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The journal Pregnancy

The #1 Thing You Can Do To Prevent Tearing During Birth

By Dr. Allison Feldt, PT, DPT 3 min read

Every woman says a healthy baby is the #1 goal for their birth, which, of course, is the case, but second to that is they want to avoid tearing. Tearing during birth is categorized into 4 degrees, ranging in severity, with one being the least severe.

Perennial massage is a common suggestion to avoid tearing, but it doesn’t work

To explain, perennial massage addresses the 1st layer of the pelvic floor, the superficial layer. But if the two deeper layers are extremely tense and we are forcing the baby through the vaginal canal with breath-holding pushing techniques and straining as much as we can, the damage that is down to those deeper two layers isn’t being eliminated with two fingers and some olive oil.

Addressing the three layers of the pelvic floor is how you can prevent tearing during birth. To do this, you would need to work with a Pelvic Floor Physical Therapist who performs internal manual therapy consistently throughout your pregnancy to ensure these muscles stay optimized as your body changes.

During pregnancy, the pelvic floor muscles weaken as they are stretched out, and the demand on these muscles intensifies, so making sure you maintain coordination and address any pains that arise will help keep these muscles healthy and relaxed so that they can release baby through the birth canal with ease preventing damage to all three layers of the pelvic floor.

Tearing During Birth Should Be Prevented Because It Leads To Scar Tissue.

Scar tissue within the pelvic floor contributes to issues like incontinence, pain with intimacy, constipation and pelvic organ prolapse. All of these issues are often believed to be normal postpartum issues BUT that is because birth injuries have been normalized thus making pelvic floor dysfunction postpartum normalized. Using the Body Motion Physical Therapy Birth Preparation Protocols prevents birth injuries which contributes to these common postpartum issues that linger for a lifetime leading to chronic pain, joint issues, surgeries and medications.

Natural Tears and Episiotomies During Birth Can Be Avoided by learning to coordinate the pelvic floor muscles with your breath during birth, allowing the diaphragm and contractions of the uterus to help baby descend through the vaginal canal. Breath holding during labor is often shown in movies and has been considered the standard but it actually contributes to birth injuries including tears.

The #1 Thing To Do During Pregnancy To Avoid Tearing During Birth is to work with a Pelvic Floor Physical Therapist at Body Motion PT and receive the exclusive Body Motion Physical Therapy Birth Preparation Protocols.

We offer a Pelvic Floor Physical Therapy Birth Preparation Package That Includes:

  • Pelvic Floor Preparation for Delivery
  • Pelvic Opening Techniques to help improve labor and delivery
  • Techniques that help improve the healing afterbirth
  • Decrease the likelihood of a c-section
  • A personalized safe exercise program
  • Proper body mechanics for maneuvering your newborn
  • Breastfeeding techniques to protect your neck and spine
  • Complimentary Postpartum screen at 6 weeks to help assess your healing
  • Breathing techniques to improve health in pregnancy and labor

To Learn More Book A Free 30 Minute Discovery Visit With A Pelvic Expert To Take The First Step Towards Your Dream Birth

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

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