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How do complications effect the 2nd birth?


Forum: Labor and Childbirth

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  #1  
October 26th, 2010, 02:32 PM
Erin.minus.thyroid's Avatar Mega Super Mommy
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Location: Atlanta, GA
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My son's birth was not a good one and Im a little worried about the 2nd time around. Im not pg yet but we are planning to ttc very soon. Im trying to think ahead at what I might be up against.

My son is 4.5yrs old so I have healed up and all. We ended up with a vacuum extraction with him because he was sunny side up and just not coming out. I had a very large episiotomy which took a really long time to stitch up. It took a really long time to heal after this, I was not fully healed by my 6 week apt. It was about a year before I stopped having pain from it.

So Im worried about scar tissue and a 2nd delivery. If it took this long to heal wouldnt there be a lot of scar tissue and perhaps the cervix would not stretch like it is supposed to or might tear apart at the scar site?

I keep being told by everyone that knows my birth story that I should have a scheduled csection this time but I really dont want to do that. Surgery scares me, Id worry about the baby, recovery, the pain meds and BFing, etc. Id just rather not do it but at the same time, I dont want to try to go through a vaginal delivery only to find out that my cervix is not going to dilate all the way and the baby isnt going to fit out without them having to cut me again.

Does anyone have any experience with this? Any advice would be appreciated
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  #2  
October 27th, 2010, 10:33 AM
New_England_Girl's Avatar Platinum Supermommy
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Welcome! Glad you stopped by to ask!

Well, I didn't tear quite as badly as you, but I had a decent tear with my daughter (who was also sunny-side up), and it took me many months to feel pain-free during intercourse, etc. However, my son (who was almost 10 pounds) came in less than half the time and my cervix opened just like it was supposed to, despite the old scarring there, and I just a tiny tear after him, maybe 2 stitches.

Now, I'm assuming you have more scar tissue than I did because you actually had an episiotomy, but I don't think it will be a problem for you. You should talk to your doctor and see what they say. I know that vaginal births after episiotomies are common, but I don't know exactly the extent of your scarring.

Also keep in mind that there are exercises you can do (pelvic rocking on your hands and knees, sex doggy-style, etc.) that can help make sure your next baby isn't presenting sunny-side up, which makes birth much, much easier. Second babies are also generally easier to birth all the way around because your birth canal has already stretched once, and just like your tummy, will stretch easier the second time.

Hope that wasn't too rambling. Long story short, I think you should be fine to go vaginal.
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  #3  
October 27th, 2010, 12:46 PM
Erin.minus.thyroid's Avatar Mega Super Mommy
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thanks so much for your response. My son's birth was quite traumatic and it has me worried. I will be sure to talk to my OB about it after I get pg. They would probably think I was a bit crazy for worrying about it before even getting pg LOL.

Im hoping that the next child isnt sunny side up. I believe my son ended up that way because I was on bedrest for a while because of pre-eclampsia and i had to lay on my left side all the time with my legs up. I have been told this can lead to sunny side up presentation. Hopefully we wont have this problem next time
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  #4  
October 27th, 2010, 03:24 PM
ChicaChels's Avatar Platinum Supermommy
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welcome to the board! I am so sorry I'm just now seeing this! I've been very busy the past few days!


You can also try perineum massage during your pregnancy. I have heard that helps quite a bit to prevent tearing the 2nd time around. You can also ask your OB to massage it and direct your pushing during 2nd stage labor, so as to allow it to stretch slowly.
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  #5  
October 27th, 2010, 08:14 PM
Erin.minus.thyroid's Avatar Mega Super Mommy
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Quote:
Originally Posted by ChicaChels View Post
welcome to the board! I am so sorry I'm just now seeing this! I've been very busy the past few days!


You can also try perineum massage during your pregnancy. I have heard that helps quite a bit to prevent tearing the 2nd time around. You can also ask your OB to massage it and direct your pushing during 2nd stage labor, so as to allow it to stretch slowly.
Thanks, I will ask my OB about this as well. We did do this the first time around but with the vacuum there didnt seem to be any way around the epsiotomy (i think he was hanging on in there or something LOL)
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  #6  
October 28th, 2010, 12:35 PM
silverlife's Avatar Platinum Supermommy
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It's very rare to tear your cervix. My understanding is that happens if a woman pushes when her cervix is swollen and is not complete. An episiotomy wouldn't have cut your cervix, either. I'm guessing that any scar tissue you have is in the vagina--which means that it won't affect dilation at all.

It's possible that you may have some bad tearing along the scar tissue, as scar tissue is less stretchy than normal tissue. I would recommend perineal massage with EPO during pregnancy to soften the scar tissue. Hands and knees while pushing can also reduce tearing as it doesn't put the same pressure on the perineum as you would have if you pushed on your back. Between the perineal massage, baby being in a better position, pushing hands and knees, and pushing slowly (or even between contractions rather than with contractions), you can minimize tearing.
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  #7  
October 31st, 2010, 10:51 PM
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My first son's birth was very very traumatic for me.. besides the OB actually having to reach inside a few different times and turn him, he ended up having to use the forceps to deliver him. *TMI WARNING* My husband told me after DS#1 came out that it looked like a meat grinder had gotten ahold of me down there. I had 3rd degree tears and WELL over 100 stitches... and I felt every bit of it because my epidural wore off right before it was time to push (which I pushed for 3 hours). I bled for 8 weeks... was in horrible pain for months. Even with all that I went on to have 3 more vaginal deliveries that were nowhere near as traumatic as the first. DS#2 was a longer labor (20 hours) but once he decided to come out he came in only 2 pushes and I had minimal pain after delivery... DD#1 was only 7 hours labor and 3 pushes and also was minimal pain after delivery... DD#2 was only 3 1/2 hours labor and 1 1/2 pushes and I didn't have any pain at all after delivery. Don't give up on a vaginal deliver just because your first was traumatic... give it another try because recovering from a C-section takes a lot more out of you.. it's soooo worth it in the end to at least give vaginal delivery another try!
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  #8  
November 8th, 2010, 07:38 PM
Erin.minus.thyroid's Avatar Mega Super Mommy
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Quote:
Originally Posted by Mama to 3 Monsters View Post
My first son's birth was very very traumatic for me.. besides the OB actually having to reach inside a few different times and turn him, he ended up having to use the forceps to deliver him. *TMI WARNING* My husband told me after DS#1 came out that it looked like a meat grinder had gotten ahold of me down there. I had 3rd degree tears and WELL over 100 stitches... and I felt every bit of it because my epidural wore off right before it was time to push (which I pushed for 3 hours). I bled for 8 weeks... was in horrible pain for months. Even with all that I went on to have 3 more vaginal deliveries that were nowhere near as traumatic as the first. DS#2 was a longer labor (20 hours) but once he decided to come out he came in only 2 pushes and I had minimal pain after delivery... DD#1 was only 7 hours labor and 3 pushes and also was minimal pain after delivery... DD#2 was only 3 1/2 hours labor and 1 1/2 pushes and I didn't have any pain at all after delivery. Don't give up on a vaginal deliver just because your first was traumatic... give it another try because recovering from a C-section takes a lot more out of you.. it's soooo worth it in the end to at least give vaginal delivery another try!
Thanks so much for sharing your experience with me. It makes me feel better to know that someone else went through something similar and went on to more normal deliveries.
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