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Evidence Based Birth®

Author: Rebecca Dekker, PhD, RN

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In the Evidence Based Birth® podcast, we cover the research evidence on hot topics about pregnancy and childbirth! Our mission is to help birth workers build the evidence based knowledge, skills, and power they need to protect families' ability to give birth with empowerment. The work we do has a huge impact on parents who are searching for accurate information to empower their prenatal, birth, and postpartum experiences!
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In this episode, we’re going to talk with Ms. Divine Bailey-Nicholas, midwife apprentice, doula, certified lactation counselor, and master herbalist about her career in birth work, advocacy and plant medicine in Louisiana. We learn how she utilizes a community model of care that brings resources and education to combat maternal health deserts in the Deep South of the US.   Originally from Chicago, Illinois, Ms. Divine is proud of her Delta, Mississippi, Alabama, and Georgia roots. Her cultural foundation breathes through her plant medicine and birth work. Currently, Ms. Divine is a charter member of the Afro-American Historical and Genealogical Society, Louisiana chapter, where her role is historian. She’s a member of the Healthy St. Landry Steering Committee and member of the Community Partners Advisory Sub-Community for the Louisiana Perinatal Quality Collaborative. Divine is also the founder and executive director of Community Birth Companion, a nonprofit organization working to decrease infant and maternal mortality rates through childbirth education, breastfeeding support, and community doula support in St. Landry Parish, Louisiana, where she resides with her husband and four children.   Ms. Divine shares the reality of maternity care in the Southern US, including high rates of morbidity, mortality, and poor infant outcomes, especially among Black women. Ms. Divine shares how she has been inspired by the work of Grand Midwife Shafia Monroe to become a resource to her community and is working to improve birth outcomes and combat maternal health deserts through her perinatal safe space, the Community Birth Companion. Through a community model of care, Ms. Divine is providing education and empowerment to the families she serves. Additionally, Ms. Divine shares insight into her work as a Master Herbalist and teaches courses to support families in pregnancy and postpartum.   Content warning: maternal mortality, maternal morbidity, maternal care deserts, health care inequalities, racism  Resources Follow Ms. Divine’s work on her social media channels: Instagram  Facebook Learn about Ms. Divine’s services or sign up for Ms. Divine’s courses on plant medicine on her website here Learn more about Ms. Divine’s work with Community Birth Companion on their website here    Follow the Community Birth Compnaion on social media:  Instagram Facebook Additional Resources: Listen to EBB 152 – Shafia Monroe on Traditional Black Midwifery, Spirituality, and Community Advocacy here Learn more about Safia Monroe on her webite and follow her work on Instagram  Listen to EBB 56 – Listening to Black Midwives: Ms. Charlotte Shilo-Goudeau here Listen to EBB 156 – Nicole Deggins of Sista Midwife Productions on Navigating Systemic Racism in Birth Work here Read Kelena Reid Maxwell’s  Dissertation Birth Behind the Veil: African American Midwives and Mothers in the Rural South here Find the Black Birthing Bill of Rights here Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.  
In this episode, we're going to talk with Ruth Greene, birth doula, Evidence Based Birth® Pro Member, and Co-owner of Having a Baby in China Consulting Services, about the challenges of giving birth in a foreign country and how pregnancy and childbirth can unite us despite our unique cultural & lived experiences.   After the birth of her second baby in a local hospital in China, Ruth began volunteering to support other foreigners as they struggled to navigate an unfamiliar healthcare system. Ruth's passion drove her to seek formal training as a doula and childbirth educator. In May 2022, Ruth partnered with the creators of havingababyinchina.com to open an official Chinese company that offers breastfeeding, doula, and consulting services. Ruth’s clients hail from every corner of the earth, from South Africa to Brazil, to England, to Iran, and, of course, China. No matter the cultural or personal background, Ruth considers it an absolute privilege to be invited into the sacred space of pregnancy and birth.   Ruth shares her own experiences giving birth in China and how she came to find herself immersed in birth work and making a career of helping similar families navigate the process themselves. Ruth highlights the many differences and unique cultural traditions around having a baby in China, like the Zuo Yue Zi, or the “sitting month.” Despite the differences, Ruth has found that experiences of pregnancy and birth unite us all.   Resources: Check out Ruth's website here  Email Ruth directly at ruth@havingababyinchina.com Follow Ruth on Instagram - Having a Baby in China  Find Ruth on WeChat - ID: GirlTravelor Listen to her Podcast: Having a Baby in China  You can also find Having a Baby in China on WeChat from her podcast page linked above Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
In this episode we talk with Samantha Reisz, EBB Childbirth Class graduate about her experiences taking the class and preparing for a waterbirth in a hospital with her “Golden Ticket” birth team, who were skilled and prepared to manage a placental cord avulsion also known as cord snapping.   Samantha Reisz, she/her, is a Scholarly Assistant Professor of Human Development at Washington State University in Vancouver, Washington, just outside of the Portland, Oregon area. She completed her bachelor's in Psychology and master's in Infant Mental Health from Mills College in Oakland, California when she first began studying childbirth. Samantha then earned her PhD in Human Development and Family Sciences from the University of Texas at Austin, where she studied infant parent relationships and the transition to parenthood. Samantha is a passionate scholar and educator. After years of studying these topics academically, she finally was able to live her own research with the birth of her first child. Samantha lives in Vancouver, Washington with her baby, partner, and two dogs.    Samantha shares how she prepared to give birth for the first time with the use of a doula who recommended the EBB Childbirth Course. Samantha and her partner planned for a waterbirth in a hospital with an OBGYN attending the birth. After experiencing the beautiful waterbirth she had desired, complications arose in the 3rd stage with a placental cord avulsion. Her “Golden Ticket Birth Team” was skilled and prepared to support her through this experience. Content & Trigger warning: complications in the third stage of labor, active management of the third phase, umbilical cord snapping or avulsion, excessive blood loss Resources: Find out more about Samantha’s work and research here. Find out about Scarlett Lynsky’s EBB Childbirth Education class here and listen to her EBB Podcast interview here. Read the EBB Sigature Article on The Evidence on Waterbirth here Read the EBB Signature Article on Eating & Drinking here Listen to the EBB Natural Induction series here Find out more about the Evidence on Nitrous Oxide in EBB Episode 15 here Listen to all the EBB Podcast Episodes on Waterbirth and Cord Avulsion:  Find EBB 4 – Waterbirth and the Newborn Microbiome here Find EBB 11 – Evidence on: Waterbirth here  Find EBB 202 - A Fast First Time Birth Expereince with Childbirth Class Graduate, Haley Grachico here  Find EBB 223 – An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine here  Find EBB 230 – An Inspirational Home Waterbirth Story with EBB Childbirth Class Parent Shelitha Owens here Go to our YouTube channel to see video versions of the episode listed above!! References:   Bovbjerg, M.L., Cheyney, M., Caughey, A. B. (2022). “Maternal and neonatal outcomes following waterbirth: a cohort study of 17,530 waterbirths and 17,530 propensity score-matched land births.” BJOG 129 (6): 950-958. Access the article here     Burns, E. E., Boulton, M.G., Cluett, E., et al. (2012). “Characteristics, interventions, and outcomes of women who used a birthing pool: a prospective observational study.” Birth 39(3): 192-202. Access the article here     Schafer, R. (2014). “Umbilical cord avulsion in waterbirth.” J Midwifery Womens Health 59(1): 91-94. Access the article here     Sidebottom, A.C., Vacquier, M., Simon, K., et al. (2020). “Maternal and neonatal outcomes in hospital-based deliveries with water immersion.” Obstet GYnecol 136(4): 707-715. Access the article here  For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
In this episode, we continue to bring you the Updated Evidence on Group B Strep in Pregnancy. This is Part 2 of a 2-part series, where we talk about the evidence on alternative treatments for GBS and answer some of your FAQs about this hot topic.   In Part 2, we’ll be talking about: The “Other Risk Factor approach,” Alternatives to antibiotics for GBS, including Chlorhexidine and garlic, Vaccines, Probiotics, Topical use of human milk, Address frequently asked questions Review the Guidelines from 3 countries We wrap up with the Bottom Line on the Updated Evidence on Group B Strep in Pregnancy.   Content Warning: GBS-related stillbirth, infant death, critical illness of newborns, vaccines, antibiotics, and racial disparities in GBS positive results and GBS disease in newborns.   References and Resources: For a full list of scientific references, see the blog post that goes along with this episode here. Find about more about colloidal silver here  Learn more about Neonatal Sepsis here  Learn more about the National Guidelines for screening and treating GBS in the USA, UK, and Canada:  Guidelines in America: ACOG Recommendations for Prevention of Group B Strep Early Onset Disease in Newborns  AAP Guidelines for Management of Infants at Risk for Group B Strep Disease Guidelines in the United Kingdom:  United Kingdom National Screening Committee Recommedations  Recommendations from the Royal College of Obstetrians Guidelines in Canada  Recommendations from the Society of Obstetrians and Gynaecologists  Recommendations from the Association of Ontario Midwives  Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast, we’re going to talk with physical therapist and founder of Core Exercise Solutions, Dr. Sarah Duvall (she/her) about connecting with your pelvic floor and preventing dysfunction after birth.    Dr. Sarah Duvall, CPT is the founder of Core Exercise Solutions, a center for continuing education and online programs focusing on the pelvic floor. She uses her platform to share her passion for empowering individuals to connect with their bodies in pregnancy and heal holistically after birth.  When she's not hanging off the side of a mountain, Sarah is also a wife, mom, and adventure sports athlete who enjoys writing and presenting through her social media platforms and figuring out how her clients can continue to pursue their dreams and lead strong adventurous lives.   In this episode, we talk about the importance of pelvic floor physical therapy. Sarah walks us through several pelvic floor exercises to help us understand how to connect with our bodies and understand what types of dysfunction might impact our daily lives. Additionally, Sarah educates us on the importance of connecting with and caring for our bodies after a Cesarean birth. Trigger warning: pelvic organ prolapse, Cesareans, incontinence, use of gendered language. Resources: Learn more about Sarah's work here Follow Sarah's work on Instagram here   Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class
In today's podcast, we talk with Laurisa Paul, a Registered Nurse, EBB Pro Member and founder of Girls Who Know® about her journey towards teaching girls what they need to know and respect about their bodies.   Laurisa was the winner of our EBB Pro Member September Circle Community challenge, where she won the opportunity to have her work featured on the podcast. I am excited to share my conversation with Laurisa where she talks about her passion for helping others love themselves fully and feel their inherent worth and power. Laurisa resides in Texas where she is a mother of five and an outdoor adventurer. Medically trained, Laurisa stumbled across home birth when she was actively seeking to improve her own birth experiences and since then she has worked as a midwife assistant.   Laurisa is a mother of five, a writer, a Registered Nurse, home-birther and midwife advocate. She has a deep passion for diversity and a profound respect for people and their story. She is a lover of outdoor adventure and dreams of being a world traveler and story catcher.    In this episode, she discusses her own journey to motherhood and the experiences from her five births, ranging from high intervention births in a hospital to unmedicated and low intervention homebirths. Each experience shaped who she has become as a mother and as a nurse catapulting Laurisa into her passion of working with the next generation and educating high school students about the physiology of birth, not just how to prevent pregnancy. Laurisa is the founder of the organization Girls Who Know, which inspires girls to love who they are and to know and respect their bodies. Girls Who Know prepares girls with what they need to know to make courageous, informed decisions for their lives.   Content Warning: use of forceps & vacuum, episiotomy, forced to push on back, obstetric violence, trauma, suffering, postpartum hemorrhage, gendered language, discussion of a fatal motor vehicle crash Resources:  Check out Laurisa's organization Girls Who Know® here  Follow Laurisa on social media via Instagram here and her Facebook here  Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
In this episode, we bring you the Evidence on Group B Strep in Pregnancy, in anticipation of the research update to the Signature Article on Group B Strep in Pregnancy.   This is Part 1 of a 2-part series. In today’s Part 1, we’ll be talking about: The evidence on GBS during pregnancy The evidence on testing for GBS The evidence on antibiotics, including the pros and cons of giving antibiotics during labor for GBS. Content Warning: GBS-related stillbirth, infant death, critical illness of newborns, antibiotics, disparities, access to health care. References and Resources:  For a full list of scientific references, see the blog post that goes along with this episode here. Find the CDC GBS Prevention App for Obstetric Providers here  Find the ACOG GBS Prevention Guidelines here  Listen EBB 87: Cristen Pascucci on How to Disagree on Birth Topics Respectfully! here Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class
In this episode we talk with Evidence Based Birth® Childbirth Class graduate, Leah Bergman about her experiences navigating a recommended 38-week induction due to a diagnosis of Intrauterine Growth Restriction. Leah Bergman is a new mom and has recently made the decision to leave her full-time job as a church musician to be able to dedicate more time to her family and raising her daughter. When she's not involved in music or busy with the baby, Leah enjoys cooking, knitting, coloring, sewing, and going on walks with her husband, Gunnar, and dog, Winnie. In this episode Leah shares how she was inspired by a friend to read Babies are Not Pizzas and on the recommendation of her midwife found the EBB Childbirth Class. Leah and her husband were planning for birth with as few interventions as possible, until an ultrasound showed signs of intrauterine growth restriction (IUGR). In collaboration with their midwifery team, they pivoted their plans and began to prepare for an induction at 38-weeks. Leah walks us through the difficulties in trying to make informed, evidence-based decisions about pregnancy and how they opted to induce at 38-weeks. Additionally, Leah shares her long two-part induction story and insights into how she was able to use the EBB Childbirth Education to advocate for herself during her induction and after delivery. Despite not having the birth she was originally planning, Leah reminds us that with education and preparation, you can achieve the positive and empowering birth you want, even if it isn’t what you originally expected. Content Warning: intrauterine growth restriction or fetal growth restriction, risk of stillbirth associated with IUGR, medical interventions to induce labor, labor induction, pregnancy complications, high risk pregnancy, frequent ultrasound and NST testing, mention of risk of Cesarean birth, mention of the risk factors for IUGR: placental insufficiently, genetic and congenital problems in pregnancy, anti-phospholipid antibodies, baby born small for gestational age Resouces: Find out more about Anna Sutkowski’s doula practice and EBB Childbirth classes here. Find out more about Rebecca’s book, Babies are Not Pizzas here. Intrauterine Growth Restrictions: Listen to Dr. Nicole Rankin’s podcast in IUGR here. Access a Medscape article on Fetal Growth Restriction (requires a free account) here. UpToDate article on Fetal Growth Restriction (requires a paid account) here Inductions: Listen to the EBB Podcast Episode 153: The Pros and Cons of the Foley and Dilapan-S for Cervical Ripening During an Induction here. Listen to the EBB Podcast Episode 222: Navigating Induction and Pregnancy at 35+ with EBB Instructor and Birth Fusion Founder, Jennifer Anderson here. Obtain a copy of EBB Pocket Guide to Labor Inductions here. Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
In this episode we talk with EBB Instructor Leslie Greene, about doula advocacy and empowering families through the EBB Childbirth education class.   Leslie Greene, pronouns, she/her, is a birth and postpartum doula, childbirth educator, baby wearing consultant and Evidence Based Birth Instructor and founder of Peridot Births. Leslie's work reflects her passion for birth justice, and she has a special interest in supporting Black and brown birthing families and members of the LBGTQIA+ community. Leslie is also the mom of a rising first grader and loves to spend her time with her adopted Shih Tzu and tabby kitten when not working.   We talk about the importance of doula advocacy. Leslie talks about her personal journey to becoming a childbirth educator and a doula, as a form of activism to address the Black maternal health crisis in American. She describes how to step into the birthing space as a collaborative advocate to center the parent's experience for their birth.    Content Warning: discussion of the murder of George Floyd, maternal mortality for African Americans, Black maternal health crisis, systemic racism, politics, obstetric violence, racism, forced cervical exams, perineal massage with baby shampoo, poverty, substance use, teen pregnancy, lack of prenatal care, colonization, slavery, and the COVID-19 pandemic Resources: Listen to EBB 218 – The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker here   Check out and follow all of Leslie’s work: o   Leslie’s Evidence Based Childbirth Education site can be found here o   Leslie’s Doula Services can be found here o   Follow Leslie’s work on Instagram here Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
Today, I am excited to share a replay of one of my favorite birth stories featured on the Evidence Based Birth® podcast. EBB childbirth class graduates, Brooklyn and Hoang Pham, share their power and miraculous birth story, which became an instant classic and truly touched my heart.   As a content warning, we talk about the significantly high rates of maternal mortality among Black and Brown individuals and racism in birth work.  On today’s podcast, we will be talking with Brooklynn and Hoang Pham. Brooklynn and Hoang currently live in Davis, California, and are the parents to Marvel, who turned seven months last December. Brooklynn is the senior managing director of Teach For America in Sacramento, and Hoang is finishing up his final year of law school at UC Davis School of Law. They took the Evidence Based Birth® Childbirth class with EBB instructor, Shalin Butterworth, and are here to share their birth story. We will talk about Brooklynn’s and Hoang’s empowering experience when they attended the Evidence Based Birth® Childbirth class and how it prepared them to feel ready for their powerful and miraculous birth with their doula and EBB instructor, Shalin.  Resources:  Sign up for the EBB Newsletter here.  Learn more about the EBB Instructor program here and find an instructor or course here.  Hoang and Brooklyn's YouTube: https://www.youtube.com/channel/UCOBNp5cuEQpBDY3-3Bnl6eQ/ Instagram: @_hoangpham Twitter: @_hoangpham Birthplace Lab: You can explore the maps at https://www.birthplacelab.org/maps/. There is a How To video with tips on using the interactive maps: https://www.birthplacelab.org/how-to-explore-the-maps/. Visit BirthPlaceLab.org to learn about your state’s score! Research References: Balde, M. D., Nasiri, K., Mehrtash, H., et al. (2020). Labour companionship and women's experiences of mistreatment during childbirth: results from a multi-country community-based survey. BMJ Glob Health. 2020 Nov;5(Suppl 2):e003564. Click here.   Bohren, M. A., Berger, B. O., Munthe-Kaas, H., et al. (2019). Perceptions and experiences of labour companionship: a qualitative evidence synthesis. Cochrane Database of Systematic Reviews 2019, Issue 3. Art. No.: CD012449. Click here.   Bohren, M. A., Hofmeyr, G. J., Sakala, C., et al. (2017). Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD003766. Click here.   Vedam, S., Stoll, K., MacDorman, M., et al. (2018). Mapping integration of midwives across the United States: Impact on access, equity, and outcomes. PLoS One. 2018 Feb 21;13(2):e0192523. Click here. Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast we talk with Naseema McElroy, Labor and Delivery nurse and the Founder of Financially Intentional about racism, workplace trauma, and inequities in the US healthcare system. We also discuss how to find your voice and stand up for human rights within the system.   Naseema McElroy started as a Labor and Delivery nurse and later became the Founder of Financially Intentional, a personal finance platform normalizing Black wealth. Naseema is the mother of two daughters and loves sharing her passion for financial independence and nursing with her followers on Instagram and through her Financially Intentional Podcast: Nurses on Fire.   Naeema discusses her personal experiences in raising concerns about patient safety within a hospital system and how to protect yourself, legally and financially, in the process. She also shares her story regarding her viral Instagram video about the importance of representation in healthcare and the potentially far-reaching consequences when representation is lacking.  Trigger Warnings: mental health, workplace trauma, obstetric violence, systemic racism, racism and inequities in the US healthcare system, patient safety, Black mortality, Black morbidity Resources:  Follow Naseema's Instagram account Financially Intentional here Learn more about Financially Intentional here Listen to Naseema's Podcast, Financially Intentional Podcast (formerly Nurses of Fire) here Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
In this week’s episode, I'm going to cover the “2022 A Year in Review” and reflect on all the projects and research we accomplished at Evidence Based Birth®. I share my favorite projects and podcast episodes from this year; the top five most downloaded episodes in 2022; and discuss the research recap on the four updated Signature Articles: o   Signature Article on the Evidence on Birthing Positions o   Signature Article on the Evidence on Eating and Drinking in Labor o   Signature Article on the Evidence on IV fluids o   Signature Article on the Evidence on Freidman’s Curve and Failure to Progress + 1-page handout on Debunking Pelvic Shapes   Thanks for tuning in and supporting Evidence Based Birth® in 2022! Because of you we were able to surpass over 4 million downloads –putting us in the top 5 percent of all podcasts! Thank you for helping us to uplift birth workers and empower families with evidence-based knowledge.   Content Warning: abortion & medical interventions Resouces: Find the updated Signature Article on the Evidence on Birthing Positions here Listen to the associated Podcast episodes on Birthing Positions: 196 – Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum 221- Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum 241- The Updated Evidence on Birthing Positions Find the updated Signature Article on the Evidence on Eating and Drinking in Labor here Listen to the associated Podcast episodes on Eating and Drinking: 198 & 233 – Updates on Eating During Labor   Fina the updated Signature Article on the Evidence on IV fluids here Listen to the associated Podcast episodes on IV fluids: 235 – Evidence on IV Fluids with Dr. Rebecca Dekker 208 – Advocating for Your Rights in Birth with EBB Childbirth Class Graduation Cheyanne Saenz 104 – The Evidence on Saline Locks Find the updated Signature Article on the Evidence on Freidman’s Curve and Failure to Progress here Listen to the associated Podcast episodes on Failure to Progress: 224 – Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker 196 – Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum 75 – Birth in Twilight Sleep – the Experiences of Rebecca’s Mom   Debunking Pelvic Shapes Handout and the Abortion Research guide can be found here. Free Public Webinars: Spring Webinar: Failure to Wait Fall Webinar: Evidence on Pitocin Rebecca’s Favorite Projects: Protecting the Perineum Series 221 – Evidence on Birthing Positions and Tried-and-True Midwifery Practice for Protecting the Perineum 218 – The Evidence on Perineal Massage During Labor with Dr. Rebecca Dekker 216 – The Evidence on Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker 206 – Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker   Abortion Research Guide 240: Top Five Most Surprising Findings from the EBB Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes   Reproductive Justice 217 – Disability Justice in Birth and Parenting with Stefanie Lyn Kaufman-Mthimkhulu 234 – Tackling Fatphobia in Lactation with Kristin Cavuto 243 – Importance of Kick Counting for Preventing Stillbirth with Stephaney Moody, Health Equity Ambassador of Count the Kicks 227 – Amplifying the Need for Intersectional Birth Support for QTBIPOC Birthing People with Xian Brooks of the Dandy Doula 238 – Black Fatherhood and Fighting Anti-Black Racism with Brandon Diggs Williams, Licensed Clinical Social Worker 228 – Uplifting Radicalized Birth Work with Anna, The Pocket Doula 229 – Evidence on Doulas: Community-Based Models, the Pandemic and Reimbursement with the Research Team Most downloaded Episodes in 2022 #5 - 235 – Evidence on IV Fluids with Dr. Rebecca Dekker #4 – 222 – Navigating Induction and Pregnancy at 35+ with EBB Instrutor and Birth Fusion Founder, Jennifer Anderson #3 - 224 – Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker #2 - 221 – Evidence on Birthing Positions and Tried-and-True Midwifery Practice for Protecting the Perineum #1 – 241 – The Updated Evidence on Birthing Positions Watch Bringin’ in Da Spirit Trailer here Listen to Team EBB’s 2022 Spotify Playlist here        
In this episode, we are talking with Scarlett Lynsky (she/her) from Hatchings Doula all about her experiences as an Evidence Based Birth® Instructor and two-time gestational surrogate. Scarlett Lynsky was born, raised, and practices as a doula and childbirth educator in Portland, Oregon. Fascinated by childbirth from an early age, and inspired by Grantly Dick-Read's Childbirth Without Fear, she decided to become a Childbirth Educator and Doula in 2009. Over the last 13 years, Scarlett has attended over 200 births. She is passionate about informed consent, bodily autonomy and tuning in to each birthing person's needs at any given moment. Scarlett has two children of her own as well as completing two "extra credit births" in the form of gestational surrogacy. She continues to be in awe of the transformative power of birth and the strength and bravery of every birthing person. In this episode, Scarlett shares how she came into birth work and why she chose to pursue two very different but equally beautiful surrogacy journeys. We discuss the nuances of being a surrogate and the importance of open and clear communication between the gestational carrier, the intended parent(s), and their support and care teams. Content Warnings: fertility/infertility, miscarriage, pregnancy loss, bleeding in pregnancy, subchorionic hemorrhage, abortion,  pregnancy termination, assisted reproduction, IVF, 3rd party reproduction, gendered language, adoption, maternal mortality, high risk pregnancy, discussion of down syndrome, pregnancy complications related to uterine loss Resources and References: Find out more about Scarlett’s EBB Childbirth Class and Doula services on her website here and follow her on Instagram here. Childbirth Without Fear: The Principles and Practice of Natural Childbirth by Grantly Dick-Read (1959), find a copy here Learn about agency Scarlett worked with in Oregon, Northwest Surrogacy Center here. Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today's podcast, we talk with Jencie Richtman, an Evidence Based Birth® Childbirth Class graduate, about her experience taking the EBB Childbirth Class to help navigate her VBAC. Jencie and her husband are graduates of the Evidence Based Birth® Childbirth Class with EBB instructor Julie Fors. Jencie is a mother of two living in the north suburbs of Chicago with her husband. Jencie used the Evidence Based Birth® Childbirth Class as a tool to help her with her VBAC with her second child. In this episode, we hear both of Jencie’s birth stories. Her first birth was an induction that resulted in a Cesarean, and the second, was the healing VBAC experience she was hoping for. Jencie explains how the EBB Childbirth Class helped her and her support team to plan for the birth she desired. She shares how important it was finding a provider and a hospital that supported her choices which helped her to process and heal from the trauma she experienced during her first labor and birth. Content Warnings:  induction, failed induction, BMI, Cesarean, vaginal birth after Cesarean, birth trauma, informed consent, birth guilt, use of coercive language, obstetric violence, high intervention birth, delayed bonding, gendered language, difficulty breastfeeding, COVID-19 Resources and References Read EBB’s Signature Article on Skin-to-Skin Care after a Cesarean here.  Evidence Based Birth® Podcast Episodes regarding VBACs:  EBB 113 – The Evidence on VBAC EBB 209 – Providing Unbiased VBAC Access and Support with VBAC Facts® Founder, Jen Kamel EBB 79 – Life of a Doula Part 1. – from Cesarean to VBAC EBB 232 – Advocacy, VBAC, and Becoming a Home Birth Midwife with Melek Oz Find out more about Julie For’s EBB Childbirth Class and other services on her website Journey Forward here and follow Instagram here  Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast, we’re going to talk with Certified Nurse Midwife and Founder of The Vagina Chronicles, Aiyana Davison (She/Her), about her transition from hospital midwifery to a home birth practice.     Aiyana is a Certified Nurse Midwife and Women’s Health Nurse Practitioner currently practicing in Southern California. While she has worked for the past six years at a large hospital-based teaching facility, she recently started her own home birth practice and has plans to open a birth center. Aiyana has been featured on a wide variety of platforms including ESSENCE, Peanut, Elvie, Ovia Health, and Mama Glow. Aiyana uses her social media platforms and website, The Vagina Chronicles, to help bridge the knowledge gap in people understanding their bodies as well as taking charge of their health care. Aiyana focuses her work on healing long-standing historical trauma within the Black community by sharing and vocalizing stories and supporting Black people as they traverse the healthcare system.  In this episode, we talk about the midwifery model of care in the United States and Aiyana's experiences working in a hospital-based setting, her home birth practice and her associations with a free standing birth center. Additionally, we talk about the excitement of new Black midwives entering the field, and, conversely, the associated apprehensions of Black midwives due to professional burnout and lack of interprofessional collaboration and community support.   Content Warning: Poor birth outcomes, professional burnout, miscarriage, abortion, trauma, home birth, Black birth, birth work    Resources: The Vagina Chronicles Aiyana's Pregnancy Prep Course can be accessed here. All sales through 12/3/22 are at a discounted rate in honor of The Vagina Chronicles 5 Year Anniversary.  Find The Vagina Chronicles on Social Media: ·      Instagram ·      Twitter   You can learn more about Aiyana’s home birth practice, Village House Wellness, here and follow Village House Wellness on Instagram.   Learn more about Kindred Space Birth Center here.   Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast, we’re going to talk with Molecular Biologist and Founder of Free to Feed, Dr. Trill Paullin (She/Her), about misconception in infant feeding and infant food reactivity.  Dr. Trill is mother to two beautiful daughters who had severe infant food reactions to proteins transferred from her diet to breast milk. After processing the painful fact that she could hurt her children through breastfeeding, she started researching how to produce breast milk they could properly digest.  Dr. Trill has discovered that many parents experience the same troubling situation. She has created a place for parents to find answers to their questions about infant food reactivity and empower them to reach their feeding goals. Free to Feed was born to provide the research, resources, and support she wished they had early on. They have started this mission by creating an annual subscription to empower parents through their food allergy journey, a tracking app built specifically for this space, personal consultations, as well as an allergy friendly post-natal multivitamin. Free to Feed’s team is working hard towards launching an at-home test strip that will allow parents to analyze their breast milk for allergens. We talk about the misconceptions of allergy versus intolerance, what food reactivity actually looks like and how it occurs, and the common foods infants react to and how to remove them from human milk.  Content Warning: fear of a child dying, a description of a serious infant food reaction with bloody diapers, and gendered language related to lactation.  Resources: Free to Feed  Find Free to Feed (@freetofeed) on Social Media:  Instagram Facebook  TikTok Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
To celebrate the upcoming release of our Intervention Pocket Guide, we are going to share with you some of the new research on interventions! Last week I had so much fun on Episode 244 sharing the research on amniotomy (or AROM), assisted vaginal delivery (also known as forceps or vacuum assisted delivery), and internal monitoring. Today I’m going to reveal information from the Pocket Guide on 3 more interventions-- Pitocin Augmentation, Regional Analgesia (Epidurals and Spinals), and Cesareans.   Content note: discussion of the benefits and risks of these interventions, including the risk of mortality. Resources: Make sure you're on the Pocket Guide wait list by going here  Pitocin Augmentation: ·       Webinar on the Evidence on Pitocin  ·       EBB #131 Evidence on Pitocin in the Third Stage of Labor ·       EBB #224 Failure to Progress or Failure to Wait webinar (also on YouTube with PowerPoint slides)   Regional Analgesia: ·      EBB YouTube series on Pain Management https://evidencebasedbirth.com/category-pain-management-series/   Cesareans ·      EBB 113 Evidence on VBAC ·      EBB 236 Unexpected Cesarean after a normal vaginal birth with Katie Kane ·      EBB 226 Emergency Cesarean with Mandy Childs ·      EBB 62 Unplanned Cesarean with Michelle Wilson ·      EBB 79 From a Cesarean to VBAC with Chanté Perryman ·      Breech Series episodes 171 (vaginal breech story with Janae and Andrew Rick), 172 (Breech Vaginal Birth evidence with Dr. Rixa Freeze and Dr. David Hayes), 173 (evidence on ECV for breech) For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram  Pinterest   Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
EBB 244: Evidence on Artificial Rupture of Membranes, Assisted Vaginal Delivery, and Internal Monitoring.   We are so excited to announce the upcoming release of a new Evidence Based Birth(R) Pocket Guide, all about Interventions! To give you a sneak peek to the Invention Pocket Guide,  we are diving into the research and evidence on artificial rupture of membranes, assisted vaginal delivery an internal monitoring.   Content note: Discussion of the benefits and risks of these interventions, including forceps and vacuum-assisted deliveries, which can be associated with birthing trauma for birthing people and babies, as well as the risk of mortality. Resources: Make sure you're on the Pocket Guide wait list by going here  Amniotomy References: Kawakita, T., Huang, C-C, and Landy, H. J. (2018). Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes. AJP Rep 8(2): e89-e94. https://pubmed.ncbi.nlm.nih.gov/29755833/ Simpson, K. R. (2020). Cervical Ripening and Labor Induction and Augmentation, 5th Edition. AWHONN Practice Monograph 24(4): PS1-S41. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2491-4 Smyth, R. M., Markham, C. & Dowswell, T. (2013). Amniotomy for shortening spontaneous labour. Cochrane Database Syst Rev 6:CD006167. https://pubmed.ncbi.nlm.nih.gov/23780653/ Alfirevic, Z., Keeney, E., Dowswell, T., et al. (2016). Methods to induce labour: a systematic review, network meta-analysis and cost-effectiveness analysis. BJOG 123(9):  1462-1470. https://pubmed.ncbi.nlm.nih.gov/27001034/  de Vaan, M. D. T., ten Eikelder, M. L. G., Jozwiak, M., et al. (2019). Mechanical methods for induction of labour. Cochrane Database of Systematic Reviews 10: CD001233. https://www.cochrane.org/CD001233/PREG_mechanical-methods-induction-labour Simpson, K. R. (2020). Cervical Ripening and Labor Induction and Augmentation, 5th Edition. AWHONN Practice Monograph, 24(4), PS1-S41. https://nwhjournal.org/article/S1751-4851(20)30079-9/abstract   Assisted Vaginal Delivery References: NHS article on forceps or vacuum delivery https://www.nhs.uk/pregnancy/labour-and-birth/what-happens/forceps-or-vacuum-delivery/ Bailey, P. E., van Roosmalen, J., Mola, G., et al. (2017). Assisted vaginal delivery in low and middle income countries: an overview. BJOG 124(9): 1335-1344. https://pubmed.ncbi.nlm.nih.gov/28139878/ CDC Wonder Database Feeley, C., Crossland, N., Betran, A. P., et al. (2021). Training and expertise in undertaking assisted vaginal delivery (AVD): a mixed methods systematic review of practitioners views and experiences. Reprod Health 18(1): 92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097768/ Crossland, N., Kingdon, C., Balaam, M. C. (2020). Women’s, partners’ and health care providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review. Reprod Health 17:83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268509/ Hook, C. D., Damos, J. R. (2008). Vacuum-Assisted Vaginal Delivery. Am Fam Physician 78(8): 953-960. https://www.aafp.org/afp/2008/1015/p953.html Tsakiridis, I., Giouleka, S., Mamopoulos, A., et al. (2020). Operative vaginal delivery: a review of four national guidelines. J Perinat Med 48(3): 189-198. https://pubmed.ncbi.nlm.nih.gov/31926101/ Verma, G. L., Spalding, J. J., Wilkinson, M. D., et al. (2021). Instruments for assisted vaginal birth. Cochrane Database Syst Rev. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005455.pub3/full   Internal Monitoring References: Euliano, T. Y., Darmanjian, S., Nguyen, M. T., et al. (2017). Monitoring fetal heart rate during labor: A comparison of three methods. J Pregnancy 2017: 8529816. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368359/ Neilson, J. P. (2015). Fetal electrocardiogram (ECG) for fetal monitoring during labor. Cochrane Database Syst Rev 12: CD000116. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000116.pub5/full Harper, L. M., Shanks, A. L., Tuuli, M. G., et al. (2013). The risks and benefits of internal monitors in laboring patients. Am J Obstet Gynecol 209(1): 38.e1-38.e6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3760973/ Bakker, J. J. H., Verhoeven, C. J. M., Janssen, P. F., et al. (2010). Outcomes after internal versus external tocodynamometry for monitoring labor. N Engl J Med 362(4): 306-13. https://www.nejm.org/doi/10.1056/NEJMoa0902748?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200www.ncbi.nlm.nih.gov Frolova, A. I., Stout, M. J., Carter, E. B., et al. (2021). Internal fetal and uterine monitoring in obese patients and maternal obstetrical outcomes. Am J Obstet Gynecol MFM 3(1): 100282. https://pubmed.ncbi.nlm.nih.gov/33451595/ Bakker, J. J. H., Janssen, P. F., van Halem, K. (2013). Internal versus external tocodynamometry during induced or augmented labor. Cochrane Database Syst Rev 8: CD006947. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006947.pub3/full van Halem, K., Bakker, J. J. H., VerHoeven, C. J., et al. (2011). Does use of an intrauterine catheter during labor increase risk of infection? J Maternal Fetal Neonatal Med 25(4): 415-418. https://www.tandfonline.com/doi/abs/10.3109/14767058.2011.582905 For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram  Pinterest   Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast, we’re going to talk with Stephaney Moody, a Health Equity Ambassador and an advocate for Healthy Birthday and Count the Kicks about the importance of kick counting to prevent stillbirth. Stephaney Moody’s passion for stillbirth prevention came after her family experienced loss, when her sister lost her daughter. Upon learning about the inequities that persist in stillbirth outcomes in the African-American Community, she felt led to join the fight against preventable stillbirth and strive for equity. Stephaney is also the Founder of Black Women's Health and Wellness Webcast which addresses issues that impact the health and wellbeing of African-American women. She also serves in her community as a Pastor at New Beginnings Discipleship Ministries and as a Chaplain to the Des Moines Police Department. We will talk about the importance of kick counting in the third trimester to prevent stillbirth. Stephaney shares how her family has been affected by stillbirth and how she became involved in Kick the Counts, an evidence-based stillbirth prevention public health awareness campaign for expectant parents in the 3rd trimester. We will discuss the evidence on kick counting and how Count the Kicks and Healthy Birthday’s public health and awareness campaigns are having a direct impact on stillbirth rates in the United States and abroad. A video with this episode will also come out later today at our YouTube channel here. **Content warning: pregnancy loss, stillbirth, racial inequities in healthcare, maternal mortality, maternal morbidity infant mortality** Resources: Count the Kicks Evidence and Resources here. Download the Count the Kicks App here  Healthy Birthday Resources here Find Count the Kick on Social Media:  Instragam Youtube Twitter Facebook Stephaney moderates the Black Women's Health and Wellness group here. Research discussed: Tveit, J.V., et al. (2009). "Reduction of late stillbirth with the introduction of fetal movement information and guidelines - a clinical quality improvement." BMC Pregnancy Childbirth 9:32: http://europepmc.org/article/PMC/2734741 Sadovsky, E. and Yaffe, H. (1973). "Daily fetal movement recording and fetal prognosis." Obstet Gynecol 41(6): 845-850. https://journals.lww.com/greenjournal/Abstract/1973/06000/Daily_Fetal_Movement_Recording_and_Fetal_Prognosis.8.aspx Leader, L. R., Baillie, P. and Van Schalwyk, D. J. (1981). “Fetal movement and fetal outcome: A prospective study.” Obstet Gynecol 57(4): 431-436. https://pubmed.ncbi.nlm.nih.gov/7243088/ For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram  Pinterest   Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.
On today’s podcast, we have a fun episode where we talk with Labor & Delivery Nurse and the founder of Bundle Birth, Sarah Lavonne, about supporting families so that they can have a confident and empowered birth experience.   Sarah Lavonne, pronouns she/her, a pioneer in nursing and birth education, is the founder & CEO at Bundle Birth, A Nursing Corporation. Sarah is a Registered Nurse Certified in inpatient Obstetric Nursing, a certified childbirth educator, and a certified lactation education counselor. With a vision to unite patients, support persons and medical personnel together through education and support, Sarah and her team at Bundle Birth have fearlessly developed a community of learning and inspiration across labor and birth. Sarah dreams of all birthing people having, not only a healthy birth with safe outcomes, but healthy birth memories. She offers a spectrum of services from support to on-demand classes to a robust online YouTube presence.  In this episode, Sarah shares her journey to helping families and nurses shift from nervous and overwhelmed to confident and transformed.  This podcast is also posted on our YouTube channel in case you want to access the video  **Content Warning: Mention of pediatric loss.**   Resources: Sarah Lavonne, Bundle Birth YouTube channel Instagram TikTok  We talked about Ana Paula Markel's doula training program, check it out here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on: TikTok Instagram  Pinterest  Ready to get involved? Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth®  Childbirth Class.
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Comments (2)

Traci Lynn

as always thank you for fact-based information. I have one miss giving on your comment that there were no major benefits to the massage. what about the couples interaction what about Partners helping with the massage what about the partner feeling that he is doing something to help with the birth you only looked at the perineum and not the benefits to the couple their intimacy and our time together there are benefits that were not discussed that immediately popped in my mind upon hearing your final review I love listening to your podcast .thank you T. D'Souza

Mar 23rd
Reply

Martha

This doctor really wasnt helpful at all. Her ridiculous story of excessive measures to get pregnant is going to apply to barely anyone.

Jun 21st
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