Greetings! How many stitches did you require? Perhaps that isn't even an important question, but wondered if you had any idea?
My SIL had baby #1--epidural, and all the trimmings...every side effect from an epidural happened to my SIL> she got a bonus too, an internal laceration...just about the entire length of her birth canal... the attending physicians could see into her body cavity...worst they had ever experienced...she was in surgery for close to 3 hours for repair.
baby #2 caeserean birth
baby #3 she wanted to try a vbac...not wanting to have the longer recup time with another c-section, but not wanting to have another terrible tear..internally or externally. all of the medical profession were telling her that her tissues would be brittle, non-elastic, and her chances of tear were 100%. we were very aggressive with good nutrition--making it excellent nutrition...including vitamin E (the amount escapes me now, but I could look back and see what we did)...perineal massage beginning at 36weeks...lots of kegelling...good walking exercise each day...she had the most magnificent 3rd birth... everything she ever dreamed of, including a baby born in the veil.:)
I said all of that to say that I believe with some excellent prenatal care of yourself and a good communication with your care giver, you can have a birth without trauma to your bottom.
The first three of the eight babies that came through me, came with episiotomies ( the routine kind) in the hospital, but the last 5 born at home with a caregiver who paid particularly close attention to helping me have a slow, gentle birth...came without leaving a trace :) Anything that you can do to encourage and increase circulation and elasticity in those tissues will be beneficial...warm bath, massage, keeping track of good nutrition and exercise, keeping baby in proper position, a slow birth--the shoulders are usually the culprits, snagging on their way out.
hope some of this might be helpful to you.
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