07/10/2025
Its important to remember that the va**na was designed to stretch, tear and repair BUT here are my top tips to reducing unnecessary damage, stress or injury in and around the va**na :
Do the prep work during pregnancy : This means pelvic floor exercises, both strengthening and softening. Understand and practice what positions help optimise strength but also encourage a deep sense of pelvic relaxation. And from 35 weeks begin your perineal massage routine. This increases the tissue’s elasticity, which can reduce the risk of 3rd degree perineal tears and decrease the need for an episiotomy 🧘🏼♀️
Become familiar with which labouring positions you should adopt : Utilise positions that protect your pelvic floor, encourage baby’s decent but also offer a controlled speed for baby to make its way through the birthing canal. Labouring on your back is NOT the one when it comes to protecting your pelvic floor 🤰
Include in your birth plan - No coached pushing: Having someone dictate pushing with all your might, holding your breathe and giving it all you’ve got, is one sure way to cause unnecessary injury to both your pelvic floor and va**nal wall 🥵
Include in your birth plan - No episiotomy unless medically necessary : This doesn’t mean to say there isn’t a time and a place for episiotomy’s but as a rule, they are outdated, and should under no circumstance be routine procedure ✂️
Tune into your body : If someone else tells you “It’s time to push” respectfully, they must have some kind of superpower that allows them to know more about your body than you do. 10cm dilated doesn’t always mean it’s time to push! By feeling out for those urges, and waiting until the time is right, you’ll decrease unnecessary pressure on both your pelvic floor and va**na 🙏
Warm water or a warm compress : Labouring in water can help the body to relax by offering general pain relief and improved blood flow. If water isn’t your thing, a warm compress pressed against the perineum can help soften tissues and reduce the risk of tears. And yes - your midwife will be more than happy to help you with this 👩⚕️