Positive Health Online

Abstract

ALBERS and BORDERS, University of New Mexico College of Nursing, Albuquerque, NM 87131-5688, USA,  lalbers@salud.unm.edu, have looked at how to minimize genital trauma and associated pain after vaginal birth.

Abstract: Genital tract trauma is common following vaginal childbirth, and perineal pain is a frequent symptom reported by new mothers. The following techniques and care measures are associated with lower rates of obstetric lacerations and related pain following spontaneous vaginal birth: antenatal perineal massage for first mothers, upright or lateral positions for birth, avoidance of Valsalva pushing, delayed pushing with epidural analgesia, avoidance of episiotomy, controlled delivery of the baby's head, use of Dexon® or Vicryl® suture material, the "Fleming method" for suturing lacerations, and oral or rectal ibuprofen for perineal pain relief after delivery. Further research is warranted to determine the role of prenatal pelvic floor (Kegel) exercises, general exercise, and body mass index in reducing obstetric trauma, and also the role of pelvic floor and general exercise in pelvic floor recovery after childbirth.

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References

Albers LL, Borders N. Minimizing genital tract trauma and related pain following spontaneous vaginal birth. Journal of Midwifery & Women's Health 52 (3): 246-253, May-Jun 2007.