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Discussion Starter · #1 ·
I'm not sure if we have already done a thread on this or not but I was wondering...<br>
Is anyone doing this? Does anyone have any links on the technique? It may be TMI for some of you. I am considering having DH start this soon. Just wanted some info to make sure we are doing it right and see if it has worked before for any of you second time mamas.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lurk.gif" style="border:0px solid;" title="lurk">: I'm pretty sure I have read stuff on a couple of links...if I can find them I'll post. I'm pretty interested, too, so I'm just gonna hang around and see if anyone has some good info!!!
 

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I just did it for the first time yesterday, and um....ouch! It hurt. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> And also? I can *barely* reach down there/around my belly, so I may not be doing it right anyway. I think I will have to have DH do it for me as well. I have a little handout that came with my hypnobabies course but I think it was also mentioned in a couple of my birth prep books (which ones, I have no idea).<br><br>
Basically, wash your hands of course, get some pure olive oil, and use your thumbs to pull out and down until you feel burning or tingling.<br><br>
I'm curious to see whether it makes a difference too. My doula recommends it highly, but I think I read in a Sears book that studies show that there is no difference in tearing between women who do and don't practice massage before birth. So.... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shrug.gif" style="border:0px solid;" title="shrug">
 

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I'm using one gelcap of vitamin E oil twice a week... and not pulling till it hurts!!! Ouch!!! NOT GOOD!!! Just sort of mushing the tissue between my fingers and making sure it's well coated. Everything is so friable (means blood engorged ICYWW) that it's easy to actually damage the tissue if you aren't gentle. My mw said that you don't want to do that especially now because it could INCREASE the risk of tearing. There is lots of conflicting info on the subject... guess you just need to go with what you think is best.
 

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I like your method better, Willemsmama!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> I'm also sort-of hoping for a water birth or at least water labor, so I'm thinking that might help as well.
 

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My midwives, hypnobirthing instructor AND doula are all over the perineal massage, so we're doing it. It seems to really "loosen up" the area; we found it works best if DH does it (I can't reach either) and starts really gently and just works away at it, gradually applying more pressure to stretch the perineum more. It's not the most comfortable sensation, but I listen to my relaxation CD at the same time and focus on relaxing into it and I think that's good practice too.
 

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We're doing it, too- sometimes I do it, sometimes my husband does it for me. We just use a water-based lube. I don't find it painful, and just stretch to the point of pressure.<br><br>
My husband commented the first time that I seemed pretty stretchy already <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> (though he meant it as an affirmation, or a compliment... :LOL )
 

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I think it helps. I did it with my first DS and was quite shocked when I went to go "hook my thumbs" as my MW said and could barely reach down there anymore. DH did it for menad it was a good experience as first timers because he learned my body and what he could do to relax me to help the massage. He's a good man. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> We used olive oil btw...
 

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I didn't do it last time and am not planning to do it this time either. With Nate, the dr. used a ton of oil, supported my perineum, and had me pause a lot with pushing, so he moved down slowly. Despite his head at a wierd angle, I didn't even have skid marks.<br><br>
I figure if a dr. can manage to make that happen, my midwives should be able to do the same. From what I've read, relaxing into the "ring of fire" instead of pushing through it should help.
 

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My mw ended up doing an episiotomy on me last time (with my permission, of course) because I was just NOT stretching. She highly reccomended perineal massage for me this time. She reccomends water-based lubricant (astro-glide was her top pick because its super thin and slippery) and she not to do it till its painful, just till you start to get a "stretchy-burny" feeling and then to back off. She said to start every night at around 36 weeks, but since I'm already showing signs of nearing labor here at 33.5 weeks I may start a bit sooner.
 

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I heard to start around 36 weeks, too and to be gentle with it. My friend (who delivered at a birthing center with MWs recently) did it for two weeks before her babe came and she did not tear at all. The babe was about two weeks early so she had planned to do it for a whole month.
 

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We did it last time although not really regularly. I didn't tear on the perineum (only a little on the top side) but I think that's b/c he was small and born really fast w/o time to stretch.<br><br>
Question- would breaking open an EPO capsule be a good oil to use for the massage?
 

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Discussion Starter · #14 ·
Thanks everyone for the input. I think that EPO would be okay. I am planning to do that too. I think that it is just contraversial when you take it orally.
 

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Can I just use kitchen Olive Oil?
 

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That's what my doula recommends, and I've also read that in a couple of hand-outs.
 

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My mw reccomended astroglide or other water-based lubricant because she feels using olive oil leads to a bigger risk of bacterial growth/yuckiness. She told me, though, that lots of people do use it. I went on a got a bottle of astroglide and know that I'll also use it as lubricant during sex since breastfeeding dries you out... (seriously, first-time-moms, that is the trick comfortable post-partum sex: LOTS of lubricant!)
 

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Good tip. Thanks <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
We've been using olive and almond oils, but maybe I'll go out and get some more, um, site-specific materials. Has anyone used that new "warming" K-Y jelly stuff? That might be good.
 

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KY is a bit thicker and goopier - my mw said she reccomends astroglide because its VERY thin and slippery and doesn't dry tacky like KY does. Personally, I prefer the KY liquid or Silk-E to the KY warming (Can you tell I've been breastfeeding for 16 months now? I've tried them all!), plus since the massage is supposed to get to the "stretchy-burny" sensation, I don't think I want any more heat or stimulation! But, you gotta go with whatever makes it the most pleasent for you...
 

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My mw has a different take on Perineal massage. Rather than pushing it as a way to stretch out the perineum she suggests it as a way to learn to relax into the stretching sensation that comes with pushing. So she wants DH to push down gentle until I say enough, and then have me relax into the sensation. She says if I do relax DH will notice because his fingers will sink further.<br><br>
We're planing to do it, but I've managed not to get to it so far.
 
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