Tearing During Childbirth
Concerns about tearing during childbirth can be common among expectant birthers.
And while there's no foolproof way to prevent it entirely—unexpected situations like a baby presenting with a hand next to their head can lead to tears—there are strategies to minimize the risk, even for those who have experienced significant tearing or an episiotomy in the past.
As we remember and consider that the body is designed to give birth, we can trust that normally-sensitive areas are made to expand, stretch and allow for the passing of a baby through the vagina. We personally believe that trusting women to move how they need to, breathe how they inherently feel they need to, and not being afraid to support their own perineum where they feel they need it the most seems to be most helpful in preventing tears!
One aspect related to tearing to consider is whether or not you’ve experienced routine episiotomies, a procedure where the perineum and vagina are cut during birth. This practice can lead to more severe injuries, including tears that extend to the anus or rectum.
Emphasizing good nutrition, particularly low glycemic foods, can be beneficial, especially if a previous tear was associated with delivering a larger baby, or a baby who had a hand near the face during delivery. Adequate protein is also essential, as protein is responsible for the rebuilding of tissues.
Factors like your genetic predisposition to having certain amounts of collagen and elasticity in the skin may also play a role!
While the effectiveness of perineal massage remains a topic of debate, the habit of stretching the skin gently using your fingers doesn’t seem to hurt. This preparation not only decreases the likelihood of tearing and the need for an episiotomy but also contributes to a more positive mental and physical readiness for childbirth by desensitizing an area that may not be touched frequently.
When it comes to the birthing process itself, respecting the natural phases of labor is key. Allowing the body to signal when it's time to push, rather than adhering to a predetermined schedule or position, can be crucial. Opting for birthing positions that reduce strain on the perineum, such as upright or side-lying positions, and considering a water birth or perineal support can also be beneficial.
Ultimately, while preparation and informed choices can significantly impact the birthing experience, embracing the journey with all its intensity and unpredictability is part of the process. This holistic approach to childbirth, emphasizing both physical preparation and mental readiness, can lead to a more empowered and positive birthing experience overall.
