Fourth Degree Tearing – Totally TMI Post

posted 3 years ago in Babies
Post # 2
Member
4413 posts
Honey bee
  • Wedding: June 2012

They didn’t examine you to see how the tear was healing??? I had an OB all up in there at 2 weeks PP, 6 weeks PP, and then again at 3 mos PP. I would definitely make an appointment for an exam t make sure that everything healed up completely and there are no small fistulas or anything. 

Beyond that, I want to follow this thread too to see if others have successfully had vaginal births after a big tear. My doctor said I would want to consider C-section in the future, but made it sound like it would be more of a choice than a requirement. I’m kind of leaning towards it as well, since my healing went fine but I certainly don’t want to end up with bowel incontinence in the future if it tears again!

Post # 4
Member
4413 posts
Honey bee
  • Wedding: June 2012

As_You_Wish:  I would definitely get a referral to an OB. If there are any holes or weak spots where it tore, you’ll want to know about that ASAP. The exam will likely mean a finger in your bum but alas, sometimes unpleasant things must be done for the sake of our children 🙁  Plus, an OB will be able to answer your question about sex and bleeding! That doesn’t happen to me, so I’m not sure if it’s something to worry about or something relatively normal. Hopefully it gets better in time!

Post # 5
Member
9137 posts
Buzzing Beekeeper
  • Wedding: November 2013 - St. Augustine Beach, FL

As_You_Wish:  . I should add that my doctor has never actually examined me “down there” since I gave birth.<br /><br />Why hasn’t your doctor checked you out down there since delivery?  He should have at least taken a look at your 6 week appointment.  Get it looked at pronto because an infection down there can be serious, especially if it involves a tear between your rectum and your vaginal wall.  Just because you aren’t seeing it leak doesn’t mean it isn’t.

Post # 6
Member
8821 posts
Buzzing Beekeeper

Sorry you’re having pain.  I would also go to an OB to have it checked.  My OB saw me at 2w PP and 6wPP, now I’m back to my family doctor.

Post # 7
Member
7262 posts
Busy Beekeeper
  • Wedding: February 2013

I’m shocked that they didn’t check you down there! You should definitely be checked, especially since you’re bleeding after intercourse.

Post # 9
Member
11668 posts
Sugar Beekeeper
  • Wedding: November 1999

As_You_Wish:  is it bleeding or spotting? I’m 10 weeks PP and spot a bit after (only had a 2nd degree tear). I would definitely get it checked out and I am shocked they didn’t. My doc thoroughly examined inside and out at 6 weeks pp.

hope you feel better soon! I still have some soreness So I can’t even imagine how you must feel!

i will say my sisters friend had a very bad 4th degree tear and had a csection next time around – not sure if that was just personal choice or medically necessary though.

Post # 10
Member
1817 posts
Buzzing bee
  • Wedding: May 2012

I have to echo the concerns of your doctor not checking your nether regions…hell my OB checked my and I had a C-section!

Post # 11
Member
863 posts
Busy bee
  • Wedding: June 2012

I don’t know if a nurse-practitioner could refer you to an OB, but I think it makes sense that they could. I would def have your family doctor have a look at it now and request a referral as well – you probably wouldn’t get in to see an OB right away if there’s no immediate issue and they’re just looking at the structure and overall healing and I would want to know about any immediate concerns with infection. 

Post # 12
Member
1613 posts
Bumble bee
  • Wedding: September 2012

As_You_Wish:  I’m horrified that your GP didn’t bother to examine you properly….even if you said you weren’t having any leakage, there’s more to healing than that! Very poor quality care.

The evidence isn’t conclusive about whether a previous 4th degree tear should lead to a recomendation for future c-section although some docs would offer it as an option.  It’s less than a 10% chance to have a second 4th degree tear during the next birth, so the odds are heavily in favour of at least trying for a vaginal birth, given that a planned section is a 100% chance of an abdominal incision.  But of course, each woman’s individual situation needs to be considered.

As for healing time, there could be sensitive/friable scar tissue that is prone to bleeding with friciton so you should definitely get your GP to refer you back to your Ob/Gyn for a much more thorough examination.  I don’t think a nurse practitioner can make a referral to a specialist but I’m not 100% sure.

 

Post # 13
Member
2696 posts
Sugar bee
  • Wedding: June 2012

Didn’t you have an OB when you gave birth? I am also in Canada, and my OB had checkups with me at various times, both scheduled and when I needed to see her about concerns. I had a small tear, and had issues with pain (due to the fact that I was breastfeeding, and the lack of estrogen was causing my perenium to heal slower). She saw me and addressed/checked up on everything.

I am also surprised that your OB did not have checkups with you to look at the area! Can you call them to book a follow up on the matter?

Post # 15
Member
8821 posts
Buzzing Beekeeper

It seems to be different in areas around Canada.  I say my family doctor until 20 weeks then was referred to the OB office (it’s a team of 5 OBs actually). I really enjoyed seeing the OBs and felt comfortable asking questions.

I hope your pain goes away! I think things change a lot down there after a baby. I had a c-section but sexy times is even a bit uncomfortable for me sometimes.

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