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: 08-24-2005
Sun, 09-25-2011 - 11:32am

Well girls, if there is one great thing about this board is that we can be totally honest...

When I started this thread I was sure I would get lot's of evidence to present my "case" to my new Dr. and convince him not to perform an episiotomy, no matter the situation (if he routinely does, I don't know, haven't asked yet).

To be true, after reading all your answers, I discovered three things:

First, that I'm officially a wimp! LOL! No, seriously, there I was complaining about my horrible postpartum, and it seems it was no more or less

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iVillage Member
Registered: 02-16-2008
Thu, 09-22-2011 - 3:35pm
Mari--

The issue is that just cutting an epi doesn't stop a tear, and can in fact make it worse. So a 2nd degree cut could turn into a 4th degree cut/tear. Think about a t-shirt. It's hard to tear with your bare hands, but you might could rip a small spot. If you cut a small spot and then pulled, you could rip it much easier. Does that make sense?
by sara photo sigbysara.jpg
iVillage Member
Registered: 08-24-2005
Thu, 09-22-2011 - 1:48pm

Oh gosh... I don't know what to think now!

I've been watching birth videos online, and although the epis (some of them had it done) are ugly, they are not as bad as I thought... and I'm thinking most of my discomfort afterwards must have been undiagnosed hemorroids (internal???).

Specially after reading Brita's comment that DTD probably hurt because of breastfeeding and not because of the epi.

Don't get me wrong. I still HATE the idea of getting cut when there is no need. But I see the point if it is to avoid a 3rd or 4rth tearing.

grrrr.... I hate it when there is no clear answer!!!

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iVillage Member
Registered: 12-30-2007
Wed, 09-21-2011 - 10:02am

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

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

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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: 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: 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 - 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 - 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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