Glad you posted this. I had a big episiotomy with DD and I was wondering about the same thing when we have number 2 (but that wont be for a couple of years at least)
I had a 2nd degree episiotomy with my first and ended up with a 2nd-3rd degree tear with my second. My first birth was induced and very long, I was pushing for 3hrs and DD just wouldn't come out. With the episiotomy she came out in several pushes. But with DS I was 8cm dialated when I got to hosy and I birthed him in two very quick pushes and he came out really fast. He was 4.2kgs too, so pretty big. It healed pretty well, probably the same as my first, about 5wks or so to be completely healed, no more stitches.
I had an episotomy after I started tearing with DS1 as forceps were needed (don't get me started on the cascade of interventions LOL). I asked my ob the same question about number 2 and she said that it could go either way. As it turned out, I did get a small tear, but no episiotomy and the tear was so minor it didn't give me enough pain to even need panadol afterwards.
I had a very small episiotomy with my first and the tiniest tear with my second, which only needed one stitch - the midwife said it was touch and go as to whether or not it needed to be stitched at all. I didn't think to ask if it was the same "line" that tore or somewhere different.
Bookmarks