How can I prepare for delivery to minimize the risk of an episiotomy? I heard that you can do some exercises or massage your perineum with a warm olive. This is my second pregnancy. First childbirth - natural. The incision was necessary because the baby was wrapped in an umbilical cord around his neck. Fortunately, our hospital does not routinely make an incision for every woman in labor. However, I would like to do something to avoid this.

You can prepare for a prophet to reduce the likelihood of an episiotomy. The first element of preparation is a massage of the perineal muscles from the outside or inside with the use of an olive (it may be with the addition of vitamin E). Circular movements are made with gentle pressure towards the anus. However, the condition for the possibility of massage is no inflammation, so you should consult your doctor first. The second essential element of preparation is Kegel training. The exercises involve tensing the muscles of the perineum, and are performed in series, several times a day. Detailed instructions can be found in many publications for pregnant women and on the Internet.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Barbara Grzechocińska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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