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See more conditions. Request Appointment. Healthy Lifestyle Labor and delivery, postpartum care. Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study. Sveinsdottir, E. Effects of an intervention program for reducing severe perineal trauma during the second stage of labor.
Birth Berkeley, Calif. Woodley, S. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Her approach includes thoughtful listening, targeted exercise, and hands-on techniques.
Katie regularly coordinates with clients' healthcare team and doulas for optimal outcomes. Home visits are available throughout the greater Puget Sound region and virtual visits from anywhere.
You can reach Katie through her website. Subscribe by Email. Sharon is also a trainer of new birth doulas and childbirth educators. She blogs professionally on perinatal topics.
Sharon enjoys facilitating discussion around best practice, current research and its practical application to maternal infant health and community standards. To learn more about Sharon, you are invited to visit her website, SharonMuza. Contact Us Login. Welcome To Lamaze. The Lamaze Difference.
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Playful Parents. Bonding with Baby Now. Find a Local Class. Lamaze Online Classes. Decision Guides. Welcome to Lamaze. A Look at Lamaze. Certification Eligibility. Lamaze Learning Guide. How to Recertify. Perineal warm packs are now accepted as an approved technique for use during childbirth thanks to a validated review of approaches to reduce perineal tearing.
The report concludes the use of perineal warm packs is associated with decreased occurrence of perineal trauma and is acceptable to both women and midwives. Research led by Holly has examined the experiences of women who have endured the most severe form of perineal trauma. Women were able to clearly describe the way they were treated by health professionals throughout their labour, birth and postnatal period. This treatment experience shaped their recovery in both negative and positive ways.
We found relationships with health providers and compassionate care were key in how women perceived the experience of sustaining a severe perineal tear.
The women who felt the most supported throughout their experience were those who had received continuity of care by a known care provider midwife or obstetrician. I really like doing this with my patients especially if they are pushing for an extended amount of time.
Heat helps to dilate the blood vessels in the area, which relaxes them, and makes you LESS susceptible to a tear! Next up, perineal massage! Yup, you read that right. Perineal massage aims to prepare your perineum for the intense stretching that occurs during birth. Basically, you routinely stretch the tissues, muscles, and skin that surround your birth canal to get it ready for the big day.
Perineal massage is an ancient practice that has been used in a variety of different cultures for many centuries — pretty cool! And actually, research supports that they might have been on to something! According to The American Pregnancy Association , if you practice regular perineal massage in the 3 to 4 weeks prior to birth, you will increase your likelihood of a vaginal birth without damage to your perineum.
You can start doing it in week 34 of your pregnancy, and you really only have to do it for about 5 minutes per day! Okay, what? When you are sexually aroused, you naturally produce more lubrication, and the walls of your vagina become a bit thicker, elongated, and more elastic, because, well, it thinks a penis is about to enter it.
I know this is kind of farfetched, but I wanted to include this because the research supports it! I know that not many women are down with getting sexually aroused during birth. But have you heard of orgasmic birth? An Epi-No is a pelvic floor trainer that is basically a soft, silicone balloon that you insert into your vagina. It inflates slowly to help stretch and strengthen the muscles in your pelvic floor in preparation for birth.
Then, beginning in week 36 of pregnancy, you switch to its stretching exercise function wherein you gradually increase the size of the balloon until your muscles are ready for the full 10 cm dilation! The catch? This can make it a little tricky to get your hands on one — but not impossible.
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