 Re: directed pushing, does it cause more perineal tearing?
They reckon so, it often depends on their circumstances, smoker drinker, unhealthy diet, or just a really bad repair of tear/unnoticed tearing that wasn't repaired are all more likely and those that don't do pelvic floor but I've seen previous 3rd degree women, deliver a bigger baby with an intact perineum, but with non-directive, and sort of semi-directed pushing so who knows, but the others are all higher risk factors x
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