Will I tear again with second baby?

The report found that among women who had a vaginal delivery at second birth, the rate of a severe tear was 7.2% in women with a tear at first birth, compared to 1.3% in women without, a more than five-fold increase in risk.
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Do you still tear with second baby?

Yes. About 9 out of every 10 women tear during their first vaginal birth. It's less common for women to tear in subsequent deliveries, but it still happens.
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Can you prevent tearing during birth?

There's no guarantee you'll be able to prevent vaginal tearing during childbirth, but some research suggests that taking these steps might decrease the risk of severe tears: Prepare to push. During the second stage of labor, the pushing stage, aim for more controlled and less expulsive pushing.
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How likely is it to tear during childbirth?

The majority of women (up to 9 in every 10) will tear to some extent during childbirth. Most women will need stitches to repair the tear. Most tears occur in the perineum; this is the area between the vaginal opening and the anus (back passage).
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Will my episiotomy tear again?

Will You Need One Again Next Time? Probably not. Just because you had one episiotomy, you won't necessarily need it if you have another baby. Your doctor may prefer to have you tear naturally the second time.
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Will I tear on my 2nd baby since I had a tear and an episiotomy with my 1st baby?



How can I prevent a second episiotomy?

How can I prevent the need to have an episiotomy?
  1. Good nutrition–healthy skin stretches more easily!
  2. Kegels (exercise for your pelvic floor muscles)
  3. A slowed second stage of labor where pushing is controlled.
  4. Avoiding lying on your back while pushing.
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Does episiotomy make you tighter?

The progress and research surrounding episiotomies goes hand in hand with getting sewn up tighter after birth. Yes, getting sewn up tighter was a thing. And it sometimes still occurs.
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How do you push a baby out without tearing?

Things you can do DURING childbirth to reduce your risk of severe tearing
  1. 1) Delay pushing until you feel an urge to push. ...
  2. 2) Consider open glottis pushing. ...
  3. 3) Stop pushing when your baby begins to crown. ...
  4. 4) Ask your doctor or midwife to apply a warm compress to your perineum as your baby begins to crown.
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Can you feel yourself tear during birth?

Due to the amount of pressure caused by your baby's head on your perineum, it is unlikely that you will feel any tearing. But everyone's birth is different and some women may find that they feel a lot of stinging, especially as the head is crowning (when your baby's head can be seen coming out of the birth canal).
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How can you reduce the risk of tearing during labor?

Your healthcare professional can gently place a warm compress (pad, swab or gauze) on the perineum as the baby's head stretches the perineal tissues. This can help to reduce the severity of tearing.
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Does epidural increase chance of tearing?

Take away: One study shows that epidurals increase the risk of tearing. Another says that the reason more tearing occurs with epidurals is that more first time moms choose epidurals and first vaginal deliveries are already associated with a higher risk of tearing.
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How can I avoid tearing during an epidural?

Perineal trauma is less likely when:
  1. Having your second or subsequent baby.
  2. Being active during labour and birth and avoiding an epidural.
  3. Giving birth in a side lying or upright position.
  4. Perineal massage has been done in the late stages of pregnancy.
  5. Having warm packs applied to your perineum during the birth.
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Does Waterbith prevent tearing?

Can water births prevent tearing, episiotomy or interventions? It won't prevent tearing or episiotomy but it's possible water births might make them less likely.
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Can a perineum tear reopened?

What is it? After childbirth, you may have had stitches to repair any perineal tears, or an episiotomy. It is rare for the stitches to simply to come undone. However, occasionally an infection or pressure on the stitches from bleeding underneath can cause the stitches to breakdown, leaving an open or gaping wound.
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How long does it take for a vaginal tear to heal?

How long does it take a vaginal tear to heal? Most women feel relief from any pain caused by a vaginal tear in about two weeks. If your tear required stitches, they will dissolve within six weeks.
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Can you have a vaginal birth after a third degree tear?

Your chance of having a repeat 3rd or 4th degree tear with your next baby is around 4% to 8%. Most women will have a normal vaginal birth after a 3rd or 4th degree tear. Having a planned episiotomy (a cut made in the perineum) in future births does not seem to reduce the chances of another tear.
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How can I give birth naturally without tearing?

To decrease the severity of vaginal tearing, try to get into a labor position that puts less pressure on your perineum and vaginal floor, like upright squatting or side-lying, Page says. Hands-and-knees and other more forward-leaning positions can reduce perineal tears, too.
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Is an episiotomy better than tearing?

natural tearing. Research has shown that moms seem to do better without an episiotomy, with less risk of infection, blood loss (though there is still risk of blood loss and infection with natural tears), perineal pain and incontinence as well as faster healing.
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Can Kegels prevent tearing?

One recent study found that pairing Kegels (also known as pelvic floor muscle contractions) with perineal massage aided in protecting the pelvic floor. People who did perineal massage and Kegels: Increased the chance of having no tearing at all from 6% to 17%.
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Why do doctors tell you not to push during labor?

Your baby's heart rate is monitored continuously through labor either with a machine or handheld Doppler. If your baby's heart rate starts to change as you push, your doctor might tell you to stop and only to push every other contraction. This can allow your baby to recover in between.
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Is pushing a baby out like pooping?

Truth: Pushing a baby out kind of feels like having a bowel movement since the muscles you use for both are exactly the same. And, of course, as you bear down, anything in the general vicinity will get eased out along the way — hence the pooping during labor.
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What does pushing a baby feel like?

An overwhelming urge to push (though not every woman feels it, especially if she's had an epidural) Tremendous rectal pressure (ditto) A burst of renewed energy (a second wind) or fatigue. Very visible contractions, with your uterus rising noticeably with each.
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Do men notice a difference in vagina after birth?

And unless you experience a major trauma during the birthing process, your partner shouldn't notice much of a difference either. But your vagina isn't going to snap back to its former glory without a little work on your part. In an interview with Women's Health, Dr.
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How can I satisfy my husband after giving birth?

If you can't find someone to look after your baby, take him for a walk in the pram while you talk, or have a meal together once he's asleep. There are many ways of giving and receiving sexual pleasure. Think about sex as the end point, rather than the beginning. Start with simple things like holding hands and cuddling.
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Does epidural increase chance of episiotomy?

found that women undergoing epidural analgesia are associated with a higher rate of episiotomy [19]. Another study by MG Newman found that epidural analgesia increased the rate of episiotomy [20].
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