Did you discuss it with your OB ahead of time?
grapefruit / 4666 posts
My initial though is "eeeek!" and now I'm adding it to my list of things to discuss. I think I'd rather tear than get cut, but I'm willing to hear my OB's thoughts since he is the expert.
pineapple / 12296 posts
I was absolutely, 100% against it.... and I got one because I needed forceps. I'd take the episiotomy over a c/s any day. Meh. I don't think it was that big of a deal in the end. It healed cleanly and the scar is very tiny. Didn't really hurt that badly either.
GOLD / wonderful coffee bean / 18568 posts
OW. That's my thought
pear / 1948 posts
I didn't want one, ended up needing one due to fetal distress. I remember thinking when they were cutting "hey wait, I didn't want an episiotomy!" But it was needed for LOs safe arrival, and like @zippylef, I'd rather have that than a C-section!
hostess / papaya / 10206 posts
No way for me. I'd rather tear than be cut and I didn't tear, I just had a small graze. The way I see it, in nature, no animals need to be cut to get their babies out, so why should I?
hostess / papaya / 10571 posts
I don't want one, but my doc thinks they are a better option over tearing. I'm trusting his judgment that he won't do one unless absolutely necessary and I'll be looking for coaching during pushing so I don't push too hard and tear uncontrollably after a cut is made (if necessary).
GOLD / wonderful grape / 20289 posts
I had a 2nd degree tear and it sucked. Still I trust my OB and feel like she knows what's best. She went to school for that for many years..... I didn't. She should do what she feels will be best.
pomelo / 5402 posts
I am terrified at the thought of an episiotomy. We learned in our childbirth class that our hospital will not do one unless you already have a 1st-2nd degree tear and look like you may tear worse. So that makes me feel better. Though like pps have said, I'd take an episiotomy over a cesarean....lesser of 2 evils.
persimmon / 1453 posts
Ugh, don't even get me started on episiotomies! They DO NOT prevent natural tears, they are a guaranteed laceration and stitches, they often CAUSE the tears they are said to prevent, and at best, they shorten labor by only 5-10 minutes. And yet they're still used routinely. Aaaagh.
GOLD / squash / 13464 posts
I had a discussion with my OB. I went in thinking an episiotomy would be a cleaner cut and therefore heal faster/better than a tear. But my OB said tears heal much better and all of the doctors in her practice will avoid an epi unless absolutely necessary. I trust her judgement.
persimmon / 1478 posts
I had one with DD #1 and still had a pretty significant tear. But my doctor felt it was necessary to do one to get her out as quickly as possible. I don't look back and have a negative issue with having one, I needed one, got one and survived.
honeydew / 7687 posts
My OB and hospital both said they're only used in cases of emergency. I read somewhere comparing it to ripping paper vs. cutting it - matching up & "healing" aka taping a jagged edge is easier than a clean one. Made sense to me.
coconut / 8498 posts
NO thank you. Unless my options are episiotomy or c-section. Luckily, my OB dislikes them as well. I much prefer to tear naturally. Natural tears tend to be smaller and heal easier. I had a 2nd degree tear, and it wasn't bad.
GOLD / bananas / 9167 posts
I didn't want one and stated so in my birth preference list that my doula gave to the nurses at the hospital. They were really nice about sticking with my birth plan. I was going to discuss with my OB but went into labor before I had the chance. I did have a weird nurse afterwards who asked me why I didn't want one.
blogger / papaya / 10770 posts
I stated it in my birth plan to NOT have an episiotomy unless it was absolutely necessary. My friend got an episiotomy and STILL tore on top of that... so either way, you may tear. I'd rather do it naturally.
papaya / 10489 posts
No but it was on my birth plan that I didnt want an episiotomy at all. I'd rather tear
coconut / 8305 posts
Totally against unless you are having an already operative delivery like @zippylef. In the case of forceps you are
If you are pushing baby out on your own though an episitomy is likely to cause you to tear worse & since you need your pelvic floor muscles to push cutting through it will make pushing less effective. It can also cause lasting damage including incontinence.
coconut / 8954 posts
I had a very unusual labor and delivery. I had a totally natural birth and barely remember it except for the amount of pain I was in, but even that was forgettable. I went from a 2.5 to a 6 to an 8 to a 10 in less than 2 hours so I had no time to stretch. My OB is not quick to do episiotomies, but I barely even remember getting one. I had 3rd degree tears even with an episiotomy and can't imagine how bad it would have been had I just torn naturally. This is probably TMI but my ass is still bleeding when I have a BM, so I literally cannot imagine how bad it could have been had he not done one. Plus DS was sunny side up!
pomegranate / 3353 posts
The nurses in our birth class said that tears heal faster/easier than episiotomies. I plan on trying to avoid one since getting one is a guaranteed cut, whereas waiting to tear is just a chance. Even if it's a high one.
hostess / wonderful cantaloupe / 31192 posts
I said no episiotomy. Probably would have torn less if I had gotten one though.
nectarine / 2281 posts
This will be my first baby, but I was listening to an OB on a podcast recently who does not do them unless absolutely necessary. He compared it to a piece of cardboard or thick paper - if you make a cut in it, it would tear much easier. He was basically saying that if you do the episiotomy you would be even more likely to tear. Just his opinion, but it sounded like it made sense?
Hey lookie here, a blog that I read posted about this topic just now:
GOLD / bananas / 9254 posts
GOLD / honeydew / 7158 posts
While I was in labor my OB said that I would probably need one, but then she disappeared to deliver another baby, and baby the time she came back, they already had me pushing and I had a tear. I was a little irritated about that!
hostess / wonderful coffee bean / 18116 posts
We never discussed it until I was pushing and I asked if I needed one and she said she didn't see a reason why I would, but then I ended up having a 3rd degree tear...I didn't mind the tear only because it happened naturally rather than the episiotomy. If I have the option I'll just allow a tear again next time.
hostess / watermelon / 14313 posts
Didn't want one, but didn't need one....would have had one to avoid overtearing. I ended up with a small tear.
papaya / 10176 posts
I told my OB i didn't want one.
My LO was posterior so I probably should have gotten one.
I was emphatic about not getting one and ended up tearing in three directions and had over 30 stitches.
Episiotomy >>>>>> tearing
GOLD / pumpkin / 15725 posts
The hospital I delivered at does not routinely perform them, but I ended up with one, and a 2nd degree tear to boot. Post-delivery was really hazy for me, and I didn't ask enough questions so I don't know exactly why they ended up doing it, but since he did he must have had a damn good reason. I'd been pushing for two hours, my blood pressure and his heart rate both dropped scary low right at the end, he was posterior, and they wanted to get him out ASAP, so I'm guessing those were big contributing factor.
ETA: DH told me the OB only cut after he'd spent half an hour massaging my perineum with oil over and over again and letting me labor down. I do not believe he did it willy-nilly.
GOLD / pomegranate / 3314 posts
My doctor and hospital don't generally do them. I tore but not bad at all. I can understand the medical need for one if something is wrong but I wouldn't just to get one.
pomelo / 5331 posts
I don't want one. Our hospital does not routinely do them, and neither does our doctor's office.
hostess / wonderful eggplant / 36893 posts
coconut / 8475 posts
I needed it...Dr. said there was no way in hell he was coming out without it. As soon as she cut: he came flying out!
My recovery sucked at first; I was addicted to my pain meds and my Tuck's pads:) but that only lasted about 2 weeks (or less). After the 2w mark, I would feel more & more like myself everyday. Now at 5w pp, my stitches have disintegrated and I feel great:)
I didn't talk to my OB about it ahead of time because I didn't think it would be an issue for me (so naive). But if I had I would have told her to cut me rather than let me tear a jagged tear! Those are tougher to stitch up nicely.
ETA: with the epi: I felt nothing. I felt the stitches maybe a couple hours after, but I told the nurse & she quickly got me some pain killers. Oh, and f you don't have an epi: they can/will numb you with a local anesthetic when they stitch you up.
apple seed / 3 posts
No way, I'd rather tear than be cut.
GOLD / pear / 1735 posts
I honestly have no idea if I had one or not. I'm pretty sure I did since I had to have forceps assistance. All I know is I had a second degree tear. The first week was kind of painful but after that not so much. I only had to take a painkiller once when I got home, the rest of the time ibuprofen was enough. After pushing for three long hours I was willing to do whatever was needed to get him out!
GOLD / honeydew / 7228 posts
DS was sunny side up and vacuum, so I had one. They thought I was going to need a csection the way he was stuck so I was glad I was able to avoid that by having episiotomy/vacuum.
My OB wouldn't have done it if it wasn't necessary, forceps/vacuum/csection is very rare at my hospital.
cantaloupe / 6070 posts
i trust my doctors' decision. my doctors and hospital do everything the can do avoid them, but if they feel it's necessary, then they're welcome to go for it. in the end, i just want a safe delivery and healthy baby.
hostess / wonderful grape / 20992 posts
Had a similar experience as @turtledoves...
Never discussed previously, doc/hospital rarely does them but after two hours of hard pushing, size/stress of baby... he came out after two pushes following the incision. Even though epi.had started wearing off I didn't feel them stitching me up and.was able to skintoskin right away. Anything to.avoid a csect
Im 4 days PP taking motrin and TYLENOL3... Def uncomfortable and painful some nights but I think I'm on my way to healing?...
I guess the only thing I'm afraid of is sex life postepi...
You must login / Register to post
see more leaders...
No members yet for today
Ask for Help
Make a Suggestion
Frequently Asked Questions
Most Viewed Posts
Postpartum Care Essentials
Sensory Play Activities
Starting Solids Gear
Transitioning to Toddler Bed
Who We Are
About the Bloggers
About the Hostesses
Apply to Blog
Apply to Hostess
Submit a Guest Blog
How We Make Money