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Emmecat View Drop Down
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    Posted: 01 April 2010 at 7:47am

Hi, I have a question that's worrying me a bit.....

Is tearing during birth second time around a given if I tore the first time?  I had a pretty decnet 2nd degree tear that took months to heal and has left a scar....will this mean that area is weakened and more likely to tear- and worse- during the birth of this baby? And if thats the case would it be better to have an episiotomy? I wanted to tear rather than be cut last time and would probably prefer the same thing this time but would be interested to hear from others who have had their 2nd baby and what their experience was.

TIA


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Kicker View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kicker Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 8:01am
I had an episiotomy the first time around and tore (2nd degree) around the scar tissue the second time.

I think the recovery from the tear is much better and definately not as sore as the episiotomy.

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freckle View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote freckle Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 8:03am
I tore the first time and was not at all the second... but I guess I had 11 years recovery inbetween LOL
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Post Options Post Options   Thanks (0) Thanks(0)   Quote HippyMama Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 9:12am
I had a few grazes and 1st degree tearing the first time and a 2nd degree tear the second time. I actually found the healing slower and more uncomfortable with having been stitched up, I elected not to have anything done the second time and it was fine - no experience with being cut though sorry (*shudder*).
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Post Options Post Options   Thanks (0) Thanks(0)   Quote rachelsea Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 9:47am
Ouch... No experience of this myself (thank goodness) but I know my friend tore less with her 2nd than with her first... (and her first was about the same weight as Clodagh, but her 2nd was 9lb 13.5oz, lol not that your baby will be that big of course!) hope that helps
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Emmecat View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmecat Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 10:32am
9lb 13oz???  Um ouch lol

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Post Options Post Options   Thanks (0) Thanks(0)   Quote X Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 10:38am
I have a friend who had an episiotomy which then tore into a 3rd degree tear first time. With her second baby she also had an episiotomy but instead of cutting straight back they cut back & to the side & she had a tear but only 2nd degree.

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Emmecat View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmecat Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 11:19am
Hmmmm so far its not sounding too promising...  I guess it's logical though if an area has torn before and healed then it's more suseptible to injury again?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 11:32am
I got an internal tear and a perinneal episiotomy for the same baby

The tear was much bigger than the cut, but OMG did the cut hurt while it was healing

Next time, I'll have the same rules, I think - a cut only if it's needed to save the baby (it was this time, cos she was in major distress and needed out fast).

And my lovely MW reassured me on her many post-natal visits whilst I was in agony over the cut, that she had a huge cut for her first and nothing at all for her second, so it can be done. Good luck!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote caraMel Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 11:52am
I had a complicated second degree tear after my first baby which has left a scar I can still feel almost 6 years later.
With my second I had no tearing at all and just a very small graze from his hand being by his face.
It is definitely not a given that you will tear again and there are things you can do to help prevent it.
My midwife recommended perenial massage with a little bit of natural oil or in the bath and I also inserted 2x EPO caps nightly from 36 weeks onwards.
Good luck!

Edited for spelling

Edited by caraMel
Mel, Mummy to E: 6, B: 4 and:

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Bizzy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bizzy Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 12:39pm
i tore with my first and had stitches.. second time i tore again, but less than the first and had no stitches. and no stitches was much better for healing.

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Emmecat View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Emmecat Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 1:06pm
ooohh those last 2 posts are encouraging lol Thank you!  EPO sounds good...i did perineal massage but got a bit slack about it  but won't be slack this time if it means I can avoid that pain again. Not helped obviously by sitting down BF 24 hours a day is it?!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Rachael21 Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 2:03pm
I had a second degree first time around which wasn't too bad and then second time round I had a first degree tear which surprised the mw she didn't think I tore. Personally I would not want an episiotomy unless it was needed to get the baby out quickly as they do sometimes tear further and become a third or fourth degree tear.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LittleBug Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 3:54pm
I had heaps of stitches the first time around, and really nasty long healing time after that.

With my second I had a small tear and it healed up so well.

It really depends on what kind of labour you have and what position that the baby is, how fast he/she comes, etc. so every birth is different, just like every baby.
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.Mel View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote .Mel Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 4:28pm
Originally posted by LittleBug LittleBug wrote:


It really depends on what kind of labour you have and what position that the baby is, how fast he/she comes, etc. so every birth is different, just like every baby.


I agree.

My first I was cut.
Second nothing
Third one stitch.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BriAndOlisMum Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 5:17pm
first time i had a 2nd degree tear with a 3160g baby with a 33.5cm head, after an epidural and vontuse delivery after 27 mins of pushing.

Second time round i didn't tear at all with a 3350g baby with a 36cm head, delivering after 4 pushes with a pretty much natural birth (epidural didn't have time to work) with a distressed baby.

Second baby born 5.5 years after first.

So i would say don't get cut unless it is absolutely necessary because it can definitely be done without the tearing.

ETA; i too can still feel the scar from the first birth.

Edited by BriAndOlisMum
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Post Options Post Options   Thanks (0) Thanks(0)   Quote angel4 Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 5:32pm
I had a small tear with henry but didnt need stitches. With kiara my first thought after she was born was 'that was wayyyy to quick i must have torn bad' but nothing. I did have a water birth with her though and that is meant to help 'soften' things up. Might be worth considering
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Post Options Post Options   Thanks (0) Thanks(0)   Quote HuntersMama Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 6:31pm
Ouchies!!!

I had a 2nd degree tear which was not fun! Its scarring and im sure that I will tear again. Not sure if there is any logic behind it though?

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kellz Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 6:57pm
The first time I had 2nd degress tears- had 3 rows of stitches, one up Vagina, one along perineum, and one along labia.
I had a smear at family planning recently and the Dr there said she could see the scars.

12 weeks ago I had a completely natural birth after much prepartion- read hypnobirthing book, practiced breathing excerices from that book, practicied postive affirmations, had meetings with the midwife/ DH/Mum so everyone knew what I wanted them to do, spent hardly anytime sitting during last trimester to avoid posterior baby .
In labour used accupressure, breathing, massage, positive affirmations and spent quite a bit of labour in the bath.
I didnt get so much as a tiny scratch- not a thing at all! The midwife didnt know what would happen due to the amount of scar tissue, but I had no problem at all!

My midwife used hot cloths on my perinuem as baby was being born to avoid tears. Also she said the latest info is that you are more likely to tear with a water birth, which I had thought was the opposite. I didnt have a water birth but psent a few hrs in the bath, got out at 8cm dilated.
ETA- #1 - 8lb 6 (3.8Kg), 52cm long, head circ-37cm
          #2 - 8lb14 (4.04Kg) 52cm long, head cicr -37cm

Edited by Kellz
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Post Options Post Options   Thanks (0) Thanks(0)   Quote emz Quote  Post ReplyReply Direct Link To This Post Posted: 01 April 2010 at 9:14pm
I had an internal and external tear with #1, stitches and have scar tissue which I can still feel.

#2 was a bigger baby, faster labour, no drugs etc, no tears, grazes or anything. I felt better the day I gave birth to #2 than I did at about 6 weeks with #1

#1 was posterior and slightly twisted, #2 was in perfect position. M/w putting pressure helped a lot 2nd time around I think too (diff m/w than first birth).
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