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Re: Birth after 3rd degree tearFrom: Anna (anonymous@obgyn.net)Tue, 21 May 2002 16:50:59 -0500 (CDT)
At Tue, 21 May 2002, William McIntosh, MD wrote: > >At Tue, 21 May 2002, Alan wrote: >> >>My wife 2 years ago suffered a 3rd degree tear,after the episiotomy- >>extended :(. She had a vaginal and rectal reconstruction and will >>need a repeat op 15/20year later, vists urology twice a week >>for bio-feed back treatment. Anyway she is pregnant again it will be >>a c-section, how will it affect her and what is worst outcome? > >I am not clear why she is having a C/S this time. The odds are huge >that she would not have a 3rd degree or better this time, especially if >she does not have an episiotomy. A C/S is a big deal, a big operation, >with serious recovery time. I guess the worst theoretical outcome is >death, but that would be very, very unlikely. Her OB needs to have a >long sit down talk about these risks now, before you are in the OR. > >--
Sounds to me like she is having the c/s because she had vaginal and
rectal reconstruction and has urology visits twice a week with
biofeedback. Even without another 3rd degree tear vaginal delivery is
an injury to the area in and of itself.
>
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