03/30/2026
If you’re planning a hospital birth, read this.
I'm Jess 👋, a pelvic PT & birth coach, sharing daily tips to help you birth well and protect your body so...
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Some “standard” practices can increase your tear risk. Not because anyone is trying to harm you, but because routine does not always mean lowest risk.
And if I'm honest, I'd tell you no amount of perineall massage or warm compress can change that.
Here are 4 things to think about:
1️⃣ Episiotomy
They are meant for rare emergencies.
But in some hospitals, they are still used routinely.
They can increase the risk of severe tearing.
Ask your provider their episiotomy rate. If it’s over 10%, that’s worth a deeper conversation.
2️⃣ Coached (purple) pushing
Holding your breath and pushing hard increases pressure on your pelvic floor.
That can raise your risk for:
• tearing
• hemorrhoids
• prolapse
• leaking
Start with open-glottis pushing (breathing through your pushes). More force may be needed sometimes, but it shouldn’t be the first move.
3️⃣ Pushing at 10 cm
Just because you’re fully dilated doesn’t mean baby is low enough.
Pushing too early =
• ¹ pushing
• more strain
• more swelling
Waiting for the natural urge to push (laboring down) can protect your pelvic floor. It has pros and cons so talk to your provider.
4️⃣ Birth position
On your back with knees pulled up creates less space at the outlet.
Less space = more strain.
Almost any other position is more pelvic-floor friendly. And even on your back, small tweaks can help.You deserve to know this before you’re in the moment.
If you’re pregnant and want practical, body-aware birth prep:
👉 Follow along!
Jess 💚