#353 | No Stitches Required: Preventing & Healing Perineal Tears in Birth episode artwork

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 Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded <-- for 20% off DrinkLMNT <--  for FREE 8-day supplyPrimally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits Superfood<--for 20% offJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Episode metadata supplied by the publisher feed · Published Feb 4, 2026

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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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This episode was published on February 4, 2026.

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