BTDT - Episiotomy Vs Tearing

iVillage Member
Registered: 04-13-2008
BTDT - Episiotomy Vs Tearing
9
Sat, 04-16-2011 - 6:20am

Hi all,

wasn't quite sure where to post this but I hope lots of people see it here.

I'm about to get my birth plan out and make modifications to re-use it; and I was wondering about this. Even though I've technically BTDT I never even got to pushing stage, so my nether regions are just as before "childbirth". I think I lean towards saying "no episiotomy please, I'd rather tear naturally" as I've read that natural tears heal quicker/easier than a cut.

What are your experiences? If you had an episiotomy, what was the reason for it (the only one I can see is the use of forceps)? Did it heal alright? Would you rather they hadn't done it? - And the other way around: If you tore during labour, how bad was it / what was the reason if that's possible to answer? Would you have preferred an episiotomy if you had severe tears?

I look forward to reading about your experiences and opinions!

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iVillage Member
Registered: 10-15-2001
Sat, 04-16-2011 - 9:40am

I had an episiotomy during my first birth.

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iVillage Member
Registered: 12-23-2003
Sat, 04-16-2011 - 12:25pm
I had both tearing and an episiotomy. I had the episiotomy before they used the vacuum after about 2 hours of pushing. I didn't feel it at all. Honestly I was in so much pain during pushing that I wasn't aware of anything going on. I did need some stitches but I didn't notice that at all either LOL. I didn't find that the healing took that long, about a month I guess. All I know is that with such a big baby it was probably best to do the episiotomy to prevent a really huge natural tear. I knew that the hospital preferred not to intervene unless necessary so I didn't worry about it. I think if your hospital has a high rate of episiotomies though that I would mention that you prefer to tear naturally if possible.
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iVillage Member
Registered: 08-04-2003
Sat, 04-16-2011 - 1:12pm
Ahhh.... I made my post then it disappeared. I hate when that happens. So here is the short version....

With Raymond I had an episotomy. With Theodore I didn't. I had one 2nd degree tear and two superficial tears. The 2nd degree tear required stitches, and I was giving a local numbing cream for that. I had the option to stitch or not the superficial tears, and I opted not to.

With Raymond I think my bottom was healing for a good 4 weeks. With Theodore maybe 3 days, and in those 3 days it was never nearly as sore as it was with Raymond.
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iVillage Member
Registered: 11-01-2005
Sat, 04-16-2011 - 4:51pm
I had a 2nd degree tear that needed a bit of stitching and it healed really well. No negative after effects that I can tell and the doc did a great job stitching it up too. It was generally uncomfortable for about a week but became less and less over time. I also had a vacuum assisted delivery so they didnt need to do an episotomy to use the vac. They really stressed that I tend to it properly...use the bottle after bathroom and in the shower, wipe very gently and let it air out at least once or twice a day (legs elevated, no undies, sitting on a towel for the lochia). I usually "aired out" after my daily shower.

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iVillage Member
Registered: 07-15-2004
Sat, 04-16-2011 - 5:47pm
I had a 2nd degree tear with stitches. It took about a week to 10 days to go without the pain but then I was fine. I didn't notice that I tore in the 20 min of pushing.

 Cassie 

     

iVillage Member
Registered: 02-16-2008
Sat, 04-16-2011 - 7:33pm

I had a second degree tear, but it was really several small tears, mostly internal. I didn't find it all that uncomfortable once the swelling went down after a couple days. The only advantage I see to all the stitches being internal was the fact that they didn't rub against pads or anything, so that helped the comfort immensely. I went to the fair 13 days after Peter was born and was able to walk around without pain.

by sara photo sigbysara.jpg
iVillage Member
Registered: 08-24-2005
Sun, 04-17-2011 - 3:00pm
I had an episiotomy. I'm not sure if it was necessary. Fede was a big baby, but on the other hand, I had a really easy time pushing him out (30 min.), I think it was more of a routine procedure. My experience wasn't good. The cut itself wasn't so painful, but it took me 4 days to "go #2", and when I did, one of the stitches tore open. Looking back, It wasn't so horrible, but there was some blood, and the healing process took twice as long. The worst part was that I was really scared of "going" and of having sex for months afterwards. HOnestly I don't know if a severe tearing would be best, probably not, but I wish I had the chance of delivering without the cut.

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iVillage Member
Registered: 04-13-2008
Sun, 04-17-2011 - 4:29pm

Thanks for all your input!!

I've now (re)written my birth plan and I put in that I do not want an episiotomy and rather tear naturally.

Again, thanks for your stories and help!

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iVillage Member
Registered: 09-08-2007
Tue, 04-26-2011 - 8:43pm

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