Afleveringen

  • EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks

    EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks

    · Evidence Based Birth®

    Join Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama as we explore the ARRIVE Trial and its impact on elective induction at 39 weeks. Together, we'll break down what elective induction involves, examine the trial's findings and critiques, and discuss the latest evidence on this increasingly common practice. Elective inductions have surged since the Trial's release. In this podcast episode, we'll talk about the latest post-ARRIVE research, and the benefits, risks, and professional guidelines on elective induction at 39 weeks. Additionally, we'll focus on the crucial role of respectful maternity care when making decisions about induction. This podcast episode is a companion to the Evidence Based Birth® Signature Article on "Evidence on: The ARRIVE Trial and Elective Induction at 39 Weeks." You can access all of the resources, scientific references, and a free 2-page handout at ebbirth.com/arrive. If you prefer to learn via video, check the EBB YouTube channel for the video version of this episode. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 333 - Treatment for Uterine Fibroids and its Impact on Fertility, Pregnancy, and Birth with Dr. Veronica Gillispie-Bell, OB/GYN and Advocate for Health Equity

    EBB 333 - Treatment for Uterine Fibroids and its Impact on Fertility, Pregnancy, and Birth with Dr. Veronica Gillispie-Bell, OB/GYN and Advocate for Health Equity

    · Evidence Based Birth®

    In this episode, we're talking about uterine fibroids and their impact on pregnancy and birth with Dr. Veronica Gillispie-Bell, a board-certified OB/GYN and nationally recognized expert in fibroid treatment. Dr. Gillispie-Bell shares her wealth of knowledge on this critical, yet often overlooked, topic—explaining everything from what fibroids are to the various treatment options available. We cover how fibroids affect reproductive health, debunk myths about Cesarean versus vaginal birth, and discuss the racial disparities in fibroid care that Black women face. Dr. Gillispie-Bell also opens up about her personal connection to this field, tracing her passion for fibroid treatment back to her own mother’s journey.

    Content Note: This episode contains discussions of maternal mortality and pregnancy-related death. Please take care while listening. 02:30 Understanding Uterine Fibroids and Their Prevalence 04:22 Symptoms and Health Consequences of Uterine Fibroids 08:05 Dr. Gillispie-Bell's Interest in Fibroids and Racial Disparities 16:13 Minimally Invasive Procedures for Fibroids 19:12 Hysterectomy as a Treatment Option 21:55 Considerations for Fibroid Treatment in Relation to Fertility 24:19 Safety and Impact on Fertility of Certain Fibroid Treatments 26:11 Primary Surgical Procedure: Myomectomy 28:19 Hysteroscopic Fibroid Removal Resources Follow Dr. Gillispie-Bell on Instagram here. Help prevent maternal mortality with the CDC – Hear Her Campaign. Learn more about fibroid advocacy by visiting the White Dress Project and the Fibroid Foundation. Follow the work of the Louisiana Perinatal Quality Collaborative.

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker’s book, “Babies Are Not Pizzas: They’re Born, Not Delivered!” If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

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  • EBB 332 - Advocating for Yourself during Prenatal Visits with Retired Obstetrician Dr. Leslie Farrington, Co-Founder of the Black Coalition for Safe Motherhood

    EBB 332 - Advocating for Yourself during Prenatal Visits with Retired Obstetrician Dr. Leslie Farrington, Co-Founder of the Black Coalition for Safe Motherhood

    · Evidence Based Birth®

    Dr. Leslie Farrington, an African-American retired OB/GYN, birth justice advocate, and co-founder of the Black Coalition for Safe Motherhood, shares how her early experience with midwifery inspired her passion for patient-centered care. As a physician who later recognized the harmful effects of “physician supremacy” in the medical system, she details her transformation into an advocate for liberation and anti-racism in healthcare. She discusses how systemic issues impact Black maternal health and introduces the ACTT (Ask, Claim, Trust, Tell) framework, a powerful toolkit designed to empower birthing families to advocate for themselves during prenatal care. Dr. Farrington also offers practical strategies for building confidence, addressing power imbalances in medical settings, and ensuring patients are heard and respected.

    (00:00) Empowering Pregnant Individuals in Prenatal Care (14:13) Advocating for Black Maternal Health Equity (17:55) Empowering Patients in Prenatal Healthcare Settings (26:23) Fostering Collaborative Relationships for Patient-Centered Care (32:50) Enhancing OB/GYN Care for African American Parents (42:00) Advocacy Training for Black Maternal Health Learn more about the Black Coalition for Safe Motherhood here. Download the Irth App here.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 331 - How Chiropractic Care Can Help with the Aches and Pains of Pregnancy with Dr. Lisa Vawter

    EBB 331 - How Chiropractic Care Can Help with the Aches and Pains of Pregnancy with Dr. Lisa Vawter

    · Evidence Based Birth®
    Chiropractor Dr. Lisa Vawter is all about women's health, especially when it comes to prenatal and postpartum care. With certifications in the Webster technique, Spinning Babies®, and BirthFit™, she's got all the tools to support expectant and new moms in a holistic way. Dr. Vawter is a firm believer in the power of chiropractic care to ease pregnancy symptoms like low back pain and sciatica, focusing on things like posture, muscle engagement, and body balance. Inspired by her own pregnancy journey, Dr. Vawter provides personalized and compassionate care to make sure birthing people have a safe and comfortable journey into parenthood.
    Listen as we talk about: Dr. Lisa Vawter's journey of being pregnant while in chiropractic school An overview of the anatomy of the spine, hips, and pelvis The kinds of normal bodily changes that happen in pregnancy How body mechanics and everyday movements can impact comfort in pregnancy Simple, bite-size exercises to help with re-alignment of your neck and pelvis Types of chiropractic adjustments used in pregnancy, including the Webster technique Information on the safety of chiropractic care in pregnancy

    Visit Dr. Vawter's website here, or follow her on Instagram here.

    Learn more about Spinning Babies® and BirthFit™.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 330 - An Unmedicated Hospital Birth Story Using Self-Hypnosis with Dr. Emily and Doug Guilfoy, EBB Childbirth Class Graduates

    EBB 330 - An Unmedicated Hospital Birth Story Using Self-Hypnosis with Dr. Emily and Doug Guilfoy, EBB Childbirth Class Graduates

    · Evidence Based Birth®

    In this episode, we're joined by EBB Childbirth Class graduates Dr. Emily Guilfoy and her husband, Doug, as they share their unmedicated birth story. Dr. Emily, a chiropractor, walks us through her preparation for birth using self-hypnosis and the mental and physical strategies she employed for a calm, empowering labor. Together, they discuss their experience in the EBB Childbirth Class, working with their doula, and how they created a serene birthing environment in a hospital setting. Dr. Guilfoy also tells us how her personal history of having a hip replacement surgery impacted her pregnancy and birth options. From managing labor to navigating hospital policies, tune in to hear about how they achieved the birth experience they envisioned.

    Resources: Learn more about Hypnobabies here. EBB 322 – Harnessing the Power of the Mind to Enhance Joy and Comfort in Childbirth with Kerry Tuschhoff, Founder of Hypnobabies For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.
  • EBB 329 - Q & A about Blood Types, Rh Incompatibility in Pregnancy, and the Rhogam Shot

    EBB 329 - Q & A about Blood Types, Rh Incompatibility in Pregnancy, and the Rhogam Shot

    · Evidence Based Birth®

    In this episode, we're exploring the fascinating science of blood types and blood incompatibility in pregnancy. You’ll learn about the basics of blood types, how they are inherited, and why knowing your blood type is crucial—especially during pregnancy. Rebecca and Sara also discuss the implications of Rh incompatibility, ABO incompatibility, and other rare blood types on maternal and fetal health.

    (17:15) Rhogam Injection: Preventing Rh Incompatibility Complications (18:23) Hemolytic Disease of the Newborn: RH Incompatibility (20:24) Rh Sensitization: Newborn Hemolytic Complications (21:33) Rh Incompatibility Risk in Pregnancy Testing (22:45) Global Shortages Impacting Postpartum Rhogam Access (25:15) ABO Incompatibility Impact in Pregnancy (35:44) Critical Need for Anti D Immunoglobulin Access (35:44) RhoGAM: Preventing Newborn Disease through Donations For the full list of references and resources, visit the EBB website here! For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.
  • EBB 328 - Importance of Bilingual Doula Care with Neysha Reyes Cruz of Olas de Amor

    EBB 328 - Importance of Bilingual Doula Care with Neysha Reyes Cruz of Olas de Amor

    · Evidence Based Birth®

    Neysha Reyes Cruz’s journey to becoming a birth doula was sparked by witnessing the inadequate support and resources during a friend’s hospital birth in Puerto Rico. Her personal experiences and those of her family have further fueled her commitment and passion for advocating on behalf of women, particularly within Hispanic and Latinx communities. Neysha recognizes the significant need for more bilingual doulas to ensure culturally competent care and clear communication for non-English speaking patients. In response, she is actively working to train and certify young Latina women as bilingual doulas in Kansas City, aiming to address this critical gap and improve maternal health outcomes.

    Learn more about Olas de Amor here, or follow them on Instagram here! Find resources from Nuture KC here. Get support from Parto En Casa here. Get support from Esperanza Birth here. Get the EBB pocket guide in Spanish here!

    To view this episode's transcript in English or Español, click here.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 327 - Latina Advocacy and Fighting the Maternal Mortality Epidemic in California with Kimberly Turbin and Michele Monserratt-Ramos of Consumer Watchdog

    EBB 327 - Latina Advocacy and Fighting the Maternal Mortality Epidemic in California with Kimberly Turbin and Michele Monserratt-Ramos of Consumer Watchdog

    · Evidence Based Birth®

    We are joined by Kimberly Turbin and Michele Monserratt-Ramos, staunch advocates against obstetric violence driven by personal experiences and a commitment to marginalized communities.

    Note: Read the transcript in English or español here! Or watch with closed captions on the EBB YouTube channel.

    Kimberly's advocacy began after a traumatic birth experience in 2013, which she courageously shared publicly to ignite awareness and debate on obstetric mistreatment. Michele, with her extensive background in public interest and healthcare safety, collaborates with Kimberly to address maternal health issues, particularly affecting Latina women in California. Their joint efforts focus on systemic change, emphasizing the need for resources, education and support to ensure informed healthcare decisions and improved maternal health outcomes.

    Content Warning: This episode contains discussion of obstetric violence. Listener discretion is advised.

    Learn about Consumer Watchdog here.
    Watch Kimberly Turbin's birth video here.
    Follow Kimberly Turbin on Instagram.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 326 - Reducing Toxin Exposure in Pregnancy and Postpartum with Lisa Smith, Dietitian, Holistic Nutritionist, and Gut Health Expert

    EBB 326 - Reducing Toxin Exposure in Pregnancy and Postpartum with Lisa Smith, Dietitian, Holistic Nutritionist, and Gut Health Expert

    · Evidence Based Birth®

    Lisa Smith, a registered dietitian and host of the Pretty Well podcast, joins us on the EBB podcast to discuss the crucial topic of reducing toxins in the home during pregnancy and postpartum. Lisa shares her personal health journey, including her experience with Hashimoto's disease (an autoimmune condition impacting the thyroid), and highlights the importance of reducing environmental toxins to promote optimal health. Listen and learn about the connection between toxins and gut health, how industrial chemicals are found in umbilical cord blood, and steps expectant parents can take to lower toxin levels in their environment. From understanding the dangers of heavy metals and "forever chemicals" to making informed choices about food and household products, Lisa shares practical tips to creating a healthier home for you and your family.

    Tune in to Lisa's podcast Pretty Well, here, and follow the show on Instagram here!

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 325 - Surviving HELLP Syndrome and Planning a VBAC in a Subsequent Pregnancy with Jolene Brink, EBB Childbirth Class Graduate

    EBB 325 - Surviving HELLP Syndrome and Planning a VBAC in a Subsequent Pregnancy with Jolene Brink, EBB Childbirth Class Graduate

    · Evidence Based Birth®

    Following an emergency c-section due to HELLP syndrome in her first pregnancy, Jolene Brink was determined to have a different birthing experience with her second child. Through the support of a knowledgeable medical team and insights gained from her EBB Childbirth Class, she successfully achieved her goal of an unmedicated VBAC with the birth of her son, Guthrie, in 2022. Jolene's journey towards a VBAC was a transformative process of healing, empowerment, and reclaiming her birthing experience, showcasing the importance of advocacy and informed decision-making in maternal healthcare.

    Resources: Check out Doulas of Duluth to learn from her instructors Cooper Orth and Dana Morrison, and follow them on Instagram! Learn about Jolene's work here! Read The Preeclampsia Foundation's article on HELLP Syndrome Follow the Preeclampsia Foundation on Instagram van Oostwaard, M. F. et al. (2015). "Recurrence of hypertensive disorders of pregnancy: An individual patient data meta-analysis." Am J Obstet Gynecol 212(5): 624.e1-17. https://pubmed.ncbi.nlm.nih.gov/25582098/ Duley, L., et al. (2019). "Antiplatelet agents for preventing pre-eclampsia and its complications." Cochrane Database Syst Rev. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820858/ Listen to the Evidence on VBAC - EBB 113 EBB Childbirth Class now includes a module all about planning a VBAC! Learn more about the EBB Childbirth class here.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 324 - Blending Birth, Science, Technology, and Storytelling with Erica Chidi, Co-founder and CEO of LOOM

    EBB 324 - Blending Birth, Science, Technology, and Storytelling with Erica Chidi, Co-founder and CEO of LOOM

    · Evidence Based Birth®

    Erica Chidi joins us to share her journey from working as a full-spectrum doula to becoming an educator and leader in women's health. With over a decade of experience, Erica discusses how her upbringing in a medical family, coupled with her unique approach to doula work, led her to create LOOM, a health information app designed to empower women and non-binary individuals. She explains the app’s mission to provide accessible, science-backed health information and personal stories that help users navigate their reproductive and overall health. The two also discuss the challenges and advancements in maternal healthcare, particularly for Black women, and the importance of addressing racial biases in medical settings.

    Learn more about LOOM here.

    Follow Erica and LOOM on Instagram.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 323 - Q & A on Frequent Air Travel in Pregnancy, Induction for Low Platelets, and Anterior vs. Posterior Placenta

    EBB 323 - Q & A on Frequent Air Travel in Pregnancy, Induction for Low Platelets, and Anterior vs. Posterior Placenta

    · Evidence Based Birth®

    In today's episode, we're diving into a mini Q&A session to address some pressing questions from our incredible EBB Pro Members. We'll explore the risks of radiation exposure during air travel in pregnancy, particularly for airline crew members. Then, we'll discuss the implications of low platelet counts and whether they necessitate induction. Lastly, we'll look at new research on the location of the placenta—whether anterior, posterior or lateral—and its impact on birth experiences. Tune in for evidence-based answers on these important topics!

    View the full list of references for this episode here.

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 322 - Harnessing the Power of the Mind to Enhance Joy and Comfort in Childbirth with Kerry Tuschhoff, Founder of Hypnobabies®️

    EBB 322 - Harnessing the Power of the Mind to Enhance Joy and Comfort in Childbirth with Kerry Tuschhoff, Founder of Hypnobabies®️

    · Evidence Based Birth®
    Kerry Tuschhoff, founder and director of Hypnobabies®, brings a wealth of experience as a childbirth educator, doula, speaker, and hypnotherapist to the realm of hypnobirthing. Inspired by her own challenging birth experiences and a TV show about hypnosis for childbirth, she meticulously studied hypnotherapy and pain management to develop Hypnobabies®, which integrates hypno-anesthesia techniques for effective pain relief during labor. Her program not only empowers expectant parents to make informed decisions regarding interventions such as epidurals and episiotomies but also emphasizes the role of birth partners in maintaining a calm and supportive environment. Kerry champions the idea that consistent practice of hypnosis techniques, paired with a positive mindset and self-advocacy, can significantly enhance the birthing experience, making it more comfortable and holistic. Resources: To learn more about Hypnobabies and the techniques mentioned in the episode, visit the Hypnobabies website here. Follow Hypnobabies on Facebook, YouTube, TikTok and Instagram.

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 321 - An Empowering, Trauma-Informed Home Birth with First-Time Mom and EBB Childbirth Class Graduate Iris Casey

    EBB 321 - An Empowering, Trauma-Informed Home Birth with First-Time Mom and EBB Childbirth Class Graduate Iris Casey

    · Evidence Based Birth®
    Evidence Based Birth® Childbirth Class graduate Iris Casey is sharing her inspiring home birth story with Dr. Dekker. Iris opens up about her journey to motherhood, after grappling with the decision to become a parent and overcoming past traumas. She recounts the unexpected onset of labor, navigating the early stages with her supportive partner, and utilizing the knowledge gained from the EBB Childbirth Class and Dr. Dekker's book, "Babies Are Not Pizzas," to create a tailored birth plan. Tune in to hear Iris's story of resilience, preparation, and the emotional experience of bringing her daughter, Roselle, into the world in the safety and comfort of her own home. Resources:

    Check out Iris' birth and postpartum support website, Mother Essence

    EBB 179 – An Empowering and Transformative Home Birth Experience with Trish and Mimi Ang EBB 225 – Trauma-Informed Childbirth Education with Mandy Irby, The Birth Nurse EBB 230 – An Inspirational Home Waterbirth Story with EBB Childbirth Class Graduate, Shelitha Owens EBB 288 – From Birthing in the Pandemic to Birthing a Career as a Postpartum Doula and Chef with Malisa Dekker of Planted Postpartum The Evidence on: Waterbirth

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor

    EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor

    · Evidence Based Birth®
    The impact of epidurals on the second stage of labor has sparked a lot of discussion. Research suggests that epidurals can prolong this stage... and a prolonged second stage can be associated with increased risks of infection, severe tears and the need for interventions like forceps-assisted delivery or Cesarean. But does an epidural mean that you are higher risk for complications during the second stage of labor, or are there ways to lessen your risks? In this episode, Dr. Dekker explores the physiological effects of epidurals (and how they impact your body's birthing reflexes), the correlation between epidurals and the duration of the second stage of labor, and nuanced perspectives from professional guidelines worldwide— including a brief discussion of "laboring down" (aka delayed pushing). References: To access all the scientific references that go along with this episode, visit our blog article here. Access the rest of our EBB Pain Management series go to this page and click on “Pain Management Series.” Check out the EBB Pocket Guide to Comfort Measures here. Find an EBB Childbirth Class near you here.

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 319 - Exploring Love and Intimacy in Birth with Debra Pascali-Bonaro, Founder of Orgasmic Birth

    EBB 319 - Exploring Love and Intimacy in Birth with Debra Pascali-Bonaro, Founder of Orgasmic Birth

    · Evidence Based Birth®

    Dr. Rebecca Dekker's joined by Debra Pascali-Bonaro, host of the Orgasmic Birth podcast, to explore the connections between love, intimacy, and childbirth. A world-renowned speaker and doula trainer, and the creative force behind the documentary "Orgasmic Birth: The Best-Kept Secret," Debra shares her origins into the world of childbirth education and her groundbreaking work. Debra and Dr. Dekker delve into how intimacy can enhance the birthing experience by promoting relaxation, reducing fear, and allowing for a more joyous and fulfilling labor. Learn how the power of pleasure and joy can transform the birth experience, and hear compelling stories that challenge conventional perceptions of labor and delivery.

    Resources:

    Learn about Debra’s 5 Essential Tools to Enhance Pleasure Centered Birth here. Follow Debra on Instagram!

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 318 - Advocating for Waterbirth in Hospitals with Dr. Liz Nutter, DNP, CNM, and Retired Lieutenant Colonel

    EBB 318 - Advocating for Waterbirth in Hospitals with Dr. Liz Nutter, DNP, CNM, and Retired Lieutenant Colonel

    · Evidence Based Birth®

    Dr. Liz Nutter, a retired Lieutenant Colonel with over 20 years of nursing and healthcare leadership experience, is bringing her expertise as a board-certified nurse midwife and national expert in waterbirth and hydrotherapy evidence-based practice. Dr. Nutter shares her journey from serving in the United States Army to becoming an assistant professor at St. Martin's University in Washington State. She discusses her pivotal role in advocating for waterbirth practices within the military healthcare system and maternal health rights within the military, including extending maternity leave to 12 weeks and providing support for service members experiencing pregnancy loss. From overcoming misconceptions to championing evidence-based protocols, she reminds us of the transformative power of waterbirth for birthing families and healthcare providers alike.

    Check out Waterbirth Works, Dr. Nutter's online, evidence-based waterbirth continuing education program here!

    Follow Waterbirth Works on Facebook here.

    To view the Evidence articles that were mentioned in the episode, click on either link below:

    The Evidence on: Waterbirth (updated in 2024!) The Evidence on: Fetal Monitoring

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • REPLAY: EBB 186 – A Positive Pregnancy and Birth Outcome with Multiple High-Risk Labels with EBB Childbirth Class Parent, Angela Jones

    REPLAY: EBB 186 – A Positive Pregnancy and Birth Outcome with Multiple High-Risk Labels with EBB Childbirth Class Parent, Angela Jones

    · Evidence Based Birth®

    Today, we’re sharing a replay of our podcast episode with EBB Childbirth Class parent, Angela Jones, about having an uncomplicated pregnancy and birth when labeled as high risk.

    Angela is a macro-level social worker, wife to her husband, Tony, and mom to her son, Allister, and their cats, Pumpernickel and Lion-O. Angela and Tony graduated from the Evidence Based Birth Childbirth Class with EBB instructor, Victoria Michonski. Both Victoria and Heather McCullough, who is also an EBB instructor, were Angela and Tony’s doulas for Allister’s birth.

    In today's replay, we talk about Angela’s birth story and her experience having an easy, uncomplicated pregnancy and birth despite being labeled as high risk for multiple reasons. We also talk about data birth outcomes for people who have multiple high-risk labels.

    Three years later, Angela shared this thoughtful update as she reflected on her birth story.

    Update from Angela: When I am having difficult moments, I sometimes look back at the video of myself giving birth to Allister and feel such peace. Allister turned 3 this year, and recently he has been asking about how he came into this world. My husband and I have been showing him the video of him being born and when he sees it, he looks at me, almost in awe, with a big smile. He now requests to see it at least once per week. Going into my birthing time, I never imagined that I would have 41 hours of active labor. I still credit the EBB course and my amazing doulas with having prepared me well in understanding all of the tools that were available to me when, after 30 hours of not being able to tolerate any food or water, I decided that I wanted to depart from my original birth plan. Getting an epidural allowed me to eat, drink, sleep and then ultimately push my son out gently in the position of my choosing. This was the exact birth experience that I wanted. I still encourage women, especially those who are afraid (in particular, those who are afraid due to multiple "high risk" labels) to not settle for a care team that is anything less than supportive, safe, and empowering.

    Content note: We talk about ectopic pregnancy, pregnancy losses, high-risk pregnancy complications, and perinatal morbidity.

    Resources:

    Learn more about EBB Instructor, Victoria Michonski, here. Follow Victoria on Instagram and Facebook. Learn more about EBB Instructor, Heather McCullough, here. Follow Heather on Instagram and Facebook. Sheen, J. J., Wright, J. D., Goffman, D., et al. (2018). Maternal age and risk for adverse outcomes. Am J Obstet Gynecol. 2018 Oct;219(4):390.e1-390.e15. Click here.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 317 - Evidence on Epidurals for Pain Management during Labor

    EBB 317 - Evidence on Epidurals for Pain Management during Labor

    · Evidence Based Birth®
    Have you ever wondered what the evidence is on epidurals for pain management during labor? Join us on today’s podcast as we discuss most recent evidence on epidurals, spinals, and combined spinal-epidurals! We’ll begin with some background on these methods, including how common they are in the U.S. and around the world, before moving on to the effectiveness, benefits, and risks for use during labor. We’ll also talk about alternative methods of pain relief during labor, and share recommendations from professional healthcare organizations. [Bonus addition to the podcast at 20:00: We talk about the study on epidurals out of Scotland [Kearns et al. 2024] that is generating lots of news headlines!] Join us to learn more about pain relief options during labor! Content Note: Topics related to epidural use, how they’re provided (including needles and catheters), and the benefits and risks of this intervention. Discussion of assisted vaginal delivery (forceps and vacuum deliveries), severe maternal complications, surgery, perineal tears, and postpartum depression. References: To access all the scientific references that go along with this episode, visit our blog article here. Access the rest of our EBB Pain Management series go to this page and click on “Pain Management Series.” Check out the EBB Pocket Guide to Comfort Measures here. Find an EBB Childbirth Class near you here.

    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

  • EBB 316 - Discovering a Passion for Birth Work and Training the Next Generation of Black Doulas with Brandie Bishop, CEO of the National Black Doulas Association

    EBB 316 - Discovering a Passion for Birth Work and Training the Next Generation of Black Doulas with Brandie Bishop, CEO of the National Black Doulas Association

    · Evidence Based Birth®

    Brandie Bishop, CEO of the National Black Doulas Association (NBDA), joins us to explore the vital role of doulas in supporting pregnant individuals and families within Black and Brown communities. From her early experiences working with refugee families to her passion for advocating for marginalized populations, Brandie's unique journey into birth work led to her role today— continuing NBDA's mission of training the next generation of Black doulas. Through comprehensive trainings and mentorship programs, NBDA aims to empower doulas to make a meaningful impact in reducing maternal mortality rates and ensuring equitable access to compassionate care for all birthing people. Join us as we celebrate the principles, values, and ancestral knowledge driving the NBDA's vision for the future of doula care.

    Learn more about the National Black Doulas Association here.

    Check out Your Tribe Family Services here.

    For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

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