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Hi Jessica! I had a 4th degree tear with my daughter and I am due to deliver number 2 in about 4 weeks.. I am at the same stage as far as deciding a c section over another vag delivery. Both my doctors have stated that back to back level 3 or 4 tears are extremely uncommon...but I have had the same incontinence issues..and it has been 2 years.. so I may opt for the c section..what you and i had is something (at least my medical group) referred to as a "bottom c section".. so I am thinking i rather be cut across the lower abdomen vs. mybottom...

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