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Old Jun 15th, 2018, 07:18 AM   1
Rachel320
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Scared after rotational forceps - help!


Hello all,

Iím looking for support/advice, and please no horror stories because Iím anxious enough!

So last year I had a beautiful baby, I was in labour for 3 days and it was excruciating as baby was back to back the whole time. By the time I got to the labour suite I was EXHAUSTED and had the epidural, which slowed down my labour, stopped any chance of baby turning, and resulted in 3 failed attempts of manual turning, and then taken to theatre for episiotomy and rotational forceps.

My pelvic floor was shattered afterwards and the recovery was long, painful and worrying.

Iím not trying for another baby right this minute but have started thinking what id do. Would I attempt another vaginal birth and risk that all happening again or worse (included continence issues). OR do I opt for elective C section, which also sounds pretty traumatising but would avoid another trauma to my pelvic floor or even a prolapse.

I feel emotionally drained just thinking about this all the time. Any advice would be so greatly appreciated x



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Old Jun 15th, 2018, 07:26 AM   2
Rachel320
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I should also add that an OB told me that if I try another vaginal birth I would probably have bladder issues for a while after due to the fact that I had that issue quite badly last time. He said the risk of permanent bladder damage was low. Still terrifies me though.



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Old Jun 15th, 2018, 16:17 PM   3
Brightxeyes
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I totally understand the fear! My first birth wasn't as complicated as yours, but I did feel like my pelvic floor was ruined. I was very lucky to not to suffer from incontinence, but I wee a lot. I don't go out and socialise a lot to be honest, so it's never been a problem. But the urge can happen immediately after what I thought was emptying my bladder, but I hadn't fully.

I'm pregnant with a second, and I'm already going to the bathroom up to 30 times a night for a wee. I've tried the exercises and theres been no noticeable improvement. I just keep getting told to keep doing it.

I am considering speaking to my midwife about my worries about giving birth a second time. At the same time I'm wondering, will it be easier and I guess everything isn't as 'tight' down there as the first time? Will there be less damage than the first? Will the birth be as easy as my first, or will it be entirely different and cause more damage than before?

I would personally be considering an elective c section if I've already had some considerable damage to effect your daily life for some time following a birth.



 
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Old Jun 15th, 2018, 16:33 PM   4
Rachel320
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Quote:
Originally Posted by Brightxeyes View Post
I totally understand the fear! My first birth wasn't as complicated as yours, but I did feel like my pelvic floor was ruined. I was very lucky to not to suffer from incontinence, but I wee a lot. I don't go out and socialise a lot to be honest, so it's never been a problem. But the urge can happen immediately after what I thought was emptying my bladder, but I hadn't fully.

I'm pregnant with a second, and I'm already going to the bathroom up to 30 times a night for a wee. I've tried the exercises and theres been no noticeable improvement. I just keep getting told to keep doing it.

I am considering speaking to my midwife about my worries about giving birth a second time. At the same time I'm wondering, will it be easier and I guess everything isn't as 'tight' down there as the first time? Will there be less damage than the first? Will the birth be as easy as my first, or will it be entirely different and cause more damage than before?

I would personally be considering an elective c section if I've already had some considerable damage to effect your daily life for some time following a birth.
Thanks for the reply! Itís such a massive decision isnít it? Are you considering an elective c section? You must be exhausted being up all night. Is your other LO a toddler?

My OB recommended vaginal delivery but followed it with Ďbut then, I wouldí, because an OB would never choose major surgery over something else.

My bladder is back to normal now, but the thought of having bladder issues again would ruin me I feel. I was terrified last time that there was permanent damage or prolapse (there wasnít). But what if Iím not so lucky next time?

C section recovery on the other hand sounds horrific too. Especially with a toddler running around.

I feel like either way thereís significant risk



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Old Jun 15th, 2018, 16:58 PM   5
ClairAye
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I didn't have pelvic floor issues from my first but I had a traumatic labour where my son was really distressed, I was really poorly from infection, my labour was 38 hours long (from waters breaking with meconium, hence the infection...) and he wasn't coming out with me pushing for an hour so I was rushed for foreceps and an episiotomy. I had internal problems afterwards but thankfully it was something that was actually made better by giving birth again. I fell pregnant 10 months after having my first and was offered a section at 13 weeks because of my first labour but I ended up refusing and I'm glad I did as I had a 9 hour labour and my daughter was pushed out in 8 minutes with zero assistance.

Obviously I can only speak for myself but my second experience was a million times better. I do agree with PP though that if it had caused such significant damage I'd consider the section more seriously.



 
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Old Jun 15th, 2018, 17:13 PM   6
Rachel320
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Quote:
Originally Posted by ClairAye View Post
I didn't have pelvic floor issues from my first but I had a traumatic labour where my son was really distressed, I was really poorly from infection, my labour was 38 hours long (from waters breaking with meconium, hence the infection...) and he wasn't coming out with me pushing for an hour so I was rushed for foreceps and an episiotomy. I had internal problems afterwards but thankfully it was something that was actually made better by giving birth again. I fell pregnant 10 months after having my first and was offered a section at 13 weeks because of my first labour but I ended up refusing and I'm glad I did as I had a 9 hour labour and my daughter was pushed out in 8 minutes with zero assistance.

Obviously I can only speak for myself but my second experience was a million times better. I do agree with PP though that if it had caused such significant damage I'd consider the section more seriously.
Thanks for your reply 😊. I mean the damage was significant enough that it caused some incontinence issues, but pelvic floors rectified that. I guess the thought of even having those temporary issues scares me, and Iíve already been told that I probably would have those issues again. Then thereís horror stories of women being left with permanent damage.

C sections just look terrible though, the recovery. Iíd have a toddler too so extra pressure :/



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Old Jun 18th, 2018, 08:17 AM   7
MrsC10
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Your experience is almost identical to the experience I had first time around. Honestly? My second was waaaay easier! He descended well on his own and I pushed him out in 20 minutes. A couple of stitches and a smal graze and that was it.
After my daughter I wast stitched up a fair bit and it took months for me to walk properly again and feel 'healed'. I struggled going up and down stairs and was generally miserable for quite some time.
After my son, I was up the following morning, in the shower and dressed in no time. After a week, I felt comfortable enough to head out on walks with him in the pram and I enjoyed motherhood a second time round much quicker than I did first time around.
I should also add that my second labour was also fairly long (not as long as my first) and I did end up back on the drip and had an epidural, but it still wasn't anywhere near the horror story of my first birth xx



 
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Old Jun 21st, 2018, 21:39 PM   8
jessmke
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With my first I was in prodromal labour for 48 hours, then active labour for 36 hrs. She was born vaginally (7 lbs 4 oz) without interventions, but I did have an epidural after 30 hrs of active labour and I had a "very complicated" second degree tear that took over an hour to stitch up. Then 19 months later I had my son (8 lbs 11 oz!), active labour was 4.5 hrs, no epidural/medications/interventions, a small second degree tear, home 3 hours after birth feeling great. So in my experience, my second was so much easier than my first even though he was huge! I didn't have any incontinence with either of my labours, but after my second I did experience a first degree prolapse of my bladder, uterus, and rectum. Not from delivery itself, but because I went for a 3 hour walk at 3 weeks postpartum (what can I say, I felt great!). With physiotherapy and a postpartum specialized trainer I currently have zero prolapse symptoms at about a year postpartum, but it did take about 8 months for the prolapse to improve. So even if you do have prolapse issues after a second it isn't the end of the world! It has actually been a bit of a blessing in disguise for me, my core is so much stronger and more functional than at any other time in my adult life because I've been forced to focus on it. I've had a lot of hip and back issues the last 10 years that have vanished now that I have really focused on developing my core strength. Pregnancy itself is "traumatic" on the pelvic floor, so I personally wouldn't opt for a c-section just in an attempt to spare your pelvic floor from trauma. A pushing phase longer than 1 hour can increase your risk of prolapse, but second babies tend to require a shorter pushing phase, although there are always exceptions to the rule obviously. I personally would avoid a c-section at all costs, but I know a lot of people are more comfortable with the thought of the surgery than I am. Good luck with your decision!



 
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Old Jun 24th, 2018, 04:31 AM   9
Rachel320
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Thanks every for the advice/support. I feel much better about it now, I really do. I also feel like I will just ďknowĒ what to do when the time comes. I definitely see a second attempt at vaginal birth as an option again, and in some ways itís less scary than a c section (in some ways more scary &#128514. I guess thereís no risk free solution, all I can do is choose what Iím most comfortable with and hope that itís the smoothest option. Perhaps I will keep you all posted whatever happens xx



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Old Jun 29th, 2018, 16:23 PM   10
Brightxeyes
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I guess you also have to see if when pregnant with your second, that baby might not be back to back?
If the next one ends up being in a better position, then great, give the vaginal birth a go! Maybe you won't feel the need for an epidural either, so then your labour won't be slowed, and it may all round be a better experience!

If the next baby is back to back, then I would possibly consider the c section!

Before and during pregnancy, keep up with a good pelvic floor routine. I've really been slacking lately, so I really need to get back on top of my exercises again in time for the impending due date!



 
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