Every woman giving birth would surely like to keep her perineum in tact. These tips to avoid episiotomy and perineal tearing can help achieve that goal.
This page will focus on both approaches to avoid episiotomy and/or tearing of the perineum.
The best way to avoid an episiotomy or a dangerous tear is to give birth with nobody else around than an experienced, motherly, silent, and low profile midwife who does not guide you.
If you don't feel observed and guided, you can more easily ago to another planet, stop being rational, and just listen to your body. In such a context there is a high probability that you'll find yourself in the best possible posture, for example on hands and knees.
If the need for privacy was understood, 'episiotomy' would become a topic for historians.~ Dr. Michel Odent
To avoid episiotomy or tearing, you need to understand how your body functions and how to best use natural processes to keep your perineum intact.
During this stage, it is important to work with your body and yet stay relaxed.
Forced pushing will raise your blood pressure and result in less oxygen reaching your baby, so rather stay relaxed and breathe deeply and naturally. Rest between contractions.
Some time after the baby's birth, you will feel another contraction which will bring down the placenta. This is usually not painful at all and it just slips out easily.
Immediately after the birth you can apply either a warm compress or a perineal cold pack to the vaginal area.
Your wishes for cutting the cord and disposing of the placenta should be expressed in your birth plan.
Keep your baby skin-to-skin and allow her to breastfeed spontaneously if she wishes. This is an incredibly sensitive time for bonding and attachment between the two of you and significant hormonal responses are triggered in both of you during this special initial interaction.
Let your partner also hold your baby and participate in this special time of family bonding. Remember to take photos of him and his baby too!
Clean yourself up while he holds your baby and put on a stress pad or large maternity towel. Ask someone to bring you a refreshing drink and cuddle up with your newborn and enjoy the 'babymoon'.
You may feel sensitive in the perineal area but it will soon heal if no major damage was done. Treat any minor tears according to advice on Care of Episiotomy and Tears.
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