I am wondering this, there seems less perineal trauma at home births, where women adopt more facilitive positions, but also are allowed to work better with their bodies and push their baby out physiologically.

Or is it multips? comfortable in the knowledge they can do this, know their midwife, educated enough to know home birth is the ideal?

Is it just genetics and tissue viability? pot luck?

What is it and why?

Women 'escaping' after birth with no or little perineal damge seem to be rare, why?

Apologies if this is a dumb question, it is something I am thinking about alot.

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