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.

Episoder(418)

EBB 392 - Enduring a 54-Hour Long Induction for Preeclampsia with Paige Wener and Kevin Booth, Graduates of the EBB Childbirth Class

EBB 392 - Enduring a 54-Hour Long Induction for Preeclampsia with Paige Wener and Kevin Booth, Graduates of the EBB Childbirth Class

EBB Childbirth Class Graduates Paige Wener and Kevin Booth hoped for a low-intervention water birth at their midwife-led birth center in rural Vermont. But at 38 weeks and 6 days, a routine prenatal v...

25 Mar 1h 2min

EBB 391 - Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book

EBB 391 - Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book

Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN ...

18 Mar 54min

EBB 390 -  Simple but Effective Communication Techniques for Hospital Birth with Dr. Amber Weiseth, DNP, RNC-OB of Ariadne Labs and TeamBirth

EBB 390 - Simple but Effective Communication Techniques for Hospital Birth with Dr. Amber Weiseth, DNP, RNC-OB of Ariadne Labs and TeamBirth

In this episode, we explore how the traditional "game of telephone" model in hospitals can leave birthing people out of critical decisions about their own care and what happens when we redesign the sy...

11 Mar 46min

EBB 389 - The Global Impact of Midwifery with Stephanie Marriott, Midwife Advisor for the International Confederation of Midwives

EBB 389 - The Global Impact of Midwifery with Stephanie Marriott, Midwife Advisor for the International Confederation of Midwives

Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of t...

4 Mar 46min

EBB 388 - Updated Evidence on Induction for Gestational Diabetes

EBB 388 - Updated Evidence on Induction for Gestational Diabetes

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of...

25 Feb 43min

EBB 387 - Doulas in the Operating Room, Risk of Repeating a Severe Tear, and White Coat Hypertension in Pregnancy with the EBB Research Team

EBB 387 - Doulas in the Operating Room, Risk of Repeating a Severe Tear, and White Coat Hypertension in Pregnancy with the EBB Research Team

In this episode, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of expe...

18 Feb 33min

EBB 386 - A Peaceful yet Urgent Cesarean Birth Story with Krista DeYoung, EBB Childbirth Class Graduate and Placental Abruption Survivor

EBB 386 - A Peaceful yet Urgent Cesarean Birth Story with Krista DeYoung, EBB Childbirth Class Graduate and Placental Abruption Survivor

In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparin...

11 Feb 52min

REPLAY: EBB 118 - How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin

REPLAY: EBB 118 - How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin

In one of the most popular podcast episodes ever published by Evidence Based Birth®, Dr. Rebecca Dekker sits down with Dr. Alyssa Berlin, a clinical psychologist specializing in pregnancy, postpartum,...

4 Feb 37min

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