Thank you all for your wonderful responses. It has cemented in my mind that
when I do fall pregnant again, I will be well and truly birthing with MY
body. I accept that there is a risk, but hey, there is a risk mopping your
floor, walking across a road, watching a storm... :)  I just have to
reassure my poor husband that I can do this. That we can do this.

I wish I could have spoken to the midwives who were there. Sort of a
de-briefing would have been good...

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:owner-ozmidwifery@;acegraphics.com.au]On Behalf Of Robyn Thompson
Sent: Wednesday, 13 November 2002 11:07 AM
To: [EMAIL PROTECTED]
Subject: RE: [ozmidwifery] Julia's birth


I support this Vicki have not seen a 3rd/4th degree tear since I moved out
of the hospital system 20 odd years ago.  Have sutured a few 2nd degree
tears, but most small tears heal themselves.  Women who have had previous
episiotomy followed by a perineum without trauma or a small tear the next
time tell me that their perineum feels 'much better now' and their sex life
is much more comfortable.  The enormous amount of scar tissue remaining from
episiotomy must be very traumatic.  The Obstetricians may think they are
preserving the perineum but what for??  What does preserving this wonderful
female birthing muscle mean??  If rest, good nutrition and when appropriate
exercise are part of post birth recovery and forced or encouraged 'pushing'
is minimised/eliminated and women are assisted to breath their baby over the
perineum then the perineal muscle returns to a very good state of health and
strength.  Of course it will never be exactly the same, just as body shape
changes after birth so does the perineum.

regards,  Robyn

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:owner-ozmidwifery@;acegraphics.com.au]On Behalf Of Vicki Chan
Sent: Tuesday, November 12, 2002 11:25 PM
To: [EMAIL PROTECTED]
Subject: RE: [ozmidwifery] Julia's birth


Isis...

Over the years attending women birth at home, I have never seen a third
or fourth degree tear...rarely there has been a sizable second degree,
sometimes a small tear, and mostly an intact perineum...

Of my clientele, there have been several women with past very serious
damage... Third degree tears,5 previous episiotomies, a
'shattered'perineum...all these women birthed gently (and ne'er the
word'"push"to be heard) with beautiful unharmed bodies....

There are no guarantees...there is more át risk'here than your pelvic
floor...there is more to you than your pelvic floor...what is important
to you? What really matters?

listen to your body and your heart...they will guide you where you need
to go...only you can know what is best for you.

I wish you well...

Vicki



-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:owner-ozmidwifery@;acegraphics.com.au] On Behalf Of Andrea
Quanchi
Sent: Sunday, November 10, 2002 3:15 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Julia's birth


Isis,  The bit about tearing worse the next time is rubbish.  So
continue to trust your instincts and birth your way with your chosen
midwife next time and you'll be fine. I too had a bad tear the first
time, was talked into an elective epis the second time and had a smaller

tear the third time.  Even the third degree tear healed better  and was
less painful than the episiotomy.  I agree that the stranded beatle
position wouldn't have helped and so that is the thing to avoid next
time.
Andrea Q

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