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4th Degree TearFrom: Mrs. (anonymous@obgyn.net)Thu, 27 Mar 1997 17:40:08 -0600 (CST)
I gave birth vaginally 8 months ago and experienced a 4th degree tear. I now have a rectovaginal fistula (as explained by the colo-rectal specialist I went to see), which is getting smaller, but which still allows communication of bowel movements into my vagina on occasion. The rectal specialist recommends that I repair the fistula and opt for a c-section for my next delivery. My ob-gyn feels I should deliver vaginally again and then repair the tears after my childbearing years. I am thinking of having another baby and would like to hear about similar cases. Is it wiser to opt for the c-section to avoid possible worse tearing or would a vaginal birth still be the norm in such a situation? What is the chance that the tearing would be even greater with another child and could it be repairable after?
-- Sanja Pozar
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