Evidence Based Birth®11 Kesä 2025

REPLAY: EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum

Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresses, 2) provider "hands on" techniques, 3) provider "hands off" techniques, and how these approaches measure up when it comes to protecting your perineum. You'll learn surprising facts, like how a simple warm washcloth can significantly lower your risk of severe tears (and even ease pain!), plus what the evidence really says about whether a provider should help "guard" the perineum or just keep their hands off you during the actual birth. Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy. (02:55) What is the Perineum? (05:33) Warm Compresses Reduce Birth Tears (08:51) Warm Compresses Reduce Birth Complications (12:27) Hands On vs. Hands Off (18:07) Hands-On vs. Hands-Off Perineal Techniques (19:38) Perineal Support Training Reduces Tearing (22:47) Hands-On vs. Hands-Off Birth Resources

For a full list of scientific references, visit the EBB website here.
To watch the EBB YouTube video with visual props, visit here.
Listen to Episode 206 of the EBB Podcast (Perineal Tears and Avoiding Episiotomy) here.
Learn about becoming an EBB Instructor 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.

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EBB 414 - Evidence on Natural Labor Induction: Acupuncture, Acupressure, and Breast Stimulation

Acupuncture, acupressure, and breast stimulation are popular natural labor induction methods, but what does the latest research tell us about how well they actually work? In this episode, Dr. Rebecc...

7 Loka 43min

EBB 413 - Evidence on Migraines and Pregnancy: Frequency, Prevention, and Comfort Measures

Migraines during pregnancy can be debilitating, and figuring out how to prevent or manage them can be especially challenging. In this episode, Dr. Rebecca Dekker explores the research on migraines dur...

30 Syys 1h 5min

EBB 412 - Induction Tips for Families with High-Risk Doula Jennifer Anderson, RN

An induction may change your birth plan, but it doesn't mean giving up your preferences or your role in the decision-making process. In this episode, EBB's Director of Programs Chanté Perryman talks w...

23 Syys 1h 1min

EBB 411 - Advocating for a Family Centered Cesarean with Holly and Nathan Miller, EBB Childbirth Class Graduates

When Holly and Nathan Miller learned their baby was breech late in pregnancy, the unmedicated vaginal birth they had been preparing for suddenly felt out of reach. Living in rural South Georgia, they ...

16 Syys 34min

EBB 410 - Evidence and Controversy Surrounding Freebirth

In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire examine the available evidence on planned unassisted birth, also known as freebirth, defined as intentionally giving birth without a qualified...

9 Syys 1h 7min

EBB 409 - Business Advice for New Doulas with Katie Nyberg, Doula Trainer and Founder of The Iowa Baby Ladies

A passion for supporting families during birth is the foundation for a career as a doula. But once that foundation has been laid, it takes business skills, boundaries, and collaboration to be sustaina...

2 Syys 45min

REPLAY: EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families. In this replay episode, Dr. Rebecca Dekker sits ...

26 Elo 41min

EBB 408 - "What They Didn't Tell Me about Birth and Parenthood" with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Ve...

19 Elo 37min