Ok ok I get it.. it’s not the most nicest of subjects to talk about and I’m sure you’re all crossing your legs as you read this 😵. But rather than focusing on how horrid this may be or worse still sticking your head in the sand, start thinking about what YOU are going to do about it!!! Because there’s lots of things that have been shown to lessen the tear, and with around 90% of first time mums having a tear that needs sutures, the more you know the more you can do to help reduce them. Knowledge is power after all. One of the biggest fears expectant mamas have about birth is vaginal tears so I thought I’d do a post on a few things that can be done to lessen the tear (number 6. is one that you can do from 34weeks pregnant.)
1. A warm compress. Having a midwife support the area with a warm compress can reduce tears.
2. Position. Pushing on your left side, all fours or semi- recumbent have been shown to have the lesser tears.
3. Communication- Blow and don’t push when the midwife says. This is so baby’s head can be born SLOWLY.
4. Hands on approach. Having a midwife support your perineum again, especially with a warm compress.
5. Did I mention…
6. Perineal massage- Massaging the perineum with your thumbs (or getting your partner to do it) from 34 weeks with some olive oil has been shown to lessen any tears in first time mums by 10%.
These tips are all evidence based guidelines from the RCM or from an a midwife Julie Frolich who made a care bundle which has been shown to reduce tears.
If we’re talking about tears then we need to talk about recovery and healing.
1. Change your pads regularly to reduce infection.
2. Stay hydrated. It’s concentrated urine that may sting your stitches.
3. A high fibre diet will help with that first post natal poo. That’s dates, prunes, bran, fruit and veg.
4. Tea tree in the bath can aid healing. Other than that you can wash as normal but don’t use soap on the area. And pat dry.
5. Arnica tablets can help with bruising in that area regardless of if you have a tear. Have a look in your local health shop for arnica tablets to take during labour and post birth.
Any questions…? Please comment and I’ll do my best to answer them.