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I had an episiotomy and venthouse with DS and had Fentons procedure at the start of this month due to scaring issues. I have been asked to consider cs for future babies by everyone I've seen but i have very low skin elasticity & scar badly (not quite keloid level). I have lumpy scars from having blood taken & having iv in etc.
I think it depends on individual cases & which doc (what their policy is etc.) u see as to what they will recommend.
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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.
I had an epi with internal stiches. Mine also came undone but at 6 weeks pp.
I have birth vaginally with no epi or tearing 16 months later.
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Just wanted to post in here to say that I was terrified of tearing again with DS2 (since I had to have a fenton's procedure done to have my second degree tear with DS1 fixed surgically.
Good news is that I gave birth to DS2 vaginally and had NO tear this time, not even a graze yay!! :)