I've never seen anyone practice hands off as yet, and so I've always been encouraged to do the hands on approach. I really dont think i have the confidence to just stand back and watch just yet! I'm aware of the arguments and incidences of perineal trauma (or not!) of both approaches but i guess i need to practice both ways before i make up my own mind. I might be wrong, but i think in our unit hands off is not really encouraged?
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STMW 2nd year - no, really!