[…] My girlfriend pregnant Steffi wrote, she was close to the expected date of delivery and already pretty excited. You have to panic that the birth of ‘what breaks’. Do not drink constantly these raspberry leaf tea, the a all recommend (“it Tastes good, haha!” Puke-Smiley). What could you do? What I think is, for example, from this device, you could stretch the perineum. The speech … mommy forums-a word in the mommy forums on the Internet a lot for the eye roll Emoji. […]

I called Steffi, that was easier. “Don’t let these forums not so unsettling, I’ll take care of me as a midwife Yes,” said I, and told her that the “dam protection” is one of the main tasks of a midwife, “not a joke, it says so in the Textbook of my great Grandma.” […] The dam is the connecting bridge between the Vulva and Anus, consisting of skin, muscle tissue, fat and connective. This tissue bridge is being massively stretched when the head and the shoulders of the babies come from the vagina.

most women are afraid to be injured at birth

It is a primal fear of women, to be perhaps the most intimate part of the body injured and need to be sewed. Often it is only a small, barely perceptible exploration of this dam, on the labia or in the vagina (similar to the Tearing of the hymen for the first Time). But it can also lead to serious injuries, which under certain circumstances, the sphincter of the anus is affected, in the jargon, dam crack-3. Degree called and the tissue far into the muscle the Vaginal tear.

In theory you can do everything, what is there to be violated. “Oh mygod Oh mygod Oh mygod, I can’t even imagine it,” cried Steffi on the other end of the line. Take a deep breath. “A dam crack 3 not often the case. With us in the hospital, maybe in a hundred vaginal births. Even greater injuries are a lot rarer,” I said. Everything will be stitched under local anesthesia and heals quickly. “Don’t think of the Worst.”

injuries, bowel movements, incontinence: For many new mothers, are taboo subjects

Once more, I noticed how this region of the body taboo. Prior to the birth is the most frequent question I hear from women: “Comes a bowel movement with out this?” after that, you is: “what Is ripped? And how far?” Even Friends talk to each other hardly about birth injuries. About incontinence. They can occur in the first days and weeks after the birth. Not bad, it is mostly again, especially with a lot of pelvic floor training.

[…] Whether or not injuries occur, depends on the position of the child to the woman it is who is to be born through the vagina (“The first is more likely to tear than the fifth,” I explained). On the other hand, the weight of the child (“is self-explanatory, is it?”), then his attitude (“bends it to his head and uses the smallest circumference of the skull to get Through, or it stretches and rotates in an unfavorable situation, which needs more space”) and also how the tissue is to obtain.

The dam is not for every woman or stretchy (“A very short dam offers more space, but also has a little buffer, when it is stretched excessively, with a very high dam can stretch to many times, but not as good ‘out of the way’, when the Baby must pass”). The elasticity in turn depends on the connective tissue and muscles. Bad connective tissue tears more likely, but an extremely well-toned pelvic floor can sometimes be so tight that it is for the Baby really hard, past the slide.

In the FOCUS Online/Glomex Five effective and easy tips for a healthy colon raspberry leaf tea can be the connective tissue damage

“Come Olympic riders to the birth, even midwives, we are nervous,” I said. “That’s why I drink, these raspberry leaf tea, so that the fabric loosens up”, turned to Steffi now. “Yes, but don’t forget: It is not a Product, without the indication you should not take actually.” I told her that many women would pour the stuff in. “In the case of tight connective tissue, it can make use of, but at low even be harmful: I’ve experienced perineal tissue, which was bröslig like cookie dough because too much of this tea.” “Okay, from now on, I drink less, understood – but what can I do?”

“The Problem is,” repeated I, “you will be Pregnant suggests, you could, Yes you should do something.” I was one of Steffi all the things she knew, of course, for a long time, herbal steam baths, perineal massage with Oils, you are leading yourself or the Partner in the last month before birth (Steffi: “Chris shows me a bird!”).

The correct birth position is crucial>

With all of the technology, many forget the easiest ways to prevent injuries. The correct birth position, for example: lying On your back, with legs bent, as you can see it often in movies, is the load on the dam is very high. In the all-fours position or in the lateral position, however, the pelvic floor is barely under tension, and cracks occur less frequently. “Just as it is important not to press is pushing, but the contractions and the force of gravity and the head slowly out of the slip,” I explained to Steffi.

When it hurts the most: Inner

Often it is useful to make in the final stage of the birth, a short break, to blow, to breath better again, even if the head is almost out. For the escorts of the women, this is the craziest sight during the whole birth: The so-called “Crowning” spans the head with his thickest point, the Vulva, and is enclosed in this Moment of her like a crown. Whether Johnny Cash probably knew that he had made its way into obstetrics? One speaks here of “Ring of Fire”, as his famous song, because the women feel when Crowning a hell of a Burn. This is also the time where the phrase “I think, for me, it rips”. But that’s exactly what it does not happen often, when they paused briefly to stretch the tissue slowly. Display “The labor writer” by Maja Böhler – buy Now at Amazon!

the Tricks of The midwives

Many midwives have their Tricks, and Moves they swear by. Some support the head when it comes out, and are sure, that’ll take the pressure, others keep the Hand on the perineum, in order to stabilize the tissue, or a set of massages and Oils. Others prefer the Hands-off method, where you let the woman intuitively decide if and when you pressed.

I also have a favorite method: warm compresses on the Vulva and perineum, stimulate the blood circulation in the tissues. Sometimes I potions, compresses also with a strong black coffee, to intensify the effect. The Baby smells then after the birth, like a fine Espresso.

Why the dam-sections of

“actually made a lot of dam-sections?”, Steffi asks now. The targeted cut in order to prevent a deep Tearing that was common to a time where the paradigm of “programmed birth” prevailed. “Without the indication it is performed today hardly,” I said. The Argument earlier was: Dear the side of clean cut and the child to help out, to risk as an uncontrolled Tearing in the direction of the Anus.

a logic plugged in But in error, as it weakens the fabric of the bridge. In addition, cuts heal slower and worse than the cracks, it break to remain so for future births. And what if you provoked an injury that might be incurred?

In old-fashioned birth facilities is practiced the mandatory episiotomy. In addition, he is still part of the practical training. I even had to carry out yourself. An instructive experience. Shortly before the end of a birth had deteriorated to the heart sounds of the child. The attending doctor asked me if I dam sections. The midwife that was there and me guided, simply nodded. Na servus. My heart beat up to the neck, but I thought the whole time what had drummed it into my teacher at the midwifery school to us: “If it ever comes to that, be resolute! At the peak of the Contraction, when the voltage is the pain at its greatest, your the cut. Then the women feel him at least.”

“But the times do,” I said to Steffi, who listened to me eagerly at the other end of the line, “in the core of healthy tissue cut!” Me, it shakes still today, when I think, I, zack, zudrückte the scissors with full force: one, two inches deep. […] Today I’m very happy to know other ways. “My current boss is a total episiotomy opponent is.” […]

note: In this Text is an excerpt from the Chapter “dam right! About birth injuries” from the book “The labor writer” by Maja Böhler. FOCUS Online has shortened the original text in some Places. More info for Goldmann

“The labor writer” by Maja Böhler is published in Goldmann publishing house.

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