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. &nbsp; 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. &nbsp; Content warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy. &nbsp; Resources: <ul class="RichTextList-bulleted"> <li> For a full list of resources, visit: <a href= "https://evidencebasedbirth.com/replay-ebb-218-the-evidence-on-perineal-massage-during-labor-with-dr-rebecca-dekker/" target="_blank" rel="noopener">ebbirth.com/218</a> </li> <li> Watch the video version <a href= "https://youtu.be/VNunFUPdDwU?si=jC3yDs2clA13tDoJ" target="_blank" rel="noopener">here on our YouTube channel</a> which includes study breakdowns and PowerPoint slides. </li> <li> Protecting the Perineum Series: </li> <ul class="RichTextList-bulleted"> <li> <a href= "https://evidencebasedbirth.com/replay-ebb-206-evidence-on-perineal-tears-and-the-importance-of-avoiding-episiotomy-with-ebb-founder-dr-rebecca-dekker/" target="_blank" rel="noopener">EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker</a> </li> <li> <a href= "https://evidencebasedbirth.com/replay-ebb-210-evidence-on-warm-compresses-and-hands-on-vs-hands-off-for-protecting-the-perineum/" target="_blank" rel="noopener">EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum</a> </li> </ul> </ul> &nbsp; For more information about Evidence Based Birth® and a crash course on evidence based care, visit&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="http://www.ebbirth.com/" target="_blank" rel= "noreferrer noopener">www.ebbirth.com</a>. Follow us on&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://instagram.com/ebbirth" target="_blank" rel= "noreferrer noopener">Instagram</a>&nbsp;and&nbsp;<a class="LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://youtube.com/evidencebasedbirth" target="_blank" rel= "noreferrer noopener">YouTube</a>! Ready to learn more? Grab an&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://evidence-based-birth.myshopify.com/collections" target="_blank" rel="noreferrer noopener">EBB Podcast Listening Guide</a>&nbsp;or read Dr. Dekker's book,&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://evidencebasedbirth.com/book/" target="_blank" rel= "noreferrer noopener">"Babies Are Not Pizzas: They're Born, Not Delivered!"</a>&nbsp;If you want to get involved at EBB, join our&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://evidencebasedbirth.com/become-pro-member/" target= "_blank" rel="noreferrer noopener">Professional membership</a>&nbsp;(scholarship options available) and get on the wait list for our EBB&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href= "https://evidencebasedbirth.com/become-an-evidence-based-birth-instructor/" target="_blank" rel="noreferrer noopener">Instructor program</a>. Find an&nbsp;<a class= "LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://evidencebasedbirth.com/find-an-instructor-parents" target="_blank" rel="noreferrer noopener">EBB Instructor</a>&nbsp;here, and click&nbsp;<a class="LinkThemeablePresentation LinkPrimaryPresentation LinkPrimaryPresentation--sentimentSelected PrimaryLink HighlightSol HighlightSol--core HighlightSol--buildingBlock" href="https://evidencebasedbirth.com/childbirth-class/" target= "_blank" rel="noreferrer noopener">here</a>&nbsp;to learn more about the EBB Childbirth Class.

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

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