Tearing During One Delivery, What Will Happen Next Time?

Lots of factors have to do with the preservation of the pelvis and preservation of the pelvic floor during birthing. How big the bay is, whether you are birthing twins, how long the labor, how much pushing, what devices were used, whether you had an epidural. Too many to list, and not all studies are really clear if these factors are all damaging, and if so, how damaging. For instance in the 70s a gyno named Bickers thought epidurals were pelvic floor protective, and in research published much laters Legino in Nebraska did work that said epidurals actually led to more birth injuries. But both those studies were before epidurals were as common in the labor wards as they are now, so I'm not sure how much to believe either. But then there is the situation of one birth injury that could lead to the next round of birth injuries. It's safe to say your risk of a second injury is at least doubled with the next birth. We apparently cannot just rub it out, Labreique studied over 1500 Canadian women and found that massage during the last days of pregnancy of the perineal area did not have pain, or sexual dysfunction down the line, although they were less likely to tear. Something more complex that just the tear or not the tear must be working there. I'm thinking it has to do with what happens in later life. And this is of interest as well as whether women tear, and that's where you and your gyno can make significant progress together with regular check ups and monitoring your pelvic floor muscles and ligaments.

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