from both previous tears and worried that if I tore for a third time I wouldn't be so lucky.

Whatelsecouldibecalled · 30/12/2021 20:38

@Tinkles78 erm I am getting there with correct physio help! The prolapse style symptoms have reduced but things are definitely different down there now!! I am finally able to run again for short periods of time 21 Months later. I was induced due to ivf pregnancy. If we have ivf again and hospital insist in induction I would probably go ELCS. But it's still major surgery. And I can imagine not being able to pick up my first child. However if I tore again like I did with DC1 I wouldn't be able
To pick him up anyway!

Tinkles78 · 30/12/2021 21:41

It's really tricky to weigh up, but thankfully I have several months to think about it still. Really appreciate all the experiences shared so far, it seems there's no easy way to predict it at all!

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