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Perineal tear

kseers by kseers Talking Back(July 17th) (rank 33rd)

All the questions about birthing lately have made me remember (with joy!) the births of my beautiful children.

One thing I tend to gloss over was the pain I was in after my second birth.  After a long labour, I was so relieved when the contractions changed to urges

to push.  It was a huge change and not only was the pain easing, but the joy of knowing that it would not be too much longer to meet my baby.

I had planned a calm birth and aside from a few issues such as monitoring had got my wishes.  One of the issues I had specified was that I wanted to breathe her out naturally, as my body urged and to not have an unnecessary episiotomy.

However, due to rising blood pressure and the long labour, the midwife told me that I was going to have to push her out, and the dr advised unless she was out by 7.00 he was using forceps.  So, at 6.55pm with a few huge pushes, my little girl slipped out.

In all the joy of the moment and the relief, I hardly noticed the dr getting out his needle and thread.  He advised I had torn (in his words, God had given me an episiotomy) and would need stitches.  It didn't hurt, contrary to my fears, and in all the excitement I did not really take in what he said.

IN the coming days I was more aware of it and it became quite painful.

So, if you are contemplating childbirth, or have just given birth, here are my tips:

- if you are allowed, breathe the baby out rather than push, as this will mean no tearing.  It may take longer, but without a medical reason for pushing (as above) it is easier on you and the baby

- you will need to keep the area clean. I was told salt baths were good, but as we didn't have a bath, I took the shower head off its stand and used that to wash with warm water.  I then used the hair dryer to dry it thoroughly (again, warm not hot)

- At the hospital they made long thin ice cubes and wrapped them in face-washers (or flannels) which you then put in your undies, so I kept this up at home.  You can even just put a wet face washer in the freezer and use that - just don't put any ice against teh skin as that will make it even worse.

- I also found I needed something to help with bowel movements as I was too scared to push, so ask your midwife or your chemist for advice on this one - something to keep you regular and smooth

- I know you can also buy some oils and supplements that help with healing, maybe ask at your local health food shop, or ask your midwife

One last thing - after my tear I was very wary of intimacy with my husband.  It took a while to gain that confidence back that it would not hurt or do damage.  In the meantime ensure you have time together, even doing other affectionate things and be honest with your partner about your fears.

At the time it felt like it took forever to heal, it was over a month, which I didn't expect.  So, be patient and be gentle on yourself.  It will heal eventually and just be careful about that area in the meantime, after all it has been through a lot (and so have you!)

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mcm
August 11th | mcm
Re: Perineal tear

Great advice. I had second degree tears with all three babies. It was very painful for me and the hardest part for me particularly in my first labour where it took an hour and half to stitch and then with my second child where I had a borderline 3rd degree tear which was followed by a long painful recovery.

With my third child I decided to breathe him out rather than push. Though I did tear the recovery was much better. This time I am going to have a water birth and see how that helps.



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llmunchkin
July 24th | llmunchkin
Re: Perineal tear

Good advice... Here's hoping I never need it personally, however it is very handy to know.  As usual it is well written, well presented and very easy to follow.



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nell18-3
July 23rd | nell18-3
Re: Perineal tear

Salt Baths were my only pain free time !!!!!!

I used to take several a day and it was total bliss

I had four deliveries and four tears !!!!!!

Great article

xxx

 



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nabutters
July 19th | nabutters
Re: Perineal tear

this was good advice,wish i knew how to deal with it when i tore....i will never forget how uncomfy it was,it was with my first child....i was young at the time and had no advice....

this was a great article!!

 na xxxx



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cathbusymum
July 18th | cathbusymum
Re: Perineal tear

Excellent advice. I was very lucky to breathe all three of my girls out., then the twins were a c-section.So I have never torn or been cut. I always recommend the breathing method. Yes it did take a bit longer but was so worth the extra time. The key was listening to the midwife and she/he will tell you when to push or stop, then push again. Their expertise in this area is usually underrated and not mentioned enough.



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      kseers
July 18th | kseers
Re: Perineal tear

too true - and mine was so good, she was willing to follow my lead, whilst encouraging me to keep going and do what I wanted - except when the dr raised medical concerns.  If you get a good midwife they are worth their weight in gold - and there are plenty of good ones out there!



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cazza
July 18th | cazza
Re: Perineal tear

Great advice and i had a perinum with brodie and wasnt pleasant at all.. Then when caitlyn came along they did the cut and then i had the cut and tear with chloe...

xx cazza



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      kseers
July 18th | kseers
Re: Perineal tear

OUCH - just thinking about that is painful.  Did you have any tips that made it better for you?



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           cazza
July 18th | cazza
Re: Perineal tear

Yes did hurt hehe, and i done most of what u covered in your article, salt baths, but didnt use cold packs, had a heat pack, and layed on it...

it took 6 weeks to heal...

xx cazza



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Juzzy
July 18th | Juzzy
Re: Perineal tear

Very informative article.

Both my children were born via c section so i didn't have to worry about tearing but your article will be very useful for first time mothers.

Juzzy xoxoxox



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