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Preventing Perineal Tears: OB/GYN Shares Evidence and Tips About Protecting Your Bottom 

The Doctors Bjorkman
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28 сен 2024

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Комментарии : 496   
@MeeshT
@MeeshT 2 года назад
This is definitely one of my biggest fears about giving birth xD I'm due in 6 weeks so definitely a video I appreciate and that comes just in time for me to be informed, make some decisions, and prep. Edit: I gave birth on the 16th, had minimal 1st degree tears :) still a bit sore but recovering easily
@annasok1251
@annasok1251 2 года назад
Im due in about 6 weeks also!
@JoyfulinHope
@JoyfulinHope 2 года назад
Congrats!!! Well, if this can bring a bit of peace of mind, we have so many blood vessels down there that the recovery is pretty fast. I had 2.nd degree tears and they were not overly painful, it was more like a pressure discomfort. Hoping everything goes great for you and baby ❤ God bless!
@MeeshT
@MeeshT 2 года назад
@@JoyfulinHope thank you! It does bring me comfort - before hearing all the good stories about healing somewhat easily and without too much pain, I only heard the nightmare ones about bad tears and weeks of agony so I seriously started to consider an elective c-section. By now I’m more afraid of major surgery than a little tearing xD
@JoyfulinHope
@JoyfulinHope 2 года назад
@@MeeshT oh absolutely! I'd say a C-section wouldn't be justified at least for me. I know we are all different. But in my case all I needed was time to do my sitz baths and actually trying to go to the bathroom. I did not use a numbing spray postpartum and don't feel like I needed it. As long as you have enough support pp and a freezer full of meals, all you'll want is to enjoy your bundle of joy all the time. You got thid mama!
@clockworkhearts4085
@clockworkhearts4085 2 года назад
I had a second degree tear and a urethral tear. I had an epidural so didnt feel it until it had already been stitched, but it really wasn't that bad. 6/10 on the pain scale when getting up, 4/10 on the pain scale when staying still or moving. by the time I was out of the hospital it was only a mild discomfort. ice packs and pain meds took care of the pain in those first few days. it took a few weeks to heal, but it all healed back together perfectly and sex felt completely normal by 6 weeks. the scar faded really quickly too and stayed completely flat and very thin.
@Karipaige
@Karipaige 2 года назад
I just want to say thank you guys so so very much for having this channel where you talk about real life situations that are completely normal in a "it's not a big deal" type of way because it really isn't! Currently 35 weeks with my first and have been watching your channel religiously throughout my pregnancy! Thank you for making this process easier to go through with your calming but reasurring ways♥️
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
You are so welcome Kari!! And congrats on being almost done with your pregnancy! The exciting stuff is just around the corner. Send you love and luck for a smooth labor and birth!!
@ХристинаХристова-в2ю
I am from Bulgaria and I have recently read an article written by a bulgarian doctor who recomends the use of almond oil for both perineum massage and during the birth itself. According to him it lowers the risk of tearing up to 40% by making the tissues more flexible. I don't know if the info is credible but it doesn't hurt to try, I certainly will.
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
There actually is some data that almond oil is helpful for stretchmarks too!
@ambersmith1176
@ambersmith1176 2 года назад
I had a baby a week before this videoncame out at exactly 39 weeks, (17 was my due date) and I had no perennial tears this delivery or my last! Thank goodness.
@mariesounds9543
@mariesounds9543 2 года назад
Did you have an epidural or natural?
@mzp_honey
@mzp_honey 2 года назад
I met a young lady at work who gave me tips when I was about 2-3 months pregnant to start using olive oil in the perineal area, I did and am so thankful that I didn’t tear giving birth! I think between the oil, having an epidural (making it easier to push) and the way I pushed all helped. Thank you Lord!
@letsgoalready5515
@letsgoalready5515 2 года назад
What way did you push?
@ololadeshadare3888
@ololadeshadare3888 2 года назад
Hi did you start using olive oil as early as 2 months?
@jeanedarc
@jeanedarc 2 года назад
I love their honesty with the peridium massage and the husband not being a fun!
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
There’s definitely more “fun” ways to spend time together… but it was for the team. :)
@trap.princessred3628
@trap.princessred3628 2 года назад
Mine said NOPE . And I didn’t even ask I was just watching this video 💀😂 thank god I can reach myself
@monicataylor7414
@monicataylor7414 18 часов назад
At first I was like wait why not, seems like it could be a little fun time lol then I looked up a demo how to do it and yeah I guess it’s not really that sexy lol
@adreaddtingdisz
@adreaddtingdisz 2 года назад
Tomorrow I’ll be 35 weeks and I’m really worried about tearing 😩 I’m glad I found this video and I’m going to keep trying to find other methods to avoid them. This is going to be my first child 🥺
@mainanawacho5322
@mainanawacho5322 2 года назад
I'm 35weeks and freaking out
@kreiselsina
@kreiselsina 2 года назад
Same!!!
@bergemarie3249
@bergemarie3249 2 года назад
Have you been doing the massages...did you give birth yet? Hope all is going well
@mainanawacho5322
@mainanawacho5322 2 года назад
@@bergemarie3249 I did and I had a 2nd degree tear. I'm still doing sitz baths 1 month after having my baby. It probably could have been worse coz my baby was 4.2kg so I wouldn't discredit this
@bergemarie3249
@bergemarie3249 2 года назад
@@mainanawacho5322 omg.... I wish you a speedy recovery
@lacey2906
@lacey2906 2 года назад
I had a 3rd degree tear, and I had no idea. It didn't hurt during delivery when it happened, and it didn't hurt in the hours after birth. No epidural, completely drug free birth. I was nervous to get stitches, but they numbed me up good and I only felt the first prick. The itching and pinching of the stitches afterwards was uncomfortable, I had to be careful how I sat and got up, but no painkillers were needed other than the initial stitching. So, it's great to prepare against tearing, but also try not to be terrified of it. Fear is worse than the thing itself imo.
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Thank you so much for sharing Lacey! Sometimes not knowing what to expect can cause a lot of fear too, so we hope by educating and hearing experiences like yours women can feel empowered and prepared and fearless!!
@miguin7877
@miguin7877 2 года назад
Thank you that helps alot
@corgimom5626
@corgimom5626 2 года назад
This is honestly very relieving to hear. Thank you for sharing.
@ShiningSakura
@ShiningSakura Месяц назад
I can relate, didn't even know I had a 3rd degree tear till they were talking about the damage after the birth and discussing how to repair and categorize the damage. The pressure of the baby being born masks it all, didn't feel a thing. I did have an epidural mind you, but still didn't feel anything, and they were about to do an episiotomy since our son was 3 hours in pushing labor and his head was too big and my contraction pattern wasn't helping with how I would get multiple in a row and a big long break which would undo a lot of my work. The worst part really is afterwards healing which is uncomfortable, with pulling, pinching, and itching as it heals, but I was able to live fine with pain meds and good hygiene down there.
@AReineyMay
@AReineyMay 2 года назад
I’m sure it’s not a huge factor but our instructor told us to support the baby’s head as it comes out of the perineum to reduce tearing potential
@danielleburns9803
@danielleburns9803 2 года назад
Would love to see a video on birthing positions. And also positions to help with managing pain during labor.
@emilyhogg6941
@emilyhogg6941 2 года назад
I would love more specifics on the perineal massage! How often, where to massage, whether to use an oil/lotion, etc! Thanks for all the great info you guys provide!!
@yaniwet
@yaniwet 2 года назад
Yes, please!!
@joytsai8050
@joytsai8050 2 года назад
Same! That would be great
@sunshineasare285
@sunshineasare285 2 года назад
There you go ladies. Have a safe delivery
@Dove.Love.
@Dove.Love. 2 года назад
There's a brochure in the notes. Has answers to all your questions.
@micliltang
@micliltang 2 года назад
Massage frequently after 34 weeks begins until birth, anytime you massage an area always use a skin lubricant such as oil/ lotion.
@katiemurphy3601
@katiemurphy3601 2 года назад
For anyone who's pregnant right now...the first 2 babies I tore but my 3rd I didn't! Here's what I did different: My first baby came out with her hand over her head. Couldn't really prevent that. But I was laying flat on my back and that didn't help. Tmi but tore internally. Second baby was on my hands and knees. That relieved a lot of pressure! Still tore some. I tried pushing too hard and didn't wait until a contraction to push. Third baby the midwife put a warm washcloth compress down there while pushing and that made a WORLD of difference. I didn't use pain meds but still didn't feel the "ring of fire" because the wash cloth was so relieving. I also pushed on my hands and knees, and waited for a contraction for the final push. She also came out with her hand over her head like her sister did, but still no tearing at all and I recovered very fast. Maybe this will help even just one mama. ❤️
@AvatardSwag
@AvatardSwag 2 года назад
I'm not pregnant, but as someone terrified of tearing, this helps a lot! Thank you!
@jacquelyn6799
@jacquelyn6799 2 года назад
I am due in a few weeks with my third! I tore with my first two as well. I honestly thought everyone tore when they gave birth 🤦 I'm hoping to try these tips and fingers crossed no tearing this time🤞
@evam4182
@evam4182 2 года назад
Thank you! I’m due in a few weeks and I’m terrified, especially for recovery 😵‍💫
@preciousgem881
@preciousgem881 2 года назад
Thank you for your comment. I tore the first 2 times as well. Currently pregnant with my third. Fingers crossed!
@prayersponytails6227
@prayersponytails6227 2 года назад
Yes, I second the warm cloth compress! I’m pregnant with baby #4 and have had 3 unmedicated labors, tore with 2, and I still get a little nervous about tearing.
@timtamtoni5037
@timtamtoni5037 2 года назад
"I'm not having fun, motherhood sucks." The thesis statement of post delivery body maintenance. 😂
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Always trying to keep it real over here. :D
@suseq949
@suseq949 2 года назад
@@TheDoctorsBjorkman That’s what we want; reality, not fluffy feel good non helpful nonsense. TY.
@sarahmestiri1855
@sarahmestiri1855 2 года назад
I had a 3rd degree tear in my 1st pregnancy. They did episiotomy. I was in shock! And the recovery wasnt easy at all... hoping this time with my team of midwives, we can work together to prevent it! They told me about the warm cloth and perenium massage.
@tmichell1128
@tmichell1128 2 года назад
So nice of you to share such an intimate experience! I’m first time pregnant and been watching all your videos! Thank you so much for the excellent content!
@teamgumatay496
@teamgumatay496 2 года назад
I am currently 34 weeks pregnant. Thanx for the tips. I will try the perineum massage and hope it helps limit the tears. Thanx..new subscriber here
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Congrats on your pregnancy and welcome to our channel! We are so glad you are here! The perineal massage is definitely a little awkward at the beginning but hopefully it helps and gives you confidence that you can absolutely be ready for labor!! You are so close!!
@sueylove9750
@sueylove9750 2 года назад
I really wish this video was out before I gave birth 😢 I got a 4th degree tear last year as a FTM. I was rush to the OR before serve swelling. I honestly never knew about the degrees of tearing. I am 7 month pp. doing well but weak pelvic, so I’m doing pelvic floor exercising. Thank you guys for this video !
@wingolamo
@wingolamo 2 года назад
When I saw the thumbnail for this in my feed, I saw "Prevent Tears During Birth" and my first reaction was, "Is this some new trend? Trying not to cry while giving birth?! Good Luck with that!" LOL! 😀
@ashtonlong2485
@ashtonlong2485 2 года назад
I got super lucky and only needed on stitch but my daughter is also only 5 lbs 13 oz. My doctor did massage me the whole time so I’m sure that helped. I’m 1 week postpartum and feel great.
@racheleirich
@racheleirich 2 года назад
i have seen evidence to suggest that a “hands off approach” (i.e., not touching or trying to support the perineum during birth) is actually less risky for tearing. a study from this year (2021) by Pierce-Williams et al. titled “Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: a systematic review and meta-analysis of randomized controlled trials“ in the journal of maternal-fetal and neonatal medicine found this. unsure about the impact factor of the journal but it seems well done.
@dawnnelson7876
@dawnnelson7876 2 года назад
Yes I was confused when they suggested the p. massage bc I'd been told it can actually increase risk of issues. I had 2 kids and no perineum tears. I did however have a small vaginal tear each birth. So much conflicting information either way! The 1st time I pushed while laying down(as told) and needed stitches. With my 2nd I was squatting and did NOT push and had a very minor tear that didn't need stitches.
@sukanyabasu8164
@sukanyabasu8164 2 года назад
Study references only perineal pressure during active stage of labour. So I think perineal massage in the weeks prior to labour might still be helpful, haven't looked up those studies though.
@mercymuriuki8404
@mercymuriuki8404 Год назад
I wish partners would be open about their relationship the way they are.Sometimes it's tmi to the world but you should be like that with your partner💓Much respect💚
@tablet6655
@tablet6655 2 года назад
Am I the only one who read "tears" and thought: How could you not cry while in labor? Before realizing it was the other "tears"?
@KatyaFL
@KatyaFL 2 года назад
You guys didn’t talk about drinking red raspberry leaf tea & using coconut oil for massaging. I would love more info, especially on the tea. Thanks, everyone.
@polarbarr21
@polarbarr21 2 года назад
Cajun Stork Midwife Kira has videos on Red Raspberry leaf tea. It’s recommended for 2nd trimester and third. In third, 4 cups are recommended to help prepare the uterus for labor. There’s also capsules if you don’t like the tea. The tea will tone the uterus like exercising other muscles to make it stronger and reduce postpartum bleeding. It may not help everyone, but it will not hurt you.
@KatyaFL
@KatyaFL 2 года назад
@@polarbarr21 Thanks so much! I found her video 💜
@lisasteinhauser6293
@lisasteinhauser6293 2 года назад
I love you guys! Your channel helps me with my pre delivery anxiety. Science rocks!
@Rheasaha
@Rheasaha 2 года назад
I had a third degree tear with my first born and 3 years later pregnant with my second one and considering c-section. 3rd degree was brutal and traumatizing.
@yanababinov6953
@yanababinov6953 2 года назад
Oh my I could relate, I had third degree tearing 😢 also , it was awful . Recovery was 6 weeks 😪
@lucygoosie7726
@lucygoosie7726 2 года назад
My cousin had a 3rd degree tear with her first (a little 7lbs girl) then during her second pregnancy she got gestational diabetes and her son was over 10lbs (he came out looking like a chubby 3 month old) and not a single tear! She just took it slow and her body knew what to do and it stretched to accommodate. So tearing one time doesn’t mean that you’ll tear every time.
@Kaykay-pe7tm
@Kaykay-pe7tm 2 года назад
The most important step for no tearing...no interventions. Doctors need to stay out of the pushing stage. Coached pushing causes more tearing than anything.
@ninana143
@ninana143 2 года назад
This is crazy. Jenn Im (on youtube) didn't even KNOW she had a tear (1st time mom) she ended up in the ER a few days after birth due to the extreme pain!! There they found out she had a tear and she needed stiches!😱
@Rundiamir
@Rundiamir 2 года назад
I have been watching her videos for over 10 years...I didn't see her mention this story? Which video was it? I remember her mentioning which degree tear she had
@BoT001k
@BoT001k 2 года назад
Video starts at 5:10
@GinnyK101
@GinnyK101 2 года назад
I had 2nd degree tear with my baby. My stitches split and the doctors in my hospital do not go back in there to re-stitch because they said they could trap a possible infection so they let me go home with a gaping perinial wound while I was bleeding postpartum. I cried every day as walking and going to the toilet were painful for over a year. I kept going to the ER to have them check why I wasn't healing. They said I was healing and that I have granulation tissue. This tissue was red and raw. After dozens of visits to the ER and many courses of antibiotics to 'prevent' infection, I was reffered to a perinial specialist who did 6 treatments of silver nitrate to burn off the granulation tissue. So it took me a year and a half to be fully healed and recovered from that.
@amaraedie2983
@amaraedie2983 2 года назад
My boyfriend was rubbing my feet (37 and a half weeks pregnant) and when she was talking about how the vagina is made to stretch for baby he goes “so it’s like a snakes mouth”😂😂
@michellean893
@michellean893 8 месяцев назад
I’m so happy I saw this because I was planning on buying an epi-no device! Great advice here
@TheSydrit
@TheSydrit 2 года назад
Thanks for the video and very helpful information. Am 34 week now but am a little nervous about child birth.
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
It is SO normal to be nervous. I'm an OBGYN and have delivered HUNDREDS of babies and I was nervous!! Talk to your mom and sisters and friends who have had babies so you know what to expect--that always helps me. And know that you CAN DO IT. Your body is amazing. So trust your body and the team that is delivering you and you will have a great birth.
@Aertistic
@Aertistic Год назад
My mother had an episiotomy with my older brother and the doctor cut so far down that it actually cut her sphincter muscle. This was back when episiotomies were much more common. I'm terrified of that possibility.
@Sunshine-tw3tz
@Sunshine-tw3tz 2 года назад
First kid… I tore horribly! So painful, especially afterwards. But… with my second, I inserted primrose oil pills vaginally for about 2-3 weeks before due date… no tears. I’m currently pregnant with my 3rd kiddo, so I’m going to do the primrose oil again
@drmrsleoninwosu8130
@drmrsleoninwosu8130 Год назад
Pls were can primrose oil be purchased
@Sunshine-tw3tz
@Sunshine-tw3tz Год назад
@@drmrsleoninwosu8130 At any drugstore, Amazon, Walmart. It will be where the vitamins/supplements are in the store
@GegeP1804
@GegeP1804 Год назад
@@Sunshine-tw3tzwell thank you for this tip. I’m going to try it closer to the due date.
@XenyFairy
@XenyFairy Год назад
@@GegeP1804did you try it ? How did it go for you?
@GegeP1804
@GegeP1804 Год назад
@@XenyFairy so I did try it, actually ingested it. I dilated pretty fast etc. The hospital kept asking me if I took a laxative such as castor oil and I told them about the primrose oil, they told me that I shouldn’t have taken it blah blah. I would stick to inserting it vs ingesting but it did work. I took it along with the tea (forgot the name) unfortunately I ended up with an emergency c-section :/ because baby was in distress m. Overall I dilated 6cm in 12 hours before c-section
@chibolita1974
@chibolita1974 2 года назад
first time mom here, i’m 35 weeks and i’ve recently experienced my first yeast infection which i heard is super common during pregnancy. The symptoms have me traumatized!!! The swelling, the dryness, the pain everything just has me so nervous. My vaginal area hasn’t felt “back to normal” ever since and i’m so stressed. I hate the way my vaginal area feels 😢
@littlegirlblue9829
@littlegirlblue9829 2 года назад
Take some probiotics (the kind meant for feminine/vaginal health) and douche once with water mixed with a small amount of peroxide, immediately followed by a second douche of melted coconut oil. Your vagina will be good as new.
@Butterflyhearts23
@Butterflyhearts23 2 года назад
Do not douche, first thing to take into account is how much bread and sugar you are consuming. If you can take a break up until your due date and drink a gallon of water and have at least one to two garlic cloves a day. Along with a prenatal probiotic it will help go away. A yeast infection is exactly what it sounds like, to much yeast in the body. So you become infected due to an overflow or imbalance of yeast in the body. Follow those tips.
@Mamaisawake
@Mamaisawake 2 года назад
Id love some information on risks for peri urethral tearing. Everything I read is on perineal tearing. The healing was so slow compared to what I hear about recovery from perineal tears. I’m nearing birth again and this is honestly my biggest dread for the whole birth experience.
@soundsaboutright1004
@soundsaboutright1004 2 года назад
I’m currently 37 weeks with my second. My first birth left me with a very small tear and only two or three stitches.. but he wasn’t a big baby by any means. So I’m nervous with baby number two cause she’s already bigger than her brother. But I’m hoping for the best.
@meluvfriends
@meluvfriends 2 года назад
This was so informative and great so I hope this isnt taken the wrong way. I laughed right out loud at Kurt a few times. Some of the times you're talking his face just looks so concerned LOL it was so funny. I think hes pretty happy to not be a woman after this one 😉😂
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
So glad this was helpful for you! And glad to hear we helped bring some laughter to your day (even if it was unintentional). :)
@suseq949
@suseq949 2 года назад
I noticed that too! But, good that his brow was furrowed in concern .. Because it is serious business, and tears and poor repairs can negatively impact a woman’s quality of life. Nice that Kurt is empathetic.
@ehussain88
@ehussain88 2 года назад
Hi there, thanks for all your videos! My husband and I find them SO useful! I had a question about pushing techniques with an epidural. Any recommendations or resources?
@drleneplant
@drleneplant 2 года назад
I'm one year post partum and just found out I'm pregnant again. I had a 2 degree tear which still hurts. Just thinking about pushing another baby makes me consider a C-Section but I'm going to apply these tips and talk with my obgyn about it!! I also heard filling condoms with water in the freezer help for postpartum
@kortneyhepting5069
@kortneyhepting5069 2 года назад
What do you do with the condoms then?
@sarahwhitman1026
@sarahwhitman1026 2 года назад
I’m pregnant with #2 going for VBAC, my c section was absolutely horrible recovery was extremely difficult
@TheBooty28
@TheBooty28 2 года назад
In some hospitals you just have no choice in the end. Things just happen. I just feel like women were designed to have babies. After thousands of years we are still having this as an issue. We are clearly doing something wrong. Animals seem to give birth without any issues. Maybe our birth processes are too artificial. I have heard that getting epidurals actually increase the chances of tearing because you are out of touch with your body. In the past women had alot more kids than we did one after the other. I feel like there is something we are doing wrong. Tearing should be preventable and no vagina should have to be cut open. The fact that doctors are starting to say this now means there are things we are doing wrong now that will also be abolished in the future.
@Bold-Math
@Bold-Math 2 года назад
It totally makes sense that the epidural increases the chances of tearing for the reason you say. Notice that these studies about massage and birthing positions were done mostly on women with epidural so they do not really tell much. OB/GYNs are not trained enough on natural birth so it makes sense that so much is missed around it. When an OB/GYN uses epidural and tears herself it makes it look like women are doomed to tear and to not be able to have a normal natural birth. Not to mention the effect which birth has on breastfeeding. This is not an attack on her, she seems very nice. I just wish there were more efficient ways promoted by specialists to minimize pain during childbirth and prevent tears.
@vanderbam2741
@vanderbam2741 2 года назад
Well tearing is probably a natural part of the process too. In many women it would have healed fine and others would have died of infections. Also humans have an issue with birthing efficiently because our babies' heads are enormous in proportion to our pelvis, because our brains are so large. But yes a good medium of natural process and medical support is essential.
@KEKrato
@KEKrato 2 года назад
@Dominique Monay Historically, a lot of women died in child birth, so I wouldn't say their methods were better
@yeeefaaan9627
@yeeefaaan9627 Месяц назад
Could it because in the past tearing was also common but without internet we don’t know about other people’s experiences as easily? Giving birth used to be very dangerous.
@anyah.3194
@anyah.3194 2 года назад
What is the massage like? I thought we were getting details?
@sadia5790
@sadia5790 2 года назад
Doctor I am taking Metoclopramide And I am 12 weeks it realy help me a lot with vomiting and nausea is it safe for the baby
@lucyreds1917
@lucyreds1917 2 года назад
Can you do a video talking about placenta previa? Thank you!
@hypnoteapot
@hypnoteapot Год назад
I feel that people are a little too afraid of tearing for what it actually is. I got 2nd degree tear on my perineum and it healed in like 3 days... it's a bit sensitive when you sit down but it really isn't that big of a deal. Unpleasant, sure, but not worth obsessing over it for months prior to birth.
@kingasandi4860
@kingasandi4860 2 года назад
Thank u for the video 🙏🏻. Can u pls talk about the phases in labour?
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Hi Kinga! Yes--we covered that and talked all about labor in this video ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-pSQlV5XAZqQ.html
@veet7530
@veet7530 2 года назад
Will you do an updated video of what items you used after having the baby? Did you like the munchkin pail?
@pemachoden6369
@pemachoden6369 2 года назад
I am 37 weeks now , is it late to start having perineal massage. Wasn’t planning before but now I want to after watching your video.
@BD-ez9si
@BD-ez9si 10 месяцев назад
My doctors always did an episotomy ...I never tore.. They cut me ahead of time and then stitched me up.
@sandrajones8245
@sandrajones8245 2 года назад
Nice and very informative video, I just read one person is interested in finding out more about the massage technique, which I second. And does age make difference? I'm 36 and may have first child, my brother who is 25 (same for his wife) has already had their first child but I'm not sure if she suffered any lacerations. I don't think she did since the baby came out whilst she was still at home (I think, I'm about 90% sure this happened).
@chezzaluna
@chezzaluna 2 года назад
So the hot towel in movies was actually grounded in good theory. Neato.
@kisa_yuki
@kisa_yuki 2 года назад
can you do a video on water birth?
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
We will add this to our list of video possibilities for the future! Thank you so much for watching and for the suggestion. :)
@neurotika
@neurotika 2 года назад
I never received any advice and I too had a second degree tear. I don’t have leaking, though when I have to pee I sometimes have trouble holding it till I sit down, but I had that prior and I know a large part of it is a mental thing. The part that still bothers me is that my postpartum care was not adequate. I really felt dismissed and my ob was no longer there by time my appt came around. I’m pretty sure I didn’t heal well- I I think there’s some sort of vaginal prolapse occurring. My son is 5 now, I’ve only had one child. Intercourse can still sting (and even cause some tiny bleeding at times) and I think it’s from micro-tears along the scar. I’m definitely self conscious about it. I loved being pregnant, but the nightmare that was giving birth and post-partum misery has put me off of ever having another baby.
@kjlucky6501
@kjlucky6501 9 месяцев назад
What does he mean he “wasn’t excited about it” and “wasn’t a big fan” of the perineal massages? What’s hard or so unenjoyable about them? Her organs are rearranging themselves, her skin is stretching, her back is supporting more weight, her hormones are causing physical and mental changes, she’s likely experiencing nausea, pain, fatigue, for almost a full year and at the end of it all, she’s having something rip through her body leaving and internal wound and possible an external one as well leaving her in pain and discomfort for several weeks to months and having to wear a diaper and use a squirt bottle every time she pees all while taking care of and nursing a needy newborn that has to eat every 2-4 hours.. and he’s “stepping up” by inserting his fingers into her and helping the muscles stretch for like 4/5 minutes? What?
@elizabethselby6687
@elizabethselby6687 2 года назад
Have you ever delivered a baby born in call? (meaning the placenta hadn’t ruptured)
@Krmcgchy
@Krmcgchy 2 года назад
I hope this helps second time around. First time around I can't remember the term they used, but I didn't have one tear from the vagina I had multiple small tears everywhere.
@sapphirel3846
@sapphirel3846 2 года назад
I'm 31 weeks preparing for the unknown 🥺🥺🥺🙏🙏
@atif7865
@atif7865 2 года назад
Thank you for this great channel. Can you please comment on hemorrhoids and whether there is a risk of rapture during labour?
@paulenenistal
@paulenenistal 2 года назад
Omg! Same issue with me so double the worry😫😫
@Nova-ez7cz
@Nova-ez7cz 2 года назад
Can you suggest workouts/moves for diastisis recti afther birth?
@drzenkobilas7770
@drzenkobilas7770 2 года назад
Keep walking lots.
@TheGyrosgyros
@TheGyrosgyros Год назад
Who's gonna aply the warm compress in the final stage of birth? I'm sure the doctor won't be happy if my husband covers everything with a worm cloth...I really wonder how to do it?
@entirelybonkers8832
@entirelybonkers8832 11 месяцев назад
Usually the doctor will do it or have their own preferences it’s best to ask them
@anonymouse755
@anonymouse755 2 года назад
There are also so many cases 9f doctors like you interfering and cutting to "prevent" tearing when really you should just leave things to the midwives...
@ap3008
@ap3008 11 месяцев назад
Ok…question: what if you have hemorrhoids and get tears or an episiotomy? How bad that would be if you got a 3rd or 4th degree tear? Thanks!
@yaniwet
@yaniwet 2 года назад
Thank you for this video!! What do you think about evening primrose oil in capsules that you break and insert in the vagina? I see a lot of RU-vid moms saying they do that and I wonder if it has any science behind or if it’s safe? Thank you very much!!!
@codename495
@codename495 2 года назад
Don’t put that shit in your vagina. Don’t use RU-vid clog moms as advise for ANYTHING.
@Christina-xc7on
@Christina-xc7on 2 года назад
Generally nothing foreign needs to go into the vagina, I think that has more potential to hurt than to help!!
@Reignandjay
@Reignandjay 2 года назад
Midwives have videos about this saying that it’s pretty safe. Personally I used it starting at around 37 weeks I believe & it helped my cervix ripen so fast & so easy! My labor was relatively quick & it helped moisten my inside walls & prepare me for pushing! I only pushed for around 10 minutes(: but to each their own, always consult your doctors before doing anything 😇
@michellepuentes6877
@michellepuentes6877 Год назад
Can a rectovaginal fistula be repaired during pregnancy?
@AliceAndTheQueen
@AliceAndTheQueen Год назад
Is there any studies on the size of the flaps? small vs large, are you more or less likely to tear if they are small or big?
@entirelybonkers8832
@entirelybonkers8832 11 месяцев назад
If you mean the labia that wouldn’t have any effect on tearing
@rachellapidot6098
@rachellapidot6098 Год назад
The whole pregnancy I did a perineal massage wasted so much money and time and I ended up having an emergency c section 😩😭😂
@hvick075
@hvick075 2 года назад
My OB GYN (who is also a pelvic floor surgeon) says that perineal massage actually increases the risk for tearing by creating inflammation in the tissues leading up to birth 🤷🏼‍♀️
@hvick075
@hvick075 2 года назад
She said that little pushes at that final part of delivery was much more important.
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Control at the end is SO VERY IMPORTANT!! We’d be curious to see if she has any data or research to back up her thoughts on perineal massage. It’s an interesting line of thought.
@Elizabeth-gb2tk
@Elizabeth-gb2tk 2 года назад
What do they recommend to prevent tearing?Tearing? Aside from little pushes?
@kattwin1
@kattwin1 Год назад
Unfortunately I'm seeing this video too late. Note: I'm writing this reply without having watched the entire video. Anyway, I gave birth two weeks ago (foreceps), and my second degree tears are still as painful as they were right after birth. Oftentimes I just start crying because I'm so limited in what I can accomplish each day because of the pain....I sometimes wonder if they're really second degree, or worse. I have stopped taking Tylenol days ago to help with the pain because I hate the idea of passing along any medications to my baby in my breast milk. I honestly am desperate for healing and relief. I spray water to cleanse after using the bathroom, pat gently dry, and then use Dermaplast spray to help with pain and itching. What else can I realistically do to heal faster and get back to normal?? 😥🙏
@jelennyburrel4819
@jelennyburrel4819 Год назад
I heard sitz bath with epsom salt and lavender essential oil is supposed to help
@bblumchen1064
@bblumchen1064 Год назад
I gave birth one and a half years ago. I really did those perineum massages as early as recommended. Guess what broke during birth? everything else but the perineum, i.e. my labia and my vagina tore. great.... next time I'm going to massage those areas as well. 😅
@Msrainbowzebras98
@Msrainbowzebras98 2 года назад
I did perineal massages & my midwife placed a warm washcloth on me too while I pushed, I had a very minor tear that didn’t require stitches & didn’t even know of until she told me. Totally recommend it!
@katiemurphy3601
@katiemurphy3601 2 года назад
The warm washcloth was the best thing ever. 😆
@karamcqueen7063
@karamcqueen7063 Год назад
Avoiding pushing too hard & too long. I eventually got an epidural with my daughter so I couldn’t feel the contractions coming and the nurses coached me when to stop to breathe and I didn’t listen. I just kept on pushing hard for a very long time. I tore a lot down there but recovering wasn’t so bad but just giving you a ladies a heads up on what not to do lol.
@NYCHICLIFE
@NYCHICLIFE 2 года назад
I was side lying and didn’t tear. My epidural was so strong and couldn’t feel anything and so my body pushed the baby on its own and crowning naturally. So by the time i pushed once my perineum stretched and baby was out in one push.
@NYCHICLIFE
@NYCHICLIFE 2 года назад
So 5 weeks postpartum with baby number 2. Was induced again this time 36 weeks last time 37 weeks. I pushed on my back and did not tear. Labor was 2 hours from start of pitocin and water breaking to baby. First time it was 4 hours. Made sure to control my breathing and pushing during crowning and had a mirror.
@alllllleeexxxxxxx
@alllllleeexxxxxxx 2 года назад
This was a fantastic video! I suffered a 4th degree tear 18 months ago with my first child and I wish I would have been able to see this video prior. Currently 20 weeks pregnant with #2 and going to try perineal massages in 3rd tri but I suffer a little ptsd from my tear and recovery and the thought of a perineal massage makes me a little sick to my stomach. Could you cover that a little in your next video? For any pregnant women who are scared of severe tearing, this is just my experience but I healed quicker than I would have though and made a full recovery after a few months. With nothing to compare it to, my experience wasn’t really that awful. I did see a pelvic floor physical therapist and I believe that aided in my recovery immensely and would highly recommend.
@pichichisosa3110
@pichichisosa3110 Год назад
How long did it take for you to recover from your 4th degree tear?
@Onikaannbeautiful
@Onikaannbeautiful 2 года назад
I had no tearing which I 100% give credits to my midwives for! they used warm cloths and some kind of oil on my perineum the whole time I pushed
@jonesfamilyfarms9325
@jonesfamilyfarms9325 9 месяцев назад
Just popping in to say that I’m 5’2, 130 pre-pregnancy and have birthed 7-8lb babies. I haven’t torn at all, and I’ve been using red raspberry leaf tea from Pink Stork and taking evening primrose oil vaginally and orally. I told my sister about it and she started it at 28 weeks- just had an 8lb baby with the biggest head I’ve ever seen on a baby and she didn’t tear either!
@hbc2k11
@hbc2k11 9 месяцев назад
Ive been hearing about EPO. Thanks for sharing!
@morganchapman2150
@morganchapman2150 2 года назад
I had just turned 16 when I had my Daughter. She's almost 9. When I was in labor just before starting pushing, maybe around 7-8 centimeters dilated, my mom was talking to the mid-wife and was like "pleas cut her, don't let her tear". That mid-wife said "oh don't worry none of that will happen". She came back with a GALLON of Bertolli olive oil! She started pouring it all over my lady bits and went to town. My mom said it looked like she was kneading bread 😂 but guess what? I didn't tear and she didn't cut me. I didn't tear during my 2nd birth either.
@stephanieguthrie5186
@stephanieguthrie5186 2 года назад
Thank goodness for that midwife and olive oil. Also my doctor cut me and it was horrible healing process. I still tore. Stupid doctor.
@dvmjess
@dvmjess 2 года назад
That’s it I’m bringing the Bertolli to my delivery lol 😂
@kimikojade
@kimikojade 2 года назад
NOTED! PACK OLIVE OIL IN HOSPITAL BAG 😆
@byJessCh
@byJessCh 2 года назад
Im due next month, gonna include my extra virgin olive oil to the hospital bag 🤪
@hollydaugherty2620
@hollydaugherty2620 2 года назад
Tell us you didn’t give birth in an actual hospital without telling us. 💀
@sagethewitch1952
@sagethewitch1952 2 года назад
Your MD husband wasn't excited to help you not tear?
@KJxxoo
@KJxxoo Год назад
I’ve had 4 babies... never did any “prep”. I only ever had 1 tiny tear with the second, and i believe that was because I went crazy with the pushing and I was on my hands and knees. The other 3 I had more controlled pushing and was on my back. I believe it’s more to do with allowing the baby’s head to slowly stretch things out as they are being birthed. But that’s just my belief based off my own 4 birth experiences.
@chililow
@chililow 11 месяцев назад
What do you mean by controlled.pushing? ?
@monicataylor7414
@monicataylor7414 18 часов назад
That’s what I keep seeing people say, that they tear mostly when they rush pushing. I didn’t tear at all with my first but I pushed for 1 1/2 hours and my doctor was very patient with me while baby’s head was crowning
@rileymccollister
@rileymccollister 2 года назад
I freaking love you guys. I found you when you just started out and was pregnant at the same time as you! Very helpful!
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Awww thank you so much!! And hope your pregnancy went well and motherhood is being good to you! It's a wild/exhausting job but it's pretty darn great. :)
@suseq949
@suseq949 2 года назад
I’m glad you mentioned the fact that the stitching/repair should not be painful. In too many cases the doctor doesn’t numb adequately or even at all! It’s unconscionable. Please remind women and emphasize this whenever you can during your videos.
@cornishtea32
@cornishtea32 2 года назад
I'm 6weeks postpartum and I had 2nd degree tear. They numbed me but when he got to stitching my perineal skin, I felt everything. It hurts so bad. And my healing has been rough from feeling pain on the area to getting an infection and needing antibiotics.
@suseq949
@suseq949 2 года назад
@@cornishtea32 That’s really awful. So sorry you are going through this; hope you’re healed and feeling good soon. It stinks dr couldn’t stop and inject more local anesthetic. I do not understand why they keep going when their patient is in agony.
@myrkaortiz1268
@myrkaortiz1268 2 года назад
Can you please make a video going more into detail about perineal massage? How often, what products to use, how to do it? My boyfriend and I would love more info so we can do it properly when it’s time!
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Hi Myrka. Here is a link to a guide on how to do perineal massage--there are pictures! Everything you want to know is at the bottom of page 2 into page 3!! www.royalberkshire.nhs.uk/media/d0mimkeu/preventing-perineal-tears_sept21.pdf
@4theFaith
@4theFaith 2 года назад
To the female OBGYN, your thyroid looks enlarged. You may want to get that checked out. Please bump so she sees this!
@Ilhamfeb23
@Ilhamfeb23 Год назад
Yes I do notice it too. Sarah pls get it checked out.
@4theFaith
@4theFaith Год назад
@@Ilhamfeb23 She has responded that she has gotten it checked :)
@Ilhamfeb23
@Ilhamfeb23 Год назад
@@4theFaithI’m glad. Thanks for letting me know.
@Anna-nc5xd
@Anna-nc5xd 7 месяцев назад
She’s a literal doctor. I’m sure she is aware, it has no relevance here to bring up.
@SheeluKhaja
@SheeluKhaja 6 месяцев назад
@@Anna-nc5xdright?! I kept quiet for this same reason.
@mrs.michellesgarden2489
@mrs.michellesgarden2489 2 года назад
I think it helps a lot to do the massage. I did it with both my pregnancies and had no tears. I did it once a day with coconut oil in the shower. I also brought my own water to the hospital (I do not like chlorine) and went through quiet a bit. It is annoying to have to pee so much but in my opinion keeping hydrated keeps your skin supply and more elastic.
@mahamujahid9978
@mahamujahid9978 2 года назад
How you did the massage? Like how often and in which position
@BloodyVK
@BloodyVK 2 года назад
When did you start doing your massage? Is it in 34 weeks?
@taliamay93
@taliamay93 2 года назад
^ oo I wanna know the above answers too!
@perimomperinealmassager-pe1754
@perimomperinealmassager-pe1754 2 года назад
We made Perimom (FDA cleared) so that any woman can do the massage completely unaided. Great video!
@kristina282k
@kristina282k 2 года назад
Awesome video! It’s sad that in many countries episiotomy is still a daily practice, regardless of what the data says, done most of the time without the patient’s consent or knowledge just to reduce expulsion time and to make the doctor’s work more easy after birth as it is easier to repair a surgical cut than a “natural tear”. Massage on! 😊
@m.l.4989
@m.l.4989 2 года назад
These studies are so small!! OMG we need better research.
@lenka2294
@lenka2294 8 месяцев назад
Totally agree. If it was men giving birth, there would be numerous researches about this and other important topics.
@Michelle-dm3nl
@Michelle-dm3nl 2 года назад
Interesting I thought epidurals increased chances for tears because you have less control/can feel pushes less?
@Kaykay-pe7tm
@Kaykay-pe7tm 2 года назад
They do
@jennaom1
@jennaom1 2 года назад
Thanks for this video! My baby is 11 weeks old. I tried perineal massage toward the end of pregnancy but was not at all consistent about it. I ended up with a pretty standard second degree tear. I believe the nurse was massaging my perineum during pushing. Recovery has not been too bad; I don’t think I’ll have any long-term issues with urine leakage. However, it still hurts to insert things into my vagina (sex, tampons). Could you please address painful sex after giving birth and how to correct it, either in your postpartum perineal care video or in its own video? My doc suggested dilators to help loosen up the scar tissue, but I’m hesitant to try! I’d appreciate any resources you could share.
@tashalovesponies
@tashalovesponies 2 года назад
Pelvic floor therapist!!
@juliequates9529
@juliequates9529 2 года назад
Yes a Pelvic floor therapist would help! Everyone should see on postpartum
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Yes to pelvic floor physical therapist. They are amazing and I agree I wish everyone could see one postpartum. Ask your OB for a referral!! And thank you for the video suggestion--postpartum sex would be a great topic as nobody talks about it!!
@madelinej996
@madelinej996 2 года назад
Thank you both for your content!! I'm 13 weeks with baby #3 but it's always good to watch new info and review and I have been loving your channel this time around. Sidenote, you look so pretty, Sarah!
@EmbracingTheEternalWeb
@EmbracingTheEternalWeb Год назад
To any mother out there, or person present with a delivering mother, this one is for you. After 3 (soon to be 4) homebirths, here are a few methods I believe helped me have zero tearing or bruising for my 2nd and 3rd birth. Fist let me say, i had tearing my first birth, however I feel like the degree could have been smaller if I did not listen to my midwife and push as hard as I could at the end. I went down onto one knee and kind of canon balled her out instead of allowing the gravity and my body to open. That being said, birth 2 and 3 were unassisted, just me and husband at home and this quiet space was so beautiful and intuitive. Most of the time was spent on the bathroom floor, hands and knees, towel underneith my knees, and a large stuffed animal/pillow or cushioned stool to lean into when contractions were hard. This provided a sense of "control" being on Top of the wave vs drowning sensation. It also helped me progress rather quickly into full dilation. I'm talking 3 hours vs 20 hours. Towards the end into transition I felt this extatic sensation to push and that's when my water broke. Then the babies came down through the cannal and both times there was no forced pushing, but instead a desire to almost slow down the baby. Still on my hands and knees, my tail bone naturally tucking and upper body slightly raised up as I provided counter pressure and aloud my labia to stretch and open, like a snake eating, however opposite. And finally a small push for the shoulders, but nothing too harsh. I swear the forced pushing is one of the most flawed recommendations. First this frustrates and exhausts a woman more then necessary. Second, there is a clear sign internally in the body that only the woman can detect. I hope this message can help even one person, especially someone in the medical field providing support for numerous woman.
@georginaisabelrossi7520
@georginaisabelrossi7520 3 месяца назад
thank you!
@monicataylor7414
@monicataylor7414 18 часов назад
Very helpful, thank you! I’m glad my doctor didn’t rush me to push even though they did have me on my back and kinda forcing the 10 second push thing to the point I needed oxygen because I couldn’t breathe. I pushed for a long time and they were patient with me, and I didn’t tear at all just a little graze near the lip
@ibrahimopu1723
@ibrahimopu1723 2 года назад
Can you give some advice which infant formulas is the best for baby? Which one to buy?
@Kriistall7
@Kriistall7 2 года назад
If you can buy it at the store (never make it yourself) then any type is good.
@aasmr123
@aasmr123 2 года назад
Avoid formula with soy. Soy mimics estrogen in the body and isn't good for people especially men.
@daughterofthemosthigh8064
@daughterofthemosthigh8064 2 года назад
Most formulas are mainly GMO corn syrup solids, I would really dig into the ingredients before deciding on one
@vanderbam2741
@vanderbam2741 2 года назад
Have had 2 babies with no tearing. I was walking around throughout labour but delivered semi-reclined. First was 7lb 7, second was 8lb 9. I think a good midwife, guiding your pushes well, makes a big difference. (Not in the US) current midwife thinks anecdotally that personal skin type/elasticity is a big factor.
@Elizabeth-gb2tk
@Elizabeth-gb2tk 2 года назад
Loved this! Thank you! Can you do a video on how to prevent a pelvic organ prolapse?
@arayategan9218
@arayategan9218 2 года назад
yes! Second this!
@ednaramos727
@ednaramos727 2 года назад
A What?!? 😧
@charityrussell4558
@charityrussell4558 2 года назад
I’m almost 22 weeks pregnant and so nervous to give birth. Thanks for this video!
@Jiyehyena
@Jiyehyena 2 года назад
Same 😥
@elizabethj6534
@elizabethj6534 2 года назад
Read Ina Mays guide to childbirth! That book was AMAZING and gives you ALL the confidence epidural or not!
@mrssalvadorena503avalos7
@mrssalvadorena503avalos7 2 года назад
Same !! I’m about to be 23 Weeks
@ndreader
@ndreader 2 года назад
Also around 22 weeks too. Getting pretty nervous here too.
@laurenskee2665
@laurenskee2665 2 года назад
I promise you. The closer you get the more the fear of birth goes away.
@user-uu1sg8ht1x
@user-uu1sg8ht1x 2 года назад
It's cute how you both keep looking at each other, it's like you're struggling to not look at each other when one of you is talking.
@TheFallLover
@TheFallLover 2 года назад
Had two babies so far, and never tore with either delivery. I don't even know what I did lol Glad though!
@amberlysoto
@amberlysoto 2 года назад
I had Covid when I gave birth and literally coughed her out. I had second degree tearing due to that and she was only 6lbs 😩😩
@naturallymemarie9650
@naturallymemarie9650 2 года назад
I had absolutely no tears with my first son. Is that normal to not tear at all? I'm currently pregnant with my second child. I'm hoping for no tears again.
@esthergs1795
@esthergs1795 2 года назад
What position did you push for your first birth? 😊
@naturallymemarie9650
@naturallymemarie9650 2 года назад
@@esthergs1795 I was on my back. I had an epidural so I couldnt feel the lower half of my body to do a different position.
@samtmh7240
@samtmh7240 2 года назад
To convince my husband to work with me on this with zero resistance, I plan to just drop some pictures of tears and episiotomies on him. 😉 (He's a great husband and has been super supportive, but I just wanna impress how important this is to me by scarring him lol. If I had to see it..... so does he.)
@TheDoctorsBjorkman
@TheDoctorsBjorkman 2 года назад
Hahahaha. I really love this approach (and am chuckling while reading your comment). Remind him he is also probably very invested in your vagina healing and recovering well ;)
@ximenakelley
@ximenakelley 2 года назад
I thought this video meant 😭😢 crying tears during birth. I was like good luck lol
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