I've seen a great deal of discussion
among birthing women on perineal massage and probably equal numbers who did it
have torn and not torn. There are so many other factors at play - position,
coached pushing, speed of birth - and one important one is a propensity to
tearing. Some women tear, most don't under the best possible circumstances and
some seem to always tear no matter what. I have seen it be very helpful to women
with massive thickened scars from perineal trauma caused by episiotomy who have
subsequently birthed over an intact peri. A JB mama had a baby with a compound
arm in the RWH BC here in Melbourne - epis, 4th degree damage, surgery, 12 hours
till she met her daughter, 2 years physical and emotional recovery. Second child
recently birthed at home, also waving as she came out - intact peri! Obviously
management was the key for her!
J
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- [ozmidwifery] Perineal massage Helen and Graham
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- [ozmidwifery] Perineal massage Helen and Graham