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Re: 4th degree episiotomyFrom: Lynne (anonymous@obgyn.net)Thu, 9 Sep 1999 09:28:43 -0500 (CDT)
I also had a 4th degree tear, which went through my rectum. I was given very little information on this at the time of birth, other than it should heal. I have had some fecal incontinence, and continue to have lots of flatulence (gas) incontinence, which can be really embarassing. I did a search on medline, and it seems that if your anal spincter is severed, there can be some problems. I went back to see the OB that delivered my son, and he recommended waiting for corrective surgery until after we complete our family. He recommended continuing Kegel exercises, focusing on this area. I am not looking forward to having surgery, if I need that. Worse though, I dread having a tear like this again. It was far, far more painful than any of the contractions I had during a long, hard labour. Also, why did I tear so badly? What conditions might lead to such an extensive tear? I would appreciate any information or reassurance on this.
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