Hello, I'm a newcomer - so a quick intro: I am a Uk direct entry midwife
living and working on the Sunshine Coast Queensland. Struggling to adapt to
Australian mainstream midwifery. Also tired from night-shift, so I apologise
for mistakes in this mail.
Regarding the 3rd degree tear stats. I would be interested to know where
this research is from. As far a I know no-one has researched physiological
birth and it's impact on the perineum - probably because so few women
experience it.
I wonder what the perineal outcomes would be for women birthing without
intervention - spontaneous pushing (no direction), various positions, hands
off the baby including no traction to 'deliver' shoulders? The stats quoted
by the nurse may be correct (I don't know) - but all they demonstrate is the
outcome of modern 'management' of birth on perineums. Rather like the
term-breech trial demonstrating that in large obstetric units it may be
safer to have a c-section due to lack of skill. Not, that breech birth
attended by an experienced practitioner is unsafe.
Rachel
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