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 compresses, 2) provider "hands on" techniques, 3) provider "hands off" techniques, and how these approaches measure up when it comes to protecting your perineum. You'll learn surprising facts, like how a simple warm washcloth can significantly lower your risk of severe tears (and even ease pain!), plus what the evidence really says about whether a provider should help "guard" the perineum or just keep their hands off you during the actual birth. Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy. (02:55) What is the Perineum? (05:33) Warm Compresses Reduce Birth Tears (08:51) Warm Compresses Reduce Birth Complications (12:27) Hands On vs. Hands Off (18:07) Hands-On vs. Hands-Off Perineal Techniques (19:38) Perineal Support Training Reduces Tearing (22:47) Hands-On vs. Hands-Off Birth Resources
  • For a full list of scientific references, visit the EBB website here.
  • To watch the EBB YouTube video with visual props, visit here.
  • Listen to Episode 206 of the EBB Podcast (Perineal Tears and Avoiding Episiotomy) here.
  • Learn about becoming an EBB Instructor here.

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 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...

30 Dec 20251h 1min

Bonus Announcement from EBB

Bonus Announcement from EBB

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...

23 Dec 20254min

EBB 3 - Why Is It So Hard to Get Evidence Based Care?

EBB 3 - Why Is It So Hard to Get Evidence Based Care?

In this episode, Dr. Rebecca Dekker dives into the evidence-practice gap, the disconnect between what research tells us is best during childbirth and what is actually happening in labor and delivery u...

17 Dec 202529min

EBB 380b - Combating Birth Trauma in Mexico with Sofía Herrera, Psychologist and EBB Instructor

EBB 380b - Combating Birth Trauma in Mexico with Sofía Herrera, Psychologist and EBB Instructor

After what should have been a joyful birth, Sofía Herrera (childbirth educator, EBB Instructor, Hypnobirthing instructor, and social & clinical psychologist) spent nearly 20 years believing she had po...

10 Dec 202538min

EBB 380a - Combatiendo el trauma del parto en México con Sofía Herrera, psicóloga e instructora de EBB

EBB 380a - Combatiendo el trauma del parto en México con Sofía Herrera, psicóloga e instructora de EBB

Tras lo que debería haber sido un parto feliz, Sofía Herrera, (educadora perinatal, instructora de EBB, instructora de Hipnoparto y psicóloga social y clínica) pasó casi 20 años creyendo que padecía d...

10 Dec 202550min

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