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Evidence Based Perineal Protection

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Evidence Based Perineal Protection
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Evidence Based Perineal Protection Perineal is also known as the pelvic floor and it consists of two layers of muscles that are interwoven and enclose the bottom of the pelvis. In various circumstances, the midwives may be forced to tear the perineum (Episiotomies) so that the delivery process takes place. However, cutting the perineum can lead to urinary and fecal incontinence . The midwives can prevent perineum trauma from happening during birth in various ways. Perennial massage is one of this ways and it is important since it prepares the muscles of the perineal area for damage(Klossner, 2006.pg 40). A massage before birth stretches taunt tissues making them soft and flexible and hence the laboring mother can give birth without much pain(Simpson, Creehan, & Association of Women's Health, Obstetric, and Neonatal Nurses,2008, pg.103). A smooth delivery ensures that the chances of perineum damage or episiotomy are minimal. In the modern day, the massage can be done using the EPI-NO device that stretches the pelvic floor thus facilitating natural birth(Orshan, 2008,pg.63). The EPI-NO device has replaced the midwives and hence expectant women should be advised to use it in preparation for birth. Provision of hot compressions during birth is also a technique that midwives should use during labor. Warm compressions help reduce pain while pushing during the second stage labor by increasing connective tissue extensibility (Pillitteri & Pillitteri,2010 pg.385). The gateway theory of pain explains that warm compressions provide sensation and distracts the mother from pain. Contrary to what many midwives suggest to expectant mothers, research has shown that an upright position by the mother gives less discomfort and difficulty in bearing. The upright position should be used since it causes less

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