I've searched our board and couldn't find anything on this, so please lead me to the right direction if I've overlooked it.
With my first delivery, I sustained a fourth degree tear. Fast forward to this pregnancy and I went in for my first appt. to a new OB. He informed me that he recommends a C-section for those who have previously had a fourth degree tear. When I said that was surprising to me and that I would rather deliver vaginally again, he said that makes him uncomfortable, but that if I chose to, he would for sure do an episiotomy to counter the possibility of me tearing again. The episiotomy would cause any tearing to be away from the tissues that could cause incontinence issues should there be a tear.
I absolutely value my doctor's opinion. It simply makes me hesitate when I asked what the chances of tearing again are, he said he really didn't know, because most women just choose C-section. I would love to be able to make an educated decision, but when my doctor has nothing "scientific to offer" I worry. (He's fairly young compared to the previous doctor I had. He's been practicing for 5 years)
My question to you ladies is, would you seek out a second opinion or does this seem like sound advice? Has anyone experienced this before? With his plan, I would have an incision either way, so I am leaning towards the C-section, because at least that is controlled, and I really don't want to have incontinence problems. I've healed well from the first time and have no problems. TIA