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EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

Evidence Based Birth®

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Promoting Physiological Delivery to Reduce Tears and Shoulder Dystocia

The chapter analyzes data from midwife-led birth centers to emphasize the benefits of allowing physiological delivery for reducing perineal tears and shoulder dystocia during birth. It contrasts hands-off midwifery approaches with interventions like the OAC bundle to lower tear rates and promote intact perineums. The importance of a supportive environment, avoiding unnecessary interventions like episiotomies, and advocating for compassionate care in childbirth is highlighted.

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