Evidence Based Birth® REPLAY: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker
Apr 30, 2025
Explore the critical conversation around perineal tears and the importance of avoiding episiotomies. Learn about different types of tears and factors impacting their risk. Discover the historical context of episiotomies and why routine use can lead to adverse outcomes. Hear about the empowering role of advocates in childbirth and the necessity of informed consent. Engaging insights aim to empower listeners to advocate for better maternal care and understand their bodily autonomy during the birthing process.
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Fear of Perineal Tears
- Many people, especially young students, fear perineal tearing so much they consider avoiding childbirth.
- Healthcare students, partners, and birthing people all share this common fear around tearing.
Degrees of Perineal Tears
- Perineal tears range in severity from first to fourth degree, with severe tears involving muscles near the anus.
- Third and fourth degree tears are known as obstetric anal sphincter injuries (OASI) and have serious implications.
Prevalence of Perineal Tears
- Between half and three-quarters of vaginal births involve some perineal tearing.
- Severe tears happen in about 3-7% of births, though rates vary widely by circumstances.
