(Closed) Episiotomy or tearing?

posted 6 years ago in Pregnancy
Post # 3
Member
2815 posts
Sugar bee
  • Wedding: June 2012

I tore. There was no way in heck I was letting them give me an episiotomy. When I was ready to push and I saw the cart of “tools” that was my motivation to make sure  pushed my baby out so they didn’t have to use any of them. lol

Statistically episiotomies take longer to heal and can cause what would have been a small, natural tear to be much worse.

I was pretty sore for a couple days, but not too too uncomfortable. I was told I had a “small” tear, and had a few stitches. The soreness lasted (mildly) for a couple of months though. Nothing major, just enough to notice…and I think a lot of that was because I was just generally sore from childbirth in my pelvic muscles. You really shouldn’t push it though the first few weeks after birth. Rest as much as possible. Try not to be walking or moving too much.

There are things you can do to reduce tearing such as labouring and birthing in a more upright position, not getting an epidural, massaging the perenium with oil in the weeks approaching birth and during birth, etc.

Also, try to keep in mind that ultrasounds are just estimates. MANY times women are told that their babies are “large’ and they end up to be a lot smaller than predicted.

On the flipside, I was told my baby was VERY tiny (4lbs 9oz) and she ended up 5lbs 5oz.

 

Post # 4
Member
7777 posts
Bumble Beekeeper

I had an episiotomy because I needed forceps. Otherwise, I would have told them to let me tear.

Honestly? It really wasn’t that bad. It was all healed up in 2 weeks and now 3 months later the scar is pretty tiny and hardly noticeable (yes, I used a hand mirror and checked out my junk afterward. Not going to lie, I had a scary Frankenstein vag for a couple weeks). The doctor did a fabulous job stitching it back up. Just keep it clean and take some tylenol and it’s not really a big deal. The first day afterward is the worst and it gets steadily better from there. No lingering pain, no soreness, no nothing from about a month onward. The bits were totally back to normal by 2 months pp.

I also had a big baby. 10lbs 8oz, 22 inches long and a 14.5 inch head. She was even bigger than they estimated.

Post # 5
Member
6009 posts
Bee Keeper
  • Wedding: May 2009

Most doctors/hospitals do not routinely perform episiotomies anymore. It’s generally believed that allowing tearing creates less damage and an overall easier recovery, so episiotomies are used very infrequently nowadays.

I tore with my first (maybe a first or second degree tear?) and had a few stitches. It honestly didn’t bother me much, and I couldn’t even feel it within 2 weeks. After having my second I learned that many women re-tear with subsequent births because scar tissue forms at the sight of the original tear and is weaker in that spot. also, DS had a huge head (he still does, actually!). I had some other complications so by the time I actually got sewn up my epidural had worn off, but luckily I only needed a few stitches. Within a few days I didn’t notice any pain from the stitches; we even went bowling when DS was about 5 days old and I felt great! I do have to say that I had easy births and easy recoveries, so that might play into it. After birth, though, your doctor should offer you painkillers, so you shouldn’t be in too much pain unless you refuse the medication.

Post # 6
Member
552 posts
Busy bee
  • Wedding: July 2012

Think of a piece of paper. If you cut a slit in it, it is much easier to tear than if you left it intact and tried to tear it. Think of an episiotomy this way. You could tear a lot further if you are cut than if you are not.

I had tearing on the inside (from forceps) and after two weeks most of the pain was gone. I used advil for pain relief and stayed off my feet for long periods of time.

Post # 9
Member
7777 posts
Bumble Beekeeper

@babeandbabe:  Me too.

I forgot to add that I did have a small tear on my cervix too, from the forceps.

@roxy821:  Yeah… I would hide it. I was kind of traumatized for a bit after I looked the first time. My grandma and mom also had big babies, so I knew what I was in for. lol

Post # 10
Member
6009 posts
Bee Keeper
  • Wedding: May 2009

@roxy821:  You might ask your doctor at the time of delivery.  My understanding is that some standard pain medications (like ibuprofen and acetaminophen) are considered safe in low doses.  🙂

Post # 11
Member
11270 posts
Sugar Beekeeper
  • Wedding: April 2012

i had an episiotomy when i had my son and a few stitches. 

it was a long time ago so i don’t exactly know how long it took to heal but it wasn’t longer than a week or so.  i think there was only pain/discomfort for a couple of days (it hurt when i laughed).  i don’t remember taking any pain medication so it must not have been that bad.

 

Post # 12
Member
4272 posts
Honey bee
  • Wedding: April 2012

@zippylef:  “yes, I used a hand mirror and checked out my junk afterward.”

lol….

Post # 13
Member
2934 posts
Sugar bee
  • Wedding: March 1996

I had both. The tear healed beautifully, the cut took (I am not kidding) over a year to heal with repeated doc visits and different “treatments” that including what I think was silver nitrate (but my kid is almost 12 so I could be wrong) and finally some hormonal cream that I had to apply daily for weeks. It was a huge pain in the you know what. I think that in non-emergency situations, episiotomies are best avoided.

Post # 14
Member
1434 posts
Bumble bee
  • Wedding: February 2010

@roxy821:  I know i’m probably going to be bashed for even suggesting this but…do you think that if baby is big enough by the 37 week mark (full term) that your OB would let you induce so that you’re not going to 40w and allowing baby to get way huge?

My doctor usually has a policy of not inducing until due date + 1 day. But, she said for large babies, she always makes an exceptions. This only came up because, like you, my baby is large (90th percentile for weight and 85th percentile for height!). My mom also had very large babies. Problem is: i’m a small framed, short person…so tearing is my dead fear as well!

 

 

Post # 15
Member
3363 posts
Sugar bee
  • Wedding: September 2009

I had a 2nd degree episiotomy.  Recovery was quick and easy for the most part.  Sore, of course, and pooping was scary.  But keep in mind I also separated my pelvis and the pain from that made everything else seem like a walk in the park!  And my baby was only 6lbs 9oz!

Post # 16
Member
232 posts
Helper bee
  • Wedding: October 2012

My son was very large also and i tore like it was nobodys business lol ( not trying to scare you or anything lol ) I couldnt feel it while it was happening and i didnt take any meds it was an all-natural birth. The doctor did have to administer something when she sewed me back up but again it didnt hurt but i could feel that i was torn from front to back… Fi said it was pretty bad.. The healing process was great i was up and walking around the next day and didnt need any help going to the restroom…

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