EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices 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

🗓️ 20 April 2022

⏱️ 50 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, we are finishing up our series on protecting the perineum by talking about the evidence on birthing positions and how upright positions help prevent tears! We’ll also discuss tried-and-true protective practices that midwives have passed down through countless generations (hint: it's simpler/easier than you think!) 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. You can also go back to Episodes 210, 216, and 218 for more info about other proposed methods of protecting the perineum.

Content warning: we mention tears of the vagina, severe tears from the vagina to the rectum, obstetric violence related to episiotomies, and being forced to give birth on your back.

RESOURCES:

Support the work of Mercy In Action in the Philippines (and check out their U.S.-based midwifery college) here https://www.mercyinaction.com/
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, Episode 216 to learn about perineal massage during pregnancy, and Episode 218 to learn about perineal massage during labor.
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
0:03.6	birthing positions and time-tested midwifery practices for preventing tears in
0:08.7	childbirth.
0:10.7	Welcome to the evidence Based Birth Podcast. My name is Rebecca Decker and I'm a nurse
0:17.6	with my PhD and the founder of Evidence Base Birth. Join me each week as we work together
0:23.6	to get evidence-based information
0:25.6	into the hands of families and professionals
0:28.1	around the world.
0:29.5	As a reminder, this information is not medical advice.
0:33.0	See EB Birth.com slash disclaimer for more details.
0:37.0	Hi everyone and welcome to today's episode of the Evidence-based Birth Podcast.
0:44.0	My name is Dr. Rebecca Decker, pronouns she her, and I will be your teacher for today's episode.
0:49.7	Today I'm so excited to bring some evidence-based information to you about perennial tears and research
0:55.4	on preventing tears with birthing positions and time-tested midwifery practices.
1:01.1	Before we get started, I want to let you know that we will mention topics including
1:04.8	tears of the vagina, severe tears from the vagina to the rectum, and obstetric
1:10.1	violence related to episiotomies and being forced to give on your back.
1:14.0	Also I have another important announcement for you.
1:16.0	This episode is coming out on April 20, 2022.
1:20.0	And starting tonight at 8 PM Eastern,
1:22.0	we have a free public webinar all about failure to
1:24.4	progress or failure to wait. Where we're going to debunk myths about labor progress and talk about factors
	...

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