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ok, major TMI, but is proving to be REALLY helpful!

Posted by on Oct. 12, 2009 at 11:31 AM
  • 15 Replies

so you have heard of the perenial massage I'm sure. well we didn't do it with our last kiddos, but we are doing a homebirth this go around, and midwife wants us to do it every other night starting at week 34-35. So we started it about 10 days ago...and granted..it IS embarrassing lol, but I'm impressed with the results in just 10 days! (5 massages). I went from it burning to have 2 fingers in...to a comfortable FOUR! (and tmi, but these are my hubbies fingers, that are WIDE) lol

I don't konw about you ladies, but that burning you get when the baby crowns is about the worst pain! my last baby I had a 2nd degree tear, and it was aweful. SOO the fact that I can open up like 4 inches  or so down there NOW, is really reassuring!

ANYway, sorry so tmi, but I think it is REALLY helpful information! I never thought it was necessary before...now I say otherwise!

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by on Oct. 12, 2009 at 11:31 AM
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Replies (1-10):
doulala
by on Oct. 12, 2009 at 4:48 PM

I don't know...     I feel that our bodies are wiser than we are--  
A woman's body can line up egg with sperm to conceive, grow a perfect baby from a single cell, orchestrate hormones to labor & deliver baby out of mom's body (like it or not, with or without help).

Our bodies are really made for this birthing stuff.   I am confident that when women can follow their instincts that they are able to avoid damage.    (Sometimes there might be something insignificant, but our bodies can handle it, we heal.)

If we tell ourselves that we need intervention to be normal it demonstates a lack of trust-confidence.

Maybe preparing the perineum will be helpful...   probably more so if you really believe it will.
But you can also have complete faith that your instinctive birthing (moving-rocking-moaning-swaying-leaning forward-hand on crowning head-blowing "o"s for crowning-no coached pushing-etc.) then you're most likely to have the best outcome.

;-)



I like this:    Honoring Body Wisdom



How DARE Mother Nature question SCIENCE! ~Mike Tymeson

The impossible is often the untried. ~Jim Goodwin

Women's bodies have their own wisdom, and a system of birth refined over 100,000 generations is not so easily overpowered. ~Sarah Buckley

jdhshamoo
by on Oct. 12, 2009 at 4:51 PM

Interesting! Thanks for sharing. I think its worth a shot whether it works or not!  I plan to do anything that might help. I also agree with doulala though, the correct mind set has everything to do with having a successful birth.

mommy2xp
by on Oct. 12, 2009 at 4:53 PM

that would be a lil weird at first, but if it helps it helps!!

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mnt_2_b_mommy
by on Oct. 12, 2009 at 4:54 PM

Okay, forgive me but I'm confused. Isn't that basically just stretching out your vagina? I assume the 4 fingers are going there, correct? I can see the point, but if your lady bits are being stretched out prior to the labor process (weeks ahead of time) won't it affect the tightness of it afterwards?

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CrewsMaMa
by Member on Oct. 12, 2009 at 4:57 PM

I had no idea that thats what a perenial massage was...I thought you were just supposed to rub the outside not stick stuff in.  Hmmm...interesting.  Dont think ill try either one...

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mamad122
by on Oct. 12, 2009 at 4:59 PM

I did it once or twice with my last pregnancy (1st) and didn't tear at all. I think I will do it more with this one. I never had my DH help though, I just did it myself.

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mamad122
by on Oct. 12, 2009 at 5:00 PM

I wondered about this too. But it can't stretch as much as the baby's head, right?? I'm curious though!

Quoting mnt_2_b_mommy:

Okay, forgive me but I'm confused. Isn't that basically just stretching out your vagina? I assume the 4 fingers are going there, correct? I can see the point, but if your lady bits are being stretched out prior to the labor process (weeks ahead of time) won't it affect the tightness of it afterwards?


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doulala
by on Oct. 12, 2009 at 6:27 PM

I have been saving some info about this stuff, hopes this helps:



Intact Perineum
~insight from the dear Gloria Lemay~

An intact perineum is the goal of every birthing woman. Advising a
woman to do perineal massage in pregnancy implies a lack of confidence
that her tissues have been designed perfectly to give birth to her
infant. The intact perineum begins long before the day of the birth.
Sharing what the feeling of a baby's head stretching the tissues will
be like and warning the mother about the pitfalls in pushing will go a
long way to having a smooth passage for both baby and mother. The
woman will be receptive to conversations in prenatal visits about the
realities of the birth process. Here is the information I convey for
the second stage:

1. When you begin to feel like pushing it will be a bowel
movement-like feeling. We will not rush this part. You will tune into
your body and do the least bearing down possible. This will allow your
body to suffuse hormones to your perineum and make it very stretchy by
the time the baby's head is there.

2. The feeling will increase until it feels like you are splitting in
two and it's more than you can stand. This is normal, and no one has
ever split in two, so you won't be the first. Because you have been
educated that this is normal, you will relax and find this an
interesting and weird experience. You may have the thought, "(My
midwife) told me it would be like this, and she was so right. I guess
this has been going on since the beginning of humankind."

3. The next distinct feeling is a burning, pins-and-needles feeling at
the opening of the vagina. Many women describe this as a "ring of
fire." It is instinctive to slap your hand down on the now-bulging
vulva and try to control where the baby's head is starting to emerge.
This instinct should be followed. It seems to really help to have your
own hands there. Sometimes women like to have very hot cloths applied
to their perineum at this point. If you like or dislike the feeling,
say so.

4. Most women like pushing more than dilating. When you're pushing,
you feel like you're getting somewhere and that there really is a goal
for your efforts.

5. This is a time of great concentration and focus. Extraneous
conversation will not be allowed in the room. Once you begin feeling
the ring of fire, there is no need for hurry. You will be guided to
push as you feel like until the baby is crowning. All that will be
touching your tissues is the hot cloth and your own hands. It is
important for the practitioner to keep her hands off because the
blood-filled tissues can be easily bruised and weakened, which can
lead to tearing.

6. The point of full crowning is very intense and requires extreme
focus on the burning. It is a safe, healthy feeling but unlike
anything you have felt before.... Panting and rising above the pushing
urge will help you focus, and you will have less discomfort in the
long run.

7. You will be offered plain water throughout this phase because
hydration seems to be important when pushing. You can take the water
or leave it.

8. Once the head is fully born, you will feel a great sense of relief.
You will keep focused for the next sensation, which will bring the
baby's shoulders out and the baby's whole body will quickly emerge
after that with very little effort on your part. The baby will go up
onto your bare skin immediately, and it is the most ecstatic feeling
in the world. Your perineum may feel somewhat hot and tender in the
first hour after birth. The remedy that helps the most is to apply
very hot, wet cloths. This is in keeping with the Chinese medicine
theory that cold should never be applied to new mothers or babies.
Women report they feel instantly more comfortable when heat is
applied, and any swelling diminishes rapidly.

I also like to twist a diagonally folded bath towel into a very tight
roll and coil that into a ring for the woman to sit on when
breastfeeding.

-Gloria Lemay, "Midwife's Guide to an Intact Perineum," Midwifery
Today Issue 59

 

IN ADDITION:

Check out:
http://www.birthingnaturally.net/birthplan/hospital/episiotomy.html

I really think that episiotomies don't seem justifiable. (*In VERY rare circumstances, maaaaybe.) But many doctors do/did them routinely! Some Dr.s have 30% or higher rates. The more practiced mediolateral (angled) cut increases post-partum hemmorhaging 450% and 33% for the midline (straight down) cut. It only speeds up labor a contraction or two-- not worth the many complications that are involved, like incontinence and sexual displeasure. :-(

Please know that there are ways to avoid tearing, so birthing with the perineum intact (or mostly intact) is possible.

Consider: Perineal massage/oil, kegal exercises, water labor/birth, NO coached pushing, hand on the emerging head & perineum, blowing air Os slowly, intentionally slowing down the crowning through concentration. Be sure to stay upright, move & wriggle your baby down and out. :-)

The best way to prevent tearing - Honoring Body Wisdom


http://www.birthingnaturally.net/cn/technique/perineal.html

http://www.childbirth.org/articles/massage.html

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=31922

"The practice of perineal massage in labour does not increase the likelihood of an intact perineum or reduce the risk of pain, dyspareunia, or urinary and faecal problems."

 

 

 

Kegel exercises: How to strengthen your pelvic floor muscles

http://www.mayoclinic.com/health/kegel-exercises/WO00119

How DARE Mother Nature question SCIENCE! ~Mike Tymeson

The impossible is often the untried. ~Jim Goodwin

Women's bodies have their own wisdom, and a system of birth refined over 100,000 generations is not so easily overpowered. ~Sarah Buckley

mnt_2_b_mommy
by on Oct. 12, 2009 at 8:43 PM

Definitely not, but what I wonder is how the vaginal tissue retains it's elasticity after repeated attempts at stretching it, not just the one time during labor, you know? I have heard of this before but only during labor, I hadn't heard of anyone doing it weeks ahead of time.

Quoting mamad122:

I wondered about this too. But it can't stretch as much as the baby's head, right?? I'm curious though!

Quoting mnt_2_b_mommy:

Okay, forgive me but I'm confused. Isn't that basically just stretching out your vagina? I assume the 4 fingers are going there, correct? I can see the point, but if your lady bits are being stretched out prior to the labor process (weeks ahead of time) won't it affect the tightness of it afterwards?



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doulala
by on Oct. 12, 2009 at 8:48 PM
Quoting mamad122:

I did it once or twice with my last pregnancy (1st) and didn't tear at all. I think I will do it more with this one.

Once or twice would not make a significant change.  If you didn't tear at all without prep work, why bother this time?   just curious.

How DARE Mother Nature question SCIENCE! ~Mike Tymeson

The impossible is often the untried. ~Jim Goodwin

Women's bodies have their own wisdom, and a system of birth refined over 100,000 generations is not so easily overpowered. ~Sarah Buckley

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