Women who want vaginal delivery without an episiotomy or laceration need to work hard on perineal relaxation and stretching. The muscles of the PERINEUM are the last barrier that the baby encounters during birth and, unlike uterus, they do not go through the process of dilation, they are stretched as much as possible during the passage of the baby.

I also teach expulsion techniques for mothers who want vaginal delivery. Many women do not know what force to do during childbirth and sometimes they use the opposite force, making it difficult for the baby to come out.

The first stage of labor (the dilation period) can take hours and women may not be physically prepared for this. The teaching of breathing and relaxation techniques helps women to go through this phase more calmly, better supporting the pain, saving energy for the expulsion phase.

The partner’s presence is always welcome in this process. Each session lasts from 45 to 50 minutes, with an average of 10 to 15 sessions.

Preparing for childbirth is indicated for all pregnant women, regardless of whether they want a vaginal or cesarean delivery, aiming at the treatment and prevention of perineal disorders.

I don’t usually use the term “tips”, it is not professional and I think that all patients should undergo an evaluation to know what is the best treatment in each case. However, there are simple things that pregnant women can do to enjoy this moment with more comfort and tranquility.

For pregnant women who want a vaginal delivery, this is an excellent position for stretching the muscles of the PERINEUM. She should stay in this position for about 30 seconds, two to three times a day, taking care not to strain her lumbar spine and so that she has something to lean on. You can ask someone to help you at this time.

This stretching can be done by the pregnant woman at home, improving the pain caused by sciatic nerve compression. The pregnant woman standing in front of a table/bench at her hip height positions a flexed leg on the table and leans her torso on this leg, remaining in this position for about 15 to 30 seconds. Then repeat on the other leg.