How did you prevent vaginal tearing?

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  • 3 Post By geeky

Is this even possible? I'm so scared to tear if I go through with a vbac .. did any of you ladies avoid tearing or prevent it to a minimum?

My mother had a 4th degree tear and til this day tells me it still hurts her.. I'm honestly freaking out, I don't heal well, my csection scar from my first still hurts and that was 2 years ago.

Saying this also baby is apparently bigger than she is meant to be.. so perhaps I will have to go through with another cesarean .. but recovery is a ***** and I want to be able to hold and hug my children propertly..

Any help would be very much appreciated
"2 Something ATM"
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My Routine
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Goals
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I had a tiny first degree tear with my first and no tearing at all with my second, so it is possible.

If you want to avoid tears
1) Don't get an epidural. You want to feel what is going on
2) Don't be on your back or reclining with your feet up in the air. You are much better off squatting on on your hands and knees or lying on your side
3) Don't let anyone tell you when to push or how hard or for how long. Don't let them count at you. Don't hold your breath. If you are not numb from drugs, your body will tell you when to push and how,
4) Don't let them cut an episiotomy. You are much likelier to tear further and go into 3rd and 4th degree territory if they cut you first.

You say 'this baby is bigger than she is meant to be'. If it is based on ultrasounds, those are notoriously inaccurate and can be off by a pound or two. Very few women with healthy pregnancies grow babies that are too big.

Also, avoid reclining or lying on your back the last few weeks of pregnancy. It can lead to baby being posterior. Check out Spinning Babies Home | spinningbabies.com

Good luck.

And stay away from people who tell you childbirth horror stories. You want to stay positive.
To Trenell, MizKerri and geeky:
I pray none of you ever has to live in a communist state.

Geeky is my hero. She's the true badass. The badass who doesn't even need to be a badass. There aren't enough O's in cool to describe her.
It's definitely possible, I didn't tear with either of my children. Interestingly enough I had an epidural (100% my choice) so I was on my back. But when it was showtime I could still feel everything, so I felt the urge to push on my own and just followed what my body told me to do. I even had a "big" baby (my 2nd was 8 lbs).

Blame it on the cell phone...
Check out International Cesarean Awareness Network fro VABC info too
To Trenell, MizKerri and geeky:
I pray none of you ever has to live in a communist state.

Geeky is my hero. She's the true badass. The badass who doesn't even need to be a badass. There aren't enough O's in cool to describe her.
My first baby was vaginal with epidural and on back pushing and I didn't tear. But she was also 6lb 10oz and they had to use vacuum extrator after I tried pushing for a couple of hours (shoulders stuck maybe? don't remember)
Don't let your heart be broken. Let it love.
I did absolutely nothing. Induced with my first baby 5 yrs ago(was 22 yrs old) and had my 2nd baby 2 yrs ago. First was 8lbs14 oz. 2nd was 7lbs 14oz and I am not big(120lbs). I had no tearing, no stretchmarks. Maybe it's luck, maybe genetics, maybe age. Who knows!! Best of luck to you!
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Forgot to add I had both vaginally, but my first was induced with epidural. 2nd was all natural no drugs. Pushed 3 or 4 times for around 10 mins all up with both.
West Aussie wavey! 2b/low porosity, medium texture.
Cleanse-Tressemme Naturals
LI-Natures Gate organic
Style-Seven Wonders anti frizz creme, Taft Extra Hold Gel, Marc Daniels Curl Creme

Still trialling...
WATERBIRTH!

My 4th baby was a VBAC after 3 previous c-sections. At 9 pounds and 22 inches long, he was a full pound larger than my largest previous baby, and he had a 15 inch head, which is off-the-charts-large. I had NO tearing. I credit that to birthing in water, in a squatting position, without an epidural. I do have stretchmarks, and I was 38 years old at the time of my VBAC, so I don't think age or genetics were in my favor, yet I came through unscathed anyway.

Geeky gave a lot of good advice above. The overwhelming majority of 4th degree tears are the result of a episotomy that has ripped further. The best way to avoid tearing is to keep off your back and keep scissors away from your perineum.
Not pushing too forcefully. That's how I tore although it wasn't a 4th degree tear. And yea, it was a waterbirth, squatting position, no epidurals etc etc.

I guess I was too eager
hello.world.
Thank you all so much.. I had an emergency csection with my first but hated recovery so much I thought I'd never get better..

Everyone so far has told me to repeat the cesarean but I feel like I want to give natural a go... my stomach atm is big at 23 weeks and can already feel my scar stretching from the pressure of baby moving..

I guess whatever God wills happen, as long as cookie and I are safe. But I really want to do a natural birth..
"2 Something ATM"
Coarse, Medium- Thick, Normal Porosity

My Routine
Low 'Poo: curash soothing oatmeal conditioning shampoo
RO: tresemme naturals moisturising conditioner
LI: tresemme naturals/kinky curly knot today
Seal: mix of shea butter/coconut oil

Goals
waist length hair & finding a sexual cheapo leave in conditioner for both me and my daughter
I tore, and it wasn't fun - it was the least fun part of both vaginal births, but I wouldn't let it stop you having a VBAC as it was certainly bearable and not THAT bad. I agree that pushing too hard or when other people direct you to push should be avoided. When you have that burning feeling, it means to slow down, not to push harder (someone please tell that to the ambulance attendants who delivered #2.) Definitely don't push lying flat on your back. I know that if things had gone differently with #2, my midwife was going to support my perineum with a cloth and massage etc. as I pushed, and that is supposed to help prevent re-tearing. I would look into a midwife or doula or someone other than hospital staff for pushing support.

I also don't trust pre-birth weight estimates. I was told #2 was definitely over 9lbs and he was 7lbs 15oz. Also even if the baby is big this does not mean you will have trouble delivering. I have a friend who is tiny - 5'1 or 2 and probably 100 lbs pre-pregnancy, and she delivered a 9lbs 5oz boy vaginally, and with an epidural, and did not tear at all.
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Geeky gave some great advise. I also so not trust pre birth weights. Remember they can be +\- a lb. I had an episiotomy with my first (induced, epidural), tore with my second (epidural), nothing with my third (drug free)



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i'm not sure how i avoided it. i was on my back, because they wouldn't let me move into any other position, because i had the epidural. i had a small internal tear that didn't require stitches.

one thing i did do was, after her head was out, do small pushes to get the rest of her out. i'm guessing that helped. the doctor also said i had strong muscles in the area - i exercised it frequently during pregnancy. lol. those are my recs based on my sample size of one
I had a tiny first degree tear with my first and no tearing at all with my second, so it is possible.

If you want to avoid tears
1) Don't get an epidural. You want to feel what is going on
2) Don't be on your back or reclining with your feet up in the air. You are much better off squatting on on your hands and knees or lying on your side
3) Don't let anyone tell you when to push or how hard or for how long. Don't let them count at you. Don't hold your breath. If you are not numb from drugs, your body will tell you when to push and how,
4) Don't let them cut an episiotomy. You are much likelier to tear further and go into 3rd and 4th degree territory if they cut you first.

You say 'this baby is bigger than she is meant to be'. If it is based on ultrasounds, those are notoriously inaccurate and can be off by a pound or two. Very few women with healthy pregnancies grow babies that are too big.

Also, avoid reclining or lying on your back the last few weeks of pregnancy. It can lead to baby being posterior. Check out Spinning Babies Home | spinningbabies.com

Good luck.

And stay away from people who tell you childbirth horror stories. You want to stay positive.
Originally Posted by geeky

i totally agree with the bolds! I tore a little bit with my daughter and when i did i knew exactly why! I kept pushing when i listened to the nursing but the contractions had already stopped and i didnt feel like i needed to keep pushing. so listen to yourself and your body. dont get drugs that will make you numb b/c them you wont know when to start/stop pushing. Good Luck
BC'd July 1, 2011
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Thanks so much for the replies.. I really think I want to have a natural vbac this time around..

I'm really hoping for one but in the end its all in God's hands and as long as baby is safe I guess I will do whatever it takes ..
"2 Something ATM"
Coarse, Medium- Thick, Normal Porosity

My Routine
Low 'Poo: curash soothing oatmeal conditioning shampoo
RO: tresemme naturals moisturising conditioner
LI: tresemme naturals/kinky curly knot today
Seal: mix of shea butter/coconut oil

Goals
waist length hair & finding a sexual cheapo leave in conditioner for both me and my daughter

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