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Another q about other's experience of 4th degree tear
Mainly just curious

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#1 Mummy Em

Posted 23 November 2011 - 10:03 AM

I was thinking last night about what time I might actually get into the theatre for my c-section on Friday. I know they do the most complex ones first (I don't think I will be complex) and I was trying to figure in how long it might take if there is an emergency.

Anyway, I don't think it can be done, I'm just going to have to go in with a relaxed attitude and a good book. wink.gif

But it lead me to wonder how long most people are in theatre for 3rd and 4th degree tear repairs? What's typical? I know my dh was told that I would only be gone for a short time and so when I didn't get back from theatre as quickly as anticipated he was starting to freak!

Anyone want to share (if you can remember) how long you were in theatre?

#2 wee-boring-biscuit

Posted 26 November 2011 - 10:24 AM

Hi, I dont think i was gone for that long, DS was born at just before 11pm, they tried to sew me up for a while before sending me to theatre and I was back on the ward at about 2am I think!

#3 BreezaH

Posted 26 November 2011 - 10:54 AM

I had a 3rd degree tear and I think they took me in about 10am... I was back up in the ward not long after midday.

#4 Paddlepop

Posted 06 December 2011 - 09:08 PM

I had a 4th degree tear after induction and forceps due to PE and high BP, and was in theatre for about 1 hour.  I was probably with the anaethesist prior to theatre for about 20 to 30 minutes while he altered my epidural and did some other tests or something, then theatre for an hour and recovery for about 10 to 15 minutes.  So about one and half hours in total.  

My husband also freaked out about me being gone so long because the stupid hospital didn't take me back to my delivery room like they had originally planned.  Instead they took me straight to the maternity ward and didn't tell the delivery midwives or my husband about the change of plans.  He was frantic wondering where I was with our hungry baby tucked into his shirt, sucking on his finger, and I was upset on the maternity ward wondering where he and my baby were and the mean nurse wouldn't help me find him.  We were eventually reunited after 3 hours in total.

#5 kelly77

Posted 14 December 2011 - 04:08 PM

I had a 3rd degree tear and was gone about 2 hours including time in recovery.

#6 Mummy Em

Posted 14 December 2011 - 04:33 PM

I just realised that I went off and had my dd2 and never got back to this thread.

So at least a couple of hours is normal. The middie told my dh 20 mins, but I was gone more like 3.5 hours. I don't remember being in recovery, but I guess I must have, as I had an epidural.

What options did people go for with their next birth? I went for a caesar, as I was told I had a risk of faecal incontinence and ended up deciding I didn't want to risk that. *Think* I made the right choice, it was a really straight forward caesar, and I feel nearly good as new 2.5 weeks later (just a few things I'm still not game to try to do).

#7 Paddlepop

Posted 14 December 2011 - 06:19 PM

Congratulations on your DD2 and better birth experience!

I have been advised that I will be offered an elective C-section for my next baby at the public hospital I gave birth at.  I will probably accept that offer.  I was also advised to wait at least 2 years between births to allow everything to heal up really well and reduce the chance of tearing along the scar lines.

I was also advised that I might have developed faecal and urinary incontinence after my 4th degree tear.  I partly tore my anal sphincter and also had a fistula (hole) torn between my rectum and vagina, as well as my perineum tearing badly.  I had a lot of numbness for a few months whenever I went to toilet until the nerves recovered.  I think that I am so lucky to have healed so well that I am reluctant to consider a vaginal birth and risk damage again but not healing so well. I am 99% normal after the birth and I am so thankful for that.  

My DD is 22 months old, and I'm not even considering TTC until she's 3 years old.  I'm infertile so I'm not likely to become pregnant accidently (I used IVF).  My Mum is encouraging me to have a C-section next time so that I don't have permanent damage.

I forgot to add my DD's head circumference was in the 97th percentile, so it's no wonder I tore.  My DH has a big head so baby no.2 will probably have a big head.  Even more reason to have C-section!

#8 wee-boring-biscuit

Posted 23 December 2011 - 08:52 AM

Hi, I just wanted to add that I went on to have 2 elective ceasars after my 4th degree tear. Funnily enough with my 2nd birth, I had a male midwife who pushed me to have a natural delivery and when I saw the DR, he said the same! I asked him if it were HIS WIFE what would he tell her??

Luckily enough we moved 6 weeks before my due date, saw a female midwife and DR, and the both told me if it were them they would have a ceasar! (This was at the hospital where I had NO 1, the other hospital didn't even want to see my records)

#9 GoldenBlack

Posted 09 February 2012 - 09:03 PM

I had a third degree tear which took one hour, forty five minutes for them to stitch, one litre blood loss.  I'm about nine weeks into a sixteen week recovery time.  It still hurts  ddown.gif

I desperately wish I'd had a Cesarian...as I'd requested at one point.

Edited by Goldenblack, 09 February 2012 - 09:04 PM.

#10 Threenager

Posted 16 February 2012 - 09:06 AM

I had a forth degree tearing with DD after being induced for PE and her being posterier and delivered via ventouse this way with the cord around her neck 3 times. Tore right through my perinium, both sphincters and right up to my bowel. Surgery was done under a general and probably took just over 2 hours. DF was told it would take 20 minutes, and no one was able to tell him what was happening. He was freaking out. It was the worst tear the hospital had seen in 4 years. I was advised that I may experience feacal incontinance,issues with sexand possible require further surgery in the future. My recovery was long and painful and my bowel was senstive for a long time, and I had poor control for the first 6 months. It took 12 months for sex not to hurt. I also experienced PND throughout this time. In saying all this, I recovered thanks to an awsome physio, everything works as it should and there is no way I would risk this again.

I am currently 11 weeks pregnant (toook me 3 years to even think about it). I am going through a private hospital and am taking the recommendation of a cesarean aswell. Scared of that, but not as much as having ongoing feacal incontinance.

#11 BreezaH

Posted 16 February 2012 - 09:51 AM

My tearing was severe with my first birth but 3rd, not 4th. I had another natural birth 5 months ago - I wasn't offered a C-section and in fact no one mentioned it until after I gave birth when a few people seemed surprised I didn't opt for one. My birth was managed very strictly by the team and I was given an episiotomy when it looked like I might tear along the same line. I was stitched up after in the birthing suite and went home within 5 hours of giving birth. Both my babies arrived quickly (15min and 16min pushing). My recovery after birth #2 was very straightforward and easy.

#12 relz28

Posted 03 May 2012 - 02:40 PM

I had a 3rd degree tear after my DD was born.  My GP tried to repair me in birth suite but ended up in theatre  for 2 hrs.  Unfortunatly my repair wasn't done correctly and 3 yrs down the track im having lots of issues with unable to control gas and regular episodes of feacal incontinence sad.gif .  Im also 31 weeks pregnant with my 2nd and have opted for a EL LUSCS.  I have been told that my tear/repair is the worst trauma my gyn had ever seen and that u only see trauma like mine from car accidents etc...  Im told if i had a NVB this time then i would have a total bowel/bladder prolapse as i have NO peri left, just mucosa separating the two.  Im quite relaxed about my EL LUSCS as i would HATE to do anymore (if possible Tounge1.gif) damage to anything down there!!!!

P.S. I thrilled u had a great birth and things are feeling great original.gif

#13 Jane Jetson

Posted 03 May 2012 - 02:50 PM

3c or d (ie a whisker off 4 - I wasn't taking in the terminology all that well) and a 1L blood loss here. I was in theatre for a couple of hours, no complications afterwards, though I've been ordered to have a C-sec should I reproduce again.

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