How does a baby come out after a repaired episiotomy?

[nickle730]

I had an extensive episiotomy with DD1. She was distressed (wedged against my pelvis with her head turned to the side) and was eventually delivered by forceps after a failed attempt with the ventouse. She was 5lb 10 oz and my ob said had she been any bigger he would have had to CS. As it was, he wanted to get her out as fast as possible (she had a sustained heart rate of 40bpm) and didn't want to waste time getting to theatre. So my episiotomy was large and performed in a hurry. I had some issues with healing and an area which needed further treatment.

DS was an unassisted vaginal delivery and I had a minor tear which required suturing. Recovery was easy. He weighed 7lb 14oz.

DD2 was a very fast unassisted vaginal delivery. My ob missed the birth, much to his disgust, and I'm sure he only sutured my minor tear so he would seem to have earned his fee! Recovery was easy and nearly painless. She weighed 7lb 6oz.

Never was a CS discussed after my first delivery. Good luck!

[Kirley64]

i am curious also.. i had an episiotomy on 09 and am now seeing a gyno in regards to painful intercourse still!! they want to cut and restitch the area. i am wondering how another birth would go with that also. i realise its not exactly the same as your situation but will still be reading the replies to this thread. :-)

I didn't have an epi so i can't help with that OP but i'm just wondering if you had tried the hormone cream that is offered post birth. Sometimes it's just the hormones are out of whack and it makes DTD painful and this cream helps with it. Just a thought

[M22]

ds1 37 weeks 7lbs 3rd degree tear , failed ventouse and forceps used, infection , and restitching 1 week later -----DD 42 weeks 7Ibs 7, cord around the neck (as the only reason i tore had to stop pushing un hook cord) just a few stitches no probs what so ever, Ob did say lots and lots of scar tissue form my boy though. so so glad i didn't have a cs but would have done what ever they told me tho keep bubs safe

[pash]

Thanks everyone. So maybe it isn't definitely a cs for me. Just didn't want to be bullied by the ob.

[Crystalwings]

I think it's very individual and comes down to circumstance.
I had a third degree epi and forceps with DD1.
with my second baby i was very scared about tearing the old scar. Unfortunately with DD2 i was induced and she had shoulder dystocia and was 10lb 7oz and i sustained a third degree tear which has caused me a lot of problems. i have been told i have to have a c-section next time as i also have some prolapse as a result of the damage which i have been seeing a pelvic floor physio about. i've been told to get my tubes tied if i have another via c-section. I also have had painful scarring but my gyne wanted to avoid fentons and thankfully it has settled down heaps on it's own
I know someone who is very young who had a third degree tear with her first and then had an ultrasound to check her muscle tone and she was advised to have the next via c-section and have her tubes tied.

Maybe ask your ob if you can get an internal ultrasound to check how everything has healed and make your decision from there.
Good luck

[M22]

you mite find that you r pain threshold for labour mite be higher so i noticed a huge diff because i had no epidural- i wish someone had talked me out of epi the first time too..

[~ Mylitta ~]

I was my Mum's first baby and she tore dreadfully when I was born. It never healed properly and she still had major pain right up until my sister was born 17 months later. She also tore with my sister (at the same place) yet this time it healed properly and didn't cause her problems after that. She was stitched both times. A c-section was never mentioned to her even though her almost 2 day labour with me she was certainly open to the idea, lol.