View Single Post
Old 02-23-2013, 12:13 PM   #12
birdinhand's Avatar
birdinhand
Registered Users
 
Join Date: Feb 2013
Posts: 529
Re: Bleeding During Perineal Massage? Prob.TMI

I used to work at a hospital-based midwifery practice with incredibly gentle, hands-off midwives. There were mixed ideas even between the 5 of them about PM. Two thought it couldn't hurt and gave hand-outs about it, 3 (and me, as the patient educator) disagreed and felt the body does what the body does -- just like the tissue fans open to allow the baby through the birth canal, we felt it was more about the factors that can be controlled (positioning, hydration, no purple-pushing). For a while we seemed to be getting a lot of women commenting about bleeding during their attempts at PM. At that point we reevaluated the hand-out and decided there really wasn't enough information or evidence to do anything more than suggest it as you might suggest EPO in the last 6 weeks, etc.

Here is something from last month that essentially says, the longer you do PM the less effective it is, and that it is only "helpful" with first-time vaginal-birthers: http://givingbirthwithconfidence.org...-the-evidence/
__________________
Mama of 4 boys ages 13, 11, 7, and homebirth baby born 4-6-13
"No more sacred word exists in secular or holy writ than that of mother." Ezra Taft Benson
doula, childbirth educator, breastfeeding counselor
birdinhand is offline   Reply With Quote