EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker

Evidence Based Birth®

Rebecca Dekker

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

4.6 • 978 Ratings

🗓️ 30 March 2022

⏱️ 40 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, we are continuing our series on protecting the perineum by talking about the evidence on whether prenatal perineal massage during labor (more specifically, during the pushing phase) is effective at preventing severe perineal tears. We’ll also discuss the importance of critically analyzing research, and poor quality meta-analyses can have a negative impact by spreading inaccurate information! 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, obstetric violence, and episiotomy.

Resources:

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 an episiotomy, Episode 210 to learn about warm compresses and hands-on vs. hands-off techniques, and Episode 2016 to learn about perineal massage during pregnancy.
Go to our YouTube channel to see video versions of all our podcasts! (including PowerPoint presentations when used)
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 podcast we're going to talk about the evidence on
0:03.8	perennial massage during the pushing phase and whether it's effective at
0:08.3	preventing perennial tears during childbirth.
0:17.0	Welcome to the Evidence Based Birth Podcast. My name is Rebecca Decker and I'm a nurse with my PhD and the founder of Evidence-Based Birth.
0:22.8	Join me each week as we work together
0:24.9	to get evidence-based information
0:26.9	into the hands of families and professionals
0:29.3	around the world.
0:30.8	As a reminder, this information is not medical advice.
0:34.0	See EB Birth.com slash disclaimer for more details.
0:40.0	Hi everyone and welcome to today's episode of the evidence-based birth
0:44.0	podcast my name is Dr Rebecca Decker pronouns she her and I will be your teacher
0:49.2	for today's episode today I'm so excited to bring to you some evidence-based information
0:54.5	about perineal tears and some research on a method that is sometimes used to
0:59.6	prevent perineal tears and that is perineal massage during the pushing phase of labor.
1:05.0	Before we get started I want to let you know up front that we will be talking about
1:09.5	some topics including tears of the vagina, severe tears from the vagina to the rectum,
1:15.2	obstetric violence and traumatic childbirth, and episiotomies.
1:19.2	So today's episode is the fourth in a series that we're doing this year called Protecting
1:25.2	the Paranium.
1:26.7	In the first episode, which was episode 2006 of the EBB Podcast, I talked with you about what are perennial tears, what are the factors that increase
1:35.6	your risk of having a perennial tear during childbirth, what are the health consequences
	...

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