Q&A with SPB: Avoiding Epsiotomy and Perineal Tears
Sweet Pea Births - ...celebrating every sweet pea and their birth
RSS Follow Become a Fan

Delivered by FeedBurner


Recent Posts

Monday Mantra: Radiantly Beautiful
FInding the Beauty
REVIEW: ACOG Committee Opinion on Approaches to Limit Intervention During Labor and Birth
Just Tell Me
Doula Services

Most Popular Posts

An Inside Look: Modern Mommy Boutique
Breastfeeding Support Groups: La Leche League
A Look At the honest company
An Inside Look: Placenta Encapsulation
Mommy-Con Phoenix Ticket Giveaway

Categories

Acupuncture
Affirmation
Allergies
Amniotomy
AROM
Artifical Rupture of Membranes
Ask the Doula
Augmentation
Avoiding harmful substances
Baby
Baby blues
Baby Concierge
Baby games
Baby-led weaning
Babymoon
Babywearing
Back Labor
Bag of Waters
Bedtime Routine
Belly Cast
Berman's Law
Big Latch On
Birth
Birth center
Birth Centers Phoenix AZ area
Birth Circle
Birth Mantra
Birth News
Birth place options
Birth plans
Birth Story
Birth Story Listening
Birthing From Within
Blog Carnival
BLW
Bradley Day Family Picnic
Bradley Method®
Bradley Method® birth story
Bradley Method® for next baby
Bradley Method® for second pregnancy
Bradley Method® outcome
Bradley® Coaches
Bradley® Dads
Bradley™ classes and the next baby
Bradley™ classes for next pregnancy
Bradley™ classes for second pregnancy
Breast Pumps
Breast Pumps and Workplace
Breastfeeding
Breastfeeding 101
Breastfeeding Awareness Month
Breastfeeding Challenges
Breastfeeding in Public
Breastfeeding support
Breech presentation
Breech turning techniques
Cassandra Okamoto
Cephalo-Pelvic Disproportion
Cesarean Birth
Cesarean Support Group
Cesarean Surgery
Child Spacing
Childcare
Children's Books
Chiropractic Care
CIO
Circumcision
Co Sleeping
Coaches
Coaching
Coach's Corner
Comfort Measures
Communication
Contest
Cord Clamping
CPD
Cry It Out
Crying
Dairy Allergy
Debbie Gillespie, IBCLC, RLC
Dehydration and Pregnancy
Delayed Cord Clamping
Depression
Doulas
Drinking during labor
Due Date
Eating during labor
Eclampsia
ECV
Engorgement
Epidural
Episiotomy
Essential Oils
Exercise
External Cephalic Version
Eye Drops
Eye Ointment
Eye Prophylaxis
Failure to Progress
Family Bed
Family Fest
Family Fun
Fear-Tension-Pain Cycle
Fertility
Fetal Distress
First Birthday
First Foods for baby
First stage labor
First Trimester
Flower Essences
Fluid Retention
FTP
Full term
Fussy baby
Galactogogues
Gestational Diabetes
Giveaway
Going to your birthplace
Gowning
Green Nursery
Grief Counseling and Support Services
Healing
Healthy, Low-Risk
Hearing Screen
Heat Comfort Measures
Herbalist
Homebirth
Hospital Birth
Hyperemesis Gravidarum
Hyperthermia and Pregnancy
IBCLC
Immediate Cord Clamping
In Their Own Words
Increase Breastmilk
Induction
Induction of Labor
Infant Care
Infant Classes
Infections and Pregnancy
Info Sheet
Information Center
Information Sheet
Informed Consent
Inside Look
Jaundice
La Leche League
Labor Augmentation
Labor Induction
Labor Marathon
Labor Sprint
Labor Support
Lactation Consult
Lactation Consultation
Lactivist
Managing or coping with natural labor
Mantra
Maternity Keepsake
Meditation
Meet the Doula
Membranes
Midwife
Midwifery Care
Midwifery Scope of Practice Committee
Milk Supply
Miscarriage or Stillbirth
Modern Mommy Boutique
Mommy-Con
Monday Mantra
Monitrice
Morning Sickness
NAP
Natural Alignment Plateau
Natural birth
natural labor coping mechanisms
Natural labor coping techniques
Nausea
Neonatal Eye Drops
Neonatal Eye Ointment
Neonatal Eye Prophylaxis
Newborn
Newborn Care
Newborn jaundice
Newborn Procedures
Next baby
Next pregnancy
NICU
NIP
NPO
Nursery
Nursing
Nursing and Maternity Bras
Nursing In Public
Nursing Strike
Nutrition
Obstetrical Care
Oxytocin
Pain
Pain management
Pain management natural labor
Parenting
Past due date
Patient Bill of Rights
Perineum
Phoenix Mommy-Con Mini
Photographer
Placenta
Placenta Encapsulation
Planning for Baby
Playing with baby
Postdate
Postmature baby
Postpartum
Postpartum Depression
Postpartum Doula
Postpartum Plan
Pre-eclampsia
Preemies
Pregnancy
Pregnancy Loss
Premature Baby
Premature Ruptture of Membranes
Pre-term Labor
Prolonged Labor
PROM
Q&A with SPB
Rally to Improve Birth
Relaxation
Relaxation practice
Repeat Bradley™ classes
Rights for Homebirth
ROM
RSV
Rupture of Membranes
Scavenger Hunt
Second Stage Labor
Sensory games
Sibling Preparation for Newborn Arrival
Sleep Sharing
Sling
Soft-structured carrier
Starting Solids
Stripping Membranes
Support Groups
Sweeping Membranes
Sweet Pea Births
Swelling in Pregnancy
Tandem Nursing
Teething
The Bradley Method®
The Bradley Method® classes
The Bradley Method® pain management
Third Trimester
Thoughtful Thursday
Tongue Tie
Tongue Tie Procedure
Toxins, pesticides, chemicals and pregnancy
Traditions
Transition
Twins
Upcoming Events
Use of vacuum extraction
Uterine Rupture
Vaccines
Vaginal Birth After Cesarean
Vaginal Birth After Multiple Cesareans
Variations and Complications
VBAC
Vitamin K
Warning Labels
Waterbirth
WBW2013
Weaning
Webster Protocol
Weekend Activities
Why we chose the Bradley Method® childbirth classes
Wordless Wednesday
World Breastfeeding Week
Wrap
powered by

Sweet Peas, Pods & Papas: All About Birth, B@@bs & Babies

Q&A with SPB: Avoiding Epsiotomy and Perineal Tears

Q: "What things can we do to help decrease the need for an episiotomy or the likelihood of a perineal tear?"  
A: Here is a list of seven things you can do during pregnancy and while you are in labor to birth with an intact perineum.  The written list and more ideas are listed below.
 

You need Flash Player in order to view this.
Q&A with SPB: Avoiding Episiotomy or Perineal Tear
Q: "What things can we do to help decrease the need for an episiotomy or the likelihood of a perineal tear?" A: Here is a list of six things you can do during pregnancy and while you are in labor t...




Here is a summary of today's VLOG on YouTube:

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonBradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
 
My list from the VLOG:

  • Squatting throughout pregnancy
  • Kegel throughout pregnancy
  • Good nutrition, including healthy fats & oils
  • No soap on the perineum - it is drying
  • Lotion and massage - if desired and ok'd by care provider
  • Talk to care provider in advance about having an episiotomy versus tearing
  • Be patient during pushing phase of birth
  • Push with self-control
  • Ease or "breathe" the baby out
  • Remind doctor or midwife of your wishes at birth
  • Listen for the words "local" or "local anesthetic" - those are red flags for a jab and a cut!!

How can pelvic floor exercises help you if you are trying to avoid an episiotomy:

  • Kegels (pelvic floor contraction and relaxation) – during pregnancy it tones the muscle; a toned perineum encourages the baby’s chin to their chest making presenting part of the head smaller; control of the muscle helps slow down pushing if necessary to prevent tear
  • Squatting - during pregnancy it stretches and tones the muscle making it supple; during labor it opens outlet of pelvis making birth easier for you and the baby

           
A healthy pregnancy diet:  Eating well, including healthy fats and oils, promotes healthy, stretchable tissue
Some that we mention in class include

  • flax seeds or chia seeds in smoothies or sprinkled on top of salads
  • flax oil, walnut oil, or avocado oil as part of a salad dressing
  • heat-tolerant oils as ingredients in a marinade for cooking
  • lots of raw healthy fats: nuts and avocados

 
Perineal massage - talk to your care provider first – you can print THIS and THIS information and have a discussion with them

Concept behind "breathe your baby out"
Work with your breath and your contractions – only push when you have the urge to push, abdominal breaths between contractions, hold breath only as comfortable
 
More information not included in today's VLOG...I'm thinking we'll have to do a how-to for some of these...
If you have some uncomfortable perineal stretching or an episiotomy (even with awesome preparation, there are times when it happens for a healthy mom, healthy baby outcome), here are some comfort measures to ease the pain: 
 
Sitz bath twice a day with sea salt or herbs
Make an ice pack out of a diaper – slit through the middle and fill with ice.  The diaper absorbs the melting ice and supplies the coolness.
Fill a gallon bag with four maxi-pads (the non-stick kind) and soak them with witch hazel – then freeze them.  Pull out to use as needed on the perineum
 
Our midwives also introduced us to some items you can find on-line: perineal packs and some amazing herbs that will help with healing.  You can find them at http://www.everythingbirth.com/Birth-Supplies.html

 


Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

0 Comments to Q&A with SPB: Avoiding Epsiotomy and Perineal Tears:

Comments RSS

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint