EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker

Evidence Based Birth®

Rebecca Dekker

Pregnancy, Health & Fitness, Childbirth, Parenting, Birth, Medicine, Kids & Family, Doula, Obstetrician, Midwife

4.6 • 978 Ratings

🗓️ 5 January 2022

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this episode, we are kicking off a new series on protecting the perineum - starting with the evidence on perineal tears and the importance of avoiding episiotomies.

In this episode, we will cover the factors that can increase or decrease your risk of tearing during birth. We’ll also talk about the types of perineal tears that can occur, as well as the consequences of perineal tears. Finally, we’ll wrap up this podcast by discussing why it’s so important to avoid an episiotomy during childbirth.

Content warning: Discussion of perineal tears during childbirth, severe tears, episiotomy, and obstetric violence related to cutting episiotomies without consent.

Resources:

For a full list of scientific references, see the blog post that goes along with this episode.

The Mayo Clinic has graphics that show the different types of tears: http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129

Read Dr. Klein’s story here https://www.cbc.ca/radio/whitecoat/meet-dr-michael-klein-canada-s-father-of-family-friendly-births-1.4884557

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.

Transcript

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0:00.0	Hi everyone on today's podcast we're going to talk about the evidence on
0:03.7	perennial tears and the importance of preventing episiotomies during birth.
0:11.6	Welcome to the evidence-based Podcast. My name is Rebecca Decker and I'm a nurse with my
0:16.5	PhD and the founder of Evidence Space Birth. Join me each week as we work together to get evidence-based information into the hands of families
0:25.6	and professionals around the world.
0:28.2	As a reminder, this information is not medical advice.
0:31.6	See EB-Birth.com slash disclaimer for more details.
0:37.3	Hi everyone and welcome to today's episode of the Evidence-based Birth
0:41.3	Podcast. My name is Dr. Rebecca Decker,
0:44.3	pronouns she her and I will be your teacher for today's episode. Today I'm so
0:49.3	excited to bring some evidence-based information to you about perineal tears and the importance of preventing
0:55.5	epiziotomies in birth.
0:57.6	Before we get started, I wanted to let you know that we will be talking about some topics,
1:01.6	including tears, severe tears from the vagina to the rectum, and
1:05.8	episiotomies, which is an incision or cut of the tissue next to the vagina.
1:10.9	We'll also be talking about severe health consequences of severe tears and episiotomies.
1:17.0	So today's episode is the first in a series that we're going to be doing over the next few months that I like to call protecting the
1:24.1	parenium. In today's episode I'm going to talk with you about what are
1:27.9	perennial tears? What are the factors that can increase your risk of having a perineal tear during childbirth.
1:34.1	The health consequences of tears and why it's an important to avoid an epiziatomy if
1:39.6	at all possible. In future episodes this year we'll cover the evidence on other ways you can prevent or lower
1:46.8	your risk of perineal tears during birth.
	...

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