Many women go on to have perfectly safe & non-tearing vaginal births after tearing.

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There are steps you can take to help minimise the risk of re-tearing. Some are highlighted by RCOG below:

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• birthing upright, laying on your side or on all fours. Not laying on your back.

• avoiding instrumental delivery (opt for a low-threshold for emergency section) 

• pushing when you feel your body wants to 

• practicing perineal massage from 37 weeks 

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These points above cannot always be abided to, due to emergency situations eg. the baby is in distress. 

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Some women decide to hire a doula if they feel they need or want extra emotional support during labour. 

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