Can Tearing of the Perineum be prevented during Childbirth?
Your midwife will work with you to help you birth your baby with as little intervention as possible. One of the best ways to help the perineum (skin between vagina and anus) stretch is to birth your baby slowly. Your midwife will often do this best by using her voice to guide you. Sometimes watching the birth of your baby in a mirror helps you to be in control. Tearing of the perineum may occur during birth. The following are some of the techniques midwives may recommend to help the perineum stretch. • Massaging the perineum: This can be done during pregnancy or during the 2nd stage of labour. It involves applying and massaging oils into the perineum. Studies of perineal massage however showed no difference in the overall risk of perineal trauma. • Perineal Guarding: This involves the midwife applying gentle pressure to your perineum during a contraction. This is usually performed in conjunction with pressure applied to the baby’s head to prevent it from coming out too quickly. • Birth
