Evidence Based Birth®

Every pregnant person deserves the information and support they need to make truly informed decisions about labor induction. In this encore episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, the co-creators of Partner to Decide, a nonprofit improving decision-making in perinatal care. They discuss their free, multilingual decision aid that helps families understand their options around routine induction of labor and empowers them to advocate for their own values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings, bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care. (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why "Routine" Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools   Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.org For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Want more resources? Check out our Signature Articles 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.

Artificial intelligence is rapidly changing how people search for information, including how families learn about pregnancy and birth. As this technology grows, it raises important questions about accuracy, ethics, and the role of human expertise in healthcare information.   In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share a behind-the-scenes look at how Evidence Based Birth® developed its own AI policies. They discuss concerns about misinformation, bias, privacy, and environmental impact, as well as the potential effects on critical thinking and human connection.   Learn why EBB has chosen to avoid the use of AI in our research, and what that means both for our team and for you.   (03:22) Why EBB began developing an AI policy  (10:39) Defining AI, generative AI, LLMs, and hallucinations  (17:03) Ethical concerns: Accuracy, bias, and risks to evidence-based information  (20:14) Environmental impact of AI and data centers  (21:47) Privacy concerns and data security risks  (26:21) Intellectual property, sustainability, and loss of research context  (27:03) Humanitarian concerns and the impact of AI on jobs and communities  (31:24) AI's potential effects on cognition and critical thinking  (37:30) Why EBB takes a cautious, evidence-based approach to AI  (38:20) Research team policy (42:06) Content team policy (45:01) Programs team policy and guidance for applicants  (47:32) Hiring practices and commitment to human review (52:29) Final takeaways: EBB's overall stance on AI    References Read EBB's Statement on Artificial Intelligence: ebbirth.com/artificial-intelligence-statement/ For a Student Who Used AI to Write a Paper, by Joseph Fasano: https://poets.org/poem/student-who-used-ai-write-paper Barrington, F. (2025). "Thirsty for power and water, AI-crunching data centers sprout across the West." & The West Magazine, Stanford University. April 8, 2025. https://andthewest.stanford.edu/2025/thirsty-for-power-and-water-ai-crunching-data-centers-sprout-across-the-west/ Gecker, J. (2025). "Big Tech is paying millions to train teachers on AI, in a push to bring chatbots into classrooms." Associated Press. October 20, 2025. https://apnews.com/article/artificial-intelligence-teacher-union-microsoft-f7554b6550fb90519dd8129acac8e291 Han, Y., Wu, Z., Li, P., et al. (2024). "The Unpaid Toll: Quantifying and Addressing the Public Health Impact of Data Centers." arXiv preprint arXiv: 2412.06288. https://arxiv.org/pdf/2412.06288 Hou, H., Leach, K., & Huang, Y. (2024). "ChatGPT Giving Relationship Advice - How Reliable Is It?" Proceedings of the Eighteenth International AAI Conference on Web and Social Media: 610–623. https://ojs.aaai.org/index.php/ICWSM/article/view/31338 Kosmyna, N., Hauptmann, E., Yuan, Y. T., et al. (2025). "Your Brain on ChatGPT: Accumulation of Cognitive Debt when Using an AI Assistant for Essay Writing Task." arXiv preprint arXiv:2506.08872. https://arxiv.org/abs/2506.08872 Marrinan, C. (2025). "Data Center Boom Risks Health of Already Vulnerable Communities." Tech Policy Press.com. June 12, 2025. https://www.techpolicy.press/data-center-boom-risks-health-of-already-vulnerable-communities/ NASA. (2024). "Defining Artificial Intelligence." Accessed November 17, 2025. https://www.nasa.gov/what-is-artificial-intelligence/ Notre Dame Learning. (2025). "AI Overview and Definitions." Accessed November 17, 2025. http://learning.nd.edu/resource-library/ai-overview-and-definitions/ Pataranutaporn, P., Karny, S., Archiwaranguprok, C., et al. (2025). "My Boyfriend is AI: A Computational Analysis of Human-AI Companionship in Reddit's AI Community." arXiv preprint arXiv:2509.11391.https://arxiv.org/pdf/2509.11391 Sonka, J. (2025). "The AI data center boom is coming for Kentucky. What will lawmakers do about it?" Kentucky Public Radio. December 9, 2025. https://www.lpm.org/news/2025-12-09/the-ai-data-center-boom-is-coming-for-kentucky-what-will-lawmakers-do-about-it Stryker, C. (n.d.) "What are LLMs?" IBM.com. Accessed November 17, 2025. https://www.ibm.com/think/topics/large-language-models Tabuchi, H. (2025). "Elon Musk's A.I. Company Faces Lawsuit Over Gas-Burning Turbines." New York Times. June 17, 2025. www.nytimes.com/2025/06/17/climate/naacp-musk-xai-supercomputer-lawsuit.html/ United Nations (UN). (2025). "AI has an environmental problem. Here's what the world can do about that." UN Environmental Programme. November 13, 2025. https://www.unep.org/news-and-stories/story/ai-has-environmental-problem-heres-what-world-can-do-about For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

At the 41-week mark in pregnancy, conversations and decisions about induction can start to feel more urgent and complex. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share why the 41st week has become such a focus in maternity care and what the evidence actually says about induction at this milestone.   They discuss elective induction versus expectant management and key findings from major studies like the INDEX and SWEPIS trials. They also talk through potential benefits and risks, including changes in stillbirth risk, newborn outcomes, and maternal experiences.   Content Warning: This episode contains discussion of stillbirth. Please take care while listening.   (00:05:58) How common is labor induction? U.S. rates and challenges with data accuracy (00:09:25) Medically indicated vs. elective induction (00:15:24) The limits of research on induction vs. expectant management (00:20:18) The INDEX trial (00:28:36) Follow-up observational study to INDEX: preferences, Cesarean rates, and outcomes (00:32:51) The SWEPIS trial (00:41:59) Impact of SWEPIS on guidelines and outcomes in Sweden (00:44:40) Benefits of elective induction at 41 weeks (00:46:34) Risks and potential downsides of induction (00:49:18) FAQ: Induction and VBAC considerations   For a full list of resources and references, visit ebbirth.com/inducingduedates.   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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 Childbirth Class Graduates Paige Wener and Kevin Booth hoped for a low-intervention water birth at their midwife-led birth center in rural Vermont. But at 38 weeks and 6 days, a routine prenatal visit led to a surprise diagnosis of preeclampsia and recommendation for induction. In this episode, Paige and Kevin share the story of their 54-hour induction, including misoprostol, a Cook catheter, Pitocin, and eventually an epidural after more than a day of labor, with Kevin supporting Paige with counterpressure, movement, and comfort measures along the way. Paige also shares about recovering from a rare postpartum complication, temporary nerve damage that caused foot drop, and how rest and supportive care helped her heal. (03:26) Taking the EBB Childbirth Class together (07:33) Birth preferences and planning for a water birth (10:50) High blood pressure at a prenatal visit and preeclampsia diagnosis (15:01) Preparing to return for an induction (18:56) Induction begins with misoprostol (21:45) Adding the Cook catheter and overnight labor (27:35) Starting Pitocin and continuing labor support techniques (29:45) Comfort measures and partner support during labor (34:00) Trying Nubain and deciding on an epidural (41:07) Pushing phase and position changes (45:33) Immediate postpartum and first breastfeeding (47:28) Early postpartum recovery in the hospital (49:11) Discovering postpartum nerve injury (55:34) Advice for birth partners (58:51) Postpartum advice and safe sleep resources Resources EBB 194 – Nutrition and Real Food in Pregnancy with Lily Nichols RDN EBB 365 – Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate Get in touch with Paige and Kevin's EBB Instructor, Lucy Paradiso: lucyparadiso-doula.com/ Learn more about Spinning Babies: spinningbabies.com/ Check out Paige's safe sleep resources: Safe Infant Sleep, Dr. James McKenna How Babies Sleep, Helen Ball La Leche League @cosleepy For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN Dr. Jennifer Lincoln about what continuous electronic fetal monitoring actually does, what the research says, and why it became such a routine part of labor care in the first place. With recent media attention shining a spotlight on this technology, they break down the history, the evidence, and the real-world pressures that shape how it's used today. Learn why continuous monitoring can increase Cesarean rates in low-risk births, when it may be helpful in higher-risk situations, and how it can influence movement, comfort, and decision-making during labor. Dr. Lincoln also shares practical ways to ask questions, understand what terms like "reassuring" and "indeterminate" mean, and partner with your care team so you can make informed choices without feeling powerless or pressured. (02:26) Dr. Jennifer Lincoln's updates: doctors' strike, leadership, and writing The Birth Book (10:09) Why electronic fetal monitoring is in the spotlight and what it actually measures (13:40) The history of fetal monitoring and what it was designed to prevent (17:37) The biggest drawbacks: false positives, rising C-section rates, and medical-legal pressures (23:18) How continuous monitoring can affect movement, comfort, and labor experience (26:28) Artifact, wireless monitors, and challenges with accuracy (28:27) Intermittent monitoring: what it is and how it works (30:11) When continuous monitoring may be more beneficial in higher-risk situations (37:53) Understanding "reassuring," "indeterminate," and "non-reassuring" patterns (39:46) What care teams may try before recommending a cesarean (45:15) Questions parents can ask when concerns arise about the fetal heart rate (48:03) Continuous monitoring during VBAC and navigating autonomy and policy (51:01) Why these conversations should happen before labor and how to advocate collaboratively Resources Hear about the new research on home birth with Dr. Dekker on Dr. Lincoln's "Let's Talk about Birth" podcast: drjenniferlincoln.substack.com/p/announcing-my-new-podcast Get a copy of Dr. Lincoln's book, The Birth Book: An OB-GYN's Guide to Demystifying Labor and Delivery: penguinrandomhouse.com/books/785889/the-birth-book-by-dr-jennifer-lincoln/ Learn more about Three for Freedom: threeforfreedom.com/ For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, we explore how the traditional "game of telephone" model in hospitals can leave birthing people out of critical decisions about their own care and what happens when we redesign the system to center them instead. Dr. Rebecca Dekker sits down with Dr. Amber Weiseth, obstetric nurse and Director of the Delivery Decisions Initiative at Ariadne Labs, to talk about TeamBirth—a simple, evidence-based communication model transforming labor and delivery units across the U.S. and globally. Learn how structured bedside "huddles," shared decision-making, and a visible planning board can improve trust, autonomy, and patient experience, with especially powerful impacts for Black, Native American, publicly insured, and higher-risk patients. Because communication failures in childbirth aren't just awkward, they can be dangerous. (05:07) How the "game of telephone" model blocks patients from decision-making (09:15) Traditional rounding and decision-making in U.S. labor units (12:10) The added complexity of academic medical centers (14:52) A life-threatening hemorrhage and the power of systems change (17:57) What is TeamBirth? (22:04) How the TeamBirth board works: team, preferences, plan, next huddle (26:57) Implementation challenges and culture change in hospitals (34:36) Privacy, speakerphone huddles, and navigating complex family dynamics (44:15) Research results: Impact on trust, autonomy, and equity Resources TeamBirth resources, research, and implementation materials: ariadnelabs.org/delivery-decisions-initiative/teambirth/teambirth-implementation-resources/ WHO Surgical Safety Checklist initiative: who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources Association of Women's Health Obstetric and Neonatal Nurses: awhonn.org/ For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of the International Confederation of Midwives about the global impact of midwifery care. She outlines what defines a midwifery model of care, why continuity of midwife-led care matters for both outcomes and experiences, and how trust and relationship-based care can influence Cesarean rates, trauma-informed care, and access to services. Stephanie draws on her work across the U.K., Asia, and Africa to share how countries such as Indonesia and Bangladesh are strengthening midwifery education, regulation, and deployment, and what that means for maternal and newborn health. Together, Stephanie and Rebecca also discuss the essential role midwives play in humanitarian and disaster settings, the global shortage of midwives, and the growing call for One Million More midwives worldwide. (04:58) What is a midwifery model of care? (08:00) Why relationships are central to better birth outcomes (10:27) Time, workload, and sustainability for midwives (12:20) Trust, disclosure, and safety during pregnancy (13:01) How continuity of care shapes labor and birth experiences (16:48) What is the International Confederation of Midwives? (22:05) Strengthening midwifery education worldwide (28:13) Rebuilding midwifery education where it was lost (34:53) Rising cesarean rates and the role of midwives (39:26) Why midwives are essential in humanitarian settings (42:35) The global shortage of midwives Resources Learn more about the International Confederation of Midwives: internationalmidwives.org Support the One Million More campaign: millionmore.org Explore UNFPA's work supporting sexual and reproductive health, maternal health, and midwifery systems: unfpa.org For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of Cesarean? Prevent big babies? Reduce stillbirth? Or does the timing matter more than the induction itself? In this episode, Dr. Rebecca Dekker and Dr. Morgan Richardson Cayama walk through the updated research on induction for gestational diabetes. You'll learn how outcomes differ before 39 weeks, between 39–40 weeks, and after 41 weeks, and why blood sugar control (diet-controlled versus medication-controlled GDM) can change the conversation entirely. They also review what major professional organizations recommend and discuss the role of extra fetal monitoring in the third trimester. Most importantly, they talk about informed consent, respectful maternity care, and how to navigate conversations if you're feeling pressure to schedule an induction. (00:02:40) Background & research update (00:05:34) What is GDM? Risks & induction rates (00:08:34) Research challenges & study limitations (00:15:36) Timing of birth: 38, 39, 40+ weeks (00:19:26) Big babies & health risks (00:24:27) Professional guidelines (ACOG, NICE, SOGC) (00:27:14) Birth before 41 weeks: common recommendation (00:27:54) Extra fetal monitoring in late pregnancy (00:32:49) Navigating pressure & informed consent View the full list of references here. Resources Read the updated Evidence on: Induction for Gestational Diabetes: ebbirth.com/inducingGDM Get the free respectful care handout: ebbirth.com/369 Grab your Pocket Guide to Labor Induction here. EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of experiencing another severe perineal tear after a previous injury, and what white coat hypertension in pregnancy can tell us about future risk. Each question reflects real situations birth workers are encountering in practice, where guidance is often inconsistent, policies vary widely, and the research can feel hard to translate into day-to-day care. We walk through what the studies show, where the evidence is limited, and how this information can be used to support informed, individualized decision-making. (06:15) Evidence on doulas in the operating room (12:53) Participant experiences with doulas in the OR (14:20) Risk of severe perineal tears in subsequent births (17:30) Clarifying repeat tear severity and rates (20:27) White coat hypertension vs. preeclampsia (27:02) How blood pressure should be taken correctly (31:10) Research on white coat hypertension and pregnancy outcomes (36:20) Global trends and rising rates of hypertensive disorders Resources See the full list of references: ebbirth.com/387 Learn more about the EBB Pro Membership: ebbirth.com/become-pro-member/ Get the Evidence on: Skin-To-Skin After Cesarean: ebbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/

In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparing for a Cesarean, not knowing that information would be needed just 30 minutes later. In this follow-up episode, Krista returns to share what happened next: the urgent decision-making, the move to labor and delivery, and the Cesarean birth that unfolded just days before her scheduled 37-week surgery. Krista walks through the physical sensations of an urgent Cesarean, the grounding techniques that helped her stay calm during surgery, and the emotional reality of recovering after major abdominal surgery. She also opens up about NICU life, bringing her baby home on oxygen, and the unexpected emotional release that came after finally leaving the hospital following more than a month of inpatient care. (04:04) Krista's extended hospital stay & partial placental abruption recap (09:39) Preparing for a Cesarean just hours before it happened (011:07) Realizing there are Cesarean birth options (12:59) Staying calm: grounding, breath, and mental preparation (13:59) Labor begins & the shift to an urgent Cesarean (18:10) Epidural, tugging sensations, and what Cesarean feels like (20:54) Baby Jace is born! (23:40) Focusing inward during surgery (27:25) First moments with Jace & NICU transfer (31:42) Leaving the hospital after a month-long stay (38:10) Feeding challenges after NICU (41:26) Physical & emotional recovery after a Cesarean (45:52) Advice for families preparing for a Cesarean (47:38) Gratitude and shout-outs to nurses & care teams   Resources EBB 266 – Advocating for your Newborn during an Unexpected NICU Stay with EBB Childbirth Class Graduates Priscilla and Nathan Layman EBB 284 – How to Help NICU Families Find Empowerment and Healing During their Challenging Journeys with Hollis Wakefield EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates EBB 350 – Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate EBB 356 – NICU-Informed Doulas: What are they and how can they change the NICU narrative? with Mary Farrelly, RN, Doula, and Founder of the NICU Translator   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In one of the most popular podcast episodes ever published by Evidence Based Birth®, Dr. Rebecca Dekker sits down with Dr. Alyssa Berlin, a clinical psychologist specializing in pregnancy, postpartum, and parenting, to discuss ways to make the transition to postpartum smoother, healthier, and more joyful for families. Together, they unpack why two-thirds of couples report a drop in relationship satisfaction after childbirth, what factors contribute to emotional struggles in the postpartum period, and how social media myths can set parents up for disappointment. Through relatable stories and evidence-based strategies, Dr. Berlin explains why preparation during pregnancy matters and shares guidance on protecting mental health, building support, and keeping relationships strong. (06:21) Parenting Expectations vs Reality (10:04) Perinatal Anxiety and Identity Struggles (13:33) Strengthening Bonds Before Parenthood (15:22) Parenting Lessons: The Humbling "Baby Vortex" (19:15) Postpartum Challenges and Parental Leave (23:08) Postpartum Doula Support Research Needed (25:47) Creative "Date Moment" Ideas for Couples   Resources Follow Dr. Alyssa Berlin on Instagram: @dralyssaberlin Learn about the AfterBirth Plan Workshop here. Connect with the Berlin Wellness Group. EBB 85 – The power of a well-planned birth – of twins!   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

A healing birth can change the way you understand everything that came before it. In this episode, Dr. Dekker talks with EBB Childbirth Class graduate Michaela Raines about experiencing a deeply healing birth after a first birth that didn't go as planned. Michaela shares her first hospital birth story—including unexpected interventions, a long pushing phase, perineal trauma, and a NICU stay—and how those experiences shaped her postpartum recovery. She then walks us through how education, intentional preparation, and support helped her approach her second pregnancy differently, leading to a fast, unmedicated water birth at a freestanding birth center. Michaela also reflects on how this birth felt both physically and emotionally redemptive and what she would share with parents preparing for a subsequent birth after a challenging experience. (03:13) Michaela's first birth expectations vs. reality (04:15) Unexpected interventions, epidural, and long pushing (08:16) Postpartum recovery and feelings of embarrassment (09:27) Discovering Evidence Based Birth® and choosing a birth center (12:10) Preparing mentally for an unmedicated birth (13:26) Birth center transfer protocols and emergency preparedness (14:34) Early labor and false starts (19:40) Arriving at the birth center and a rapid water birth (21:13) The healing impact of her second birth (24:58) Freedom of movement and choosing birth positions (30:35) Birth affirmations that carried her through labor (31:36) Advice for parents preparing for a healing second birth Resources EBB 292 – Confronting the Unknowns in Childbirth with Liesel Teen of the Mommy Labor Nurse EBB 318 – Advocating for Waterbirth in Hospitals with Dr. Liz Nutter, DNP, CNM, and Retired Lieutenant Colonel

What is a due date, and how accurate is it, really? Dr. Rebecca Dekker is joined by Dr. Sara Ailshire of Team EBB to walk through the latest research on due dates, pregnancy length, and what happens when pregnancies go past term. They share the new research on ultrasound dating, the natural length of pregnancy, genetics, and stillbirth risk. They also talk about what a due date actually represents and how pregnancy length varies widely between individuals.   Content Note: This episode contains discussion of stillbirth, starting at 26:10 and ending at 40:57. Please take care while listening.   Read the Evidence on "What is a Due Date?" here.   (05:24) What is a due date and what it isn't (06:16) How due dates are traditionally calculated (09:45) Research on ultrasound accuracy (12:25) Safety of ultrasound & the ALARA principle (16:38) Why studying pregnancy length is complicated (22:27) Genetics and family history of longer pregnancies (25:41) Why providers worry about going past due dates (27:50) Understanding stillbirth risk and the U-shaped curve (34:20) Racial disparities in stillbirth risk (38:37) What pregnant people can do to lower risk (40:25) Sleep position, fetal movement awareness, and prenatal care (44:06) Balancing trust in birth with honest risk communication (45:20) What we know (and don't know) about placental aging   Resources Count the Kicks: https://countthekicks.org/ PUSH Pregnancy: https://www.pushpregnancy.org/ Star Legacy Foundation: https://starlegacyfoundation.org/ Healthy Birth Day: https://healthybirthday.org/ CDC Stillbirth resources: https://www.cdc.gov/stillbirth/communication-resources/index.html Share Pregnancy and Infant Loss Support: https://nationalshare.org/ Stillbirth and infant loss support communities: https://postpartum.net/group/stillbirth-and-infant-loss-support-for-parents/

From heat waves to winter storms to hurricanes, extreme weather events are increasingly part of everyday life, and learning how they intersect with pregnancy and birth can empower families and birthworkers alike. Alicia Race, a climate resilience policy advocate with the Union of Concerned Scientists, is joining Dr. Rebecca Dekker this week to share how these events—especially during what experts now call "Danger Season"—can impact pregnant, postpartum, and breastfeeding families.   As we enter 2026, educate yourself now about what scientists consider to be "Danger Season," why extreme heat and extreme cold can be dangerous for pregnant families, and how compounding climate hazards like heat waves, hurricanes, flooding, and wildfire smoke can increase risks such as preterm birth, low birth weight, hypertensive disorders, and mental health stress during pregnancy. Alicia also shares real-world examples, research findings, and tools that families and birthworkers can use to stay informed, prepared, and connected.   (02:43) Climate displacement and the idea of "climate refugees" (04:30) What is Danger Season? (07:27) Research linking extreme weather to preterm birth and labor outcomes (08:36) How hurricanes and flooding affect pregnant families (11:29) Birth during disasters: access to care, transportation, and feeding infants (13:55) Extreme heat, wildfire smoke, and air quality risks in pregnancy (18:59) Power outages, utility shutoffs, and climate-related health equity (25:27) Apps and free tools for tracking air quality and heat alerts   Resources Read Alicia's story, What to Expect When You're Expecting During Danger Season: https://blog.ucs.org/alicia-race/what-to-expect-when-youre-expecting-during-danger-season/ Use the UCS Killer Heat tool: ucs.org/resources/killer-heat-interactive-tool Take a look at the Danger Season Map: dangerseason.ucs.org/ Map your heat risk with the National Weather Service: www.wpc.ncep.noaa.gov/heatrisk/ Check the air quality where you live: airnow.gov/ Learn about air quality and smoke near you: airnow.gov/wildfires/ Read about the potential privatization of weather resources: pbs.org/newshour/politics/as-trump-slashed-weather-agency-his-appointees-have-ties-to-companies-that-stand-to-benefit-from-privatizing-forecasts   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Be the first to hear about the special event we're planning for 2026! To get on the waitlist for the upcoming event, visit ebbirth.com/waitlist.    

Long before labor begins, the stories we hear about birth are already shaping our expectations and choices. In this episode, Dr. Rebecca Dekker talks with Lisa Greaves Taylor, founder of Birth Matters NYC Childbirth Education, director of the East River Doula Collective, and host of the Birth Matters podcast, about the power of birth stories as tools for education, healing, and self-advocacy.   Drawing from her work supporting families in New York City since 2010, Lisa shares how storytelling helps birthing people move beyond fear-based narratives and reconnect with their intuition, confidence, and voice. Together, Rebecca and Lisa explore the realities of giving birth in NYC—including high rates of induction, limited access to midwifery and birth centers, and postpartum support gaps—while also highlighting reasons for hope, advocacy, and change. They also talk about how birth stories can support preparation during pregnancy, help process trauma after difficult births, and empower families navigating VBAC, repeat pregnancies, and systemic barriers to evidence-based care.   (02:51) What drew Lisa to childbirth education and doula work (07:45) Giving birth in NYC then vs. now (09:07) The evidence-practice gap in New York City maternity care (15:02) Postpartum care challenges and lactation support gaps (18:05) The role of midwives in improving birth experiences (23:47) How storytelling activates intuition and self-advocacy (28:15) When birth stories can be harmful and how to curate wisely (35:34) Trauma, dissociation, and the importance of processing birth (42:18) What gives Lisa hope for the future of birth work (46:28) Stories, Education, and Support   Resources Learn more about Lisa Birth Matters NYC: birthmattersnyc.com Birth Matters Podcast: birthmattersnyc.com/podcast East River Doula Collective: eastriverdoulas.nyc Instagram: @birthmattersnyc Ina May's Guide to Childbirth by Ina May Gaskin: share.libbyapp.com/title/5017296 The Story Factor by Annette Simmons: annettesimmons.com/the-story-factor/ The Evidence on: Induction or Cesarean for a Big Baby EBB 311 – Creating a Community-Led Birth Center in New York City with Myla Flores of the Womb Bus   Organizations & Advocates Mentioned Ancient Song Doula Services: ancientsongdoulaservices.com Chanel Porchia-Albert: chanelporchia.com Jennie Joseph: jenniejoseph.com Kimberly Seals Allers: kimberlysealsallers.com Michelle Browder: ebbirth.com/274 For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

As 2025 comes to an end, guest host Dr. Sara Ailshire turns the tables and interviews Dr. Rebecca Dekker about the biggest childbirth trends, lessons, and breakthroughs of 2025, and what exciting changes are coming to EBB in 2026.   Together, Sara and Rebecca dive into the shifting landscape of birth: the unprecedented rise in labor inductions, how AI is complicating the search for evidence-based information, changes in doula access and Medicaid coverage, and how politics continues to shape pregnancy and postpartum care. They walk through the most impactful EBB research updates of the year—including new evidence on vitamin K, gestational diabetes testing, induction timing, big babies, and respectful maternity care—and reflect on the episodes that resonated most with our global community.   Rebecca also opens up about what she personally learned this year, including how unresolved childhood trauma impacted her own labor years ago, and how that insight is shaping her thinking about the emotional and spiritual dimensions of birth. Plus, Rebecca reveals a major new direction for Evidence Based Birth in 2026 that could transform hospital birth culture around the world and bring evidence-based care to thousands more families.   Want to provide input on EBB's new direction? Fill out this survey here!   (02:12) The #1 trend of 2025: inductions everywhere (03:50) How AI is reshaping (and complicating) birth information (07:51) Doula coverage, Medicaid changes, and fewer parents seeking childbirth education (11:55) Miscarriage care, politics, and the impact of Dobbs (13:42) Biggest EBB research updates: vitamin K, GDM, and more (21:40) The new Respectful Maternity Care handout (22:21) The new "big baby" trial and why it likely won't shift U.S. practice (25:37) The top five EBB podcast episodes of the year (32:58) Highlights from the 2025 EBB Conference & Summer School (41:22) How trauma shaped Rebecca's own labor (53:50) The big reveal: what's coming for EBB in 2026   Resources Vitamin K Signature Article (Updated 2025): ebbirth.com/vitamink Gestational Diabetes Signature Article (Updated): ebbirth.com/gdm Get the Respectful Maternity Care Free Handout: ebbirth.com/RMC Sign up for the Big Baby Signature Training for Pro Members: ebbirth.com/classes Get the My Doula Visit Workbook: ebbirth.com/doula-workbook/   Referenced EBB Episodes EBB 349 – An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama EBB 357 – Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide EBB 377 – Medicaid Coverage for Doula Care with Amy Chen, Senior Attorney at the National Health Law Program EBB 352 – Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist EBB 343 – Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean EBB 347 - Updated Evidence on Vitamin K EBB 350 – Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate EBB 372 – Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates   EBB Doula Trainer Rewards Lorie Michaels, BirthPro Advanced Doula Training: birthpro.org Lorenda Lewis, Healing with Dignity: healingwithdignity.com Heather McCullough, HMBirth: hmbirth.com Heather Christine Struwe, Community Aware Birthworker: communityawarebirthworker.com Charlotte Shilo-Goudeau, Community Birth Companion: communitybirthcompanion.org Naima Beckles, For Your Birth: foryourbirth.com Leiko Hidaka, Leiko Hidaka: leikohidaka.com Ruth Kraft, Birth Professional International: birthprofessionalinternational.com Jennifer Anderson, Birth Fusion: birthfusion.com Chanté Perryman, Baby Dreams Maternity Concierge: babydreamsmc.com   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.    

The EBB End of Year Countdown Sale, featuring three days of one-day-only deals, is happening December 29 through December 31.   Over those three days, we will release a different EBB tool or program at a special price, with each deal available for just 24 hours.   Here's what's coming in the sale: Monday, December 29 - Quarterly EBB Pro Membership PLUS a FREE physical Pocket Guide of your choice for $149. Tuesday, December 30 - Bundle the Annual EBB Pro Membership with a 2-day ticket to the virtual 2026 EBB Conference for $499. Wednesday, December 31 - Order your copies of the My Doula Visit Workbook for $30 each (regularly $35) or save even more on bulk packs. Only 500 will be in stock, and this will be the last chance to grab your workbooks before the price increases. Each offer goes live at 9 AM EST and is available for 24 hours only, so we recommend planning ahead and setting your reminder now!  

In this episode, Dr. Rebecca Dekker dives into the evidence-practice gap, the disconnect between what research tells us is best during childbirth and what is actually happening in labor and delivery units around the world. She walks through the latest statistics on Cesarean rates, VBAC access, and the widespread use of non–evidence-based interventions, as well as the persistent underuse of practices proven to improve outcomes, like doulas, midwifery care, and birthing positions that support physiologic labor.   Dr. Dekker also unpacks the systemic forces driving these gaps, including the role of paternalism, hierarchical power structures in healthcare, legal pressures, and the phenomenon of horizontal violence among healthcare workers. She explores how overlapping forms of oppression shape the experiences of both patients and providers.   (02:40) Why research takes so long to become routine care (03:42) A look at U.S. cesarean rates and what's driving them (05:38) The rise and fall of VBAC access and why families struggle to get support (08:01) The "bait and switch" problem in maternity care (09:34) Interventions that are overused vs. underused during labor (11:47) How paternalism and medical hierarchy fuel the evidence gap (16:39) Horizontal violence among nurses, midwives, and doulas (19:11) Trauma and burnout across the maternity care workforce (23:04) Real signs of progress and positive change in birth settings   Resources EBB 1 - Intro to Evidence Based Birth EBB 2 – What is Evidence Based Care? Listening to Mothers in California (Sakala et al., 2018) Basile Ibrahim et al. (2020) study on VBAC access and barriers Register for the EBB Course: How to Help Families Get Evidence-Based Care: evidencebasedbirthacademy.com/register/course-how-to-help-families-get-evidence-based-care/   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Tras lo que debería haber sido un parto feliz, Sofía Herrera, (educadora perinatal, instructora de EBB, instructora de Hipnoparto y psicóloga social y clínica) pasó casi 20 años creyendo que padecía depresión posparto, hasta que sus estudios revelaron la verdad: había sufrido un trauma obstétrico. Esta revelación se convirtió en el motor de su trabajo de apoyo a las mujeres que dan a luz y de su lucha contra la violencia obstétrica generalizada y la desinformación arraigada en el sistema de atención a la maternidad en México.   Sofía comparte lo que realmente significa el trauma, cómo las intervenciones sin consentimiento y la atención paternalista influyen en la experiencia del parto, y por qué tantas familias creen erróneamente que "fracasaron" cuando, en realidad, fue el sistema el que les falló. También describe los desafíos del parto en México —desde las altísimas tasas de cesáreas hasta las episiotomías de rutina— y cómo la educación basada en la evidencia empodera a las familias para encontrar una atención más segura y respetuosa.   (02:26) El recorrido de 20 años de Sofía viviendo con un trauma no tratado (06:45) Patrones que observó como educadora de parto (10:20) Por qué el trauma psicosocial en el parto está poco investigado y mal comprendido (12:18) La propia experiencia de parto de Sofía (18:23) Las altísimas tasas de cesáreas en México (19:48) Cómo se manifiesta el paternalismo culturalmente y en las relaciones clínicas (21:08) Episiotomías de rutina y "protocolos" obsoletos que aún se enseñan (22:24) ¿Puede la educación sobre el parto prevenir el trauma? Cómo las familias informadas cambian el sistema (28:35) Diferencias entre hospitales privados y públicos en México (32:38) Cómo Sofía utiliza los recursos de EBB para apoyar y empoderar a las familias (35:19) El mejor consejo de Sofía para las familias que temen la violencia obstétrica o un trato irrespetuoso   Recursos Conecta con Sofía: @sukhamoms Obtén folletos de EBB en español: evidencebasedbirth.com/translations/   Para obtener más información sobre Evidence Based Birth® y un curso intensivo sobre atención basada en la evidencia, visite www.ebbirth.com. ¡Síganos en Instagram y YouTube! ¿Listo para aprender más? Descargue la Guía de escucha del podcast de EBB o lea el libro de la Dra. Dekker, "Babies Are Not Pizzas: They're Born, Not Delivered!". Si desea participar en EBB, únase a nuestra membresía profesional (hay opciones de becas disponibles) e inscríbase en la lista de espera para nuestro programa de instructores de EBB. Encuentre un instructor de EBB aquí y haga clic aquí para obtener más información sobre las clases de preparación para el parto de EBB.

After what should have been a joyful birth, Sofía Herrera (childbirth educator, EBB Instructor, Hypnobirthing instructor, and social & clinical psychologist) spent nearly 20 years believing she had postpartum depression, until her investigation revealed the truth: she had experienced birth trauma. That realization became the catalyst for her work supporting birthing families and confronting the widespread obstetric violence and misinformation embedded in Mexico's maternity care system.   Sofía shares what trauma really means, how unconsented interventions and paternalistic care shape birthing experiences, and why so many families mistakenly believe they "failed" when in reality, the system failed them. She also describes the challenges of childbirth in Mexico—from extremely high Cesarean rates to routine episiotomies—and how evidence-based education empowers families to find safer, more respectful care.   (02:26) Sofía's 20-year journey living with untreated trauma (06:45) Patterns she saw as a childbirth educator (10:20) Why psychosocial trauma in birth is under-researched and misunderstood (12:18) Sofía's own birth experience (18:23) Mexico's extremely high Cesarean rates (19:48) How paternalism shows up culturally and inside clinical relationships (21:08) Routine episiotomies and outdated "protocols" still being taught (22:24) Can childbirth education prevent trauma? How informed families change the system (28:35) Differences between private vs. public hospitals in Mexico (32:38) How Sofía uses EBB resources to support and empower families (35:19) Sofía's top advice for families fearing obstetric violence or disrespectful care   Resources Connect with Sofía: @sukhamoms Get EBB Handouts in Spanish: evidencebasedbirth.com/translations/   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, Dr. Rebecca Dekker explores the research on birthing positions and tried-and-true midwifery practices for protecting the perineum during childbirth. She explains why the flat-on-your-back position we often see on television isn't ideal and walks through the key differences between upright, sacrum-flexible positions, and common hospital practices like lithotomy and routine episiotomies.   Dr. Dekker reviews data from global research as well as real-world wisdom from midwives, including the extraordinary outcomes of hands-off, undisturbed birth approaches in the Philippines. She uncovers how hospital system pressures, caregiver convenience, and even obstetric violence drive the overwhelming use of recumbent positions and invasive interventions while sidelining evidence-based, patient-centered care. You'll hear firsthand strategies for minimizing severe tears, promoting intact perineums, and advocating for birth plans that prioritize the autonomy and comfort of birthing people.   Content Warning: Discussion of tears of the vagina, severe tears from the vagina to the rectum, obstetric violence related to episiotomies, and being forced giving birth on your back.   Resources For a full list of resources, visit: ebbirth.com/221 Watch the video version here on our YouTube channel which includes study breakdowns and PowerPoint slides. Protecting the Perineum Series: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thompson), she discovered that birth doesn't have to go "according to plan" to be powerful.   In this episode, Dr. Rebecca Dekker talks with Erica and Tara about how preparation, advocacy, and teamwork carried them through a marathon labor filled with unexpected turns. From switching hospitals late in pregnancy to finding strength through challenges, their story exemplifies flexibility, informed choice, and the power of doula support.   (05:55) Tara's updates from Atlanta and her path to becoming an IBCLC (09:17) Erica's lightbulb moments from the EBB Childbirth Class (11:22) Switching hospitals at 35 weeks and advocating for the right fit (16:18) Labor begins: prodromal labor, GBS, and waiting for spontaneous birth (24:30) Hospital admission, challenges with staff, and early interventions (32:17) The Pitocin battle and advocating for movement and monitoring choices (35:40) Finding a supportive nurse and regaining freedom during labor (39:53) Tara's night shift: rest, affirmations, and encouragement (44:20) Deciding on the epidural and reframing "failure" as flexibility (49:18) The final stage: rest, relief, and meeting baby (55:12) Postpartum recovery and breastfeeding challenges (01:00:25) Tara's advice for navigating long labors (01:02:43) Erica's reflections on flexibility, intuition, and informed choice   Resources Get in touch with Tara: tarasbirthservices.com | @taras.birthservices Connect with Tara's teammate, Brittany: @wellpreparednest Listen to EBB 146 - How Doula and EBB Instructor Tara Thompson Supports Families in Atlanta Listen to EBB 357 – Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide The Evidence on: GBS (Group B Strep): evidencebasedbirth.com/groupbstrep/ The Evidence on: Pitocin During the Third Stage of Labor: evidencebasedbirth.com/evidence-on-pitocin-during-the-third-stage-of-labor/ Epidural during Labor for Pain Management: evidencebasedbirth.com/epidural-during-labor-pain-management/ Learn more about the Evidence Based Birth Childbirth Class: evidencebasedbirth.com/childbirthclass   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Across generations, birth workers have held space for families with skill, love, and deep purpose. In this episode, Dr. Rebecca Dekker talks with Elder Midwife Charlotte Shilo-Goudeau, a licensed Certified Professional Midwife from Louisiana, and Chanté Perryman, Director of Programs at Evidence Based Birth®, certified doula, and student midwife. Together, they explore what it means to embrace the dual calling of doula work and midwifery and how both roles are acts of service, advocacy, and healing.   Elder Charlotte shares her journey from personal loss to becoming one of only a few Black midwives in Louisiana, carrying forward the wisdom of generations. Chanté reflects on how her experiences as a doula shaped her path into midwifery and her vision for compassionate, individualized care. They remind us that titles may change, but the heart of this work remains the same: being present, being of service, and being called to birth.   (03:46) How Chanté's Birth Experience Inspired Her to Become a Doula (05:42) Elder Charlotte's Journey from Stillbirth to Midwifery as a Calling (10:59) How Doula Work Shapes Midwifery Care and Philosophy (14:34) Serving Underserved Communities as One of Four Black Midwives in Louisiana (19:01) Shifting from Midwife to Doula During Hospital Transfers (24:08) Chanté's Perspective on Identity, Service, and Humility in Birth Work (28:40) Micro vs. Macro Advocacy: Supporting Families and Legislative Change (37:29) Navigating Hospital Restrictions During the Pandemic (42:57) Lessons from Midwifery School (45:30) Advice for Those Considering Doula or Midwifery Paths   Resources Follow Chanté on Instagram: @babydreamsmc Connect with Ms. Charlotte: midwifecharlotte.com Connect with an Evidence Based Birth® Instructor: directory.evidencebasedbirth.com Learn more about the National Perinatal Task Force: perinataltaskforce.com Visit the Commonsense Childbirth School of Midwifery: commonsensemidwifery.org Check out the Kentucky Birth Coalition: kentuckyhomebirthcoalition.com Visit the Mercy In Action College of Midwifery: mercycollegeofmidwifery.edu   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Introducing the My Doula Visit Workbook by Evidence Based Birth®. A tangible, interactive, and evidence-based guide designed to facilitate conversations, strengthen the doula-client relationship, and guide families through the most pressing topics related to pregnancy, birth, and postpartum.  What's Inside the My Doula Visit Workbook? A 115-page, full-color, spiral-bound workbook packed with evidence-based resources Structured guides for up to six prenatal visits + one postpartum check-in (but fully customizable to your practice!) 18 official EBB handouts, birth plan templates, journaling prompts, discussion questions, activities, podcast playlists, and postpartum guides Real-life photographs, colorful graphics, and easy-to-use worksheets Access to an exclusive online resource page with additional videos, worksheets, and more! Want flexibility? No problem! Choose which sections to cover in person, virtually, or assign as self-study for your clients. Orders open on Monday, November 24 at 12:00 p.m. EST with bulk ordering discounts available. Learn more and explore the workbook at ebbirth.com/doulaworkbook. Want early access and special perks? Join the waitlist at ebbirth.com/waitlist to shop 2 hours early!

What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement to make doula care accessible through Medicaid and insurance coverage.   Amy shares how her personal birth experiences inspired her work advocating for Medicaid reimbursement for doulas and explains how more than 20 states (and counting) are now implementing or expanding coverage. They also unpack the biggest challenges and successes so far, from sustainable reimbursement rates and certification requirements to how doulas can navigate the Medicaid billing process.   (03:17) How Amy's birth experiences led her to advocate for Medicaid coverage of doula care (06:54) The national shift toward Medicaid coverage for doulas after 2016 and early state pilots (11:50) How 23 states plus D.C. have implemented Medicaid doula benefits and what comes next (15:46) Lessons from California's rollout: raising reimbursement from $450 to $3,200 through advocacy (20:57) Why equitable reimbursement matters for sustaining the doula workforce (25:52) How families can find out if doula care is covered through Medicaid, private insurance, or employers (29:53) TRICARE's pilot program for military families and expansion to overseas bases (31:42) The challenges doulas face with Medicaid billing and how "doula hubs" help streamline the process (36:49) How upcoming federal Medicaid cuts could threaten maternal health gains (45:28) New 2024 research showing doula care cuts cesarean rates in half and lowers preterm births (48:12) Closing thoughts and key resources for doulas, advocates, and policymakers   Resources NHeLP Doula Medicaid Project: https://healthlaw.org/doulamedicaidproject/ Best Practices for Medicaid Coverage of Doula Care (2025): https://healthlaw.org/doulamedicaidproject/bestpractices/ NHeLP Doula Medicaid Project State Tracker Chart: https://tinyurl.com/NHeLPStateTracker CA Department of Health Care Services Doula Benefit Implementation Report: https://www.dhcs.ca.gov/provgovpart/Documents/Doula-Benefit-Report.pdf Private Insurance Coverage of Doula Care: Spring 2025 State of the States: https://healthlaw.org/private-insurance-coverage-of-doula-care-spring-2024-state-of-the-states/ A Cost-Benefit Analysis of Doula Care from a Public Health Framework: https://healthlaw.org/resource/a-cost-benefit-analysis-of-doula-care-from-a-public-health-framework/   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Hiring a doula can be one of the most impactful choices you make during pregnancy, but how do you actually find the right one? In this episode, Dr. Rebecca Dekker talks with Team EBB members and experienced doulas, Julie Fors and Chanté Perryman, to share insider tips on finding and interviewing a doula with confidence.   Julie and Chanté walk you through where to begin your search, the most important questions to ask, and how to know if a doula's personality and philosophy are the right fit for you and your partner. They also tackle misconceptions about doula work, explain backup plans and postpartum support, and discuss how insurance and Medicaid are changing access to doula care.   (06:19) The pillars of doula support (09:06) Where to start your doula search: Google, recommendations, and directories (12:20) Why interviews are essential before hiring a doula (17:49) Key questions to ask a potential doula (style, philosophy, postpartum support) (23:58) Backup doula plans and long labors (29:45) Common misconceptions about doulas and how to clear them up (33:30) Shifts in doula access: insurance, Medicaid, and nonprofit programs (37:06) How childbirth education and doula support work together (39:09) Tips for finding a postpartum doula and planning ahead (42:46) Overcoming nervousness about reaching out to doulas   Access the EBB Signature Article, "Evidence on: Doulas" for all the scientific research on doulas + a comprehensive list of doula directories and interview questions!   Resources Something new is coming! Join the waitlist: ebbirth.com/waitlist Get the Evidence on Doulas Tearaway Pads: ebbirth.com/shop Search the EBB Instructor Directory: directory.evidencebasedbirth.com/ Learn more about the EBB Childbirth Class: evidencebasedbirth.com/childbirth-class/   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Can perineal massage during the pushing phase of labor really prevent tears? In this episode, Dr. Rebecca Dekker takes a close look at the research to uncover whether this technique truly helps reduce perineal trauma during childbirth. She explains how health care staff provide perineal massage during labor, breaks down findings findings from key studies and meta-analyses, and examines how biases and variations in clinical practice shape the evidence. Dr. Dekker also explores why results from settings with high episiotomy rates may not apply everywhere and why skilled, supportive care and informed consent often play a bigger role in protecting the perineum than any single technique. Content Warning: Discussion of perineal tears during childbirth, severe tears, obstetric violence, and episiotomy. Resources For a full list of resources, visit: ebbirth.com/218 Watch the video version here on our YouTube channel which includes study breakdowns and PowerPoint slides. Protecting the Perineum Series: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Dr. Sara Ailshire, an anthropologist and Evidence Based Birth® Research Team member, and her husband, Dr. Siavash Samei, an environmental archaeologist, share the story of welcoming their rainbow baby after loss. In this episode, Sara and Siavash open up about navigating miscarriage care in the wake of changing abortion laws in Ohio, the anxiety and hope of pregnancy after loss, and Sara's experience with developing preeclampsia near the end of her pregnancy. They describe how they worked with a supportive midwifery team, hired a doula for advocacy and comfort, and ultimately experienced an induction that honored their preferences for a low-intervention birth. Their story also sheds light on the realities of discrimination in healthcare, the importance of community support, and the resilience found in becoming parents after loss. (01:58) Facing Miscarriage in Ohio and Barriers to Care (07:35) Pregnancy After Loss: Anxiety, Detachment, and Hope (13:04) Finding Midwifery Care in Kentucky and Planning a Low-Intervention Birth (20:29) Preparing for Birth: Classes, Doulas, and Advocacy Concerns (22:37) Early Signs of Preeclampsia and Navigating Blood Pressure Monitoring (30:33) Deciding on Induction at 38 Weeks (36:39) Laboring with Support and Moving Through Transition (42:43) Birth of Ferdous and Unexpected Placenta Complications (49:34) Advocacy, Microaggressions, and the Role of the Doula (54:23) Advice for Expecting Parents: Finding Calm, Support, and Autonomy   Resources Learn more about preeclampsia: www.preeclampsia.org Miscarriage Care Instructions from Kaiser Permanente: healthy.kaiserpermanente.org Dobbs-Era Abortion Restrictions and Miscarriage Care: kff.org Navigating Miscarriage Management Post-Dobbs: whijournal.com Emotional Coping After Miscarriage: americanpregnancy.org An Account of a Miscarriage at Home: miscarriageassociation.org.uk Supply List for a Miscarriage at Home: miscarriagematters.org.nz Learn about the Jada System: organonpro.com The Birthing Spa in Stanford, Kentucky: thebirthingspa.com   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Filmmaker Ingrid Haas is the writer and director of PUSH, a short film created in partnership with PUSH for Empowered Pregnancy to raise awareness about stillbirth prevention. In this episode, Ingrid shares her personal journey through pregnancy loss, how those experiences led her to advocate for families, and the creative process behind PUSH and the Stillness is an Illness campaign. Together, Ingrid and Dr. Dekker discuss the realities of stillbirth, the importance of listening to families' concerns, why fetal movement matters, and how storytelling can educate both the public and health professionals. Ingrid also highlights resources for parents and ways to support systemic change in U.S. protocols.   Content Note: This episode discusses pregnancy loss, stillbirth, and related experiences. Please take care of yourself while listening.   October is Pregnancy and Infant Loss Awareness Month. For more information, visit: marchofdimes.org/pregnancyandinfantlossmonth   (01:44) Ingrid's Story of Pregnancy Loss and the Road to Filmmaking (05:56) The Sliding Doors Concept Behind PUSH (10:01) Depicting Labor and the Realities of Stillbirth on Screen (17:12) The Goal of the Stillness is an Illness Campaign (21:15) Challenges of Counting Kicks and Different Pregnancy Experiences (25:29) Viewer Reactions and the Power of Feeling Seen (26:50) Why Listening Matters: Preventable Stillbirths and Provider Dismissal (29:35) A Call to Action: Signing the Petition for Updated U.S. Protocols   Resources Watch the film and learn more: pushpregnancy.org Explore free stillbirth prevention resources: pushpregnancy.org/resources Check out Count the Kicks: countthekicks.org EBB 243 – Importance of Kick Counting for Preventing Stillbirth with Stephaney Moody, Health Equity Ambassador of Count the Kicks   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

What does the newest research on Big Babies say? We'll be unpacking it all during our live 90-minute Signature Training + Q & A on Wednesday, October 15 at 7 PM EDT, exclusively for EBB Pro Members. In this session (1.5 contact hours), we'll walk you through the latest evidence, address common questions, and bring clarity to this ginormous issue in birth. You'll also get the chance to ask your biggest questions and hear directly from Dr. Rebecca Dekker and the EBB Research Team.  Join us for just $29 and get 30 days of full access to everything the EBB Pro Membership offers, including the replay, our entire continuing education library, live monthly events, and a growing collection of printable PDFs to share with your clients.  Click here to sign up for the EBB Pro Membership now to get the Big Babies Signature Training Replay for only $29!

Evidence based care is a term you hear often in medicine, but what does it really mean—especially when it comes to pregnancy and birth? In this episode, Dr. Rebecca Dekker takes you inside the foundations of Evidence Based Birth®, explaining what evidence based care is (and isn't), and why it matters for families, providers, and communities.   Dr. Dekker breaks down the three essential pillars of evidence based care: the best available research, the provider's expertise, and the birthing person's values and preferences. She explores how care can drift away from this model when decisions are based solely on tradition, authority, or convenience rather than the evidence. Along the way, hear how families can use this knowledge to navigate common hospital policies and advocate for care that truly centers their needs.   (04:22) Outdated practices and the rise of evidence based medicine (07:10) Florence Nightingale, Mary Seacole, and whose knowledge counts (010:15) The three pillars of evidence based care: research, expertise, and patient values (13:00) Understanding levels of evidence: from systematic reviews to case reports (21:40) Why clinical expertise and trusted providers matter in applying research (24:20) The role of patient values, preferences, and underlying biases (29:20) What evidence based care is, and what it is not   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.    

For some, the thought of pregnancy and birth fills them with a visceral panic they can't explain. In this episode, Dr. Rebecca Dekker's talking tokophobia—the fear of pregnancy and birth—with Alexia Leachman, founder of Fearless Birthing and host of the Fear Free Childbirth Podcast. Alexia shares her personal journey of discovering and healing her own tokophobia, how she developed her unique "Head Trash Clearance" method, and why tokophobia is often misunderstood as simple anxiety. She explains the root causes of this condition, including reproductive trauma and lack of control, and offers insight on how both expectant parents and healthcare providers can better recognize and respond to it.   Listening Note: As a head's up... this episode a bit different than our normal focus on the evidence. It's more focused on self help-- how to uncover blocks, find guidance and strength within, and heal past wounds. We also discuss the paradox of trying to feel in "control" in pregnancy/birth and how that relates to "letting go" and "surrending" in birth. If spirituality in birth is not your cup of tea, feel free to skip this episode! However, the topic of tokophobia is understudied, and we feel that listening to personal stories and wisdom from years of experience can be helpful.    Content Note: This episode includes discussion of miscarriage, pregnancy termination, and birth trauma. Please take care of yourself while listening.   (01:39) Alexia's experience with tokophobia (04:05) Developing her own method to overcome fears and preparing for birth (07:51) Discovering the root cause: birth trauma and early experiences (10:28) How media, social media, and negative birth stories fuel fear in younger people (13:40) Why the term tokophobia may be misleading (19:05) The paradox of control in pregnancy and birth (24:55) Common signs and symptoms of tokophobia (29:31) Can partners experience tokophobia? (30:50) The role of healthcare providers: language, attitudes, and trauma-informed care (34:16) Steps for healing: support groups, timing, and making the decision to face fears (41:07) Alexia's five-step process for clearing fears   Resources Learn more about Fearless Birthing: fearless-birthing.com Listen to Alexia's podcast, Fear Free Childbirth: fearfreechildbirth.com/podcast   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

At 41 weeks, Hopey Fink and Ben Levin's birth plans shifted after elevated blood pressure readings led to an induction conversation. But, with the support of their doula, care team, and each other, the Evidence Based Birth Childbirth Class graduates navigated every twist with confidence. In this episode, Hopey and Ben reflect on preparing for a low-intervention birth, the role of comfort measures, how advocacy shaped their decisions in the hospital, and what it meant to welcome their daughter with joy and strength. They also share advice for expectant families on building flexibility into birth plans, communicating with your partner, and finding empowerment in telling your birth story.   (03:07) Planning a Low-Intervention Birth in the Hospital (06:38) Lessons from the Evidence Based Birth Childbirth Class (09:03) Navigating the Emotional Wait at 41 Weeks (12:52) Elevated Blood Pressure and the Induction Conversation (18:00) Advocating Around Pitocin and Weighing Risks (23:31) A Long Night with the Foley Balloon (30:16) When Progress Stalled and the Epidural Became a Tool (34:30) Rest, Progress, and a Smooth Pushing Stage (41:17) Advice for Expecting Parents: Flexibility, Partnership, and Storytelling   Resources Get the digital guide to comfort measures: ebbirth.com/pocket-guides   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In today's episode, I'm revisiting a deeply important conversation with Tania Silva Meléndez and Tamara Trinidad González, two inspiring birth workers and Evidence Based Birth® Instructors based in Puerto Rico. Tania and Tamara share their personal journeys into birth work and what led them to become changemakers in Puerto Rico's birth community. They speak candidly about the immense challenges families face, from one of the world's highest cesarean rates to the ongoing impacts of colonialism and systemic barriers within maternal health care. You'll hear what it's like to provide midwifery services in an environment where midwives aren't officially recognized, and the impact this has on those seeking safe, respectful, and dignified care.   We also dive into the powerful grassroots and community-led efforts Tania and Tamara are leading, including legislative advocacy, innovative education, and direct, compassionate support for families striving to improve birth outcomes and claim reproductive rights on the island. Together, we explore both the heartbreak and the hope shaping Puerto Rico's current birth landscape, and highlight meaningful ways listeners can join in solidarity with these efforts.   Content note: obstetric violence, colonialism, infant death, abortion, poor outcomes, maternal health deserts, gender based violence (03:03) Midwifery Leadership and Collaboration (07:27) Journey to Home Birth Choices (12:32) Puerto Rico Birth Control Campaign Impact (13:57) Obstetric Violence and Doula Integration (17:36) Midwife-Doctor Collaborative Care Solutions (20:04) Hospital System Communication Challenges (23:48) Puerto Rico: A Modern Colony (27:46) Puerto Rico Investment Gentrification Issue (33:30) Community-Led Family Support Initiative (34:50) Youth Engagement Through Visual Education (38:46) Puerto Rico Midwives Day Law (44:14) Birth Summit Collaboration in Puerto Rico (46:05) Midwife-EMT Collaboration Curriculum (51:19) Puerto Rico Birth Rate & Hospital Crisis (53:50) Supporting Midwifery and Access in Puerto Rico   Resources If you are interested in joining with Tania and Tamara and volunteering your time or skills to help them reform the maternal health system in Puerto Rico, they are currently looking for volunteers with experience in law, public relations, funding, data collection, research, and writing. OR if you have resources, or access to connections that could help fund their work, please email [email protected]. Learn more about Caderamen, a nonprofit organization that has a service program that is called SePARE, which offers education and doula services, midwifery services and naturopathic medicine services, social workers, mental health by clicking here. Learn more about the Asociación de Parteras of Puerto Rico here. Learn more about Alimentación Segura Infantil, a community-based organization born after the impacts of Hurricanes Irma and Maria in 2017 to support breastfeeding and chestfeeding families in their lactation journeys by clicking here.  Learn more about Observatorio de Violencia Obstétrica in Puerto Rico here. Learn more about Las Mingas de Aborto, an abortion doula collective that offers free support in Puerto Rico here. Check out the work by Puerto Rican journalist Biana Graulau here. Read more about the history of Puerto Rico:  How to Hide an Empire by Daniel Immerwahr  Puerto Rico: What Everyone Needs to Know by Jorge Duany For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Dr. Nikia Grayson, nurse midwife, family nurse practitioner, and anthropologist, joins us to share how she's helping reclaim and restore Black midwifery in the South. As Chief Clinical Officer at CHOICES Center for Reproductive Health in Memphis, TN, Dr. Grayson has led groundbreaking efforts to open Memphis' first and only birth center, launch the nation's first Black Midwifery Fellowship, and provide full-spectrum, justice-centered reproductive care. In this episode, Dr. Grayson reflects on the challenges of dismantling systemic racism in health care, the impact of the Dobbs decision on abortion access in the South, and the importance of investing in doulas, midwives, and community-based care. Dr. Grayson also offers advice for birth workers on building new systems rooted in justice, joy, and liberation. Content note: Discussion of infant mortality disparities as well as difficulties in accessing abortion care post-Dobbs decision. (02:33) The Vision Behind CHOICES (04:44) Obstetric Racism and Health Care Barriers in Memphis (07:21) Building Memphis' First Birth Center (10:34) A Calling to Midwifery and Restoring Black Traditions (13:41) Early Work in Home Birth and Community Care (15:19) Growing a Midwifery Team in Memphis (17:57) Launching the Black Midwifery Fellowship (20:11) Pivoting Care After the Dobbs Decision (24:26) Sustaining Joy and Practicing Self-Care in Justice Work (30:51) Partnering with Doulas and Growing Community Support (34:27) Investing in Workforce Development and Training (35:41) Advice for Birth Workers: Build Boldly, Do It Afraid   Resources Learn more about CHOICES: www.yourchoices.org | @yourchoicesclinics Explore the Black Midwifery Fellowship: www.yourchoices.org/fellowship-for-black-midwives   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Gestational diabetes (GDM) is one of the most common health issues during pregnancy, and diagnosing it is more complicated than you might think. In this episode, Dr. Dekker is joined by EBB Research Team member Dr. Morgan Richardson Cayama to cover the newly updated evidence on how GDM is diagnosed. They walk through the physiology behind GDM, current testing methods, and why there's still international disagreement about how to screen. Together, they examine the results of large randomized trials comparing the one-step and two-step screening methods, the research on early screening with hemoglobin A1C, and the evidence on alternatives to the Glucola drink, including candy and home blood sugar monitoring. They also review the risks of skipping screening entirely, and how weight bias and other systemic factors can impact diagnosis and care.   (02:28) What is Gestational Diabetes and Why Is It So Common? (06:30) Risk Factors, Size Bias, and the Role of Race and Ethnicity (10:40) Why We Screen and the Origins of the Controversy (13:17) Comparing the One-Step and Two-Step Methods (19:55) What New Research Says About Health Outcomes (23:45) Should We Screen for GDM Earlier in Pregnancy? (28:11) Can Hemoglobin A1C Replace the Glucola Drink? (32:44) Alternatives: Candy, Food, and Home Monitoring (40:04) What International Guidelines Recommend (43:07) Declining GDM Testing: What the Evidence Shows (47:47) Is Sperm Linked to Gestational Diabetes Risk? (51:29) Takeaways and the Future of GDM Diagnosis   Resources Download the free two-page handout in English or Spanish: ebbirth.com/370 Explore Real Food for Gestational Diabetes by Lily Nichols: realfoodforgd.com For a full list of resources, visit: ebbirth.com/inducinggdm For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Dr. Morgan Richardson Cayama, public health researcher, doula, and member of Team EBB, joins Dr. Rebecca Dekker to explore the critical issue of mistreatment in maternity care. Drawing from her doctoral research—including interviews with Black women in Florida and data from the Giving Voice to Mothers study—Dr. Morgan shares what respectful maternity care really looks like, and how the lack of it can negatively impact birth outcomes and future healthcare decisions. She also opens up about her own preterm hospital birth, offering insight into how even the most informed parents can feel disempowered by coercive hospital systems. Together, they break down the systemic roots of obstetric violence and offer community-driven recommendations for change.   Content Note: Discussion of obstetric mistreatment, medical trauma, discrimination in maternity care, and stillbirth.   (04:35) How a Global Health Class Sparked a Career in Public Health (08:17) From Dissertation to Delivery: Dr. Morgan's Birth Story (15:57) Reflecting on the Power of Language and Provider Ultimatums (19:40) What Mistreatment in Maternity Care Looks Like in the U.S. (24:08) Florida's Unique Birth Landscape (26:10) Researching the Lived Experiences of Black Birthing Women (28:13) What Respectful Care Really Means to Patients (35:29) Participant Recommendations for Healthcare Providers and Parents (40:01) How a Single Birth Interaction Can Shape Lifelong Views on Healthcare (42:00) Centering the Voices of Birthing People to Create Change   Resources Access the FREE 2-page handout: ebbirth.com/rmc Read the Giving Voice to Mothers study: birthplacelab.org Listen to EBB 338 – Respectful Maternity Care with Dr. Jessica Brumley   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Rikki and Nova Jenkins join Dr. Rebecca Dekker to share the personal and powerful story of their second birth: a planned home VBAC that ultimately led to a hospital transfer. Rikki, Evidence Based Birth® Instructor Coordinator, doula, and IBCLC, reflects on the trauma of her first Cesarean birth and the deep healing she found through midwifery care, doula support, and intentional preparation. Nova, a Grammy-nominated music producer and proud girl dad, shares his emotional journey from feeling powerless in their first birth to becoming a protective presence throughout this redemptive experience. Together, they offer a vulnerable, moving conversation about reclaiming birth after trauma, processing grief, and creating a peaceful bubble of support for their family, even when things don't go as planned.   Content Note: This episode contains description of obstetric violence from (14:05) to (18:55) and of unexpectedly losing consciousness during a Cesarean from (40:54) to (45:43).   (04:36) Why They Chose a Home VBAC After Trauma (08:46) Dual Care with a Midwife and OB (11:22) Processing the First Cesarean—Seven Years Later (19:09) Prepping for a Home Birth and VBAC (21:40) Including Their Daughter in Prenatal Care (24:10) Amora's Labor and When Things Stalled (30:12) Making the Empowered Decision to Transfer (34:11) A Healing, Respectful Cesarean Experience (45:02) When Language Hurts: "Failed Home Birth" (51:04) Planning for Postpartum and Accepting Support (52:49) Advice for Those Planning a VBAC or Home Birth   Resources Follow Rikki: @sacredjourneylv Follow Nova: @novablessed Explore Heart & Soul Collective: www.heartandsolcollective.org | @heartandsolcollective Check out Flor Cruz's "Badass Motherbirther:" www.badassmotherbirther.com   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Jennifer Anderson, RN, experienced doula, Evidence Based Birth® Instructor, and member of Team EBB, returns to the podcast to join Dr. Rebecca Dekker in unpacking a new trend in labor induction protocols—starting Pitocin at higher doses and incorporating early artificial rupture of membranes (AROM). Drawing from her work with high-risk clients and firsthand experience inside hospital systems, Jennifer highlights how policies aimed at "optimizing" labor often prioritize speed over patient-centered care. Together, they examine what's in these new induction bundles, the evidence behind faster-moving protocols like dual-method cervical ripening and 4x4 Pitocin, and the importance of informed decision-making at every stage.   (04:10) A Client Story That Sparked Concern Over High-Dose Pitocin (07:27) What "2x2" vs. "4x4" Pitocin Protocols Mean (09:41) Hospital Protocols: What the Nurse Can (and Can't) Do (12:25) Inside the New Induction Policy: What's Changing and Why (18:40) Balloon Checks, Membrane Sweeps, and Patient Comfort (23:43) "Timely AROM" and the Push for Early Artificial Rupture of Membranes (30:54) Does Early AROM Shorten Labor Without Increasing Infection? (45:19) Alternatives to Shorten Labor Without Breaking the Water (52:04) Why a "Failed Induction" Policy Can Prevent Unnecessary Cesareans (55:43) How to Push Back on High-Dose Pitocin or Early AROM   Resources Explore Jen's work: birthfusion.com | @birthfusion Take the Evidence Based Birth® Childbirth Class: ebbirth.com/childbirth-class/ Watch the EBB Crash Course on YouTube here Get the EBB Labor Induction Pocket Guide here EBB Failure to Progress Resource Page: ebbirth.com/failuretoprogress EBB 155 – Pelvic Floor Health in Pregnancy and Postpartum with Dr. Juan Michelle Martin EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.  

What happens when a nurse finishing up her PhD in evidence-based practice becomes a parent and realizes her own birth care was anything but evidence-based? In this episode, Dr. Rebecca Dekker take us back to the very beginning and shares how her first birth experience set her on a mission to change maternity care. She reflects on her two contrasting birth stories: one marked by unnecessary interventions and separation from her newborn, the other defined by empowerment, autonomy, and midwifery care. Opening up about how these experiences shaped her purpose, Rebecca shares how these experiences led her to launch Evidence Based Birth in 2012. Since then, the platform has grown from a simple blog into a platform for sharing evidence based info that is trusted by families and professionals around the world. (00:55) Why Dr. Dekker Re-Recorded This Episode in 2025 (05:03) Trying to Be the "Good Patient" (10:00) Separation from Her Baby and Delayed Bonding (13:45) Questioning the Evidence Behind Her Care (16:10) A Second Birth, Reclaimed (19:55) The Birth of Evidence Based Birth (24:20) How EBB Bridges the Gap for Families and Providers (27:40) What's Coming Next on the EBB Podcast   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Welcome to a special announcement episode of the Evidence Based Birth® Podcast! This August, we're celebrating the incredible people who make up Team EBB. Each Wednesday, you'll hear directly from team members as they share their experiences and expertise. Listen on your favorite podcast app or watch full episodes on our YouTube channel, and be sure to follow us on Instagram (@ebbirth) for even more behind-the-scenes stories and updates throughout August. Watch full episodes on YouTube Follow us on Instagram @ebbirth for behind-the-scenes stories and team updates       For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. 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

Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact from fiction and sharing what the research really shows. You'll learn what major studies say about perineal massage, why some commonly cited research may not be trustworthy, and whether this practice is truly necessary, especially if you're in a birth setting with low episiotomy rates. You'll also hear some surprising insights on other ways to protect your perineum and reduce your risk of severe tears. Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy. (06:14) Evaluating Perineal Massage Evidence (08:32) Comprehensive Perineal Massage Meta-Analysis (11:20) Perineal Massage Study Bias Concerns (16:04) Double-Blind Study on Episiotomy Rates (20:09) Perineal Massage vs. Control Outcomes (24:44) Study Bias and Participant Dropouts (28:11) Research Fraud: Doubts on Dönmez Study (33:53) Trial Bias in Perineal Massage Study (35:57) Perineal Massage Study Bias Concerns (40:43) Effectiveness of the EPI-NO® Device   Resources For a full list of scientific references, see the blog post that goes along with this episode: https://ebbirth.com/216 Check out Episode 206 of the EBB Podcast to learn about Perineal Tears and Avoiding Episiotomy and Episode 210 to learn about warm compresses and hands on vs. hands off techniques. Learn more about the Evidence Based Birth® Childbirth Class: https://ebbirth.com/childbirth-class   Take a continuing education class on this topic (and earn a contact hour) by joining the EBB Professional Membership here: https://ebbirth.com/membership Check open access journals to see if they are on beallslist.net (https://beallslist.net/standalone-journals/) as a potential predatory journal. Resource for authors to determine whether they should submit to an open access journal: https://thinkchecksubmit.org/ For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Sophie Walker, host of the Australian Birth Stories podcast and author of The Complete Australian Guide to Pregnancy and Birth and The Complete Guide to Postpartum: A Mother-Focused Companion for Life After Birth, joins Dr. Rebecca Dekker to explore what it really takes to plan for a nourishing postpartum experience and the challenges and strengths of the Australian birth system. Sophie shares how a traumatic first birth sparked her passion for informed decision-making, why continuity of midwifery care matters, and how her country's publicly funded postpartum home visits and mothers' groups create critical support networks. Together, Sophie and Dr. Dekker unpack the postpartum cliff that so many new parents face, discuss how to prepare mentally, emotionally, and physically for life after birth, and offer tips on everything from pelvic floor recovery to sleep expectations to navigating newborn feeding.   (02:28) Sophie's Birth Story and What She Learned from Trauma (06:07) Why Listening to Birth Stories Can Be a Powerful Tool (09:25) Models of Maternity Care in Australia (13:10) Strengths and Gaps in the Australian System (17:33) Midwifery Burnout and Access Issues (20:32) Rise of Doulas and Student Midwives (25:03) Postpartum Home Visits and Maternal Health Nurses (29:51) Mistakes to Avoid When Planning for Postpartum (35:01) Pelvic Floor Recovery, Lactation Support, and Mental Health (42:04) Infant Sleep: Expectations vs. Reality (46:49) Balancing Birth and Postpartum Prep (48:26) Making a Mental Health Safety Net (51:33) Listening to a Range of Birth Stories—Even the Hard Ones   Resources Explore Sophie's podcast and books: australianbirthstories.com Follow Sophie on Instagram: @australianbirthstories EBB 155 – Pelvic Floor Health in Pregnancy and Postpartum with Dr. Juan Michelle Martin EBB 256 – Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall, Founder of Core Exercise Solutions EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.    

Leah Van Dale, former WWE superstar known as Carmella and founder of the women's health platform Snatch, joins Dr. Rebecca Dekker to share her deeply personal story of postpartum recovery after a traumatic birth injury. Leah opens up about her journey through multiple pregnancy losses, the decision to hire a doula, and how the Evidence Based Birth® Childbirth Class helped her prepare for her first birth. She shares the emotional and physical challenges of a long labor, including an undiagnosed nerve injury that left her unable to walk properly for months postpartum. Now pregnant again, Leah reflects on what she's learned, how it shaped her career path, and why she's passionate about building an honest, empowering community for women.   (02:55) Leah's Journey Through Loss and Into Pregnancy (05:20) Why She Chose to Hire a Doula (07:50) Taking the EBB Childbirth Class (09:39) Leah's Long and Unexpected Birth Story (16:11) Postpartum Depletion and Early Red Flags (22:31) The Long Road to a Diagnosis (25:35) How the Injury Affected Her Career (28:30) Creating Snatch: A Space for Honest Conversations (32:54) Free Resources and Courses Through Snatch (35:08) Advice for Those Preparing for Birth   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources: Explore Snatch: snatch.co Follow Leah on Instagram: @theleahvandale Access our free guide on birthing positions: ebbirth.com/birthingpositions   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Licensed community midwife Grace Flannery and doctoral student Ihotu Ali, founder of the Oshun Center for Intercultural Healing, join Dr. Rebecca Dekker for a moving conversation about burnout, boundaries, and building sustainable birth work. Together, they explore the root causes of burnout in maternity care, from systemic extraction to internalized pressure, and how the path to healing lies in slowing down, reconnecting with purpose, and redefining productivity. Ihotu and Grace share the origin of their collaboration through the Sweetwater Alliance, the transformative "One Main Thing" meditation, and their four-part framework for reclaiming balance: Seasons, Smallify, Support, and Spirit. This episode is a heartfelt invitation to anyone holding space for others while feeling the weight of burnout.   (04:27) Grace and Ihotu's Birth Work Journey (07:54) The Roots of Burnout in Maternity Care (13:19) Presence, Boundaries, and the Burnout Cycle (18:33) Symptoms and Signs of Burnout (27:06) The "Four S's" Framework for Sustainable Practice (30:08) Accountability, Rest, and Seasonal Rhythms (38:21) The "One Main Thing" Meditation Practice (44:28) Reconnecting with Purpose and Capacity (58:51) Final Reflections on Slowing Down and Healing   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources Learn more about the Oshun Center: oshuncenter.com Follow Ihotu on Instagram: @ihotuali Learn more about Trillium Midwifery Care: trilliummidwives.com Follow Grace on Instagram: @midwifegracef For a full list of resources, including links to the free One Main Thing Meditation, visit ebbirth.com.    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care.   In this episode, Dr. Rebecca Dekker reconnects with former nursing student turned certified nurse midwife, Liz Carr. Liz shares her unique trajectory: from critical care nursing to catching babies, from witnessing obstetric violence as a student to providing trauma-informed, evidence-based midwifery care. Liz and Rebecca explore the impact of diverse clinical experiences, the challenges of navigating midwifery school without labor and delivery experience, and the transformative power of reproductive justice. Liz also opens up about working in abortion care before and after the fall of Roe v. Wade, how she centers consent and autonomy in every interaction, and why investing in the education of future physicians is one of her biggest hopes for change.   Content Note: This episode contains discussion of obstetric violence (non-consented episiotomy) and providing abortion care.   (00:00) Liz Carr's Journey from Nursing Student to Certified Nurse Midwife (04:27) Early Inspiration and Moving to Kentucky (08:02) Witnessing Harmful Obstetric Practices and Choosing a Different Path (11:53) Gaining Lifesaving Skills as a Critical Care Nurse (16:30) Transitioning from ICU Nurse to Birth Work through Doula Training (21:24) Midwifery Education and Clinical Challenges (25:39) Abortion Care Training at CHOICES Before and After Roe v. Wade (32:46) Systemic Barriers and the Importance of Postpartum Support (35:36) Most Memorable Births and Special Moments (37:13) Teaching Medical Residents and Modeling Consent (40:54) Advice for Aspiring Midwives and Navigating Career Choices (45:01) Red Flags and Green Flags in Job Interviews (48:04) When Slower Access to Surgery Leads to Better Birth Outcomes   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources Explore Choices Center for Reproductive Health Read about the Turnaway Study Check your hospital's stats at the Leapfrog Hospital Safety Grade Learn more about Frontier Nursing University Get your copy of Babies Are Not Pizzas   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Carson Meyer, doula, certified nutrition consultant, and author of Growing Together, joins Dr. Rebecca Dekker for a conversation about reclaiming the sacred, intuitive, and evidence-based aspects of pregnancy, birth, and postpartum. Carson shares how she stepped into birth work at a young age, driven by a desire to transform a system that can leave parents disempowered and unsupported. She opens up about her own home birth experience, the spiritual preparation that carried her through, and the tools she now teaches others through her virtual Growing Together Circles. Together, Carson and Dr. Dekker discuss the importance of informed choice and the emotional, physical, and environmental foundations of holistic care.   (04:57) Carson's Path to Becoming a Doula (07:24) Growing Together Circles and Virtual Doula Support (09:39) Carson's Home Birth Story (13:23) Holistic Practices for Pregnancy and Labor (17:33) Four Pillars of Postpartum Healing (21:15) Nourishment and Hydration During Postpartum (25:20) Environmental Health and Conscious Skincare (37:48) Advice for New Doulas on Avoiding Burnout   Resources Explore Carson's work: carson-meyer.com Follow Carson on Instagram: @ccmeyer   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresses, 2) provider "hands on" techniques, 3) provider "hands off" techniques, and how these approaches measure up when it comes to protecting your perineum. You'll learn surprising facts, like how a simple warm washcloth can significantly lower your risk of severe tears (and even ease pain!), plus what the evidence really says about whether a provider should help "guard" the perineum or just keep their hands off you during the actual birth.   Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy.   (02:55) What is the Perineum? (05:33) Warm Compresses Reduce Birth Tears (08:51) Warm Compresses Reduce Birth Complications (12:27) Hands On vs. Hands Off (18:07) Hands-On vs. Hands-Off Perineal Techniques (19:38) Perineal Support Training Reduces Tearing (22:47) Hands-On vs. Hands-Off Birth   Resources For a full list of scientific references, visit the EBB website here. To watch the EBB YouTube video with visual props, visit here.  Listen to Episode 206 of the EBB Podcast (Perineal Tears and Avoiding Episiotomy) here. Learn about becoming an EBB Instructor here.  For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Most parents are told their baby is either a boy or a girl. But what happens when a baby is born with intersex traits—and how can birth workers and clinicians respond with compassion, accuracy, and care? In this episode, Dr. Rebecca Dekker speaks with Niki Khanna, MA, MFT, and Dr. Catherine Clune-Taylor, co-presidents of InterACT, about how to support families when a baby's physical sex characteristics don't fit binary expectations. Together, they explore how often this occurs, what parents are typically told in the hospital, and why rushed decisions about infant genital surgery can cause lasting harm. They also share powerful insights on how to provide affirming care, connect families with community, and ensure every baby is welcomed with dignity.   (05:43) What Does "Intersex" Mean and How Common Is It? (09:05) Why Many Intersex Traits Aren't Identified at Birth (13:36) Understanding CAH and Newborn Screening (17:24) The History of Infant Surgeries and Gonadectomies (19:49) What Parents Are Told—And Why It's Often Incomplete (29:06) Ethics, Consent, and Who Gets to Decide (35:40) Why Intersex Babies Deserve Affirming, Informed Care (42:20) Barriers to Care for Intersex Youth and Adults   Resources Learn more: interactadvocates.org | Instagram Find support groups: InterConnect Documentary on YouTube, "Intersexion: Boy or Girl?" 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 and YouTube! 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.

Struggling with low milk supply can feel overwhelming, isolating, and confusing. In this episode, Dr. Rebecca Dekker talks with midwife and International Board Certified Lactation Consultant Katie James to demystify the realities of low milk supply. Together, they explore the hormonal, medical, and systemic factors that can affect lactation, as well as the critical importance of early postpartum support. Katie shares how birth interventions, lack of education, and misinformation can interfere with lactation—and how reclaiming knowledge, honoring instinct, and receiving timely help can make all the difference.   (07:21) How Birth Interventions Impact Breastfeeding (09:30) Prolactin, Oxytocin, and the Critical First 3 Days (11:18) What is Low Milk Supply—and Can it Be Prevented? (14:58) Medical Conditions That Can Affect Milk Production (19:27) Gestational Diabetes, Cesarean Birth, and Milk Supply (23:42) The Trap of "Perceived" Low Supply (28:48) Why Judgment-Free Support Matters (36:56) When and How to Get Help from an IBCLC (38:16) The Rule of 3s: Key Windows to Boost Milk Supply (44:39) Why Partners Need Breastfeeding Education Too   Resources Follow Katie: katiejames.site | Instagram Listen to her podcasts: The Midwives' Cauldron and The Feeding Couch Find an EBB Childbirth Class: evidencebasedbirth.com/childbirthclass Learn about the EBB Instructor Program: evidencebasedbirth.com/instructor   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Special Announcement from EBB! If you're an experienced birth worker or health care professional and you're interested in becoming an Evidence Based Birth Instructor, applications for 2025 are opening soon for a limited time only!   Podcast listeners who are interested in becoming an EBB Instructor are invited to join us for a live Q & A session on Wednesday, May 28 at 1:00 PM EDT.    We'll be answering your questions about who is eligible to apply, what the application process looks like, and the support and training you'll receive as an EBB Instructor.   Whether you're thinking about teaching the EBB Childbirth Class or leading EBB Pro Workshops, this is a your opportunity to learn more. Can't make it live? Register anyway and we'll send the replay straight to your inbox. Just head to ebbirth.com/instructor to attend.    Want to listen to a few podcast episodes about being an EBB Instructor? EBB 310: Joyce Dykema, EBB Instructor & Doula, talks about teaching the EBB Comfort Measures for L & D Nurses Workshop! EBB 222: Jen Anderson, Nurse, Doula, and EBB Instructor, breaks down for us how she tailors her EBB Childbirth Class to high-risk birthing families EBB 226: Dana Patterson, Doula & EBB Instructor, joins her client Mandy on-air to talk about serving as both her client's doula and childbirth educator!  EBB 252: Leslie Green, Doula & EBB Instructor, explains how the EBB Childbirth Class has advanced her ability to advocate for her clients EBB 283: EBB Instructors Tania Silva Meléndez, Doula, and Tamara Trinidad González, Certified Professional Midwife, share how they use EBB Instructor resources in Puerto Rico. 

  In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care.   First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of inducing labor at 37 or 38 weeks for gestational hypertension? And how should families weigh these decisions with their providers?   Next, Dr. Dekker shares new insights into the effectiveness of acupuncture and acupressure for labor pain, anxiety, and Cesarean recovery. From systematic reviews to randomized trials, the data is growing!   Finally, she looks into the evidence on interpregnancy intervals. What does the research say about the risks associated with short or long gaps between pregnancies? And how might this information apply to those who are pregnant again after a five-year or more break?   (00:00) Intro to Mini Q&A and EBB Pro Membership (02:17) Early Induction for Gestational Hypertension – What the Research Says (06:20) WILL Trial Findings and Recommendations from ACOG and NICE (08:23) Outcomes at 37 vs. 38 Weeks – Cesareans, NICU, and Respiratory Distress (10:15) Balancing Induction Timing and Risks of Continuing Pregnancy (11:03) Acupuncture and Acupressure – New Research and Applications (12:41) Studies on Pain, Anxiety, and Nausea During Labor and Cesareans (14:46) Acupuncture and Cesarean Recovery – Mobility and Pain Management (16:54) Interpregnancy Intervals – Definitions and Research Challenges (19:39) Risks of Short and Long Pregnancy Spacing (23:22) Global Perspectives and Meta-Analysis on Birth Outcomes (26:49) Public Health Implications and Final Thoughts   View the full list of resources and references on ebbirth.com.   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

A traumatic first birth can shape everything that follows—but with the right support, education, and advocacy, it's possible to turn fear into empowerment.   In this episode, Dr. Rebecca Dekker sits down with EBB Childbirth Class Graduates Rivka and Steven Dubinsky as they share the transformative journey from a traumatic hospital induction and birth injury to a redemptive second birth experience centered on autonomy, education, and trust. Rivka opens up about how her first birth left her physically injured and emotionally shaken, and how she didn't initially recognize it as trauma. Over time—and with therapy, research, and support—she came to understand what had been taken from her. Determined to have a different experience with her second child, she carefully selected a trauma-informed OB, dove into birth education, and found strength in preparing for every possibility.   Together, Rivka and Steven share how they prepared as a team, how Steven stepped into his advocacy role during labor, and why they chose to "fire" a hospital-assigned doula. They also reflect on the surprising power of reclaiming their voice—even in the midst of pain—and how a supported birth experience can shift everything.   Content Note: This episode includes discussion of birth trauma. This episode also contains mild language at 45:55.   (01:48) Rivka's First Birth and the Silent Cost of Lost Autonomy (07:13) Steven's Reflections on Feeling Unprepared to Support (10:45) Moving to Ohio and Choosing Trauma-Informed Care (14:02) Becoming an "Information Junkie" and Taking the EBB Childbirth Class (17:02) Steven Learns Advocacy Through EBB (22:14) From Elective Cesarean Plan to Informed Induction (29:18) Navigating Nursing Styles and Hospital Systems (36:00) Epidural Differences and Listening to Her Body (40:50) Hands-On, Informed Support During Pushing (43:39) A Sunny-Side-Up Baby and Immediate Skin-to-Skin (45:53) Feeling Empowered, Present, and Powerful (50:06) Advice for Families Seeking Trauma-Informed Birth Care   Resources Learn more about Rivka and Steven's EBB Instructor, Aly Romot: @alyromotdoula For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.  

Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their values, preferences, and autonomy.   Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings—bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care.   (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why "Routine" Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools   Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.org For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In today's episode, we're diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We'll talk about what perineal tears are, the different types that can occur, and the potential health consequences that can follow. You'll also hear about the various factors that may increase or decrease the risk of tearing during birth. Finally, we'll cover why it's so important to avoid an episiotomy during childbirth. Content warning: Discussion of perineal tears during childbirth, severe tears, episiotomy, and obstetric violence related to cutting episiotomies without consent. (05:58) Understanding Perineal Tears (09:15 Midwife Care Reduces Birth Tears (13:06) Risk Factors for Severe Birth Tears (16:08) Postpartum Tear Impact Study Findings (21:59) Episiotomy History and Controversy (24:02) Episiotomy Study on Routine vs. Restricted Use (28:02) Episiotomy Risks vs. Natural Tears (31:39) Episiotomy Awareness and Informed Consent Resources For the full list of references, visit the EBB website here. To watch the EBB YouTube video with visual props, visit here.  View graphics from the Mayo Clinic that show the different types of tears here. Read Dr. Klein's story here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Navigating a neonatal intensive care unit (NICU) experience can be overwhelming and emotionally taxing. In this episode, Dr. Rebecca Dekker talks with Mary Farrelly, a certified NICU nurse, doula nurse educator, and founder of The NICU Translator. With over a decade of experience in a Level 4 NICU, Mary shares how families can find empowerment and confidence in the NICU.   Mary discusses the importance of emotional, social, and informational support for families, and how NICU-informed doulas can play a critical role in bridging the gap between parents and medical teams. From understanding the different levels of NICU care to navigating postpartum challenges, Mary offers compassionate and practical guidance. Learn how early preparation, trauma-informed care, and advocacy can make a difference in the NICU experience. Plus, Mary provides actionable tips for doulas supporting families through this journey.   (03:18) Discovering the Path to NICU Nursing (06:16) Emotional Impact of NICU Nursing and Family Connections (11:25) Understanding NICU Levels of Care and Medical Needs (17:57) Staffing Shortages and Challenges in NICU Care (21:48) Families' Most Common Questions: "When Can My Baby Go Home?" (25:02) Transitioning from NICU to Home and Navigating Anxiety (29:11) Parental Mental Health and PTSD After a NICU Stay (33:14) The Role of NICU-Informed Doulas in Supporting Families (39:08) Effective Support Strategies for NICU Families (45:52) Resources for NICU Families and Doulas   Resources: Connect with Mary Farrelly on Instagram: @thenicutranslator Visit The NICU Translator website: www.thenicutranslator.com Download the free NICU Birth Plan template: www.thenicutranslator.myflodesk.com/birthplan For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

  How can art serve as a powerful way to honor pregnancy, birth, and parenting experiences—especially for families who are often underrepresented in birth spaces?   In this episode, Dr. Rebecca Dekker explores this question with Lauren J. Turner, a Baltimore-based artist, birth worker, and founder of Birth Nerds. Lauren shares how her own home birth experiences, her journey with postpartum and neurodivergence, and a diagnosis of multiple sclerosis shaped her path into birth work and fine art.   Together, Rebecca and Lauren explore how art can be a healing, meditative process for birthing families, and a meaningful tool for birth workers to honor their clients' journeys. Lauren opens up about creating paintings that reflect diverse parenting experiences—from lactation to the NICU—and how she uses bold colors and imagery to bring visibility to Black and Brown families in maternal health.   (03:44) Lauren's First Home Birth Experience and the Impact of Midwives (06:28) A Challenging Second Birth and the Role of Trust and Teamwork (11:19) Starting Over with Doula Training and the Importance of Comprehensive Education (12:27) Living with Multiple Sclerosis and Being Dismissed by the Healthcare System (19:29) Redefining Rest through Art and Creativity (27:51) Exploring Themes in Maternal Health and Parenting Art (28:34) How Parents and Birth Workers Can Use Art to Process Birth (35:41) The Beauty of the Placenta in Art (37:10) Fiber Arts in Birth Work and Creative Expression (40:21) Uplifting Lactation Through Art and Community   Resources Explore Lauren's art: laurenjturnerfineart.com Follow Lauren on Instagram: @birthnerds Shop prints, shirts, and stickers: birthnerds.com Learn more about Mamatoto Village: mamatotovillage.org EBB 92 – Impacts of the Community Birth Worker Model with Aza Nedhari Discover MamAmor Dolls: mamamordolls.com For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

  Dr. Rebecca Dekker is joined by Camilla Costa Goetz, a graduate of the EBB Childbirth Class, to share her story of advocating for herself during labor. Camilla, a former fashion student turned full-time mom, opens up about navigating pregnancy with POTS (Postural Orthostatic Tachycardia Syndrome), preparing for birth while her husband was away at Army Ranger School, and making the bold decision to push back against hospital norms to have the birth she wanted.   Tune in as Camilla and Rebecca discuss why self-advocacy is crucial in birth, how hospital policies can conflict with evidence-based care, and how standing firm can make all the difference in your birth experience. Learn tips for preparing your birth team, confidently saying no to interventions you don't want, and making sure your birth preferences are honored—even in a hospital setting.   (02:11) How Camilla Discovered Evidence Based Birth® and Her Pregnancy Challenges (05:11) Navigating Pregnancy with POTS and Health Concerns (10:27) Preparing for Birth Without Her Husband by Her Side (17:31) Planning for an Unmedicated Birth and Overcoming Fear of Hospitals (23:06) The Problem with Hospital Birth Policies and Misinformed Providers (26:13) How Camilla Switched Hospitals to Avoid an Unwanted C-Section (34:26) The Surprising Lack of Support for Unmedicated Birth in the Hospital (39:50) How Camilla Stood Her Ground in the Delivery Room (45:57) Her Husband's Emotional Reaction to Missing the Birth (51:06) Postpartum Challenges, Military Life, and the Strength of Advocacy   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates? Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say? Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope?   (02:30) How to Join the EBB Pro Membership & Submit Questions (04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early labor vs. active labor? (06:50) Key studies on peanut ball use—impact on labor duration, mode of birth, and satisfaction (13:30) (Q2) Induction at 39 Weeks for IVF Pregnancies (16:40) SMFM recommendations, lack of randomized trials, and shared decision-making in IVF pregnancies (20:00) (Q3) Dysphoric Milk Ejection Reflex (D-MER) (22:45) Hormonal theories behind D-MER, coping strategies, and available research (30:00) Recap & How to Find More Evidence-Based Resources   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 and YouTube! 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.    

Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar shares her journey into maternal-fetal medicine, how she became interested in yoga and breathing techniques, and the growing body of research on prenatal yoga. They discuss how breathwork can support pregnant individuals, the physiological effects of deep breathing, and how birth workers can incorporate these techniques into prenatal care. Dr. Babbar also shares her experience using alternate nostril breathing to manage blood pressure during pregnancy and her vision for making integrative therapies a standard part of obstetric care.   (01:41) Dr. Babbar's Journey into Maternal-Fetal Medicine (04:16) How Yoga and Prenatal Yoga Research Began (09:37) Studying the Effects of Prenatal Yoga on Pregnancy (12:46) Yoga's Impact on Labor Duration (14:33) The Role of Breathwork in Pregnancy (17:48) How Dr. Babbar Used Breathing Techniques for Her Own Pregnancy (22:30) The Science Behind Alternate Nostril Breathing (28:52) Guided Demonstration of Deep Breathing Techniques (35:10) Applying Breathwork During Pregnancy and Labor (39:08) The Future of Integrative Obstetric Care   Resources Learn more about Dr. Shilpa Babbar's work at drshilpababbar.com Follow the Integrative Obstetric Care Conference on Instagram: @IOBCare   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work, particularly for families navigating new healthcare systems.   Join Dr. Dekker and Madi as she shares insights into the Dutch maternity care system, where midwives play a central role, home birth is considered a national heritage, and postpartum families receive in-home support through the Kraamzorg system. We explore how Dutch birth culture prioritizes physiological birth, minimizes unnecessary interventions, and encourages parents to trust in their bodies. Madi also highlights the challenges faced by immigrant families and the importance of informed decision-making, regardless of where you give birth.   (00:03:16) Overview of the Dutch Maternity Care System: Midwife-Led Model (00:05:52) Home Birth as National Heritage: Dutch Birth Culture & Trends (00:06:54) Role of Doulas in the Netherlands & Their Place in the System (00:10:33) Dutch Approach to Birth Interventions & Cesarean Rates (00:12:46) Pain Management Options: Non-Medicated Comfort Measures First (00:16:18) Early Hospital Discharge & the Kraamzorg Postpartum Care System (00:20:01) Dutch Parental Leave Policies & Family-Friendly Work Culture (00:22:54) Challenges in the System: Protocols, Immigration, & Language Barriers (00:28:47) Lessons from the Dutch Birth Model: Autonomy, Education & Low-Intervention Birth (00:31:08) Madi's Advice for Expecting Parents & Birth Professionals   Resources Learn more about Madi van Tonder and her work at Meraki Madi. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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 Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, and preparing for a scheduled Cesarean at 37 weeks. Krista opens up about the challenges of long-term hospitalization, advocating for herself in a complex medical system, and the emotional toll of being away from her family. Dr. Rebecca Dekker walks Krista through creating a Cesarean birth plan, covering topics like delayed cord clamping, optimizing the operating room experience, and postpartum recovery expectations and strategies.   (00:03:01) High-Risk Pregnancy & Partial Placental Abruption Diagnosis (00:07:35) Managing an Antepartum Hospital Stay: Challenges & Coping Strategies (00:12:09) Navigating Medical Information & Self-Advocacy in the Hospital (00:26:53) Mental Health Strategies & Staying Positive in a Prolonged Hospital Stay (00:31:36) Preparing for a Cesarean Birth: Creating a Birth Preferences Plan (00:36:28) Discussing Delayed Cord Clamping & Other Cesarean Options (00:45:17) What to Expect Physically & Emotionally During a Cesarean (00:48:52) Postpartum Recovery: Healing, Movement, and Emotional Processing (00:53:29) Building a Postpartum Support Plan   Resources EBB 304 – Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental encapsulation EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates EBB 343 – Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing experience, Trish shares her journey from feeling disempowered during her first birth to becoming an advocate for changing the birth culture one birth at a time. Tune in as Trish and Rebecca discuss how to effectively advocate for yourself during labor, overcome fears of being "that patient," and navigate common labor scenarios like refusing unnecessary interventions. Learn tips for building a strong birth team, empowering your partner to advocate for you, and ensuring your voice is heard in the delivery room.   (01:31) Trish's Journey to Becoming a Labor and Delivery Nurse (05:42) Early Birth Experiences and the Importance of Advocacy (10:59) The Power of Human Dignity During C-Sections (13:38) Why Parents Struggle to Advocate for Themselves (17:07) Changing the Power Dynamic in the Labor Room (20:43) Thinking Outside the Bed: Encouraging Movement in Labor (25:43) Advocating for Yourself with Simple, Firm Responses (34:57) Protecting Yourself Against Unwanted Interventions (38:59) Empowering Birth Partners to Advocate Effectively (43:31) Building Strong Birth Teams with Nurses and Doulas   Resources Join the virtual EBB Conference here.  Explore birth classes and the Mama Membership at Labor Nurse Mama. Listen to The Birth Experience with Labor Nurse Mama podcast here. Follow Trish on Instagram for educational content and reels: @LaborNurseMama. Learn about induction and informed consent with the Induction Pocket Guide here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodies. Jen shares her journey to founding Plus Size Birth, the impact of size bias in healthcare, and practical advice for both expectant parents and birth professionals. Together, they discuss how to challenge assumptions about plus-size pregnancies, the importance of self-advocacy, and how to create a welcoming and supportive environment for all bodies during pregnancy, birth, and postpartum.   (01:41) Jen's Journey to Founding Plus Size Birth (03:42) Misconceptions About Plus-Size Pregnancy (07:35) The Effects of Weight Bias in Healthcare (10:09) Navigating Healthcare as a Plus-Size Person (14:36) Tips for Birth Workers to Provide Size-Inclusive Care (17:46) The Power of Language in Size-Inclusive Care (24:06) The Impact of Healthcare Bias on Other Areas (28:50) The Challenge of Anesthesia for Plus-Size People (33:09) Addressing Bias in Fertility and Pregnancy (43:40) The Future of Ozempic and Weight Loss in Pregnancy (46:17) Empowering People Through Size-Inclusive Support (50:47) Body Image and Advocacy   Resources Get the Plus Size Pregnancy Guide and Audio Book here. Sign up for the Size-Friendly Birth Course for Birth Professionals here. Tune in to the Plus Mommy Podcast here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lead to life-threatening complications in infants. Dr. Dekker breaks down what Vitamin K is, why newborns are at risk for VKDB, and the different supplementation options available—including the Vitamin K shot and oral drops. This episode also tackles myths and misinformation surrounding Vitamin K, including concerns about safety, the so-called "gentle birth" exemption, and the controversial "black box warning." Armed with new research, we explore the effectiveness of various oral Vitamin K regimens, and go over the global recommendations for Vitamin K supplementation.   (00:04:01) The Essential Role of Vitamin K for Blood Clotting (00:08:10) Significance of Vitamin K in Newborns' Health (00:14:31) Preventing VKDB: Vitamin K Shot vs Drops (00:16:14) Vitamin K Shot vs. Oral Drops Debate (00:20:00) Effectiveness of Oral Vitamin K Drops vs. Injection (00:31:39) Vitamin K Transfer Through Placental Barrier (00:41:33) Preventing VKDB in Newborns: Pros and Cons of Vitamin K Options   Resources: Read the full-length EBB Signature Article on Vitamin K (includes all scientific references + a FREE 1-page handout!) at https://ebbirth.com/vitaminK EBB Pocket Guide to Newborn Procedures: https://ebbirth.com/shop EBB Childbirth Class: https://ebbirth.com/childbirthclass CDC Real stories: People with Vitamin K. Deficiency Bleeding CDC VKDB information Watch this YouTube video from Dr. Matt and Dr. Mike about Hemostasis and the Clotting Cascade (and why Vitamin K and Calcium are important) International Federation of Library Associations and Institutions: How to Spot Fake News University of Chicago: Evaluating Resources and Misinformation Web Literacy for Student Fact Checkers (and other people who care about facts) For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised Cures, Tainted Cells," which explored cord blood banking practices, their marketing claims, and the stark contrast between public and private banking systems.   Together, they discuss: The differences between public and private cord blood banks Marketing tactics and their impact on parents The decline in the medical utility of cord blood over the last decade Ethical concerns, such as contamination, low stem cell counts, and hidden collection fees Sarah also shares the stories of families who invested in private banking, only to find their samples unusable when needed. This episode sheds light on the decisions surrounding cord blood banking and provides a look at the system's pitfalls.   Join us at the EBB Conference (virtually) this March by registering here! You can also see if the EBB Pocket Guide to Newborn Procedures is in stock here.    (00:05:56) Paid vs. Donated Cord Blood Storage (00:08:06) Stem Cell Storage for Future Medical Use (00:09:32) "Cord Blood Marketing: Promises and Concerns" (00:21:44) Rising Financial Burden of Cord Blood Storage (00:25:46) Unregulated Growth in Private Cord Blood Banking (00:26:14) Quality Control Concerns in Private Cord Blood Banking (00:34:48) Cord Blood Banking Implications in Delayed Clamping (00:41:52) Unregulated Risks of Cord Blood Storage   Resources: Read "Promised Cures, Tainted Cells" here Check out the American Academy of Pediatrics recommendations on cord blood banking here For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and inadequate lactation support affected her pregnancy and birth, leading her to become a passionate birth worker, doula, and lactation consultant. Porsche emphasizes the need for trauma-informed, culturally competent care, particularly for Black families, and offers invaluable advice for healthcare workers and birth professionals on how to center the needs of families through active listening and compassionate support.   Register for the EBB Conference here!    (02:29) Porsche's Birth Story and the Impact on Her Approach to Trauma-Informed Care (05:34) A Call to Action: Rising Up After a Traumatic Birth (07:19) The Systemic Failures and Lack of Representation in Healthcare (10:20) Advocating for Change and Getting Involved in Maternal Health Initiatives (13:13) Generational Trauma and Preeclampsia in Black Families (15:33) The Future of Preeclampsia Care and Prevention (17:56) The Intersection of Preeclampsia and Mental Health (22:06) Lactation Challenges: Generational Trauma and Cultural Barriers (25:40) The Role of Lactation Support in Hospitals (29:43) Trauma-Informed Lactation Support: Practical Tips for Birth Workers (35:29) Prioritizing Basic Needs in Trauma-Informed Care (38:04) Supporting Families Beyond the Birth: A Holistic Approach to Care (46:04) The Importance of Perinatal Mental Health Awareness Learn more about Reclaim Black Motherhood Visit the Preeclampsia Foundation Get mental health resources and support from Postpartum Support International (PSI) Read Black birth people's stories of preeclampsia with the Take 10 Campaign EBB Podcast #342: Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere EBB Podcast #344: Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In today's episode, we're revisiting an inspiring birth story featuring Emily Chandler and Taylor Washburn, graduates of the Evidence Based Birth® Childbirth Class. They share their journey of navigating an informed and empowered hospital birth experience, along with the challenges they faced during an extended hospital stay for their newborn's jaundice diagnosis.   Emily, a marine scientist, and Taylor, a teacher and rowing coach in the Boston area, enjoy an active lifestyle filled with hiking, biking, and rowing. While preparing for parenthood, Emily immersed herself in learning about pregnancy, birth, and the state of maternity care in the U.S. This journey led them to take the EBB Childbirth Class with instructor Chanté Perryman, where they gained valuable knowledge and advocacy skills.   Emily and Taylor share how the EBB Childbirth Class empowered them to make informed decisions about their birth plan—including Taylor's memorable experience of "catching" their baby. They also highlight the importance of the advocacy skills they learned, which helped them effectively communicate with healthcare providers and navigate unexpected challenges, such as breastfeeding difficulties and securing the right support during their baby's jaundice treatment.   Be sure to listen all the way to the end of the episode for an exciting update from our guests!   Content Note: This episode covers topics such as extended hospital stays, breastfeeding challenges, jaundice testing and treatment, and the racial disparities affecting Black and Brown infants with jaundice. (00:03:15) Doula Guidance During Pregnancy (00:09:24) Minimal Intervention Birth Plan Worries (00:17:45) Unexpected Labor Challenges (00:24:45) Efficient and Caring Nurse's Impact (00:34:34) Newborn's Breastfeeding and Jaundice Journey (00:40:03) Newborn Care and Feeding Challenges (00:43:17) Optimal Umbilical Cord Clamping Timing (00:47:27) Risk Factors for Infant Jaundice (00:52:18) Jaundice Warning Signs and Emergency Help (00:55:57) Home Birth Journey and EBB Impact Resoures: Get the Evidence Based Birth® Pocket Guide to Newborn Procedures here You can learn more about jaundice here at the Mayo Clinic site, or here at the Cleveland Clinic website. Access the Evidence Based Birth Signature Articles on: The Evidence on Premature Rupture of Membranes here The Evidence on Group B Strep here The Evidence on Pitocin in the Third Stage here Listen to EBB 145- Fatherhood and Advocacy in Birth with JacMichael Perryman here Listen to EBB 244 – Evidence on AROM, AVD and Internal Monitoring here Learn more about Chanté Perryman's EBB Childbirth Class and services here Learn more about the Nest Collaborative here For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

Dr. Rebecca Dekker welcomes Dr. Kat Kaeni, a perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast. Dr. Kat shares her personal journey with postpartum depression, anxiety, and OCD, and how it shaped her commitment to supporting parents during the perinatal period. They explore the spectrum of perinatal mental health conditions, from baby blues to postpartum psychosis, and discuss the stigma, barriers to care, and strategies for managing symptoms. Dr. Kat explains the power of Cognitive Behavioral Therapy, mindfulness techniques, and the importance of accessing resources like Postpartum Support International.   Content Warning: This episode includes discussions of perinatal mental health disorders, including postpartum depression, anxiety, OCD, and psychosis. Sensitive topics such as intrusive thoughts, stigma, feelings of guilt and shame, and the potential for harm to self or others are addressed. Listener discretion is advised, and we encourage anyone who may be affected by these topics to reach out for support through Postpartum Support International or a trusted healthcare provider.   (00:07:28) Unique Challenges in Perinatal Mental Health (00:11:05) Caregivers' Mental Health and Bonding Challenges (00:16:32) Parental Isolation Stemming from Anxiety and Depression (00:21:53) Emergent Postpartum Psychosis Symptoms (00:27:08) Overcoming Stigma in Perinatal Mental Health (00:31:54) Thought and Behavior Change Therapy for Depression (00:36:56) Perinatal Mental Health Challenges and Support   EBB 197 – Addressing Perinatal Mental Health for Communities of Color with the Co-Founders of the Perinatal Mental Health Alliance for People of Color, Divya Kumar, Jabina Coleman, and Desirée Israel Postpartum Support International The Mom & Mind Podcast The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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.

In this episode, Dr. Rebecca Dekker and Morgan Richardson Cayama, EBB Research Fellow and doctoral candidate in public health, are sharing the top 10 evidence-based strategies for reducing your risk of a Cesarean birth. Drawing from the latest research, including insights from the ARRIVE trial and EBB's Signature Articles, Rebecca and Morgan discuss actionable methods such as choosing a provider and birth setting with low Cesarean rates, receiving midwifery-led care, using labor support like a doula, staying mobile during labor, and avoiding non-medically indicated interventions. They also talk about the impact of tools like peanut balls, the role of intermittent fetal monitoring, and options for breech pregnancies.   (04:38) Provider Attitude Impact on Cesarean Rates (08:34) Cesarean Risk Reduction Through Midwifery Care (11:03) Lower-Risk Birth Settings for Cesarean Prevention (19:34) Reduced Cesarean Risk with 39-Week Induction (22:21) Optimal Timing for Hospital Admission in Labor (27:53) Upright Positions and Cesarean Risk in Labor (33:24) Upright Birthing Positions for Safer Delivery (34:53) Reducing Cesarean Rates through Intermittent Auscultation   Check out the ARRIVE Trial Signature Article for evidence on elective induction at 39 weeks Friedman's Curve and Failure to Progress: A Leading Cause of Unplanned Cesareans Evidence on: Induction or Cesarean for a Big Baby Evidence on: Doulas EBB 45 – How do peanut balls support labor? Evidence on: Birthing Positions Evidence on: Fetal Monitoring EBB 296 – Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 297 – Frequently Asked Questions about Breech with Dr. Rebecca Dekker and Sara Ailshire, MA Use Leapfrog Group Hospital Ratings, a Tool to compare Cesarean rates and maternity care statistics by hospital. Get a copy of Dr. Dekker's book, Babies are Not Pizzas. 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.

In this episode, learn how Dr. Kimarie Bugg's lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers to breastfeeding, including workplace challenges, access to lactation support, and the lack of consistent education for healthcare providers. She emphasizes the importance of policy change, workforce development, and healing generational trauma through initiatives like ROSE's "Breast Friend" and the Reaching Our Brothers Everywhere (ROBE) programs. Tune in for a conversation about the critical role of breastfeeding equity, the unique challenges faced by African American families, and the power of community-driven solutions.   (09:34) Empowering Black Nurses in Breastfeeding Support (8:08) Supporting Breastfeeding in African American Community (27:08) "Breast Friend Program: Reducing Breastfeeding Disparities" (28:22) Empowering Communities for Inclusive Breastfeeding Support (32:46) Reframing Breastfeeding Narratives in African American Community (34:54) Enhancing Breastfeeding Equity Beyond Hospital Stay (41:39) Community Transformers: Empowering Maternal Health Support   Explore ROSE's programs, including Breast Friends, Community Transformers, and more here. Learn about Boston Medical Center's Community and Hospitals Advancing Maternity Practices (CHAMPS), a Baby-Friendly hospital initiative, here. Learn more about the Academy of Breastfeeding Medicine 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.

Happy New Year to all our listeners! Join us in listening to a mini story about how our team got together last fall... and be the first to learn about a major event we're planning for you in 2025! To get on the waitlist for the upcoming event, visit ebbirth.com/waitlist

Happy New Year! Join Dr. Rebecca Dekker and EBB research fellows Morgan Richardson Cayama and Sara Ailshire as they celebrate the evidence from 2024. From updating key research on waterbirth, doulas, and elective inductions to launching new handouts, webinars, and pocket guides, it was a busy and rewarding year for Team EBB. Plus, get a sneak peek at what's ahead in 2025, including an updated virtual conference, fresh podcast episodes, and exciting new research. Let's celebrate the wins, reflect on the research, and dream big for what's next!   (00:04:06) Benefits of Water Birth in Hospitals (00:05:13) Positive Outcomes of Water Birth Research (00:10:58) Water Birth Safety: Preventing Infections and Complications (00:14:16) Water Birth Cord Avulsion Risk Factors (00:23:23) Cultural Relevance in Doula Support Services (00:25:23) Integral Role of Doulas in Childbirth (00:30:40) Elective Inductions at 39 Weeks Impact (00:44:11) Vitamin K Update: Black Box Warning Insights (00:52:20) "Top 10 Evidence-Based Cesarean Risk Reduction Strategies"   The Evidence on: Waterbirth EBB 300: The Evidence on Waterbirth EBB 318: Advocating for Waterbirth in Hospitals EBB 287: Positive Hospital Waterbirth Story EBB 268: Debunking Myths about PROM, GBS, and Waterbirth EBB 258: Waterbirth Story with Cord Avulsion EBB 230: Inspirational Home Waterbirth Story The Evidence on: Doulas EBB 309: The Evidence on Doulas The Evidence on: The ARRIVE Trial and Elective Induction at 39 Weeks ARRIVE Trial Signature Article Pain Management Series EBB 312: Injectable Opioids EBB 317: Epidurals for Pain Management EBB 320: Epidurals and the Pushing Phase of Labor Rh Incompatibility EBB 329: Blood Types, Rh Incompatibility, and RhoGAM Shot 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.  

Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emetophobia—the fear of vomiting—and how it impacted her pregnancy and decision to pursue a home birth. From navigating intrusive thoughts and panic attacks to finding a supportive care team and discovering the power of SSRIs, Kat and Ben open up about their challenges and triumphs. Hear how they prepared for labor, the role of their midwives, and how the EBB Childbirth Class helped them feel informed and empowered. Whether you're curious about home births, mental health in pregnancy, or simply love heartfelt birth stories, this episode is a must-listen! Content Note: The first half of the interview will discuss distressing symptoms related to emetophobia, panic attacks, and OCD, as well as considering pregnancy termination due to emetophobia. (00:01:24) Joyful Home Birth Experience despite Challenges (00:04:56) Empowered by Supportive Providers for Emetophobia (00:10:17) Navigating Mental Health in Parenthood Transition (00:17:53) Navigating Challenges with a Strong Support System (00:30:10) Unpredictable Transitions in Labor and Birth (00:35:03) Empowering Decisions Through Evidence-Based Home Birth (00:36:07) Empowering Parents Through Evidence-Based Childbirth Education Learn more about Kat and Ben's EBB Instructor, Emily McMichael, here or follow her 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.

Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips for managing pressure to induce and delve into how the ARRIVE trial impacts outcomes like breastfeeding, epidurals, and costs. Tune in to hear this Q&A session originally broadcast to listeners worldwide.   Episode 334: The ARRIVE Trial and Elective Induction at 39 Weeks (03:38) How often are we seeing pressure from obstetricians to induce? (07:20) How can you manage pressure from an obstetrician to get an induction at 39 weeks? (12:00) What are the geographic trends in induction rates? (15:30) What are the statistics on infant death and mortality? (19:56) What happens if a midwife or obstetrician refuses a 39-week elective induction requested by a birthing person? (21:50) Why did the ARRIVE trial report such high rates of preeclampsia and hypertension? (32:16) Is induction considered to be more cost-effective? (34:54) Are inductions affecting breastfeeding and epidural rates? (36:54) Is there research around maternal satisfaction and birthing experience? (40:11) Why are IVF and advanced maternal age clients often pressured or offered induction? (41:24) What strategies can doulas use to support clients facing discussions about 39-week induction with their provider?   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.    

Dr. Jessica Brumley, a Certified Nurse Midwife and President of the American College of Nurse Midwives, joins Dr. Dekker to explore the transformative impact of respectful maternity care. Dr. Brumley reflects on her journey to midwifery, inspired by a lifelong commitment to equitable and compassionate healthcare. Together, they discuss the importance of supporting normal physiology in birth, the guiding principles of the midwifery model, and the need for systemic change to foster respectful care in hospitals. Dr. Brumley also shares insights from her work with the Florida Perinatal Quality Collaborative, including initiatives to reduce unnecessary interventions and amplify patient voices. Tune in to learn how respectful care can improve outcomes, build trust, and why a "midwife for every community" could change the landscape of maternal health in the United States. (00:07:30) Equitable and Respectful Maternity Care Advocacy (00:28:57) Promoting Respectful Maternity Care in Workplaces (00:30:28) Creating a Culture of Respect in Healthcare (00:30:49) Cultural Respect in Healthcare Settings (00:34:24) Promoting Equitable and Respectful Healthcare Practices (00:43:11) Elevating Midwifery Practice for Improved Healthcare (00:44:47) Retention Strategies for Midwifery Professionals   Resources: EBB 324 – Blending Birth, Science, Technology, and Storytelling with Erica Chidi, Co-founder and CEO of LOOM EBB 332 – Advocating for Yourself during Prenatal Visits with Retired Obstetrician Dr. Leslie Farrington, Co-Founder of the Black Coalition for Safe Motherhood Read Protecting Your Birth: A Guide For Black Mothers in The New York Times. Learn about the International Confederation of Midwives (ICM) and the ICM's RESPECT Presentation (mentioned by Jessica) Learn about the Florida Perinatal Collaborative Learn more about Dr. Brumley and her work Learn about the American College of Nurse Midwives 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.

In this episode, I'm joined by Camden Crane Wachowiak—a health coach, EBB Childbirth Class graduate, and new mom—who shares her high-risk pregnancy and birth journey. Camden walks us through her induction experience after her water broke at term and her decision to labor with non-pharmacological comfort measures. We also talk about Camden's approach to navigating unique health considerations during pregnancy, including antiphospholipid syndrome and a cardiac pacemaker. She reflects on the empowering choices she made with her partner, such as hiring a supportive doula, and the role of the EBB Childbirth Class in helping them feel informed and confident. Discover how Camden built a team of providers who respected her strength, addressed her concerns without excessive intervention, and supported her in achieving a safe and positive birth experience. (05:45) Experienced Doula Enhancing Birthing Experiences (09:52) Personalized Obstetric Care Based on Medical History (17:50) Natural Methods for Inducing Labor Contractions (19:39) Natural Comfort Techniques During Medication-Free Labor (23:32) Enduring labor pains without medical intervention (25:05) Breathwork and Support in Intense Childbirth (35:26) Vital Importance of Newborn Resuscitation Training (37:27) Embracing Motherhood: Navigating New Priorities and Routines (43:26) Transformative Role of Postpartum Communities   Learn more about Camden's fitness coaching business, Camden C3 Fit here. EBB 288 – From Birthing in the Pandemic to Birthing a Career as a Postpartum Doula and Chef with Malisa Dekker of Planted Postpartum EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates 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.

Team EBB's Chanté Perryman, Rikki Jenkins and Sara Ailshire are taking over the podcast to share their tips for transitioning home from the hospital and supporting new parents postpartum! Rikki, a seasoned childbirth educator, International Board Certified Lactation Consultant, and Instructor Program Coordinator at EBB, stresses the importance of having a strong support system and being open about postpartum mental health. Sara, a Research Fellow at EBB, draws from cultural practices and her own journey into parenthood to discuss the importance of accepting help and cherishing special moments with a newborn. Together, with Chanté, Director of Programs at EBB, they remind us to celebrate the transition into parenthood and practice self-compassion during this transformative period.   Don't forget to sign up for the waitlist for the new EBB Pocket Guide to Newborn Procedures!    (00:04:59) New Beginnings: Homecoming Baby Celebration (00:11:15) Building a Strong Postpartum Support System (00:12:34) Postpartum Support through Meal Trains (00:13:36) Setting Boundaries for Postpartum Support (00:31:04) Multilingual Breastfeeding Support and Resources (00:31:20) Partners' Support in Postpartum Hydration Plan (00:41:04) Neglecting Self-Care: Early Postpartum Warning Signs (00:46:48) Supportive Partner Role in Preventing Postpartum Depression (00:50:30) Navigating Postpartum Mental Health Challenges (00:53:28) Transformative Self-Compassion in Parenthood   Resources on Nursing and Pumping La Leche League UpToDate: Pumping Breastmilk Learn about the PUMP act, which protects many working parents. See the CDC's Guidelines for Breast Milk Storage. Learn about common issues in breastfeeding. Watch Global Health Media breastfeeding education videos in a variety of languages. Resources for Car Seats Child Passenger Safety Certified Technicians The Car Seat Lady: Safe newborn head position Chicco newborn car seat position Resources for Postpartum Depression and Anxiety Get an overview on PPD from The Office on Women's Health Learn about PPA What to Expect: Postpartum Anxiety Support Organizations Postpartum Support International (PSI) PSI Perinatal Mental Health Alliance for People of Color   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.

We're celebrating the upcoming release of the brand new Pocket Guide to Newborn Procedures! Join us as Dr. Dekker explores essential aspects of newborn care: the evidence on 1) pain management during newborn procedures, 2) baby's first bath, and 3) whether and how newborns should receive screening for low blood sugar. In this episode, you'll learn about newborn comfort techniques like skin-to-skin care, massage, "tucking in," and the use of pacifiers. You'll also walk away with a new appreciation for the evidence on delaying the first newborn bath to 24 hours, and the causes and management of newborn low blood sugars (also known as neonatal hypoglycemia).   (00:05:58) Parental Involvement in Newborn Comfort Care (00:08:34) Pain Relief Techniques for Newborn Procedures (00:12:01) Enhancing Newborn Comfort and Pain Management (00:20:22) Newborn Immersion Tub Bathing Advantages (00:31:45) Factors Contributing to Neonatal Hypoglycemia (00:39:31) Managing Newborn Hypoglycemia with Blood Sugar Testing (00:42:49) Enhancing Newborn Comfort and Pain Relief   Join the waitlist for the Newborn Procedures Pocket Guide here. Learn more about ingredients in infant cleansers here.   Click here for the full list of references.   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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.  

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.

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.

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.

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.

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.

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.

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.

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.

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.

In this episode, Dr. Dekker's joined by Gena Jaffe, an LGBTQ+ activist, attorney, and founder of Connecting Rainbows©️. Gena shares her personal story of embarking on reciprocal IVF with her wife and the legal hurdles they faced as a lesbian couple. From navigating complex parental rights to accessing inclusive healthcare, Gena sheds light on the challenges faced by some LGBTQ+ individuals and families on their path to parenthood.  Gena's experience led her to creating Connecting Rainbows©️, a groundbreaking organization offering free legal and fertility resources tailored to the LGBTQ+ community. Tune in for an empowering conversation celebrating diversity, resilience, and the journey of building loving, inclusive families.   Resources: Learn more about Connecting Rainbows©️ here! Follow Connecting Rainbows©️ on Instagram. Find support from Fertility Out Loud here. Learn more about the Family Equality Council here. EBB 227 – Amplifying the Need for Intersectional Birth Support for QTBIPOC Birthing People with Xian Brooks of the Dandy Doula EBB 182 – Black-led Queer and Trans Birth Work with Mystique Hargrove, Kortney Lapeyrolerie, and Nadine Ashby EBB 180 – Trauma-Informed Care and Consent with Feminist Midwife, Stephanie Tillman EBB 179 – An Empowering and Transformative Home Birth Experience with Trish and Mimi Ang EBB 160 – Introducing Mystique Hargrove: EBB Featured Instructor   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.

Learn about the world of babywearing, including its impact on infant development, digestion, and sleep with Whitney Dula, a maternal child health advocate and founder of The Mama's Dula. Whitney shares her personal journey into babywearing, the rich cultural history of babywearing, its role in community-based child-rearing practices, and practical tips for parents. From fostering a close bond between caregivers and babies to being an affordable alternative to expensive baby carriers, learn how this practice could benefit you and your child. Learn more about Whitney and The Mama's Dula here. Follow Whitney on Instragram, TikTok and Facebook. Check out the baby wraps and carriers mentioned in this episode: Moby Wrap® Tula® Ergobaby® Boba® 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.

In this episode, EBB Childbirth Class graduates Melissa and Brendon Smyles' share their experiences preparing for an unmedicated birth while embracing flexibility in their birthing plan. From the unexpected premature rupture of membranes to the decision to use fentanyl for rest during labor, Melissa and Brendon tell their birth story, emphasizing the importance of informed choices and personalized support. Join us as they reflect on the transformative power of evidence-based education and the profound impact of tailored guidance and informed decision making in achieving a positive birth outcome.   Resources: Get the Evidence on Injectable Opioids for Pain Management during Labor here. And learn about it on YouTube, here! Learn more about their doula, Alycia, here! EBB 267 - Debunking the Myths about Fundal Massage with Barbie Christianson, RN EBB 256 – Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall, Founder of Core Exercise Solutions Find an EBB Childbirth Class here. Check out Melissa's pelvic floor therapist, The Pelvis Pro, 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.

Were you aware that beyond the standard epidural, there is an additional medication option for managing pain during childbirth? Today, Dr. Dekker discusses another common option, intravenous (IV) or intramuscular (IM) opioids. Dr. Dekker explains the different types of injectable opioids available during labor, how they work, and the current evidence that you need to know to make an informed decision. Plus, learn about the benefits and risks of IV opioids for pain relief labor and an in-depth look at one opioid in particular: Remifentanil, which is commonly given through a "Patient-Controlled Analgesia" or PCA pump. EBB Pocket Guide to Interventions (https://ebbirth.com/shop) EBB Pocket Guide to Comfort Measures (https://ebbirth.com/shop) More YouTube videos mentioning IV Opioids among other options: Pain Management During Labor, Regional Anesthesia - Maternity Nursing Anesthesia Options for Labor & Delivery Prescribing Guidelines for Pregnant Patients with Opioid Use Disorder Narcotics for Pain During Childbirth 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. References: To access all the scientific references that go along with this episode, visit our blog post here. 

For Nurse's Week 2024, we wanted to share a replay of one of our favorite episodes at EBB, and that is an interview with Melissa Anne DuBois about shifting from hospital labor and delivery nurse to home birth advocate. Content note: Discussion of obstetric racism and graphic description of obstetric violence. Melissa Anne DuBois is an experienced perinatal nurse living in Central Massachusetts. She graduated summa cum laude from the University of Massachusetts Amherst School of Nursing in 2006 and has worked in a variety of perinatal settings since 2007 including in-patient labor and delivery, high-risk obstetrics, outpatient OB-GYN, homebirth, and postpartum home health. Melissa Anne became a childbirth educator in 2011 and a lactation counselor in 2014 and currently teaches childbirth classes for babiesincommon.com. Melissa Anne is also the mother of three children. In today's replay, you're going to listen to Melissa tell her birth story, as well as her unique perspective on labor and delivery nursing, which came out of her own traumatic birth experience, witnessing obstetric violence and obstetric racism for many years as a labor & delivery nurse, and seeing outdated procedures being performed in hospital settings. Melissa went on to have a healing birth at home, and to get involved in advocacy for expanding home birth options for families. At the end of the podcast, we will share a brief update on what Melissa is up to now!  Resources: Learn more about Melissa Anne DuBois and Babies in Common here. Listen to Melissa's podcast, "Babies in Common Show" on Apple here and Spotify here. Follow Babies in Common on Facebook and Instagram. View "The Business Of Being Born" here. Learn about Krysta Dancy and Birth Trauma Support. Learn more about the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). Learn more about the World Health Organization (WHO). Click here to see the Evidence Based Birth® list of Birth Justice Resources, including research on racism and maternal health.   EBB Resources: 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.

Join us in diving deep into Myla Flores' incredible story of becoming a leader and visionary in the birth field! From Myla's early experiences as a birth doula to her ongoing advocacy for safe, dignified birth options, Myla's passion shines through as she discusses the challenges and triumphs of birth work.  Discover how The Womb Bus, a mobile wellness hub, brings essential education, resources, and outreach to blossoming families in under-resourced areas. Learn about Myla's vision for The Birthing Place, a future birth center that will offer midwifery-led collaborative care, and about group efforts to expand access to safe, informed reproductive care for all. Tune in to hear firsthand accounts of the impact The Womb Bus has had on neighborhoods in NYC, providing vital services and support to those who need it most. From fibroid screenings to lactation support, Myla and her team are breaking down barriers and creating pathways to reproductive wellness and empowerment. Learn more about The Birthing Place and The Womb Bus here! Follow The Birthing Place on Instagram here. Follow Maryam Reproductive Health + Wellness on Instagram here. The Birthing Place is launching a capital campaign! Learn more and support their growth.   EBB Resources: 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.

Dr. Rebecca Dekker is joined by Joyce Dykema, doula and EBB Instructor, and Brianna Fields, a labor and delivery nurse, to discuss advocating for positive shifts in birth culture, particularly in Nebraska. Joyce shares her journey into birth work and the impact of the Evidence Based Birth Instructor program on accessing research evidence, highlighting changes in hospital practices and provider attitudes that support more diverse birthing options.   Brianna discusses her experience in Joyce's EBB Comfort Measures Workshop—which covers the importance of language, positioning, acupressure, and eating and drinking during labor. Together, Joyce and Brianna talk about the need for ongoing education for nurses so that they can provide optimal support during childbirth. Joyce also opens up about the legislative challenges facing the birth community in Nebraska. Tune in to this episode learn about doulas and nurses advocating together, using research evidence to make positive changes in birth culture.   Resources: Check out EBB Continuing Education events (including the EBB Comfort Measures Workshop) for Professionals here. Get on the wait list for the EBB Instructor program here. Visit Joyce's website and see her upcoming events here! Follow Joyce on Instagram here.   EBB Resources: 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.

What is a doula, and what are the different types of doulas? How many people use doulas during childbirth, and what does a doula actually do? Are there any randomized, controlled trials on doula support? What are the benefits and risks of having a doula, if any? And if the evidence shows that doulas improve health outcomes… then why are some hospitals around the world unsupportive of labor companions? And how can you find a doula if you're interested in having one at your birth?    Today's podcast episode with Dr. Dekker and Sara Ailshire, MA, is chock full of research from our peer-reviewed Evidence Based Birth® Signature Article: The Evidence on Doulas.   To learn more, download a free one-page handout, and view all the research references, go to ebbirth.com/doulas.    EBB Resources:   Access all the scientific references and a free 1-page handout at the EBB Signature Article: Evidence on Doulas here.      If you're a visual learner, watch a video about the Evidence on Doulas on the EBB YouTube channel here!   Join the EBB Pro Membership and get access to contact hours, a doula mentorship program, live trainings, and a PDF Library with exclusive handouts (including a full-length printable PDF on "Evidence on: Doulas") by joining here.  Learn comfort measures and advocacy techniques through the EBB Childbirth Class.   EBB Podcasts:  EBB 195 – Grief & Healing through Pregnancy and Infant Loss with Full Spectrum Doula, Rose Rankin  EBB 207 – Gender Affirming Birth Work and Education with Full-Spectrum Doula and Childbirth Educator, Moss Froom  EBB 211 – Supporting Expectant Families through Birth and Lactation with Birth Doula and EBB Instructor Coordinator, Rikki Jenkins  EBB 229 – Evidence on Doulas with Community-Based Models and Reimbursement  EBB 252 – A Candid Conversation about Doula Advocacy with Doula and EBB Instructor Leslie Greene  EBB 285 – Creating a Sustainable Career in Birth Work with Jessica Diggs, Doula Mentor and Co-Founder of Centered.    

Curious which toxins should be most avoided for people of reproductive age and their children? In this episode, Dr. Tanya Khemet Taiwo, LM, CPM, MPH, PhD unravels the intricate connection between environmental exposures and their profound impact on pregnancy and birth outcomes. We will explore the hidden risks associated with heavy metals such as mercury, cadmium, and arsenic. You'll learn about the research on how environmental exposures contribute to issues like reduced birth weight, miscarriage, stillbirth, congenital anomalies, and neurodevelopmental delays. Plus, Dr. Taiwo teaches about the unequal distribution of these exposures across populations, what parents can do to test their environments for unwanted elements, and how midwives can be part of the solution for environmental justice. Content Note: Listener discretion is advised. This episode includes a stark discussion of common environmental exposures, social factors, and their impact on pregnancy and infant health outcomes. Toward the end of the episode [from 37:12 to 41:08], there is a brief discussion of traumatic historical events (including the Holocaust and chattel slavery) and their subsequent impact on environmental toxins.   Resources: Learn more about the Environmental Working Group Download EWG's Healthy Living app here. Check your cosmetics with the California Breat Cancer Prevention Partners Check out The Alliance of Nurses for Healthy Environments (ANHE) Read Some of Dr. Taiwo's Work: The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States Maternal Prenatal Stress and Child Neurodevelopment Perinatal Mood and Anxiety Disorder and Reproductive Justice: Examining Unmet Needs for Mental Health and Social Services in a National Cohort EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. Follow Evidence Based Birth: Facebook Instagram X    

In this episode, Ellora La Shier, graduate of the EBB Childbirth Class, shares about her struggle with six years of unexplained infertility and how it impacted her eventual birth story. Listen in as Ellora describes the frustration of unexplained infertility, suffering through years of increasingly painful periods, and the relief of finally receiving a diagnosis of endometriosis. Despite facing numerous challenges and undergoing various treatments, including intrauterine insemination (IUI), Ellora remained determined and resilient.   Finally, after years, Ellora underwent surgery to remove the abnormal tissue caused by endometriosis. Following surgery, she and her husband were overjoyed to discover that they quickly became pregnant. Although this pregnancy marked the end of a long and challenging infertility journey, Ellora still had to process the many years of healthcare dismissal and her complicated relationship with pain, and how this would impact her eventual unmedicated birth. Ellora's story highlights the importance of perseverance, self-advocacy, and finding supportive healthcare providers in navigating the complexities of infertility and reproductive health.   Resources Find evidence-based information about infertility here.   EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class.   Follow Evidence Based Birth: Facebook Instagram X

As we wrap up the celebration of World Doula Week, explore the transformative journey of pregnancy and childbirth in the Indian context with Divya Deswal and Neha Misra, founders of The Doula Collective©️. In this interview, Divya and Neha shed light on the unique challenges and triumphs faced by expectant families in India. You'll learn how The Doula Collective©️, with its culturally sensitive and trauma-informed approach, is reshaping the landscape of birth support!  Also... have you ever heard of a year-long doula training program? Divya and Neha share the intricacies of their in-depth doula training program and how it goes beyond traditional methods to create a profound impact on both birth practitioners and families. Join us as we confront the barriers that doulas face in a system where their role is often misunderstood. We end with an exploration of the soulful aspects of birth trauma, physical challenges of birth and birth work, and the power of resilience. Learn more about The Doula Collective here: https://thedoulacollective.in/ Follow their work on Instagram: @thedoulacollective.in EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. Follow Evidence Based Birth: Facebook Instagram X

You're going to love this family-centered birth story with Dr. Dekker's brother John DeYoung and his wife Krista DeYoung! On today's episode, Krista and John (who are graduates of the EBB Childbirth Class with EBB Instructor Chanté Perryman) get vulnerable and open up about their complex pregnancy and son Eli's miraculous birth story. In addition to facing a pregnancy with a prior diagnosis of Crohn's disease, they also had to cope with lockdowns during the pandemic, genetic concerns including an initial diagnosis of triploidy, a HUGE and abnormally low-functioning placenta, potential growth restriction, a 39-week induction, and placental retention that led to abnormal postpartum bleeding. In addition to being inspired by John and Krista's unique story, you will also learn about the emotional rollercoaster of confronting a fatal genetic diagnosis that turns out to be a false positive. You will also hear from John about how active participating in childbirth and parenting has been an incredibly healing process for him— as John was adopted as a child and had no known blood relatives before Eli was born. And don't miss the end of the episode, when you find out about a surprise condition that was the cause of Krista's placental abnormalities. Tune in for an empowering and insightful discussion that sheds light on the complexities of high-risk pregnancies and the role of evidence-based care in navigating challenging pregnancy and birth scenarios. Content Note: This episode discusses high-risk pregnancies, history of bonding difficulties related to being adopted, concerns about fatal genetic diagnoses that may result in termination, false-positive genetic diagnoses, medical interventions, the potential of losing a baby in pregnancy, autoimmune conditions, and abnormal postpartum bleeding. Although everything turns out okay for our guests in this episode, we recognize that not all pregnancies with genetic complications have happy endings. Resources   Watch the video of this podcast episode on the EBB YouTube channel here! Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. Other Resources Learn more about Antiphospholipid Syndrome here. Learn about pregnancy and Crohn's Disease here, from the Crohn's and Colitis Foundation Follow Evidence Based Birth Facebook Instagram

Welcome to a special Q &A episode of the Evidence Based Birth® Podcast! Today I address some of your burning questions on key childbirth topics! In this episode, I share evidence on the (unproven) relationship between synthetic oxytocin (Pitocin) administration and postpartum depression, the complexities of delayed cord clamping and the power dynamics around requesting delayed cord clamping, the use of Nubain (an IV opioid) for pain relief during labor and its potential impact on babies, and the latest insights into consuming the placenta—whether it's dehydrated, freeze-dried, or consumed raw. EBB Resources: The EBB Pocket Guide to Interventions Evidence on: Pitocin During the Third Stage of Labor Effects of IV Opioids during Labor The Evidence on Placenta Encapsulation Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class.

In this episode, we chat with obstetrician Dr. Danielle Jones, aka Mama Doctor Jones, about challenging norms in pregnancy and childbirth. Dr. Jones passionately advocates for patient autonomy as we dive into the resistance to eating and drinking from the anesthesia community, debunk myths on this hot topic, and call on healthcare professionals to prioritize evidence-based practices. We also discuss the challenges nurses and obstetricians face in changing hospital policies, especially when confronted by powerful figures resistant to evidence-based approaches. Dr. Jones urges professionals to find allies and use data-driven discussions to challenge outdated norms. We wrap up by discussing other prevalent myths in pregnancy and childbirth, emphasizing the tactics of misinformation spreaders and the importance of critical thinking in evaluating online information. Content Note: This episode includes discussions on the Dobbs decision, abortion for fetal abnormalities, and life-threatening medical complications. EBB Resources: Evidence on: Eating and Drinking During Labor The Evidence on: Breech Version Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. Keep Learning from Mama Doctor Jones: YouTube Instagram Facebook X

Delve into a powerful and emotional conversation with the incredible Kellie McKinnon, a military spouse, San Diego-based personal trainer, and graduate of the Evidence Based Birth®️ Childbirth Class! In this episode, Kellie shares her unique and challenging journey through pregnancy while her partner was deployed. We explore the emotional and logistical aspects of facing pregnancy and childbirth without the physical presence of a partner. Discover the importance of a doula, the role of childbirth education, and the unexpected challenges within the military healthcare system. If you're an expecting military spouse, Kellie's experiences offer valuable insights into the strength, resilience, and the unique challenges faced by many military families during this transformative journey. Content Note: This episode contains emotional discussions separation anxiety due to partner deployment, experiences of loneliness and isolation, and challenges within the military healthcare system. Learn about perinatal and postnatal fitness with Kellie on Instragram: @kel.mck.fit   EBB Resources:  EBB Signature Article on PROM EBB 75: Birth in Twilight Sleep—The Experiences of Rebecca's Mom EBB 83: Why Families Need Postpartum Care EBB 286: The Importance of Postpartum Support, with the Founder of InKind Boxes Maria Berglund EBB 114: Fighting for Birth Needs as a Single Parent, with Jenny Russell                  

In this episode, I had the pleasure of chatting with Daphne Delvaux, Esq., widely known as The Mamattorney. As an award-winning trial attorney and founder of Delvaux Law, Daphne is a passionate advocate for women's rights at work, particularly focusing on motherhood discrimination cases. In this conversation, we dive into the complexities of workplace trauma, reasonable accommodations, and the crucial understanding of employment rights during pregnancy and postpartum. Daphne shares her expertise on the vulnerabilities mothers face in the workplace, shedding light on issues like forced leaves and common misunderstandings about parental leave rights. We explore how the law serves as a powerful tool to protect both new parents and babies, offering insights into the challenges new parents encounter and practical steps to advocate for themselves in the workplace. Join us for an eye-opening discussion as we uncover the realities of creating a supportive and empowering work environment for ambitious parents. Content Note: In this episode, we talk about workplace trauma, reasonable accommodations, and gendered language may be used.  EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. Other Resources: Learn more about Daphne's work here: https://www.themamattorney.com/ Follow Daphne's work on Instagram @themamattorney and Facebook. Download Daphne's Employee Rights Guide here. Learn more about Chamber of Mothers: https://www.chamberofmothers.com/  Follow Chamber of Mothers' work on Instagram @chamberofmothers and Facebook.

Is waterbirth safe? Are there any randomized, controlled trials on this subject? What are the benefits and risks of waterbirth? And if the evidence shows that waterbirth is a safe and beneficial form of childbirth… then why do so many hospitals "ban" this practice? And how can you access a waterbirth if that is something you are interested in? Today's podcast episode is chock full of research from our peer-reviewed Evidence Based Birth® Signature Article: The Evidence on Waterbirth. To learn more, download a free one-page handout, and view all the research references, go to ebbirth.com/waterbirth. EBB Resources: Access all the scientific references and a free 1-page handout at the EBB Signature Article: Evidence on Waterbirth here.  If you're a visual learner, watch a video about the Evidence on Waterbirth on the EBB YouTube channel here. Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a full-length printable PDF on waterbirth) here. Learn comfort measures and advocacy techniques through the EBB Childbirth Class. EBB Podcasts: EBB 4 - Waterbirth and the Newborn Microbiome EBB 20 – Water Immersion during Labor EBB 223 - An Empowering Hospital Waterbirth Story with Samantha Parker and Justin Fontaine  EBB 230 – An Inspirational Home Waterbirth Story with EBB Childbirth Class Parent Shelitha Owens  EBB 258 – A Hospital Waterbirth Story with Cord Avulsion featuring EBB Childbirth Class Graduate, Samantha Reizs, PhD  EBB 268 – Debunking Myths about PROM, GBS, and Waterbirth  EBB 287 – A Positive Hospital Waterbirth Story with EBB Childbirth Class Graduate, Katrina Hull

February 7, 2024 - For today's episode, we are highlighting one of our favorite home birth podcast episodes with the replay of a 2020 conversation with student midwife, Isis Rose, about her very own home birth. If you are inspired during this listen, please support Isis in her midwifery journey! She is currently accepting support via her GoFundMe page and Venmo.  ----- In this episode I talk with Isis Rose, a full spectrum doula, home birth mom, certified lactation counselor, and placenta encapsulation specialist. She lives in Urbana, Illinois. Isis is starting midwifery school in July, with plans to become a Certified Professional Midwife, and she's a member of the Illinois Council of Certified Professional Midwives. Isis co-hosts the Homecoming Podcast alongside Chae Pounds, which launched in 2018 to tell stories of Black families who give birth at home. Isis and I discuss her birth story, including her unique approach to prenatal care, and hemorrhaging she experienced immediately after her home birth. We also talk about the ongoing advocacy work seeking licensure for CPMs in Illinois, and the latest research on the safety of home birth in the U.S. Content Warning: Black maternal mortality, postpartum hemorrhage, infant death, stillbirth ----- Ways to support Isis through her midwifery journey: Follow her: www.instagram.com/urbanamidwife   GoFundMe Link:  https://www.gofundme.com/f/support-isiss-final-year-of-midwifery-school Isis also accepts funds to go towards midwifery school via Venmo @isis-rose (since GoFundMe takes a percentage of each donation).   Midwifery Supplies Registry Link:  https://www.myregistry.com/wishlist/isis-rose-urbana-il/2754220/giftlist   Isis Rose, MA, CLC Buy Me a Coffee Student Midwife and Doula   Co-Founder and Executive Director at BIPOC for Better Birth   Isis A. Rose, Birth and Postpartum Services www.isisarosebirth.com   Homecoming Podcast: Black Home Birth Stories www.homecomingpodcast.com     For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

This episode is a deeply personal and inspiring journey shared by Naoma Kleisner, MSN, RN, and Mohamed Koraichi, who bravely chose a breech vaginal birth for their son. From the early discovery of a breech position at 25 weeks to the challenges of finding supportive care in Chicago, their story unfolds with determination and resilience. We'll explore their birthing experience, including acupressure, birth balls, and the choices they made to ensure a positive outcome. This episode is not just about breech birth; it's about informed choices, the strength within, and the importance of supportive care during a remarkable birthing journey. EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Access the EBB Signature Article: Evidence on Breech Version with a free handout here.  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. EBB Podcasts about Breech:  EBB Podcast 111: Positioning Breech Babies with Dr. Elliot Berlin EBB Podcast 171: The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB Podcast 172: Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB Podcast 173: Evidence on Breech Version EBB Podcast 296: The Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA  EBB 298: Frequently Asked Questions about Breech EBB Podcast 298: Overcoming Barriers to Breech Vaginal Birth with Dr. Emiliano Chavira, OB/GYN and Maternal Fetal Medicine Specialist Other Resources: Check out the workshops at Breech without Borders here.

In this episode, join me in delving into the intricate world of breech births with esteemed maternal-fetal medicine specialist, Dr. Emiliano Chavira. From the disappearance of breech vaginal births in modern obstetrics, to the challenges faced by practitioners advocating for this option, Dr. Chavira shares insights from his unique career path.   You'll discover the renaissance of unmedicated physiologic breech births, the ongoing struggle of the rare providers who offer this choice, and the pivotal role of hands-on vs. hands-off approaches during breech delivery. Gain valuable perspectives on who is a candidate for breech birth, techniques for handling complications, and the quest for evidence-based practices in the realm of breech births.   EBB Resources: Watch the video of this podcast episode on the EBB YouTube channel here!  Access the EBB Signature Article: Evidence on Breech Version with a free handout here.  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. EBB Podcasts about Breech:  EBB Podcast 111: Positioning Breech Babies with Dr. Elliot Berlin EBB Podcast 171: The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB Podcast 172: Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB Podcast 173: Evidence on Breech Version EBB Podcast 296: The Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA  EBB Podcast 299: A Breech Vaginal Birth Story with EBB Parents Naoma and Mohamed [Coming soon!] Other Resources: Check out the workshops at Breech without Borders here. Hear Dr. Chavira on The Informed Pregnancy Podcast: Vaginal BREECH After Cesarean Gentle Cesarean Ep. 11 Breech 101 - Part 1 Ep. 12 Breech 101 - Part 2 Ep. 13 Breech 101 - Part 3 Follow Dr. Chavira on Facebook!

In the previous episode (EBB 296), we covered the evidence on breech vaginal birth. This week we are answering your questions! Can a baby spontaneously flip from breech back to head-first position before birth? Is home breech birth safe or not? Which factors influence the chances you'll have a breech baby? On today's podcast, join us on a Q & A all about breech birth! If you want to get informed and empowered on the topic of breech positioning in pregnancy—either for yourself or for your clients—then this podcast is for you! Content note: Discussion of statistics on mortality, serious morbidity (illness/injury), and home birth transfer related to breech birth. EBB Resources: For the scientific references that go along with this Q & A, visit our blog article here.  Watch the video of this podcast episode on the EBB YouTube channel here!  Access the EBB Signature Article: Evidence on Breech Version with a free handout here.  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here. Learn advocacy techniques through the EBB Childbirth Class. EBB Podcasts about Breech:  EBB Podcast 111: Positioning Breech Babies with Dr. Elliot Berlin EBB Podcast 171: The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB Podcast 172: Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB Podcast 173: Evidence on Breech Version EBB Podcast 296: The Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA  EBB Podcast 298: Overcoming Barriers to Breech Vaginal Birth with Dr. Emiliano Chavira, OB/GYN and Maternal Fetal Medicine Specialist EBB Podcast 299: A Breech Vaginal Birth Story with EBB Parents Naoma and Mohamed [Coming soon!] Other Resources: Check out the workshops at Breech without Borders here. Watch a video of Dr. Larry Hinkson teaching the gentle External Cephalic Version Technique here. 

Have you ever wondered why doctors almost always recommend a Cesarean for breech? Is that because breech vaginal birth is dangerous? Which methods can help a breech baby turn? On today's podcast, join us on a deep dive into the evidence on all things breech! You'll walk away with confidence in your knowledge on the following topics: Evidence on Breech Vaginal Birth vs. Breech Cesarean Birth – How a flawed study (the "Term Breech Trial") led to hospitals banning breech vaginal birth around the world, and what other research studies have found about the safety of breech vaginal birth.   Evidence on External Cephalic Version – Learn about the effectiveness, benefits, and risks of the "hands-to-belly" turning procedure, as well as a new, gentler method being piloted by a few obstetricians. Evidence on Alternate Ways to Turn a Breech Baby – Uncover the evidence on popular ways that parents use to try and turn a breech baby, including moxibustion, chiropractic care, positioning, self-hypnosis, and more! If you want to get informed and empowered on the topic of breech positioning in pregnancy—either for yourself or for your clients—then this podcast is for you! Content note: Discussion of statistics on mortality and serious morbidity (illness/injury) related to breech birth.  EBB Resources: Get all the scientific references and a transcript of this episode here.  Watch the video of this podcast episode (with graphics, demonstrations, and slides) on the EBB YouTube channel here!  Access the EBB Signature Article: Evidence on Breech Version with a free handout here.  Join the EBB Pro Membership and get access to contact hours, a doula mentorship, live trainings, and a PDF Library with exclusive handouts (including a 2-page handout on breech) by joining here.  Learn advocacy techniques through the EBB Childbirth Class. EBB Podcasts: EBB Podcast 111: Positioning Breech Babies with Dr. Elliot Berlin EBB Podcast 171: The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB Podcast 172: Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB Podcast 173: Evidence on Breech Version EBB Podcast 297: Frequently Asked Questions about Breech with Dr. Rebecca Dekker and Sara Ailshire, MA EBB Podcast 298: Overcoming Barriers to Breech Vaginal Birth with Dr. Emiliano Chavira, OB/GYN and Maternal Fetal Medicine Specialist EBB Podcast 299: A Breech Vaginal Birth Story with EBB Parents Naoma and Mohamed [Coming soon!] Other Resources: Check out the workshops at Breech without Borders here. Watch a video of Dr. Larry Hinkson teaching the gentle External Cephalic Version Technique here. https://www.youtube.com/watch?v=GwskoAymdL4 Find a chiropractor who is certified in the Webster technique here: https://icpa4kids.com/

*Request from Team EBB: We would love it if you left a review for us on your favorite podcast platform! Let us know one new thing you learned, and/or one thing you would like us to cover next year.  In this episode, Dr. Dekker and EBB Research Fellow Sara Ailshire reflect on groundbreaking research published by Evidence Based Birth in 2023. Dive into evidence-based insights on Group B Streptococcus (GBS) in pregnancy, Premature Rupture of Membranes (PROM), and skin-to-skin care after a Cesarean. Discover alternative approaches, vital statistics, and the intersection of birth with climate change and infection risks. Rebecca and Sara will also reflect on the year's most popular episodes and give you a glimpse into exciting episodes and Signature Articles to come in 2024. Content note: Preterm birth, interventions, climate change, infant mortality, serious infant illness, racism.  Resources: Get on the wait list for the EBBirth Virtual Conference at https://ebbirth.com/waitlist Join the EBB Pro Membership and get access to a doula mentorship PLUS trainings on postpartum hemorrhage, secondary trauma, and pelvic floor education. New (exclusive) handouts on Breech, RH, and vaccines coming soon for Pro Members only! https://ebbirth.com/membership Check out the Podcast Listening Guide at our shop: ebbirth.com/shop EBB Signature Article on Group B Strep: https://ebbirth.com/groupbstrep EBB Signature Article on Premature Rupture of Membranes: https://ebbirth.com/prom EBB Signature Article on Anti-Racism in Health Care and Birth Work: https://ebbirth.com/antiracism EBB Signature Article on Skin-to-Skin after Cesarean: https://ebbirth.com/cesarean The Top 5 most downloaded episodes of 2023: EBB 166 [Replay] The Experience of a Powerful and MIiraculous Birth with Brooklynn and Hoang Pham EBB 264: Top 3 Tips for Exercise in Pregnancy with Mamaste Fit EBB 257: Updated Evidence on Group B Strep Part 2 EBB 256: Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall EBB 254: Evidence on GBS in Pregnancy

In this episode, I'm joined by Emilie Rodriguez and Guramrit LeBron, the dynamic duo behind Ashé Birthing Services and The Bridge Directory. Ashé Birthing Services is a collective of specially selected birth workers who provide full-spectrum care for families in the greater New York City area. Their approach blends evidence-based research with ancestral practices, offering families a unique individual experience often missing in mainstream maternal care.   Emilie and Guramrit share their personal journeys into birth work, highlighting the pivotal moments that led them to become doulas and advocates for birthing people. They discuss the challenges and racism they encountered within the healthcare system and the importance of finding providers who understand and respect your cultural and ancestral traditions.   We delve into how Ashé Birthing Services and The Bridge Directory are changing the landscape of perinatal care, making it more accessible, informed, and culturally sensitive. They also explain how their platform connects people with Black and Brown providers in the perinatal period and the importance of community-nominated Council of Elders in guiding their work. If you're passionate about empowering Black birth and improving maternal care, you won't want to miss this insightful conversation with Emilie and Guramrit.   Content note: Issues related to racism in healthcare and challenges in the maternity care system. Resources: Get the free 1-page handout about EBB "Best Evidence" episodes here!  Learn about Ashé Birthing Services here. For more information and resources, visit The Bridge Directory. Learn about the Irth App here: https://irthapp.com/ Follow Ashé Birthing Services on Instagram EBB Podcast Episodes Referenced in this Episode: EBB 161 and EBB 220 with Kimberly Seals Allers of the Irth App EBB 260 with Ms. Divine Bailey-Nicholas about Plant Medicine EBB 261: Mini Q&A on Group B Strep EBB 10 about the ARRIVE trial EBB Signature Articles: Signature Article on Eye Ointment (ebbirth.com/eyeointment), Signature Article on Circumcision (ebbirth.com/circumcision) Signature Article on Group B Strep (ebbirth.com/groupbstrep) Signature Article on Vitamin K (ebbirth.com/vitamink) EBB handout on the ARRIVE trial: https://evidencebasedbirth.com/arrive Get a FREE handout for each topic at the links above to help your informed decision making! Want more support from Evidence Based Birth®?  Sign up for our newsletter here Join our Professional Membership here Apply to become an EBB Instructor here Make sure to follow us on social: Instagram https://www.instagram.com/ebbirth/ TikTok https://www.tiktok.com/@ebbirth YouTube https://www.youtube.com/@EvidenceBasedBirth Pinterest https://www.pinterest.com/ebbirth/

In this episode, I'm welcoming Eri Guajardo Johnson, the founder of Birth Bruja, a platform dedicated to decolonial approaches to healing and reproductive care. Eri, a queer, biracial, Latinx birth worker, specializes in supporting survivors of sexual violence and marginalized populations. We discuss the importance of centering Black and Indigenous wisdom, breaking down oppressive systems, and creating alternatives in the realm of birth work. Eri also shares insights on self-compassion and the practice of intimacy in their work. Join us for an enlightening conversation on how to navigate decolonial approaches to birth and healing.   Content Warning: supporting survivors of sexual assault, the impact of colonialism and racism in the context of reproductive care and healing.   Resources:   Follow Eri's work: Learn more here: https://www.birthbruja.com/ Listen to the Birth Bruja Podcast here  Join the Support Group for Survivors of Sexual Violence here Learn more about the BIPOC Mentorship here Follow them on Instagram Make sure to sign up for the email list on the Birth Bruja website!    For more information and news about Evidence Based Birth®, visit www.ebbirth.com.   Follow us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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, I'm joined by Liesel Teen, a seasoned L&D nurse and childbirth educator and the creator of Mommy Labor Nurse, where she reveals the common myths surrounding pregnancy and birth.   Learn about the shocking misconceptions, such as babies running out of room, the impact of baby size on vaginal delivery, the importance of partner education, and the need for postpartum care. She also delves into the unexpected, and rare, scenario of giving birth in the car, and shares essential tips for partners and mothers on how to keep the baby safe and warm during this intense moment. Liesel's valuable insights will empower expectant parents to approach their childbirth journey with knowledge and confidence. Discover the truth behind these myths and how to prepare for a positive birth experience.   Content Warnings: emergency car births, risk of stillbirth, gendered language     Resources: Follow Liesel's work: website, podcast, IG, Facebook, TikTok Learn more about Push Pregnancy on their website Check out some Mommy Labor Nurse podcast episodes: Episode 197 - Pharmaceutical Pain Options for Labor (other than an epidural!) Episode 199 - The Evidence on Natural Labor Induction with Dr. Rebecca Dekker Listen to an EBB Episode: EBB 243 - The Importance of Kick Counting for Preventing Stillbirth with Stephaney Moody, Health Equity Ambassador of Count the Kicks   For more information and news about Evidence Based Birth®, visit www.ebbirth.com.   Follow us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 delve into the latest evidence-based information on skin-to-skin care in the operating room after a Cesarean. I'm joined by co-host Sara Ailshire, a doctoral candidate in anthropology and the 2023 EBB Research Fellow, and we explore the history, benefits, and barriers surrounding this practice. Discover how skin-to-skin care positively influences lactation, stabilizes newborns, and enhances the birth experience, and learn why some hospitals and providers are hesitant to offer it and how these barriers can be overcome.   *If you want the Pocket Guides we mention at the beginning of this episode, you can see if we have any in stock here!    Content Warning: topics related to Cesarean sections, preterm birth, NICU stays, separation of parents and babies, infant mortality rates, and the impact of racism on Cesarean rates and lactation.   Resources:  For a full list of resources and references please visit our Evidence for Skin to Skin Care After a Cesarean page here. To read the full Signature Article on Skin to Skin Care After a Cesarean and download our 1-Page Handout, click here. To read the updated ACOG opinion on 'Optimizing Support for Breastfeeding as Part of Obstetric Practice,' click here.   Relevant EBB Signature Articles: Evidence on Midwives Evidence on Doulas Evidence on Anti-Racism in Health Care and Birth Work Listen to EBB Episodes: EBB 135 - The Need for More Indigenous Birth Workers with Miranda Kelly EBB 161 - Addressing Maternity Bias and Infant Care with Irth® App Founder, Kimberly Seals Allers EBB 189 - Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams EBB 214 - Supporting Pumping Parents in Lactation with IBCLC, Nichelle Clark EBB 265 - Evidence on Anti-Racism in Health Care and Birth Work EBB 278 - Creating an Innovative, Afrocentric Model of Prenatal Care with Hakima Payne, Founder and Executive Director of Uzazi Village   For more information and news about Evidence Based Birth®, visit www.ebbirth.com.   Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Find out if our Pocket Guides are currently available by visiting our shop here! Check out our EBB 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, I'm talking with Dr. Nastassia Harris, a registered nurse and international board-certified lactation consultant, to discuss her extensive experience in the field of maternal and infant health. Dr. Harris shares her journey into this vital profession, highlighting her passion for improving breastfeeding rates in the Black community and eliminating racial disparities in maternal and infant health. She sheds light on the work of the Perinatal Health Equity Initiative, a nonprofit organization she founded, and her newest venture, Ignite Maternal Health, aimed at providing essential education and support to mother-baby nurses. Dr. Harris offers valuable insights into the challenges faced by Black families and the critical role that education, culturally congruent care, and community resources play in saving lives and preventing adverse outcomes in the postpartum period. Tune in to learn more about the impactful work being done to enhance maternal health and support families during this crucial phase of life.   Content Warning: racism, Black infant and maternal mortality, preeclampsia   Resources:   Learn about Nastassia's work, here: Perinatal Health Equity Initiative website Sistahs Who Breastfeed website Ignite Maternal Health website Follow Nastassia's work: Instagram @perintal_equity and @ignite_mh Perinatal Health Equity Initiative's Facebook and LinkedIn page Learn more about related efforts mentioned by Nastassia: Black Mamas Matter Alliance, website Black Breastfeeding Week, website Black Maternal Health Week, website Chocolate Milk Cafe, website Center for Disease Control's (CDC) Hear Her campaign, website Read the book referenced, The 4-Hour Workweek by Tim Ferris, here   Listen to EBB episodes: EBB 280 – Bringing Equity to Lactation Imagery with Nekisha Killings, IBCLC and Founder of the Melanated Mammary Atlas® EBB 214 – Supporting Pumping Parents in Lactation with IBCLC, Nichelle Clark

In this episode, I'm joined by Siri Lachmansingh, who shares her remarkable journey of pregnancy and childbirth while managing type 1 diabetes.   Siri delves into the unique challenges and considerations for pregnant individuals with diabetes, including blood sugar management and medical monitoring. Siri also takes us through the choices she made during her induction process and the empowering moments she experienced during her second birth journey. Tune in as Siri's story highlights the importance of informed decision-making and the strength that can come from embracing evidence-based care during pregnancy and childbirth.   Content Note: This episode discusses topics related to pregnancy, childbirth, and managing type 1 diabetes during pregnancy. While the conversation is focused on informed decision-making and evidence-based care, it may contain medical details and experiences that could be sensitive for some listeners— including a description (starting at 41 minutes) of obstetric violence, shoulder dystocia, and birth injury to a newborn. Please be mindful of your own comfort and emotional well-being while listening.   Trigger Warning: shoulder dystocia, birth injury to a newborn, and obstetric violence   Resources: Follow Siri's journey: Instagram @sirilachmansingh Siri's Birth Hour podcast episode Find out more about Siri's birth and childbirth education team here: Doula Aileen (https://www.doulaaileen.com/), Heather Christine Struwe (https://holisticcontinuum.com) and Rhonda Fellows (https://www.oilydoulamn.com/about.html)  Find out more about the EBB Childbirth Class here. Learn about Brachial Plexus social support systems: Erb's Palsy Facebook page (for Brachial Plexus Palsy): https://www.facebook.com/enderbspalsy/ Public support group ("Oliver's Friends"): https://www.facebook.com/groups/OliversFriends/ Learn more about the evidence and research on shoulder dystocia : Research on team training for prevention and treatment of shoulder dystocia: https://pubmed.ncbi.nlm.nih.gov/25688719/ "PROMPT" protocol from the United Kingdom is being applied in the United States. Click here to learn more: https://pubmed.ncbi.nlm.nih.gov/26513456/ PROMPT training news video: https://fox4kc.com/health/training-program-helps-to-improve-outcomes-for-babies-and-moms-during-delivery/ The PROMPT foundation website: https://www.promptmaternity.org/ Related EBB Episodes and Signature Articles: EBB 141 – Birthing and Disparities in Minnesota with Rhonda Fellows and Dr. Jennifer Almanza EBB 142 – Home Birth Transfer During COVID-19 and the Uprisings in Minneapolis with Jenae Herron and Marcel Malekebu EBB 143 – Birthing in a World with Reproductive Justice with Ihotu Ali, Daniela Montoya-Barthelemy, and Shayla Walker EBB 168 - Dr. Amber Warmsley on the 1-step vs. 2-step delivery approaches EBB Podcast and Signature Article on Birthing Positions EBB Podcast and Signature Article on Big Babies For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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, I'm talking with Malisa Dekker, a Postpartum Doula and Chef based in Brooklyn, New York, about her profound journey through two contrasting birth and postpartum experiences that shaped her passion for postpartum wellness. Malisa's first birth took place during the tumultuous times of the COVID-19 pandemic, where interventions and a lack of support left her feeling disconnected and overwhelmed. With the desire for change, Malisa embarked on her second pregnancy, seeking empowerment and a holistic approach to birthing. She details her transformational shift to a home birth with the support of a dedicated midwife, her partner Taylor, and a community of friends who understood the importance of empathetic care and emphasized the profound impact having one's emotional needs addressed during labor can have on a birthing person's experience. Malisa's experience led her to become a passionate advocate for postpartum wellness and support, driving her to become a Postpartum Doula. Through her unique combination of skills as a Doula and Chef, she aims to provide nourishment, care, and empathy to new parents during the challenging postpartum period. Content Warnings: postpartum anxiety, a pandemic birth story with isolation and interventions   Resources Follow Malisa's work on Instagram: @plantedpostpartum Learn more about Malisa's postpartum nutrition mentor, Alicia Allison: CloverandTimothy.com Check out training opportunities from: the Birthing Advocacy Doula Trainings (BADT) website EBB's parent workshops and classes calendar Read "The First Forty Days" book to prepare for postpartum nutrition and self care needs Listen to EBB Episodes EBB 229 – Evidence on Doulas: Community-Based Models, the Pandemic, and Reimbursement with the EBB Research Team EBB 194 – Nutrition and Real Food in Pregnancy with Lily Nichols, RDN   For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Follow us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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

Content Warning: postpartum hemorrhage, GBS Positive, antibiotics for GBS,   On this episode of the EBB podcast, I talk with Katrina Hull, a graduate of the EBB childbirth class about her positive hospital water birth story.   Katrina Hull is a former high school math and engineering teacher with over a decade of experience in the classroom. Her passion for education and entrepreneurship has led her to her current role as coordinating producer at PBS NewsHour Classroom where she develops lesson materials and resources for integrating invention education into classrooms across the country.   Katrina shares her experiences taking the EBB childbirth class and discusses in depth the education and work she put into preparing for her desired hospital water birth. In addition to finding her "Golden Ticket" birth team and desired location, she shares the details of her amazing and empowering birth story, despite having a few complications, including finding out she was Group B Strep Positive and handling a postpartum hemorrhage.   Resources: Learn more about Marnellie Bishop's Evidence Based Birth® Childbirth Class here Learn more about the GentleBirth Pregnancy app here Read more about Rebecca's experience with Hypnobabies in Babies are Not Pizza's Learn more about the Evidence on Hypnosis for Pain Management here Learn more about the Evidence on water immersion for Pain Management here Learn about the research evidence on combining hypnosis and water immersion for pain: Madden, K., Middleton, P., Cyna, A. M., et al. (2016). Hypnosis for pain management during labour and childbirth. Cochrane Database Syst Rev(5), CD009356. Listen to Evidence Based Birth Podcasts: EBB 131: Evidence on: Pitocin During the 3rd Stage of Labor or read the Signature Article here https://evidencebasedbirth.com/evidence-on-pitocin-during-the-third-stage-of-labor/ EBB 267: Debunking Myths about Fundal Massage with Barbie Christianson, RN   Learn more about joining our Pro Membership for birth workers here, to take take our class on emergency management of PPH

I am so excited to share today's episode of Evidence Based Birth® podcast with you! Today, I am bringing you an interview with Maria Berglund, the founder of In Kind Boxes, a nonprofit organization with a mission to help families thrive after birth with a baby shower gift that gives back.   This episode is coming out just in time for our listeners who are doulas and midwives to apply for In Kind's partnership program! Tune in to get all the details!   Maria Berglund, is a Canadian mom living in the United States. Maria has three wonderful boys and her work as the founder of In Kind Boxes has been featured both on Good Morning America and in Entrepreneur Magazine.   Maria and I talk about why she started a nonprofit with a mission to help new parents thrive after birth and how that vision grew into a model to support and give back to families in vulnerable positions, like NICU families or refugee families. Maria speaks to her different experiences in the postpartum period between Canada and the US, and how that stark difference in support sparked this idea. In Kind Boxes are filled with tangible goods that support growing families, baby and parent alike with natural, organic goods that help families thrive.   Resources: Learn more about partnering with Maria and In Kind at www.inkindboxes.org Follow the work of In Kind on Instagram and TikTok    For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 this episode of the EBB Podcast, I interview Jessica Diggs, midwife, doula mentor and co-founder of Centered about creating a sustainable career in birth work.   Jessica is a licensed midwife working in a solo practice in Los Angeles. Jessica supports people and families through holistic gynecological care, home birth services, and conception support. Jessica has a skill and love for making childbirth and reproductive education digestible and accessible for all people. She is the co-founder of Centered, a curated community for doulas and she is the former lead educator and curriculum developer at Doula Training International.     Jessica and I discuss not only her career path from doula to midwife but dive deep into a discussion about making birth work sustainable in the long run. Jessica shares a multitude of tips for our audience in avoiding burnout, setting boundaries to better serve yourself and your clients, as well as finding your joy and purpose in birth work outside just attending births. With over 10 years in the field and a thriving career, Jessica practices what she preaches and has a passion for teaching others not only about how to be a doula at a birth, but a doula making a living wage and sustainable career path.   Content Warning: Black maternal and Black infant death, Postpartum death, systemic racism   Resources:    Learn about Jessica's work, including how to join Centered here:    Follow Jessica's work:  Instagram @jessicadiggs and @joincentered  Substack: Midwifery is More  Find the book The Art of Gathering by Priya Parker here    For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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, I'm joined by Hollis Wakefield, also known as The NICU Doula. Join us as we delve into a crucial topic: how to help NICU families find empowerment and healing during their challenging journeys. Hollis is a former NICU parent turned birth worker, educator, and family advocate, and she shares her own powerful story of navigating a traumatic birth, early delivery, and the emotional roller coaster of having a medically complex baby in the NICU. She sheds light on the critical gaps in support and resources that many NICU families encounter, from the emotional toll to practical challenges, and highlights the importance of empowering NICU families during their transition from the NICU to home and provides insights into her work as an educator for doulas supporting NICU families. Content Warning: The conversation includes discussions about birth trauma, PTSD, and the potential for distressing experiences in the NICU environment.   Follow The NICU Doula on Instagram Learn more about Hollis and her work below: NICU Doula website: nicudoula.com NICU Lovey's website: niculovies.org Learn about Neonatal Intensive Care Unit Awareness Month Click here for information from March of Dimes on preterm labor and premature birth. For the Evidence Based Birth® Signature Article on Premature Rupture of Membranes, click here. Listen to EBB episodes: EBB 281 - Mini Q&A about Preterm Premature Rupture of Membranes EBB 266 – Advocating for your Newborn during an Unexpected NICU Stay with EBB Childbirth Class Graduates Priscilla and Nathan Layman EBB 93 – Unexpected Pre-Term Hospital Birth with Melissa Cassity For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Instagram, TikTok, and Pinterest Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.      

On today's podcast, I talk with Tania Silva Meléndez  and Tamara Trinidad González, CPM, birth workers and Evidence Based Birth® Instructors about giving birth and midwifery care in Puerto Rico.   Tania Silva Meléndez  is a certified birth, postpartum, and abortion doula serving families in Puerto Rico since 2009. She's also a certified childbirth educator and breastfeeding/chestfeeding educator and counselor. She is the general coordinator of the team of Caderamen, a nonprofit community-based organization that works towards reducing inequalities in reproductive care, and she also supports Alimentación Segura Infantil, a community-based organization born after the impacts of Hurricanes Irma and Maria in 2017 to support breastfeeding and chestfeeding families in their lactation journeys, help them relactate their children when needed. Tania is also a human rights activist and advocate in her community and part of the Observatorio de Violencia Obstétrica in Puerto Rico and Las Mingas de Aborto, an abortion doula collective that offers free support in Puerto Rico.   Tamara Trinidad González, CPM, is a community parteira/midwife, perinatal educator and herbalist born and raised in Puerto Rico. Tamara is a mother of two children who were born at home with midwives and has been actively involved in birth work for 10 years. She holds a Master of Science in midwifery with foundations in botanical medicine from Bastyr University and is a certified professional midwife. Her midwifery and herbal practice is called Semilla Creciente, Midwifery & Herbalism.   In this episode, Tania and Tamara have a very candid conversation about the realities of pregnancy, birth, and postpartum care in Puerto Rico. They speak to how Puerto Rico's birth landscape has been negatively impacted by the island's history of colonialism, economic crisis', environmental changes, and changes in political power. This has culminated in a system with far too few midwives and obstetricians, as well as high surgical birth rates, low VBAC rates, high prematurity rates, and more. Both Tania and Tamara educate our listeners on these issues but also raise awareness to the community organizations who have the trust of the pregnant and postpartum families they serve and the work being done to better support the families of Puerto Rico.   If you are interested in joining with Tania and Tamara and volunteering your time or skills to help them reform the maternal health system in Puerto Rico, they are currently looking for volunteers with experience in law, public relations, funding, data collection, research, and writing. OR if you have resources, or access to connections that could help fund their work, please email [email protected].     Resources: Read about the history of Puerto Rico: ·  How to hide an empire by Daniel Immerwahr ·  Puerto Rico: What everyone needs to know by Jorge Duany   · Learn more about Caderamen, a nonprofit organization that has a service program that is called SePARE, which offers education and doula services, midwifery services and naturopathic medicine services, social workers, mental health by clicking here. · Learn more about the Asociación de Parteras of Puerto Rico here. · Learn more about Alimentación Segura Infantil, a community-based organization born after the impacts of Hurricanes Irma and Maria in 2017 to support breastfeeding and chestfeeding families in their lactation journeys by clicking here.  · Learn more about Observatorio de Violencia Obstétrica in Puerto Rico here. · Learn more about Las Mingas de Aborto, an abortion doula collective that offers free support in Puerto Rico here.    Check out the work by Puerto Rican journalist Biana Graulau here: https://www.youtube.com/@BiancaGraulau/videos   If you would like to read a transcript of this episode in Spanish, please visit the blog post here or you can watch the captions in Spanish on YouTube.   For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Follow us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 this episode of the Evidence Based Birth podcast, I talk with Marea Goodman of Restore Midwifery and Ray Rachlin of Refuge Midwifery, all about their work and their new book Baby Making For Everybody- A Guide for LGBTQ+ and Solo Parents.   Marea Goodman, CPM, pronouns she/her/they, is the licensed midwife specializing in pregnancy, birth, postpartum and conception care for the LGBTQ+ community. She's the co-author of the new book Baby Making For Everybody- A Guide for LGBTQ+ and Solo Parents and the founder of PregnantTogether, an online community for queer people and their allies throughout trying to conceive pregnancy and the postpartum.   Ray Rachlin, she/they, is a licensed midwife, certified professional midwife, author, and founder of Refuge Midwifery. Since 2017, Ray has been providing fertility care, home birth care, and community education throughout the greater Philadelphia area and South Jersey. Ray is also co-author of the book Baby Making For Everybody, which just came out in April 2023. Ray and her family live in West Philadelphia.   Marea and Ray join me to discuss their practices as queer midwives and the work they are doing to make the fields of midwifery, fertility, and reproductive health more inclusive, more transparent, and more accessible to the clients they serve. Through their new book, they have demystified and provide comprehensive education on everything regarding baby making from nutrition to legal matters. Their work is the definition reproductive justice – by inviting more families to be included and safe in this space.   Resources: ·       Follow Marea's work on Instagram @Restore_Midwifery ·       Follow Ray's work @refugemidwifery ·       Follow the impact of Marea and Ray's new book on Instagram @babymakingforeverybody and check for additional information and resources on their blog  ·       Join the community PregnantTogether  and on Instagram   Check out the following books: ·       Complete Lesbian Conception Pregnancy Birth. ·       Taking Charge Of Your Fertility    For legal information about family formation near you, check out Family Equality here https://www.familyequality.org   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 episode we are bringing back one of the most popular Signature Article episodes on the Evidence on Birthing Positions. Listen and learn more about: How upright birthing positions benefit pregnant people and babies, How common are upright birthing positions and understanding your options, Which birthing positions are best supported by evidence, and, For people with epidurals, which birthing positions are best supported by evidence. Read more about The Evidence on: Birthing Positions on the blog.  For parents - learn more about your options and sign up for the EBB Childbirth Class here . For birth professionals - get access to the full-length signature articles here.  Don't forget to join the conversation on social:  Instagram TikTok YouTube  

Content note: We strongly encourage you to listen to EBB Podcast Episode 277 The Evidence on PROM and check out our recently updated Signature Article on PROM here before listening to this episode.    Content Warnings: Discussion of viability, complications with preterm birth, causes of preterm birth, and racism.    On this episode of the EBB Podcast, we bring you a mini episode on the research on Preterm Premature Rupture of Membranes. We are excited to share this episode as an extension of the recent Signature Article update on PROM.    In this episode, I will cover the following topics:   What is Preterm Premature Rupture of Membranes (PPROM)? How Common is it?  What Causes Preterm Premature Rupture of Membranes (PPROM)?  When does Preterm Premature Rupture of Membranes (PPROM) occur? Treatment Options for Preterm Premature Rupture of Membranes (PPROM) Risks associated with Preterm Premature Rupture of Membranes (PPROM) Prevention of Preterm Premature Rupture of Membranes (PPROM) and Pre-Term Birth  Racism and Pre-Term Birth  Resources for PPROM   The PPROM Foundation: PPROM Facts Nationwide Children's Hospital: PPROM Facts Cleveland Clinic: Term PROM and PPROM Facts Continuing Education for Medical Practitioners: Premature Rupture of Membranes EBB Signature Article: Anti-Racism in Health Care and Birth Work The March of Dimes: PPROM  Read our Signature Article on GBS here  Read our Abortion Resource Guide here   Guidelines for PPROM American College of Obstetricians and Gynecologists 2020 (addresses both PROM and PPROM, free text not available) National Institute for Health and Care Excellence (UK) 2022 Queensland Health Clinical Guidelines 2018  Royal College of Obstetricians and Gynaecologists 2022 Society of Obstetricians and Gynaecologists of Canada 2022 (free text not available)   Listen to the following EBB Episodes and read the associated Signature Articles:  EBB 277 - Evidence on PROM  EBB 175 - Evidence on Midwives  EBB 265 - Evidence on Anti-Racism in Health Care and Birth Work  EBB 21 - Evidence on Doulas  EBB 240 - Top 5 Surprising Findings from the EBB Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes    For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based BirthChildbirth Class.  

On this episode of the EBB podcast, I talk with Nekisha Killings, IBCLC and founder of The Melanated Mammary Atlas®, all about cultural humility and educating clinicians and birth workers about identifying and diagnosing conditions that present in Black and Brown breasts/chests.   Nekisha Killings, holds a master's in public health (MPH) and is an international board certified lactation consultant (IBCLC). She's an equity strategist and maternal and child health advocate who speaks, teaches and facilitates on topics related to equity and dismantling bias across various sectors. She is also a director of equity, inclusion, and belonging with the Black Mothers' Breastfeeding Association and consults with organizations on implementing creative strategies to better support marginalized communities. As a leader in the field, she wrote the chapter titled Cultural Humility in the latest core curriculum for interdisciplinary lactation care and continues to wow audiences with new realizations that positively impact their approach to business and life.   Nekisha shares how she's working to change the face of lactation education and bring equity, inclusion, diversity and most importantly training and education to clinicians and birth workers around the normalization of Black and Brown breasts/chests, as well as, identifying and diagnosing clinical conditions that present on melanated skin. Not only is Nekisha working to revolutionize how we understand many pathologies in lactation, she shares how she has been entrusted to carry forward in the production of the pivotal Breastfeeding Atlas and ensure that future clinicians and folks vested in the lactation dyad have access to accurate, complete, and inclusive information.   Content Warning: Discussion of birth/lactation trauma and lack of diversity and inclusion in lactation training.   Resources:   Follow The Melanated Mammary Atlas® on Instagram  Follow Nekisha on Instagram    Learn more and subscribe to The Melanated Mammary Atlas® here  Learn more about Nekisha and her work here   Find The Breastfeeding Atlas here    Learn about the Black Mothers' Breastfeeding Association  Learn about Black Breastfeeding Week    Listen to EBB episodes:   EBB 214 - Supporting Pumping Parents in Lactation with IBCLC, Nichelle Clark EBB 211 - Supporting Expectant Families through Birth and Lactation with Birth Doula and EBB Program Team Assistant, Rikki Jenkins EBB 189 - Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams   For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 of the EBB Podcast, I talk with EBB Childbirth Class graduates, Dr. Maria Rosselson and Nim Guttman their surprise pregnancy, and equally surprising home birth.   Dr. Maria Rosselson is a physician practicing as a board certified ophthalmologist in the Chicago area. Her husband, Nim Guttman, is an architect. They've been married since 2016 and live with their dog, Asher.   Maria and Nim share their experiences taking the EBB Childbirth Class and how it resulted in an evolution of thought for Maria as a physician and discuss extensively what it was like to surprisingly grow their family well after they thought that chapter of their lives was behind them. Their life took a surprising turn when they found themselves unexpectedly expecting their first child, a baby girl, in the Fall of 2022. Their baby's arrival into the world was just as unexpected, an unanticipated, unplanned, unmedicated home birth.   Content Warning: discussion of unplanned pregnancy, unplanned home birth, and a 911 call. There is also a mention of witnessing a postpartum maternal death in medical school.   Resources: Learn about about the topics discussed in this episode at the following EBB resources: EBB Signature Article on Pregnancy at Age 35+ Natural Induction Podcast Series Pocket Guide to Induction Podcast Listening Guide  Learn about 312 Doulas here  Learn more about taking the EBB Childbirth Class with Heather McCullough here   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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 this episode of the EBB podcast, we interview Hakima Payne, founder and executive director of Uzazi Village, about her creation of the Village Circle, an innovative Afrocentric model of prenatal and postpartum care.    Hakima Payne, holds a bachelor's in nursing and a master's in nursing education. She is the founder of Uzazi Village, a nonprofit working to eliminate maternal health disparities in African American communities, as well as the founder of The Village Doula Program, which is a community-based home visiting community health worker program for pregnant families. She also created Chocolate Milk Cafe, a breastfeeding support group for Black families, the Village Circle, which is an Afrocentric group prenatal care model, and a curriculum called Culturally Congruent Care, which is an anti-racist medical education curriculum. Hakima sits on her local Fetal Infant Mortality Review board to address Black infant mortality and has been appointed by her city's mayor to serve as a health commissioner. Mama Hakima is a certified trainer for community health workers and she speaks nationally on the topics of Black maternal and infant health.    Ms. Payne works relentlessly to make birth safer, the village healthier, and to promote anti-racist models of care for African American families. She is the subject of a documentary that just came out called Sister Doula, and she's going to be featured in a second upcoming documentary called Pregnancy and Prejudice.    Hakima talks with us about her work in improving maternal health in Kansas City. Not only is Hakima bringing an innovative model of care to her community, that includes access to community-based, Afrocentric prenatal care, doulas, herbalists, a chef and more, she is proving that it works. Through partnerships with a team of epidemiologists and a local university, Hakima is able to measure and quantify their client experience and demonstrate how Uzazi Village improves birth and postpartum outcomes. Hakima discusses the unique aspects of the Village Circle model and why each piece is important to the care of the community.   Resources:  Learn more about Uzazi Village here (uzazivillage.org) Follow Uzazi Village on Instagram and Facebook.  Follow Hakima on Instagram @hakima_the_dreama Find a screening for the Sister Doula documentary here: sisterdoulafilm.com Watch the trailer for Pregnancy and Prejudice here. https://www.youtube.com/watch?v=cc43eQZX468 Listen to EBB Episodes:  EBB 274 - Honoring the Mothers of Gynecology with Michelle Browder EBB 260 - Midwifery, Community Birth Work, and Plant Medicine in Louisana with Ms. Divine Bailey-Nicholas EBB 229 - Evidence on Doulas: Community-Based Models, the Pandemic, and Reimbursement with the Research Team  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.  Sign up for the EBB Newsletter here.  Check out the Birth Justice page here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com.     

On this episode of the EBB Podcast, I am so excited to bring you brand new, evidence on premature rupture of membranes (PROM) at term!      We are releasing today's episode to celebrate the update of our Signature Article on the Evidence on PROM.     In today's episode, I am going to cover the following topics related to PROM: What are the membranes, and what does it mean to say they've "ruptured"? Membrane rupture can help prepare the body for the process of childbirth—but why? What is it like when your water breaks before labor? What are some risk factors that might increase the chances of your water breaking before labor? What is the "24-hour clock for PROM," and where did it come from? If you have PROM, how long does it take for labor to start on its own? How are GBS and PROM related? What does the research evidence say on Induction versus Waiting for Labor for term PROM? What are the professional guidelines? What is the Bottom Line? Resources: For a full list of resources and references please visit our blog on the Evidence on PROM here.   To read the full Signature Article on PROM and download our 1-Page Handout, click here.   Watch our special video on PROM on our YouTube Channel   Listen to EBB Episodes: EBB 268 – Debunk the Myths of Premature Rupture of Membranes, GBS, & Waterbirth with EBB Founder, Dr. Dekker  EBB 275 – A PROM, GBS, and Birth Center Transfer Story with EBB Childbirth Class Graduate, Emily Helgerson   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  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.

July 26, 2023 - For today's episode, we are highlighting one of our favorite podcast episodes with the replay of an interview with Lily Nichols, RDN, all about nutrition and real food in pregnancy. Content warning: gestational diabetes, high-risk pregnancies, food insecurities, "failed diet therapy", NICU, and interventions On today's podcast, we're going to talk with Lily Nichols, RDN, about nutrition and real food in pregnancy. Lily Nichols (she/her) is a Registered Dietitian Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for evidence-based prenatal nutrition. Her work is known for being research-focused, thorough, and critical of outdated dietary guidelines. She is co-founder of the Women's Health Nutrition Academy and the author of two books, Real Food for Pregnancy and Real Food for Gestational Diabetes. Lily's bestselling books have helped tens of thousands of families, are used in university-level maternal nutrition and midwifery courses, and have even influenced prenatal nutrition policy internationally. In this episode, we talk about the difference between eating real food and processed food in pregnancy, and the best ways to use nutrition to "stack the deck in your favor" for a lower-risk, healthier pregnancy. Lily talks candidly about the gap between evidence and nutritional practice, the importance of protein and choline in pregnancy, and why blood sugar management is so important in pregnancy. Resources: Read the Evidence Based Birth article on Diagnosing Gestational Diabetes here Visit Lily Nichols' website here: https://lilynicholsrdn.com Find the books "Real Food for Pregnancy" and "Real Food for Gestational Diabetes" on Amazon or wherever books are sold! You can also buy "Real Food for Pregnancy" at Lily's shop here Read Lily's article about protein in pregnancy here: https://lilynicholsrdn.com/protein-requirements-pregnancy/ Read Lily's article about 9 Myths about Gestational Diabetes: https://lilynicholsrdn.com/9-gestational-diabetes-myths/ Visit the Women's Health Nutritional Academy here: https://whnacademy.com/ Join Lily's Gestational Diabetes course here: http://realfoodforgd.com/online-course/ Follow Lily on Instagram @lilynicholsrdn For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), Click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On this episode of the EBB podcast, we are talking with Avital Norman Nathman, author and freelance writer about trends in birth and parenthood in the US.   Avital is a freelance writer and editor who focuses her work on motherhood, maternal health, gender and reproductive rights and justice. Her writing, which places a feminist lens on a variety of topics, including motherhood, maternal health, gender, reproductive rights, and cannabis, can be found in a variety of print and online articles for outlets like The New York Times, Teen Vogue, Rolling Stone, Cosmopolitan, VICE, and more.    Her first book, The Good Mother Myth: Redefining Motherhood to Fit Reality, provides a platform for diverse voices that often get left out of the conversations surrounding parenting. Avital is currently working on two new books. She is a co-editor for an anthology on abortion, and her upcoming book, The Perfect Birth Myth, combines research, expert analysis, and narrative experiences to look at the intersection of the birth industry and the health care system to understand how this ideal of the perfect birth came about, why it's a red herring, and how we can do better to ensure that all folks who are pregnant can have access to quality care and the chance at a birth that is safe and that they are comfortable with.   Avital discusses the evolution of "motherhood" from the early aughts and "Mommy blogging" to internet activism, connection, and the ongoing "mommy wars" of the internet. Additionally, Avital discusses her upcoming and ongoing projects related to writing about the current state of having a baby in the US healthcare system and political climate, while calling out the experiences of marginalized populations and bringing forth the less obvious but very important consequences of the Dobbs decision to overturn Roe v. Wade.   Trigger Warning: abortion, miscarriage, hemorrhage, Dobbs decision, Roe v. Wade, maternal healthcare deserts, birth trauma   Resources: Listen to the following podcast: EBB 87 – Cristen Pascucci on How to Disagree on Birth Topics – Respectfully! EBB 240 – Top Five Most Surprising Findings from the Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes Find EBB's Abortion Research Guide here: Ebbirth.com/birthjustice   Follow Avital's work: https://www.themamafesto.com Twitter: @themamafesto IG: @themamafesto

In today's episode, we talk with Emily Helgerson, an EBB Childbirth Class Graduate about how taking the EBB Childbirth class helped her navigate transferring from a birth center to the hospital after experiencing premature rupture of membranes while being positive for Group B Strep.   Emily Helgerson holds a Bachelor of Arts in elementary education in Spanish, with a minor in Italian, from the University of Minnesota and a master's in second language teaching with a focus on immersion from McGill University. Emily taught Spanish immersion elementary school before deciding to stay home with baby Teddy, after he was born. Her and her partner, Brad, live in Minneapolis with their toddler and two cats. In 2023, it was announced that Emily will be the new Dean of Skovsøen, the Danish language village in Northern Minnesota.   Emily shares how the Evidence Based Birth Childbirth Class provided tools, resources and preparation that her and her partner were able to practice throughout pregnancy and remain empowered when they faced a hospital transfer. Emily talks about her Golden Ticket team, with her partner, doula (who is also her mom!) and the team of midwives between the birth center and the hospital.     We will also introduce a newer research topic regarding placenta size, placental measurement and its correlation to newborn health outcomes.   Content Warning: Group B Strep, Antibiotics for group B Strep, Heart decelerations, birth center transfer to hospital     Resources:   Check out EBB's Signature Articles: EBB Signature Article on PROM EBB Signature Article on GBS   Follow Emily Helgerson's Parenting Group on IG @Common Ground Parenting    Listen to the following podcasts:  Listen to EBB 262 to hear about advocating for your newborn in the hospital Listen to EBB's Group B Strep Podcast Series here Listen to EBB's Webinar replay here Listen to Lisa Taylor's Podcast Birth Matters   Check out these pregnancy books   ·      Ina May's Guide to Childbirth ·      The Birth Partner ·      Mayo Clinic Guide to Your Baby's First Years ·      Pregnancy Day-by-Day book   Blooma's Prenatal Yoga Learn more about Spinning Babies here Subscribe to Jen McLellans pregnancy week by week here Learn more about Sharon Quinn's EBB Childbirth Class here

On this episode of the EBB podcast, we talk with Michelle Browder, artist, activist, and the creator of the Anarcha, Lucy, and Betsy Monument in Montgomery, Alabama, established to honor the three Mothers of Gynecology.   Michelle Browder is a nationally recognized artist, activist, and amplifier, bridging the racial divide through art, history, and conversation. Michelle's artwork has been exhibited in art galleries around the world, most notably, the Rosa Parks Museum located in Montgomery, Alabama. In September 2021, she created a monument to honor three enslaved women, Anarcha, Lucy, and Betsey, in Montgomery, Alabama. This monument is a reminder of the inhumane treatment and experimentation on enslaved Black bodies. The medical procedures that we have access to today in gynecology have been perfected because of them. The monument honors these Black women and all those that came after to correct the historical narrative around the beginnings of gynecology.   Michelle shares with us how she originally learned about the dark history of Anarcha, Lucy and Betsy and the inspiration to create a monument about the true founders of the field of gynecology. Not only is Michelle working to correct the history of gynecology, she discusses her progress and future plans to bring access, care, and healing to families and practitioners in the 21st Century, at the same site of the torture of Anarcha, Lucy, and Betsy, the Mothers of Gynecology. In the words of Michelle, y'all ain't ready! Trigger Warning: anti black racism, the use of the N-word, experimentation on enslaved women, sexual trafficking and sexual abuse, postpartum suicidal ideation. Resources: Follow Michelle's Work Instagram: @anarchalucybetsey Twitter @mothersofgyno and on Facebook     Sign up for Michelle's newsletter and learn more about the 2024 conference here https://www.anarchalucybetsey.org   Read the following books: Say Anarcha by J.C. Hallman and check out his informative YouTube series here  Take my Hand by Dolen Perkins and learn more about Relf Sisters here Medical Bondage by Dr. Deirdre Cooper Owens Under the Skin by Linda Villarosa  Learn about Africatown    Learn about what Evidence Based Birth is doing to fight racism and download free handouts here   Read more reproductive justice research on EBB's Birth Justice page

In this episode of the EBB Podcast, we dive into the updated research on Nitrous Oxide. I discuss the following topics:  What is Nitrous Oxide?  How is it used? How commonly is Nitrous Oxide used around the world?  How does Nitrous Oxide impact overall satisfaction in birth? What are the benefits of Nitrous Oxide? What are the risks of using Nitrous Oxide?  And lastly, as always, we will discuss the bottom line!  Resources & References For Practitioners  Association of Ontario Midwives: Nitrous Oxide Tip Sheet  For Parents  EBB videos/articles: Painless Birth and Pain Perception During Childbirth EBB Podcast: Episode 15: Nitrous oxide  EBB Podcasts: Birth Stories (5 birth stories with nitrous)  Episode 76: Pushing Through Anxiety in Birth with Parent Emily Fleenor  Episode 147: Long Preterm Birth with Caitlyn Martens  Episode 158: Empowering Hospital Birth Experience during COVID-19 with Fiona and Craig Castleton  Episode 163: Stress and Anxiety During Pregnancy with Nathalie Walton, CEO of Expectful  Episode 202: A Fast First-Time Birth Experience with EBB Childbirth Class Graduate, Haley Grachico Other Resources: News Articles  Contemporary OB/GYN: Nitrous oxide's revival in childbirth  Cosmopolitan: Why I Used Laughing Gas to Ease My Labor Pain  The Atlantic: Using Laughing Gas to Relieve the Pain of Childbirth  The New York Times: The Rise of Laughing Gas in the Delivery Room  NPR: Laughing Gas Gives Women Another Option to Manage Labor Pain NPR: Bill of The Month: $4,836 Charge for Laughing Gas During Childbirth Is No Joke Today: Laughing gas for childbirth is on the rise in the US. What took so long?  References  For a full list for references, please access https://evidencebasedbirth.com/nitrous-oxide-during-labor/  

In this episode we talk with Jessica King, an EBB Childbirth Class graduate, about their journey to parenthood and the importance of finding support networks before, during, and after pregnancy.     Jessica grew up in Upstate New York and then moved to Boston to get her Master's in architecture. While in Boston, she met her wife and fellow upstate New Yorker, Sarah. They started working on creating their family three years ago, and they welcomed their daughter this past November! Jessica and Sarah are graduates of the Evidence Based Birth Childbirth Class with EBB Instructor, Anna Sutkowski. Their family currently lives in St. Louis with their two dogs.   Jessica and her wife, a surgical resident, decided to take the EBB Childbirth Class to ease their anxieties and demystify the process of labor and delivery.   In this podcast episode, Jessica opens up about her family's struggles, setbacks, and joy in their journey from assisted reproduction to postpartum. Jessica also shares how she was able to use the skills and knowledge learned in the course to advocate for herself postpartum when she had difficulties with lactation and a postpartum mood disorder. We wrap up this episode by talking about how knowing you are not alone can make all the difference in the world.   Trigger Warning: assisted reproduction, ovarian hyperstimulation syndrome (OHSS), pregnancy loss, bleeding in pregnancy, epidurals, preeclampsia, newborn jaundice, and postpartum mood disorders.   Resources: Learn more about Anna Sutkoski and her EBB Childbirth Class 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.

On this episode the EBB Podcast, we talk with Brandi Jordan, the founder of The Cradle Company and the Dear Doula podcast, all about supporting infant mental health using a whole family approach.   Brandi is a board-certified lactation consultant, pediatric sleep specialist, newborn care specialist, and a postpartum doula. Brandi's work as a consultant, parenting group leader and in-home practitioner have led her to develop a unique philosophy of gentle parenting techniques that are pragmatic, practical, and a healthy approach for the whole family. In 2018, Brandi founded the National Association of Birth Workers of Color and currently hosts the Dear Doula podcast.   She holds a Bachelor of Arts in Child Development and a Master of Social Work from the University of Southern California where she's also an adjunct faculty lecturing in infant mental health and culturally competent mental healthcare.   Brandi talks with us about how to find our unique skills and assets to bringing our whole selves into birth work. Once you know what sets you apart, you can connect with the right clients for you to make this work more sustainable. Brandi believes that whatever you think might be your deficit in this work – is actually your assets – it is exactly the type of support certain clients will need. Additionally, she discusses the growing field of infant mental health and how we can support families across the spectrum of development and bring a more holistic and comprehensive approach, a whole family approach, to caring for infants in the prenatal and postpartum periods.   Resources:    Follow Brandi's work: Follow Brandi on Instagram Follow the Dear Doula podcast on Instagram here Listen to Rebecca Discuss Circumcision, Water Births, and Evidence Based Care on Brani's Dear Doula Podcast here Connect with the Cradle Company here  Listen to the following EBB Episodes:  EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin    

In this episode of the EBB podcast, we talk with Cheyenne Varner, the founder of The Educated Birth, about intersectional reproductive health and the importance of birth education to be more inclusive and representative.   Cheyenne, is a professional certified birth and postpartum doula and founder of The Educated Birth. The Educated Birth creates intersectional reproductive health education content, from online articles to social media posts to digital and print teaching tools for reproductive health workers. Cheyenne also publishes Everyday Birth Magazine, a print and digital magazine with the same mission to make information and education about pregnancy and postpartum more inclusive.   Cheyenne shares her journey from nonprofit work to doula work to now finding herself as the founder of The Educated Birth and the publisher of Everyday Birth Magazine. We discuss the importance of how we talk about pregnancy, how it is shown in pop culture and how most often, images and stories of pregnancy and childbirth are not realistic, representative, or inclusive of real people and their communities. Cheyenne has a passion for making everyone feel safe, seen and protected during vulnerable times. This is evident in how she centers all of her projects in the support, protection and education of communities who have historically been excluded from storytelling and imagery within the birth space.   Resources: Learn more about Cheyenne's work at ·      The Educated Birth   ·      Everyday Birth   ·      Life's work Documentary    Signup for one of Cheyenne's workshops here   Follow Cheyenne's work on Instagram: ·      The Educated Birth ·      Everyday Birth    Support Cheyenne's work on her Patreon here    Learn more about Roots Community Birth Center here Learn more about the Richmond Doula Project 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 Mini Q&A episode of the EBB podcast, I will be answering a variety of questions that have recently been asked of us, including:   1.    What if my hospital won't let my healthy newborn go home before 48 hours? 2.    Are modern ultrasounds better at detecting big babies? 3.    What's the maximum time a vacuum can be used during a vacuum assisted delivery? 4.    Does EBB have any new resources I should know about?   References/Resources: Read the AAP Guidelines on Hospital Stays for Healthy Term Newborn Infants here  Visit the NAABB here Read the U.S. Department of Labor article on the Newborns' and Mothers' Protection Act here  Read the UpToDate article on vacuum assisted delivery (subscription only) here  Resources Read the New Evidence Based Birth® Signature Article on Anti-Racism in Health Care and Birth Work (and links to all the free handouts) here   Check out the EBB Pocket Guide to Interventions here  Listen to the following EBB Podcast Episodes:  EBB Podcast 190 Updated Evidence on Big Babies  here  EBB Podcast 244 Evidence on AROM, AVD and Internal Monitoring here  EBB Podcast 265 Evidence on Anti-Racism in Healthcare and Birthwork here  Find an EBB Childbirth Class 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 will be sharing with you an excerpt from a live webinar featuring Dr. Rebecca Dekker all about debunking the myths of Premature Rupture of Membranes, GBS, & Waterbirth.  We discuss the following topics: The Updated Evidence on Premature Rupture of Membranes - There are two new meta-analyses on GBS-- but they have limitations and cannot be applied to countries that screen and treat GBS. New guidelines are included from ACNM, ACOG & the Association of Ontario Midwives. The myths on GBS - We review what the microbiome is, the influence of probiotics, and why antibiotics are used. How Waterbirth can be used for labor - We covered the differences in association guidelines of waterbirth, as well as, reviewed the significant results for the risks and benefits of waterbirth from the largest and highest-quality study on waterbirth to date! This is podcast breaks down the topics for parents and professionals to be informed and empowered! LECTURE HANDOUTS For lecture handouts from the webinar, click here: https://evidencebasedbirth.com/wp-content/uploads/2023/04/GBS-PROM-Waterbirth-Webinar-April-2023-for-Handout.pdf  EBB SIGNATURE ARTICLES Evidence on Premature Rupture of Membranes https://evidencebasedbirth.com/evidence-inducing-labor-water-breaks-term/   Evidence on Group B Strep: https://evidencebasedbirth.com/groupbstrep/  Evidence on Inducing for Due Dates https://evidencebasedbirth.com/evidence-on-inducin... Evidence on Waterbirth https://evidencebasedbirth.com/waterbirth/ EBB PODCASTS EBB 230 – An Inspirational Home Waterbirth Story with EBB Childbirth Class Parent Shelitha Owens EBB 223 – An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine EBB 261 – Mini Q&A on Group B Strep  EBB 257 –  The Evidence on Group B Strep in Pregnancy: Part 2 EBB 254 – The Evidence on Group B Strep in Pregnancy: Part 1    ADDITIONAL RESOURCES: Association of Ontario Midwives on PROM: https://www.ontariomidwives.ca/prom-term  Full list of References can be found on our blog post 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. Content warning: We will mention labor, medical interventions (i.e. antibiotics, epidural), hospital transfer, waterbirth, pain, premature rupture of membranes, gendered language, medications in labor, vaginal/pelvic birth, Group B Strep, inductions, cervical exams

May 17, 2023 - On today's episode we are honoring Pelvic Floor Awareness Month with a replay episode from one of our most popular episodes, an interview with Dr. Juan Michelle Martin all about pelvic floor health in both pregnancy and postpartum. Content warning: discussion of sexual function and dysfunctions in plain terms. In this episode, I will be talking with Dr. Juan Michelle Martin. Dr. Martin is a pelvic floor specialist for 13 years and now an Evidence Based Birth® Instructor. Dr. Martin is the owner and founder of JMM Health Solutions. She's created a few programs for pregnant individuals as well as two coaching programs, one of them being a 12-week program for people with endometriosis, and the other being a four-week program for individuals suffering from dyspareunia. We talk about the benefits of pelvic floor therapy for pregnancy and postpartum. We also talk about the importance of advocating for accessible pelvic care services. Learn more about Dr. Juan Michelle Martin here (https://www.jmmhealthsolutions.com/). Follow Dr. Martin on Instagram here (www.instagram.com/thepelvicperspective). View Dr. Martin's pelvic floor topic videos on YouTube for JMM Health Solutions here (https://www.youtube.com/channel/UCKNEkVefn_wLgrqlf4wyXHw).  Learn more about Academy of Pelvic Health (APH) here (https://aptapelvichealth.org/). Follow APH on Facebook here (https://www.facebook.com/aptapelvic/).  Learn more about Herman & Wallace here (https://hermanwallace.com/). Follow Herman & Wallace on Facebook here (https://www.facebook.com/HermanandWallace/).  Listen to recent EBB episodes about Pelvic Floor Health & Postpartum: EBB 256 - Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall EBB 264 - Top 3 Tips for Exercise in Pregnancy with Mamastefit For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), Click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On this episode of the Evidence Base Birth® Podcast, we talk with Barbie Christianson, RN all about fundal massage. We discuss what the evidence actually says about this routine procedure versus what happens in everyday practice, and why this practice continues to persist in routine preventative care.   Barbie Christianson is a nurse, community educator and advocate, as well as a parent of four young children. Their mission is to communally dismantle oppressive structures specifically in reproductive/perinatal healthcare while contributing to the expansion of existing Black and/or Indigenous led community-based care structures. Barbie's special focus is on addressing and eliminating obstetric violence using trauma informed perinatal advocacy, care, and education.   Barbie shares her passion and skills in trauma informed care with our audience by sharing useful scripts for obtaining informed consent, explaining how to guide patients in their own assessments and massage, and offers many ways to maintain a calm and compassionate nature to a procedure known as the "devil's massage." Content Warnings: Uterine/fundal massage, obstetric violence and assault, pospartum hemorrgage    Resources: Learn more about active management in the thrid stage of labor in our Signature Article: The Evidence on Pitocin During the Thrird Stage of Labor here Follow the BadAssMotherBirther in 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 this episode of the EBB Podcast, we talked with EBB Childbirth Class Graduates, Priscilla and Nathan Layman about how the Evidence Based Birth® Childbirth Class prepared them for a home birth and their unexpected hospital transfer with a NICU stay.     Nathan and Priscilla are happy parents who live and work in San Antonio, Texas. Nathan is a pipeline engineer and Priscilla splits her time between caring for their 19-month-old daughter and providing part-time psychotherapy services, as a licensed clinical psychologist.     Join us as Nathan and Priscilla share their experience learning advocacy skills reviewed in the EBB Childbirth class and how they were used during their daughter's unexpected NICU stay after their homebirth transfer. We also talk about their birth experience during the COVID-19 pandemic and how empowered they felt with their support team in birth and postpartum.     Content Warnings: 911 call, emergency transfer to the hospital for low oxygen state in a newborn, respiratory support for an infant in a neonatal intensive care stay.     Resources: Access EBB's Signature Article on The Evidence on: Waterbirth here Learn more about Deborah Persyn and Leche and Mimi lactation services here Find the book Bringing Home Baby and other resources by Gottman here Learn more about Lea-ann Goettsch's Evidence Based Birth Childbirth class and other services here  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.https://pubmed.ncbi.nlm.nih.gov/34773367/ Go to our YouTube channel to see video versions of the episodes 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 episode we are celebrating the release of Part 3 of our BRAND NEW Signature Article, "The Evidence on: Anti-Racism in Health Care and Birth Work!" EBB Research Editor Ihotu Ali, the lead author on this paper, talks with Rebecca Dekker about how  Evidence-Based Equity Tools are solutions that can collectively move Black and Brown voices, leaders, innovative programs, accountability conversations, supportive funding, and legislation from the sidelines to the mainstream. You can find all three parts of our NEW Signature Article, The Evidence on: Anti-Racism in Health Care and Birth Work here: www.evidencebasedbirth.com/antiracism Join the conversation to learn more about: Equity vs equality and diversity vs mending broken relationships The Evidence Based Equity Triad The Midwifery Model of Care - What about midwives in birth centers or other community spaces Community-Based Doulas - Support and mentor a doula of color and expand sustainability of the doula profession through employee benefit models Reparations and Transformative Justice - Transformative Justice in Leadership Challenges Additionally, learn how you can answer the call as a birth worker and become an ally in the fight for reproductive justice.  Resources:  Find the Black Birthing Bill of Rights® from the NAABB here    Find The Evidence on: Anti-Racism in Health Care and Birth Work here    All of our Free Handouts, including "Getting Started," "Quiz on Anti-Racism," "Afrofuturism in Birth" and "Fighting Anti-Black Racism in Birth" are available here Listen to EBB Episodes: EBB 136 – Solutions for the Crisis in American Maternity Care with Jennie Joseph here EBB 161 – Addressing Maternity Bias and Infant Care with Irth App Founder, Kimberly Seals Allers  Here EBB 170 Addressing Mistreatment in Childbirth Care with Birth Monopoly Founder, Cristen Pascucci here EBB 220 – Fighting Bias in the Birth Room with Irth App Founder, Kimberly Seals Allers Here EBB 229 Evidence on Doulas: Community-Based Models, the Pandemic and Reimbursement with the Research Team Here EBB 251 – Naseema McElroy, Founder of Financially Intentional, Shares her Courageous Story of Speaking up as a Labor and Delivery Nurse Here  Watch videos on Tranformative Justice:  Watch Adrienne Maree Brown discuss transformative justice here An example of Restorative Justice: (the Tinkerbell story) told in a YouTube video here  Find the Article, "Are corporations psychopaths?" here    Find the book on defensiveness: Why Do I Do That? Psychological Defense Mechanisms and the Hidden Ways They Shape Our Livesby Joseph Burgo here    Find a black birth worker near you at www.systemmidwife.com   Learn more about:  The Sheppard Towner Act of 1921 here Maternal Mortality Review Commissions here The life and legacy of Loretha Weisinger , the mother and founder of the community-based doula here About HealthConnect One, who offers trainings for community-based doulas around the country The Birth Sanctuary  Earth's Natural Touch doulas National Black Midwives Alliance Melanated Midwives The National Association for the Advancement of Black Birth Commonsense Childbirth  A Wombman's Way Warrior Midwife training Jamaa Birth Village Birth Center Equity Kentucky Birth Coalition  Learn Birthing Place BX and Womb Bus Follow Ihotu Ali's work on Instagram here Follow the Oshun Center for Intercultural Healing and their work in Minneapolis 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 Want to get involved at EBB?  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 Gina and Roxanne, the sister duo behind Mamastefit about how fitness can keep you comfortable and pain-free during pregnancy and birth.   Gina Conley and Roxanne Albert are the sister duo of MamasteFit. Together they offer childbirth education, specializing in labor and pelvic biomechanics and pre and postnatal fitness programming. Located in Aberdeen, North Carolina, you can train with them in person or you learn from them all over the world with their Instagram account and online classes. Additionally, Gina, has her master's in exercise science, runs the MamasteFit in-person perinatal fitness training facility and she discusses how she supports families as a birth doula. Roxanne, is a labor and delivery nurse, recently serving as a birth assistant in a freestanding birth center and tells us how being a student midwife influences her understanding of the body in birth.   Today, we talk with Gina and Roxanne about their own experiences being pregnant and how it inspired the creation of Mamaste Fit. They explain how an understanding of one's body during pregnancy and birth can impact the birth experience. We talk about fitness and how movement and pelvic biomechanics can minimalize pregnancy-related discomfort and prepare your body for labor.     Check out the resources below to follow along and learn more! Resources: Find MamasteFit on social media:  Instagram  Facebook  YouTube  For more information about their courses and offerings, check out their website here Listen to EBB Episode EBB 256 - Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall, Found of Core Exercise Solutions here EBB 155 - Pelvic Floor Health in Pregnancy and Postpartum with Dr. Juan Michelle Martin here EBB 196 - Pelvic Biomechanics and movement in Labor with Brittany Sharpe McCollum here  EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker 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 Sabia Wade about her new book, Birthing Liberation: How Reproductive Justice Can Set Us Free.   Sabia Wade (she/ they) is the founder of Birthing Advocacy Doula Trainings, an accessible and inclusive training program for community care workers, and the founder of For the Village, a nonprofit providing doulas at no or low cost to low-income and marginalized communities in San Diego, California, as a coach, board member, investor, educator, and programming development consultant for organizations throughout the birth and reproductive health space. Every part of Sabia's work centers on liberation of all people through Reproductive Justice.   Sabia talks with us about the process of writing a book for birth workers about Reproductive Justice and how we can create the future we want for all birth people. Sabia introduces us to the ideas of Birth Neoterism and Black Luxury. Through these key concepts, Sabia shares how we can learn from our history, find hope in our present and recreate the future of birth in America. Sabia's hope for the readers of their book, is that they are able to engage on their own journey in interacting with the book and connecting through the storytelling and working through the somatic exercises to work through trauma and towards healing. In those spaces of healing and caring for ourselves can we begin the process of collective liberation.                                                                                                                                        Resources: Find Sabia's book Birthing Liberation: How Reproductive Justice Can Set Us Free here Follow Sabia's work here  Follow Sabia on Instagram here Sign up for The Birth Neoterist Newsletter here  Listen to EBB's previous interview with Sabia, EBB 124 - Health Disparities, Advocacy and the Coronavirus with Sabia Wade here Listen to EBB 251 - Nasmeea McElroy, Founder of Financially Intentional, Shares her Courageous Story of Speaking up as a Labor and Delivery Nurse Find the book, Transformed by Birth by Brita Buchnell 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 Emily Chandler and Taylor Washburn, EBB Childbirth Class graduates about their experiences in the childbirth class; their informed and empowered hospital birth; and how they navigated an extended hospital stay for newborn jaundice.   Emily, is a marine scientist, and Taylor, is a teacher and rowing coach in the Boston area. Together, they love hiking, biking, rowing, and taking advantage of the great outdoors. And they're also very busy taking care of their baby. While pregnant, Emily dove headfirst into learning about pregnancy, birth, and the state of maternity care in the United States. Emily and Taylor took the Evidence Based Birth Childbirth Class with EBB instructor Chanté Perryman.   Emily and Taylor share their experiences in the EBB Childbirth Class and how that informed many of the decisions they made regarding their birth plan, including Taylor being both inspired and empowered to "catch" their baby. They also share how they used the advocacy skills learned in class to better communicate with their providers and each other. After experiencing the birth they desired, complications arose when Emily experienced difficulty breastfeeding and inadequate lactation support. Difficulty was further exasperated when their newborn was diagnosed with jaundice leading to an extended hospital stay. Content Warnings: extended hospital stay due to newborn jaundice, "yellow baby," difficulty breastfeeding, syringe feeding, lack of lactation support poor latch, heel pricks and bilirubin testing, treatment for elevated bilirubin, poor outcomes for Black and Brown infants with jaundice Resources: Access the CDC article on Jaundcie here Access the Evidence Based Birth® Signautre Articles on:  The Evidence on Premature Rupture of Membranes here  The Evidence on Group B Strep here  The Evidence on Pitocin® in the Third Stage here Listen to EBB 145- Fatherhood and Advocacy in Birth with JacMichael Perryman here Listen to EBB 244 - Evidence on AROM, AVD and Internal Monitoring here  Learn more about Chanté Perryman's EBB Childbirth Class and services here or on her Instagram account @babydreamsmc Learn more about The Nest Collaborative for lacation support here References:  Here are the scientific references on jaundice for the blog article: ·      Dunn, P. M. (2003). Dr Erasmus Darwin (1731–1802) of Lichfield and placental respiration. Arch Dis Child Fetal Neonatal Ed;88:F346– 8. ·      Katheria, A. C., Lakshminrusimha, S., Rabe, H., et al. (2017). Placental transfusion: a review. Journal of Perinatology; 37:105-111. ·      McDonald, S. J., Middleton, P., Dowswell, T., et al. (2013). Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD004074 ·      Ashish, K. C., Rana, N., Malqvist, M., et al. (2017). Effects of Delayed Umbilical Cord Clamping vs. Early Clamping on Anemia in Infants at 8 and 12 months: A Randomized Clinical Trial. JAMA Pediatr;171(3):264-270. ·      Mercer, J. S., Erickson-Owens, D. A., Deoni, S. C. L., et al. (2018). Effects of Delayed Cord Clamping on Four-Month Ferritin Levels, Brain Myselin Content, and Neurodevelopment: A Randomized Controlled Trial. ·      Andersson, O., Lindquist, B., Lindgren, M., et al. (2015). Effect of delayed cord clamping on neurodevelopment at 4 years of age: a randomized clinical trial. JAMA Pediatr;169:631–8. ·      CDC article on Jaundice: https://www.cdc.gov/ncbddd/jaundice/facts.html   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 bonus episode, we wrap up our 2-part series on Group B Strep in Pregnancy, where I answer some of your questions following the first two episodes. Here are the questions answered in this bonus episode: Is it possible to retest between an initial GBS swab and going into labor? Are there things that can be done to get a negative test before labor occurs? If you are GBS positive in one pregnancy, are you likely to be positive in subsequent pregnancies? Discussion about an important limitation to one of the studies in our GBS update. Discussion about risk factors and the "Other Risk Factor" approach vs the Universal Screening approach Is there evidence for screening for GBS twice in the same pregnancy? Make sure you listen to Part 1 and Part 2  to review the updated GBS research. Resources: Listen to EBB 254: Group B Strep in Pregnancy Part 1 here Listen to EBB 257: Group B Strep in Pregnancy Part 2 here Listen EBB 87: Cristen Pascucci on How to Disagree on Birth Topics Respectfully! here Learn more about the use of antibiotics in labor in our Pocket Guide to Labor Interventions  References: Parente V, Clark RH, Ku L, Fennell C, Johnson M, Morris E, Romaine A, Utin U, Benjamin DK, Messina JA, Smith PB, Greenberg RG. Risk factors for group B streptococcal disease in neonates of mothers with negative antenatal testing. J Perinatol. 2017 Feb;37(2):157-161. doi: 10.1038/jp.2016.201. Epub 2016 Nov 17. PMID: 27853322; PMCID: PMC5280520. Kabiri D, Hants Y, Yarkoni TR, Shaulof E, Friedman SE, Paltiel O, Nir-Paz R, Aljamal WE, Ezra Y. Antepartum Membrane Stripping in GBS Carriers, Is It Safe? (The STRIP-G Study). PLoS One. 2015 Dec 31;10(12):e0145905. doi: 10.1371/journal.pone.0145905. PMID: 26719985; PMCID: PMC4697801. 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 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 [email protected] 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.

Have you ever thought about what position you would like to use to give birth? Most movies and television series depict birthing positions such as back-lying or semi-sitting in bed. But many people, if given the choice, instinctively choose a more upright position for birthing their baby—such as hands-and-knees, squatting, or kneeling. What is the evidence on the different positions that can be used to help push your baby out? And why are the lying or semi-sitting positions so frequently recommended (or even required) in hospital settings? Join Dr. Rebecca Dekker, the founder of Evidence Based Birth, as we explore in-depth evidence on this topic! To learn more about the research on this topic, and to download a free 1-page handout, visit ebbirth.com/birthingpositions. This podcast is also posted on our YouTube channel in case you want to access the video. Content Note: perineal tears, the lithotomy position, forceps and vacuum deliveries, and obstetric violence related to being coerced or forced to push and deliver on your back.   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article and download our 1-page handout... Evidence on: Birthing Positions  Other relevant episodes: EBB 196: Pelvic Biomechanics and Movement in Labor EBB 221: Birthing Positions and Tried-and-True Midwifery Practices EBB Podcast Series on Protecting the Perineum EBB 224: Failure to Progress or Failure to Wait To listen to stories from parents who switched providers after learning the evidence, visit EBB Podcast episodes #127, 186, 208, 223, and 231 For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on: TikTok (https://www.tiktok.com/@ebbirth) Instagram (https://www.instagram.com/ebbirth/ ), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), Click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth  Childbirth Class.

October 5, 2022 – In honor of National Midwifery Week, I am so excited to present to you a podcast replay with the esteemed midwife Jennie Joseph.  Jennie was featured on EBB episode 136 in 2020, and since then she has gone on to become the first Black midwife to own an Accredited Midwifery school (Commonsense Childbirth School of Midwifery) in the U.S.. Jennie was also announced as Time Magazine's Woman of the Year in 2022! If you haven't listened to this episode yet, you should!! I was on the edge of my seat the whole time Jennie was talking— she blew me away with her passion, her wisdom, her ability to call out nonsense, and her storytelling prowess. So, if you're interested in learning more about the crisis in U.S. childbirth care, and what we can do about it… please educate yourself with this replay of Episode 136 with Midwife Jennie Joseph, a true change agent! Replay – In this episode I welcome Jennie Joseph, one of the world's most respected midwives and authorities on women's health. She's a true advocate for systematic reform that puts families first in health care. Jennie is the founder and executive director of Commonsense Childbirth, Inc., and is also creator of The JJ Way®, a patient-centered model of care.  Jennie has worked in European hospitals, American birth centers, clinics, and home birth environments. She's been instrumental in the regulation of Florida midwives, and currently owns a Florida-licensed midwifery school, the Commonsense Childbirth School of Midwifery. Jennie speaks worldwide to doctors, other practitioners, policy makers, and members of the U.S. Congress, including testifying at Congressional briefings on Capitol Hill.  Jennie and I talk about solutions for the crisis in American maternity care. Don't miss this powerful conversation. Trigger Content Note: This episode contains discussion of hysterectomy with non-consented ovarian removal, slavery, the prison and medical industrial complexes in the U.S., racism causing preterm births, racial discrimination during postpartum hemorrhage, and there will be use of gendered language. Resources:  Click here (https://commonsensechildbirth.org/) for information on Commonsense Childbirth Inc., and here (https://savinglives.biz/the-jj-way/) to learn about The JJ Way. For more on the Commonsense Childbirth School of Midwifery, click here (https://commonsensechildbirth.org/midwife-and-doula-training/). Learn about the National Perinatal Task Force here (https://perinataltaskforce.com/). Follow Jennie Joseph on Facebook (https://www.facebook.com/MidwifeJennie/), Instagram (https://www.instagram.com/iamjenniejoseph/?hl=en), and Twitter (https://twitter.com/JennieJoseph?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor) For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us: Instagram (https://www.instagram.com/ebbirth/),  Pinterest (https://www.pinterest.com/ebbirth/), and TikTok (https://www.tiktok.com/@ebbirth)  Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/), Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), Click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

In today's episode, hosted by Evidence Based Birth® founder, Dr. Rebecca Dekker, along with Doctoral Candidate Tyler Jean Dukes, we talk about the five most surprising findings from compiling the EBB Abortion Research Resource Guide: 5) Research on the demographics of who has abortions as well as statistics on who supports/opposes abortion, 4) Historical research on the last time abortion was illegal in the U.S., and how the historical oppression of midwives relates to past campaigns against abortion, 3) Statistics on why so few people view adoption as a viable "alternative" to abortion, 2) History (past and present) of officials trying to "protect" fetuses while abusing pregnant people in immigrant detention centers, and 1) the funding and goals of crisis pregnancy centers, which outnumber abortion clinics in the U.S. threefold. The Abortion Research Resource Guide that we discuss in this podcast is available at: ebbirth.com/birthjustice. The Birth Justice page also features a video that our team recorded, explaining how the overturning of Roe v. Wade impacts our audience of childbearing families and birth workers, what we decided to do in response, and our boundaries for engaging with the public on this topic. TRIGGER WARNING: in this topic we will be talking openly about abortion research and history, which can be a very triggering topic. If, while listening to this podcast or reading the transcript, you feel your heart rate going up, or feel foggy, angry, intensely emotional, or unable to shake a past memory, it could be that you are experiencing a trigger. A trigger is a sign that you need to turn inward to process these emotions, and not outward to lash out at us. Some tips for inward processing include journaling, going outside, meditating, praying, breathing, holding and being physically close to a loved one, or talking with a trusted friend or counselor. We will also not shy away from talking about the history of racism, genderism, and how these topics inter-relate with abortion. We will also use a mix of gendered and gender-inclusive language, depending on the era of when the research was published and the population that was being studied. Other topics discussed include: · Maternal mortality · Slavery · Abuse in Immigrant detention centers · Religion · Adoption OUR BOUNDARY: prior to sending questions or comments to us on this topic, that you first watch the video mentioned above (or read the transcript) and then read the "Read Me First: FAQ" document inside of the Abortion Research Resource Guide, as your questions are most likely answered inside that document. IF you still have questions after looking at the Read Me First document, then you can submit feedback via the feedback form inside the Abortion Research Resource Guide. The feedback form is the best way to communicate your thoughts with us. We thank you for respecting our boundaries in this matter. Resources & References: SisterSong Reproductive Justice Definition  For a full list of scientific and book references, see the blog post that goes along with this topic.  Access the FREE EBB Abortion Research Resource Guide hosted at ebbirth.com/birthjustice. This podcast is also posted on our YouTube channel in case you want to access the video: https://youtube.com/evidencebasedbirth. For more information and news about Evidence Based Birth®, visit https://evidencebasedbirth.com. Find us on: Instagram (https://www.instagram.com/ebbirth/ ) Pinterest (https://www.pinterest.com/ebbirth) TikTok (https://www.tiktok.com/@ebbirth)   Ready to get involved? Check out our EBB Professional Membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ). Click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.

A Dream Preterm Birth Experience in Brazil with EBB Parents, Luciana Arraes and Jonathan Moyer On today's podcast, we're talking with EBB Childbirth Class parents, Luciana Arraes and Jonathan Moyer, about their preterm birth experience in Brazil and how their preparation and knowledge paired with a "Golden Ticket" birth team provided the birth of their dreams. Luciana (she/her) is a Brazilian violinist who plays in the National Theater Symphony in Brasilia, Brasil. Luciana is married to Jonathan (he/him), who is an American pianist who has a large studio of piano students. Together, they welcomed their baby in July at 35 weeks gestation. We talk about their experience taking the EBB Childbirth Class, where they learned how to recognize all the phases of labor, and how having a "Golden Ticket" birth team helped them get exactly what they wanted in the birth of their baby. We also talk about supporting the baby, by providing care for the birthing parents.  Content Warning: Pre-term labor, jaundice, infant weight loss, bodyfeeding supplementation with a cup, advocacy, and gendered language. This podcast is also posted on our YouTube channel in case you want to access the video. Resources: Livre Maternagem and follow on instagram @livrematernagem Birth Reborn (O Renascimento do Parto) - Documentary  March of Dimes - Preterm Labor & Baby Follow Luciana and Jonathan on Instagram @luciana.arraes and @jomopiano, respectively.  For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on: Instagram (https://www.instagram.com/ebbirth/ ), Pinterest (https://www.pinterest.com/ebbirth/ ), and  TikTok   Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ) Click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with Licensed Clinical Social Worker, Brandon Diggs Williams (he/him), BSW, MSW, LCSW, about Black fatherhood, parenting in partnership, self-care, and fighting anti-Black racism. Mr. Williams currently works full-time at the Durham VA Medical Center (DVAMC), providing individual, couples, and (primarily) group therapy through the VA. He specializes in personal/spiritual development, transformative thinking, and cultural competency with a focus on the Black community. Mr. Williams is involved in multiple efforts that contribute to ally-ship, diversity and inclusion, and anti-Black racism efforts at the departmental and facility level at the Durham VA. He created, developed, and facilitates "The Invisible Struggle" therapeutic group which focuses on providing clinical mental health care for veterans dealing with stress unique to Black people in America. And serves on multiple boards/teams at the DVAMC including: The Antiracism and Black Equity Advisory Board, the Diversity and Inclusion Workgroup, and the Social Work Service Social Justice Committee. He created and leads a community organization called "Lion Tamers" that is dedicated to the holistic development of Black men. In this episode, we talk about Mr. William's balance of self-care, and self-awareness in the changing family dynamic, and the partnership between he and his wife. Content Warning: We mention anti-Black racism, internalized racism, and Christian beliefs related to gender roles. This podcast is also posted on our YouTube channel in case you want to access the video. EBB 145 – Fatherhood and Advocacy in Birth with JaMichael Perryman EBB 189 - Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams Go to our YouTube channel to see video versions of the YouTube episodes listed above!! Follow Brandon Diggs Williams on Instagram @thediggsmethod You are The Best Thing by Tarana Burke and Brené Brown White Fragility by Dr. Robin DiAngelo Key & Peele - Black Ice Video Jane Elliot Experiment - PBS - Frontline - "A Class Divided" Me and White Supremacy by Layla F. Saad The Mis-Education of the Negro by Dr. Carter G. Woodson The Unapologetic Guide to Black Mental Health by Dr. Rheeda Walker, PhD   For more information and news about Evidence Based Birth®, Visit www.ebbirth.com Instagram (https://www.instagram.com/ebbirth/ ) Pinterest (https://www.pinterest.com/ebbirth/ ) Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with Nikki Hunter-Greenaway, Nurse Practitioner and IBCLC, about the formula shortage this year and meeting your community at where they are to provide the concierge reproductive health care they deserve. Nikki Hunter-Greenaway, AKA, Nurse Nikki is a board-certified family nurse practitioner and International Board Certified Lactation Consultant. Nikki is the proud owner of Bloom Maternal Health, which provides Telehealth and house calls to pregnant and postpartum families in both Texas and Louisiana.  In 2018, she co-founded the New Orleans Breastfeeding Center and Café au Lait Breastfeeding Circle for families of color, and co-founded Nikki and Nikki Lactation Career Consultants to help Black, Indigenous, and People of Color demystify the path to becoming an IBCLC. Her goal is to improve maternal health outcomes through community education, peer mentorship, and patient-centered care. We will talk about challenges and insights Nurse Nikki experienced during her journey to becoming a lactation consultant. We also talk about cultural barriers in lactation, the importance of meeting folks where they are, and the effects of the formula shortage on the communities she serves. Content warning: We will discuss the cultural barriers and in the field of lactation, gendered language (breastfeeding), plus mentions of historical trauma, horizontal violence, formula shortage, maternal mortality rates, infant mortality rates, abortion, postpartum depression, classism, Black maternal disparities, and racism.   Resources: Nikki's FNP and IBCLC practice: Nurse Niki NP Cafe au Lait in New Orleans Follow Nikki on Instagram @nursenikkinp and on YouTube at "Nurse Nikki NP"  EBB 189 – Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams  WHO International Code of Marketing of Breast - Milk Substitutes  Go to our YouTube channel to see video versions of YouTube episodes you listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on: Instagram (https://www.instagram.com/ebbirth/ ), TikTok (https://www.tiktok.com/@ebbirth), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Apply to be an EBB Instructor here (https://www.evidencebasedbirth.com/instructor ) Click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class

In today's podcast, we're going to be talking with EBB Childbirth Class Parent, Katie Kane about the birth of her second baby. Unexpectedly, her second baby was in a breech position, leading to a surgical birth after the unmedicated vaginal birth of her first baby.   Katie Kane is a high school counselor who lives in New Jersey with her two daughters, husband, and dog Roscoe.   Katie is the first EBB Childbirth Class graduate to tell both of her birth stories on the Evidence Based Birth® Podcast!   Katie talks about her journey with a breech baby, including all of the tools and techniques she used for support throughout her pregnancy. Ultimately, the baby persisted in the breech position, and she was able to experience a family-centered cesarean by speaking with her birth team.   Katie's story is perfect for anyone planning a cesarean or writing a cesarean birth plan. She talks about healing physically, and emotionally, and speaks of advocating for her family's wishes amid an unplanned surgical birth.     Content warning: breech birth, unexpected cesarean birth, fear of death, postpartum anxiety, perinatal anxiety, postpartum rage, thoughts/fears of maternal death and includes some gendered language.   Resources: Listen to Katie's first Interview with Rebecca here: EBB 127 – An unmedicated hospital birth with Katie Kane Chiropractic Prenatal Care & the Webster Technique: https://icpa4kids.com/training/webster-certification/webster-technique/ Spinning Babies (for fetal positioning/breech babies): https://www.spinningbabies.com EBB 111 – Positioning Breech Babies with Dr. Elliot Berlin EBB 171 – The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB 172 – Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB 173 - Evidence on External Cephalic Version for Breeched Positioned Babies Take the EBB Childbirth Class and find an Instructor near you! https://evidencebasedbirth.com/childbirth-class/ 

  In today's episode, hosted by Evidence Based Birth® founder, Dr. Rebecca Dekker, we talk about four major topics related to updated research evidence on IV Fluids: 1) research on how IV Fluids can affect the length of labor, 2) research on how IV Fluids can impact breast/chest/body feeding, 3) the relationship between fluids, newborn weight, and blood sugar levels, and 4) finally, review the current recommendations surrounding IV use in labor. This podcast is also posted on our YouTube channel in case you want to access the video  As a content note, this episode includes a discussion of newborn weight drop, newborn feeding struggles, and Cesareans.  The current episode is taught by Rebecca Dekker, PhD, RN (she/her). Dr. Dekker is a nurse with her PhD, who is the founder and CEO of EBB.   Content warning: Cesarean, breastfeeding/chestfeeding struggles, infant weight drop   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article blog post and download our 1-page handout on: Evidence on: Eating and Drinking During Labor Evidence on: IV Fluids During Labor Evidence on: Failure to Progress  Additional podcasts to listen to include: EBB 12 - Epidurals & Breastfeeding EBB 104 – The Evidence on Saline Locks Go to our YouTube channel to see video versions of the YouTube episodes you listed above!!   For more information and news about Evidence Based Birth®, visit www.ebbirth.com.  Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Become an EBB Instructor with Applications opening April 24th! https://www.evidencebasedbirth.com/instructor  Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.

In this week's podcast I interview Cheri Grant RN, ICCE, CLC, ICD, CLD, CD BDT(DONA), known in the birth world as "the peanut ball lady." She is the founder, chief contributor and inspiration for Premier Birth Tools. For over 45 years, she has served women as a labor and delivery nurse, childbirth educator, lactation consultant, national speaker, author, doula, and doula trainer. She has helped with well over 2,700 deliveries in the span of her career. Cheri is also the founder of Tulsa Doulas, a community group that has helped train and support doulas for over 20 years. Cheri's interest in peanut balls began when she first saw their use in labor in 1985. At that time, they were just straddled. In the 2000's, the usage of peanut balls was refined to the side-lying position, and interest in them began to grow among birth professionals. They are used with and without an epidural, and can be effective in shortening labor. Premier Birth Tools promotes education via its website, as well as Peanut Ball Ambassadors and Authorized Peanut Ball Trainers. Cheri discusses peanut ball positions and other new information on this tool. Content Warning: Episode contains gendered language.  Resources: Connect with Cheri at the Premier Birth Tools website and Facebook page. Purchase her book The Peanut Ball: Basic and Advanced Techniques. Contact Premier Birth Tools for a free information packet for doulas, L&D nurses, midwives and nursing instructors. Learn more about the Evidence on: Birthing Positions Signature Article here For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options), our Instructor Program and, for parents, check out our Childbirth Education Classes 

On today's podcast, we're going to talk with the founder of Every Baby Eats, licensed clinical social worker, and IBCLC, Kristin Cavuto Kristin Cavuto, pronouns she/they, is a licensed clinical social worker in IBCLC and private practice in central New Jersey. Her practice specialties are low supply, parental and infant mental health, and the intersection of ethnicity, sexual orientation, and gender in the care of the new family.   Kristin is the mother of two children who nursed full-time despite maternal insufficient glandular tissue (IGT) and who are now 16 and 13. Kristin is also an anti-racist activist and an LGBT+ activist, a member of Transformative Works fandoms, and makes fighting for a better world part of their daily life. We talk to Kristin about supporting families struggling with feeding infants in a realistic, family-centered, and non-disparaging way. We also talk about fatphobia as a form of oppression and marginalization in medicine and birth and what we can all do to challenge bias and model acceptance Content warning: We mention the intersection of fatphobia and racism.   Resources: EBB 99 – Plus Size Pregnancy and Birth with Jen McLellan  Harvard Implicit Bias Test Fat Phobia Scale Revisited by Robinson, Bacon, et al.  HAES (Health at Every Size) The Body is Not An Apology  National Association for the Advancement of Fat People  To follow Kristin on Facebook  Kristin's current project: https://www.everybabyeats.com/

Today, we are going to explore brand new updates to the Evidence Based Birth® Signature Article, Evidence on: Eating during Labor! We talk about four major topics:  Nutritional needs during labor New info on gestational or pre-gestational diabetes and eating during labor New research on anesthesiology and its relationship to eating and drinking during labor, and Finally, how body mass index and fatphobia relate to anesthesia concerns, and what that has to do with eating during labor.    Content Warning: pregnancy-related death, anesthesia-related death, fatphobia and anesthesia, microaggressions related to health care workers' reaction to ethnic foods   Resources: Refer to previous podcast episode: EBB 198 - Evidence on Eating & Drinking (linked on blog post below) Check out our Signature Article… Evidence on: Eating and Drinking during Labor at Check out our Signature Article... Evidence on: IV Fluids on Labor Check out our Signature Article... Evidence on: Diagnosing Gestational Diabetes Fat Phobia and It's Racist Past and Present: https://www.npr.org/transcripts/893006538 For a full list of scientific references, see the blog post that goes along with this episode

Today, I am so excited to present to you a replay of one of our most popular episodes on the Evidence Based Birth® podcast, and that is an episode from 2020 with special guest, Shafia Monroe. Before we get started with the replay, I wanted to let you know that this episode contains discussion of Black infant and maternal mortality related to racism, slavery and Jim Crow, and racism that continues to affect people's lives today.   Shafia gave us such an inspirational episode in 2020, that we wanted to bring it back for those of you who are new to EBB, or for those of you who've listened to it before. Whenever I listen to this episode, it fills me with a sense of awe for Black traditional midwives, and it gives me hope while it reminds me of the tenacity of the human spirit. So join us today as we replay this episode and you go on a storytelling journey with Mama Shafia Monroe about spirituality and traditional midwives. In today's podcast episode, we're going to talk with Shafia Monroe about the role of the traditional midwife. Shafia Monroe is a public health professional, a midwife, a motivational speaker, founder of the International Center for Traditional Childbearing, or ICTC, which was the first US-based black midwives and doulas professional organization. Shafia is also an author, infant mortality prevention specialist, doula trainer, and president of Doula Ready, LLC. Since 2002, she has trained thousands of people in doula trainings, with one-third of them going on to become midwives. In 2012, Shafia received her Master of Public Health from Walden University. In 2014, she opened Shafia Monroe Consulting, a cultural competency training service. Shafia has received numerous awards for her work, including the Lifetime Achievement Award and the Midwife Hero Award. In this podcast, Ms. Monroe discusses the history of Black traditional midwifery and incorporating spirituality into birth work. We also talk about Shafia's experience becoming a traditional Black midwife, along with her passion for advocacy in birth work through her doula program and her community. **Trigger Content Warning: This podcast episode discusses racism and infant loss.** Resources Learn more about Shafia Monroe and SMC Full Circle Doula Birth Companion Training here (https://shafiamonroe.com/). Follow Shafia on Instagram and Black Midwife Cooking here (https://www.instagram.com/shafiamonroe/).   Follow Shafia on Twitter here (https://twitter.com/Shafia_SMC). Follow Shafia on Facebook here (https://www.facebook.com/shafiamonroeconsulting/).  Click here (https://evidencebasedbirth.com/birth-justice/) to see the Evidence Based Birth® list of Birth Justice Resources, including research on racism and maternal health. More resources are listed on the the blog post at https://www.evidencebasedbirth.com/152  

On today's podcast, we're going to talk with Melek Öz about vaginal birth after Cesarean (VBAC), advocacy, and becoming a home birth midwife! Content note: Mention of weight loss and racism. Melek Öz (she/her) is a home birth midwife living with her family in South Austin, Texas. She moved to Austin in 2001 to attend the University of Texas, where she completed both her undergraduate studies and law school before transitioning to birth work. Melek has been active in birth advocacy for more than a decade throughout her childbearing years and now as a home birth midwife. With her first pregnancy, Melek was told by her OB that her pelvis was "too small." She was pressured into an early induction that turned into a preventable Cesarean. Fresh out of surgery, Melek's OB told her, "Now that you've had one Cesarean, all your babies will have to be born by Cesarean." In this podcast episode, Melek goes on to share her subsequent birth stories, in which she had a CBAC (Cesarean Birth after Cesarean) under general anesthesia, as well as a vaginal birth after 2 C-sections (VBA2C). Midwifery care helped her have "a really joyous and an incredible experience, and I'm lucky that I had all 3 experiences that I did, because it helped kind of round out and balance my views on birth." Melek went on to pursue a career as a doula and eventually a home birth midwife! In this episode, we talk about the power of midwifery care, unpacking racism/classism and how it affects midwifery students, and how we can advocate for VBAC access in our communities. She also gives great tips for people who are considering a VBAC or thinking about going into midwifery! Resources: Follow Melek Öz on Instagram (@midwifemelek) and visit her website at http://www.midwifemelek.com/ EBB Podcast #113: The Evidence on VBAC EBB Podcast #209: Providing Unbiased VBAC Access and Support with Jen Kamel of VBAC Facts Visit the VBAC Facts website: https://vbacfacts.com Visit the International Cesarean Awareness Network website https://www.ican-online.org/ EBB Podcast #224: Failure to Progress (info on racist beliefs about pelvic shapes) Tema Mercado teaches workshops on decolonizing apprenticeships at La Matriz Birth (https://www.lamatrizbirth.com/) and @matrizmidwife on Instagram Luz de Atabey (https://www.instagram.com/lampatx/) project in Austin focused on accessible perinatal care and support (QTBIPOC-led) Kmom passed away in 2019, but her blog, "The Well Rounded Mama," is still maintained by her loving family at https://wellroundedmama.blogspot.com/, where you can find many articles about fat phobia and VBAC. EBB Professional Membership (includes scholarship options!) https://evidencebasedbirth.com/membership ' Non-profit fundraising organization Black Home Birth Matters: https://www.blackhomebirthmattersatx.org/

On today's podcast, we're going to talk with EBB Childbirth Class Parents, Lisa Mangini and Anand Swaminathan about their high-intervention birth story! So many people have negative associations with interventions— but Lisa and Anand's story shows how you can still experience a joyful, empowering birth, even in the midst of complications! Lisa Mangini is a writer living in Central Pennsylvania with her husband, Anand and young son. She teaches English and creative writing at a university and is in the early stages of writing a book about becoming a parent. I think Lisa is the first person I've heard of who found the EBB Childbirth Class through a neurologist! During her first pregnancy (which ended in a miscarriage), Lisa had her first tonic-clonic seizure. Lisa had to dive into a journey to manage her seizure disorder and several other health conditions, all while trying to conceive and then eventually getting pregnant. Lisa and Anand's story is perfect for anyone who is facing a high-risk pregnancy or supporting clients who are high-risk! Lisa talks about dealing with prenatal anxiety, switching hospitals and providers, deciding to hire a doula, and how a calm, experienced midwife can be a huge asset during a high-risk birth situation. Content warning: We mention miscarriage, prenatal anxiety, high levels of medical intervention, seizures, and fear of dying during childbirth Resources: Follow Lisa at @lisaquarius and Lisamangini.com Find an EBB Childbirth Class at https://evidencebasedbirth.com/childbirthclass EBB Signature Article on doulas at https://evidencebasedbirth.com/doulas EBB Podcast episode 175 on the evidence on midwives https://evidencebasedbirth.com/evidence-on-midwives/ EBB Podcast episode 186 on a high-risk pregnancy with Angela Jones https://evidencebasedbirth.com/a-positive-pregnancy-and-birth-outcome-with-multiple-high-risk-labels-with-ebb-childbirth-class-parent-angela-jones/

On today's podcast, we're going to talk with EBB Childbirth Class Parent, Shelitha Owens about her inspirational home waterbirth story. Shelitha Owens (she/her) is an environmental policy manager who lives in Oaklawn Illinois, a suburb of Chicago with her husband Bobby, their dog, Reeses and their new baby, Alexander, who was born on June 18, 2021. Having a biology background, Shelitha has always been fascinated with anatomy and was curious about pregnancy and birth. After having her son at home with a planned water birth, Shelitha's interest in birth work skyrocketed as she enjoys talking to new and expecting parents about their birth stories. We talk about how her experience in the EBB Childbirth Class supported her positive mindset related to the stages of labor and birth. She felt confident with the knowledge helping her and her partner prepare for their home waterbirth. Content note: We mention grief, implicit bias/racism, and medical trauma, and there is gendered language related to finding out baby's sex. Resources: Signature Article on Waterbirth: https://evidencebasedbirth.com/waterbirth/ Research on Racial Disparities and Systemic Racism in Childbirth YouTube Video: https://www.youtube.com/watch?v=vUmqcRCXysM EBB Childbirth Class: https://evidencebasedbirth.com/childbirth-class/

In today's episode, hosted by the EBB Research Team, we are sharing the audio from a private livestream we did with our Pro Members at Evidence Based Birth. We talk about three major topics related to updated research evidence on doulas: 1) research on the pandemic's effect on the doula profession around the world, 2) research on the difference between community-based doulas and private or traditional doulas, and 3) new info on paying or getting reimbursement for doula care in the U.S. [NOTE FOR LIBSYN ONLY]: This podcast is also posted on our YouTube channel in case you want to access the video of our team teaching, and a screenshare of some of the evidence we're talking about! As a content note, this episode includes discussion of COVID-19, racism, and how a lack of postpartum coverage is in some cases tied to the same places that have abortion bans. Today's episode is taught by Rebecca Dekker, PhD, RN (she/her), Ihotu Ali, MPH (she/her), and Erin Wilson, MPH (she/her). Dr. Dekker is a nurse with her PhD who is the founder and CEO of EBB. Ihotu is a community-based doula, Maya abdominal massage therapist, doctoral student in chiropractic medicine, director of the Oshun Center for Intercultural Healing, and Research Editor at EBB. Erin is a clinical researcher, doula, childbirth educator, policy advocate, and Research Editor at EBB. Together, we will share with you some research we were compiling about the evidence on doula care!   Content warning: Discussion of the COVID-19 pandemic, racism, and how a lack of postpartum Medicaid coverage is in some cases tied to the same places that are issuing abortion bans.   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article... Evidence on: Doulas at https://evidencebasedbirth.com/doulas The Sista Midwife Productions Black doula/midwife directory is here: http://www.sistamidwifedirectory.com/ Go to our YouTube channel to see video versions of all our podcasts! (including PowerPoint presentations when used) Check your state's status on whether or not they're funding doulas through Medicaid here: https://healthlaw.org/doulamedicaidproject/#:~:text=Read%20the%20Report-,Current%20State%20Doula%20Medicaid%20Efforts,-The%20National%20Health Check your state's status on whether they're expanding Medicaid postpartum here: https://www.kff.org/medicaid/issue-brief/medicaid-postpartum-coverage-extension-tracker/ Donate or apply for the Hello Seven doula fund for Black families here: https://helloseven.org/ If you support this work, we encourage you to use your voice and speak up, and to caution against low reimbursement rates and expensive licensure/certification processes that have created barriers to entry in certain states that are actively reimbursing doulas. We at EBB want to see all doulas earn a living wage, regardless of which type of clients they serve (Commonwealth Fund: Issue Brief, 2021). Doulas can apply for a National Provider Identification (NPI) number. Here is a guide on how to apply and here is a link to the application through CMS. If you can get an NPI, it will increase your chances of getting paid through insurance/help your clients receive insurance reimbursement. For more information and news about Evidence Based Birth, visit www.ebbirth.com . Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth  Childbirth Class.

On today's podcast, we're going to talk with the founder of The Pocket Doula, Anna Balagtas, about uplifting queer, and trans-care.  Anna Balagtas (she/siya) is a queer, Pinay full circle birth worker, educator, facilitator, energy worker, and pleasure advocate. Her practice is rooted in the decolonization of birth work, radical QTBIPOC care, and queer reproductive justice, taught to her by king yaa. Anna's deepest joy comes from witnessing her communities thrive through community care, mutual aid, and abolition work.  We talk about how Anna started The Pocket Doula and her journey to decolonized birth work. We also talk about Anna's experience with radicalizing perinatal care for QTBIPOC communities by creating empowering spaces centered on queer reproductive justice.  Content warning: We mention abortion, the upcoming Supreme Court decision on abortion, queerphobia, transphobia, medical trauma, medical racism, death, miscarriage, and loss.  Learn more about the founder of The Pocket Doula, Anna Balagtas, here. Follow Anna, The Pocket Doula, on Facebook and Instagram.  Learn more about Decolonization is for Everyone here. Learn more about Birthing Beyond the Binary by king yaa here. Learn more about Cornerstone Birthwork Trainings here. Learn more about Whole Body Pregnancy here. Learn more about Birthing Advocacy Doula Trainings here. Learn more about Gender Affirming Birthwork + All Genders Birth Class by Moss Froom here. Learn more about king yaa here. Learn more about Teaching Resistance by John Mink here. Learn more about The Care We Dream Of: Liberatory and Transformative Approaches to LGBTQ+ Health by Zena Sharman here.

On today's podcast, we're going to talk with the founder of Dandy Doula, Xian Brooks, MPH, about the importance of intersectional birth work and amplifying the need for intersectional birth support for queer, trans, and BIPOC birthing bodies. Xian Brooks (he/him) is a public health professional from Louisville, Kentucky, where he is a community-based birth doula and a Master of Science in Nursing student. Xian completed his Bachelor's of Science in Public Health Education at North Carolina Central University and his Master's of Public Health in Community and Behavioral Health at the University of Colorado. Over time, Xian has accumulated a lot of experience in queer, trans, non-binary, and gender non-conforming reproductive health education. Xian's training has equipped him to understand the root causes of perinatal death rates among Black individuals, especially how race, gender, sexual orientation, and class are not mutually exclusive when it comes to health disparities. Xian's lived experience recognizes that health disparities are more than just numbers on a page. Xian is currently working towards becoming a nurse-midwife because representation in healthcare is extremely important to Xian. He firmly believes it is necessary to overcome negative health outcomes and revolutionize healthcare. We talk about what inspired Xian to dive into the work of community and behavioral health as well as his journey as a nurse-midwife. We also discuss what intersectional birth work looks like and the importance to amplify the need to create safe perinatal spaces for queer, trans, and BIPOC birthing bodies.  Content warning: We mention transphobia, misgendering, deadnaming, racism, police violence, and birth trauma. RESOURCES: Learn more about Xian Brooks and The Dandy Doula here. Follow The Dandy Doula on Facebook and Instagram.  Hoyert DL. Maternal mortality rates in the United States, 2019. NCHS Health E-Stats. 2021. DOI: https://doi.org/10.15620/cdc:103855. Hunter, L., McMahon, E., Graves, B., Wooten, A., Kriebs, J., Pickett, E., Tanner, T., Garcia, R., Apatov, N., Burkman, R., Hodges, K., & Bright, C. (2019). (rep.). 2019 Demographic Report (p. 1). Linthicum, Maryland: American Midwifery Certification Board. Loewenberg Weisband, Y., Klebanoff, M., Gallo, M. F., Shoben, A., & Norris, A. H. (2018). Birth outcomes of women using a midwife versus women using a physician for prenatal care. Journal of Midwifery & Women's Health, 63(4), 399–409. https://doi.org/10.1111/jmwh.12750 Taffe MA, Gilpin NW. Racial inequity in grant funding from the US National Institutes of Health. Elife. 2021;10:e65697. Published 2021 Jan 18. doi:10.7554/eLife.65697.  Tikkanen, R., Gunja, M. Z., FitzGerald, M., & Zephyrin, L. (2020). Maternal mortality and maternity care in the United States compared to 10 other developed countries. Issue briefs, Commonwealth Fund.  For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with EBB Childbirth Class parent, Mandy Childs and her doula, Dana Patterson, about having an emergency cesarean due to Bandl's ring.  Mandy Childs (she/her) is a first-time parent to her son who she gave birth to in Greenville, South Carolina in March of 2021. Living now in Lynchburg, Virginia, Mandy is a trained elementary school teacher and currently a program coordinator for a nonprofit called Global Autism Project. Mandy lives with her husband, Ben, their son, Jack, and their dog, Penny. Mandy is also a graduate of the EBB Childbirth Class with EBB Instructor, Dana Patterson. Dana Patterson (she/her) is an upstate South Carolina native and owner of The Doula Group, which offers birth doula support, postpartum doula support, and childbirth education. Dana has been involved in the upstate birth community for 15 years and has been a doula for eight years.  We talk about Mandy's experience taking the EBB Childbirth Class with Dana and what she learned as a first-time parent to apply to her own birth experience. We also talk about what Bandl's ring is and how it led up to Mandy's needing an urgent emergency cesarean.  Content warning: We mention gendered language, grief and loss, perinatal death, cervical dilation check, epidural, uterine rupture, Bandl's ring, resuscitation of a newborn, the urgency of an emergency cesarean, fear, birth trauma, and labor. RESOURCES: Learn more about EBB Instructor and founder of "The Doula Group," Dana Patterson here. Learn more about the Bandl's Ring Facebook Group here. Learn more about  VBAC after Bandl's ring here.  For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with board-certified labor nurse and creator of the Birth Nurse, Mandy Irby, about trauma-informed childbirth education. Mandy Irby (she/her) is a board-certified labor nurse with 13 years of experience, supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After her own birth trauma, Mandy quickly learned that the birth care system is not centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education her full-time career as she now teaches and supports parents and nurses on how to improve centering one's voice, choice, and physiology in birth. It's Mandy's mission to change the birth culture so that it's parent-centered, trauma-informed, and safe for all.  Content warning: We will mention birth trauma, childbirth, assault, obstetric violence, fear-mongering, and perinatal loss. RESOURCES: Learn more about The Birth Nurse Founder, Mandy Irby, here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.