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Anyone *not* do prenatal perineal stretching / massage, and *not* tear? - Page 3

post #41 of 69
Quote:
Originally Posted by onyxravnos View Post
personally i think most people tear because of purple pushing or otherwise not just going with what their body wants to do.
While I would definitely agree this plays a part IME genetics/personal factors seem to be the hugest factor.

My I have had an epidural twice although the second time I wasn't flat on my back. Neither of them was in the position or the rhythm for pushing that I would have been on my own. My second birth I had no pain meds, but still was on a bed (again not laying down though) where I didn't want to be, I wanted to be upright... so not listening to my body directly.

And yet no tears. I should've from a statistical perspective, torn at least with my first. My third was over 9lbs with a large head and again an epidural for birth and no tears even though I "should" have if you just look at the birth variables.

But pushing over an intact perineum my body does really really well I can't really take credit for that, it just is.

Going into labour on the other hand... well... I'm 3 for 3 with having (twice medically necessary, once for prolonged SROM) an induction.
post #42 of 69
Quote:
Originally Posted by onyxravnos View Post
personally i think most people tear because of purple pushing or otherwise not just going with what their body wants to do.
I think it just depends on the person. I've had two homebirths, I pushed however I wanted, and I had a first degree tear with my first and a second degree tear that took forever to heal with my 2nd, and he was a waterbirth. Both smallish babies (7 lbs 3 oz) and no shoulder issues, nuchal hands, posterior babies, etc. I'd love to skip the tearing this time around but I'm not holding my breath. Not doing any perineal massage either.
post #43 of 69
Quote:
Originally Posted by homebirthing View Post
I am actually semi opposed to doing something like perineal massage. Either before birth or during. The potential for trauma seems to outweigh any benefit.
I don't get it. What potential for trauma? We're talking about massage here, it's gentle and you generally do it to yourself...seems highly unlikely to cause any kind of injury.



OP, both of my babies were born 5 weeks early, so I had done little or no perineal massage prior to my births. I didn't tear, but my babies were small, 5#2 and 6#8.
post #44 of 69
I did not tear with my son - he was 8 lbs 3 oz and was a water birth. I birthed his head slowly but I really feel that the water helped.
post #45 of 69
I had a 4th degree tear with my first. I attribute that largely to the episiotomy the doctor performed against my wishes.

The second time around I delivered an 8lb 8oz baby with absolutely no tearing.

In neither case did I do pre-delivery message and stretching. In the second pregnancy, I was even told my an OB (before I switched to the midwives at my birthing clinic) that because of the scar tissue from my first tear, it was almost guaranteed that I would tear again and it would be even worse than the first time. Obviously that was not the case.

I attribute my tear-free delivery to birthing position (hands and knees), unmedicated pushing, and the fact that the midwife and doula placed warm wet wash cloths on my perineum during the ring of fire stage, as well as helped me to breath through that stage so I didn't rush her on out. Would pre-stretching have helped? Perhaps. But you can't really get any better than tear-free... so I'm not too worried about it.

I'd say that if you don't really have a history of tearing much, then you should be fine. How do plan to labor and deliver?
post #46 of 69
I did a little bit with DD1 and had a hospital birth - I had lots of 1st and 2nd degree tears (she was malpositioned and came out weird)

I did none with DD2 and had a home waterbirth with no tearing at all.
post #47 of 69
Thread Starter 
Thanks everyone for all of the replies!

Quote:
Originally Posted by luvmybaby333 View Post
How do plan to labor and deliver?
We are having another UC, with a pool to labor / birth in if I feel the need, which I assume I will! The water was wonderful to me last time around!
post #48 of 69
I had a small internal tear with my first. My perineum was supported by a great OB, no outside tearing. My second's head was born before the doc ever made it in and he did virtually nothing, no tearing at all. I've never done any type of massage or perineal stretching.
post #49 of 69
I hated to perennial massage, and only did it once ever. A slight "skid mark" with DD1 (95th percentile head!) and no tears with DD2 (8 lbs, 1 oz.) I did get two first degree tears from the manual placenta extraction, but still not bad!
post #50 of 69
I didn't do any massage, and I sooo wished I did on the day I gave birth because DS was not. coming. out. I had an awesome midwife who did some hot, moist compresses in the area and was helping to stretch me (I do not know how she did it, but DH was watching and he said it was really amazing) while in labor, which HURT really bad. I ended up pushing for much longer than if I had been a little less tight in that area. Overall, I ended up with a really minor tear that the MW stitched (only 2 stitches) because she figured it was better than scarring. But it ended up being nothing, I didn't even feel it.
post #51 of 69
Didn't do the massage with either children and they came out just fine, no tears and minutes of pushing.
post #52 of 69
My first daughter was born with the assistance of forceps and had a 90% head and I didn't tear at all - did no perineal massage ever.
post #53 of 69
I never did any perenial message or stetching with any of my pregnancies. So far I've never had so much as a small tear with my 5 babies. I pushed for 45 minutes with my oldest and nothing. My next 4 came out with a few pushes. I do think counter pressure and warm compresses helped while I was pushing.
post #54 of 69
I didn't do the massage with my second, but I believe if she hadn't come so dang fast that I would not have torn. If I had been able to "control" pushing, it would have been fine. But she came very, very fast. (I was cut with my first, with my second, my scar tissue opened and I had 2 very small tears aside from the reopening)
post #55 of 69
Quote:
Originally Posted by belchers1 View Post
We are having another UC, with a pool to labor / birth in if I feel the need, which I assume I will! The water was wonderful to me last time around!

In that case, I think you would be absolutely fine to skip it. I'm really of the mindset that your emotional condition and physical position are really what make the difference in cases like these. I'm guessing you will feel relaxed and free to do whatever your body tells you during your labor. Because of that you have a good chance of not tearing since your body will let you know how you should be pushing to get your baby out. (Your body WANTS to get the baby out safely, and with as minimal damage to you as possible. KWIM?) Plus, water is relaxing... and a relaxed perineum is a stretchy one, I'd imagine.
post #56 of 69
I did not do any prenatal perineal stretching or massage during either pregnancy and had no tearing during either birth. First birth was a hospital birth pushing on my back for two hours and a 9 pound baby, second birth was a home waterbirth and a 9.5 pound baby.
post #57 of 69
Never did the perineal massage. The idea of me or anyone pulling on my sensitive parts makes me ill. No tearing with any of the three births.
post #58 of 69
I've had four pregnancies and only tried the stretching/massage with baby #2 because we were talking about it in our childbirth class.

#1- Tiny tear, a few stitches
#2- No tear
#3- No tear
#4- No tear
post #59 of 69
I just delivered a 10 lb. 2 oz. baby 5 days ago. I went from 5 cm. to delivered in 23 minutes. Her head was 14.5" around, and I had an intact perineum. I did not do any massage. She was my 7th delivery. I had a small tear with repair with my first one, but not with any of the others. I think more of it has to do with genetics than anything. Some women get stretch marks to varying degrees, or wrinkle to varying degrees as they get older, and it's just luck of the draw in my opinion. Perineums are no different.
post #60 of 69
no perenial massage here- but tore just abit with #4 (uc) because...I pushed. I am such an impatient woman. I didn't wait for my body to do it.
My biggest baby, 11lbs (uc2) was a bear to get out, but no massage and no tearing. Its amazing how elastic everything is down there!
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