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Many birth professionals are having to recreate themselves in response to COVID19. Doulas are not allowed in the birth space. Childbirth classes have mostly gone online and even prenatal classes are now online. We are having to find new and innovative ways of supporting families without compromising on standards. 

Business Mentor for Birth Professionals 

Even if things go back to the way they were (and they won’t) we need to use this time to adapt to the changing environment.

Do you have a website? 

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Has your income been negatively impacted?

If you would like to explore how you can pivot your present birth business to increase your income then fill in the form below. 

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t's an uncomfortable conversation. You may be told that a cut is better than a tear but a tear sounds terrifying!

A recent Cochrane systematic review examining the evidence on selective versus routine episiotomies for vaginal birth concluded:

“Overall, the findings show that selective use of episiotomy in women (where a normal delivery without forceps is anticipated) means that fewer women have severe perineal trauma. Thus the rationale for conducting routine episiotomies to prevent severe perineal trauma is not justified by current evidence, and we could not identify any benefits of routine episiotomy for the baby or the mother.”

Despite this recommendation, health workers sometimes encounter institutional barriers that pressure them to perform the procedure. Fear of a woman developing a third or fourth degree perineal tear and a lack of proper training can also contribute to high episiotomy rates.

Evidence shows that episiotomies do not protect the perineum during birth and in fact increase the chance of a third or fourth degree tear. Once the cut is done the baby’s head emerging causes the cut to tear deeper into the muscle. Tears will heal much better than episiotomies as well. The scar tissue from an episiotomy can be weaker but will not restrict the perineum’s ability to stretch in future births. A previous episiotomy is not an automatic reason for an elective c-section.

In this episode I talk about some of the things that you can do to prevent an unnecessary episiotomy. Please connect with me on my Facebook page so that you can be kept up to date with the extensive resources that I am putting together for you about episiotomy.

audioboom.com/posts/7290238-how-to-avoid-an-unnecessary-episiotomyAn episode by The Virtual Midwife
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