Notes

Tearing can be a natural part of the birth process. Tearing doesn’t always happen during birth but it is common. Usually, in a birth without interventions, tears can heal on their own. In hospital settings, women often receive sutures when they tear. Doctors typically don’t even ask the woman for consent and will start suturing immediately after the placenta is birthed. Sutures are not always necessary because our bodies are typically able to heal very well. Sutures can also cause more trauma to the area and cause a longer and more painful healing process. Some medical procedures and interventions result in severe tearing that might even go down to the muscle or completely through to the rectum. It these cases tearing may be beneficial or necessary for healing. I want to emphasize that severe tearing is rarely seen in physiological birth. Severe tearing is caused by interventions and interference with the natural birth process. 

Interventions and medical procedures that greatly increase the risk of severe tearing 

  • Episiotomy(obviously)

  • Mechanical birth(forceps or vacuum)

  • Epidural

  • IV drugs

  • Being forced to push on her back or in an unnatural position

  • Purple-face forced pushing(hold your breath and count to 10)

  • Pushing before feeling the urge 

  • Having an outside source telling you when and how to push

Things to prevent severe tears

  • Collagen powder

  • Gelatin

  • Home made bone broth

  • Beef liver and other organ meats

  • High protein diet(80-120 grams)

  • Homebirth/freebirth

  • Pushing in an intuitive position(whatever feels right!)

  • Fetal ejection reflex

  • Pelvic floor therapy

  • My prenatal yoga birth prep!

Things to encourage healing of tears

  • Manuka honey

  • Nori seaweed

  • Frozen witch hazel pads

  • Allowing airflow to vulva(Bleed onto a chux pad rather than a diaper)

  • Yoni steaming

  • Sitz baths

  • Nourishing meals

  • Resting