EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum

Evidence Based Birth®

Rebecca Dekker

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

4.6 • 978 Ratings

🗓️ 2 February 2022

⏱️ 25 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, we are continuing our series on protecting the perineum! In this episode, we will cover the evidence on using warm, wet compresses (i.e. washcloths) for lowering the risk of tears and increasing comfort during birth. We’ll also talk about the controversy on hands-on vs. hands-off...which technique should providers be using? Head's up...if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears.

Content warning: Discussion of perineal tears during childbirth, severe tears, and episiotomy.

RESOURCES:

Listen to EBB 206 here.

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

Check out Episode 206 of the EBB Podcast to learn about Perineal Tears and Avoiding Episiotomy

Go to our YouTube channel to see video renditions of all our podcasts!

Visit https://evidencebasedbirth.com/childbirth-class/ to learn more about the Evidence Based Birth Childbirth Class

Take a continuing education class on this topic (and earn a contact hour) by joining the EBB Professional Membership here: https://evidencebasedbirth.com/become-pro-member/

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 evidence-based birth podcast we're going to talk about the
0:04.9	evidence on warm compresses the hands-on technique and the hands-off technique
0:10.4	for preventing perine perennial tears during chomp birth.
0:13.4	Welcome to the evidence-based birth podcast. My name is Rebecca Decker and I'm a
0:21.5	nurse with my PhD and the founder of Evidence
0:24.4	Base Birth. Join me each week as we work together to get evidence-based
0:28.9	information into the hands of families and professionals around the world.
0:33.7	As a reminder this information is not medical advice.
0:37.1	See EBBbirth.com slash disclaimer for more details.
0:43.0	Hi everyone and welcome to today's episode of the Evidence-Based Birth Podcast.
0:48.0	My name is Dr. Rebecca Decker, pronouns she-her and I will be your teacher for today's episode. Today I'm so
0:55.1	excited to bring some evidence-based information to you about
0:58.1	perennial tears and some new research on three different methods that are sometimes used to prevent
1:04.4	perennial tears. We're going to talk about warm compresses, provider hands-on, and
1:09.4	provider hands-off, and whether the evidence shows they're effective or not for preventing
1:14.6	tears.
1:15.6	Before we get started, I wanted to let you know that we will be talking about some topics
1:20.4	including tears, severe tears from the vagina to the rectum and episiotomies.
1:27.2	So today's episode is the second in a series we're doing this year called Protecting
1:32.4	the Pernium. In the first episode
1:34.8	which is episode 2006 I talked with you about what are perennial tears how often
1:40.3	do they happen what are the health consequences of tearing during childbirth?
	...

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