OUCH! Here's the BEST WAYS to Minimize your risk of PERINEAL TEARS during birth!

Рет қаралды 20,285

Күн бұрын

In this video I go over 7 methods that might help you to reduce your risk of tearing into your perineum when you give birth to your baby! As a labor and delivery nurse I have seen my share of severe tears so let me try to help you to avoid them!
Let's talk about:
- WARM COMPRESSES
- LABORING DOWN
- AVOID EPISIOTOMY
- AVOIDING LITHOTOMY POSITION
- USING UPRIGHT BIRTHING POSITIONS, ALL FOURS, SIDE LYING, KNEELING
- SLOW AND CONTROLLED BIRTH OF BABY'S HEAD
- OPEN GLOTTIS PUSHING
- PERINEAL MASSAGE
Say HI on socials!
The Tok: @mama_nurse_tina
Insta: @mama_nurse_tina
**UPDATED, from ACOG (on laboring down): "Collectively, and particularly in light of recent high-quality study findings, data support pushing at the start of the second stage of labor for nulliparous women receiving neuraxial analgesia. Delayed pushing has not been shown to significantly improve the likelihood of vaginal birth and risks of delayed pushing, including infection, hemorrhage, and neonatal acidemia, should be shared with nulliparous women receiving neuraxial analgesia who consider such an approach."
**UPDATED, from ACOG (on water birth): "There are insufficient data on which to draw conclusions regarding the relative benefits and risks of immersion in water during the second stage of labor and delivery. Therefore, until such data are available, it is the recommendation of the College that birth occur on land, not in water"
DISCLAIMER
The information in this video is strictly for educational and informational purposes only. Any and all information available on this channel is intended for general guidance only and must never be considered a substitute for advice provided by your most responsible health care provider.
Although I always do my absolute best to provide you up to date and evidence based information I assume no responsibility or liability for any errors or omissions contained in the content on this channel. This content does not constitute medial, psychological or health advice of any kind.
Always consult a professional in the medical and health area for your particular needs and circumstances prior to making any medical or health related decisions.
#perinealtrauma #perinealtears #postpartumjourney #laboranddelivery #childbirtheducation #pregnancytips #childbirth #perinealtear #perinealmassage #laboranddeliverynurse #birthplan

Пікірлер: 54

@Beeba10 4 ай бұрын

Me: **has never been pregnant and is not currently pregnant** My brain: Make a note of that, that's good advice.

@Tankitha 3 ай бұрын

Same. Someday I would like to have children... but stories of treating make me fear labor a little.

@scarlettstott7570 7 күн бұрын

You and me both, I want to be as informed as possible when I get to this point

@ruthdurfee4439 4 ай бұрын

I'm so grateful to have found your videos. I searched but in the not best places for info with my first. And no one as far as my nurses or ob bothered to tell me the things I needed to know but didn't know to ask. They were all very nice to me but they didn't give me what i NEEDED nevermind what i wanted. Things went very wrong and that only bothers me because had i been better informed and better supported, it may not have. You are doing a great service to all of us who aren't lucky enough to have you in the delivery room! ❤❤❤

@omihossain5236 12 күн бұрын

I AGREE!!! Same in my case.

@thegalexfamily 6 күн бұрын

I had a third degree tear, it took me a year to heal 😭

@bfam7492 Жыл бұрын

Some great tips! Thanks

@KarenKhen94 Ай бұрын

Thank you for all the info I’m studying to become a doula all your videos are so helpful and go into greater extent then the course I’m studying really thank you this information I’m going to use as part of my practice.

@julzrouge369 Жыл бұрын

Great tips, thanks! ☺️🙏🏻

@mamanursetina Жыл бұрын

Thanks for watching!

@phrogcasey 7 күн бұрын

10 weeks till due date, im hoping i can avoid tearing, shes likely to be smaller due to a medication im on so i have my fingers crossed

@natk1105 23 күн бұрын

I'd love for you to talk about labial tears as well. With my first baby i tore both front and back (during the last big push his shoulder got caught coming out and it was too late for me to stop the motion). The perineal tear wasn't nice but the labial tear is the one that has caused me the most discomfort, mostly because it healed a little wonky. I'm about to have my second baby and scared of it happening again! I've tried finding information about this topic but it doesn't seem as commonly talked about as perineal tears.

@erinkimberly4926 14 күн бұрын

This! I had the warm compress on the perineum, so I didn’t tear down, but I tore up all the way. My clit was free hanging and they tried stitching it but they fell out and now I have a split labia and it catches when I wipe or have intercourse. So painful! How do I avoid that?

@clairesanders1456 Жыл бұрын

Thanks Always looking for tips. I’m 36 weeks and need to start the massage !

@mamanursetina Жыл бұрын

Excellent...getting close!

@Littabethy 4 ай бұрын

Just a lil TMI but I've used this breathing technique on the toilet many times. I'm on methadone so I get constipated often so I have to push a lil more to relieve myself in that way. And both ways help but I'm a lil more relaxed when I hum a bit when I'm in that situation. 😂

@Laure__Line 17 күн бұрын

Thank you for all these greats tips ! I am getting married soon, I am not pregnant yet, but we are both a bit worried about the tearing during the delivery process. My fiancé wants to be present. I think I will give him a few tasks to assist with the delivery :)

@LorelleJustice 9 күн бұрын

Why would he be worried? It’s not like he has to feel it or is he just annoyed that he might have to help you more so you won’t be able to do everything…

@mo_lc13 7 ай бұрын

This video makes me want to do a water birth in hopes I don't tear down there....

@mamanursetina 7 ай бұрын

Water births look so lovely ♥️

@SamanthaLeBaron-m2r 12 күн бұрын

Can you be in different birthing positions if you have an epidural?

@evelynjohnson8756 2 ай бұрын

This is tmi but for perineal massage, would it still be functional to reach behind to dodge the big belly entirely? Start with one finger and then go to two to mimic the thickness of the thumb?

@harringt100 4 ай бұрын

Huh. I didn't realize a long pushing phase was linked to more severe tears. I actually kind of thought it was the opposite--that tears tended to be worse if the baby came out fast, with less opportunity to control pushing and let things stretch.

@crystalkitty9746 Жыл бұрын

Random question but what are the pros and cons of giving birth by c-section 🤔?

@mamanursetina Жыл бұрын

Pro, if planned its predictable. And there is no risk of trauma to your perineum which can be intense if its third and fourth degree. Cons are major surgery, major recovery, a scar (though a lot of providers do an amazing job and its not big or terrible), sometimes delay in skin to skin, risk of pain and infection...

@LorelleJustice 9 күн бұрын

LOL when I saw the thumbnail, I read “stop tEars” with your channel, I immediately thought this video was going to be about not crying during labor And then I saw the actual picture and I said nope that’s teArs not tEars 😂😂😂😂

@saragordon313 7 ай бұрын

When i was born the doctor told her to stop pushing and they had to cut so that they could get me out because she was not only tearing but also my umbilical cord was wrapped around my neck and they almost lost me.

@Nocomment552 4 күн бұрын

That’s what happened to me. Both my heart rate and my mother’s was going up. My earlobes are uneven from where the umbilical cord was wrapped.

@montanacurry0915 14 күн бұрын

Tearing was never a fear of mine until I tore with my daughter haha ouch. I hope it never happens again

@justwhistlinpixie 20 күн бұрын

I had a vacuum delivery because my baby had heart decels caused by a nuchal cord. This gave me a third degree tear, which was awful, but I can live with it because it means my baby was delivered quickly and safely. I just hope I don't have another complication and can have less tearing with my current pregnancy's birth. My anus is misshapen from the tear and my doc says I can have surgery to correct it after I'm done having babies.

@de213able 2 ай бұрын

Get an Epi-No! I have done a bunch of research it’s an amazing product. It’s a ballon that slowly stretches you to 10cm. I have to smuggle mine from a family member in Europe because they are banned in the US since it’s marketed as a medical device.

@LorelleJustice 9 күн бұрын

Your vagina or your cervix??

@SY-gf3pp 6 ай бұрын

Thank you for all of this. I’m almost 31 weeks and they’re planning on inducing at 39 (which Indid not want). I have been TERRIFIED.

@ruthdurfee4439 4 ай бұрын

Why would they want to plan to induce you??? Especially before you even reach full term?? Even if you're having multiples this seems like a weird thing to intend to do. I get that you wrote this 2 months ago and you're probably there now! Lol, sorry!

@melissafeds1344 11 ай бұрын

U could buy an EPI NO.

@mamanursetina 11 ай бұрын

I have heard pretty mixed reviews on the epi no from providers. But if it’s something you are looking into chat with them 😊

@krista9054 Жыл бұрын

Can you have a epidural and birth in different positions?

@mamanursetina Жыл бұрын

Absolutely so long as your epidural isn't too heavy. If it is too heavy you can ask them to turn it down so you can move and feel your legs better. I have a short on my page about epidural friendly pushing positions!

@krista9054 Жыл бұрын

@@mamanursetina Thank you! I want to try for baby #2 but the first one was rough so I'm doing my research. lol

@mamanursetina Жыл бұрын

@@krista9054 yea!! Be your own best advocate!

@dianechoi5491 16 күн бұрын

Or hire a birth doula ❤ best advocate and helpers so that way you can focus on the birthing process .

@rac86quel 7 ай бұрын

Would they even let you push a baby out at a hospital not on your back and in stirrups? Seems like that’s how it is

@mamanursetina 7 ай бұрын

Yep that’s very common but absolutely pushing in the position of your choice should be allowed without question. Unless it’s unsafe for you or unsafe for baby. Make sure you voice your wishes, ask them to explain the reasons they are telling you to be on your back and have a strong support person with you willing to amplify your voice!

@Regansaidso 7 ай бұрын

@@mamanursetinacan you do a video about your rights during labor at the hospital?

@mamanursetina 7 ай бұрын

@@Regansaidso That's a great idea for a video. This would really vary hospital to hospital though as some have policies that others dont and what should happen is they should be explained to you and then you can choose to follow policy or you can choose to decline. You always have a right to your own body!

@ekatrinya 4 ай бұрын

I think it completely depends on the hospital. I'm very thankful the hospital I will be giving birth at allows anything. I can be in the water, on a birth seat, on the floor, on the bed etc. Whatever I want. I hear a lot of stories about women physically being forced to lay down on their back and I would rather stay home than go through that 😕

@ruthdurfee4439 4 ай бұрын

@@ekatrinyathis absolutely infuriates me! I absolutely had this feeling with my first, that I was allowed to have wishes but i had to be a "good patient" and be ready to put them aside and do what I was told. My birth went absolutely nothing like i planned, and while I get this is always possible, it upsets me because I feel like it didn't need to be that way. If only I had known then what I know now. I'm 21 weeks now and I'll be dammed if I let it happen like that again! I have a doula this time and I'm taking the classes i should've taken before. Last week my dr made a comment that set off all the bells, one that he probably made the first time too. Last time I heard the message "remember, you're not in charge!" and took it. This time I heard it and switched to a midwife! DO NOT let anyone tell you what you are and aren't "allowed" during your birth. (Obviously without being absurd, like "I insist my 9 pets come to the hospital!"). Your position, your partner, your setting, your blankets, your wishes as far as when baby arrives too! This is YOUR body, YOUR baby and how they first experience the world matters!

@Shadowkat0326 Жыл бұрын

One question: will massage increase the chances of staying stretched out after birth, or will things still go back to normal? These are greatly appreciated! I intended to start the perineal massage with my husband a few weeks ago, but we have a small business, and he's gone quite often, and exhausted when he's home, so I felt bad asking. I think I will ask tonight, though, and get whatever benefit I can, haha. (The baby's due tomorrow.)

@mamanursetina Жыл бұрын

It should go back to normal the same as it should after delivery of your baby. Perineal massage won't stretch it out nearly as much as baby would and it goes back to "mostly normal" after that

@Shadowkat0326 Жыл бұрын

@@mamanursetina Ah, okay. Thanks for the clarification!

@kayhansen9229 6 ай бұрын

I never had any children, but when I was young I went to a famous gynecologist in Houston he was known for his natural childbirth. But the minute he examined me he said it wasn't much bigger than a breadbox in there and I would be a C-section I was small at the time 103 lb and he asked me what size my shoe was I told him but I was dumbfounded I said size 5 1/2 or a 6 later I learned this is an old midwives trick. Small feet small pelvis, anyways I appreciated him telling me that. I now at 66 have vaginal atrophy very bad and I will need to use estrogen cream and dilators if I ever want to have intercourse again. And this is actually very common.

@kayhansen9229 6 ай бұрын

In other words everything shrinks and shrivels up after menopause😢