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Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by an obstetrician.This is usually performed during the second stage of labor to quickly enlarge the aperture, allowing the baby to pass through.
The midwife would ready her supplies as labor began. During the labor process, the mother would lie on her back on a hard, low bed with support under her hips. Her thighs were parted with her feet drawn up. Gentle massage was implemented to ease labor pains as cloths soaked in warm olive oil were laid over her stomach and genital area.
Perineal protection is an obstetric measure to prevent the perineal tissue from tearing (perineal tear) during the birth of the baby's head or to keep the extent of the injury as small as possible. The midwife (or obstetrician) supports the perineal tissue with one hand as soon as the head stretches.
OhioHealth Riverside Methodist Hospital is the largest member hospital of OhioHealth, a not-for-profit, faith-based healthcare system located in Columbus, Ohio.. As a regional tertiary care hospital, Riverside Methodist is host to a number of specialty centers and services, including Neuroscience and Stroke, Heart and Vascular, Maternity and Women's Health, Cancer Care, Trauma Center II, Hand ...
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