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OT and maybe TMI: Perineal Massage

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There is info in the hypnobirthing book, Having a Bbay Naturallly by Peggy

O'Meara and a few others that I can look up for you if you'd like the names.

My baby isn't due until Nov. 14, so I can't tell you of its effectiveness

yet, but I plan on starting 4-6 weeks before the due date -- I guess that is

soon, LOL! But you have a ways to go before you have to worry about the

massage! :-)

Debbie

deb

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" nsorcel " <jen

 

Sunday, September 19, 2004 9:57 PM

OT and maybe TMI: Perineal Massage

 

 

> Can anyone give me some resources for this? When ought I to start?

> What kind of lube should I use, how often, how long, techniques - any

> info is welcome.

>

> Does it really help avoid episiotmy?

>

> And since this might be Too Much Info for some list members, private

> replies are fine. :)

>

> Thanks!

>

> JenB

>

>

>

>

> Step By Step Instructions On Making Rose Petal Preserves:

http://www.av-at.com/stuff/rosejam.html

>

> To adjust your group settings (i.e. go no mail) see the following link:

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I'd suggest Rose Otto or Maroc 1 drop to 1ml carrier

start massaging it in gently once a day for about a week before baby's due.

Happy days :)

Ann - Scotland

 

 

Can anyone give me some resources for this? When ought I to start?

What kind of lube should I use, how often, how long, techniques - any

info is welcome.

 

Does it really help avoid episiotmy?

 

And since this might be Too Much Info for some list members, private

replies are fine. :)

 

Thanks!

 

JenB

 

 

 

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The thrust of informing women of perineal massage benefits is to help a laboring

mother avoid an episiotomy during the pushing stage of birth. There are

absolutely no 'pros' to having an episiotomy and tons of evidence for the

negatives of having an episitiomy. To begin with every reason a birthcare

provider can give you for why you should have a routine episiotomy is " absurd on

their face " to quote Henci Goer of The Thinking Women's Guide To A Better Birth.

 

For my part I have worked with so many second time moms that I can be very

confident in saying I have yet to meet a woman who welcomed an episiotomy and

who truly thought it 'saved' her or the baby in labor.

 

Perineal massage has the benefit of stretching the perineum before labor in

order to increase its elasticity. The main ingredient to the massage being to

use a beneficial oil such as olive oil into the perineum and the lowest part of

the vaginal wall. Please remember to wash your hands and trim your

fingernails!! LOL If you can picture it you want to massage the skin in a U

motion, stretching GENTLY. You will feel a slight burning sensation. This is

not a no pain, no gain....please...it is a no pain no pain type of exercise.

 

More importantly you should realize that many birthcare providers feel that as

long as the perineum is supported doing the pushing stage that a perineal

massage and stretching during second stage is not necessary.

 

In a nutshell, from personal doula experience, perineal massage is beneficial in

helping the mother acclimate to what she will feel in second stage as well as

benefitting the muscle for postpartum care (it stretches incredibly as baby

passes through). Hand in hand with good perineal support during the pushing

stage is an excellent method for avoiding episiotomies and minimizing any tear

that you might incur. It is important to say might. I've had many more

students experience 'skid marks' from baby coming through than I've had students

experience tears. And of those that experienced tears they were minimal - the

largest requiring 3 stitches. Those that had episiotomies suffered from the

range of yet another 'thing' to take care of during postpartum (how are you

supposed to keep that site dry???) to malodor and pain from mild infections at

the stitches to pain during intercourse and urinating....yes, that's

right...that's going to be a lifetime problem.

 

Hope this helps.

 

Dale

 

 

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Thanks for posting this Dale--wish I'd known this before my first one, the tear

took 50+ stitches to close and having that done really interfered with bonding

after her birth--I couldn't participate in anything with two doctors playing

jigsaw puzzle...no more, might be TMI.

Serra

 

 

Dale Bernucca wrote:

 

> The thrust of informing women of perineal massage benefits is to help a

laboring mother avoid an episiotomy during the pushing stage of birth. There

are absolutely no 'pros' to having an episiotomy and tons of evidence for the

negatives of having an episitiomy. To begin with every reason a birthcare prov

idercangiveyouforwhyyoushouldhavearoutineepisiotomyisabsurdontheirfacetoquoteHen\

ciGoerofTheThinkingWomen'sGuideToABetterBirth.

>

> For my part I have worked with so many second time moms that I can be very

confident in saying I have yet to meet a woman who welcomed an episiotomy and

who truly thought it 'saved' her or the baby in labor.

>

 

--

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Great info Dale!

 

*Smile*

Chris (list mom)

 

Its The Great Pumpkin Progressive Auction!

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Dale Bernucca [dbernucca]

 

 

The thrust of informing women of perineal massage benefits is to help a

laboring mother avoid an episiotomy during the pushing stage of birth.

There are absolutely no 'pros' to having an episiotomy and tons of

evidence for the negatives of having an episitiomy. To begin with every

reason a birthcare provider can give you for why you should have a

routine episiotomy is " absurd on their face " to quote Henci Goer of The

Thinking Women's Guide To A Better Birth.

 

For my part I have worked with so many second time moms that I can be

very confident in saying I have yet to meet a woman who welcomed an

episiotomy and who truly thought it 'saved' her or the baby in labor.

 

Perineal massage has the benefit of stretching the perineum before labor

in order to increase its elasticity. The main ingredient to the massage

being to use a beneficial oil such as olive oil into the perineum and

the lowest part of the vaginal wall. Please remember to wash your hands

and trim your fingernails!! LOL If you can picture it you want to

massage the skin in a U motion, stretching GENTLY. You will feel a

slight burning sensation. This is not a no pain, no gain....please...it

is a no pain no pain type of exercise.

 

More importantly you should realize that many birthcare providers feel

that as long as the perineum is supported doing the pushing stage that a

perineal massage and stretching during second stage is not necessary.

 

In a nutshell, from personal doula experience, perineal massage is

beneficial in helping the mother acclimate to what she will feel in

second stage as well as benefitting the muscle for postpartum care (it

stretches incredibly as baby passes through). Hand in hand with good

perineal support during the pushing stage is an excellent method for

avoiding episiotomies and minimizing any tear that you might incur. It

is important to say might. I've had many more students experience 'skid

marks' from baby coming through than I've had students experience tears.

And of those that experienced tears they were minimal - the largest

requiring 3 stitches. Those that had episiotomies suffered from the

range of yet another 'thing' to take care of during postpartum (how are

you supposed to keep that site dry???) to malodor and pain from mild

infections at the stitches to pain during intercourse and

urinating....yes, that's right...that's going to be a lifetime problem.

 

Hope this helps.

 

Dale

 

 

 

 

 

 

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, " Christine Ziegler "

<chrisziggy@e...> wrote:

> Great info Dale!

>

> *Smile*

> Chris (list mom)

 

 

Yes! That was great Dale, and thank you for sharing. BTW, I'm just

getting ready to start the Henci Gocer Book. Just wrapping up with

Ina May first. :)

 

Getting this information is important to me, because giving birth in a

military hospital overseas means I can't really choose a midwife or DR

that s to my birthing and childcare philosophies - I kinda

get what am stuck with. There are no doulas available here, or a La

Leche League, API, ect. I feel that means I need to be even more

prepared, and be able to articulate what my feelings and needs are.

 

If I were back in the states, I would seriously be considering a

homebirth. But here, that's out of the question. Heck, I can't even

stay home until I begin to labour, but have to go up to Seoul and stay

there alone without DH at 36 weeks. Grr....

 

 

JenB

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Yowzah!! You mean they did an episiotomy and that led to the tear???

 

You poor thing.

 

Dale

-

Serra

 

 

Thanks for posting this Dale--wish I'd known this before my first one, the

tear took 50+ stitches to close and having that done really interfered with

bonding after her birth--I couldn't participate in anything with two doctors

playing jigsaw puzzle...no more, might be TMI.

Serra

 

 

 

 

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Worse--the doctor tried to avoid the cut but pushed me to push instead of

letting the canal relax enough to manage that. He mentioned nothing about

perineal massage either. I ripped in delivery because I didn't know how to

prepare for the event as he wanted. No episiotomy would

have been great, but I needed more info than he gave me to be ready.

Serra

 

 

Dale Bernucca wrote:

 

> Yowzah!! You mean they did an episiotomy and that led to the tear???

>

> You poor thing.

>

> Dale

> -

> Serra

>

> Thanks for posting this Dale--wish I'd known this before my first one, the

tear took 50+ stitches to close and having that done really interfered with

bonding after her birth--I couldn't participate in anything with two doctors

playing jigsaw puzzle...no more, might be TMI.

> Serra

>

 

--

serraangel @ chartermi.net for latest co-op info!

eBay Seller ID jadenhaize

Check out the opening of my eBay store!! Nice stuff and great prices!

http://stores.ebay.com/SerrasSecretSurplus

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