Mama Pathway

Perineal Care and Tear Prevention

How to care for and protect your perineum during pregnancy and birth, and prevent tears for a confident birthing experience and a smoother postpartum recovery.

Introduction to the Class

So many mamas are terrified about perineal tearing during birth. But rest assured, small tears are actually quite common, especially in first-time birthing mamas, and they typically heal quickly and cause minimal if any discomfort. We do, however, want to prevent bigger tears that can cause more discomfort, longer healing time, and challenges for mamas later on. 

In this lesson we’ll explore the factors contributing to perineal tears, the truth about perineal massage, how to do it correctly if you do include it in your prenatal care, and practical, nurturing ways to care for your perineum during pregnancy and labor to prevent tears during birth. 

Content Outline

  • Fear of tearing
  • Your anatomy Down There
  • What is a perineal tear?
  • The real data on tears 
  • What you can do in pregnancy to prevent tearing
  • What you can do in labor to prevent tearing
  • If you are concerned about a previous tear
  • Remember: Your body is designed to do this!

This Class is Part of the
Mama Pathway Membership

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Science-based, practical advice on health and natural medicine for women and children

I’m Dr Aviva, a Yale trained MD and Board Certified Family Physician, Midwife, Herbalist, NYT Best Selling Author, Teacher, and Mama. What you’re getting is backed in science, research, and real life.

Don’t just take it from me