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    Questions? Ask Henci!

    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to

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    caitlin tucker



    I'm actually posting this question for my sister.

    She is expecting her second baby in June and with her first son she had a 12 hour labour with an assisted forcep birth (because he was 9 14) and the result of this was a 4th degree tear. She was told by her pervious OB to have a c-section to aviod further damage to her pelvic floor but she chose to go with a Midwife and they have decided to try a natural birth and if it looks like she is going to tear again badly they will do a c-section...Our question is: I've seen information that says c-sections don't prevent damage to the pelvic floor, so would she be better off not having a c-section as an option at all or in her case does it offer some protection since there was a lot of damage the first time. Her pregnancies are also very close together the boys will be 14 months apart.

    Thank you!

    Henci Goer

    I may be wrong, but I think that the previous OB was concerned not about damage to the pelvic floor but about another anal sphincter tear. (A 4th-degree tear is a tear completely through the anal sphincter muscle.) I have already written about the likelihood of a repeat anal sphincter tear on this forum. You can find the thread here. Please get back to me if reading through this thread doesn't answer your question.

    ~ Henci

    All Times America/New_York

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