WOMENS-HEALTH Messages for April, 1999: Re: THIRD TIME POSTED -- Re: forceps removed after baby crowning?

Re: THIRD TIME POSTED -- Re: forceps removed after baby crowning?

From: anonymous@obgyn.net
Mon, 19 Apr 1999 12:41:12 -0500 (CDT)

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At Mon, 19 Apr 1999, Julia wrote: >
>I'm not a health care professional but I have a theory on
>this. Perhaps they removed the forceps at this point to
>prevent extensive damage to your birth canal, etc.?
>It seems if they pull they baby out all the way the chances
>of severe lacerations for the mother would be greater.
>

Well, if so it didn't altogether work -- the lacerations I got happened as the baby was being brought down. (I felt them happening -- like red-hot zippers unzipping -- though I didn't figure out until later what was going on). I *did* have an intact perineum, for which I am VERY grateful, but the vaginal lacerations bled like anything, and the estimated blood loss (based on the change in my hematocrit) was about two liters. I think after four or five hours of pushing tears are pretty much a given, though. And they have healed remarkably well.

Oddly enough I didn't know that the stitches were *not* in my perineum until three days after the baby was born -- just knew I had a mess of stitches "down there" that I wasn't about to touch or look at for a while. Then I said to my husband "I wonder how I could have lost so much blood, seeing as there wasn't any problem with the placenta or anything," and he said "Well, I didn't tell you before, but Dr. X said your vagina ruptured." NOT a helpful expression. Turned out later that was his phrasing, not the doctor's. But I do think the doctor should have told ME, and reassured me that the tears were only mucosal and that there wouldn't be any big problems later. I was needlessly freaked out about them for weeks, and it sure didn't aid my recovery any. (And don't say "why didn't you ask him," or "why didn't you ask the nurse." IT'S NOT EASY.)

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