Editing How to Avoid an Episiotomy (section)

== During Labor and Delivery ==

=== Birthing Positions ===
Using upright or side-lying positions during the pushing stage, rather than lying flat on your back, may reduce the need for episiotomy3<ref name="ref4">4</ref>. Squatting, kneeling, or being on all fours can help open the pelvis and reduce perineal pressure.

=== Warm Compresses ===
Applying warm compresses to the perineum during the second stage of labor can help increase blood flow and elasticity of the tissues3<ref name="ref4">4</ref>.

=== Controlled Pushing ===
Following your healthcare provider's guidance on when and how to push can help prevent rushing the delivery, allowing time for the perineum to stretch gradually[13].

=== Perineal Support ===
Having your provider provide hands-on perineal support as the baby's head emerges may help prevent tearing and avoid the need for an episiotomy[3].

=== Slow Delivery of the Baby's Head ===
When the baby's head is crowning, your provider may ask you to stop pushing and take short, panting breaths to allow for a slower, more controlled delivery of the head[16]. This gives the perineal tissues time to stretch.