Podcasts about Perineal

Erika and Kristen react to one of the most harrowing posts from the r/regretfulparents subreddit — a woman's decade-long battle with serious birth injury damage after a midwife failed to suture a second-degree tear, leaving her with permanent physical damage, no sensation during sex, and a medical system that keeps turning her away.This one is NOT for the faint of heart. (You've been warned.

In this episode Karen speaks with Melanie Francis about perineal trauma. They discuss perineal trauma, what is normal and easily recoverable, what can be done to lessen or prevent severe perineal trauma, and ways to improve postpartum recovery. Both Mel and Karen are midwives and as you will hear, they are very passionate about this topic. Mel is also a clinical educator with Gyzone, a specialized online education platform that provides accredited, video-based training for midwives, doctors, and medical students worldwide on diagnosing and repairing vaginal and perineal lacerations and tears. Mel also runs face to face workshops for Gyzone here is Australia.

Tearing is one of the most common fears around birth—and one of the most misunderstood. In this episode, we talk about what really causes tearing, what the research shows, and what you can do to reduce your risk. We cover perineal massage, positions for birth, breathing and pacing, water birth, warm compresses, and what makes recovery smoother.Through the episode, we review our followers' real-life "tearing" stories, and provide our commentary, which includes labial tears, scar tissue, pelvic floor recovery, over-stitching and unnecessary repairs, how beliefs and fear affect pushing, poor suturing techniques, the harm caused by routine episiotomies and the so-called, absolutely outrageous, “husband stitch”. This is an honest, evidence-based conversation about the perineum—how to protect it, how to heal, and what every woman can know before giving birth.Watch our full Preventing Perineal Tears workshop on Patreon.com/DownToBirthShow.**********Send us a text Needed

Fear of tearing is one of the most common concerns women have as they prepare for birth, yet many leave the experience saying, “I wish someone would have told me this sooner.” In this episode, we break down perineal tearing with evidence-based education so you can head into labor feeling informed, prepared, and confident.We're joined by Sarah Rubbatt, lead women's health physical therapist at Empowered Movement and Physical Therapy, who works closely with Krystle and has helped countless women recover from birth-related tearing. Together, they share prevention strategies and postpartum support, emphasizing that knowledge truly is power when it comes to pelvic floor health.The conversation begins with a clear explanation of what tearing is, why it happens, and why it can occur even in women who are strong and healthy. Sarah and Krystle walk through practical ways to prepare during pregnancy, including breath work, learning to relax the pelvic floor, and perineal massage.The episode also covers supportive strategies during labor that may help reduce tearing, such as warm compresses, changing pushing positions, and avoiding unnecessary strain. For those who do experience tearing, Sarah explains postpartum healing, scar tissue expectations, and medical options if pain persists.Finally, they discuss when to seek outside support and remind listeners to trust their intuition. The message is clear: healing is always possible, and every mother deserves to feel supported in her body.If you enjoyed this episode, please share it to your Instagram stories and tag us @expectingandempowered. Knowledge is power, and we're here to support you on your childbirth journey.Book Your Online Wellness Session with Sarah: https://app.acuityscheduling.com/schedule/955cea81/appointment/39793520/calendar/6222275?appointmentTypeIds[]=39793520Freebie on How to Do a Perineal Massage: https://expectingandempowered.myflodesk.com/pp06gv2whmListen to E+E Podcast Episode 47: How To Prep Your Pelvic Floor For Labor + Delivery: https://www.expectingandempowered.com/blog/e-e-podcast-episode-47-how-to-prep-your-pelvic-floor-for-labor-and-deliveryListen to E+E Podcast Episode 99: You Don't Have to Labor or Birth on Your Back!: https://www.expectingandempowered.com/blog/e-e-podcast-episode99-you-dont-have-to-labor-or-birth-on-your-back-smwptLinks & ResourcesExpecting and Empowered App - Enter code 'PODCAST25' at checkout Expecting and Empowered WebsiteExpecting and Empowered Instagram

In our season finale of First Case, we unpack two OR practices that many of us have seen (or done!), from adjusting surgical loupes with blue towels to the truly legendary myth of "perineal fallout." This episode blends humor, history, and evidence-based practice as we talk about why some habits stick, how outdated ideas persist, and what it means to stay lifelong learners in the perioperative space. If you're ready for a few laughs, a few gasps, and a lot of "lightbulb moments," join us for the wrap-up of a season dedicated to challenging old ideas and improving how we care for patients. #operatingroom #ornurse #scrubtech #surgery #podcast #perioperative

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. 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. Content warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy. Resources: For a full list of resources, visit: ebbirth.com/218 Watch the video version here on our YouTube channel which includes study breakdowns and PowerPoint slides. Protecting the Perineum Series: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this episode of The MamasteFit Podcast, Gina is joined by Hayley Kava, an in-house physical therapist, to discuss the pros and cons of perineal massage during pregnancy. The conversation revolves around whether perineal massage can help prevent or decrease the risk of tearing during childbirth, especially focusing on first-time pregnancies. They delve into personal experiences, the mixed evidence on the topic, and alternative methods to prepare for birth. The episode also highlights important factors such as the role of healthcare providers and the importance of feeling safe and relaxed during labor. Additionally, the podcast emphasizes the significance of prenatal fitness and education to enhance the birthing process, while offering resources and discounts for listeners.00:00 Introduction to The MamasteFit Podcast00:30 Meet the Hosts and Podcast Overview01:19 Perineal Massage: Evidence and Opinions04:10 Mental Preparation and Techniques for Labor07:09 Sponsor Break: Needed Nutrition08:38 Provider's Role in Preventing Tearing10:13 Practical Tips for Reducing Tearing11:59 Risks and Considerations of Perineal Massage18:07 Final Thoughts and Recommendations22:25 Conclusion and Additional Resources————Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

Send us a textA calm, spontaneous birth, pelvic girdle pain tips, and a recovery journey led by intuition and support.In this episode, Ellen—a women's health physio and first-time mum—shares her positive birth story, offering real-life insight into pregnancy challenges, natural labour, and early postpartum life.Whether you're pregnant, preparing for birth, or newly postpartum, this episode is filled with wisdom, warmth, and practical takeaways.What we cover in this episode:Managing pelvic girdle pain in the second and third trimesterEllen's experience with perineal massage and pelvic floor preparationHow she used a TENS machine for labour pain reliefThe story of her spontaneous vaginal birth at 39+2 weeksBreathing techniques and movement during labourWhy mindset matters - and how she reframed painHow her husband supported her through birthEarly postnatal recovery and rebuilding strengthNavigating mastitis and a breast abscess in the fourth trimesterWhy Ellen joined FitNest Mama two weeks postpartum - even as a physio herselfLINKS: Preparing for birth Pelvic health checklist Free 7 Day Trial Pregnancy Workouts Free 7 Day Trial Postnatal Workouts FitNest Mama Website Instagram @kathbaquie.physio 1:1 Consultation with Physio Kath ** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition.

Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact from fiction and sharing what the research really shows. You'll learn what major studies say about perineal massage, why some commonly cited research may not be trustworthy, and whether this practice is truly necessary, especially if you're in a birth setting with low episiotomy rates. You'll also hear some surprising insights on other ways to protect your perineum and reduce your risk of severe tears. Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy. (06:14) Evaluating Perineal Massage Evidence (08:32) Comprehensive Perineal Massage Meta-Analysis (11:20) Perineal Massage Study Bias Concerns (16:04) Double-Blind Study on Episiotomy Rates (20:09) Perineal Massage vs. Control Outcomes (24:44) Study Bias and Participant Dropouts (28:11) Research Fraud: Doubts on Dönmez Study (33:53) Trial Bias in Perineal Massage Study (35:57) Perineal Massage Study Bias Concerns (40:43) Effectiveness of the EPI-NO® Device   Resources For a full list of scientific references, see the blog post that goes along with this episode: https://ebbirth.com/216 Check out Episode 206 of the EBB Podcast to learn about Perineal Tears and Avoiding Episiotomy and Episode 210 to learn about warm compresses and hands on vs. hands off techniques. Learn more about the Evidence Based Birth® Childbirth Class: https://ebbirth.com/childbirth-class   Take a continuing education class on this topic (and earn a contact hour) by joining the EBB Professional Membership here: https://ebbirth.com/membership Check open access journals to see if they are on beallslist.net (https://beallslist.net/standalone-journals/) as a potential predatory journal. Resource for authors to determine whether they should submit to an open access journal: https://thinkchecksubmit.org/ For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional Membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In today's episode, we're diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We'll talk about what perineal tears are, the different types that can occur, and the potential health consequences that can follow. You'll also hear about the various factors that may increase or decrease the risk of tearing during birth. Finally, we'll cover why it's so important to avoid an episiotomy during childbirth. Content warning: Discussion of perineal tears during childbirth, severe tears, episiotomy, and obstetric violence related to cutting episiotomies without consent. (05:58) Understanding Perineal Tears (09:15 Midwife Care Reduces Birth Tears (13:06) Risk Factors for Severe Birth Tears (16:08) Postpartum Tear Impact Study Findings (21:59) Episiotomy History and Controversy (24:02) Episiotomy Study on Routine vs. Restricted Use (28:02) Episiotomy Risks vs. Natural Tears (31:39) Episiotomy Awareness and Informed Consent Resources For the full list of references, visit the EBB website here. To watch the EBB YouTube video with visual props, visit here.  View graphics from the Mayo Clinic that show the different types of tears here. Read Dr. Klein's story here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠Perineal Laceration ⁠⁠⁠⁠⁠⁠⁠⁠from the Obstetrics section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

Känner du till begreppet perinealmassage inför födseln, och vilka fördelar det kan ha? Att massera perineum - mellangården - bidrar till att öka vävnadens elasticitet och hjälper dig också att öva på avslappning av bäckenbotten. Studier har visat att daglig perinealmassage från graviditetsvecka 34 minskar risken för större bristningar, minskar smärtan i mellangården efter födseln och förkortar återhämtningen efter att du fött. I avsnittet går Carina och Rebecka igenom tips kring hur du gör perinealmassage, och tipsar om ett supersmart och bekvämt hjälpmedel för massagen : Frida Mom Redo-att-krysta Perineal massagestav! Avsnittet är i samarbete med FRIDA Hosted on Acast. See acast.com/privacy for more information.

This episode of Kiwi Birth Tales is proudly brought to you by Your Birth Project, if you are pregnant you need YBP in your life!In this episode of Kiwi Birth Tales, I speak to Brittany. Some of the topics we cover:Fertility journey Challenges with GP, advocating for herselfSelf referral online to Fertility Associates Saline infusion scanSpontaneous pregnancy High blood pressureChange of midwife Perineal massage Reduced movementSlowed growth at end of pregnancyStretch and sweepsSpontaneous labourBirth on toilet in hospital Delayed cord clamping for 45 minsCatheter put in post birth because placenta wasn't coming away Surgery to remove placenta Birth unit stay Vaso Spasms when breastfeeding Pregnancy loss Missed miscarriage https://www.fertilityassociates.co.nz/book-a-free-nurse-consultYour Birth Project Online Hypnobirthing CoursePlease seek support for any mental health concerns, some helpful links are below:Mental Health in PregnancyPerinatal Depression and Anxiety Aotearoa Plunket - Dads Mental HealthLittle Shadow - Private Counselling NZFind me @kiwibirthtales and @yourbirthproject Hosted on Acast. See acast.com/privacy for more information.

Send us a textDiscover the hidden complexities behind perineal hernia recurrence in dogs as we chat with Dr. Mandy Wallace and Abigail Hatch. Mandy and Abigail provide fascinating insights into the risks associated with hernia development and the challenges of fecal incontinence. Mandy and Abigail emphasize the crucial need for pet owner education. Their discussion offers a deep dive into the nuances of soft tissue surgery, contrasting it with the generally healthier cases found in orthopedic surgery, while sharing personal journeys that led them to this specialized field.Our conversation also touches on the evolution of veterinary record-keeping, highlighting the shift from paper to electronic systems and how this impacts data collection for retrospective studies. Mandy and Abigail offer their perspectives on improving these practices, guided by their own experiences with scientific writing and mentorship. This episode promises a blend of serious insights and light-hearted moments with two passionate professionals in the veterinary world.JAVMA article: https://doi.org/10.2460/javma.24.07.0487INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals

Globally, postpartum haemorrhage is responsible for a quarter of maternal deaths after childbirth. Tears of the perineum, which are common in vaginal births, are a major contributor to this excessive blood loss, and a variety of techniques are used to try to prevent them. The effects of these interventions are reviewed in a new Cochrane Review published in October 2024 and two of the authors, Tilly Fox and Kerry Dwan from The Liverpool School of Tropical Medicine in the UK, talk about the findings in this podcast.

Globally, postpartum haemorrhage is responsible for a quarter of maternal deaths after childbirth. Tears of the perineum, which are common in vaginal births, are a major contributor to this excessive blood loss, and a variety of techniques are used to try to prevent them. The effects of these interventions are reviewed in a new Cochrane Review published in October 2024 and two of the authors, Tilly Fox and Kerry Dwan from The Liverpool School of Tropical Medicine in the UK, talk about the findings in this podcast.

Send us a textToday's episode is part 2 of 3, where I discuss ways to prepare the pelvic floor for birth.In part 1 (episode 228) I discuss the impact of pelvic floor awareness during pregnancy.In today's episode, I discuss evidence-based ways to help reduce pelvic floor trauma as a result of vaginal birth.Over 81 % of women in Australia will have a perineal tear or episiotomy during their first vaginal delivery.The majority of these are relatively minor first degree tears or second degree tears.Only around 3% of women in Australia will experience a 3rd or 4th degree tear (a tear that extends into the anal spincter).Luckily, there are evidence-based ways that you can reduce the severity or risk of perineal trauma.Listen to this episode where I talk through perineal massage, perineal preparation for childbirth and other ways to help support the pelvic floor area during and after birth.Abdelhakim et al, 2020: Antenatal perineal massage benefits in reducing perineal trauma and postpartum morbidities: a systematic review and meta analysis of randomised controlled trials.Free Register now: https://www.fitnestmama.com/pregnancyworkshopLINKS: Preparing for birth Pelvic health checklist Free 7 Day Trial Pregnancy Workouts Free 7 Day Trial Postnatal Workouts FitNest Mama Website Instagram @fitnestmama ** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition.

Why do we start teaching perineal massage (and all of our birth prep) earlier than most at PelvicSanity?  There are a few reasons.The first is simple - 37 weeks is considered full term.  No one will try and stop it if you go into labor.  So we plan to have all of our birth prep complete by then.  Any time we get after 37 weeks is just a bonus.  We're keeping our people comfortable or reminding them of things we've already covered in those final weeks.Next, most of our pregnant folks are coming in with other symptoms.  So if we're planning to wait until 34 or 35 weeks, our plan to teach perineal massage might get blown up if they have a flare-up of back pain or need other help.As they get closer to delivery, our people (naturally) get more focused on the baby as well.  They are going to more OB appointments, which might get in the way of our plan of care.  They're trying to prepare for the arrival of the new addition, and have other stresses as they plan for delivery and bringing the new one home.Finally, I think we usually oversimply perineal massage.  It's not that easy!  It's a difficult area to reach.  The tissue is often tender and needs to be worked on by us prior to teaching them to do it themselves.  They may not want a partner to help or might feel self-conscious about doing this.  Remember, not everyone is as excited about the pelvic floor as we are!And speaking from personal experience, I'm guessing even many of us - as pelvic rehab providers - don't do much for our own perineal massage.  So if we're going to emphasize it to patients, we need to give ourselves time to do it!PelviCon 2025 - Wait List OpenThe PelviCon 2025 wait list is now open!  For those who want more info (or know they are coming and want priority registration on Black Friday), make sure you head to www.pelvicon.com and sign up for the wait list!About UsNicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! Get in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

Does the evidence show perineal massage is effective at preventing tearing? We are going to review the research and share if it's worth it to spend time to do perineal massage to reduce tearing.In this episode, we dive into the following:An overview of the tear types and recoveryWhat is perineal massageWhether perineal massage reduces the chances of tearingTrigger warning: perineal tears, episiotomy, sexual assaultDon't forget to check out the blog postResources mentioned:>>  FREE Clear Your Birth Fears Guide>>  FREE WORKSHOP: 3 Essentials for Having an Empowering Birth>>  A Path to A Powerful Birth Class************************Get 20% off your first monthly subscription with NEEDED Vitamins 

CardioNerds Drs. Jason Feinman, Gurleen Kaur, and Rick Ferraro discuss the implementation of SGLT inhibitors in clinical practice with Dr. Alison Bailey. Notes were drafted by Dr. Jason Feinman. In this episode, we discuss the implementation of SGLTi in clinical practice scenarios, including for individuals with heart failure regardless of ejection fraction, those with chronic kidney disease, and those with diabetes mellitus. The group also discusses important side effects to monitor for, as well as how to counsel patients when prescribing these medications. This episode was produced in collaboration with the American Society of Preventive Cardiology (ASPC) with independent medical education grant support from Lexicon Pharmaceuticals. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Clinical Implementation of SGLT Inhibitors For patients with heart failure with reduced ejection fraction, SGLT inhibitors reduce the composite outcome of cardiovascular death or heart failure hospitalization by 25%. SGLT inhibitors can be safely started in patients with an eGFR as low as 20. There are ongoing trials investigating the safety of these medications in individuals with eGFR lower than 20 or those who are receiving dialysis. An eGFR decrease of 3-5 ml/min on average is expected after starting an SGLTi, but this will stabilize over time and provides protective effects of renal dysfunction in the long run. Early data that suggested an association between SGLTi and bacterial UTI development hasn't panned out in the long run, but there is an association between SGLTi and the development of either genital mycotic infections or yeast infections. Perineal hygiene is important to prevent the development of either. A patient-centered, shared decision-making approach should guide the choice of agents for individuals with type 2 diabetes mellitus. In certain patients, it may be reasonable to choose an SGLTi as the first-line agent. Show notes - Clinical Implementation of SGLT Inhibitors What is the data supporting the use of SGLTi in HFpEF? The EMPEROR-Preserved and DELIVER trials investigated the impact of empagliflozin and dapagliflozin, respectively, on cardiovascular outcomes in patients with mildly reduced or preserved ejection fraction. The SOLOIST-WHF trial investigated a combined SGLT1/2 inhibitor, sotagliflozin, in patients with recently worsening heart failure, irrespective of ejection.SGLTi have been demonstrated to reduce the risk of cardiovascular death or worsening heart failure, including heart failure hospitalization, in these individuals. A meta-analysis of the EMPEROR-Preserved and DELIVER trials demonstrated a hazard ratio of 0.80 for cardiovascular death or first hospitalization for heart failure for empagliflozin or dapagliflozin over placebo in the setting of HFpEF. What is the data supporting the use of SGLTi in HFrEF? In addition to the SOLOIST-WHF trial that was previously discussed, the EMPEROR-HF and DAPA-HF investigated the impact of SGLTi medications in patients with HFrEF. In patients with HFrEF, SGLTi medications have been demonstrated to reduce the risk of either cardiovascular death or heart failure hospitalization. Dapagliflozin and empagliflozin had a pooled risk reduction of all-cause death of 13%, a pooled risk reduction of cardiovascular death of 14%, and a 26% reduction in the combination of CV death or first hospitalization for heart failure. What is the expected impact of SGLTi on renal function? Dapagliflozin, empagliflozin, sotagliflozin, ertugliflozin, and canagliflozin have all been studied for their impact on renal dysfunction in individuals both with and without diabetes. In the CANVAS trial,

Send us a Text Message.This episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair techniques, and midwifery skills to "manage" the perineum during birth. #CutItOut #Episiotomy #MidwifeTricks #Intact #Lacerations #ObstetricLacerations #OASIs #Intrapartum #Postpartum #Birth #HandsOn #HandsOff #ProtectTheVulva @midwifenell @midwifece @acog_org

If you're planning a vaginal birth, you'll want to minimize the amount of injury caused by the birth of your baby. Episiotomies, tearing and perineal massage are all options that can create more room for your baby to pass through the birth canal. When is each option typically used and how effective are they? What is the recovery process like for episiotomies versus tearing? And why are episiotomies considered taboo these days? Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's episode is a beautiful example of doing your research and making an informed choice, even if it's not your first birth preference. Louise works as an osteopath and opted for public hospital midwifery care.. Her first birth was very straightforward and her second labour was incredibly quick, resulting in a 3C tear that she recovered from without symptoms, thanks in part to regular pelvic floor exercises and guidance from a physio and colo-rectal surgeon. In her third pregnancy she sought the opinion of five different health professionals who all agreed that a caesarean birth was the best option to avoid further perineal trauma. She takes us through this process, along with her caesarean recovery and the scar massage that has assisted her physical and emotional recovery.________ Bare mum have just released their Silicone Gel Scar Strips. Designed to hydrate and protect scars to improve their appearance and reduce any associated discomfort. Made from the highest quality medical-grade silicone, this scar treatment is safe and effective in preventing, softening, flattening and fading, red and raised scars - both new and existing. The Bare Mum Silicone Gel Scar Strips form a protective barrier that maintains an optimal level of moisture to aid cell turnover and healthy collagen production, keeping the scar hydrated and assisting with skin regeneration. It reduces tension around the scar tissue, minimising the risk of widening or hypertrophy. Bare Mum is offering you 15% off storewide with the discount code ABS2024 Shop nowSee omnystudio.com/listener for privacy information.

15 things that every first time mom needs to know about birth and labor, but no one tells you!This week's episode, I get REAL and HONEST and share what I wish someone would have told me before I gave birth for the first time!-------------------------------------------------------------------------------------------------------------IMPORTANT LINKS:- Shop HERE for portable breastmilk and formula warmer at BisbeeBaby.comUse code MOM10 for 10% offConnect with them on Instagram HereConnect with them on Facebook Here- Shop HERE for the best breathable, hypoallergenic crib mattress at Pinwheelsleep.comUse code LEARNINGTOMOM for 20% offConnect with them on Instagram HereConnect with them on Facebook Here- Connect with ME on Instagram HERE or at @learningtomom.podcast-------------------------------------------------------------------------------------------------------------how to prepare for labor, birth preparation tips, labor tips, birth tips, Unmedicated birth tips, How to have a natural birth, Preparing for labor, First-time labor advice, Birth plan ideas, Labor and delivery tips, Pain management during labor, Labor positions, What to pack for hospital birth, Signs of labor, Early labor tips, Active labor tips, Breathing techniques for labor, Pain relief options in labor, Labor support tips, Doulas and labor support, Epidural pros and cons, Water birth tips, Home birth preparation, Birth center vs hospital birth, Inducing labor naturally, Labor induction methods, Hospital birth tips, What to expect during labor, Partner support during labor, Birth positions, Hypnobirthing techniques, Labor and delivery expectations, Managing labor pain, Stages of labor, Labor exercises, Labor and birth preparation classes, Mental preparation for labor, Positive birth affirmations, Birth visualization techniques, Pelvic floor exercises for labor, Perineal massage tips, Birth recovery tips, Labor and delivery podcast, Birth podcast for first-time moms, Labor advice podcast, Tips for first-time labor, Preparing for childbirth, First-time birth experiences, Labor tips podcast, Childbirth education, Labor contractions, Managing contractions, Signs of active labor, Preparing for birth emotionally, Natural childbirth tips, Lamaze breathing techniques, Relaxation techniques for labor, Labor massage techniques, Labor pain relief podcast, Hospital birth experience, Midwife vs doctor birth, Birth podcast tips, Childbirth podcast, Preparing for your first birth, Birth anxiety tips, Labor pain relief techniques, Birth class recommendations, First-time birth advice, Childbirth preparation, How to handle labor pain, Labor and birth information, Birth preparation podcast, Best pregnancy podcast, First time mom podcast, new mom moms, How to prepare for pregnancy, What is the best pregnancy podcast, That pregnancy podcast, Natural pregnancy podcast, Pregnancy podcasts for first time moms, Pregnancy podcast is it Normal, Podcasts for early pregnancy, Pregnancy podcasts, Podcasts for expecting mothers, Pregnancy podcasts for first time moms, motherhood podcast, Podcasts for expecting mothers, Pregnancy podcast week by week, birth podcast, birthing podcast, How to prepare for pregnancy, Birth podcast, Motherhood podcast, Best birth podcast, First time mom podcast, Natural birth podcast, Best pregnancy podcast, 

Send us a Text Message.This episode could change the way you look at sex forever. Did you know that men and people with penises can have at least 20 types of orgasms. Believe it or not, the male orgasm has not enjoyed the focus it deserves and that might be exactly why women are experiencing an orgasm gap. In this episode I talk to sex and intimacy expert Susan Bratton about expansive pleasure and intimacy that will improve the kind of sex every person of every gender is having.In this episode we go over:·       Expanded orgasm·       Coregasm·       Nipplegasm·       Blended orgasm·       Perineal orgasm·       And moreFind me on YouTube at https://www.youtube.com/@annettebenedettiSubscribe to my e-newsletter: https://she-explores-life.ck.page/e9760c390cAsk a question, Leave a Comment: https://www.speakpipe.com/LockerRoomTalkPodcastFunfactory.com has partnered with Locker Room Talk & Shots so when you use my special code SELS20, you get 20% off your fun factory purchase. Just head to https://us.funfactory.com/and use my code SELS20 at check out for 20% off sex toys, lube massage oils, and more Get 20% off all Fun Factory Products when you use my code SELS20funfactory.com: https://www.shareasale.com/u.cfm?d=1038109&m=117851&u=2029266 15% off Womanizer products with code EXPLORES15Womanizer.com: https://womanizer-north-america.sjv.io/y2xNQN Get 15% off lingerie, sex toys, and body products when you shop Lovehoney.com and use code EXPLORES15Lovehoney: https://lovehoneyus.sjv.io/rQ15ZRSupport the Show. Watch on YouTube: https://www.youtube.com/@annettebenedetti Connect with usWe are on all the socials: TikTok: @ LockerRoomTalkPodcast LRT's Insta: @Lockerroomtalkandshots Annette's Insta: @BeingBenedetti SEL Inst: @SheExplores_Life LRT's FB: @LockerRoomTalkandShots SEL FB: @ SheExploresLife Annette's YouTube: Annette Benedetti Check Out More Sexy Content:She Explores Life Website: sheexploreslife.comCheers!

Injuries can happen after vaginal delivery. People will often talk about grades of tearing and what to expect during a vaginal birth. During today's podcast, Christina breaks down grades of tearing, why tearing happens and what to do about it.___________________________________________________________________________Don't miss out on any of the TEA coming out of the Barbell Mamas by subscribing to our newsletter You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes. Interested in our programs? Check us out here!

It is only natural that many moms are afraid of tearing "down there" during birth.  Perineal tears (aka perineal lacerations) seem pretty scary, but the best way to deal with fear is by getting the information so you can think about it more rationally.  Yes, tears do happen, but they are rare and the risk that you have one can be reduced by doing some things before and during birth, so today that's what we're talking about - how to reduce the risk of tearing during birth. Links mentioned in the show: Earth Mama Herbal Sitz Bath (formerly known as Postpartum Tea) Traditional Peri Bottle  Super cool new style of Peri Bottle     Helpful Links:   2 WAYS TO WORK WITH LORI:   --> Sign up HERE for the Your Birth, God's Way Online Christian Childbirth Course! This is a COMPLETE childbirth education course with a God-led foundation taught by a certified nurse-midwife with over 20 years of experience in all sides of the maternity world conducted LIVE this summer.  Learn more or sign up HERE!   --> Sign up for your PERSONALIZED Pregnancy Coaching Midwife & Me Power Hour HERE These consults can include: birth plan consultation, past birth processing, second opinions, breastfeeding consultation, and so much more!  Think of it as a special, one-hour appointment with a midwife to discuss whatever your concerns may be without any bias of practice policy or insurance policy influencing recommendations.   Get Christian pregnancy and birth merch HERE   Lori's Recommended Resources HERE   Sign up for email updates Here   Be heard! Take My Quick SURVEY to give input on future episodes you want to hear --> https://bit.ly/yourbirthsurvey   Got questions?  Email lori@yourbirthgodsway.com     Socials: Follow Your Birth, God's Way on Instagram! Follow the Your Birth, God's Way Facebook Page! Join Our Exclusive Online Birth Community -- facebook.com/groups/yourbirthgodsway   Learn more about Lori and the podcast at yourbirthgodsway.com!   FREE Bible Study Course - How To Be Sure Of Your Salvation       DISCLAIMER:  Remember that though I am a midwife, I am not YOUR midwife.  Nothing in this podcast shall; be construed as medical advice.  Listening to this podcast does not mean that we have entered into a patient-care provider relationship. While I strive to provide the most accurate information I can, content is not guaranteed to be 100% accurate.  You must do your research and consult other reputable sources, including your provider, to make the best decision for your own care.  Talk with your own care provider before putting any information here into practice.  Weigh all risks and benefits for yourself knowing that no outcome can be guaranteed.  I do not know the specific details about your situation and thus I am not responsible for the outcomes of your choices.    Some links may be affiliate links which provide me a small commission when you purchase through them.  This does not cost you anything at all and it allows me to continue providing you with the content you love.

The thought of tearing during childbirth is frightening for many people, especially first-time moms. However, the PSA girls are here to educate you and help ease your anxiety. Although perineal tearing occurs in 80-90% of women, there are ways to mitigate the risk and give the tissue the best possible chance to heal. If you're someone who experiences more severe grades of perineal tearing or undergoes an episiotomy, there's hope for a full recovery and this episode is the first step.

Ep 75 (ibit.ly/Re5V) Faith Diorgu on perineal care, designing a birthing stool and capacity building for African midwives@PhDMidwives  #MidTwitter  #research #midwifery  #Nigeria @world_midwives @uochester @uniport @MedicalworldNig @WorldBank @ProfMarySteenMedical World Nigeria article HERE Imagine being the force that reshapes an entire healthcare practice on your continent. Today, we are honored to have  Faith Diorgu with us, the vanguard of midwifery education in Nigeria. Her narrative isn't just about personal triumph—it's a story that intertwines with the lives of countless African women, enhancing maternal care through her legacy. Join us as Faith recounts her journey, from her mother's influence to her pioneering role in establishing advanced midwifery programs. It's an exploration of dedication and the indelible impact of academic research in the evolution of midwifery.Navigating a PhD is no stroll in the park—especially when miles away from the comfort of home. Our conversation turns to the emotional odyssey of a PhD student, mentored by the renowned Professor Mary Steen, as they chart a path through the rigors of academia. We uncover the vitality of small victories, the strength found in a supportive partner's encouragement, and the importance of maintaining mental wellness. Then, as the confetti settles post-PhD, we reflect on the quiet yet profound celebrations that accompany such an extraordinary achievement.Innovation often springs from the well of knowledge, and we close the episode by marveling at how a newly minted PhD in midwifery took that leap. The story of an innovative birthing chair, fusing cultural wisdom with modern healthcare needs, is not just about utility—it's about revolutionizing maternal care. We discuss the challenges of protecting this invention amidst a pandemic and the collaborative effort to establish a PhD program under the auspices of the World Bank's African Center of Excellence. This is a testament to the transformative power of education and the future of empowered, research-driven midwives transforming healthcare practices. Support the showDo you know someone who should tell their story?email me - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on various socials as @thruthepinardd and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5V

Hey Momma!   You have made it to the third trimester and hopefully you caught Part 1 of this Epsiode last week and have been staying active and comfortable up to this point by listening to the first and second trimester episodes.  This trimester is when things can become increasingly uncomfortable and achey as belly and baby grow.  You are probably feeling anxious and excited about labor being just around the corner, but afraid as birth can come with so many unknowns. You want to stay comfortable in this last trimester but also prepare your mind and body for birth so you can have an optimal birthing experience and recover well postpartum. Especially if you are battling many of the common pregnancy aches and pains: SIJ pain, round ligament pain, sciatica, SPD (pubic bone pain), prolapse and even hemorrhoids, then this episode is for you!   Inside this week's episode (Part 2 of 2)  I am giving you more tips and tricks for releasing tightness in your pelvic floor and performing perineal massage to assist the relaxation and opening of your pelvic girdle to prepare for an easier vaginal birth and less risk of tearing and complications.  The tips inside this episode will help you feel more confident as you get towards the big Birth Day and help you feel comfortable while you wait for baby, especially if you are having pelvic pain.     As always, if you are experiencing any pelvic floor/women's health issue like urinary incontinence/leaking, pelvic pain, pain with sex, urgency, heaviness/prolapse or any other back/hip/joint pain let's get you booked for a virtual coaching session or in person physical therapy session for a more individualized plan and one-on-one instructions so you can feel confident in your body and start healing today!!  Make Sure to reach out to> PTDes@balancedmomtality.com  AND/OR Join my FREE Facebook community for ACCOUNTABILITY and a safe and supportive place to share and support each other!> https://www.facebook.com/groups/1696216757461633/    Join my VIP Insider group and receive my Newsletter full of great tips and tricks and upcoming resources! > https://newsletter.balancedmomtality.com/   Follow and get tips/tricks on:  Facebook> @thebalancedmomtality Instagram> @the_balanced_momtality   Learn > www.balancedmomtality.com  

Welcome to part two of a two part, in-depth conversation with Hayley Kava, a pelvic floor physical therapist, focusing on perineal lacerations or tears related to childbirth.  The focus shifts to the effects of operative vaginal delivery methods like episiotomies, forceps, or vacuums, and their potential impacts on perineal health after birth. The hosts cover recovery strategies after a vaginal birth, including the initial steps one can take to enhance healing within the first few weeks postpartum.  Additionally, they explore avenues for possibly preventing perineal tears during childbirth, emphasizing the variability in birth experiences and the significance of informed consent and awareness of one's birthing options.  The episode also delves into perineal massage, both as a preventative measure before birth and a recovery tool after, discussing its efficacy and the mixed opinions surrounding it. Hayley shares what you can expect when working in a pelvic floor PT to heal in the postpartum, as well as her best advice for those first 24 hours after birth! Preorder Gina's book here: https://amzn.to/3vsdJIR Find and Follow Hayley Kava! Instagram: @HayleyKavaPT Website: www.hayleykavapt.com 00:00 Introduction 02:22 Strategies to Decrease Tearing 07:08 Perineal Massage to Prevent Tearing: Myths and Facts 07:59 The Role of Your Provider in Tearing 12:30 Instrument Assisted Deliveries Explained 20:20 Navigating Future Birth Options After Operative Delivery 27:04 The Impact of Baby's Position and Pushing Techniques on Tearing 27:16 Navigating Perineal Tears: Pain, Healing, and Care 28:26 Sponsored Segment: Needed's Prenatal Vitamins for Optimal Nourishment 30:16 Postpartum Perineum Care: Immediate and Long-Term Strategies 39:50 Advocating for Pelvic Floor Physical Therapy: A Personal Journey 46:52 Exploring Perineal Scar Mobilization and Its Benefits 50:43 Closing Thoughts and Resources for Further Learning ----- This podcast is sponsored by Needed, a nutrition company focused on optimal nourishment for your perinatal journey. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Use code MAMASTEPOD for 20% off your first order or three months of subscription.⁠ ⁠⁠⁠⁠⁠⁠⁠⁠ 

This episode of the MamasteFit Podcast is part one of a two part, in-depth conversation with Hayley Kava, a pelvic floor physical therapist, focusing on perineal lacerations or tears related to childbirth.  The discussion covers what to expect if you experience a tear during childbirth, preventative measures, and recovery strategies. It is part of a two-episode series, with the subsequent episode aiming to explore instrument-assisted deliveries' impact on perineal health and further recovery tips.  Hosts Gina and Roxanne share insights into the types of perineal tears, their prevalence, and the healing process. They offer professional expertise and personal experiences with tearing during birth. 00:00 Introductions 01:32 Meet Hayley Kava: A Deep Dive into Pelvic Floor Health 04:22 The Different Types of Perineal Tears Explained 09:05 Recovery and Healing: Navigating the Postpartum Journey 18:36 Understanding and Managing the Repair Process of Vaginal Tears 33:15 Exploring the Benefits of Topical Vaginal Estrogen and Postpartum Care 33:58 Wrapping Up and Looking Ahead: Next Steps in Perinatal Care Freebies to Support Your Pregnancy: 

In today's episode, Dr. Ching explains the crucial role of lactobacillus in maintaining perineal health. She highlights the significance of lactobacillus in preventing the proliferation of pathogens like candida and viruses such as HPV and HIV. Dr. Ching  emphasizes the importance of probiotics containing lactobacillus in treating conditions like thrush and trichomonas, offering practical solutions for improving overall health. KEY TAKEAWAYS Lactobacillus plays a crucial role in maintaining perineal health by preventing the proliferation of pathogens like candida, HPV, HSV, and HIV. The presence of lactobacillus on the skin of private parts helps produce metabolic products like lactate and lactic acids, which inhibit the growth of harmful bacteria and viruses. Different strains of lactobacillus, such as L. chryspatis and L. gasseri, dominate the environment, creating an acidic and protective barrier that reduces the risk of infections. Dysbiosis of the microbiota in the perineal area can lead to various issues like thrush, capnerella, and trichomonas, emphasizing the importance of maintaining a healthy microbiota balance. Probiotic treatments containing lactobacillus are essential for combating candidiasis and other infections, highlighting the significance of incorporating probiotics into one's health regimen for both men and women. BEST MOMENTS "Lactobacillus on the skin of the private parts produces metabolic products like lactate and lactic acids, preventing bacteria proliferation." "Lactobacillus helps to reduce inflammation and immune responses, calming down white cells and preventing inflammation in the area." "Lactobacillus is crucial for perineal health, stopping pathogens like candida, HPV, HSV, and HIV from colonizing the area." "Probiotic treatments containing lactobacillus are essential for combating thrush and maintaining a healthy balance of good bacteria." "Improving lactobacillus colonization through probiotics helps create bacterial sins, reducing the growth of pathogens and increasing lactic acid to lower pH levels." VALUABLE RESOURCES Join Patreon : http://www.patreon.com/drireneching Instagram: irene.ching.777 Tiktok: @ireneching777 Youtube channel: Dr Irene Ching Twitter: @ireneching7777 Clubhouse: @ireneching1 https://www.facebook.com/irene.ching.735 LinkedIn : https://www.linkedin.com/in/irene-ching-742623219 Join MF Club, the best mentoring club around, via this link to receive 25% off of the normal price: https://ireneching--mfonline.thrivecart.com/mfclub/ HOST BIO Dr Irene Ching is a medical practitioner who specialises in Family Medicine, Wealth and Life Coach, Property/ Business Investor, Speaker, and Podcaster : Be Happy, Healthy and Wealthy. Dr Ching speaks on health, wellness and wealth in talks, workshops and events. She has her own coaching programme on money mindset - Quantum Wealth Creation Accelerator (online course with weekly coaching). She approaches health and well-being in a holistic way and encourages people to look at all the areas of their lives. In her coaching sessions, she works with emotional freedom techniques, energy works, NLP, Intuition/ Superconscious mind, Inner child healing, Timeline therapy, Self love works, behavioural change, goal settings and money attraction healing. Her motto: Reset Your Mind, Reset Your life. The podcast Be Happy Healthy and Wealthy is aimed at people who wants to be high achievers who perform at their peak performance in all aspects of life. It is about how we could be happy regardless of our circumstances, and to understand the secrets to real health and wealth; especially how to live a prosperous long life. She has been interviewing successful entrepreneurs, keynote speakers, influencers and millionaires on this important subject. So stay tuned to get the deep dive on how to be happy, healthy and wealthy- the million dollar questions!

There is more than one way to plug a hole…  Perineal wounds after pelvic surgery can be challenging to manage. It is important for surgeons to have a general understanding of upfront reconstruction options and strategies to deal with the sequence of wound failure. Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss the management of perineal wounds following pelvic surgery. Hosts: - Susan Galandiuk MD, University of Louisville, Louisville, Kentucky, @DCREdInChief - Vladimir Bolshinsky MD, Peninsula Health, Victoria, Australia, @bolshinskyv - Sandy Kavalukas MD, University of Louisville, Louisville, Kentucky, @sandykava - Hillary Simon DO, University of Louisville, Louisville, Kentucky, @HillaryLSimon Producer: - Manasa Sunkara MS3, University of Louisville, Louisville, Kentucky, @manasasunkara12 Learning objectives:  - Review perineal reconstruction options after pelvic surgery for anorectal pathology. - Understand management strategies for perineal wound breakdown.  - Discuss the importance of critical appraisal of studies surrounding perineal wound reconstruction and management.   References:  - Asaad M, et al. Robotic Rectus Abdominis Muscle Flap following Robotic Extirpative Surgery. Plastic and Reconstructive Surgery 148(6):p 1377-1381, December 2021. doi: 10.1097/PRS.0000000000008592 https://pubmed.ncbi.nlm.nih.gov/34847128/ - Figg RE, Church JM. Perineal Crohn's disease: an indicator of poor prognosis and potential proctectomy. Dis Colon Rectum. 2009 Apr;52(4):646-50. doi: 10.1007/DCR.0b013e3181a0a5bf. https://pubmed.ncbi.nlm.nih.gov/19404069/ - Fuschillo G, Pellino G. Chronic Perineal Sinus After Proctectomy for Crohn's Disease: Risk Reduction Strategies and Management. Diseases of the Colon & Rectum 65(4):p 468-471, April 2022. doi: 10.1097/DCR.0000000000002413 https://pubmed.ncbi.nlm.nih.gov/35067504/ - Mori GA, Tiernan JP. Management of Perineal Wounds Following Pelvic Surgery. Clin Colon Rectal Surg. 2022 Mar 7;35(3):212-220. doi: 10.1055/s-0042-1742414. https://pubmed.ncbi.nlm.nih.gov/35966381/ - Rather AA, Fisher AL, Chun D, Mannion JD, Alexander EL. Closed Incisional Negative Pressure Therapy Reduces Perineal Wound Complications After Abdominoperineal Resection. Dis Colon Rectum. 2023 Feb 1;66(2):314-321. doi: 10.1097/DCR.0000000000002289. https://pubmed.ncbi.nlm.nih.gov/35001048/ - Tiernan JP, Leavitt T, Sapci I, Valente MA, Delaney CP, Steele SR, Gorgun E. A Comparison of Perineal Myocutaneous Flaps Following Abdominoperineal Excision of the Rectum for Anorectal Pathology. Dis Colon Rectum. 2022 Nov 1;65(11):1316-1324. doi: 10.1097/DCR.0000000000002271. Epub 2021 Dec 13. PMID: 35156364. https://pubmed.ncbi.nlm.nih.gov/35156364/ - Wright J, et al. V-Y Gluteal Fasciocutaneous Advancement Flap After Robotic Abdominoperineal Resection. Diseases of the Colon & Rectum 64(9):p e526-e527, September 2021. doi: 10.1097/DCR.0000000000002126 ; https://www.youtube.com/watch?v=urs_yeLLKlQ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out out other colorectal surgery episodes: https://app.behindtheknife.org/podcast-category/colorectal

Today's episode on Simplify Birth & Motherhood Podcast I will talk about one of the main concerns that moms have going into labor and that is the fear of tearing while pushing! Tearing can happen for multiple reasons and the difference between a Perineal tear and an episiotomy can greatly affect your recovery in postpartum with one being more challenging than the other. However, how one happens verses the other can be within our control!    While listening to this episode you will learn:  How fear can affect the progression of your labor. What an episiotomy is and how to communicate with your provider to prevent one from happening. The differences between an episiotomy and a perineal tear. 4 tips to help you decrease the chances of tearing while pushing during childbirth.      Do you have questions about your pregnancy, about childbirth, or about postpartum that you wish to get off your chest and would like to receive answers that can bring some clarity and bring more confidence?    Please email cbecoaching@simplifybirthandmotherhood.com for a FREE 1:1 1-hour coaching session and have it featured on the podcast (because chances are someone else is thinking it too

In this eye-opening episode, Dr. Allison tackles the myths surrounding perineal massage and unveils the truth about its efficacy in preventing tearing. Join Dr. Allison as she reveals why perineal stretching lacks a solid foundation and may not be the solution. She shines a spotlight on a critical limitation of perineal massage - its failure to address all three layers of the pelvic floor. She centers on the importance of comprehensive pelvic floor stretching, ensuring that all layers are adequately lengthened and the tissue is HEALTHY. Learn why kegels do not help improve the health of the pelvic floor and how most people do not do them correctly, and why they can cause more tightness than help. Join Dr. Allison as she navigates the intricacies of pelvic floor health, debunking misconceptions, and providing valuable insights into cultivating a healthy pelvic floor!

Obstetrical injuries, or those that occur during labor and delivery are more common than patients may realize. Six to seven percent of women undergoing vaginal deliveries will have damage to the anal sphincter muscles, or obstetric anal sphincter injuries (OASIS). Holly Richter, M.D., and Clark Powell, M.D. discuss the complex care required for these injuries and describe their research-backed OASIS care bundle that offers a comprehensive approach bridging obstetrics and gynecology. Learn more about the importance of talking about and addressing OASIS, preferably at an institution that actively assesses quality of care.

Perineal trauma after vaginal birth is common, with approximately 9 of 10 women being affected. Second-degree perineal tears are twice as likely to occur in primiparous births, with a incidence of 40%! Obstetrical lacerations of all degrees can lead to significant physical and even psychological morbidity, and have been identified as an independent risk factor for sexual dysfunction- which could last up to 18 months after delivery. Can perineal massage help reduce the rate of obstetrical trauma at time of vaginal birth? In this episode, we will summarize a new publication from the AJOG which was released on Aug 10, 2023 (first released as an ePub at the end of 2022) and compare the results covered in that publication with a separate systematic review and meta-analysis published in Feb 2023 in a separate journal. Does antepartum perineal massage help? What about intrapartum perineal massage? The answer depends on who you ask/read? Listen in, and find out why.

In this Bodcast, Chloe discusses her own experiences and concerns about her body during pregnancy. She introduces Jo Gipson, a physiotherapist specializing in pelvic health, who provides valuable insights and advice. They cover various topics such as pelvic floor health, c-sections, and ways to improve the birthing experience. They emphasize the importance of seeking professional help for pelvic floor issues and provide guidance on exercise during pregnancy. This episode is brought to you by Symprove - a science-backed water-based supplement containing billions of live and active bacteria that support the gut. Symprove are offering a 50% discount on your first three months subscription – Visit https://symprove.com and use our code BODCAST50 for 50% off your first three months subscription. The Importance of Pelvic Health [00:02:05] Discussion on the role of a pelvic health physiotherapist and the various issues they address, including bladder and bowel function, pelvic pain, and prolapse. Pelvic Health Throughout Life [00:05:08] Explanation of how pelvic health is relevant to women at different stages of life, from teens to perimenopause, and even in older age. Signs and Symptoms of Pelvic Floor Issues [00:08:20] Overview of common symptoms indicating pelvic floor issues, such as urinary urgency, incontinence, constipation, and prolapse. The importance of addressing pelvic floor issues [00:09:23] Discusses common pelvic floor issues during pregnancy and the impact on pain and discomfort. The struggle with pelvic floor relaxation [00:10:20] Shares personal experience of struggling with pelvic floor relaxation postnatal and the impact on sex life. The need for specific professionals for different issues [00:13:11] Emphasizes the importance of finding the right professional for specific pelvic health issues and mentions referrals to other healthcare professionals. The importance of preparing for all types of births [00:17:49] Discusses the misconception that cesarean births are an "easy way out" and emphasizes the need for appropriate rehab and recovery for all types of births. The benefits and considerations of prenatal exercise [00:19:43] Highlights the benefits of exercise during pregnancy and provides recommendations for prenatal training, including the importance of consulting with healthcare professionals and avoiding certain exercises. Adapting exercise routines throughout pregnancy [00:24:33] Explains how exercise routines should be adjusted during each trimester, including modifications for abdominal muscles, changing form to accommodate the growing bump, and focusing on hip opening exercises in the third trimester. Training during pregnancy [00:26:23] Importance of listening to your body, noticing symptoms, and adapting exercises during pregnancy. Continuing exercise during pregnancy [00:27:15] The benefits of modifying exercise rather than stopping completely for the health of the baby and the mother. Preparing for different types of birth [00:32:13] The importance of being informed about different birth options and potential interventions to feel empowered and prepared mentally. Perineal massage [00:35:02] Perineal massage is recommended for reducing tears and instrumental delivery, and it helps prepare the body for childbirth. Using the Epi-No device [00:37:03] The Epi-No device is a tool that can be used for stretching the pelvic floor and perineal tissues, helping to prepare for childbirth. Postnatal pelvic health [00:41:34] Postnatal pelvic health is important for recovery and preventing long-term issues such as muscle loss and bone density loss. Pregnancy-related muscle loss [00:43:37] Discussion on the importance of protein intake for postmenopausal women to maintain muscle mass during pregnancy. Types of perineal tears [00:45:21] Explanation of different degrees of perineal tears and the recovery and rehabilitation needed for each. Cesarean section procedure [00:48:00] Description of the process of a cesarean section, including the incision, delivery, and post-birth care. Importance of seeking pelvic health physio [00:51:50] Encourages listeners to book a complimentary call with a pelvic health physio if they have concerns or symptoms. Don't forget to like, subscribe, rate and review the Bodcast. It helps others find the podcast more easily!

In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Brooke Spencer about management of pelvic venous disease, endovascular therapies for pelvic varices, and important considerations for treating patients with complex and chronic pain. --- CHECK OUT OUR SPONSOR Boston Scientific Drug Elution https://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies.html?utm_source=oth_site&utm_medium=native&utm_campaign=pi-at-us-de_portfolio-hci&utm_content=n-backtable-n-backtable_site_portfolio_1_2023&cid=n10012334 --- SHOW NOTES Dr. Spencer serves as the CEO and medical director of Minimally Invasive Procedure Specialists in Denver, CO. Her patients commonly get referred from OB/GYNs for chronic pelvic pain that is refractory to laparoscopic surgery and undiagnosed. She notes that collaborative relationships with women's health specialists and pelvic pain physical therapists are necessary for adequate patient outreach. Classifying cases by the location and nature of the vessel abnormality (i.e. compressive, obstructive, varicose, reflux, congenital) allows her to think about the best treatment for each patient. Targeting proximal veins can improve back and groin pain, dyspareunia, and heavy periods. Iliac vein stenting can improve compressive symptoms 50% of the time. On the other hand, isolated labial pain is best treated by directly targeting labial varices. Perineal ultrasound is a helpful way to locate some varicosities, but Dr. Spencer prefers MRI and digital subtraction venography to get a comprehensive venous picture and correlate symptoms with imaging. Next, the doctors discuss embolization and foam sclerotherapy. Through her experience, Dr. Spencer has seen sclerotherapy work better in varices with slower outflow and coil embolization work better for varices with more rapid flow. She prefers oversized floppy coils to minimize the risk of migration. With both treatments, there can be significant insurance barriers. It is important to utilize preauthorization specialists and be aware of what the patient's insurance will cover, in order to better frame a conversation about treatment options. After the procedure, maximal pain relief can be achieved anywhere between 3 to 6 months. During this period, it is important to counsel patients over adjunct therapies such as pelvic floor therapy, steroids, and puncture aspiration to remove trapped blood. Overall, Dr. Spencer wants IRs to keep in mind that the chronic pain population has faced many misdiagnoses and insurance barriers, so they might harbor mistrust of the healthcare system. It is crucial to acknowledge their feelings and understand their anatomy in order to manage their expectations. --- RESOURCES Pelvic Guru: https://pelvicguru.com/ Efficacy of Endovascular Treatment for Pelvic Congestion Syndrome: https://pubmed.ncbi.nlm.nih.gov/27318059/ International Pelvic Pain Society: https://www.pelvicpain.org/ “The Way Out” book: https://www.amazon.com/Way-Out-Revolutionary-Scientifically-Approach/dp/059308683X

Tearing at delivery is something that a LOT of people fear, and today we're going about why it happens and how you heal from it. Big thanks to our sponsor The Online Prenatal Class for Couples In this episode Perineal stretching Things you can do to help your body heal Products that can help you manage it better. Help you can get to heal better. Producer: Drew Erickson

Welcome to The Doula's Guide To... Podcast, season 1, episode 14 all about tearing, stitches and healing. In this episode I'm chatting about just how common tearing during childbirth is - but how it's really nothing to fear (yes you read that right!). We'll also discuss caring for tears, stitches and preventing tearing.Links mentioned in the episode:Podcast ep "The Evidence on Prenatal Perineal Massage" - click here"Perineal massage benefits in reducing perineal trauma" study - click here"Perineal techniques during the second stage of labour for reducing perineal trauma" Cochrane review - click hereClick here to find out more about my brand new prerecorded online courses: thedungareedoula.co.uk/onlinecourseUse code 'PODCAST' for 20% off!Love the podcast? support me by leaving a tip via buy me a ko-fi: click hereBook a Power Hour: click hereIf you enjoyed the episode please give it a like, review and click follow so you never miss out! New episodes are out every Friday at 7am so stick around.Connect with me:thedungareedoula.co.ukinstagram.com/thedungareedoulafacebook.com/thedungareedoula

Part Two - In this week's episode, I am chatting again with radical birth keeper Felicity - about the state of the NHS.  She has very kindly agreed to answer my questions on a wide variety of different topics that I have been desperate to talk about for so long, but unable to find someone willing to agree and open up. Felicity also brings questions from her own audience on relative subjects. This is a critical conversation - and one that I hope you will share.  We discuss all of the following:-Policies and protocols Vaginal examinationsInduction of labour Giving birth on a midwife-led unit Perineal care bundles (OSAI)Blood thinners and much more...You can connect with Felicity on Instagram @felicityinbirthOr via her website www.felicityinbirth.co.ukIf you would like to buy a copy of either of the books that accompany this podcast please go to your online bookseller or visit Amazon:-Labour of Love - The Ultimate Guide to Being a Birth Partner - click here:-https://bit.ly/LabourofloveThe Art of Giving Birth - Five Key Physiological Principles - https://amzn.to/3EGh9dfPregnancy Journal for 'The Art of Giving Birth' - Black and White version https://amzn.to/3CvJXmOPregnancy Journal for 'The Art of Giving Birth'- Colour version https://amzn.to/3GknbPFYou can also purchase a copy via my website - www.birthability.co.uk Follow me on Instagram @theultimatebirthpartner @birthabilityBook a 1-2-1 session with Sallyann - https://linktr.ee/SallyannBeresford Please remember that the information shared with you in this episode is solely based on my own personal experiences as a doula and the private opinions of my guests, based on their own experiences. Any recommendations made may not be suitable for all listeners, so you should always do your own research before making decisions.

This episode covers perineal tears.Written notes can be found at https://zerotofinals.com/obgyn/labouranddelivery/perinealtears/ or in the labour and delivery section of the Zero to Finals obstetrics and gynaecology book.The audio in the episode was expertly edited by Harry Watchman.

Regain confidence in being the expert of what happens in and around your vagina- even when it gets technical during perineal repair after birth. In this show we enthusiastically share:The options you didn't know you had for perineal repair3 preparation tips for supporting the perineum What the vagina is designed to do during and after birthBest tools for recovering well physically during postpartumOur most recommended product for vaginal healing Links to all the extra good stuff:Postpartum Sitz Herbs: HEREEpisode 82: Perineal Support + Tearing in BirthFREE Postpartum Supplement Checklist: HEREBrowse all our favorite postpartum supplies: HEREJoin our email community + get instant access to our awesome Sleep Freebie: HERE Submit your answer-on-the-show questions: HERE Subscribe to the podcast to catch every episode. Follow us on Instagram for all the extra education and antics in between episodes at  @beautifulonemidwifery

Links: This episode is sponsored by Fairhaven Health, which is generously offering 15% of all of their products with the code BIRTHHOUR15 at www.fairhavenhealth.com. Know Your Options Online Childbirth Course Beyond the Latch Course (comes free with KYO course) Support The Birth Hour via Patreon! In spite of being a Large Animal Veterinarian (Board Certified in Animal ObGyn) and a Reproductive Physiologist studying human fertility, Dr. Joanna Ellington was surprised when the flu threw off her ovulation cycle and an unplanned pregnancy occurred. Using excellent classic references like Active Birth and Spiritual Midwifery, Joanna used perineal massage to prepare for childbirth, and was maybe a little too active with a 2 mile hike that turned into 5 miles the day before her membranes began leaking. An induction resulted in a normal birth where Joanna used her knowledge of birth and lactation in animals to enjoy the process as much as possible, even telling her midwife “That was kind of fun!” Joanna's second son was born within 10 minutes after she arrived at the hospital. In the chaos and discomfort of having two male doctors she had never met working on her son and her private parts, Joanna coped by switching into “medical professional mode" and talking to them about her research. But, she lost her focus on her baby and the moment. Sadly, she forgot to invite her waiting son and mother in to see the birth, as she had planned. This was a valuable lesson of not “taking care of others” or outwardly focusing during birth, but staying centered and baby focused.

Michelle and Lauren are kicking off Episode 183 with a conversation on what the sisters are reading, birth plans, news that makes you feel real good, and some maternity leave announcements. OH, and Fresh AF Candles are now for sale! Hot Topics: The Libby App, The Great Alone by Kristin Hannah, and 3D ultrasounds If you love Cozy Conversations with The Sister Project and would like to show your support for the content created, please visit Anchor.com (link in show notes) for more information. Thank you! Resource Links: Libby App The Sister Project Blog Your Personality, Explained By Your Annoying Household Habits The Great Alone @thesisterproj Anchor: Thank you for supporting our small business Thank you to our sponsors; Hortons Home Lighting, The Posey Law Group, My Green Mattress --- Support this podcast: https://anchor.fm/cozy-conversations/support

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.

In this episode, we are continuing our series on protecting the perineum by talking about the evidence on whether prenatal perineal massage during labor (more specifically, during the pushing phase) is effective at preventing severe perineal tears. We'll also discuss the importance of critically analyzing research, and poor quality meta-analyses can have a negative impact by spreading inaccurate information! 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. Content warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy. Resources: 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, and Episode 2016 to learn about perineal massage during pregnancy. 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.

In this episode, we are continuing our series on protecting the perineum by talking about the evidence on whether prenatal perineal massage is effective at preventing perineal tears during childbirth. We'll also discuss the importance of critically analyzing research, and what “predatory open access publishing” has to do with some of the research on perineal massage! 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.  Content warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy. Resources: 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 Episiotomy and Episode 210 to learn about warm compresses and hands-on vs. hands-off techniques Go to our YouTube channel to see video versions of all our podcasts! 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/ Check open access journals to see if they are on beallslist.net (https://beallslist.net/standalone-journals/) as a potential predatory journal. Resource for authors to determine whether they should submit to an open access journal: https://thinkchecksubmit.org/ 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.