I think you actually have that backward. In general, a jagged tear heals quicker than an incision because there is more surface area in contact between the two pieces, so a larger number of cells can be working to repair the tissue. That said, I’m not a doctor and it’s been 10 years since my wife and I looked into this before our first kid, so I may be misremembering.
Nope, you got it right: my wife had to c-sections and afaik they cut just enough tissue to make possible to tear it apart. It healed very well.
Glad your wife healed well; my wife had three c-sections and the first one was done by a very old-school OB in an emergency situation, so she never stood a chance. That said, even old-school c-sections are better than my wife and son dying in childbirth, so I’m still grateful for modern medicine, but it would have been nice if it was a little more “modern”
Were the second and third child almost guaranteed to be born by C-section? My GF first childbirth had 2 incidents that had risks for the second pregnancy. We were a bit scared for the second birth. But it when the opposite way. She almost gave birth in the car. There wasn’t even an hour and a half between the first real contractions and the birth of our child.
I’m asking because I am curious to hear about different experiences than mine
These days, an epesiotomy is done to direct the tear. If the tear is allowed to happen spontaneously, it can go through nerves, arteries, and pelvic floor muscles, greatly increasing the chances of permanent problems with things like prolapses or fistulas at worst, and more commonly, long term problems with incontinence.
It’s not about the surface area, a tear heals without creating a straight line of inflexible scar tissue in flexible tissue. You recover faster and better, because you distribute the new connections throughout the tissue, you don’t have this one rigid perforation to tear, so you don’t have to be healed up all the way before you can get back on your feet
In general, it’s the opposite though - a sharp cut heals much faster than a rip, there’s far less damage to repair
Thanks for the explanation!
You recover faster and better, because you distribute the new connections throughout the tissue, you don’t have this one rigid perforation to tear, so you don’t have to be healed up all the way before you can get back on your feet
Isn’t this a function of the surface area, though?
I mean…sort of? I can’t say that’s wrong, but I also don’t think it’s the full picture
Like imagine a cut rope. Gluing the ends together joins it with a weak point, but if you unravel the ends and weave them back together, you can create a very strong connection, even without glue
Yes, the surface area in the latter is far greater, but in addition to the surface area you have the structure - the weave itself grants strength, because when you pull the rope the fibers compress against each other, making it stronger than just surface area contact
I think it’s kinda like that, surface area certainly plays a big part, but I think it’s more than that. It lets the muscles reweave themselves - as opposed to the skin and the uterus lining, which are cut in straight lines to minimize damaged surface area - they’re more like cloth than rope, you stitch them up in neat lines
