WOMENS-HEALTH Messages for May, 2002: Re: Birth after 3rd degree tear

Re: Birth after 3rd degree tear

From: Alan (anonymous@obgyn.net)
Wed, 22 May 2002 02:27:59 -0500 (CDT)

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In reply to: Anna: "Re: Birth after 3rd degree tear"

At Tue, 21 May 2002, Anna wrote: >
>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.
>>

--
I am sorry I didn't provide that much detail, her first delivery was via
forceps because baby was R.O.T any way they perform episiotomy (standard)
baby was delivered all was good, she was put on a drip we thought this was
because her blood pressure drop very low during delivery and that it was just
keeping her stable, there was no talk of 3rd degree tear and she was out of
hosptial in 2days. 4-7 weeks later she was suffering infection after infection
in both her vaginal and anus(back and forth to the doctors) sex was phyically
impossible. The orginal repair was poor and the anal sphinter had been ruptured
the secondary repair was carred out 6months later by both gyn and colorectal.
She has been told that if she deliverys normally the repair will not hold together
and

Next message: Amanda: "Period at wrong time"
Previous message: Donna: "brownish mucousy vaginal discharge"
In reply to: Anna: "Re: Birth after 3rd degree tear"

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