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September 20, 2023

How to Reduce Your Risk of Tearing and Injury During Childbirth

with podcast guest

Judy Ribner


Judy Ribner is a midwife doctor and the founder of Holistic Midwifery New York, the largest home birth practice in New York City. Judy’s journey into midwifery was sparked by her deep appreciation for the innate power and intuition within the birthing process. Having completed her doctorate and graduating as the NYU Valedictorian, Judy brings a wealth of knowledge and expertise to her practice. With a focus on preserving the physiologic process of birth, she cherishes helping individuals tap into their own strength and wisdom.

In this episode, Judy and I talk about the different degrees of tearing in childbirth, other injuries that can occur during labor and delivery, how strategic positioning can significantly reduce the risk of injury, whether practices like perineal massage actually work, advice for individuals who have torn in previous births, and so much more!


  • The different degrees of tearing during childbirth
  • Precautions that can be taken to prevent tearing during childbirth
  • Other potential injuries that can occur during labor and delivery
  • How different positions during birth can affect the potential for tearing
  • Why Judy doesn’t recommend routine perineal massage
  • Recognizing that different providers have different skills and tools for preventing lacerations
  • Techniques for gently birthing without excessive force
  • The importance of physiologic pushing
  • Exploration of the potential impact of hospital delivery positions on perineal lacerations
  • How the proactivity of the birth provider can help reduce the risk of tearing
  • Why routine episiotomies are less common in recent years
  • Advice for individuals with previous tearing during childbirth
  • Why your choice of birth provider is crucial
  • Recognizing the preventability of tearing during childbirth
  • The connection between the midwifery model of care and the reduction of lacerations during childbirth


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Medical Disclaimer
Information in this post and on this web site is provided for informational purposes only. The information is a result of practice experience and research by the author. This information is not intended as a substitute for the advice provided by your physician or other healthcare professional or any information contained on or in any product label or packaging. Do not use the information on this web site for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Always speak with your physician or another healthcare professional before taking any medication or nutritional, herbal, or homeopathic supplement, or using any treatment for a health problem. This post may contain affiliate links. Click here to read my affiliate disclosure.