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

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

Can perineal massage during the pushing phase of labor really prevent tears? In this episode, Dr. Rebecca Dekker takes a close look at the research to uncover whether this technique truly helps reduce perineal trauma during childbirth.

She explains how health care staff provide perineal massage during labor, breaks down findings findings from key studies and meta-analyses, and examines how biases and variations in clinical practice shape the evidence. Dr. Dekker also explores why results from settings with high episiotomy rates may not apply everywhere and why skilled, supportive care and informed consent often play a bigger role in protecting the perineum than any single technique.

Content Warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy.

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)

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

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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 Mai 202546min

Special Announcement - Become an EBB Instructor

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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 Mai 20254min

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

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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 Mai 202528min

EBB 358 - "I Need to Give Consent" and Seeking Trauma-Informed Birth Support after a First Traumatic Experience with Rivka and Steven Dubinsky, EBB Childbirth Class Graduates

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A traumatic first birth can shape everything that follows—but with the right support, education, and advocacy, it's possible to turn fear into empowerment. In this episode, Dr. Rebecca Dekker sits...

14 Mai 202554min

EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide

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Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Rad...

7 Mai 202549min

REPLAY: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker

REPLAY: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker

In today's episode, we're diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We'll talk about what perineal tears are, the different types that c...

30 Apr 202533min

EBB 356 - NICU-Informed Doulas: What Are They, And How Can They Change the NICU narrative? with Mary Farrelly, RN, Doula, and Founder of the NICU Translator

EBB 356 - NICU-Informed Doulas: What Are They, And How Can They Change the NICU narrative? with Mary Farrelly, RN, Doula, and Founder of the NICU Translator

Navigating a neonatal intensive care unit (NICU) experience can be overwhelming and emotionally taxing. In this episode, Dr. Rebecca Dekker talks with Mary Farrelly, a certified NICU nurse, doula nurs...

23 Apr 202553min

EBB 355 - How Art Can Bring Joy, Peace, and Celebration to Birth and Parenting Experiences with Lauren J. Turner, Artist, Doula, and Founder of Birth Nerds

EBB 355 - How Art Can Bring Joy, Peace, and Celebration to Birth and Parenting Experiences with Lauren J. Turner, Artist, Doula, and Founder of Birth Nerds

How can art serve as a powerful way to honor pregnancy, birth, and parenting experiences—especially for families who are often underrepresented in birth spaces? In this episode, Dr. Rebecca Dekker...

16 Apr 202544min

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