Now we need to find some research on the the incidence of a another 3rd/4th degree tear if she has another vaginal birth.
Great to hear your still in the battle, Julie!!
Leanne.
From: "Julie Garratt" <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: <[EMAIL PROTECTED]> Subject: RE: [ozmidwifery] 4th degree tear Date: Fri, 13 Aug 2004 11:13:18 +0930
Hi Leanne, The fear factor for this woman of pushing out this baby will undoubtedly be huge, As a student Midwife am I missing something? surely if the babe is happy the slower and gentler she births the better it will be for her mind and her peri. Cheers, Julie Garratt
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of leanne wynne Sent: Thursday, 12 August 2004 12:21 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] 4th degree tear
Hi All, 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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Leanne Wynne Midwife in charge of "Women's Business" Mildura Aboriginal Health Service Mob 0418 371862
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