I have an antenatal client whose first birth was an emergency C/S for APH. Seven years later (2003) she had a VBAC but had a forceps delivery and consequently a 4th degree tear. Now she is pregnant again and the obstetrician is scaring her with the possibility of another 4th degree tear and therefore a higher chance of suffering faecal incontince as a consequence.
Does anyone have any evidence-based information on the liklihood of another 4th degree tear and subsequent faecal incontinence.
What frustrates me is the fact that the forceps delivery was because the obstetrician put a time-limit on how long this woman was allowed to 'push'!!
I appreciate any info anyone can give me.
Thanks,
Leanne.
Leanne Wynne Midwife in charge of "Women's Business" Mildura Aboriginal Health Service Mob 0418 371862
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