You have to find a doctor who will talk to you and a doctor who's going to be willing to read that manuscript and say, " No, you idiot. The episiotomy doesn't work that way."

你必须找到一个愿意和你交谈，一个愿意读你写手稿，然后说，“不对，你这个白痴。会阴切开术不是这样做。”

Alright, as a quick recap: Staphylococcus saprophyticus is round, gram-positive, facultative anaerobic, non-motile, non-spore forming, catalase positive, coagulase negative, urease positive, and novobiocin resistant bacterium, which is known to be part of the normal flora of the perineum.

得！来快速回顾一下：腐葡萄球菌是一种圆形、革兰染色阳性、兼性厌氧细菌，无运动能力、不形成孢子，且过氧化氢酶阳性、凝固酶阴性、脲酶阳性，对新霉素耐药，是已知会阴正常菌群一部分。

It can also cause saddle anesthesia, which is a loss of sensation in the saddle area, which includes the buttocks, inner surface of the thigh and perineum.

还会导致鞍区麻木，即鞍区感觉减退、丧失，鞍区包括臀部、大腿内侧和会阴。

Instead, from the gut, bacteria get to the rectum, anus and eventually colonizes the perineum, becoming part of the normal flora.

相反，细菌由肠道到达直肠、肛门，最终定居于会阴，成为正常菌群一部分。

There's OBGYNs who refuse to work with a doula, episiotomies being performed without consent, and unnecessary c-sections being pushed on women just to work around a doctor's lunch break.

有些妇产科拒绝与导，会阴切开术在没有获得同意情况下进行，而一些不必要剖腹产手术只是为了避开午餐时间而强行推荐给女性。

Just guard the perineum and it's usually by the time we get there and they call 901, it's kind of halfway happening anyway.

只需保护会阴部， 通常等我们赶到时， 他们已经拨打了911，情况往往已经进展到一半了。

Can you tell us a little bit more about perineal lacerations and what the different types of those are?

你能再跟我们多讲一些关于会阴裂伤情况吗？们有哪些不同类型？

I'LL BE WORKING ON THE MUSCULATURE OF THE PERINEAL FLOOR.

我来处理会阴部肌肉组织。

At that point, I hadn't yet gone to home births.

那时，我还没有参与过家庭分娩。 在这些纯素食孕妇中， 出现了两个问题。 首先，她们会阴撕裂程度远比那些大量食用动物内脏、甚至是草饲牛肉或动物蛋白人严重。

The first is a first degree perineal laceration, and that's a small tear that only affects the skin.

第一度会阴裂伤，即仅影响皮肤小裂口。