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25/06/2013 at 16:22
Due to a 3rd degree tear last time, the midwife sent me to see consultant today. Whilst he was happy to support my homebirth plan, he said there was "no evidence that a waterbirth reduces risk of tearing". (Really?) And I might want to chat to my midwife about a hands on approach when pushing / baby is crowning.
Has anyone any experience of this? It just sounds a bit weird. I'd rather give the waterbirth a go!
25/06/2013 at 16:55
No helpful advice but we got told at antenatal that waterbirth doesnt reduce the risk of tearing, but suggested that you'd just notice it less while in the water. I would suggest based on what Ive read and been told by MW that if youre gonna tear youre gonna tear so have the birth you want and hope!
25/06/2013 at 17:14
Not me, but I know that one of the midwives at our hospital recommends this and all the people who have been delivered by her have been tear free. She is also the natural birth co-ordinator.
25/06/2013 at 17:15
What does he mean by hands on approach? I had a 3rd degree tear but on dry land (pool was out of order!) and though as I understood it, it wouldn't have stopped me tearing, I believe the crowning would have hurt / stung somewhat less in the pool, I'd rather not deliver in the same way again as I assume I'm pretty likely to have the same tear again? Did he mean the MW could guide baby's head out better through instructing you and therefore you'd be less likely to tear whereas in water she wouldn't be able to see? Can't think what else he would mean, but that theory didn't work with me!
25/06/2013 at 17:20
Well I'm not 100% sure without discussing with midwives but I think he meant that midwife would apply pressure to my perinium during crowning. Obviously they couldn't do if I'm in a pool.
25/06/2013 at 17:26
Ah I see. Do you know how likely you are to get another 3rd degree statistically? I guess if it could decrease the risk massively it may be worth considering but I assumed it would happen again when it's happened once, especially with a fellow big baba!
25/06/2013 at 17:40
Whilst I didn't have a 3rd degree tear, I was concerned about birth no. 3 as I have much less perinium than I used to have. Way TMI but the split part goes almost right to my back passage whereas before children there was a good few inches of skin between the two IYSWIM. I mentioned this to the MW who said don't worry, she would put her hand there and gently apply pressure (I'm not sure whether to the babys head or the perinium) so that the head doesn't shoot out too quickly. Basically if it comes out quickly then there is more chance of ripping but if the head is just eased out slowlym it give a little more time for things to stretch. I was planning a home water birth when we were discussing this so the water wasn't a problem.
25/06/2013 at 17:56
Sounds like it might be worth discussing with my midwife then. Gawd knows how to word it on birth plan
25/06/2013 at 18:07
I'm sure one of my tri buddies had this - very excited maybe? Might be worth hunting out her BS in case it was her?
25/06/2013 at 18:16
I remember one of our tri buddies discussing this too BW but couldnt think who it was...
25/06/2013 at 18:22
I had this but still ended up with a secind degree tear and an episiotomy. The mw does apply pressure and eases the head out but I think in reality it can only stretch so far and will tear when it reaches its peak. Having said that, my Hs head got stuck for an hour so if that hasn't happened maybe the hands on approach would have stopped me tearing
25/06/2013 at 21:25
Hello, yes it was me!
The midwife didn't discuss it with me before but as I was pushing I was aware of her hands all over me for want of a better description and I asked her about it after and she said she applied pressure to the area to stop me tearing and in fact all I got was a tiny graze, S was 7lb 7oz with a 35 cm head. With I she was 7lb 10oz with a 35 cm head and I ended up with an episiotomy so #2 was a way better experience and I would definitely recommend a hands on approach.
26/06/2013 at 08:59
Thanks VE and everyone. Def gonna discuss with my midwife next time I see her.
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