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Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
Perineal protection is an obstetric measure to prevent the perineal tissue from tearing (perineal tear) during the birth of the baby's head or to keep the extent of the injury as small as possible. The midwife (or obstetrician) supports the perineal tissue with one hand as soon as the head stretches.
Kelly Ripa shared the up-sides of menopause on her podcast ‘Let’s Talk Off Camera’ with Dr. Erika Schwartz. She also discussed the stigmas that remain. Kelly Ripa, 53, Shares the Unexpected ...
The nerves that supply the vulva are the pudendal nerve, perineal nerve, ilioinguinal nerve and their branches. Blood and nerve supply to the vulva contribute to the stages of sexual arousal that are helpful in the reproduction process. Following the development of the vulva, changes take place at birth, childhood, puberty, menopause and post ...
More support for painful periods and the menopause are among the top priorities for women’s health in 2024, the Government has said. ... It is hoped these will improve access to care for problem ...
The appearance and presence of vaginal rugae change over the life span of females and are associated with hormonal cycles, estrogens, childbirth, puberty and menopause. During gynecological examination of prepubescent girls, rugae can be visualized. [10] The vaginal rugae change after menopause.
Tears can involve the perineal skin or extend to the muscles and the anal sphincter and anus. The midwife or obstetrician may decide to make a surgical cut to the perineum with scissors or a scalpel to make the baby's birth easier and prevent severe injuries that can be difficult to repair. The cut is repaired with stitches (sutures).
The perineal approach uses a small incision in the perineum between the anus and the ischial tuberosity. The nerve is freed within the pudendal canal. [10] The laparoscopic approach (Istanbul technique), also termed "laparoscopic pudendal nerve decompression and transposition with omental fap protection of the nerve," is relatively new.
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