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Message: Pregnancy and Stretching

From: zappaz1 Sent: 19 July 2001 Message 1 of 8

Many doctors are now allowing some vaginal stretching before delivery to prevent the need for tears or episiotomies (cutting) during delivery. It is my firm belief that this works, but it is also my belief that it should never be done without the approval of one's OB doctor. He alone knows your condition!!

Many people ask me about stretching during pregnancy and I advise against it unless the permission of the OB doctor is obtained. The reason for this is that there can be many conditions where such activity is contraindicated.

There is one particular condition that causes early loss of pregnancy that is called Incompetent Cervix. In this condition, the cervix remains partially open and it requires a very good specialist to treat the condition. Even then there is loss of pregnancy in many of those cases. Whenever I am asked "what about stretching" in this case I have replied as follows: "I hate to spoil the fun, but in spite of the fact that stretching of the opening of the vagina to prevent tears etc. is often done..." etc... with advice not to do it when there has been previous early loss of pregnancy--- and advice to consult one's OB doctor! I mention that a finger could enter a loose cervix and cause trouble and I feel sure that their OB doctor would advise likewise.

The reason I am posting this, is that those that have contacted me always contacted me back later, that they followed my advice, and their doctor's advice, and that they did everything they possibly could to avoid the repeated loss of pregnancy. Having done this, they should never blame themselves for the pregnancy loss. It just happens.

In spite of these precautions there is a very high incidence of repeated pregnancy loss. I am hoping that posting this may help those who know they have an incompetent cervix or those that have had a previous early pregnancy loss. Always!!! Please get your doctor's advice if you are pregnant!!! And it's OK to ask.

From: jjjjjjjjjjj Sent: 21 July 2001 Message 2 of 8

i am a firm believer in stretching prior to birth. my wife and i continued to keep her "in shape" with her 3.5x5 inch rubber toy right up to two weeks before delivery. come time she delivered a medium sized little girl at 7lb 8oz with no drugs, no pain, no tears, and one push. my little girl almost fell out so to speak. however recovery for my wife was little more than a few hours and she felt fine with absolutely no pain. i believe our stretching practice was directly responsible for the painless birth. not to mention how much less pressure and stress is experianced by the newborn.

From: zappaz1 Sent: 21 July 2001 Message 3 of 8

Your experience is typical. I once delivered a tall heavy lady (that had done this stretching before delivery) of a 14 pound first baby, and she had the same experience. She even had room to spare! She pushed just as I was examining her and the baby's head and my right hand were both instantly born at the same time. LOL She then had a huge orgasm as the baby's huge wide shoulders were born... LOL

Every case is different, so always ask your doctor, as some rare conditions might cause him not to approve stretching before delivery.

I will ge gone for 7 to 10 days due to things I have to take care of so I can answer better after that time.

From: Lorie Sent: 29 July 2001 Message 4 of 8

I am glad to see this addressed and took it personal to my heart, thanks Zap. We are going for testing to see whats really going on and gonna go from there. safety during pregnancy is important and being one who has an imcompetant cervix it's always good to check with Dr no matter what.

From: zappaz1 Sent: 30 July 2001 Message 5 of 8

Thank you Lorie,

I am back from the time-off I mentioned to you. I had some personal bad news and will be undergoing some treatments. I may not be online as much.

I hope understanding of our activity will continue to spread. That way, more people will join or ranks and make this a more open subject for the public as a whole. I can see it is already headed that way. I can remember years ago when it was totally a "closet subject."

Anything so enjoyable should be better understood.

From: goka23 Sent: 30 July 2001 Message 6 of 8

dear zapaz i hope u will be well. What shall we do in the club without u??:)

From: Chris & Julie Sent: 31 July 2001 Message 7 of 8

All the very best to you Zappaz1 and we sure hope you check in occasionally.

C&J

From: zappaz1 Sent: 31 July 2001 Message 8 of 8

Thanks everybody,

I will be fine... I think... LOL

I only mentioned this because if I get sick from the treatments, I may not be online as often.

...Back to the topic of this discussion:

I keep seeing medical reports that episiotomies are causing more trouble than they help. They seem to cause a lot of problems such as anal incontinence, abcesses, coital pain, septicemia, hematomas, fistulas and other problems. An episiotomy is a cut on the back wall of the vagina that some think helps prevent damage on the front wall as the babies head and shoulders pass.

There is a very doubtful benifit of episiotomy to help prevent the babies head from "pushing upward" when it meets the tight lower wall of the vagina during the delivery. The idea is that this "pushing upward" might cause some tissue damage to the front wall of the vagina. This has not been proven, but is the _only_ reason now that can be used as an excuse for doing it.

The reason the head pushes upward is often a "rushed delivery" not giving the vagina time to stretch open, by a doctor who refuses to do any stretching during the delivery.

If ladies stretched easily, even that possible advantage from episiotomy would not be present. The head pushing upward is due to rapid delivery through a vagina that has never been previously stretched, or one that has not been given time to stretch slowly like a natural delivery. If stretching had been done weeks before delivery, there are usually no tears. 60% of North American women get this procedure. Doctors tend to like Episiotomy as it considerably shortens the time to deliver a baby; and is very tempting to do... by someone who is impatient. The rest of the news about episiotomies is all bad:

In a recent review of all the English-language literature since 1980 by Robert J. Woolley, MD. Several problems were found:

"Episiotomy causes anal sphincter damage, poor wound healing, infection, pain, dyspareunia (painful sexual intercourse), and excessive maternal blood loss. Less common, but particularly severe consequences of episiotomy are extreme fear of subsequent delivery, intractable rectal hemorrhage, massive vulvar hematoma, necrotizing fasciitis and myonecrosis (deathly gangrenous infections), relapsing toxic shock syndrome, brain abscess-seeded from an infected episiotomy site, hypersensitivity reactions- including anaphylactic shock, from latex contact during episiotomy repair, endometriosis arising in the episiotomy site, granular cell tumor of the vulva in the
episiotomy scar, clear cell carcinoma arising in the episiotomy site, and the episiotomy scar can become a site for metastasis of carcinomas, particularly of the cervix. Episiotomy DOES NOT prevent or relieve the following in babies: fetal injury, intracranial hemorrhage, intrapartum asphyxia, fetal distress, shoulder dystocia. (The idea that such conditions are prevented by episiotomy is still grasped at, like a failing straw, by many doctors who are unwilling stop cutting.) Rare but serious damage to babies, aside from castration, include: eyelid laceration, methemoglobinemia (red blood cells being unable to release oxygen), lidocaine toxicity, increased rate of vertical transmission of HIV..."
-------------------------------
...and so forth. If you are thinking about stretching before delivery, you need to ask your doctor if you can. If he says no... ask him why not... as he might possibly have a reason, as there are a few rare reasons not to!

You might even ask him about what percent of his patients he does episiotomies on... and if he personally takes the time to do any "perineal ironing" (as medical stretching is called) during the second stage of labor... to prevent tears... LOL