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

Apr 20, 2022

Learn about the benefits of birthing positions in preventing perineal tears. Discover traditional midwifery practices that promote perineal health. Explore strategies for calm and empowering births. Find out how physiological delivery can reduce tears and shoulder dystocia.

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Introduction

00:00 • 2min

Exploring Evidence-Based Birthing Positions and Midwifery Practices for Perineal Protection

02:04 • 2min

Optimizing Birthing Positions for Perineal Protection

04:18 • 22min

Expert Midwives' Strategies for Calm and Empowering Births

26:27 • 2min

Optimizing Perineal Health in Childbirth

28:08 • 7min

Promoting Physiological Delivery to Reduce Tears and Shoulder Dystocia

34:40 • 14min

Supporting Podcast Content and Promoting Educational Resources

48:27 • 2min

In this episode, we are finishing up our series on protecting the perineum by talking about the evidence on birthing positions and how upright positions help prevent tears! We’ll also discuss tried-and-true protective practices that midwives have passed down through countless generations (hint: it's simpler/easier than you think!) Head's up... if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears. You can also go back to Episodes 210, 216, and 218 for more info about other proposed methods of protecting the perineum.

Content warning: we mention tears of the vagina, severe tears from the vagina to the rectum, obstetric violence related to episiotomies, and being forced to give birth on your back.

RESOURCES:

Support the work of Mercy In Action in the Philippines (and check out their U.S.-based midwifery college) here https://www.mercyinaction.com/
For a full list of scientific references, see the blog post that goes along with this episode
Check out Episode 206 of the EBB Podcast to learn about perineal tears and avoiding an episiotomy, Episode 210 to learn about warm compresses and hands-on vs. hands-off techniques, Episode 216 to learn about perineal massage during pregnancy, and Episode 218 to learn about perineal massage during labor.
Go to our YouTube channel to see video versions of all our podcasts! (including PowerPoint presentations when used)
Visit https://evidencebasedbirth.com/childbirth-class/ to learn more about the Evidence Based Birth® Childbirth Class
Take a continuing education class on this topic (and earn a contact hour) by joining the EBB Professional Membership here: https://evidencebasedbirth.com/become-pro-member/

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.