[laboroflovedoula]

get a piece of fabric - pull on it and try to tear it- some fabrics tear more easily- just as the genetics, health and integrity of each woman's perineum is different. but if you take a tough piece of fabric you can make a small cut in it- now pull on it- it tears easily- that is what happens with an episiotomy- it usually starts out as a second degree and then tears into much more.

[mommyndoula]

Originally Posted by laboroflovedoula

get a piece of fabric - pull on it and try to tear it- some fabrics tear more easily- just as the genetics, health and integrity of each woman's perineum is different. but if you take a tough piece of fabric you can make a small cut in it- now pull on it- it tears easily- that is what happens with an episiotomy- it usually starts out as a second degree and then tears into much more.

I am glad I am not the only one who uses this as an analogy when my clients are asking about episiotomies. It takes a concept and makes it something visual for them to understand. I often see light bulbs going off in my classes with this explanation!

[WombToBloom]

An excellent visual example and I think we'll take our lumps on this one. That's why we rely so heavily on professionals! Thank you all so much...moms and moms-to-be will be so blessed once they stumble upon our forums.

[SnowWhite]

Originally Posted by Doula Jenny

I strongly disagree! episiotomy is not the better way to go! an episiotomy can be cut where one wouldn't be needed at all. a mom could have been given a 4th degree episiotomy when if left alone she might have only been lift with a skid mark, when the perineum is properly supported if there is any tearing at all it should be minimal! I have seen many OB's just sit there and let a baby's head just "pop" out instead of using counter pressure and perineal support this is what causes tearing. warm compresses and EVOO are the way to go.


I also wanted to add that both my boys had 14-1/2 inch heads with not so much as a scratch because, I had a crock pot of wash cloths stewing in water, EVOO & grated ginger and a midwife with great support.

I too have attended 1000s of deliveries and this issue cannot be so cut and dried. No one has commented on the individual body involved. What color skin, for example, olive tone skin stretches where as fair / white skin does not. Redheads have the easiest to tear skin. No one is mentioning the difference in perineums either, some have very thick muscles that do not give as readily as well as some perineum are long with lots of space and some are very short. There are too many variables. A side note where I have worked, I have not seen an OB just sit there a let a head "pop" out.

[doulastacie]

The episiotomy is better for the care provider because it is easier to stitch a straight line. Stitching a tear takes skill. I'd prefer to tear myself, and I did, but it was no biggie.

[originsdoula]

I had a personal experience with an episiotomy where I was cut because I was "going to tear." The health care provider was at a Kaiser and he didn't know me from Adam but was sure in a rush to deliver my daughter. She came out with her arm by her face and I watched in the mirror with horror as my episiotomy tore even further and created a 3rd degree tear all the way to my bottom. It took 40 stitches to sew me shut in layers. The next day every single time I would get a movement from gas in my bowel my stitches would hurt. It was horrendous!!! As I healed I swelled up so much that the stitches came apart in the middle of the incision site and left a gaping hole. The advice nurse assured me that it would heal fine regardless and I was never seen for it. Luckily it did heal but the process took far more than 6 weeks.

As a doula now I cringe at the way I was treated and wish I had known then what I know now. My second baby was born at 8lbs, 14 oz and I had a very small superficial tear. It was a very easy recovery. With my third there was no tear at all and I felt great.

The point in all of this is that there can be complications from an episiotomy that last for weeks on end or even a lifetime if the tissue doesn't heal well. I believe episiotomies are for emergencies only. I would never want another woman to go through what I went through. Episiotomies guarantee that muscle and tissue are cut whereas a tear may not go through the muscle and be very superficial and require little to no attention. Birthing in an upright position helps reduce the amount of pressure on your perineum.

While pushing, instead of pushing the head out full force give a gentle push then blow your air out as the baby's head is crowning. Do this over and over, stopping if you feel the burning is too much. My midwife taught me this method and it really works well. The baby's head eases out slowly and your perineum is able to stretch slowly, reducing tearing.

[ashers]

i didnt tear, or have an episiotomy, but i got stitches!! i guess it was their "gift" to my hubby. ha ha. but i would rather risk tearing. if you get an epideral, you will never know, and they fix it the same either way. if not, your body is already focused. you will not notice the tear.

[forwomen]

Originally Posted by WombToBloom

Is it better to tear or have an episiotomy?

Recommendations now state (what we nurse-midwives have known for a long time) that it is best to avoid an episiotomy because it increases the risk of extensive tearing.

[Nicolexx]

Too much helpful information available in this Post ... Thanks for all of sharing this.

[Moontougs]

Buy Azulfidine = Click here = Buy Sulfasalazine
Azulfidine online for lowest prices
Click on price and you will be redirected to our pharmacy.












Related tags:
cheapest no prescription needed Sulfasalazine New Haven
comprar Azulfidine lowest price with no presriptoin
canadian generic Sulfasalazine low prices in usa Kamloops
buy cheapest Azulfidine Vermont
best price Azulfidine 100 mg without prescription
buy cheap Azulfidine generic canadian co no prescription
looking for buy Azulfidine online illegal
purchase low price Azulfidine canada online pharmacy
cheapest buy Ocuflox cheap online no prescription | online order Ocuflox 5 ml generic bands
mail order Sulfasalazine cheap no prescription
how to buy Sulfasalazine generic with mastercard Nebraska
donde comprar Sulfasalazine generic substitute
order Loxapine purchase online from canada | order canadian Loxitane 10 mg generic reviews
best price on Azulfidine cheapest no prescription needed
necesito comprar Sulfasalazine 100mg street price West Valley City
natural Sulfasalazine generic manufacturers
order generic Azulfidine sample packs
generic Azulfidine purchase low price
buy cheap uk Azulfidine cheap overnight
cheapest price for Azulfidine mastercard
indianpharmaonline Azulfidine
where to buy generic Azulfidine purchase online
want to buy Azulfidine cheap generic best price
canadian generic Azulfidine prices of prescription Alexandria
american pharmacies for generic Azulfidine with out perscription Allentown
best price Sulfasalazine online no perscription IL
cheapest price for Sulfasalazine generic price Quebec
overnight delivery of Azulfidine online without prescription reviews
how can i order Azulfidine online no perscription
cheapest place to buy Azulfidine mexican cheap
overnight delivery of Sulfasalazine kansas city
canadian generic Azulfidine online australia
online order Azulfidine buy online no prescription
Scherzo Fórum • Téma megtekintése - cheap Trimethoprim And Sulfamethoxazole american express | c
buy cheap Sulfasalazine canadian for purchase
buying cheap Sulfasalazine cheap generic best price Philadelphia
inexpensive Azulfidine cheap 50 mg Florida
cheapest no prescription needed Sulfasalazine online pharmacy cheap
discount Azulfidine cheapest price
pezeshki.net forum • ?????? ???? - how to buy Kemadrin canada shipping | overnight delivery of