I was under the impression it was forthe woman’s benefit, that it is easier for a cut to heal than a tear. Is that not the case? Is the risk of tearing overblown?
I think you actually have that backward. In general, a jagged tear heals quicker than an incision because there is more surface area in contact between the two pieces, so a larger number of cells can be working to repair the tissue. That said, I’m not a doctor and it’s been 10 years since my wife and I looked into this before our first kid, so I may be misremembering.
These days, an epesiotomy is done to direct the tear. If the tear is allowed to happen spontaneously, it can go through nerves, arteries, and pelvic floor muscles, greatly increasing the chances of permanent problems with things like prolapses or fistulas at worst, and more commonly, long term problems with incontinence.
Glad your wife healed well; my wife had three c-sections and the first one was done by a very old-school OB in an emergency situation, so she never stood a chance. That said, even old-school c-sections are better than my wife and son dying in childbirth, so I’m still grateful for modern medicine, but it would have been nice if it was a little more “modern”
Were the second and third child almost guaranteed to be born by C-section? My GF first childbirth had 2 incidents that had risks for the second pregnancy. We were a bit scared for the second birth. But it when the opposite way. She almost gave birth in the car. There wasn’t even an hour and a half between the first real contractions and the birth of our child.
I’m asking because I am curious to hear about different experiences than mine
We live in a small town in a state that has a law that to attempt a VBAC, the hospital must have an full surgery team on site. It being such a small hospital meant they almost never had a full staff at any given point, so the second two were scheduled C-sections.
However, like your experience, my wife went into natural labor the night before the second C-section was scheduled and almost certainly could have delivered naturally, but the hospital went ahead with the C-section anyway
Ah I understand better. We have a lot of friends that have kids and they all pretty much had birth in a hospital, and to me it seems like they were a schedule and they all had a scheduled delivery and if the birth wasn’t done by then, the doctors provoked the labor.
We are lucky to have a midwife school program here that trains midwife as expert in pregnancy, birth and early weeks of the babies life, and our experience felt a lot more intimate. Like, they are legit medical expert in their field. The only restriction is that they cannot work with women with at risk pregnancy (so twins, mother ailments, etc).
We had both pregnancy with the same midwife and we were lucky that both times, she was on call when my girlfriend went into labor. We were both times in the same delivery room at the birthhouse. It was radically different than what our friends experienced.
I was under the impression it was forthe woman’s benefit, that it is easier for a cut to heal than a tear. Is that not the case? Is the risk of tearing overblown?
I think you actually have that backward. In general, a jagged tear heals quicker than an incision because there is more surface area in contact between the two pieces, so a larger number of cells can be working to repair the tissue. That said, I’m not a doctor and it’s been 10 years since my wife and I looked into this before our first kid, so I may be misremembering.
These days, an epesiotomy is done to direct the tear. If the tear is allowed to happen spontaneously, it can go through nerves, arteries, and pelvic floor muscles, greatly increasing the chances of permanent problems with things like prolapses or fistulas at worst, and more commonly, long term problems with incontinence.
Nope, you got it right: my wife had to c-sections and afaik they cut just enough tissue to make possible to tear it apart. It healed very well.
Glad your wife healed well; my wife had three c-sections and the first one was done by a very old-school OB in an emergency situation, so she never stood a chance. That said, even old-school c-sections are better than my wife and son dying in childbirth, so I’m still grateful for modern medicine, but it would have been nice if it was a little more “modern”
Were the second and third child almost guaranteed to be born by C-section? My GF first childbirth had 2 incidents that had risks for the second pregnancy. We were a bit scared for the second birth. But it when the opposite way. She almost gave birth in the car. There wasn’t even an hour and a half between the first real contractions and the birth of our child.
I’m asking because I am curious to hear about different experiences than mine
We live in a small town in a state that has a law that to attempt a VBAC, the hospital must have an full surgery team on site. It being such a small hospital meant they almost never had a full staff at any given point, so the second two were scheduled C-sections.
However, like your experience, my wife went into natural labor the night before the second C-section was scheduled and almost certainly could have delivered naturally, but the hospital went ahead with the C-section anyway
Ah I understand better. We have a lot of friends that have kids and they all pretty much had birth in a hospital, and to me it seems like they were a schedule and they all had a scheduled delivery and if the birth wasn’t done by then, the doctors provoked the labor.
We are lucky to have a midwife school program here that trains midwife as expert in pregnancy, birth and early weeks of the babies life, and our experience felt a lot more intimate. Like, they are legit medical expert in their field. The only restriction is that they cannot work with women with at risk pregnancy (so twins, mother ailments, etc).
We had both pregnancy with the same midwife and we were lucky that both times, she was on call when my girlfriend went into labor. We were both times in the same delivery room at the birthhouse. It was radically different than what our friends experienced.
Thanks for sharing