When discussing with another midwife the long perineum that always seemed to tear, she suggested that the mom get into the hands and knees position. Last time I had one, I tried it and the mom didn't tear. I think this position takes some of the stress off the perineum and positions the baby higher in the introitus.
-Gail Hart
Reprinted from Midwifery Today E-News (Vol 1 Issue 36, Sep 3, 1999)
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