Evidence Based Birth®

Does castor oil or eating dates actually help labor begin? In this episode, Dr. Rebecca Dekker explores the research on these two approaches, including their potential effects on cervical ripening, the onset of labor, and the need for medical induction or augmentation. She examines randomized trials, systematic reviews, and recent hospital studies while explaining what the evidence can—and cannot—tell us about benefits and safety.

Dr. Dekker also discusses why castor oil may work differently for people who have given birth before, the limitations of safety data after a prior Cesarean, and research on consuming dates during late pregnancy and labor. Plus, what to discuss with your care provider when considering whether these approaches fit your individual circumstances.

(03:06) Understanding the Bishop score and cervical ripening

(04:11) How castor oil might stimulate labor

(06:41) Reviewing the research on castor oil for labor induction

(09:26) Prior vaginal birth and findings from randomized trials

(14:27) Hospital use of castor oil in Germany and recent observational research

(21:41) Potential side effects and the importance of clinical guidance

(23:26) Safety questions after a prior Cesarean or uterine surgery

(25:27) A community midwife's experience and castor oil protocol

(28:10) Rebecca's personal experience and how castor oil is prepared

(29:52) The bottom line on castor oil evidence

(31:06) Date fruit's traditional uses and nutritional properties

(33:41) Limitations of date fruit research and considerations for people with diabetes

(35:06) Meta-analysis findings on cervical readiness and labor length

(39:10) Research quality concerns and a closer look at individual trials

(41:49) Research on date syrup and labor pain

(43:19) Trial findings on spontaneous labor and cervical dilation

(44:38) Amounts and timing of date consumption studied in pregnancy

(47:04) Final takeaways, evidence limitations, and discussing options with your care provider

For a full list of references, visit ebbirth.com/418.

Birth and death are two of life's most profound transitions, and both deserve compassionate, person-centered care. In honor of National Caregivers Month, doula and founder of the Global Doula Project Anne Kathryn Rice joins Dr. Rebecca Dekker to explore the similarities between supporting families at the beginning and end of life. Drawing from their personal experiences with loss, they discuss the role of death doulas, how families can prepare for the dying process, and why emotional, physical, and informational support matters during life's biggest transitions. Anne Kathryn also shares how the Global Doula Project is working to make doula care more accessible to families around the world.

A suspected big baby isn't always a big baby, but the label alone can change a birth plan and how a birth is managed. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire explore the updated evidence on suspected big babies, including how accurately ultrasounds can predict birth weight and how the label of a "big baby" can influence birth outcomes. They break down the risks of shoulder dystocia and other birth complications, examine new research on early induction, and discuss the potential benefits and risks of planned Cesareans for big babies.

Respiratory syncytial virus, or RSV, is an extremely common respiratory virus, but it can sometimes lead to serious illness for newborns and infants. In this episode, we cover what parents and birth professionals know about RSV and the options available for prevention.

Dr. Rebecca Dekker and Dr. Sara Ailshire walk through the basics of RSV, including how it spreads, why some infants become seriously ill, and how RSV patterns change throughout the year. They also discuss the history of RSV vaccine development and explain how advances in research led to the prevention options available today for children, adults, and birthing people.

(03:04) Understanding the evidence and conversation around RSV prevention

(05:03) What is RSV? Vaccines, immunization, antibody injections, and RSV symptoms

(10:29) RSV in infancy: Risk factors, hospitalization, and seasonal patterns

(14:12) How to prevent RSV

(16:17) History of RSV vaccine development

(20:54) RSV vaccine recommendations and prevention options for pregnancy and infancy

For a full list of resources and references, visit ebbirth.com/415.

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.

Ableism shapes birth, parenting, and even the ways our society values whose lives matter.

In this replay episode, Dr. Rebecca Dekker talks about disability justice in birth and parenting with Stefanie Lyn Kaufman-Mthimkhulu, a Mad, Disabled, multidisciplinary care strategist/worker, educator, psychiatric survivor, healing practitioner, and founder and director of Project LETS.

Together, they explore what disability justice is and how it connects to reproductive justice, from the history of forced sterilization to the ways disabled parents are penalized for both accessing and not accessing care. Stefanie also shares how ableism showed up in their own pregnancy, in both medical and alternative care settings, and why everyone who supports birth and parenting needs a basic understanding of disability and mental health.

Content warning: We mention self-injury, disability, neuro-divergent, eugenics, reproductive trauma, ableism, epilepsy, seizures, trauma, sexual violence, medical violence, and history of sterilization.

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? 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.

Acupuncture, acupressure, and breast stimulation are popular natural labor induction methods, but what does the latest research tell us about how well they actually work?

Migraines during pregnancy can be debilitating, and figuring out how to prevent or manage them can be especially challenging. In this episode, Dr. Rebecca Dekker explores the research on migraines during pregnancy, including why they happen, how pregnancy can affect migraine patterns, and why new or changing headaches should be taken seriously. Rebecca also discusses migraine triggers, medication overuse or "rebound" headaches, and strategies for prevention. Plus, drawing from both the research and her own lifelong experience with migraines, Rebecca shares non-pharmacological comfort measures for coping with migraine pain, from hydration and body work to temperature therapy, acupressure, mindfulness, and more.

(04:29) What migraines are and how common they are (11:39) Migraines during pregnancy and postpartum (14:54) When headaches may signal a more serious condition (23:56) Preventing migraines during pregnancy (24:32) Medication overuse and rebound headaches (30:52) Migraine triggers and thresholds (34:22) Non-medication strategies for migraine prevention (46:05) Comfort measures for an active migraine (59:09) Final encouragement, support, and resources

For a full list of references, visit ebbirth.com/413.

Resources

Postpartum Support International: https://postpartum.net/

Call 988 for the Suicide Crisis and Lifeline: https://988lifeline.org/

Hear Her campaign with list of maternal warning signs: https://www.cdc.gov/hearher/maternal-warning-signs/index.html

American Headache Society: https://americanheadachesociety.org/

The Headache Hat: https://theheadachehat.com/

Acupressure points for headaches in pregnancy: https://www.youtube.com/watch?v=LNbXWKStr-4

Aculief acupressure device (NOT recommended for pregnancy unless you've reached term, as it may cause contractions): https://finance.yahoo.com/news/aculief-reviews-does-migraine-relief-045700296.html

S-shaped massage hook: https://www.bodyback.com/products/body-back-buddy-classic-trigger-point-therapy-self-massage-tool-body-back-company

Renpho eye massager: https://renpho.com/collections/eye-massager

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.

An induction may change your birth plan, but it doesn't mean giving up your preferences or your role in the decision-making process.

In this episode, EBB's Director of Programs Chanté Perryman talks with team EBB's Jennifer Anderson about how families can prepare for and navigate an induction. A nurse, doula, and childbirth educator, Jennifer's sharing five of her favorite advocacy tips, including asking about outpatient cervical ripening, considering the timing of your induction, exploring monitoring options that support movement, using water for comfort, and understanding the criteria for a failed induction.

(01:36) The "Golden Ticket": Taking an Independent Childbirth Class

(06:38) Tip #1: Ask About Outpatient Cervical Ripening

(13:45) Tip #2: Consider the Timing of Your Induction

(22:41) Tip #3: Ask About Bluetooth Fetal Monitoring

(28:21) Tip #4: Using Water and Movement During an Induction

(31:32) Learning Your Hospital's Policies Before Birth

(33:00) Tip #5: Understanding Failed Induction Criteria

(42:09) Preparing When an Induction Is Unexpected

(49:00) Birth Story: Navigating a Surprise Gestational Hypertension Induction

Resources

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.

When Holly and Nathan Miller learned their baby was breech late in pregnancy, the unmedicated vaginal birth they had been preparing for suddenly felt out of reach. Living in rural South Georgia, they explored their options, including finding a provider experienced in vaginal breech birth, but ultimately faced limited choices close to home.

In this episode, EBB Childbirth Class graduates Holly and Nathan share how they shifted their focus from the birth they had originally envisioned to creating a family-centered Cesarean experience. They talk about advocating for a clear drape and immediate skin-to-skin, navigating conflicting information from providers, and finding ways to remain active participants in their baby's birth. They also reflect on Cesarean recovery, the importance of partner support, and what they learned about speaking up for their preferences even when circumstances were outside their control.

(01:27) Finding Evidence Based Birth® and Preparing for an Unmedicated Birth

(03:33) When Birth Plans Began to Change

(05:03) Navigating Birth Options in Rural South Georgia

(07:51) Exploring ECV, Vaginal Breech Birth, and Cesarean

(10:24) Shifting Toward a Family-Centered Cesarean

(12:50) Advocating for a Clear Drape and Immediate Skin-to-Skin

(15:10) Holly and Nathan's Cesarean Birth Story

(17:43) What a Cesarean Felt Like Physically and Emotionally

(22:03) Meeting Eliana and Beginning Skin-to-Skin

(25:31) Breastfeeding and Recovering from a Cesarean

(28:53) Partner Support During Postpartum Recovery

(30:09) Advice for Navigating Breech Birth and Unexpected Changes

(31:53) Looking Ahead to a Future VBAC

Resources

All About Breach

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 Dr. Sara Ailshire examine the available evidence on planned unassisted birth, also known as freebirth, defined as intentionally giving birth without a qualified midwife or physician present.

Birthplace in England Collaborative Group (BECG). (2011). "Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study." BMJ 343: d7400. https://pubmed.ncbi.nlm.nih.gov/22117057/ Biesele, M. (1997). "An Ideal of Unassisted Birth: Hunting, Healing, and Transformation among the Kalahari Ju/'hoansi." In Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives. Davis-Floyd, R. & C.F. Sargent (eds), Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives, Berkeley: University of California Press, pp. 474-92. Bjellmo, S. & Iversen, J. K. (2025). "Unassisted home births in Norway: A growing concern." Acta Obstet Gynecol Scand 104(8): 1418-1419. https://pubmed.ncbi.nlm.nih.gov/40536244/ Boodman, S. G. (2007). "Do-it-yourself Delivery." The Washington Post. July 31. https://www.washingtonpost.com/wp-dyn/content/article/2007/07/27/AR2007072702164.html Bovbjerg, M. L., Cheyney, M., Hoehn-Velasco, L., et al. (2024). "Planned Home Births in the United States Have Outcomes Comparable to Planned Birth Center Births for Low-Risk Birthing Individuals." Med Care 62(12): 820-829. https://pubmed.ncbi.nlm.nih.gov/39514513/ Boushra, M., Stone, A., & Rathbun, K. M. (2023). "Umbilical Cord Prolapse." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK542241/ Brandt, J. S. & Ananth, C. V. (2023). "Placental abruption at near-term and term gestations: pathophysiology, epidemiology, diagnosis, and management." Am J Obstet Gynecol 228(5S): S1313-S1329. https://pmc.ncbi.nlm.nih.gov/articles/PMC10176440/ Carlson, K. & Vadakekut, E. S. (2026). "Amniotic Fluid Embolism." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559107/ Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System, Natality on CDC WONDER Online Database. (2026). Data are from the Natality Records 2016-2024, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/natality-expanded-current.html on Jul 29, 2026. Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). "Outcomes of care for 16,924 planned home births in the United States: the Midwives Alliance of North America Statistics Project, 2004 to 2009." J Midwifery Womens Health 59(1): 17-27. https://pubmed.ncbi.nlm.nih.gov/24479690/ Dahlen, H., Kumar-Hazard, B., & Schmied, V. (2020). Birthing Outside the System: The Canary in the Coal Mine. Edited Volume. London: Routledge. Dahlen, H. G., Jackson, M., & Stevens, J. (2011). "Homebirth, freebirth and doulas: casualty and consequences of a broken maternity system." Women Birth 24(1): 47-50. https://pubmed.ncbi.nlm.nih.gov/21163719/ Davey, M. (2026). "Stacey Warnecke died after choosing a birth free of all medical help. An inquest wants to know why." The Guardian. June 19. https://www.theguardian.com/australia-news/2026/jun/20/stacey-warnecke-melbourne-influencer-died-freebirth-inquest-ntwnfb Davis-Floyd, R. & Cheyney, M. (2019). Birth in Eight Cultures. Edited Volume. Waveland Press. Einerson, B. D., Gilner, J. B., & Zuckerwise, L. C. (2023). "Placenta Accreta Spectrum." Obstet Gynecol 142(1): 31-50.https://pmc.ncbi.nlm.nih.gov/articles/PMC10491415/ Feeley, C. & Thomson, G. (2016). "Tensions and conflicts in 'choice': Womens' experiences of freebirthing in the UK." Midwifery 41: 16-21. https://pubmed.ncbi.nlm.nih.gov/27498184/ Feeley, C. & Thomson, G. (2016). "Why do some women choose to freebirth in the UK? An interpretative phenomenological study." BMC Pregnancy Childbirth 16: 59. https://pubmed.ncbi.nlm.nih.gov/27000100/ Greenfield, M., Payne-Gifford, S., McKenzie, G. (2021). "Between a Rock and a Hard Place: Considering "Freebirth" During Covid-19." Front Glob Womens Health 2: 603744. https://pubmed.ncbi.nlm.nih.gov/34816178/ Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). "Outcomes associated with planned place of birth among women with low-risk pregnancies." CMAJ 188(5): E80-E90. https://pubmed.ncbi.nlm.nih.gov/26696622/ Iceland Monitor. (2024). "How do you know this woman had this child." Iceland Monitor. May 9. https://icelandmonitor.mbl.is/news/news/2024/05/09/how_do_you_know_this_woman_had_this_child/ Johansson, M., Jansson, O., Lilja, F., et al. (2023). "Freebirth, the only option for women who do not fit into common practice- A Swedish national interview study." Sex Reprod Healthc 37: 100866. https://pubmed.ncbi.nlm.nih.gov/37295181/ Johnston, K. & MacDougall, C. (2026). "Toward Conceptual Clarity: Out-of-Hospital Birth Practices and Freebirth Entrepreneurialism." Atlantis: Critical Studies in Gender, Culture, & Social Justice. 47(1): 44–57. https://atlantisjournal.ca/atlantis/en/article/view/5920 Kale, S. & Osborne, L. (2025). "Influencers made millions pushing 'wild' births – now the Free Birth Society is linked to baby deaths around the world." The Guardian. November 22. https://www.theguardian.com/world/ng-interactive/2025/nov/22/free-birth-society-linked-to-babies-deaths-investigation Kale, S. & Davey, M. (2026). "A US champion of 'freebirthing' always claimed there had been no maternal deaths linked to the movement. Is Stacey Warnecke the first?" The Guardian. June 29. https://www.theguardian.com/world/2026/jun/30/freebirth-wellness-influencer-stacey-warnecke-death-ntwnfb Lou, S., Dahlen, H. G., Gefke Hansen, S., et al. (2022). "Why freebirth in a maternity system with free midwifery care? A qualitative study of Danish women's motivations and preparations for freebirth." Sex Reprod Healthc 34: 100789. https://pubmed.ncbi.nlm.nih.gov/36332498/ Mackeen, D. (2026). "She wanted a `free birth.' It put her and her baby in grave danger." The New York Times. April 22. https://www.nytimes.com/2026/04/22/science/free-birth-wild-pregancy-risks-home-birth.html McKenzie, G., Robert, G., & Montgomery, E. (2020). "Exploring the conceptualisation and study of freebirthing as a historical and social phenomenon: a meta-narrative review of diverse research traditions." Med Humanit 46(4): 512-524. https://pubmed.ncbi.nlm.nih.gov/32361690/ Miller, J. F. (2020). "Solitary and Kin-Assisted Rarámuri Birth: Ideals and realities." In Birthing Models on the Human Rights Frontier. Daviss, B. & Davis-Floyd, R., eds. Routledge: London. Payne, E. (2025). "Officials 'strongly advise' against freebirths after cluster of stillbirths in Ontario." Ottawa Citizen. January 15. https://ottawacitizen.com/news/local-news/officials-advise-against-freebirths-after-stillbirths-ontario Pillai, S., Cheyney, M., Everson, C. L., et al. (2020). "Fetal macrosomia in home and birth center births in the United States: Maternal, fetal, and newborn outcomes." Birth 47(4):409-417. https://pmc.ncbi.nlm.nih.gov/articles/PMC8923081/ Rosenberg, K. & Trevathan, W. (1995). " Bipedalism and human birth: The obstetrical dilemma revisited." Evolutionary Anthropology 4(5): 161-168. https://doi.org/10.1002/evan.1360040506Sargent, C. (1982). "The Implications of Role Expectations for Birth Assistance among Bariba." Soc Sci Med 16(16): 1483-1489. https://pubmed.ncbi.nlm.nih.gov/7135022/ Shorey, S., Jarašiūnaitė-Fedosejeva, G., Akik, B. K., et al. (2023). "Trends and motivations for freebirth: A scoping review." Birth 50(1): 16-31. https://pubmed.ncbi.nlm.nih.gov/36598288/ Shostak, M. (1981). Nisa: The Life and Words of a !Kung Woman. Cambridge: Harvard University Press. Snowden, J. M., Tilden, E. L., Snyder, J., et al. (2015). "Planned Out-of-Hospital Birth and Birth Outcomes." N Engl J Med 373(27): 2642-2653. https://pubmed.ncbi.nlm.nih.gov/26716916/ Sperlich, M. & Gabriel, C. (2022). ""I got to catch my own baby": a qualitative study of out of hospital birth." Reprod Health 19(1): 43. https://pubmed.ncbi.nlm.nih.gov/35164785/ Togioka, B. M. & Tonismae, T. (2023). "Uterine Rupture." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559209/ Uda, E. (2026). "Facing rural realities and mistrust in hospitals, these women turned to home births." CBC Radio. April 26. https://www.cbc.ca/radio/thecurrent/freebirthing-rural-maternal-medicine-9.7172199

A passion for supporting families during birth is the foundation for a career as a doula. But once that foundation has been laid, it takes business skills, boundaries, and collaboration to be sustainable.

In this episode, Dr. Rebecca Dekker talks with Katie Nyberg, founder of The Iowa Baby Ladies, about her journey from fifth-grade teacher to doula, trainer, and owner of one of Iowa's largest doula agencies. Katie shares the early lessons she learned about setting fees, communicating with clients, and navigating the unpredictable realities of on-call work. Katie also opens up about the exhaustion that once made her consider leaving birth work altogether, and the changes that helped her build a more sustainable career. She discusses how recognizing the root causes of burnout, diversifying income, creating intentional seasons of work and rest, and building supportive relationships with other doulas keep her going.

(02:05) Katie's journey from teacher to birth doula

(04:55) Early lessons in business, fees, and communication

(07:21) Setting healthy boundaries with clients

(11:40) Navigating childcare and the on-call doula lifestyle

(14:02) Preparing for long births and using backup support

(19:53) Recognizing and addressing doula burnout

(25:45) Saying no and making space for rest

(27:05) Growing The Iowa Baby Ladies

(33:41) Advice for new doulas getting started

(37:02) Overcoming imposter syndrome through education and experience

(43:13) Advice for building a lasting doula career

Resources

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.

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families.

In this replay episode, Dr. Rebecca Dekker sits down with Dr. Kat Kaeni, perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast, to break the silence around postpartum anxiety, depression, OCD, and psychosis. Drawing on her professional expertise and personal experience, Dr. Kat reveals why shame and isolation are so common, how symptoms really show up for new parents, and what makes perinatal mental health distinct from other forms of mental illness.

They discuss the myths that keep parents suffering in silence, the real impact of mental health on babies and families, and how therapy and support groups, including free resources from Postpartum Support International, can empower families on the path to healing.

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

Resoureces

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? 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.

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Vernon about how integrative medicine can create a more holistic and personalized approach to obstetric care.

Dr. Vernon explains how integrative care combines traditional Western medicine with complementary approaches such as therapy, physical therapy, acupuncture, yoga, breathwork, meditation, and nutrition. She also shares how her own experience with postpartum anxiety and depression transformed the way she practices medicine and deepened her understanding of the physical, emotional, and identity-related transitions into parenthood. Plus, get practical guidance for changing providers, asking informed questions after a prior Cesarean, and navigating the overwhelming, and sometimes unreliable, health information found through social media and artificial intelligence.

(00:02:03) Dr. Vernon's journey into obstetrics and the influence of midwifery (00:05:47) Understanding matrescence and the transition into parenthood (00:07:14) What integrative medicine looks like in pregnancy and postpartum care (00:09:59) Bringing perinatal mental health and integrative medicine into obstetric practice (00:12:19) Gaps in traditional perinatal care and the need for individualized support (00:16:59) Supporting parents after infertility, pregnancy loss, birth trauma, or a difficult postpartum experience (00:21:32) Why it is okay to change providers (00:24:31) How infertility and pregnancy loss can shape a subsequent pregnancy (00:27:25) Practicing evidence-based, person-centered care that protects patient autonomy (00:29:02) Finding trustworthy pregnancy information online (00:32:27) Balancing medical evidence with personal intuition and individual circumstances

Resources

Connect with Dr. Vernon and learn more about her 1:1 perinatal coaching: https://www.drjessicavernon.com/

Follow Dr. Vernon on Instagram: https://www.instagram.com/dr.jessicavernon/

Then Comes Baby: An Honest Conversation About Birth, Postpartum, and the Complex Transition to Parenthood by Dr. Jessica Vernon: https://www.bloomsbury.com/us/then-comes-baby-9781538195925/

Matrescence: On Pregnancy, Childbirth, and Motherhood by Lucy Jones: https://www.penguinrandomhouse.com/books/714054/matrescence-by-lucy-jones/

Free Postpartum Support International online support groups: https://postpartum.net/get-help/psi-online-support-meetings/

PSI Perinatal Mental Health Provider Directory: https://postpartum.net/get-help/provider-directory/

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 years of hearing traumatic birth stories and questioning whether parenthood was right for her, Heidi Gustad entered pregnancy determined to make informed decisions every step of the way. When she was diagnosed with insulin-managed gestational diabetes, debilitating migraines, and a rare umbilical cord abnormality called an umbilical vein varix, the birth center birth she had envisioned was suddenly no longer an option. In this episode, Heidi shares how evidence-based education, a supportive care team, and careful preparation helped her navigate unexpected changes with confidence. She and Dr. Dekker discuss what it was like to advocate for herself through multiple diagnoses, switch care providers late in pregnancy, and prepare for a hospital birth while still hoping for an unmedicated labor. Heidi also shares the surprising series of events that led to spontaneous labor before her scheduled induction, and how she welcomed her baby after a fast, nine-hour labor. (01:36) Overcoming a lifelong fear of pregnancy and choosing parenthood (05:13) Navigating migraines, gestational diabetes, and changing providers (08:52) Risking out of birth center care and finding the right hospital (11:11) Understanding a rare umbilical vein varix diagnosis (17:47) Building confidence through education, advocacy, and a supportive birth team (21:59) Preparing for birth with physical therapy, acupuncture, and evidence-based resources (25:50) Spontaneous labor begins weeks before a scheduled induction (32:02) Coping strategies for a fast, unmedicated labor (37:19) Postpartum recovery and breastfeeding (40:42) Heidi's advice on informed decision-making and birth preferences (43:06) Using anxiety and pain-coping techniques during labor Resources Find an EBB Childbirth Class: evidencebasedbirth.com/parentclasses/ Diagnosing Gestational Diabetes and the Glucola Test Evidence on: Induction for Gestational Diabetes Listen to EBB's Natural Induction Series on Acupuncture, Raspberry Red Leaf Tea, and Nipple Stimulation: evidencebasedbirth.com/category/series/natural-labor-induction-series/ EBB 304 – Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental encapsulation: evidencebasedbirth.com/ebb-304-q-and-a-on-ppd-pitocin-delayed-cord-clamping-nubain-and-placental-encapsulation/ Read the research on Umbilical Chord Varix

Congenital cytomegalovirus (CMV) is the leading infectious cause of congenital disorders in the United States, but many pregnant families have never heard of it. In this episode, Dr. Dekker is joined by author Megan Nix who shares the personal story behind her memoir, "Remedies for Sorrow," and discusses how gaps in the system leave many families unaware of this common virus. Megan shares how her daughter Anna's congenital CMV diagnosis changed her family's life and launched her years-long investigation into why such a common condition remains largely absent from prenatal education. You'll learn what CMV is, how it spreads during pregnancy, evidence-informed prevention strategies, newborn screening and treatment, and why informed consent and narrative medicine matter for families navigating pregnancy and birth.

Fundal massage, also known as uterine massage, is often performed as a routine procedure after birth, but research shows it does little to prevent postpartum hemorrhage and can be painful for many. On today's replay episode of the EBB Podcast, nurse, community educator, and advocate Barbie Christianson joins Dr. Rebecca Dekker to talk about the myths surrounding this common postpartum procedure and how it connects to broader patterns of obstetric violence in maternity care.

Barbie explains the difference between a fundal assessment, a routine massage, and the massage used to treat active postpartum hemorrhage, and walks through what the evidence actually shows about each approach. She also shares trauma-informed scripts that nurses and providers can use to explain what they are doing and obtain informed consent, even in urgent, fast moving situations. Learn how unit culture, staffing, and fear based practice patterns can affect whether an unnecessary intervention becomes the default standard of care, and how to speak up and advocate for respectful care.

(02:40) Barbie's path from special education to labor and delivery nurse (04:36) Witnessing obstetric violence as a new nurse and learning the term (10:52) Defining fundal assessment versus fundal massage (18:06) When uterine massage is actually medically necessary (22:07) Recap: fundal assessment, routine massage, and massage for active hemorrhage (23:01) What the research says about routine fundal massage (26:04) How forceful and painful routine massage can be without consent (30:35) Misinformation about fundal massage on social media (34:11) Scripts for advocating for yourself if massage is done without medical need (37:00) How to assess and massage your own fundus after birth (39:26) What your uterus should feel like in the days after birth (44:35) A message to nurses who want to change their practice (45:11) Trauma-informed scripts for when massage is medically necessary (53:30) Unit culture and unaddressed trauma among nurses and providers

Resources

The Evidence on Pitocin During the Thrird Stage of Labor: ebbirth.com/thirdstage

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 a Pocket Guide, the My Doula Visit Workbook, 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 waitlist for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

How long does the pushing phase of labor typically last? Does precipitous labor run in families? And can drinking okra water actually make labor and birth easier?

In this Q&A episode, Dr. Rebecca Dekker tackles three questions submitted by EBB Pro Members. First, Dr. Dekker details the findings of a recently published study from France that found many birthing people spent less than 15 minutes actively pushing before birth. She explains the concept of delayed pushing and why these results may not be easily replicated in other birth settings. She also reviews the available evidence on precipitous labor, birth that occurs within three hours of the onset of contractions, and discusses whether fast labors appear to run in families. Finally, she examines the growing social media trend of drinking okra water during pregnancy, exploring the cultural history of okra as a nutritious food, separating popular claims from scientific evidence, and discussing what researchers currently know (and don't know) about its effects during pregnancy.

(02:34) Delayed pushing and active pushing times under 15 minutes (04:22) Understanding delayed pushing practices in France versus the United States (05:33) Study methods, hospital protocols, and participant characteristics (06:56) Results: Average pushing times, epidural effects, and birth outcomes (08:14) Key takeaways from the delayed pushing study (10:53) Does precipitous labor run in families? (12:21) Research on precipitous labor risk factors and prevalence (14:20) Is there evidence that fast labor is hereditary? (15:05) What are the benefits of drinking okra water during pregnancy? (17:46) Popular social media claims about okra water (18:46) What researchers did and did not find about okra water (21:15) Okra's cultural significance in pregnancy and postpartum traditions

For a full list of references, visit ebbirth.com/404.

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.

This summer, join Dr. Rebecca Dekker and the EBB Research Team for a four-part live series on "How to Read Research," starting June 30.

Get access to the full Summer School Series by joining the Quarterly EBB Pro Membership at a special summer rate!

Plus, enroll by June 28 and receive a free digital EBB Pocket Guide to Labor Induction!

Learn more and save your seat in our virtual classroom: ebbirth.com/summer

The way we move during labor shapes far more than our comfort. It helps determine how a baby navigates through the pelvis, and whether a birth can unfold with fewer interventions!

In this replay episode, Dr. Rebecca Dekker talks with Brittany Sharpe McCollum, a childbirth educator, doula, lactation counselor, and pelvic biomechanics educator. Brittany explains how the bones of the pelvis move during labor, why that movement matters for fetal positioning, and how everyone can benefit from intentional position changes during labor-- whether you're planning an unmedicated birth or not!

They explore the three planes of the pelvis, why opening the pelvic inlet and outlet require opposite movements, and how to match specific positions to where the baby is located in the pelvis. Brittany also shares her 5-4-3 rule for position changes, practical tips for inductions and epidurals, the power of asymmetrical positioning, and why movement is one of the few birth tools that carries benefit without risk.

(06:25) Exploring movement in childbirth (10:19) Understanding baby's position in labor (13:03) Benefits of movement during labor (17:31) Subtle pelvic movements in labor (23:05) Partner role during contractions (25:17) Managing rectal pressure during labor (27:57) Movement during labor (32:21) Importance of prenatal education (37:35) Understanding racism in obstetrics

Resources EBB Signature Article on the Evidence on Birthing Positions: ebbirth.com/birthingpositions Learn more about Brittany: blossomingbelliesbirth.com "Baby Got VBAC: An Inspiring Collection of Wisdom for Better Births After a Cesarean" Connect with Brittany on Instagram: @blossomingbelliesbirth

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.

Happy EBB 400! In honor of this milestone, Team EBB is looking back on some of our and your favorite episodes of the EBB Podcast from the past nine years. From advocacy in birth and improving maternity care to exercise in pregnancy, postpartum support, Vitamin K, and upright birthing positions, this anniversary episode highlights the stories and evidence that have shaped the EBB community since 2017. Whether you've been here since episode one or just recently found the podcast, this episode is a celebration of evidence-based information and the families and professionals who make this work meaningful.

(07:04) Jennie Joseph on The JJ Way® and Improving Maternity Care (12:56) JaMichael Perryman on Birth Advocacy and Supporting Your Partner (18:26) Evidence on Birthing Positions and Protecting the Perineum (23:51) Exercise in Pregnancy with MamasteFit's Gina Conley (29:14) Cheyanne Saenz on Self-Advocacy and Knowing Your Rights in Birth (33:15) Q&A: Pitocin and Postpartum Depression (39:24) Updated Evidence on Vitamin K for Newborns (44:56) Rebecca's Mom Shares Her Experiences with Twilight Sleep and Changing Birth Practices (47:46) Looking Back on 400 Episodes and Looking Ahead to the Future of EBB

Resources

EBB 136 – Solutions for the Crisis in American Maternity Care

EBB 145 – Fatherhood and Advocacy in Birth with JaMichael Perryman

EBB 221 – Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

EBB 264 – Top 3 Tips for Exercise in Pregnancy with Gina and Roxanne of Mamaste Fit

EBB 208 – Advocating for Your Rights in Birth with EBB Childbirth Class Graduate, Cheyanne Saenz

EBB 304 - Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental Encapsulation

EBB 347 - Updated Evidence on Vitamin K

EBB 75 - Birth in Twilight Sleep – the Experiences of Rebecca's Mom

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.

Pregnancy fitness advice has changed dramatically over the last few decades, but many parents still receive outdated recommendations rooted more in fear than evidence. After receiving outdated advice during her own pregnancy, exercise physiologist and prenatal/postnatal wellness practitioner Ashley Reid was inspired to help moms stay active through every stage of motherhood. In this episode, Dr. Rebecca Dekker talks with Ashley about the latest evidence on exercise and strength training during pregnancy and postpartum.

Ashley shares why old recommendations like keeping your heart rate under 140 beats per minute are outdated, what the research actually says about lifting weights during pregnancy, and how to safely build strength in ways that support your changing body. She also explains her "Core, Function, and Fitness" framework and how to approach postpartum recovery as a gradual progression instead of a rush back to exercise.

(03:55) Outdated pregnancy exercise advice and the "140 beats per minute" rule (06:27) Fear around heart rate monitoring and exercise intensity in pregnancy (08:42) What the research says about exercise safety and pregnancy (13:20) Ashley's "Core, Function, and Fitness" framework (17:20) Why core strength matters during pregnancy (20:47) Is lifting weights during pregnancy safe? (25:25) Signs it may be time to modify or pause exercise (27:23) How pregnancy exercise supports postpartum recovery (30:01) Returning to exercise postpartum and the new 2025 guidelines (36:27) Ashley shares what readers will learn in her book Active Mom (37:56) Sample workout progressions and making exercise work for you

Resources

Learn more about Active Mom Fitness: activemomfitness.com/

Get your copy of Ashley's Book, "Active Mom": activemomfitness.com/books

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.

Many neurodivergent people move through pregnancy, birth, and postpartum feeling misunderstood and unsupported in healthcare settings that were not designed with their minds in mind. In this episode, doula and founder of Neurodivergent Birth Victoria White shares how her own later-in-life autism and ADHD diagnoses reshaped her understanding of her postpartum experiences and why many neurodivergent parents struggle in systems that often assume everyone processes in the same way.

Learn about how sensory processing, communication, and executive functioning challenges can shape the perinatal experience for neurodivergent families and the small changes that can help neurodivergent people feel safer, more supported, and empowered.

(04:30) The four support pillars of neurodivergent birth (10:11) How sleep deprivation impacts neurodivergent parents (12:02) Hormones, estrogen, ADHD, and postpartum changes (19:05) Barriers to adult diagnosis and self-identifying as neurodivergent (22:14) Strategies for sensory support, communication, and birth planning (25:50) Supporting executive functioning during pregnancy and postpartum (28:27) "Think neurodivergence first": what healthcare workers need to understand (30:33) Supporting neurodivergent partners during birth (31:31) Neurodivergence and cesarean birth experiences (36:53) Victoria's book Why Neurodivergent Birth Matters (38:27) Research groups, mental health resources, and the Neurodivergent Birth Podcast (39:22) Reasonable accommodations and disability protections in maternity care

Resources

Learn more about Neurodivergent Birth: ndbirth.com/

Get free, downloadable fact sheets and planning resources: ndbirth.com/downloads

Listen to the Neurodivergent Birth podcast: ndbirth.com/podcast

Maternity Autism Research Group: maternityautismresearchgroup.co.uk/

PANDAS Foundation: pandasfoundation.org.uk/

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 your carefully planned, low-intervention birth transforms into something entirely unexpected? In this replay episode, Dr. Rebecca Dekker revisits her conversation with Leah Bergman, a graduate of the Evidence Based Birth® Childbirth Class, and her birth story of navigating a surprise diagnosis of fetal growth restriction (sometimes called intrauterine growth restriction or IUGR) in late pregnancy. Together, they unpack the emotional rollercoaster of changing birth plans, wrestling with uncertainty, and making tough decisions around induction while still finding space for empowerment, advocacy, and joy.

Leah opens up about leaning on evidence-based education, support from her husband and doula, and a compassionate midwifery team as she faced a challenging induction process complete with surprises, setbacks, and two trips to the hospital. You'll also hear practical strategies for advocating during labor, the realities of taking a break from an induction then "starting over", and how to build a positive birth experience even when things go off script.

Content Note: Discussion of the risk of stillbirth associated with fetal growth restriction.

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.

Pregnancy and birth don't require perfection to be empowering. In this solo episode, Dr. Rebecca Dekker shares share five life lessons she's learned over 14 years as a nurse, mother, and founder of Evidence Based Birth. She offers grounding guidance for navigating pregnancy, birth, and early parenthood with more trust, self-compassion, and calm.

This episode centers on the idea that you don't have to know everything to have a positive birth experience. Instead, Dr. Dekker explores how building a supportive team, staying connected to your body, and focusing on what you can control can transform how you approach birth. She also reflects on the value and meaning of childbirth for those who choose it, the importance of respectful and empowering care, and the lifelong practice of letting go of what's outside your control.

Learn more about EBB's upcoming Induction Bootcamp on Tuesday, April 28 from 2:00 - 4:30 PM EDT.

To save your seat or access the replay, join the EBB Pro Membership for just $39 for your first 30 days: ebbirth.com/membership.

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.

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

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:

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

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!

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

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

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:

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

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?

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!

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.

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.

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

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!

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:

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.

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.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on

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 puertoricobirthrights@gmail.com. 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:

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:

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:

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:

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:

Read our Signature Article on GBS here

Read our Abortion Resource Guide here

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:

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:

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:

Ready to get involved?

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:

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:

For more information and news about Evidence Based Birth®, visit www.ebbirth.com.

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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:

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:

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.

In this episode of the EBB Podcast, we dive into the updated research on Nitrous Oxide. I discuss the following topics:

For Practitioners

For Parents

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

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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:

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

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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:

Resources

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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.

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!

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.

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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.

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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."

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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:

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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:

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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:

For more information about their courses and offerings, check out their website here

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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

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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:

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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:

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

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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:

References:

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In this episode, we're going to talk with Ms. Divine Bailey-Nicholas, midwife apprentice, doula, certified lactation counselor, and master herbalist about her career in birth work, advocacy and plant medicine in Louisiana. We learn how she utilizes a community model of care that brings resources and education to combat maternal health deserts in the Deep South of the US. Originally from Chicago, Illinois, Ms. Divine is proud of her Delta, Mississippi, Alabama, and Georgia roots. Her cultural foundation breathes through her plant medicine and birth work. Currently, Ms. Divine is a charter member of the Afro-American Historical and Genealogical Society, Louisiana chapter, where her role is historian. She's a member of the Healthy St. Landry Steering Committee and member of the Community Partners Advisory Sub-Community for the Louisiana Perinatal Quality Collaborative. Divine is also the founder and executive director of Community Birth Companion, a nonprofit organization working to decrease infant and maternal mortality rates through childbirth education, breastfeeding support, and community doula support in St. Landry Parish, Louisiana, where she resides with her husband and four children. Ms. Divine shares the reality of maternity care in the Southern US, including high rates of morbidity, mortality, and poor infant outcomes, especially among Black women. Ms. Divine shares how she has been inspired by the work of Grand Midwife Shafia Monroe to become a resource to her community and is working to improve birth outcomes and combat maternal health deserts through her perinatal safe space, the Community Birth Companion. Through a community model of care, Ms. Divine is providing education and empowerment to the families she serves. Additionally, Ms. Divine shares insight into her work as a Master Herbalist and teaches courses to support families in pregnancy and postpartum. Content warning: maternal mortality, maternal morbidity, maternal care deserts, health care inequalities, racism Resources Follow Ms. Divine's work on her social media channels:

Learn about Ms. Divine's services or sign up for Ms. Divine's courses on plant medicine on her website here

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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:

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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:

Listen to all the EBB Podcast Episodes on Waterbirth and Cord Avulsion:

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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

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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:

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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:

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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

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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:

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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.

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