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

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