BTDT-tearing vs. episiotomy

iVillage Member
Registered: 08-24-2005
BTDT-tearing vs. episiotomy
14
Tue, 09-20-2011 - 11:11am

I know it's really early, since I'm only 13 weeks, but I have trouble making up my mind, and so I can't even discuss it with my Dr.

I had an epi with Fede and although things are back to normal by now, I really hated it. A stitch opened wich bled a lot, totally freaked me out, and as a result, I had truble going #2 for months. DTD was painful for several months too.

On the other hand, a close friend had a 3rd degree tear with her first (granted it was a 9 p. baby) and from what she tells me, my episiotomy discomfort was a walk in the park compared tot he healing of her tear.

Anyways...

1- Did you tear/had an episiotomy during delivery?

2- (If you tore) How bad was it?

3- (both)Did you heal well?

4-If you didn't suffer either, what do you think was the reason?

5-What would you do next time?

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iVillage Member
Registered: 02-16-2008
Tue, 09-20-2011 - 11:49am
bailarina2005 wrote:

1- Did you tear/had an episiotomy during delivery? I tore, but it was mostly internal.

2- (If you tore) How bad was it? 2nd degree

3- (both)Did you heal well? I had no problems healing, though at 6 weeks, my stitches weren't totally disolved (they were all in my vagina though, so that could have been part of it). At 2 weeks PP, I took Peter to the fair and walked around for over an hour.

4-If you didn't suffer either, what do you think was the reason?

5-What would you do next time? I would prefer a tear over an episiotomy, though I'm hoping for neither. Peter got hung on a tight ring of skin internally and had to rip through it. It tore in three places.


bailarina2005 wrote:

I know it's really early, since I'm only 13 weeks, but I have trouble making up my mind, and so I can't even discuss it with my Dr.

I had an epi with Fede and although things are back to normal by now, I really hated it. A stitch opened wich bled a lot, totally freaked me out, and as a result, I had truble going #2 for months. DTD was painful for several months too.

On the other hand, a close friend had a 3rd degree tear with her first (granted it was a 9 p. baby) and from what she tells me, my episiotomy discomfort was a walk in the park compared tot he healing of her tear.

Anyways...

1- Did you tear/had an episiotomy during delivery?

2- (If you tore) How bad was it?

3- (both)Did you heal well?

4-If you didn't suffer either, what do you think was the reason?

5-What would you do next time?

by sara photo sigbysara.jpg
iVillage Member
Registered: 09-08-2007
Tue, 09-20-2011 - 12:13pm

Anyways...

1- Did you tear/had an episiotomy during delivery?

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iVillage Member
Registered: 04-17-2002
Tue, 09-20-2011 - 1:00pm
I didn't have either since I ended up having a cesarean... but I am in school for nursing. I've heard a lot of people say that tearing is "better" than an epi because you tear along the natural fault lines of your body, rather than the epi being cut in a spot that isn't natural.
I watched a vaginal birth, and the doctor ended up cutting an episiotomy because they were trying to get the baby out quickly. Honestly, watching the epi was the worst part, way worse than watching crowning, shoulders come out, etc. That could be because I found the other parts to be beautiful, but IDK.
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iVillage Member
Registered: 01-29-2008
Tue, 09-20-2011 - 1:48pm
Anyways...
1- Did you tear/had an episiotomy during delivery? I had one superficial tear no stitches though
2- (If you tore) How bad was it? Not bad at all
3- (both)Did you heal well? Yep felt normal fairly fast
4-If you didn't suffer either, what do you think was the reason? I think why I didn't tear bad at all is because of my doula and my midwife. Midwife did warm compresses and massage. Also birthing in position that felt right.
5-What would you do next time? Have the Doula and midwife combo again. I think they made the difference and allowed me to do what felt right and didn't push me.

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Thank you Dedi and Kelly for my
iVillage Member
Registered: 08-24-2005
Tue, 09-20-2011 - 2:16pm

Oh, don't worry, I'm sure you didn't have a 4rth or you would know!! Look at this (it's kind of scary!)

http://www.mayoclinic.com/health/vaginal-tears/PR00143&slide=5

In any case, I suppose since next time it will be our second, we have less chances to tear badly, that's a comfort, right?

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iVillage Member
Registered: 12-04-2007
Tue, 09-20-2011 - 5:47pm
Mari- I would definitely not get and episiotomy since it's your second baby. You shouldn't need one.

1- Did you tear/had an episiotomy during delivery? With baby 1 I tore, but up not down. With baby 2, no tear.

2- (If you tore) How bad was it? With James-They called it 2nd degree, but it was different since it was up on toward my urethra/clitoris/etc., With David I didn't tear.

3- (both)Did you heal well? It healed fine. It took a long time, but everything is back to normal now I think.

4-If you didn't suffer either, what do you think was the reason? With David I did not tear, I think it was because he was baby #2 mainly, and maybe also because I didn't have an epidural so I could feel what was going on better.

5-What would you do next time? The midwives I used for David said they never do episiotomies for second time mom's (unless there's something weird going on like a vaccuum deliver). So as a 2nd+ vaginal birth, I would not get an episiotomy.
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iVillage Member
Registered: 08-24-2005
Tue, 09-20-2011 - 7:28pm

Unfortunately, we don't have the option of a midwife practice around here. That's one of the main reasons I chose my own uncle as my OB this time. I figured that if anyone is going to really "listen" to me, it's going to be someone who cares for me in a personal way, you know??

Anyways, last time, the Dr. I has was old school, and he did epis routinely... In any case I probably would have tore badly, since I had an epidural and I pushed for a very short time, so probably last time it would have been necessary anyways.

But if everything goes well this time, I want to try it as naturally as can happen in a hospital.

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iVillage Member
Registered: 12-04-2007
Tue, 09-20-2011 - 8:16pm
Yeah, I didn't mean to imply that you need to have a midwife, I just thought it was notable that my midwife who does tons and tons of births thought it was basically never necessary to do an epi on a second baby. Second births (usually) are a lot easier, you'll do great. Good luck!
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iVillage Member
Registered: 07-15-2004
Tue, 09-20-2011 - 10:57pm

1- Did you tear/had an episiotomy during delivery? I had a second degree tear then a tear on my cervix

2- (If you tore) How bad was it? 2nd degree

3- (both)Did you heal well? With in a week to 10 days I was fine and off the pain killers. I did have a difficult time for the start of finding a comfortable way to sit with how the stitches were.

 Cassie 

     

iVillage Member
Registered: 03-19-2007
Wed, 09-21-2011 - 9:23am

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