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If you had an episiotomy ...
did you have them with subsequent births?

29 replies to this topic

#1 onyerbikeluv

Posted 16 April 2012 - 01:03 PM

I had an episiotomy (that I was really happy with) with DD, and am wondering what the likelihood of needing one again with bubba #2.

DD was super stuck, pushing for 3 hours, needed a forceps turn and failed vaccuum attempts and they were talking ceasar, but then the episiotomy worked a treat and healed really well afterwards too, so I'm happy to have one again. I'm actually a bit scared NOT to have one this time!

Did you have one with the first? Did you have to have one with the second? What was the reason and the outcome?

Thanks in advance!

#2 janie1105

Posted 16 April 2012 - 01:11 PM

I've had 3 episiotomies with all 3 births.  Fun times!

I can't really say why.  Does "the baby wasn't going to fit" count.

I also had the same obgyn for all 3 births so maybe he was more "pro" episiotomy then others might be.  But I have no complaints.  At the time if he hadn't done it, I felt like I was going to tear very very badly.

For what it's worth, I feel like I recovered better for the second two then for the first one.

Good luck with your birth.

#3 Expelliarmus

Posted 16 April 2012 - 01:12 PM

There was no time for an episiotomy with the next two - I tore.

#4 cinnabubble

Posted 16 April 2012 - 01:13 PM

I did both times.  Both healed well with zero subsequent problems. I just have a tough perineum.

#5 tara75

Posted 16 April 2012 - 01:17 PM

i didn't with the first 2  but did with the third. a friend did  with the first but not with the next 2.

#6 I*Love*Christmas

Posted 16 April 2012 - 01:22 PM

I had one both times.

First birth in a public hospital with a midwife and they had to do one because he was in distress after 2 hours of pushing. It was so painful. Felt like a paper cut and took a long time to heal.

Second one in private hospital done by my OB. He just said it looks as though you are going to tear I will do one. Second one healed so much better, didn't hurt being done or anything.

#7 deejie

Posted 16 April 2012 - 01:26 PM

I had one with DS1 (forceps).

You don't "have" to have one subsequently just because you had one the first time. DS2 was born vaginally, no episiotomy, no tearing and he had a much bigger head than DS1 original.gif

#8 Fright bat

Posted 16 April 2012 - 01:42 PM

I had one with my first. I was convinced the induction caused it - I wasn't 'ready' to push but the syntocinon seemed to 'force' the pushing, and I knew I wasn't relaxing my perineum. I only had a 3 kg baby so I thought he should have 'fit' but for me contracting my perineum/pelvic floor against him. I started to tear so got an episiotony. I hated the episiotomy too - I felt the cut which was excruciating, and then was sore for weeks, and it took six months for sex to be bearable.

I was desperate to avoid an episiotomy with my second, or at least manage it better. I had a different Ob who was fantastic and suggested local early 1. To numb the perineum and make it more comfortable when it stretched and 2. So I wouldn't feel an episiotomy should I need it. I also said I wanted to avoid induction at all costs. It was a worthwhile discussion! So local went in as soon as I started to push. This baby was occiput posterior and 4 kg so getting him to descend was hard work but there was no perineal pain when he crowned, and I didn't even notice the episiotomy (apparently 4 kg + mild shoulder dystocia meant he just wasn't going to get out without tearing!). But it was a totally different experience because I didn't feel the cut, and then the local was already in for the stitches. It felt better than last time almost instantly.

So I don't think you are condemned to another. My Ob did say but for his size I probably wouldn't have needed it this time as it was all stretching up nicely. I do think the local helped though.

#9 ~Mintie~

Posted 16 April 2012 - 01:46 PM

I had a long and difficult labour with DS1, ending in episiotomy and vacuum. With DS2 I had a much faster labour that progressed well and DS2 was born with no episiotomy or suction. I did tear and found the recovery more difficult.
DS2 was also quite a bit bigger than DS1 but I used an Epi-No in the weeks prior to the birth which probably helped.

#10 Mumsyto2

Posted 16 April 2012 - 01:51 PM

I had one with my first but also tragic tearing so the recovery was shocking and took the better part of a year and even then I was not 'right'. Had one for my second (who at 6lb was pund lighter than my first) and no tearing and it was fantastic, healed up really fast and could only really notice it when I sat/walked for the first week but even then was just a mild irritation not a problem.

#11 us plus two

Posted 16 April 2012 - 01:56 PM

I had an episiotomy with my first, but tore with my second, she came very quick.

#12 onyerbikeluv

Posted 16 April 2012 - 02:13 PM

Thanks everyone - some very varied responses.

I'm going public again, so no idea who will be there on the day (I don't have an OB), but I really am liking the idea of getting a local just in case.  I'm going to ask my midwife about that ... although she'll probably respond the same way she did when I heard about 'walking epidurals' haha - "not in the public system, love!".

#13 Mamabug

Posted 16 April 2012 - 02:16 PM

#1 - episiotomy
#2 - natural second degree tear, stitches
#3 - no tear, no stitches
#4 - natural second degree tear, stitches

Strangely, #3 was my biggest baby and my worst labour!!

#14 Angelina Ballerina

Posted 16 April 2012 - 02:18 PM

I had an episiotomy with my first after 90 mins pushing and vacuum.

It healed very badly and was still giving me problems when we ttc #2.

With my second baby she was out within 10 mins of not particularly strenuous pushing.

I think I had a 2nd (maybe 3rd) degree tear along the old scar line but it healed about a million times better than my previous epi.

#15 Leha

Posted 16 April 2012 - 02:19 PM

I had one with DD who was coming out bum first. Despite having it she wouldn't come out and I had an emergency c/sect.

DS was born after 20 minutes of pushing and I didn't need one and I didn't tear. I did use an epi- no and I think this is what stopped me from tearing. My midwife told me before he was born that I had a very high chance of tearing along the scar and advised me to use the epi- no to help prevent it.

#16 nessrose

Posted 17 April 2012 - 10:43 AM

DD1 - I had one. Your birth sounded like mine.

DD2/3 (twins) - quick 2.5 hour labour. No need for one.

DD4 - 5 minute pushing stage, no need for one.

Have #5 due any day now and hoping won't need one.

#17 zanjabil

Posted 06 May 2012 - 08:59 PM

I had one with #1 and would never choose it again. The stitches ouch and teh recovery time was awful. And I had some long lasting problems for a while from it as well.

#2 I didn't have one and no tears! and she was much bigger than my first at 3.95kg. Recovery was amazing as I went shopping the next day lol original.gif

Edited by zanjabil, 06 May 2012 - 09:00 PM.

#18 4joys

Posted 07 May 2012 - 10:34 AM

#1 - Episiotomy + forceps

#2 - Episiotmoy

#3 -Tearing

#4 - Tearing

With my 3rd and 4th birth, I healed my faster and with less pain. I specifically wrote in my birth plan for #3 and #4 that I absolutely did not want Episiotomy's. I also had an "Episiotomy happy" OB with 1 and 2, and was far more proactive with the 2nd 2 OB's (moved state) about not having Epi's.

#19 Phoenix Blue

Posted 07 May 2012 - 08:05 PM

I had one with my first. Needed vacuum too. Very sore for a few weeks after.

2nd one came out in 2 pushes and I may have torn a bit? Maybe a stitch or 2, I really can't remember, and healing was much quicker and less painful.

#20 2 Gorgeous Girls

Posted 07 May 2012 - 08:11 PM

QUOTE (iluvmygirls @ 16/04/2012, 01:56 PM) <{POST_SNAPBACK}>
I had an episiotomy with my first, but tore with my second, she came very quick.

Exactly this original.gif

#21 Alina0210

Posted 07 May 2012 - 08:15 PM

I've seen a lot of second births as doula where the mum had an episiotomy with thier first didn't need one with thier next one... Water and better positioning helps alot

#22 melaine

Posted 07 May 2012 - 08:18 PM

QUOTE (Phoenix Blue @ 07/05/2012, 08:05 PM) <{POST_SNAPBACK}>
I had one with my first. Needed vacuum too. Very sore for a few weeks after.

2nd one came out in 2 pushes and I may have torn a bit? Maybe a stitch or 2, I really can't remember, and healing was much quicker and less painful.

This except I had a high forceps delivery with the first. Second was a very rapid pushing stage - 1 push and he flew out. He had his hand up, and I tore but it healed much quicker and I had much less ongoing pain.

#23 mama2carysbaileigh

Posted 09 May 2012 - 09:05 PM

Had one with dd1 but was a forcep birth
Ds came out back to back with his hand at his head was a bugger to push out but no epis, tearing or anything, if only I didn't need an op to remove the placenta it would have been perfect!

#24 RealityBites

Posted 09 May 2012 - 09:07 PM

No. I had one with the first (vacuum) and no episiotomy/tearing with natural birth for the second (and only in labour around 3 hours).

Edited by RealityBites, 09 May 2012 - 09:08 PM.

#25 My-3-Pinks

Posted 09 May 2012 - 09:17 PM

Unfortunately I had one with each of my girls.  

DD1 was quite stuck so needed the ventouse and episiotomy.  The doctors all commented on how big her head was and no wonder I needed help getting her out!

DD2 went in to distress and they wanted her out quickly.  I had really hoped I wouldn't have needed one again but it was more important for her as she was not a well baby once born.

DD3 - we went private with her and one of the first things I said was I didn't want an episiotomy unless absolutely necessary but don't even think about giving me one without pain relief this time!  It was so painful feeling the cutting with DD2.  Unfortunately I also ended up needing one again and they did give a lot of local this time but still felt most of it sad.gif  She also needed out quickly due to placental abruption.  

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