Re: directed pushing, does it cause more perineal tearing? I think so, but because they now have scar tissue that won't stretch like normal peri tissue. Usually women who have torn/had an episiotomy very often get cut again by the doctors. I think a lot of exercises and massage like what tracy mentioned, however, could still prevent another tear.
__________________  Sasha, Doula, Mama, Wife, Student Midwife
Three little wild boys and one soldier husband |