Re: vaginal tears and incontinence

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I did not suffer any bad tears as you did, but it was my biggest fear about childbirth.

If you don't want to risk damaging your anal sphinter again (no one can guarantee you this won't happen in a vaginal birth.) please do demand a C-section. If your insurance co. tries to tell you that you have to pay for it, please fight them on this.

http://www.webmd.com has a recent acticle about a study on surgery to repair anal sphinter problems that revealed many times, this surgery is unsuccessful.

http://www.heathcentral.com has acticles about this issue. Some people are saying that ALL women should be offered a C-section just because of the risk of fecal incontinence.

Fecal incontinence is going to put a damper on anyone's lifestyle, so saying a C-section is medically necessary to prevent this should not be a stretch.

And I would not go back to that same O.B. if you feel he was responsible for your tears because he did not have the patience to help ease your baby out slowly.

Good Luck,

--
Kelly

PS.  Your second baby is not likely to be smaller than your first one.
Even if you have a smaller baby, it doesn't mean you won't tear again.

At Thu, 29 Jun 2000, R. Daniel Braun, MD wrote:
>
>At Thu, 29 Jun 2000, patty wrote:
>>
>>My first child weighed 9lb.  4 oz.  and after pushing for 3 hrs the doc
>>practically ripped him from me.  I suffered 3rd degree tears and anal
>>incontinence for several months.  It took my a good 6 months to feel
>>better.  My question is wouldnt a c-section be better than this?
>
>It depends on many factors. If next baby a lot smaller no problem.
>
>I am
>>scared to conceive again ( although we are trying) because of the pain
>>and long lasting effects of the tears.  I think I would like to have a
>>c-section on #2 because my friends who had c-sections got better a lot
>>quicker than I did.  Is asking for a c-section inappropriate,
>
>No but call your OB and make an appointment for a visit to do nothing
>but discuss this issue.  (be prepared to pay for it, your insurance may
>not and they may not pay for this "Unnecessary cesarean") But it is a
>good idea to find an OB who will go along with you on this if it is that
>important to you.
>
> I just
>>dont want to have long term problems with my rectum.  Can anyone answer
>>this embarrasing question? THANKS
>
>No way to tell now as to what might or might not happen with the next
>delivery.
>
>RDB
>
>--
>R. Daniel Braun, MD FACOG  FOG
>
>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.
>

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