E + E Podcast Episode 103: Preventing Perineal Tearing with Krystle & Sarah Rubatt, Women's Health Physical Therapists

Podcast

Jan 7

Written By Krystle Howald

Listen to Episode 103

ABOUT THE EPISODE

Fear of tearing is one of the most common concerns women have as they prepare for birth, yet many leave the experience saying, “I wish someone would have told me this sooner.” In this episode, we break down perineal tearing with evidence-based education so you can head into labor feeling informed, prepared, and confident.

We’re joined by Sarah Rubbatt, lead women’s health physical therapist at Empowered Movement and Physical Therapy, who works closely with Krystle and has helped countless women recover from birth-related tearing. Together, they share prevention strategies and postpartum support, emphasizing that knowledge truly is power when it comes to pelvic floor health.

The conversation begins with a clear explanation of what tearing is, why it happens, and why it can occur even in women who are strong and healthy. Sarah and Krystle walk through practical ways to prepare during pregnancy, including breath work, learning to relax the pelvic floor, and perineal massage.

The episode also covers supportive strategies during labor that may help reduce tearing, such as warm compresses, changing pushing positions, and avoiding unnecessary strain. For those who do experience tearing, Sarah explains postpartum healing, scar tissue expectations, and medical options if pain persists.

Finally, they discuss when to seek outside support and remind listeners to trust their intuition. The message is clear: healing is always possible, and every mother deserves to feel supported in her body.

If you enjoyed this episode, please share it to your Instagram stories and tag us @expectingandempowered. Knowledge is power, and we’re here to support you on your childbirth journey.