Emma Howard discusses some pregnancy questions, like dealing with the pain after birth.
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Emma Howard: Welcome back to Baby Talk, I am Emma Howard and I am delighted to say that joining me now is Midwife's Sue McDonald to go through the mail box and also some of your pregnancy questions. Hello! Sue McDonald: Hi! Emma. Emma Howard: Nice to see you again lots of questions for you as always Sue. Let's start with this one I had a third degree tear with my first baby, what should I do with my next pregnancy? She is asking should it be a natural, labor natural birth or a C section and that's from Angelus Hamilton. Now first of all for people who don't know tell us what a third degree tear is? Sue McDonald: Now I was going to say, I will start by saying that about 85% women will have some sort of trauma to their perineum and that can be anything from a little grace to a full third degree tear. Emma Howard: Yes because trauma doesn't mean to say its terrible doesn't that. Sue McDonald: And obviously in the majority women it's quite straight forward. For those women who get a third degree tear, this is a tear that extends from the vagina along the perineum right to the anal sphincter. So obviously it's extremely painful, it has to very carefully sutured, and expertly sutured and monitored afterwards to make sure there is no problems in that. Emma Howard: How long will it take to recover? Sue McDonald: Well it's the same sort of time as an ordinary tear so it can -- there is a sort of skin on top heals fairly quickly, but the muscles underneath will take a little time to get back to be healed. Emma Howard: I am moving around and sitting, that must be so painful. Sue McDonald: Well that's the worst thing I mean I think the difficulty is you are uncomfortable, it's painful, you don't feel like doing anything, you don't feel like moving because every move it pulls. And going to the loo it can be a problem the first few time and that sort of thing. Emma Howard: And of course you have got this new life that you are dealing with, so the last thing. Sue McDonald: And you are expected to be happy and comfortable and lovely, it's very-very difficult. And it's difficult to say to Angela that you can have a normal birth, natural birth but I would say in a lot of cases that's possible, you really need to look at what happened last time, whether the skin and the muscle healed with no problems and how big was the baby first time round, how big the baby this time round, because the reasons for having a third degree tear are either you have got a very large baby over 4 kilograms, or you have had a cut that's gone in a wrong direction straight down. Or you have had required a forceps delivery so if those factors are there you run a better risk of having -- not a risk but you have run the chance of having a normal birth. Emma Howard: But you need to sort of do it as a team, you talk to your obstetrician, talk to the doctors. Sue McDonald: Absolutely and look at what happen last time. Emma Howard: Yeah and you certainly unabashed about people looking down there. Sue McDonald: Absolutely and the other thing is to make sure for next time around you are really well nourished you have make sure your vitamins and nourishes the diet. Make sure you are fit, do your swimming, to make sure you are in that optimum position and optimum condition for the next time. Emma Howard: And is swimming very good for that time around, of course it is. Sue McDonald: It's excellent because it really make sure you kegel your -- well for one thing you are weightless in water and another thing it really allows all your muscles to be well exercised. Emma Howard: Now going back to labor when it kicks off and it starts, should the TENS machine pads be placed to give relief during labor Suzy from Leicester wants to know, where should they be placed she is asking. Sue McDonald: Usually with the TENS machine and it's a fantastic machine from those people who haven't used it it's like a little control board so then you have little wires to four little pads which go