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Asking for Self, Female, 30 years old, Lahore
Please make this post anonymous and tag Dr riba baig. my first delivery 2.5 years ago was vaginal with child weight 3.1 kg. I got episiotomy tear of 3rd degree and lacerations in vaginal wall. Dr had to put gauze inside to stop bleeding. Stitches took 1 month to heal. There was difficulty in bowel control till 1 year. but after that I am fine with no related symptoms. Now I have second pregnancy of 36 week, should I go for elective c sec or vaginal delivery? Now my hb level is 10.6 and have mild thrombocytopenia as well as UTI. Kindly guide which mode of delivery will be safe considering my previous experience. Regards.
plz it's better to consult your gynaecologists for the best decision with whom you are satisfied.....buc Allah raham karay complication can arise anywhere but your relationship and trust on doctor is more important than all
regarding your last delivery and its related complications it is in your best interest to get a c section done this time . as your symptoms are fine but there is a great chance if you go for a vaginal delivery this time you ll get it again .
Patient
Post Owner
In previous delivery, when my vagina was 10cm dilated, my doctor waited and asked me to push till half hour after that she did episiotomy, which makes second phase of labor prolong. I think this was the cause of lacerations and 3rd degree episiotomy.
Now My question is, can we prevent such tear this time by doing episiotomy earlier at 10cm dilation?
2 years ago
Your Hb is not a problem.
Get your UTI treated .
What is the platelet count..
I think C section is in your interest
Patient
Post Owner
I have done 1 course of cefixime 400mg for 7 days but UTI didn't control, so doing second course now.
Platelet count is 138.
PT/inr/aptt report is normal.
2 years ago
U should go through c section
Please consult a physician for starting low dose steroid therapy.
Then come to me by booking consultation via marham.pk.
better to have c section if 3rd degree tear in ist delivery
we can give episiotomy only when baby head visible and it stretches the premium otherwise more chances to damages surrounding tissue including anal sphincter
as you had 3rd degree tear with bowel complaints ...next.better is c/s for you
you had
Aoa
u shud go for el CS...platelet count more than hundred is enuf but wth all the emergency backup like a hematologist and mesical specialist shud b involved...hope u r taking ur course of steroids fr management of ITP(If u r already diagnosed)...
Patient
Post Owner
My Dr asked me to make decision by my own self. That's why I am getting opinions here. I am also from medical field, an ophthalmologist and really concerned about safest procedure.
In previous delivery, when my vagina was 10cm dilated, my doctor waited and asked me to push till half hour after that she did episiotomy, which makes second phase of labor prolong. I think this was the cause of lacerations and 3rd degree episiotomy.
Now My question is, can we prevent such tear this time by doing episiotomy earlier at 10cm dilation?
Regards
2 years ago
MBBS , MCPS (Obstetrics & Gynecology) | Sargodha | Book Appointment
no episiotomy shouldn't be given early. it should be given when crowning occurs mean head of the baby stretches the perineum.
2 years ago