What is perineum?

Perineum is a small area of ​​the body on both male and women. It is located between the anus or opening of the bowel movement and apparent genitals. In men, the perineum extends from the rectum directly under the testicles and in women it extends from the rectum to the vaginal opening. This area is highly sensitive and contains numerous nerve endings, which considers it an erogeneous zone. When women have children, this area can stretch or "tears", which can cause scarring and discomfort. During vaginal birth, many doctors decided to make a small cut on the perineum at the end of the vaginal opening, called an episiotomy. Then it is stapled after the child's birth. It is generally believed that episiotomy can shorten birth times. By opening the perineum, the child has more space to leave the vagina. In the absence of these, the perineum may be slightly torn, and most doctors feel that it is better to create a clean cut than allow the area to be torn, which can do unevenly.

However, there is much interest in avoiding episiotomy and/or perineal tearing, and there is some evidence that massaging perineum a day, about six weeks before giving birth, can help reduce the need for one. The perineal massage instructions are complex and include the use of thumbs inside the vagina to push the vagina floor down towards the perine until a slight feeling of stab is achieved. This can be best done with water -based lubricants and is easier to do in the lying position with legs spread apart.

There are a number of websites and books that greatly cover perineal massage. One good book that treats these subjects is the Baby Book , Dr. William Sears and Martha Sears. If the procedure remains unclear, the obstetrician or a doctor who will prolong is an excellent source. Doctors can usually teach patients about how to perform a massage and stretching the perineum to reduce the risk of tearing or episiotomy. This does not necessarily fail and some types of NARInterzing, especially with pliers, may require great episiotomy.