I only teared slightly but didn't need stiches....I was on all fours on the bed. I think that's the best way for a posterior labour (which I had) and in general. Squatting, and anything where gravity assists will lessen the tear. And actually feeling it of course! No drugs or painkillers will assure that you at least feel the push and what you are doing so you are less likely to tear. And a great ob/midwife that can guide your pushing!!!
My plan was on all fours BUT my labour was so fast (DD born 39mins after arriving at hospital) as the midwife was in the middle of asking me would i like to get on all fours as in my plan that she knew of, i was already climbing up on the bed to be on my back, LOL ... Needless to say she was born not even 10mins after that. I teared very little (no need for stitches) but had some terrible grazing. I too had no drugs, gas, etc ... no time for it even " IF " i wanted it as i was going that fast !!!
I gave birth on all fours also did some perinum massagein the weeks leading up to the birth to help with the scar tissue from my episiotomy with DS - hehe my first question after she was born was - did I tear because for me - recovery from the epi was THE WORST but of the afterbirth stage.
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