New Posts New Posts RSS Feed - Forth Degree Tear
  FAQ FAQ  Forum Search   Events   Register Register  Login Login


Forum LockedForth Degree Tear

 Post Reply Post Reply
Author
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Topic: Forth Degree Tear
    Posted: 24 March 2012 at 1:49pm
Just looking for some support out there from anyone else who has experienced a forth degree tear. Mine was nine weeks ago from my first born after having a ventouse. Was told by the physio to do nothing but rest and i would be back to normal after 8-9 weeks. Well i am at nine weeks and i and no way near back to normal. Still get sore from every day tasks. Is this normal? I haven't got my appointment from christchurch womens for the 12 week check, midwife was useless in regards to pointing in directions for asking questions and getting support.
Back to Top
Sponsored Links


Back to Top
mizpix View Drop Down
Senior Member
Senior Member
Avatar

Joined: 30 July 2009
Location: morrinsville
Points: 503
Post Options Post Options   Thanks (0) Thanks(0)   Quote mizpix Quote  Post ReplyReply Direct Link To This Post Posted: 24 March 2012 at 2:07pm
Not quite in your league, but had a third degree tear and thought it would never go back to normal. It felt quite sore and lumpy until about the 8 week mark then gradually went back to normal over the next month-6 weeks. Kept on complaining to my midwife until she referred me back to the obstetrician who delivered my boy, and it was followed up about 6-7 weeks after I gave birth. If your midwife is useless I would just go to your gp and tell them the story and get them to do the referral to your ob/gyn ASAP
Back to Top
skylar View Drop Down
Groupie
Groupie
Avatar

Joined: 01 August 2009
Location: Te Puke
Points: 49
Post Options Post Options   Thanks (0) Thanks(0)   Quote skylar Quote  Post ReplyReply Direct Link To This Post Posted: 24 March 2012 at 3:03pm
I had fourth degree tear after birth of my first born in January this year. Was an epic birth I guess you could say.

Baby was 13 days overdue so went in to be induced, got the gel put in 9am waters broke around 1pm - there was meconium in the waters so had to then be monitored from that put on, but then no real action so obstetrician decided she would put me on drip to bring labour on faster. Birthing units were busy so didn't get drip put in until 9pm and then this brought labour on.
Started pushing around 6am I think and found baby was facing wrong way (posterior), didn't really have much luck pushing either so Dr gave me snip which they thought would help bring baby's head down further (no luck...baby obviously very comfy in there) so they decided on ventouse which they did. Just to make matters worse baby had cord around her neck twice as well, so needed two puffs of oxygen when she arrived.

Anyway after that epic event, when baby arrived she came out with her elbows pointing up and that coupled with the rest of the difficult birth I ended up with a fourth degree tear and needed to go under for repairs.

Baby was born 8:12am and I got a quick cuddle before having to be whipped off for surgery! I didn't get to see baby again until 11am.    

When I saw Dr again, I was told that the damage was more severe than they first thought and that I had indeed sustained a fourth degree tear...the worst thing you could get.

It was really heart breaking because of the severity of the damage caused and then being told that in the future if I was to have any more children it would have to be by cesarean because of the risks of causing further damage to my bowels etc that would probably not be able to be repaired if I had a vaginal birth.

I have to say the surgery went well, and that my recovery was amazing considering my ordeal. I made sure to take the lactulose liquid religiously to ensure my bowel movements were soft (cos by god I didn't take it one day and had worst constipation ever!!!) that coupled with good fibrous diet and I healed really well.

Had my 12wk check up with gynecologist and was really weird he puts finger up backside and you have to squeeze it!!!!! guess he makes sure you've got control of it??

My midwife was very supportive always asking how I was etc she was very surprised at my recovery and said that some women do take a while to heal (not sure how long though)Has your midwife been keeping an eye on the repairs in the meantime? mine checked several times to make sure it was all well down there.

Have they also told you future births to be by cesarean? the midwife, obstetrician and gynecologist made it really clear to me that in future if i want to have more kids I must have a c section to rule out risk of further damage down there. Midwife really stressed this point she said even if someone else (further down the track) tells me I should be ok for vaginal birth to stick to my guns and say no! She said the damage that could be caused could be irreparable, so make sure you ask about that if you haven't already been told.

so sorry it seems to be taking a while but maybe you should start harassing someone for answers? GP maybe (and yep you have enough to deal with trying to care for new baby as well)

Edited by skylar
Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 24 March 2012 at 3:54pm
Sounds like we both had pretty crappy births. Like you i was 11 days overdue, my waters broke 13 hours before contractions started. my midwife and my backup were both away. When contractions started they were 4 mins apart. i went straight to birthing unit, after questioning midwife on phone if we would still go there or to Chch womens.

i didn't get iv antibiotics like you should when your water break after 18 hours as birthing units dont have any. The midwife i had let me push for two hours at the birthing unit (20 hours since waters), while doing VE about every 3 contracts(despite my protests), before getting another midwife to do an exam who confirmed what i already knew that the baby was stuck. transfer to women's took an hour by ambulance which should have taken 20mins.

the OB couldn't work out what postion the baby was lying and was doing a VE after every contaction, i eventually screamed at her there was to be no more VE, by now i had been pushing for 3.5 hours, so she scans me and said we all good to do ventouse but it was "not her policy to do an episomity, unless I think the woman may tear really badly" well hello?

Baby went into fetal distress as soon as the ventouse went on his head, I got hold for a few seconds before he was put on oxygen for 30mins and then taken to NICU.

Everyone then left the room and i was left alone for about 10-15 mins, before the midwife came back and had the nerve to ask me if i was ok. She was expressing my colostrum when i felt a whole lot of blood gushing, she said she would check after she was finished getting colostrum. Few minutes later she checks me and then i was rushed to theatre after losing 1.1 liters.

Was told in theatre my sons head was deflexed which is why i tore. Had a lovely Surgeon who came in especially for me, said he only got a handful of 4th degree tears a year. (My midwife told me when my son was two weeks old the same OB did another 4th degree via ventouse since me). Never saw the OB again after the birth.

Separated from my baby for 3hours before he was brought to recovery.

Midwife who was at birth never offered a debrief or opportunity to ask questions, I didn't see her from time i went to theatre until 2 days after birth. My midwife came back from holiday when my son was four days old, we were still in the hospital as he had an infection, either from the lack of antibiotics or from the repeated VE. She was the one who tells me I wont be allowed anymore natural births, as like you would never recover from another tear. I agree its really heart breaking to hear that, especially when its your first, and my hubby and I want a big family.

At my five week check off the midwife called the gyn/ob clinic to find out when my check would be and they said some time in april and would not give an earlier appointment. thats the extent of help she gave me. She did check it serval times to check it was healing.

I am pretty disgusted with the care i got, especially from the midwife who was covering for my midwife. Got given the feedback from the college of midwives but it doesn't ask any of the right questions.

Will probably make a complaint against the midwife and the OB.

So you weren't given any exercises to do, another than pelvic floor? So at 12 weeks were your pain free?
Back to Top
Jaune View Drop Down
Senior Member
Senior Member
Avatar

Joined: 28 January 2010
Points: 1269
Post Options Post Options   Thanks (0) Thanks(0)   Quote Jaune Quote  Post ReplyReply Direct Link To This Post Posted: 24 March 2012 at 5:13pm
Really sorry to read your story, you poor thing.
I'm not in your league at all, had a 2nd degree tear following ventouse delivery and the recovery took a while. I was 10wks post partum before I felt normal down there especially doing 'no. 2s', so given the degree of your tear it could be many weeks yet before you start feeling ok. In saying that, I had a friend who had a 3rd degree tear and she was right after about 6-8wks so I guess everyone is different.

Hope your recovery goes well

Back to Top
skylar View Drop Down
Groupie
Groupie
Avatar

Joined: 01 August 2009
Location: Te Puke
Points: 49
Post Options Post Options   Thanks (0) Thanks(0)   Quote skylar Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 3:58pm
Gosh what a bad experience you had!

The physio gave me an information sheet more-so about what 'no to do' and stressed importance of pelvic exercises and also making sure i stuck with the lactulose that i had been prescribed to make my loo visits for number two's more pleasant. she also stressed need to make sure that if I needed to go that I didn't try hold on cos that could cause some damage? Other than that, that was all I was told. Although have to say I was in pretty good shape after the week long stay in hospital, everyone was very surprised about my recovery given my ordeal.

I did have a sore backside for a lil while (not long) but it was manageable.

My midwife gave me a full debrief when she came to do her first home visit. She also gave me my notes and told me to read them and then if I had anymore concerns that we could discuss at her next home visit.

My baby will be 12weeks old this Tuesday and I can say that I am pain free and practically been this way for quite some time.

did you have 6week check with gynaecologist?
Back to Top
Keleho View Drop Down
Senior Member
Senior Member


Joined: 27 February 2010
Points: 1011
Post Options Post Options   Thanks (0) Thanks(0)   Quote Keleho Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 4:27pm
You poor women! Just reading about that made me wince

Ive not had as bad as you either (episiotomy with DD1, 2nd degree tear with DD2) but I think the recovery time varies a lot. With DD1, I felt pretty well recovered after about 5-6 weeks. This time round, its take a lot longer - only recently has it started to feel like its getting somewhere near 'normal'.
Also, a friend of mine with a 3rd degree tear took about 3 months before she started to feel a bit better, and another month or so before she felt 'normal'.

I think if you are concerned at all, see if you can get things checked out - its always better to sooner rather than later in case something needs re-repairing. If your mw is not help, get a referal from your GP.
Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 5:11pm
Interestingly i was told repeatedly by the house surgeon at chch women's that i would be seen at 6 weeks and if i was in any on going pain to ask for a referral from my midwife, which she did and got no response. At my five week check she rang and was told by the GYN admin staff that they dont make appointments for women until after 12 weeks. So clearly this is a communication issue between admin and the doctors, as my midwife did stress in the phone call that I was in pain.

Today I am feeling heaps better, I hope I start having a lot more good days.
Back to Top
SophieD View Drop Down
Senior Member
Senior Member
Avatar

Joined: 08 November 2009
Points: 719
Post Options Post Options   Thanks (0) Thanks(0)   Quote SophieD Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 7:18pm
oh Eassa that sounds like quite an ordeal you are going through, I really hope it gets better soon!

Mine wasn't quite in your league either (major 3rd degree, almost 4th but not quite) Had quite an ordeal during birth as well which I don't think helps either.

would second the advice given above, if you are not having any success with your MW see your GP or alternatively ring the hospital directly! I had a follow up at 6 weeks and was pain free by 12 weeks really. In saying that it was really uncomfortable first 6 weeks, best advice I got was from the physio - take lactulose regularly, sit on a rolled up towel put in a u shape so that your weight is on your outer legs (or you can get one of those circle blow up cushions) and I think at 6-9weeks I was still taking panadol if I knew I was going to be walking/sitting/active for a long time.

Be gentle with yourself and rest as much as you can (I think I did try to do too much too soon and it just made it all hurt)

I too have to have all future babies by c-section, which doesn't really bother me lol I am just glad that I have another choice to have children (otherwise we wouldn't be having anymore )
Back to Top
InthemiddleMummy View Drop Down
Senior Member
Senior Member


Joined: 23 April 2011
Points: 579
Post Options Post Options   Thanks (0) Thanks(0)   Quote InthemiddleMummy Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 8:02pm
Go to your GP monday for urgent referral to OB. Keep nagging until you get listrned to.

Been there done that same type of birth as skyla for my first. been all fixed up too. Have now had 2 babies via c/s and best ever way to give birth.

c/s for me was easier physically and emotionally to get over than the traumatic operative vaginal birth.

Good luck with that referral, can alway go private ob if they arnt listening
Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 25 March 2012 at 8:26pm
Thanks for your advice and support ladies, I will be ringing my GP tomorrow.

I am starting counselling this week as well so I hope to start feeling better emotionally in the weeks to come.
Back to Top
InthemiddleMummy View Drop Down
Senior Member
Senior Member


Joined: 23 April 2011
Points: 579
Post Options Post Options   Thanks (0) Thanks(0)   Quote InthemiddleMummy Quote  Post ReplyReply Direct Link To This Post Posted: 27 March 2012 at 2:13pm
Eassa
virtual hugs
howd you go with gp?
good idea to get counselling!
You be all good in no time and one day hopefully like me you will have more beautiful babies via an amazing exciting, calm and relaxing c/s.
Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 27 March 2012 at 4:06pm
Made an appointment to see GP after counselling appt. as they are in the same place. Seeing both tomorrow morning. Will let you know how it goes.
Back to Top
skylar View Drop Down
Groupie
Groupie
Avatar

Joined: 01 August 2009
Location: Te Puke
Points: 49
Post Options Post Options   Thanks (0) Thanks(0)   Quote skylar Quote  Post ReplyReply Direct Link To This Post Posted: 29 March 2012 at 5:46am
hey Eassa
Just hoping you feel better after your apt with GP yesterday and also with counsellor - fingers crossed you got some of the answers you were after

Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 29 March 2012 at 9:47am
Well the GP and the physio were both appalled that i had not seen at 6 weeks. The GP did a referral and told me to ring him in two weeks if i had recieved an appointment time and he would ring them.

The physio was really helpful, and after an VE was able to tell me that I would not need surgery. However she said the physio that visited me on the ward and told me a 8-9 week recovery period was completely wrong, that its going to be 6 months or more.

I also have Symphysis Pubis Dysfuntion, which is contributing a lot to the pain i am in, and was given a belt to wear.

The Counsellor was lovely, just a meet and great yesterday and to explain why i want counselling and applying for the disability allowance. Let hope WINZ approve.
Back to Top
skylar View Drop Down
Groupie
Groupie
Avatar

Joined: 01 August 2009
Location: Te Puke
Points: 49
Post Options Post Options   Thanks (0) Thanks(0)   Quote skylar Quote  Post ReplyReply Direct Link To This Post Posted: 30 March 2012 at 4:07pm
By the sounds of things it seems as though you have got somewhere which is pleasing. I bet it is almost like a relief as well for you too :)
Back to Top
eassa View Drop Down
Groupie
Groupie


Joined: 22 January 2011
Points: 50
Post Options Post Options   Thanks (0) Thanks(0)   Quote eassa Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2012 at 3:13pm
well things are finally getting somewhere. got a phone call first thing this morning for the GYN department, saying they had a cancellation tomorrow at 2pm and could I come in. Me thinks they have received the referral letter from both the doctor and the physio last week stating I should have been seen at 6 weeks. Better late than never. I hope its not as painful as the physio was, I could hardly walk for two days afterwards.

Back to Top
 Post Reply Post Reply

Forum Jump Forum Permissions View Drop Down

Forum Software by Web Wiz Forums® version 11.10
Copyright ©2001-2017 Web Wiz Ltd.

This page was generated in 0.531 seconds.