Down to Birth
Down to Birth
Cynthia Overgard & Trisha Ludwig
#353 | No Stitches Required: Preventing & Healing Perineal Tears in Birth
45 minutes Posted Feb 4, 2026 at 10:00 am.
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Show notes
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, pelvi...