57: Perineal Tears: What You Need to Know for Future Births, Prevention, and Recovery with Hayley Kava, Pelvic Floor PT (Part 2)

Welcome to part two of a two part, in-depth conversation with Hayley Kava, a pelvic floor physical therapist, focusing on perineal lacerations or tears related to childbirth.  The focus shifts to the effects of operative vaginal delivery methods like episiotomies, forceps, or vacuums, and their potential impacts on perineal health after birth. The hosts cover recovery strategies after a vaginal birth, including the initial steps one can take to enhance healing within the first few weeks postpartum.  Additionally, they explore avenues for possibly preventing perineal tears during childbirth, emphasizing the variability in birth experiences and the significance of informed consent and awareness of one's birthing options.  The episode also delves into perineal massage, both as a preventative measure before birth and a recovery tool after, discussing its efficacy and the mixed opinions surrounding it. Hayley shares what you can expect when working in a pelvic floor PT to heal in the postpartum, as well as her best advice for those first 24 hours after birth! Preorder Gina’s book here: https://amzn.to/3vsdJIR Find and Follow Hayley Kava! Instagram: @HayleyKavaPT Website: www.hayleykavapt.com 00:00 Introduction 02:22 Strategies to Decrease Tearing 07:08 Perineal Massage to Prevent Tearing: Myths and Facts 07:59 The Role of Your Provider in Tearing 12:30 Instrument Assisted Deliveries Explained 20:20 Navigating Future Birth Options After Operative Delivery 27:04 The Impact of Baby's Position and Pushing Techniques on Tearing 27:16 Navigating Perineal Tears: Pain, Healing, and Care 28:26 Sponsored Segment: Needed's Prenatal Vitamins for Optimal Nourishment 30:16 Postpartum Perineum Care: Immediate and Long-Term Strategies 39:50 Advocating for Pelvic Floor Physical Therapy: A Personal Journey 46:52 Exploring Perineal Scar Mobilization and Its Benefits 50:43 Closing Thoughts and Resources for Further Learning ----- This podcast is sponsored by Needed, a nutrition company focused on optimal nourishment for your perinatal journey. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Use code MAMASTEPOD for 20% off your first order or three months of subscription.⁠ ⁠⁠⁠⁠⁠⁠⁠⁠