WEBVTT - Week 32: How To Perform A Perineal Massage And The Good Thing About Episiotomies

0:00:11.149 --> 0:00:13.909
<v Speaker 1>You're listening to a Muma Mia podcast.

0:00:14.829 --> 0:00:18.349
<v Speaker 2>Mama Maya acknowledges the traditional owners of land and waters

0:00:18.349 --> 0:00:20.029
<v Speaker 2>that this podcast is recorded on.

0:00:21.389 --> 0:00:24.749
<v Speaker 1>I am pregnanty.

0:00:26.909 --> 0:00:27.829
<v Speaker 3>Welcome to Hello Bump.

0:00:27.909 --> 0:00:30.869
<v Speaker 2>We're making pregnancy less overwhelming and hopefully more manageable.

0:00:31.029 --> 0:00:31.869
<v Speaker 3>I'm Grace Rubray.

0:00:31.869 --> 0:00:34.389
<v Speaker 2>I'm pregnant for the first time and my clothes definitely

0:00:34.429 --> 0:00:35.309
<v Speaker 2>don't fit me now.

0:00:36.269 --> 0:00:38.229
<v Speaker 1>I'm Aana Pittman. I'm a mother of six, and I'm

0:00:38.229 --> 0:00:40.789
<v Speaker 1>an obstetric and guyany a registrar, and I'm also a

0:00:40.829 --> 0:00:42.349
<v Speaker 1>former Olympian for Australia.

0:00:42.389 --> 0:00:44.269
<v Speaker 2>Each week, we will be holding your hand week by

0:00:44.269 --> 0:00:47.429
<v Speaker 2>week through the mysterious, perplexing and sometimes well forever changing

0:00:47.509 --> 0:00:50.829
<v Speaker 2>miracle that is pregnancy, all the way from a poppy seed.

0:00:50.589 --> 0:00:51.389
<v Speaker 3>To a pumpkin.

0:00:53.429 --> 0:00:54.509
<v Speaker 1>Week thirty two.

0:00:55.909 --> 0:00:58.669
<v Speaker 3>What random objects have you got for me this week? Jana?

0:00:59.109 --> 0:01:02.629
<v Speaker 1>A garden gnome. But that's a look at least it's humanoid.

0:01:02.789 --> 0:01:05.109
<v Speaker 2>Yeah to a degree. Yeah, that's like you can pick

0:01:05.149 --> 0:01:06.749
<v Speaker 2>that up, you could cradle that, you.

0:01:06.709 --> 0:01:08.709
<v Speaker 1>Could practice yes, being mummy with that for sure.

0:01:08.709 --> 0:01:11.189
<v Speaker 3>I got a little kohala joey okay, like a quality.

0:01:11.229 --> 0:01:12.589
<v Speaker 1>I had a movie popcorn as well. I'm not sure

0:01:12.629 --> 0:01:13.509
<v Speaker 1>who came up with that one.

0:01:14.589 --> 0:01:17.509
<v Speaker 3>I'm good with that. Scientifically, what are we.

0:01:17.829 --> 0:01:19.989
<v Speaker 1>Around one point seven to one point eight kilos if

0:01:19.989 --> 0:01:21.909
<v Speaker 1>Bubby's doing well, which is around forty two to forty

0:01:21.909 --> 0:01:23.869
<v Speaker 1>three centimeters in length. But again, huge.

0:01:23.669 --> 0:01:26.549
<v Speaker 3>Variation goes and what's happening to them.

0:01:26.629 --> 0:01:28.789
<v Speaker 1>So baby's weight has pretty much doubled in the last

0:01:28.789 --> 0:01:30.749
<v Speaker 1>couple of weeks, so they're going to be growing faster

0:01:30.829 --> 0:01:32.629
<v Speaker 1>in length and putting on more fat again a little

0:01:32.629 --> 0:01:34.109
<v Speaker 1>bit late last week. They're going to feel a lot

0:01:34.149 --> 0:01:36.469
<v Speaker 1>more squished inside, so you'll see a lot more folding

0:01:36.749 --> 0:01:39.989
<v Speaker 1>and purposeful movements. And what we mean by purposeful movements

0:01:40.029 --> 0:01:42.029
<v Speaker 1>is they're starting to direct those movements. Whereas before they

0:01:42.069 --> 0:01:45.189
<v Speaker 1>were almost reflexes and reactive. Now they're actually deciding to

0:01:45.189 --> 0:01:47.189
<v Speaker 1>move their arms and stretch and open their fingers and

0:01:47.189 --> 0:01:49.109
<v Speaker 1>stuck their thumb and things like that on purpose.

0:01:49.349 --> 0:01:52.469
<v Speaker 2>So, like, if you can feel sometimes there's like going

0:01:52.509 --> 0:01:55.749
<v Speaker 2>to erratic movement, is that one that's more they probably

0:01:55.749 --> 0:01:57.909
<v Speaker 2>haven't thought about that. But if it's a slow one,

0:01:57.909 --> 0:01:58.909
<v Speaker 2>it's more of a decision.

0:01:59.149 --> 0:02:00.829
<v Speaker 1>I don't know, but maybe that also might be what

0:02:00.829 --> 0:02:02.709
<v Speaker 1>you ate. Whether they're feeling a bit of a sugar ash,

0:02:02.749 --> 0:02:07.149
<v Speaker 1>but babies definitely move more when they're getting more more food.

0:02:07.189 --> 0:02:08.709
<v Speaker 1>So it's really interesting if you go and have like

0:02:08.749 --> 0:02:10.469
<v Speaker 1>a nice b ice cream or something you might actually

0:02:10.469 --> 0:02:12.269
<v Speaker 1>find or a big drink you might actually find a

0:02:12.269 --> 0:02:13.909
<v Speaker 1>little bit later, your baby's having a full party in

0:02:13.909 --> 0:02:16.429
<v Speaker 1>your belly. Yeah, which I mean used to be one

0:02:16.429 --> 0:02:18.309
<v Speaker 1>of the Old wives tales when you're worried about baby's

0:02:18.309 --> 0:02:20.269
<v Speaker 1>movements to actually go and you know, have a diet

0:02:20.349 --> 0:02:22.869
<v Speaker 1>coke or something like that. Not ideal, like we want

0:02:22.869 --> 0:02:25.029
<v Speaker 1>to actually see what your baby's doing when they're at rest.

0:02:25.309 --> 0:02:28.909
<v Speaker 3>What's happening, what's happening to me, and what's happening to

0:02:29.069 --> 0:02:29.709
<v Speaker 3>our bodies.

0:02:30.149 --> 0:02:32.109
<v Speaker 1>Well, you might notice you are starting to leak a

0:02:32.109 --> 0:02:34.189
<v Speaker 1>bit more now, so from your breast that is, and

0:02:34.309 --> 0:02:37.349
<v Speaker 1>the vagina, so you are definitely having an increased discharge.

0:02:37.789 --> 0:02:39.749
<v Speaker 1>Some people even find they start losing their mucus plug

0:02:39.869 --> 0:02:42.149
<v Speaker 1>this early. It's okay, it comes back, Okay, it doesn't.

0:02:42.189 --> 0:02:44.109
<v Speaker 1>It can mean a sign that labor is approaching, but

0:02:44.149 --> 0:02:48.109
<v Speaker 1>it definitely doesn't mean that. So increase vaginal discharge is common,

0:02:48.389 --> 0:02:51.309
<v Speaker 1>it's not always abnormal. It's always worth getting checked if

0:02:51.349 --> 0:02:53.149
<v Speaker 1>it's odorous if you have a history of an STI

0:02:53.229 --> 0:02:55.989
<v Speaker 1>in the past, because we again don't want your birth

0:02:55.989 --> 0:02:58.589
<v Speaker 1>in with an STI which is klymodia or gonorrhea or

0:02:58.669 --> 0:03:01.029
<v Speaker 1>something like that if it can affect baby and babies

0:03:01.389 --> 0:03:03.429
<v Speaker 1>our growth. Example, we don't want baby getting climodia in

0:03:03.429 --> 0:03:04.829
<v Speaker 1>their eyes and things like that, which can have some

0:03:04.869 --> 0:03:06.869
<v Speaker 1>pretty serious effects for a baby. So if you have

0:03:06.949 --> 0:03:09.869
<v Speaker 1>some abnormal discharge itching things like that, it's definitely time

0:03:09.949 --> 0:03:12.069
<v Speaker 1>to come and have a swab and check what it is.

0:03:12.269 --> 0:03:14.069
<v Speaker 3>If you lose your mucus plug, does that mean your

0:03:14.069 --> 0:03:14.909
<v Speaker 3>cervix is open?

0:03:15.069 --> 0:03:16.949
<v Speaker 1>No, No, definitely not. Well, I mean, look, it sits

0:03:16.949 --> 0:03:19.269
<v Speaker 1>inside the cervix where that mucus is, and it's ultimately

0:03:19.269 --> 0:03:22.709
<v Speaker 1>it's just it's basically mucus material. There's creating a little

0:03:22.749 --> 0:03:26.029
<v Speaker 1>plug to stop bacteria going inside. So it's a protective

0:03:26.189 --> 0:03:28.509
<v Speaker 1>component of your cervix. But now I've seen lots of

0:03:28.589 --> 0:03:31.149
<v Speaker 1>mucus plugs come out and the cervix remains closed. But

0:03:31.349 --> 0:03:33.749
<v Speaker 1>it is an indication. So you know, I certainly know

0:03:33.789 --> 0:03:35.869
<v Speaker 1>with all of my babies that once my mucus plug

0:03:35.869 --> 0:03:37.709
<v Speaker 1>came out, it was within a week or so that

0:03:37.749 --> 0:03:38.469
<v Speaker 1>I had my baby.

0:03:38.669 --> 0:03:41.589
<v Speaker 3>What's different to the mucus plug, to the amniotic fluid

0:03:41.629 --> 0:03:43.189
<v Speaker 3>coming out.

0:03:42.349 --> 0:03:45.549
<v Speaker 1>A creamy brown, sometimes a little bit bloods tinged. That's

0:03:45.589 --> 0:03:48.629
<v Speaker 1>normally your mucus plug. Your waters now again will have

0:03:48.629 --> 0:03:50.469
<v Speaker 1>a little caveat on that at the end. But your

0:03:50.469 --> 0:03:53.149
<v Speaker 1>waters tend to be clear and they have a very

0:03:53.189 --> 0:03:55.869
<v Speaker 1>distinct smell. Obviously I'm quite useful because I see smell

0:03:55.909 --> 0:03:58.349
<v Speaker 1>it every day. But it's very different from urine. It's

0:03:58.429 --> 0:04:01.229
<v Speaker 1>very different from discharge, and it's just like, oh, that's interesting.

0:04:01.269 --> 0:04:03.909
<v Speaker 1>It's quite pregnant. Caveat as I said before, is that

0:04:04.069 --> 0:04:06.869
<v Speaker 1>as not yet, guys, because babies don't very very rarely

0:04:06.869 --> 0:04:08.989
<v Speaker 1>make maconium, which is baby poo at this point. But

0:04:09.069 --> 0:04:11.189
<v Speaker 1>as you're getting closer to two, if your waters break

0:04:11.229 --> 0:04:13.709
<v Speaker 1>and they are heavily bloodstained or they have maconium which

0:04:13.749 --> 0:04:16.429
<v Speaker 1>is baby poo, that can be a different way that

0:04:16.589 --> 0:04:19.069
<v Speaker 1>the amniotic fluid can look and if you have blood now,

0:04:19.149 --> 0:04:20.509
<v Speaker 1>and I think it's probably a good point to actually

0:04:20.509 --> 0:04:22.309
<v Speaker 1>for us to quickly touch on it. Women will bleed

0:04:22.349 --> 0:04:25.389
<v Speaker 1>in pregnancy. We know that not all women hopefully you don't,

0:04:25.429 --> 0:04:28.589
<v Speaker 1>but there is definitely women who will experience in aph

0:04:28.709 --> 0:04:30.349
<v Speaker 1>it can often be things like, you know you have

0:04:30.389 --> 0:04:32.149
<v Speaker 1>a low lying percent, you're at higher risk of bleeding.

0:04:32.149 --> 0:04:34.309
<v Speaker 1>You might have problems with your cervix, a higher risk

0:04:34.349 --> 0:04:37.149
<v Speaker 1>of bleeding, dry vagina, higher risk of bleeding. But it's

0:04:37.149 --> 0:04:39.069
<v Speaker 1>definitely not something we want you to sit at home

0:04:39.109 --> 0:04:41.029
<v Speaker 1>with even a small amount of bleeding. You need to

0:04:41.029 --> 0:04:42.669
<v Speaker 1>give the birth team a call and just say, hey,

0:04:42.669 --> 0:04:44.469
<v Speaker 1>this has happened. If it is a very small volume,

0:04:44.509 --> 0:04:46.709
<v Speaker 1>they may be comfortable with you sitting at home. That's

0:04:46.749 --> 0:04:48.909
<v Speaker 1>also going to depend where you live, if you live

0:04:48.949 --> 0:04:51.549
<v Speaker 1>somewhere a long way from a major hospital. Ironically, they're

0:04:51.549 --> 0:04:53.469
<v Speaker 1>the ones we do want to see because it takes

0:04:53.509 --> 0:04:55.909
<v Speaker 1>time for us to escalate if there's a problem. But

0:04:55.989 --> 0:04:58.469
<v Speaker 1>any bleeding more than more than some spotting still is

0:04:58.469 --> 0:05:00.869
<v Speaker 1>to be seen, and most likely in person.

0:05:01.789 --> 0:05:02.469
<v Speaker 2>Is this normal?

0:05:02.829 --> 0:05:03.189
<v Speaker 1>Normal?

0:05:03.909 --> 0:05:05.469
<v Speaker 3>Is this normal? Is a very dumb question.

0:05:05.589 --> 0:05:10.469
<v Speaker 2>Okay, clothes are getting tight if you wear type clothing,

0:05:10.829 --> 0:05:14.349
<v Speaker 2>for example, tights, and they're high waisted tights, but they're

0:05:14.349 --> 0:05:16.029
<v Speaker 2>just going to be tighter on your belly.

0:05:16.069 --> 0:05:18.029
<v Speaker 3>Now, can you cut off the blood?

0:05:18.069 --> 0:05:20.229
<v Speaker 1>So no, that's what I thought you were going to say,

0:05:20.229 --> 0:05:21.629
<v Speaker 1>But I'm like, I wasn't sure whether you were go

0:05:21.709 --> 0:05:25.749
<v Speaker 1>well or not. It's more about discomfort, okay around for you,

0:05:25.789 --> 0:05:28.389
<v Speaker 1>how you're feeling so baby. It's the same with you know,

0:05:28.589 --> 0:05:30.109
<v Speaker 1>with a seat belt, it's still very safe to wear

0:05:30.109 --> 0:05:32.109
<v Speaker 1>a seat belt in the car and in fact, even

0:05:32.109 --> 0:05:34.269
<v Speaker 1>if you have an accident. Now again, guys, another one,

0:05:34.309 --> 0:05:35.829
<v Speaker 1>if you have a car accident, if you fall on

0:05:35.869 --> 0:05:37.829
<v Speaker 1>your belly anything, again, it's always a time you have

0:05:37.869 --> 0:05:39.189
<v Speaker 1>to come for us to do what we call a

0:05:39.189 --> 0:05:41.069
<v Speaker 1>four hour CTG. So we just basically wanted to a

0:05:41.069 --> 0:05:42.589
<v Speaker 1>baby's heart rate for four hours, do a couple of

0:05:42.589 --> 0:05:45.309
<v Speaker 1>blood tests, and check you're okay and baby's okay. But

0:05:45.589 --> 0:05:47.909
<v Speaker 1>most of the time babies are very robust inside your

0:05:47.949 --> 0:05:50.349
<v Speaker 1>belly because you have a lot of amniotic fluid there

0:05:50.349 --> 0:05:52.669
<v Speaker 1>and it's a big cushion protecting your baby. So no,

0:05:52.789 --> 0:05:54.789
<v Speaker 1>you can. I don't know any woman that would want

0:05:54.829 --> 0:05:56.789
<v Speaker 1>to wear tight clothes at thirty two weeks, but if

0:05:56.829 --> 0:05:57.309
<v Speaker 1>you want.

0:05:57.149 --> 0:05:59.229
<v Speaker 2>To go for it, but then ayeh, they're getting their

0:05:59.269 --> 0:06:03.869
<v Speaker 2>blood from the placenta and everything, so just having stuff sitting.

0:06:03.549 --> 0:06:05.069
<v Speaker 1>On your belly is not comfortable.

0:06:05.149 --> 0:06:07.269
<v Speaker 3>It's not comfortable, but it's not hurting them, no, not

0:06:07.349 --> 0:06:07.989
<v Speaker 3>hurting them at all.

0:06:08.509 --> 0:06:10.989
<v Speaker 1>Now, the one caveat there is we can and I

0:06:11.029 --> 0:06:12.629
<v Speaker 1>know I always got. You go the lovely things and

0:06:12.669 --> 0:06:14.389
<v Speaker 1>I go, here's the scary things and make everyone afraid

0:06:14.389 --> 0:06:17.589
<v Speaker 1>of having babies. But things like trauma and someone jumping

0:06:17.629 --> 0:06:19.789
<v Speaker 1>on your belly can cause what's called a placential abruption,

0:06:19.829 --> 0:06:22.229
<v Speaker 1>so that's where the placenta actually breaks away from the wall.

0:06:22.749 --> 0:06:25.189
<v Speaker 1>The symptoms that really are evident of that is if

0:06:25.229 --> 0:06:26.749
<v Speaker 1>you're you have what we call a woody tummy. So

0:06:26.789 --> 0:06:28.389
<v Speaker 1>if you touch your stomach and it feels like it's

0:06:28.389 --> 0:06:30.789
<v Speaker 1>a tonic contraction, so it's tight and it's hard, and

0:06:30.789 --> 0:06:33.909
<v Speaker 1>it's painful one hundred percent under all circumstances, you go

0:06:33.949 --> 0:06:36.389
<v Speaker 1>to the hospital. It might also present with with again

0:06:36.469 --> 0:06:39.029
<v Speaker 1>with vaginal bleeding. So those kind of things are your

0:06:39.029 --> 0:06:40.709
<v Speaker 1>only wrisk. But tight clothes are not going to do that.

0:06:40.749 --> 0:06:42.349
<v Speaker 1>But yes, if someone jumps on you, if you bump

0:06:42.389 --> 0:06:44.349
<v Speaker 1>yourself hard, that's what we're actually worrying about.

0:06:44.509 --> 0:06:46.789
<v Speaker 3>Okay, what's something on the checklist.

0:06:46.949 --> 0:06:50.469
<v Speaker 1>We are starting to get close to peroneal massage. Okay,

0:06:51.389 --> 0:06:53.349
<v Speaker 1>Now it may or may not be what you decide

0:06:53.389 --> 0:06:54.789
<v Speaker 1>to do. And you know there's going to be some

0:06:54.829 --> 0:06:57.149
<v Speaker 1>single mums listening to this because, as you may or

0:06:57.149 --> 0:06:58.509
<v Speaker 1>may not know, I was a single mum for two

0:06:58.509 --> 0:07:00.309
<v Speaker 1>of my kids by choice, and so I had my

0:07:00.349 --> 0:07:02.909
<v Speaker 1>own fingers and it's a little harder to do so ideally,

0:07:02.909 --> 0:07:04.829
<v Speaker 1>if your partner is up, it's much better if you

0:07:04.829 --> 0:07:07.349
<v Speaker 1>can get someone that's not you to do this, largely

0:07:07.349 --> 0:07:10.469
<v Speaker 1>because it's very hard to reach around your belly. Want

0:07:10.629 --> 0:07:13.309
<v Speaker 1>you to consider stretching the peroneal area. So the paranal

0:07:13.309 --> 0:07:14.989
<v Speaker 1>area is the area between the lower part of your

0:07:15.069 --> 0:07:17.309
<v Speaker 1>vagina and your ainus, and that's the area that's most

0:07:17.389 --> 0:07:19.509
<v Speaker 1>likely going to tear a little bit, which is normal guys,

0:07:19.549 --> 0:07:22.709
<v Speaker 1>but is likely to tear in labor. So there's some

0:07:22.749 --> 0:07:25.029
<v Speaker 1>really good research to say that. I mean, there's epinos

0:07:25.029 --> 0:07:27.029
<v Speaker 1>and all this kind of stuff out there that people buy,

0:07:27.109 --> 0:07:29.949
<v Speaker 1>but honestly, the research is best for your own fingers

0:07:29.949 --> 0:07:32.749
<v Speaker 1>and all your partner's fingers to gently stretch from about

0:07:32.749 --> 0:07:34.429
<v Speaker 1>the thirty four week months, we're getting close, and now

0:07:34.509 --> 0:07:36.389
<v Speaker 1>the time to do the research, learn how to do it,

0:07:36.589 --> 0:07:38.669
<v Speaker 1>and then from about thirty four weeks on you start

0:07:38.869 --> 0:07:40.949
<v Speaker 1>which is basically two fingers with some olive oil or

0:07:40.989 --> 0:07:44.029
<v Speaker 1>some lubricant and you roll from nine o'clock to three o'clock.

0:07:44.189 --> 0:07:46.349
<v Speaker 1>Nine o'clock to three o'clock, just gentle pressure down in

0:07:46.349 --> 0:07:49.829
<v Speaker 1>that area to stretch up the parent externally, not externally, yep,

0:07:49.909 --> 0:07:52.629
<v Speaker 1>just on that skin border, on the outside of just

0:07:52.629 --> 0:07:54.709
<v Speaker 1>where your hymen is, and on the outside of the

0:07:54.749 --> 0:07:56.189
<v Speaker 1>hymen to where the edge of the skin is.

0:07:56.229 --> 0:07:57.789
<v Speaker 3>So it's like working a muscle. It's not the one

0:07:57.789 --> 0:07:58.589
<v Speaker 3>of like putting it.

0:07:58.989 --> 0:08:03.069
<v Speaker 1>No, No, it's definitely the outer skin that's going to

0:08:03.109 --> 0:08:05.829
<v Speaker 1>stretch up. And for mums who had babies before who

0:08:05.829 --> 0:08:08.309
<v Speaker 1>were listening, that's where that burning sensation comes from.

0:08:08.349 --> 0:08:11.509
<v Speaker 3>So ring fire, the ring a fire and to.

0:08:11.669 --> 0:08:15.189
<v Speaker 1>A burn and ring of the vire at a burn burn.

0:08:15.309 --> 0:08:17.629
<v Speaker 1>So we're trying to reduce that ring of fire. And

0:08:17.669 --> 0:08:20.349
<v Speaker 1>because there's weeks away, but it's the same thing in birth,

0:08:20.349 --> 0:08:21.869
<v Speaker 1>we actually don't want you to push so hard that

0:08:21.869 --> 0:08:23.829
<v Speaker 1>baby's head comes flying out. We want you to stretch

0:08:23.869 --> 0:08:26.389
<v Speaker 1>up that perineum nice and softly. And that's the same

0:08:26.429 --> 0:08:28.589
<v Speaker 1>that this paranoral message is doing, is trying to stretch

0:08:28.669 --> 0:08:30.149
<v Speaker 1>up and elasticize that area.

0:08:30.229 --> 0:08:32.109
<v Speaker 2>I will say from the birth course that I did,

0:08:32.229 --> 0:08:35.749
<v Speaker 2>I'm not as scared of a tear or a cut

0:08:35.789 --> 0:08:38.949
<v Speaker 2>anymore because I see it as a functional thing.

0:08:39.069 --> 0:08:43.309
<v Speaker 3>Correct. Could you explain why they sometimes cut on a diagonal?

0:08:43.629 --> 0:08:46.549
<v Speaker 1>Yeah, absolutely, so there are different places like America, for example,

0:08:46.549 --> 0:08:49.229
<v Speaker 1>a lot of places still cut directly down. We do

0:08:49.309 --> 0:08:51.429
<v Speaker 1>what's called a right mediolateral, so basically means on the

0:08:51.469 --> 0:08:53.789
<v Speaker 1>right hand side of her, we do an angled tear

0:08:53.869 --> 0:08:57.029
<v Speaker 1>to divert any tearing away from the back passage. Now,

0:08:57.269 --> 0:08:59.109
<v Speaker 1>there are also countries, and you might have not you know,

0:08:59.109 --> 0:09:01.029
<v Speaker 1>some people listening might have had babies in other countries

0:09:01.029 --> 0:09:03.549
<v Speaker 1>before coming here, where they do them routinely. I can

0:09:03.589 --> 0:09:05.549
<v Speaker 1>assure you there's no hospital in Australia that does a

0:09:05.629 --> 0:09:08.029
<v Speaker 1>routine episiotomies. The only reason we would do it is

0:09:08.069 --> 0:09:10.349
<v Speaker 1>if we're worried about you are going to tear third

0:09:10.429 --> 0:09:13.069
<v Speaker 1>or a fourth degree towards your bottom, or if baby's

0:09:13.149 --> 0:09:15.189
<v Speaker 1>really distressed and we know you don't need help with

0:09:15.229 --> 0:09:16.949
<v Speaker 1>a vacuum or anything else, but we're watching, and you're

0:09:16.989 --> 0:09:19.429
<v Speaker 1>watching little ones heads just not quite coming and we

0:09:19.509 --> 0:09:21.989
<v Speaker 1>have to basically force that area to open slightly more So,

0:09:21.989 --> 0:09:25.029
<v Speaker 1>as you say, it's a functional reason. Ninety percent of

0:09:25.069 --> 0:09:27.229
<v Speaker 1>the time, though, it is to protect your own bottom.

0:09:27.269 --> 0:09:30.029
<v Speaker 1>Muscles because third and fourth degree tears. Don't get me wrong,

0:09:30.069 --> 0:09:31.629
<v Speaker 1>there's lots of ladies that have had them, and they're

0:09:31.669 --> 0:09:34.509
<v Speaker 1>repaired beautifully in theaters, and most people are okay, but

0:09:34.549 --> 0:09:38.189
<v Speaker 1>they can be associated with significant concerns with urinary but

0:09:38.269 --> 0:09:41.389
<v Speaker 1>also bowling continents in the future and flats in continents.

0:09:41.669 --> 0:09:44.109
<v Speaker 3>Is it always consent when you're doing a one.

0:09:44.069 --> 0:09:46.429
<v Speaker 1>Hundred percent okay? So I have I've actually had a

0:09:46.429 --> 0:09:49.149
<v Speaker 1>woman and she and I talked about it extensively afterwards

0:09:49.149 --> 0:09:52.469
<v Speaker 1>who declined an episiotomy and then did have a third

0:09:52.509 --> 0:09:54.669
<v Speaker 1>degree tair. But again that was her choice. And there

0:09:54.709 --> 0:09:56.429
<v Speaker 1>is never a time that someone I mean, don't get

0:09:56.429 --> 0:09:58.269
<v Speaker 1>me wrong. If it does happen, it's reportable. So this

0:09:58.349 --> 0:10:00.789
<v Speaker 1>is a scenario if you say one hundred percent, I

0:10:00.829 --> 0:10:03.429
<v Speaker 1>do not want to do this, and I can't say that.

0:10:03.469 --> 0:10:04.869
<v Speaker 1>The doctor is not going to argue back and say

0:10:04.869 --> 0:10:07.309
<v Speaker 1>I strongly recommend this because I really don't want you

0:10:07.389 --> 0:10:09.869
<v Speaker 1>to tear into your bottom. And it's the hardest decision

0:10:09.869 --> 0:10:12.109
<v Speaker 1>you make because you're in the moment, you're literally in

0:10:12.149 --> 0:10:14.069
<v Speaker 1>the burn and ring of fire because your baby's head's

0:10:14.069 --> 0:10:16.069
<v Speaker 1>on view, but it's just not quite coming well. Enough.

0:10:16.749 --> 0:10:18.669
<v Speaker 1>But I really want to reassure you that if we're

0:10:18.709 --> 0:10:20.989
<v Speaker 1>recommending that, it's because we are hundred percent believe it's

0:10:20.989 --> 0:10:23.349
<v Speaker 1>the right thing. So you know how you're going to

0:10:23.389 --> 0:10:25.669
<v Speaker 1>get in birth right. And if there's midwives listening, they're

0:10:25.669 --> 0:10:27.589
<v Speaker 1>going to be s again nodding here, and we tell

0:10:27.629 --> 0:10:30.669
<v Speaker 1>women don't yell out, internalize that noise. We want you

0:10:30.709 --> 0:10:33.509
<v Speaker 1>to push and not go ah. We want you to actually.

0:10:33.189 --> 0:10:34.989
<v Speaker 3>Go like that.

0:10:35.309 --> 0:10:37.589
<v Speaker 1>But when we're cutting, the appears. It's the one time

0:10:37.629 --> 0:10:39.629
<v Speaker 1>as partners or anyone in the room where we sell

0:10:40.149 --> 0:10:41.829
<v Speaker 1>let the lady scream so you don't hear it. So

0:10:41.829 --> 0:10:43.669
<v Speaker 1>you say, on the next contraction, I want you to

0:10:43.709 --> 0:10:46.149
<v Speaker 1>scream your head off and we cut and so no

0:10:46.189 --> 0:10:48.429
<v Speaker 1>one hears it, no one knows it's happened, and she

0:10:48.549 --> 0:10:50.869
<v Speaker 1>copes with it beautifully. So it's the one time for

0:10:50.909 --> 0:10:53.869
<v Speaker 1>any birth people listening Orcush's listening that I think works beautifully.

0:10:53.869 --> 0:10:56.789
<v Speaker 1>And it's really funny because it's really elderly midwife told

0:10:56.789 --> 0:10:58.829
<v Speaker 1>me this trick twenty, you know, not that long ago,

0:10:58.869 --> 0:11:00.869
<v Speaker 1>five or six years ago, and it's worked to treat

0:11:00.949 --> 0:11:03.149
<v Speaker 1>and so no one ever because if you don't you

0:11:03.189 --> 0:11:04.989
<v Speaker 1>hear the dad pass out in the corner. So it's

0:11:05.109 --> 0:11:06.989
<v Speaker 1>just it's such a good little trick. So if you're

0:11:06.989 --> 0:11:09.549
<v Speaker 1>a birth support partner for someone and they are requiring one,

0:11:10.149 --> 0:11:11.829
<v Speaker 1>get her to make noise or you make noise.

0:11:12.429 --> 0:11:14.869
<v Speaker 2>My friends lying to me when they tell me that

0:11:15.189 --> 0:11:17.229
<v Speaker 2>there's so much going on they didn't even feel it.

0:11:17.269 --> 0:11:19.269
<v Speaker 1>Most people don't. And by the way, guys, we don't

0:11:19.269 --> 0:11:21.709
<v Speaker 1>do it without anesthetic, just just putting it out there, Okay,

0:11:22.229 --> 0:11:25.029
<v Speaker 1>So we actually either do a pudendal block or we

0:11:25.069 --> 0:11:28.789
<v Speaker 1>do just like we put anesthesia into that paraneal tissue before,

0:11:29.189 --> 0:11:32.589
<v Speaker 1>long before we do that. So you probably actually won't

0:11:32.629 --> 0:11:35.509
<v Speaker 1>feel it because you shouldn't feel it because I've given

0:11:35.549 --> 0:11:36.469
<v Speaker 1>you anesthetic before.

0:11:36.749 --> 0:11:37.149
<v Speaker 3>Okay.

0:11:37.269 --> 0:11:39.229
<v Speaker 1>And the other big thing remember is that a psiotomies

0:11:39.229 --> 0:11:41.469
<v Speaker 1>are really easy to sew back together. We can get

0:11:41.549 --> 0:11:44.429
<v Speaker 1>very complicated, even second degree tears, which again are very normal.

0:11:44.589 --> 0:11:47.429
<v Speaker 1>Most women will have a tear in labor that are

0:11:47.789 --> 0:11:50.669
<v Speaker 1>really difficult to see. The anatomy. The episiotomy is so

0:11:50.789 --> 0:11:52.789
<v Speaker 1>easy and so beautiful to repair that if it was

0:11:52.869 --> 0:11:55.149
<v Speaker 1>me in hindsight, I'd prefer an a pisiotomy than a

0:11:55.149 --> 0:11:55.869
<v Speaker 1>an early third.

0:12:00.229 --> 0:12:03.109
<v Speaker 3>My tool kit is non medical in it. In every way.

0:12:03.149 --> 0:12:05.909
<v Speaker 3>It's a Facebook group. Okay, my friend recommended it to me.

0:12:06.349 --> 0:12:09.189
<v Speaker 2>It's women, and you're grouped together by when your due

0:12:09.229 --> 0:12:10.029
<v Speaker 2>date is per sis.

0:12:10.349 --> 0:12:11.909
<v Speaker 3>It's like a grapevine or something like that.

0:12:12.509 --> 0:12:14.149
<v Speaker 2>And it's just so it's a bunch of people in

0:12:14.189 --> 0:12:15.749
<v Speaker 2>the same time frame.

0:12:15.949 --> 0:12:17.149
<v Speaker 1>Es you're around the same time.

0:12:17.149 --> 0:12:20.029
<v Speaker 2>Asking dumb questions that's great, and people being like this

0:12:20.069 --> 0:12:22.109
<v Speaker 2>happened to me, This didn't happen to me. No one

0:12:22.149 --> 0:12:25.989
<v Speaker 2>is giving medical advice whatsoever. It's all sharing things from

0:12:26.029 --> 0:12:28.269
<v Speaker 2>when they went on maternity leave to when to apply

0:12:28.429 --> 0:12:31.869
<v Speaker 2>for your parental leave great, to when should I pack

0:12:31.909 --> 0:12:32.349
<v Speaker 2>my bag?

0:12:32.469 --> 0:12:34.349
<v Speaker 3>What's a good thing to put in my bag? And

0:12:34.389 --> 0:12:35.469
<v Speaker 3>it's actually been quite.

0:12:35.629 --> 0:12:37.109
<v Speaker 1>Good, And I think that's a really good point because

0:12:37.109 --> 0:12:39.389
<v Speaker 1>there are lots of different groups now there's mums of multiples,

0:12:39.429 --> 0:12:41.749
<v Speaker 1>there's single mums by choice, There's lots of good support

0:12:41.749 --> 0:12:44.549
<v Speaker 1>groups out there, and it's just shopping around, having a

0:12:44.589 --> 0:12:47.589
<v Speaker 1>look until you find your community. Because when your baby's born,

0:12:47.629 --> 0:12:49.189
<v Speaker 1>in those first four or five weeks, you are home

0:12:49.229 --> 0:12:52.029
<v Speaker 1>alone a lot, and having that social media is when

0:12:52.069 --> 0:12:53.309
<v Speaker 1>it can be a really positive You know a lot

0:12:53.309 --> 0:12:54.709
<v Speaker 1>of people. It gets a bad rap a lot of

0:12:54.749 --> 0:12:56.869
<v Speaker 1>the time, yes, but having a community around you makes

0:12:56.909 --> 0:12:59.549
<v Speaker 1>a huge difference. Yeah.

0:13:00.029 --> 0:13:02.189
<v Speaker 2>We hope you enjoyed this episode of Hello bum. We

0:13:02.309 --> 0:13:05.349
<v Speaker 2>have so many episodes of this series filled with tips

0:13:05.349 --> 0:13:08.189
<v Speaker 2>and stories from women and experts who've been through it

0:13:08.229 --> 0:13:08.829
<v Speaker 2>all before.

0:13:09.109 --> 0:13:10.909
<v Speaker 1>You can go back and listen to everything else Hello

0:13:10.949 --> 0:13:12.589
<v Speaker 1>Bump related in this podcast fee.

0:13:12.629 --> 0:13:14.389
<v Speaker 2>And while you're there, we'd love if you could give

0:13:14.469 --> 0:13:16.109
<v Speaker 2>us a five star rating and maybe leave us a

0:13:16.149 --> 0:13:18.509
<v Speaker 2>review or even share this episode with a friend.

0:13:18.669 --> 0:13:21.829
<v Speaker 1>This episode was produced by Courtney Ammenhauser with audio production

0:13:21.909 --> 0:13:23.589
<v Speaker 1>by Tom Lyon. We'll catch you next time.

0:13:23.669 --> 0:13:26.549
<v Speaker 2>This episode of Hello Bump was made in partnership with Huggies.

0:13:26.709 --> 0:13:28.389
<v Speaker 3>Bye Bye y