REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact from fiction and sharing what the research really shows. You'll learn what major studies say about perineal massage, why some commonly cited research may not be trustworthy, and whether this practice is truly necessary, especially if you're in a birth setting with low episiotomy rates. You'll also hear some surprising insights on other ways to protect your perineum and reduce your risk of severe tears.

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

(06:14) Evaluating Perineal Massage Evidence (08:32) Comprehensive Perineal Massage Meta-Analysis (11:20) Perineal Massage Study Bias Concerns (16:04) Double-Blind Study on Episiotomy Rates (20:09) Perineal Massage vs. Control Outcomes (24:44) Study Bias and Participant Dropouts (28:11) Research Fraud: Doubts on Dönmez Study (33:53) Trial Bias in Perineal Massage Study (35:57) Perineal Massage Study Bias Concerns (40:43) Effectiveness of the EPI-NO® Device Resources

For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional Membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

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EBB 364 - How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife

EBB 364 - How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife

Licensed community midwife Grace Flannery and doctoral student Ihotu Ali, founder of the Oshun Center for Intercultural Healing, join Dr. Rebecca Dekker for a moving conversation about burnout, bounda...

9 Heinä 20251h 6min

EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM

EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM

From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care. In this episode, Dr. Reb...

2 Heinä 202555min

EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together

EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together

Carson Meyer, doula, certified nutrition consultant, and author of Growing Together, joins Dr. Rebecca Dekker for a conversation about reclaiming the sacred, intuitive, and evidence-based aspects of p...

25 Kesä 202542min

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

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

Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresse...

11 Kesä 202525min

EBB 361 - Supporting Intersex Communities during Birth with Niki Khanna and Catherine Clune-Taylor, Co-Presidents of InterACT

EBB 361 - Supporting Intersex Communities during Birth with Niki Khanna and Catherine Clune-Taylor, Co-Presidents of InterACT

Most parents are told their baby is either a boy or a girl. But what happens when a baby is born with intersex traits—and how can birth workers and clinicians respond with compassion, accuracy, and ca...

4 Kesä 202551min

EBB 360 - Overcoming Challenges with Low Milk Supply with Katie James, Midwife, IBCLC, and Host of the Midwives' Cauldron Podcast

EBB 360 - Overcoming Challenges with Low Milk Supply with Katie James, Midwife, IBCLC, and Host of the Midwives' Cauldron Podcast

Struggling with low milk supply can feel overwhelming, isolating, and confusing. In this episode, Dr. Rebecca Dekker talks with midwife and International Board Certified Lactation Consultant Katie Jam...

28 Touko 202546min

Special Announcement - Become an EBB Instructor

Special Announcement - Become an EBB Instructor

Special Announcement from EBB! If you're an experienced birth worker or health care professional and you're interested in becoming an Evidence Based Birth Instructor, applications for 2025 are opening...

23 Touko 20254min

EBB 359 - Mini Q & A on Early Induction for Gestational Hypertension, Acupuncture/Acupressure for Labor, and Time Intervals between Pregnancies

EBB 359 - Mini Q & A on Early Induction for Gestational Hypertension, Acupuncture/Acupressure for Labor, and Time Intervals between Pregnancies

In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care. First, she explores the latest evidence on...

21 Touko 202528min

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