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(411)

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

EBB 385 - A Healing Birth Center Waterbirth with Michaela Raines, EBB Childbirth Class Graduate

EBB 385 - A Healing Birth Center Waterbirth with Michaela Raines, EBB Childbirth Class Graduate

A healing birth can change the way you understand everything that came before it. In this episode, Dr. Dekker talks with EBB Childbirth Class graduate Michaela Raines about experiencing a deeply heali...

28 Jan 35min

EBB 384 - Evidence on "What is a Due Date?"

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21 Jan 50min

EBB 383 - Impact of Extreme Weather on Pregnancy with Alicia Race, Climate Resilience Policy Advocate

EBB 383 - Impact of Extreme Weather on Pregnancy with Alicia Race, Climate Resilience Policy Advocate

From heat waves to winter storms to hurricanes, extreme weather events are increasingly part of everyday life, and learning how they intersect with pregnancy and birth can empower families and birthwo...

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Special Announcement from EBB

Special Announcement from EBB

Be the first to hear about the special event we're planning for 2026! To get on the waitlist for the upcoming event, visit ebbirth.com/waitlist.

12 Jan 6min

EBB 382 - The Power of Your Birth Story with Lisa Greaves Taylor, Host of the Birth Matters Podcast

EBB 382 - The Power of Your Birth Story with Lisa Greaves Taylor, Host of the Birth Matters Podcast

Long before labor begins, the stories we hear about birth are already shaping our expectations and choices. In this episode, Dr. Rebecca Dekker talks with Lisa Greaves Taylor, founder of Birth Matters...

7 Jan 48min

EBB 381 - Ask Me Anything with Dr. Rebecca Dekker

EBB 381 - Ask Me Anything with Dr. Rebecca Dekker

As 2025 comes to an end, guest host Dr. Sara Ailshire turns the tables and interviews Dr. Rebecca Dekker about the biggest childbirth trends, lessons, and breakthroughs of 2025, and what exciting chan...

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Bonus Announcement from EBB

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The EBB End of Year Countdown Sale, featuring three days of one-day-only deals, is happening December 29 through December 31.   Over those three days, we will release a different EBB tool or program...

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