hello friends and neighbors,
a question: can anyone describe for me the basics of perineal massage to reduce the chances of laceration or "need" for episiotomy?
in reading another thread regarding "dense" epidurals, someone described a technique that was referred to as "ironing out the vagina" and i am afraid that in trying to do perineal massage for one of my recent pushing primips, i ended up inadverdently ironing. :uhoh21: i was gloved and lubed (of course), had my index and middle fingers just inside the introitus and my thumb on the outside of the perineum, and was gently trying to relax/massage the area in between contractions, almost like i would massage someone's hand only more gently. while doing this i began to notice a trickle of bright red blood that seemed to originate in the posterior vaginal wall, and i stopped what i was doing. the pt eventually ended up with a midline episiotomy but the doctor did not need to repair any vaginal lacerations, so evidently if i did cause a laceration by massaging incorrectly it didn't require sutures... anywho.
any advice or tips? i am going to start using warm compresses more often i think, but would like to know whether i was taught perineal massage correctly, or simply need more practice.