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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.
The perineal body (or central tendon of perineum) is a pyramidal fibromuscular mass in the middle line of the perineum at the junction between the urogenital triangle and the anal triangle. In males, it is found between the bulb of the penis and the anus ; in females, it is found between the vagina and anus, and about 1.25 cm (0.49 in) in front ...
The perineum attaches across the gap between the inferior pubic rami bilaterally and the perineal body. This grouping of muscles constricts to close the urogenital openings. The perineum supports and functions as a sphincter at the opening of the vagina. Other structures exist below the perineum that support the anus. [3] [6]
The reproductive system is immature at birth and develops at puberty to be able to release matured ova from the ovaries, facilitate their fertilization, and create a protective environment for the developing fetus during pregnancy. The female reproductive tract is made of several connected internal sex organs—the vagina, uterus, and fallopian ...
Age, pregnancy, family history, and hormonal status all contribute to the development of pelvic organ prolapse. The vagina is suspended by attachments to the perineum, pelvic side wall and sacrum via attachments that include collagen, elastin, and smooth muscle. Surgery can be performed to repair pelvic floor muscles.
As might be expected, the contents of the urogenital triangle differ greatly between the male and the female. Some of the components include: [1] Posterior scrotal nerves / posterior labial nerves; Urethra; Vagina; Bulbourethral gland / Bartholin's gland; Muscles Superficial transverse perineal muscle; Ischiocavernosus muscle; Bulbospongiosus ...
The term vagina is from Latin vāgīna, meaning "sheath" or "scabbard". [1] The vagina may also be referred to as the birth canal in the context of pregnancy and childbirth. [2] [3] Although by its dictionary and anatomical definitions, the term vagina refers exclusively to the specific internal structure, it is colloquially used to refer to the vulva or to both the vagina and vulva.
Changes in breast size during pregnancy may be related to the sex of the infant, as mothers of female infants have greater changes in breast size than mothers of male infants. [14] Many people and even medical professionals mistakenly think that breastfeeding causes the breasts to sag (referred to as ptosis).