Q&A: What Actually Works to Prevent Tearing During Birth?

During the second (pushing) stage of labor, your perineum stretches as your baby is born. More than half of first-time mothers experience some degree of tearing during vaginal birth. The good news is that you can educate yourself so you understand both how to prevent tearing and how to promote healing if it happens. Find out what evidence-based strategies can reduce your risk of tearing. This episode examines the research on everything from perineal massage to breathing techniques and labor positions. To cover all aspects of this possibility, learn what to expect if you do experience a tear, along with simple, effective ways to ease discomfort and support healing postpartum.     Thank you to our sponsor   Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. The Zahler Prenatal +DHA is my #1 recommendation for a high-quality prenatal vitamin. In March 2025, you can save 30% off the Zahler Prenatal +DHA on Amazon with the code PREPOD30. Plus, if you email your order number and mailing address to vanessa@pregnancypodcast.com you will get a free silicon baby bib. You can always see the current promo code for the Zahler prenatal vitamin by clicking here.     Read the full article and resources that accompany this episode.     Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more.     Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners.     For more evidence-based information, visit the Pregnancy Podcast website.