Birth - Anatomy Of Love And Sex -1981- -

In 1981, midwives and obstetricians were engaged in a heated debate about episiotomy (the surgical cut of the perineum to enlarge the vaginal opening). New studies suggested that routine episiotomy, far from preventing damage, actually weakened the pelvic floor for future sexual function.

The caesarean section rate in the US was rising (hitting nearly 18% by 1981, up from 5% in 1970). Critics argued that the supine position (lying on the back, which compresses the sacrum and narrows the pelvic outlet) was not just bad obstetrics but bad sex. You cannot make love or birth a baby effectively lying flat on your back with your legs in stirrups. Birth - Anatomy of Love and Sex -1981-

The perineum, the 1981 anatomists argued, is designed to stretch. Its collagen fibers, under the influence of the hormone relaxin (discovered decades earlier but fully characterized by 1981), can become pliable. A perineum that stretches naturally during birth—lubricated by blood, sweat, and amniotic fluid—retains its innervation (nerve supply). That innervation is precisely what allows for the exquisite sensitivity of the vaginal introitus during intercourse. In 1981, midwives and obstetricians were engaged in