EPISODE · Feb 4, 2026 · 45 MIN
#353 | No Stitches Required: Preventing & Healing Perineal Tears in Birth
from Down to Birth · host Cynthia Overgard & Trisha Ludwig
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 Fan Mail Cozyearth: Use code DTB for 20% offNeeded <-- this link for 20% off your orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure Skincare: Use code DOWNTOBIRTH for 10% off Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits Superfood<--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.
What this episode covers
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...
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#353 | No Stitches Required: Preventing & Healing Perineal Tears in Birth
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