I was going to mention this too but thought it might have been a bit OT.
My midwives instructed my pushing alot to avoid tearing (they told me what sort of push to do... Small quick ones, or long hard pushes or to just simply hold baby there for an extra few seconds so my body could catch up with the sensation) god I loved those midwives!
Notes on pushing - check. I am taking so much more information into birthing this baby than I did with DS!
I agree about birthing positions and going slow with being more effective than massage. DD was 8lb9oz with a head circ of 36cm, and I breathed her out and didn't tear at all, not even a graze. As a PP said, I let DD sit there for a while during crowing which allowed everything to stretch and conform around her head, instead of powering on through that part.
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