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http://www.drmomma.org/2009/12/perineal-massage-support.html
12) Ask your midwife (or doctor) ahead of time (and have a doula remind them) to perform perineal support if they notice your perineum becoming taught and white from stretching. At this point most midwives would also suggest you just relax and resist bearing down while you give your perineum time to stretch on its own.
https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendation-techniques-preventing-perineal-trauma-during-labour
Oct 20, 2017 · The “standard practice” arm comprised using one hand to support the perineum and the other hand to control the expulsion of the fetal head. Standard practice was also to perform selective episiotomy for certain indications not described in the review.
https://forums.studentdoctor.net/threads/perineal-support-during-delivery.355466/
Jan 19, 2007 · METHODS: At the end of the second stage of labour women were allocated to either the 'hands on' method, in which the midwife's hands put pressure on the baby's head and support ('guard') the perineum; lateral flexion is then used to facilitate delivery of the shoulders, or the 'hands poised' method, in which the midwife keeps her hands poised, not touching the head or perineum, allowing …
http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.13431/full
Jul 24, 2015 · Some are determined pre-labour, like demographic factors, nutrition, ethnicity, level of physical activity, parity, and the size of the baby. There are several intrapartum interventions that can potentially modify this risk, such as maternal birthing position, choice of instrument for operative vaginal delivery, perineal massage, warm compresses, episiotomy cutting policy, and manual perineal support …
https://www.pregnancy.com.au/perfecting-the-perineum/
The perineum is an important part of a woman’s body and it plays a special role during birth. There are things you can do to reduce trauma to your perineum.
https://www.cochrane.org/CD006672/PREG_perineal-techniques-during-second-stage-labour-reducing-perineal-trauma
Jun 13, 2017 · Most vaginal births are associated with trauma to the genital tract. The morbidity associated with perineal trauma can be significant, especially when it comes to third- and fourth-degree tears. Different interventions including perineal massage, warm or cold compresses, and perineal management techniques have been used to prevent trauma.This is an update of a Cochrane review …
https://teachmeanatomy.info/pelvis/areas/perineum/
The perineum is separated from the pelvic cavity superiorly by the pelvic floor. This region contains structures that support the urogenital and gastrointestinal systems – and it therefore plays an important role in functions as such micturition, defecation, sexual intercourse and childbirth.4.6/5
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