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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.
Tears can involve the perineal skin or extend to the muscles and the anal sphincter and anus. The midwife or obstetrician may decide to make a surgical cut to the perineum with scissors or a scalpel to make the baby's birth easier and prevent severe injuries that can be difficult to repair. The cut is repaired with stitches (sutures).
Massage [1] [2] Many types of massage can be used during various stages of labor. Literature suggests light touch or stroke massage techniques may aid in the release of oxytocin, which may help stimulate contractions and facilitate cervical dilatation. Various types of massage may also help soothe and distract from the pain of labor. [12]
3) Take baby steps, staring with the perineum. Before going in, start with a gentle external massage on your perineum (also known as your grundle or taint), which is located between the testicles ...
Perineal protection during the birth of the head [15] 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 ...
Fernand Lamaze visited the Soviet Union in the 1950s, and was influenced by birthing techniques which involved breathing and relaxation methods. [3] The Lamaze method gained popularity in the United States after Marjorie Karmel wrote about her experiences in her 1959 book Thank You, Dr. Lamaze, as well as Elisabeth Bing's book Six Practical Lessons for an Easier Childbirth (1960).
English: Perineal massage Apply oil (baby oil or olive oil) onto the outer labia and between vagina and anus. Use the tip of your thumb to gently massage the inner part of the vagina between 3 and 9 o clock. Apply more pressure and massage for about a minute. Insert the whole thumb and stretch the tissue in the directions of the arrows.
Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal.