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stitches/tearing etc


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#1 LouChoo

Posted 13 March 2012 - 09:11 PM

Hi

this is my first time on here. My DD is 6 months old and I'm just wondering how you know whether what kind of tear (3rd degree etc) you had?  My OB didn't explainn anything to me, and being my first baby I didn't know to ask.
I was induced and baby delivered by ventouse. I was bruised completely....black everywhere, each time a new midwife came on, it would be 'oh, I;ve heard about your bruising'.  On inspection (as well as I can see anyway) I'm pretty sure I tore all the way to my bum...and haven't contemplated sex yet.
So, am I better to not know, or should I find out? Idon;t know if I could go through what I did again, but with Caesarian only other option, I don;t know what would be better.
thanks for reading.

#2 munchmum

Posted 13 March 2012 - 09:27 PM

It should be on your birth summary you got from the hospital/ob It's your right to ask for this if you don't have it. And It's definitely best to know what happened in my opinion.

#3 Paddlepop

Posted 13 March 2012 - 10:13 PM

I'm very surprised that your OB didn't tell you what type of tearing you had. It should be on your discharge summary from the hospital, or possibly in your Child Health Record book (Red Book in Qld, Blue Book in other states?). If you had a private OB you might be able to ring him/her and find out, and if you were in the public system it might be easiest to get your GP to find out for you. Either way, your GP should be able to find out for you or might already have it in their notes.

TMI warning for anyone who is squeamish: I would guess that you had a third degree tear. I had a fourth degree tear which involves tearing the anal sphincter. That is, the muscle of your bottom hole. I was "lucky" because mine only partially tore. I had a forceps delivery due to a dangerous blood pressure spike after induction for pre-eclampsia. If you had a 4th degree tear you would probably have numbness around your bottom which you would notice when pooing and not being sure when you are finished pooing. It took about 4 months before I had proper sensation again there.

If you had a 4th degree tear you should have been seen by a continence nurse to make sure that you had good bladder and bowel control and weren't wetting or soiling yourself. I was also given a physio appointment to check that my vaginal and pelvic strength had returned but cancelled it because I had no issues and recovered very well.

You should find out what type of tearing you had, and why you were so badly bruised. It will be important when considering what type of delivery would be best if/when you are pregnant again, and just for your own peace of mind. Personally, I am strongly considering a C-section when I have another baby because I don't want to risk tearing so badly again and suffering the horrible complications like bladder or bowel incontinence, painful sex or other conditions that I was lucky enough to escape this time. Also, my daughter had a big head, and so does my husband (he was ventouse) so I suspect any future children will also have big heads.

If you still have pain from your scarring, it may need to be redone by an Ob/Gyn. Sometimes the original stitching just isn't right.

I hope this helps, and you are feeling better soon.

#4 Chelly_M

Posted 13 March 2012 - 10:29 PM

I don't know what degree of tearing I had either. I was told I tore up to, but not including my bottom,thankfully, so of course had stitches and was badly bruised. Had ice packs around the clock and physiotherapy with ultrasound to help with bruising whilst in hospital. My problem was caused by a very speedy delivery, which resulted in my birthing dd's head unassisted. Anyway, everything was fine at the 6 week check up, but didn't have sex for probably 3 months, I think. But, it was fine when we finally did. Pregnant again now and this time round, my plan is to get to the hospital much earlier biggrin.gif  Don't know if my chances of tearing again are increased or not, but what will be will be.

#5 LouChoo

Posted 14 March 2012 - 07:45 AM

thanks everyone, now I've read what you have all written and I'm actually quite annoyed- - I didn't get anything when I was discharged, and at my 6 week check (which ended up being 9 becuase OB so booked out) he didn;t even look at anything.  We just had a chat, and he wasn't even the OB that delivered my baby....he ended up being away at my due date so I had another OB from the practice that I met the morning I was induced.
Thanks, I'm going to give them a call.

#6 Carmen02

Posted 14 March 2012 - 08:13 AM

with my 1st i never got told the degree of tear i had, i know it was quite bad and i bruised badly as well as needing icepacks and ice pads for ages. I never found out (was almost 10yrs ago) as the Doctor that did it was another doc that was called in as my Doctor wasnt quailfied to do vaccum/forcep delievery i needed so he stitched me up.  She had a big head! lol With my 2nd I only tore slightly I didnt need stitches at all original.gif and he was my biggest!  and my 3rd was a super fast labour and no tearing what so ever. I thought ill add that as I did have a shocking tear the first time but the 2nd was only slight original.gif

#7 LouChoo

Posted 15 March 2012 - 07:41 AM

QUOTE (Carmen02 @ 14/03/2012, 09:13 AM) <{POST_SNAPBACK}>
with my 1st i never got told the degree of tear i had, i know it was quite bad and i bruised badly as well as needing icepacks and ice pads for ages. I never found out (was almost 10yrs ago) as the Doctor that did it was another doc that was called in as my Doctor wasnt quailfied to do vaccum/forcep delievery i needed so he stitched me up. She had a big head! lol With my 2nd I only tore slightly I didnt need stitches at all original.gif and he was my biggest! and my 3rd was a super fast labour and no tearing what so ever. I thought ill add that as I did have a shocking tear the first time but the 2nd was only slight original.gif



oh, so many ice packs! I know the first is generally the worst, but mine was horrible....not a small head, good to know your subsequent ones were like that, thanks

#8 soontobegran

Posted 15 March 2012 - 07:54 AM

You can have significant bruising even if you don't tear or have an episiotomy so you may have just had a tear and unless there was anything 'different' or worrying about the tear they don't often go into too much detail with you other than ice packs/pain relief etc.
If it had involved your anal sphincter you normally would have been given special warnings about your diet and your bowel actions. If you are still having problems with your perineum you should see your GP, if not then I'd presume all is healed well.

Lots of luck

#9 Lauren_b_

Posted 26 March 2012 - 03:11 PM

Hi all - I am new here and this is my first post.

I'm sorry to hear that you didnt get told much about your tearing, that's not the greatest service from your OB or hospital.

I had my 1st bubba 2 weeks ago and obtained a 3rd degree tear which resulted in going up to surgery to have my stiches done. Very overwhelming when you have just given birth.

I don't mean to butt in on your query here but I am worried about being intimiate with my husband again after this and was wondering if people wouldnt mind sharing how long after it took you to feel comforable to do so? I am still healing and don't want to do it anytime soon (still a month off the 6 weeks anyway!) but just some advice on this would be greatly appreciated  original.gif

#10 Paddlepop

Posted 26 March 2012 - 03:27 PM

Hi Lauren_b_: congrats on becoming a mum!

For me (see my post earlier in this thread) I had a 4th degree tear. I was very nervous about having sex again and was a bit scared. In the end at 8 weeks (I think) after giving birth we took the plunge and did it to get it over with because I was starting to dread it. I was greatly relieved to find it didn't hurt as much as I had feared. After a few months, very little pain at all, and a few more months and virtually back to normal.

Take it slowly, especially at the "start" IYKWIM, use plenty of lubricant if needed, and be as relaxed at possible. Be prepared to stop at anytime if it hurts, and try again another time. You might need to try different positions if any positions cause you pain. As long as you and husband approach sex as a team and possibly with a bit of sense of humour, you should be fine. Anyway, if your baby is anything like my DD he/she will wake up the moment anything starts to happen! Natural birth control I think!

Feel free to PM me if you have any other questions that you aren't comfortable asking here.

Hope that helps, and you are healing well.

#11 ~strawberry~

Posted 26 March 2012 - 05:03 PM

Check in the front of your blue book, I thought I wasn't given anything when I was discharged with my first but eventually found the discharge papers in the front pocket of DD's blue book. If not, contact the hospital for a copy of your birth notes. You may have to pay a small charge, but it will give you the info you need.

#12 soontobegran

Posted 26 March 2012 - 05:16 PM

QUOTE (~strawberry~ @ 26/03/2012, 06:03 PM) <{POST_SNAPBACK}>
Check in the front of your blue book, I thought I wasn't given anything when I was discharged with my first but eventually found the discharge papers in the front pocket of DD's blue book. If not, contact the hospital for a copy of your birth notes. You may have to pay a small charge, but it will give you the info you need.



Really no need to go to the expense to apply for the hospital noted through FOI, the OP just needs to call her Obstetrician if her discharge notes don't include details of her perineal damage.
He should have it on his records.

#13 Goldenblack

Posted 29 March 2012 - 02:35 PM

Another thing to be aware of is that hospitals do have slightly different definitions between each other for what counts as what degree of tearing - even if you'd think the definitions were fairly clear cut (as I did, initially!).

I had a tear listed as a second degree tear because it didn't tear through the sphincter - just around it both sides and on up continuing - and much deeper internally, intramuscular.

I also had to tell my doctor to look at it at my six week checkup - she wasn't going to.  I thought I had hemorrhoids due to all the large lumps and bumps.  Turned out that was just how severe all the scarring was, and she got a shock because she was expecting a second degree tear to be very different to what was there.

#14 allyire

Posted 29 March 2012 - 02:58 PM

I gave birth to DS1 in the US and was never told what 'degree' of tear I  had either (after reading descriptions I think it was probably 3rd). I had an episiotomy as well so lots of stitches.

Definitely get them to check you to  see that the healing is ok. I had to have the area cauterised a few times as there was too much scar tissue that was causing pain/irritation. It did eventually get back to normal though!

BTW, with DS2 I had no tearing whatsoever and a very quick recovery wink.gif

#15 Mummy Em

Posted 29 March 2012 - 03:05 PM

The way it was explained to me - first degree tear involves the skin of the perinium, second degree tear involves skin and muscle of the perinium/vagina, third degree involves anal sphincter muscle and fourth degree involves all that, plus tearing in the anal canal. Third and fourth degree are usually repaired in theatre under general or epidural anasthetic.

With sex, try not to pressure yourself, use lots of lube, tell your partner to be careful and you will tell him if you need to stop. If you have pain, go to the doctor as they may be able to give hormone vaginal suppository that might help, especially if you are breastfeeding.




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