In this episode, I am joined by Sabrina Tran of Alabama, who recently had a daughter, and took the Evidence Based Birth Childbirth Class with Instructor Traci Weafer. Sabrina, a therapist, is now a stay at home mom. Sabrina had a precipitous - or, extremely fast labor and delivery. She describes it as exciting! Hear her tell her story of how her baby was born before the midwife could make it to her home. I also share the evidence on perineal tearing,  and the relationships between tearing, provider experience, and home birth.

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RESOURCES:

Click here for great images explaining perineal tears on the Mayo Clinic website. More references:

• Albers, L. L., Sedler, K. D., Bedrisk, E. J., et al. (2005). Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: a randomized trial. J Midwifery Womens Health. 50(5): 365-372.
• Mizrachi, Y., Leytes, S., Levy, M., et al. (2017). Does midwife experience affect the rate of severe perineal tears? Birth. 44(2): 161-166.
• Begley, C., Guilliland, K., Dixon, L., et al. (2018). A qualitative exploration of techniques used by expert midwives to preserve the perineum intact. Women Birth.
• Kopas, M. L. (2014). A review of evidence-based practices for management of the second stage of labor. J Midwifery Womens Health. 59(3):264-76.
• Shorten, A., Donsante, J. and Shorten, B. (2002). Birth position, accoucheur, and perineal outcomes: informing women about choices for vaginal birth. Birth. 29(1): 18-27.
• Sandall, J., Soltani, H., Shennan, A., et al. (2013). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. (8): CD004667.
• Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). Outcomes associated with planned place of birth among women with low-risk pregnancies. CMAJ. 188(5): E80-E90.
• Hastings-Tolsma, M., Vincent, D., Emeis, C., et al. (2007). Getting through birth in one piece: protecting the perineum. MCN AM J Matern Child Nurs. 32: 158-64.
• Landy H. J., Laughon, S. K., Bailit, J. L., et al. (2011). Characteristics associated with severe perineal and cervical lacerations during vaginal delivery. Obstet Gynecol. 117(3): 627-35
• Klein, M. C., Gauthier, R. J., Jorgensen, S. H., et al. (1992). Does episiotomy prevent perineal trauma and pelvic floor relaxation? Online J Curr Clin Trials. 10.
• Klein, M. C., Gauthier, R. J., Robbins, J. M., et al. (1994). Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol. 171(3): 591-8.
• Aasheim, V., Nilsen, A. B. V., Reinar, L. M., et al. (2017). Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database of Sys Rev. 6: CD006672
• Alliman, J. and Phillippi, J. C. (2016). Maternal Outcomes in Birth Centers: An integrative review of the literature. J Midwifery Womens Health. 61(1): 21-51.
• Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). Outcomes of care for 16,924 planned home births in the U.S.: the Midwives Alliance of North America Statistics Project, 2004 to 2009. J Midwifery Womens Health. 59(1): 17-27.
• Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). Outcomes associated with planned place of birth among women with low-risk pregnancies. CMAJ. 188(5): E80-E90.

Click here to access the EBB Signature Article, The Evidence on: Waterbirth.