Evidence Based Birth®
By: Rebecca Dekker, PhD, RN
Language: en
Categories: Kids, Family, Parenting, Health, Fitness, Medicine
In the Evidence Based Birth® podcast, we cover the research evidence on hot topics about pregnancy and childbirth! Our mission is to help birth workers build the evidence based knowledge, skills, and power they need to protect families' ability to give birth with empowerment. The work we do has a huge impact on parents who are searching for accurate information to empower their prenatal, birth, and postpartum experiences!
Episodes
EBB 382 - The Power of Your Birth Story with Lisa Greaves Taylor, Host of the Birth Matters Podcast
Jan 07, 2026Long 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...
Duration: 00:48:38EBB 381 - Ask Me Anything with Dr. Rebecca Dekker
Dec 30, 2025As 2025 comes to an end, guest host Dr. Sara Ailshire turns the tables and interviews Dr. Rebecca Dekker about the biggest childbirth trends, lessons, and breakthroughs of 2025, and what exciting changes are coming to EBB in 2026. Together, Sara and Rebecca dive into the shifting landscape of birth: the unprecedented rise in labor inductions, how AI is complicating the search for evidence-based information, changes in doula access and Medicaid coverage, and how politics continues to shape pregnancy and postpartum care. They walk through the most impactful EBB research updates of the year—including new evidence on vitamin K, gestational diabetes testing, in...
Duration: 01:01:12Bonus Announcement from EBB
Dec 23, 2025The EBB End of Year Countdown Sale, featuring three days of one-day-only deals, is happening December 29 through December 31. Over those three days, we will release a different EBB tool or program at a special price, with each deal available for just 24 hours. Here's what's coming in the sale: Monday, December 29 - Quarterly EBB Pro Membership PLUS a FREE physical Pocket Guide of your choice for $149. Tuesday, December 30 - Bundle the Annual EBB Pro Membership with a 2-day ticket to the virtual 2026 EBB Conference for $499. Wednesday, December 31 - Order your copies of the My Doula Visit Workbook for $30 each (regularly $35) or save...
Duration: 00:04:37EBB 3 - Why Is It So Hard to Get Evidence Based Care?
Dec 17, 2025In this episode, Dr. Rebecca Dekker dives into the evidence-practice gap, the disconnect between what research tells us is best during childbirth and what is actually happening in labor and delivery units around the world. She walks through the latest statistics on Cesarean rates, VBAC access, and the widespread use of non–evidence-based interventions, as well as the persistent underuse of practices proven to improve outcomes, like doulas, midwifery care, and birthing positions that support physiologic labor. Dr. Dekker also unpacks the systemic forces driving these gaps, including the role of paternalism, hierarchical power structures in healthcare, legal pressures, and th...
Duration: 00:29:44EBB 380b - Combating Birth Trauma in Mexico with Sofía Herrera, Psychologist and EBB Instructor
Dec 10, 2025After what should have been a joyful birth, Sofía Herrera (childbirth educator, EBB Instructor, Hypnobirthing instructor, and social & clinical psychologist) spent nearly 20 years believing she had postpartum depression, until her investigation revealed the truth: she had experienced birth trauma. That realization became the catalyst for her work supporting birthing families and confronting the widespread obstetric violence and misinformation embedded in Mexico's maternity care system. Sofía shares what trauma really means, how unconsented interventions and paternalistic care shape birthing experiences, and why so many families mistakenly believe they "failed" when in reality, the system failed them. She also describes the...
Duration: 00:38:38EBB 380a - Combatiendo el trauma del parto en México con Sofía Herrera, psicóloga e instructora de EBB
Dec 10, 2025Tras lo que debería haber sido un parto feliz, Sofía Herrera, (educadora perinatal, instructora de EBB, instructora de Hipnoparto y psicóloga social y clínica) pasó casi 20 años creyendo que padecía depresión posparto, hasta que sus estudios revelaron la verdad: había sufrido un trauma obstétrico. Esta revelación se convirtió en el motor de su trabajo de apoyo a las mujeres que dan a luz y de su lucha contra la violencia obstétrica generalizada y la desinformación arraigada en el sistema de atención a la maternidad en México. Sofía comparte l...
Duration: 00:50:25REPLAY: EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum
Dec 03, 2025In 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...
Duration: 00:48:12EBB 379 - A Challenging Birth Story with GBS, Prolonged PROM, Pitocin, and an Epidural, with EBB Childbirth Class Graduate Erica Wright and EBB Instructor Tara Thompson
Nov 26, 2025After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thompson), she discovered that birth doesn't have to go "according to plan" to be powerful. In this episode, Dr. Rebecca Dekker talks with Erica and Tara about how preparation, advocacy, and teamwork carried them through a marathon labor filled with unexpected turns. From switching hospitals late in pregnancy to finding strength through challenges, their story exemplifies flexibility, informed choice, and the power of doula support. (05:55) Tara's updates from Atlanta and...
Duration: 01:07:04EBB 378 - Embracing the Dual Calling of Doula Work + Midwifery with Chanté Perryman and Elder Charlotte Shilo-Goudeau
Nov 19, 2025Across generations, birth workers have held space for families with skill, love, and deep purpose. In this episode, Dr. Rebecca Dekker talks with Elder Midwife Charlotte Shilo-Goudeau, a licensed Certified Professional Midwife from Louisiana, and Chanté Perryman, Director of Programs at Evidence Based Birth®, certified doula, and student midwife. Together, they explore what it means to embrace the dual calling of doula work and midwifery and how both roles are acts of service, advocacy, and healing. Elder Charlotte shares her journey from personal loss to becoming one of only a few Black midwives in Louisiana, carrying forward the wisdom of ge...
Duration: 00:52:51Bonus Announcement: Surprise Project for Doulas
Nov 17, 2025Introducing the My Doula Visit Workbook by Evidence Based Birth®. A tangible, interactive, and evidence-based guide designed to facilitate conversations, strengthen the doula-client relationship, and guide families through the most pressing topics related to pregnancy, birth, and postpartum.
What's Inside the My Doula Visit Workbook?
A 115-page, full-color, spiral-bound workbook packed with evidence-based resources Structured guides for up to six prenatal visits + one postpartum check-in (but fully customizable to your practice!) 18 official EBB handouts, birth plan templates, journaling prompts, discussion questions, activities, podcast playlists, and postpartum guides Real-life photographs, colorful graphics, and easy-to-use worksheets Access to an... Duration: 00:08:02EBB 377 - Medicaid Coverage for Doula Care with Amy Chen, Senior Attorney at the National Health Law Program
Nov 12, 2025What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement to make doula care accessible through Medicaid and insurance coverage. Amy shares how her personal birth experiences inspired her work advocating for Medicaid reimbursement for doulas and explains how more than 20 states (and counting) are now implementing or expanding coverage. They also unpack the biggest challenges and successes so far, from sustainable reimbursement rates and certification requirements to how doulas can navigate the Medicaid billing process. (03:17...
Duration: 00:50:16EBB 376 - How to Find and Interview a Doula with Team EBB Members Julie Fors and Chanté Perryman
Nov 05, 2025Hiring a doula can be one of the most impactful choices you make during pregnancy, but how do you actually find the right one? In this episode, Dr. Rebecca Dekker talks with Team EBB members and experienced doulas, Julie Fors and Chanté Perryman, to share insider tips on finding and interviewing a doula with confidence. Julie and Chanté walk you through where to begin your search, the most important questions to ask, and how to know if a doula's personality and philosophy are the right fit for you and your partner. They also tackle misconceptions about doula work, explain backup pl...
Duration: 00:47:48REPLAY: EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker
Oct 29, 2025Can 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...
Duration: 00:39:37EBB 375 - A Rainbow Baby and Preeclampsia Birth Story with Dr. Sara Ailshire and Dr. Siavash Samei
Oct 22, 2025Dr. 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...
Duration: 00:58:27EBB 374 - Educating the Public about Stillbirth Prevention with Ingrid Haas, Director of the Short Film "PUSH"
Oct 15, 2025Filmmaker 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...
Duration: 00:33:30Signature Training Announcement - Unpacking New Research on Big Babies
Oct 13, 2025What 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 off...
Duration: 00:02:34EBB 2 - What is Evidence Based Care?
Oct 08, 2025Evidence based care is a term you hear often in medicine, but what does it really mean—especially when it comes to pregnancy and birth? In this episode, Dr. Rebecca Dekker takes you inside the foundations of Evidence Based Birth®, explaining what evidence based care is (and isn't), and why it matters for families, providers, and communities. Dr. Dekker breaks down the three essential pillars of evidence based care: the best available research, the provider's expertise, and the birthing person's values and preferences. She explores how care can drift away from this model when decisions are based solely on tradition, auth...
Duration: 00:32:32EBB 373 - How to Confront Tokophobia and Clear Fears about Childbirth with Alexia Leachman, Author and Podcast Host of "Fear Free Childbirth"
Oct 01, 2025For some, the thought of pregnancy and birth fills them with a visceral panic they can't explain. In this episode, Dr. Rebecca Dekker's talking tokophobia—the fear of pregnancy and birth—with Alexia Leachman, founder of Fearless Birthing and host of the Fear Free Childbirth Podcast. Alexia shares her personal journey of discovering and healing her own tokophobia, how she developed her unique "Head Trash Clearance" method, and why tokophobia is often misunderstood as simple anxiety. She explains the root causes of this condition, including reproductive trauma and lack of control, and offers insight on how both expectant parents and heal...
Duration: 00:52:20EBB 372 - Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates
Sep 24, 2025At 41 weeks, Hopey Fink and Ben Levin's birth plans shifted after elevated blood pressure readings led to an induction conversation. But, with the support of their doula, care team, and each other, the Evidence Based Birth Childbirth Class graduates navigated every twist with confidence. In this episode, Hopey and Ben reflect on preparing for a low-intervention birth, the role of comfort measures, how advocacy shaped their decisions in the hospital, and what it meant to welcome their daughter with joy and strength. They also share advice for expectant families on building flexibility into birth plans, communicating with your partner, and...
Duration: 00:46:16REPLAY: EBB 283 - How Colonialism, Environmental Instability, & Politics Impact Birth in Puerto Rico with EBB Instructors, Tania Silva Meléndez and Tamara Trinidad González, CPM
Sep 17, 2025In today's episode, I'm revisiting a deeply important conversation with Tania Silva Meléndez and Tamara Trinidad González, two inspiring birth workers and Evidence Based Birth® Instructors based in Puerto Rico.
Tania and Tamara share their personal journeys into birth work and what led them to become changemakers in Puerto Rico's birth community. They speak candidly about the immense challenges families face, from one of the world's highest cesarean rates to the ongoing impacts of colonialism and systemic barriers within maternal health care. You'll hear what it's like to provide midwifery services in an environment where midwives are... Duration: 00:56:11EBB 371 - Reclaiming Black Midwifery in the South with Dr. Nikia Grayson, Chief Clinical Officer of CHOICES in Memphis
Sep 10, 2025Dr. Nikia Grayson, nurse midwife, family nurse practitioner, and anthropologist, joins us to share how she's helping reclaim and restore Black midwifery in the South. As Chief Clinical Officer at CHOICES Center for Reproductive Health in Memphis, TN, Dr. Grayson has led groundbreaking efforts to open Memphis' first and only birth center, launch the nation's first Black Midwifery Fellowship, and provide full-spectrum, justice-centered reproductive care. In this episode, Dr. Grayson reflects on the challenges of dismantling systemic racism in health care, the impact of the Dobbs decision on abortion access in the South, and the importance of investing in...
Duration: 00:40:49EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes
Sep 03, 2025Gestational diabetes (GDM) is one of the most common health issues during pregnancy, and diagnosing it is more complicated than you might think. In this episode, Dr. Dekker is joined by EBB Research Team member Dr. Morgan Richardson Cayama to cover the newly updated evidence on how GDM is diagnosed. They walk through the physiology behind GDM, current testing methods, and why there's still international disagreement about how to screen. Together, they examine the results of large randomized trials comparing the one-step and two-step screening methods, the research on early screening with hemoglobin A1C, and the evidence on alternatives...
Duration: 00:56:59EBB 369 - What is Mistreatment in Childbirth? with Dr. Morgan Richardson Cayama from Team EBB
Aug 27, 2025Dr. Morgan Richardson Cayama, public health researcher, doula, and member of Team EBB, joins Dr. Rebecca Dekker to explore the critical issue of mistreatment in maternity care. Drawing from her doctoral research—including interviews with Black women in Florida and data from the Giving Voice to Mothers study—Dr. Morgan shares what respectful maternity care really looks like, and how the lack of it can negatively impact birth outcomes and future healthcare decisions. She also opens up about her own preterm hospital birth, offering insight into how even the most informed parents can feel disempowered by coercive hospital systems. Together, they...
Duration: 00:43:59EBB 368 - Redemptive Cesarean after Planning a Home VBAC with Rikki and Nova Jenkins
Aug 20, 2025Rikki and Nova Jenkins join Dr. Rebecca Dekker to share the personal and powerful story of their second birth: a planned home VBAC that ultimately led to a hospital transfer. Rikki, Evidence Based Birth® Instructor Coordinator, doula, and IBCLC, reflects on the trauma of her first Cesarean birth and the deep healing she found through midwifery care, doula support, and intentional preparation. Nova, a Grammy-nominated music producer and proud girl dad, shares his emotional journey from feeling powerless in their first birth to becoming a protective presence throughout this redemptive experience. Together, they offer a vulnerable, moving conversation about reclaiming b...
Duration: 00:55:28EBB 367 - Early AROM and High-Dose Pitocin with all Inductions? Breaking Down the Latest Induction Trends with Jennifer Anderson, RN, Doula, and EBB Instructor
Aug 13, 2025Jennifer Anderson, RN, experienced doula, Evidence Based Birth® Instructor, and member of Team EBB, returns to the podcast to join Dr. Rebecca Dekker in unpacking a new trend in labor induction protocols—starting Pitocin at higher doses and incorporating early artificial rupture of membranes (AROM). Drawing from her work with high-risk clients and firsthand experience inside hospital systems, Jennifer highlights how policies aimed at "optimizing" labor often prioritize speed over patient-centered care. Together, they examine what's in these new induction bundles, the evidence behind faster-moving protocols like dual-method cervical ripening and 4x4 Pitocin, and the importance of informed decision-making at eve...
Duration: 00:59:33EBB 1 - Intro to Evidence Based Birth®
Aug 06, 2025What happens when a nurse finishing up her PhD in evidence-based practice becomes a parent and realizes her own birth care was anything but evidence-based? In this episode, Dr. Rebecca Dekker take us back to the very beginning and shares how her first birth experience set her on a mission to change maternity care. She reflects on her two contrasting birth stories: one marked by unnecessary interventions and separation from her newborn, the other defined by empowerment, autonomy, and midwifery care. Opening up about how these experiences shaped her purpose, Rebecca shares how these experiences led her to launch...
Duration: 00:29:10Special Announcement - August with Team EBB
Aug 01, 2025 Welcome to a special announcement episode of the Evidence Based Birth® Podcast! This August, we're celebrating the incredible people who make up Team EBB. Each Wednesday, you'll hear directly from team members as they share their experiences and expertise. Listen on your favorite podcast app or watch full episodes on our YouTube channel, and be sure to follow us on Instagram (@ebbirth) for even more behind-the-scenes stories and updates throughout August.
Watch full episodes on YouTube Follow us on Instagram @ebbirth for behind-the-scenes stories and team updates
For more information about Evid...
Duration: 00:04:19REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker
Jul 30, 2025Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact from fiction and sharing what the research really shows. You'll learn what major studies say about perineal massage, why some commonly cited research may not be trustworthy, and whether this practice is truly necessary, especially if you're in a birth setting with low episiotomy rates. You'll also hear some surprising insights on other ways to protect your perineum and reduce your risk of severe tears.
Content note: Discussion...
Duration: 00:42:05EBB 366 - Practical Ways of Preparing for Postpartum with Sophie Walker, Author and Host of the Australian Birth Stories Podcast
Jul 23, 2025Sophie Walker, host of the Australian Birth Stories podcast and author of The Complete Australian Guide to Pregnancy and Birth and The Complete Guide to Postpartum: A Mother-Focused Companion for Life After Birth, joins Dr. Rebecca Dekker to explore what it really takes to plan for a nourishing postpartum experience and the challenges and strengths of the Australian birth system. Sophie shares how a traumatic first birth sparked her passion for informed decision-making, why continuity of midwifery care matters, and how her country's publicly funded postpartum home visits and mothers' groups create critical support networks. Together, Sophie and Dr. Dekker...
Duration: 00:55:15EBB 365 - Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate
Jul 16, 2025Leah Van Dale, former WWE superstar known as Carmella and founder of the women's health platform Snatch, joins Dr. Rebecca Dekker to share her deeply personal story of postpartum recovery after a traumatic birth injury. Leah opens up about her journey through multiple pregnancy losses, the decision to hire a doula, and how the Evidence Based Birth® Childbirth Class helped her prepare for her first birth. She shares the emotional and physical challenges of a long labor, including an undiagnosed nerve injury that left her unable to walk properly for months postpartum. Now pregnant again, Leah reflects on what she's le...
Duration: 00:42:09EBB 364 - How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife
Jul 09, 2025Licensed community midwife Grace Flannery and doctoral student Ihotu Ali, founder of the Oshun Center for Intercultural Healing, join Dr. Rebecca Dekker for a moving conversation about burnout, boundaries, and building sustainable birth work. Together, they explore the root causes of burnout in maternity care, from systemic extraction to internalized pressure, and how the path to healing lies in slowing down, reconnecting with purpose, and redefining productivity. Ihotu and Grace share the origin of their collaboration through the Sweetwater Alliance, the transformative "One Main Thing" meditation, and their four-part framework for reclaiming balance: Seasons, Smallify, Support, and Spirit. This episode...
Duration: 01:06:17EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM
Jul 02, 2025From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care. In this episode, Dr. Rebecca Dekker reconnects with former nursing student turned certified nurse midwife, Liz Carr. Liz shares her unique trajectory: from critical care nursing to catching babies, from witnessing obstetric violence as a student to providing trauma-informed, evidence-based midwifery care. Liz and Rebecca explore the impact of diverse clinical experiences, the challenges of navigating midwifery school without labor and delivery experience, and the transformative power of reproductive...
Duration: 00:55:41EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together
Jun 25, 2025Carson Meyer, doula, certified nutrition consultant, and author of Growing Together, joins Dr. Rebecca Dekker for a conversation about reclaiming the sacred, intuitive, and evidence-based aspects of pregnancy, birth, and postpartum. Carson shares how she stepped into birth work at a young age, driven by a desire to transform a system that can leave parents disempowered and unsupported. She opens up about her own home birth experience, the spiritual preparation that carried her through, and the tools she now teaches others through her virtual Growing Together Circles. Together, Carson and Dr. Dekker discuss the importance of informed choice and the...
Duration: 00:42:11REPLAY: EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum
Jun 11, 2025Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresses, 2) provider "hands on" techniques, 3) provider "hands off" techniques, and how these approaches measure up when it comes to protecting your perineum. You'll learn surprising facts, like how a simple warm washcloth can significantly lower your risk of severe tears (and even ease pain!), plus what the evidence really says about whether a provider should help "guard" the perineum or just keep their hands off you during the actual birth. Content n...
Duration: 00:25:27EBB 361 - Supporting Intersex Communities during Birth with Niki Khanna and Catherine Clune-Taylor, Co-Presidents of InterACT
Jun 04, 2025Most parents are told their baby is either a boy or a girl. But what happens when a baby is born with intersex traits—and how can birth workers and clinicians respond with compassion, accuracy, and care? In this episode, Dr. Rebecca Dekker speaks with Niki Khanna, MA, MFT, and Dr. Catherine Clune-Taylor, co-presidents of InterACT, about how to support families when a baby's physical sex characteristics don't fit binary expectations. Together, they explore how often this occurs, what parents are typically told in the hospital, and why rushed decisions about infant genital surgery can cause lasting harm. They also sh...
Duration: 00:51:53EBB 360 - Overcoming Challenges with Low Milk Supply with Katie James, Midwife, IBCLC, and Host of the Midwives' Cauldron Podcast
May 28, 2025Struggling with low milk supply can feel overwhelming, isolating, and confusing. In this episode, Dr. Rebecca Dekker talks with midwife and International Board Certified Lactation Consultant Katie James to demystify the realities of low milk supply. Together, they explore the hormonal, medical, and systemic factors that can affect lactation, as well as the critical importance of early postpartum support. Katie shares how birth interventions, lack of education, and misinformation can interfere with lactation—and how reclaiming knowledge, honoring instinct, and receiving timely help can make all the difference. (07:21) How Birth Interventions Impact Breastfeeding (09:30) Prolactin, Oxytocin, and the Critical First 3 Days (11:18) Wha...
Duration: 00:46:41Special Announcement - Become an EBB Instructor
May 23, 2025Special Announcement from EBB! If you're an experienced birth worker or health care professional and you're interested in becoming an Evidence Based Birth Instructor, applications for 2025 are opening soon for a limited time only! Podcast listeners who are interested in becoming an EBB Instructor are invited to join us for a live Q & A session on Wednesday, May 28 at 1:00 PM EDT. We'll be answering your questions about who is eligible to apply, what the application process looks like, and the support and training you'll receive as an EBB Instructor. Whether you're thinking about teaching the EBB Childbirth Class or leading EBB...
Duration: 00:04:19EBB 359 - Mini Q & A on Early Induction for Gestational Hypertension, Acupuncture/Acupressure for Labor, and Time Intervals between Pregnancies
May 21, 2025In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care. First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of inducing labor at 37 or 38 weeks for gestational hypertension? And how should families weigh these decisions with their providers? Next, Dr. Dekker shares new insights into the effectiveness of acupuncture and acupressure for labor pain, anxiety, and Cesarean recovery. From systematic reviews to randomized trials, the data is gr...
Duration: 00:28:23EBB 358 - "I Need to Give Consent" and Seeking Trauma-Informed Birth Support after a First Traumatic Experience with Rivka and Steven Dubinsky, EBB Childbirth Class Graduates
May 14, 2025A traumatic first birth can shape everything that follows—but with the right support, education, and advocacy, it's possible to turn fear into empowerment. In this episode, Dr. Rebecca Dekker sits down with EBB Childbirth Class Graduates Rivka and Steven Dubinsky as they share the transformative journey from a traumatic hospital induction and birth injury to a redemptive second birth experience centered on autonomy, education, and trust. Rivka opens up about how her first birth left her physically injured and emotionally shaken, and how she didn't initially recognize it as trauma. Over time—and with therapy, research, and support—she came to...
Duration: 00:54:20EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide
May 07, 2025Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers...
Duration: 00:49:22REPLAY: EBB 206 - Evidence on Perineal Tears and the Importance of Avoiding Episiotomy with EBB Founder, Dr. Rebecca Dekker
Apr 30, 2025In today's episode, we're diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We'll talk about what perineal tears are, the different types that can occur, and the potential health consequences that can follow. You'll also hear about the various factors that may increase or decrease the risk of tearing during birth. Finally, we'll cover why it's so important to avoid an episiotomy during childbirth.
Content warning: Discussion of perineal tears during childbirth, severe tears, episiotomy, and obstetric violence related to cutting episiotomies without consent.
(05:58) Understanding Perineal Tears (09:15 Midwife Care... Duration: 00:33:38EBB 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
Apr 23, 2025Navigating a neonatal intensive care unit (NICU) experience can be overwhelming and emotionally taxing. In this episode, Dr. Rebecca Dekker talks with Mary Farrelly, a certified NICU nurse, doula nurse educator, and founder of The NICU Translator. With over a decade of experience in a Level 4 NICU, Mary shares how families can find empowerment and confidence in the NICU. Mary discusses the importance of emotional, social, and informational support for families, and how NICU-informed doulas can play a critical role in bridging the gap between parents and medical teams. From understanding the different levels of NICU care to navigating postpartum c...
Duration: 00:53:52EBB 355 - How Art Can Bring Joy, Peace, and Celebration to Birth and Parenting Experiences with Lauren J. Turner, Artist, Doula, and Founder of Birth Nerds
Apr 16, 2025How can art serve as a powerful way to honor pregnancy, birth, and parenting experiences—especially for families who are often underrepresented in birth spaces? In this episode, Dr. Rebecca Dekker explores this question with Lauren J. Turner, a Baltimore-based artist, birth worker, and founder of Birth Nerds. Lauren shares how her own home birth experiences, her journey with postpartum and neurodivergence, and a diagnosis of multiple sclerosis shaped her path into birth work and fine art. Together, Rebecca and Lauren explore how art can be a healing, meditative process for birthing families, and a meaningful tool for birth workers to...
Duration: 00:44:13EBB 354 - When Your OB Says "I Don't Know How to Support Upright Birth!" with EBB Childbirth Class Graduate Camilla Costa Goetz
Apr 09, 2025Dr. Rebecca Dekker is joined by Camilla Costa Goetz, a graduate of the EBB Childbirth Class, to share her story of advocating for herself during labor. Camilla, a former fashion student turned full-time mom, opens up about navigating pregnancy with POTS (Postural Orthostatic Tachycardia Syndrome), preparing for birth while her husband was away at Army Ranger School, and making the bold decision to push back against hospital norms to have the birth she wanted. Tune in as Camilla and Rebecca discuss why self-advocacy is crucial in birth, how hospital policies can conflict with evidence-based care, and how standing firm can ma...
Duration: 00:54:56EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER
Apr 02, 2025In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates? Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say? Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope? (02:30) How to Join the EBB Pro Membership & Submit Questions (04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early lab...
Duration: 00:23:01EBB 352 - Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist
Mar 26, 2025Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar shares her journey into maternal-fetal medicine, how she became interested in yoga and breathing techniques, and the growing body of research on prenatal yoga. They discuss how breathwork can support pregnant individuals, the physiological effects of deep breathing, and how birth workers can incorporate these techniques into prenatal care. Dr. Babbar also shares her experience using alternate nostril breathing to manage blood pressure during pregnancy and her vision for making integrative...
Duration: 00:44:45EBB 351 -"Home Birth is a National Heritage!" and other Surprising Features of the Dutch Healthcare System with Doula Madi van Tonder
Mar 19, 2025Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work, particularly for families navigating new healthcare systems. Join Dr. Dekker and Madi as she shares insights into the Dutch maternity care system, where midwives play a central role, home birth is considered a national heritage, and postpartum families receive in-home support through the Kraamzorg system. We explore how Dutch birth culture prioritizes physiological birth, minimizes unnecessary interventions, and encourages parents to trust in their bodies. Madi also highlights t...
Duration: 00:32:51EBB 350 - Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate
Mar 12, 2025EBB Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, and preparing for a scheduled Cesarean at 37 weeks. Krista opens up about the challenges of long-term hospitalization, advocating for herself in a complex medical system, and the emotional toll of being away from her family. Dr. Rebecca Dekker walks Krista through creating a Cesarean birth plan, covering topics like delayed cord clamping, optimizing the operating room experience, and postpartum recovery expectations and strategies. (00:03:01) High-Risk Pregnancy & Partial Placental Abruption Diagnosis (00:07:35) Managing an A...
Duration: 00:58:16EBB 349 - An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama
Mar 05, 2025In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing experience, Trish shares her journey from feeling disempowered during her first birth to becoming an advocate for changing the birth culture one birth at a time. Tune in as Trish and Rebecca discuss how to effectively advocate for yourself during labor, overcome fears of being "that patient," and navigate common labor scenarios like refusing unnecessary interventions. Learn tips for building a strong birth team, empowering your partner to...
Duration: 00:46:47EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth
Feb 26, 2025Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodies. Jen shares her journey to founding Plus Size Birth, the impact of size bias in healthcare, and practical advice for both expectant parents and birth professionals. Together, they discuss how to challenge assumptions about plus-size pregnancies, the importance of self-advocacy, and how to create a welcoming and supportive environment for all bodies during pregnancy, birth, and postpartum. (01:41) Jen's Journey to Founding Plus Size Birth (03:42) Misconceptions About Plus-Size P...
Duration: 00:56:27EBB 347 - Updated Evidence on Vitamin K
Feb 19, 2025In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lead to life-threatening complications in infants. Dr. Dekker breaks down what Vitamin K is, why newborns are at risk for VKDB, and the different supplementation options available—including the Vitamin K shot and oral drops. This episode also tackles myths and misinformation surrounding Vitamin K, including concerns about safety, the so-called "gentle birth" exemption, and the controversial "black box warning." Armed with new research, we explore th...
Duration: 00:46:33EBB 346 - Uncovering the Facts about Private Cord Blood Banking with Journalist Sarah Kliff
Feb 12, 2025In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised Cures, Tainted Cells," which explored cord blood banking practices, their marketing claims, and the stark contrast between public and private banking systems. Together, they discuss: The differences between public and private cord blood banks Marketing tactics and their impact on parents The decline in the medical utility of cord blood over the last decade Ethical concerns, such as contamination, low stem cell counts, and hidden collection fees Sarah also s...
Duration: 00:48:27EBB 345 - Taking the First Steps toward Trauma-Informed Lactation Care with Porsche Holland-Otunba, Founder of Reclaim Black Motherhood
Feb 05, 2025Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and inadequate lactation support affected her pregnancy and birth, leading her to become a passionate birth worker, doula, and lactation consultant. Porsche emphasizes the need for trauma-informed, culturally competent care, particularly for Black families, and offers invaluable advice for healthcare workers and birth professionals on how...
Duration: 00:49:17REPLAY: EBB 262 – Advocacy During Birth and Navigating a Hospital Stay for Newborn Jaundice with Emily Chandler and Taylor Washburn, EBB Childbirth Class Graduates
Jan 29, 2025In today's episode, we're revisiting an inspiring birth story featuring Emily Chandler and Taylor Washburn, graduates of the Evidence Based Birth® Childbirth Class. They share their journey of navigating an informed and empowered hospital birth experience, along with the challenges they faced during an extended hospital stay for their newborn's jaundice diagnosis. Emily, a marine scientist, and Taylor, a teacher and rowing coach in the Boston area, enjoy an active lifestyle filled with hiking, biking, and rowing. While preparing for parenthood, Emily immersed herself in learning about pregnancy, birth, and the state of maternity care in the U.S. This j...
Duration: 00:58:11EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International
Jan 22, 2025Dr. Rebecca Dekker welcomes Dr. Kat Kaeni, a perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast. Dr. Kat shares her personal journey with postpartum depression, anxiety, and OCD, and how it shaped her commitment to supporting parents during the perinatal period. They explore the spectrum of perinatal mental health conditions, from baby blues to postpartum psychosis, and discuss the stigma, barriers to care, and strategies for managing symptoms. Dr. Kat explains the power of Cognitive Behavioral Therapy, mindfulness techniques, and the importance of accessing resources like Postpartum Support International. Content Warning...
Duration: 00:41:39EBB 343 - Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean
Jan 15, 2025In this episode, Dr. Rebecca Dekker and Morgan Richardson Cayama, EBB Research Fellow and doctoral candidate in public health, are sharing the top 10 evidence-based strategies for reducing your risk of a Cesarean birth. Drawing from the latest research, including insights from the ARRIVE trial and EBB's Signature Articles, Rebecca and Morgan discuss actionable methods such as choosing a provider and birth setting with low Cesarean rates, receiving midwifery-led care, using labor support like a doula, staying mobile during labor, and avoiding non-medically indicated interventions. They also talk about the impact of tools like peanut balls, the role of intermittent fetal...
Duration: 00:48:29EBB 342 - Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere
Jan 08, 2025In this episode, learn how Dr. Kimarie Bugg's lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers...
Duration: 00:43:27Special Announcement from EBB
Jan 07, 2025Happy New Year to all our listeners! Join us in listening to a mini story about how our team got together last fall... and be the first to learn about a major event we're planning for you in 2025!
To get on the waitlist for the upcoming event, visit ebbirth.com/waitlist
Duration: 00:06:24EBB 341 - 2024 Year-in-Review and Sneak Peek of 2025!
Jan 01, 2025Happy New Year! Join Dr. Rebecca Dekker and EBB research fellows Morgan Richardson Cayama and Sara Ailshire as they celebrate the evidence from 2024. From updating key research on waterbirth, doulas, and elective inductions to launching new handouts, webinars, and pocket guides, it was a busy and rewarding year for Team EBB. Plus, get a sneak peek at what's ahead in 2025, including an updated virtual conference, fresh podcast episodes, and exciting new research. Let's celebrate the wins, reflect on the research, and dream big for what's next! (00:04:06) Benefits of Water Birth in Hospitals (00:05:13) Positive Outcomes of Water Birth Research (00:10:58) Water Birth...
Duration: 00:56:25EBB 340 - Emetophobia in Pregnancy and an Inspiring Home Birth Story with Kat Sullivan and Ben Winston, EBB Childbirth Class Graduates
Dec 18, 2024Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emetophobia—the fear of vomiting—and how it impacted her pregnancy and decision to pursue a home birth. From navigating intrusive thoughts and panic attacks to finding a supportive care team and discovering the power of SSRIs, Kat and Ben open up about their challenges and triumphs. Hear how they prepared for labor, the role of their midwives, and how the EBB Childbirth Class helped them feel informed and empo...
Duration: 00:37:08EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team
Dec 11, 2024Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips for managing pressure to induce and delve into how the ARRIVE trial impacts outcomes like breastfeeding, epidurals, and costs. Tune in to hear this Q&A session originally broadcast to listeners worldwide. Episode 334: The ARRIVE Trial and Elective Induction at 39 Weeks (03:38) How often are we seeing pressure from obstetricians t...
Duration: 00:45:05EBB 338 - What is Respectful Maternity Care? with Dr. Jessica Brumley, CNM, PhD, and President of the American College of Nurse Midwives
Dec 04, 2024Dr. Jessica Brumley, a Certified Nurse Midwife and President of the American College of Nurse Midwives, joins Dr. Dekker to explore the transformative impact of respectful maternity care. Dr. Brumley reflects on her journey to midwifery, inspired by a lifelong commitment to equitable and compassionate healthcare. Together, they discuss the importance of supporting normal physiology in birth, the guiding principles of the midwifery model, and the need for systemic change to foster respectful care in hospitals. Dr. Brumley also shares insights from her work with the Florida Perinatal Quality Collaborative, including initiatives to reduce unnecessary interventions and amplify patient...
Duration: 00:47:16EBB 337 - Getting through a Long Labor Induction without Pain Medication with Camden Crane Wachowiak, Fitness Instructor and EBB Childbirth Class Graduate
Nov 27, 2024In this episode, I'm joined by Camden Crane Wachowiak—a health coach, EBB Childbirth Class graduate, and new mom—who shares her high-risk pregnancy and birth journey. Camden walks us through her induction experience after her water broke at term and her decision to labor with non-pharmacological comfort measures. We also talk about Camden's approach to navigating unique health considerations during pregnancy, including antiphospholipid syndrome and a cardiac pacemaker. She reflects on the empowering choices she made with her partner, such as hiring a supportive doula, and the role of the EBB Childbirth Class in helping them feel informed and...
Duration: 00:47:24EBB 336 - Team EBB's Top Tips for Bringing Your Baby Home from the Hospital
Nov 20, 2024Team EBB's Chanté Perryman, Rikki Jenkins and Sara Ailshire are taking over the podcast to share their tips for transitioning home from the hospital and supporting new parents postpartum! Rikki, a seasoned childbirth educator, International Board Certified Lactation Consultant, and Instructor Program Coordinator at EBB, stresses the importance of having a strong support system and being open about postpartum mental health. Sara, a Research Fellow at EBB, draws from cultural practices and her own journey into parenthood to discuss the importance of accepting help and cherishing special moments with a newborn. Together, with Chanté, Director of Programs at EBB, they re...
Duration: 00:59:01EBB 335 - Evidence on Newborn Baths and Screening for Low Blood Sugars
Nov 13, 2024We're celebrating the upcoming release of the brand new Pocket Guide to Newborn Procedures! Join us as Dr. Dekker explores essential aspects of newborn care: the evidence on 1) pain management during newborn procedures, 2) baby's first bath, and 3) whether and how newborns should receive screening for low blood sugar. In this episode, you'll learn about newborn comfort techniques like skin-to-skin care, massage, "tucking in," and the use of pacifiers. You'll also walk away with a new appreciation for the evidence on delaying the first newborn bath to 24 hours, and the causes and management of newborn low blood sugars (also known as...
Duration: 00:45:22EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks
Oct 30, 2024Join Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama as we explore the ARRIVE Trial and its impact on elective induction at 39 weeks. Together, we'll break down what elective induction involves, examine the trial's findings and critiques, and discuss the latest evidence on this increasingly common practice. Elective inductions have surged since the Trial's release. In this podcast episode, we'll talk about the latest post-ARRIVE research, and the benefits, risks, and professional guidelines on elective induction at 39 weeks. Additionally, we'll focus on the crucial role of respectful maternity care when making decisions about induction. This podcast episode is a...
Duration: 00:53:46EBB 333 - Treatment for Uterine Fibroids and its Impact on Fertility, Pregnancy, and Birth with Dr. Veronica Gillispie-Bell, OB/GYN and Advocate for Health Equity
Oct 23, 2024In this episode, we're talking about uterine fibroids and their impact on pregnancy and birth with Dr. Veronica Gillispie-Bell, a board-certified OB/GYN and nationally recognized expert in fibroid treatment. Dr. Gillispie-Bell shares her wealth of knowledge on this critical, yet often overlooked, topic—explaining everything from what fibroids are to the various treatment options available. We cover how fibroids affect reproductive health, debunk myths about Cesarean versus vaginal birth, and discuss the racial disparities in fibroid care that Black women face. Dr. Gillispie-Bell also opens up about her personal connection to this field, tracing her passion for fibroid tr...
Duration: 00:52:52EBB 332 - Advocating for Yourself during Prenatal Visits with Retired Obstetrician Dr. Leslie Farrington, Co-Founder of the Black Coalition for Safe Motherhood
Oct 16, 2024Dr. Leslie Farrington, an African-American retired OB/GYN, birth justice advocate, and co-founder of the Black Coalition for Safe Motherhood, shares how her early experience with midwifery inspired her passion for patient-centered care. As a physician who later recognized the harmful effects of "physician supremacy" in the medical system, she details her transformation into an advocate for liberation and anti-racism in healthcare. She discusses how systemic issues impact Black maternal health and introduces the ACTT (Ask, Claim, Trust, Tell) framework, a powerful toolkit designed to empower birthing families to advocate for themselves during prenatal care. Dr. Farrington also offers...
Duration: 00:48:01EBB 331 - How Chiropractic Care Can Help with the Aches and Pains of Pregnancy with Dr. Lisa Vawter
Oct 09, 2024Chiropractor Dr. Lisa Vawter is all about women's health, especially when it comes to prenatal and postpartum care. With certifications in the Webster technique, Spinning Babies®, and BirthFit™, she's got all the tools to support expectant and new moms in a holistic way. Dr. Vawter is a firm believer in the power of chiropractic care to ease pregnancy symptoms like low back pain and sciatica, focusing on things like posture, muscle engagement, and body balance. Inspired by her own pregnancy journey, Dr. Vawter provides personalized and compassionate care to make sure birthing people have a safe and comfortable journey into par...
Duration: 01:00:32EBB 330 - An Unmedicated Hospital Birth Story Using Self-Hypnosis with Dr. Emily and Doug Guilfoy, EBB Childbirth Class Graduates
Oct 02, 2024In this episode, we're joined by EBB Childbirth Class graduates Dr. Emily Guilfoy and her husband, Doug, as they share their unmedicated birth story. Dr. Emily, a chiropractor, walks us through her preparation for birth using self-hypnosis and the mental and physical strategies she employed for a calm, empowering labor. Together, they discuss their experience in the EBB Childbirth Class, working with their doula, and how they created a serene birthing environment in a hospital setting. Dr. Guilfoy also tells us how her personal history of having a hip replacement surgery impacted her pregnancy and birth options. From managing...
Duration: 00:42:50EBB 329 - Q & A about Blood Types, Rh Incompatibility in Pregnancy, and the Rhogam Shot
Sep 25, 2024In this episode, we're exploring the fascinating science of blood types and blood incompatibility in pregnancy. You'll learn about the basics of blood types, how they are inherited, and why knowing your blood type is crucial—especially during pregnancy. Rebecca and Sara also discuss the implications of Rh incompatibility, ABO incompatibility, and other rare blood types on maternal and fetal health.
(17:15) Rhogam Injection: Preventing Rh Incompatibility Complications (18:23) Hemolytic Disease of the Newborn: RH Incompatibility (20:24) Rh Sensitization: Newborn Hemolytic Complications (21:33) Rh Incompatibility Risk in Pregnancy Testing (22:45) Global Shortages Impacting Postpartum Rhogam Access (25:15) ABO Incompatibility Impact in Pregnancy (35:44) Critical Need for... Duration: 00:52:00EBB 328 - Importance of Bilingual Doula Care with Neysha Reyes Cruz of Olas de Amor
Sep 18, 2024Neysha Reyes Cruz's journey to becoming a birth doula was sparked by witnessing the inadequate support and resources during a friend's hospital birth in Puerto Rico. Her personal experiences and those of her family have further fueled her commitment and passion for advocating on behalf of women, particularly within Hispanic and Latinx communities. Neysha recognizes the significant need for more bilingual doulas to ensure culturally competent care and clear communication for non-English speaking patients. In response, she is actively working to train and certify young Latina women as bilingual doulas in Kansas City, aiming to address this critical gap...
Duration: 00:56:35EBB 327 - Latina Advocacy and Fighting the Maternal Mortality Epidemic in California with Kimberly Turbin and Michele Monserratt-Ramos of Consumer Watchdog
Sep 11, 2024We are joined by Kimberly Turbin and Michele Monserratt-Ramos, staunch advocates against obstetric violence driven by personal experiences and a commitment to marginalized communities.
Note: Read the transcript in English or español here! Or watch with closed captions on the EBB YouTube channel.
Kimberly's advocacy began after a traumatic birth experience in 2013, which she courageously shared publicly to ignite awareness and debate on obstetric mistreatment. Michele, with her extensive background in public interest and healthcare safety, collaborates with Kimberly to address maternal health issues, particularly affecting Latina women in California. Their joint efforts focus o...
Duration: 00:49:03EBB 326 - Reducing Toxin Exposure in Pregnancy and Postpartum with Lisa Smith, Dietitian, Holistic Nutritionist, and Gut Health Expert
Sep 04, 2024Lisa Smith, a registered dietitian and host of the Pretty Well podcast, joins us on the EBB podcast to discuss the crucial topic of reducing toxins in the home during pregnancy and postpartum. Lisa shares her personal health journey, including her experience with Hashimoto's disease (an autoimmune condition impacting the thyroid), and highlights the importance of reducing environmental toxins to promote optimal health. Listen and learn about the connection between toxins and gut health, how industrial chemicals are found in umbilical cord blood, and steps expectant parents can take to lower toxin levels in their environment. From understanding the...
Duration: 00:44:10EBB 325 - Surviving HELLP Syndrome and Planning a VBAC in a Subsequent Pregnancy with Jolene Brink, EBB Childbirth Class Graduate
Aug 28, 2024Following an emergency c-section due to HELLP syndrome in her first pregnancy, Jolene Brink was determined to have a different birthing experience with her second child. Through the support of a knowledgeable medical team and insights gained from her EBB Childbirth Class, she successfully achieved her goal of an unmedicated VBAC with the birth of her son, Guthrie, in 2022. Jolene's journey towards a VBAC was a transformative process of healing, empowerment, and reclaiming her birthing experience, showcasing the importance of advocacy and informed decision-making in maternal healthcare.
Resources: Check out Doulas of Duluth to learn from her instructors... Duration: 00:41:00EBB 324 - Blending Birth, Science, Technology, and Storytelling with Erica Chidi, Co-founder and CEO of LOOM
Aug 21, 2024Erica Chidi joins us to share her journey from working as a full-spectrum doula to becoming an educator and leader in women's health. With over a decade of experience, Erica discusses how her upbringing in a medical family, coupled with her unique approach to doula work, led her to create LOOM, a health information app designed to empower women and non-binary individuals. She explains the app's mission to provide accessible, science-backed health information and personal stories that help users navigate their reproductive and overall health. The two also discuss the challenges and advancements in maternal healthcare, particularly for Black...
Duration: 00:29:40EBB 323 - Q & A on Frequent Air Travel in Pregnancy, Induction for Low Platelets, and Anterior vs. Posterior Placenta
Aug 14, 2024In today's episode, we're diving into a mini Q&A session to address some pressing questions from our incredible EBB Pro Members. We'll explore the risks of radiation exposure during air travel in pregnancy, particularly for airline crew members. Then, we'll discuss the implications of low platelet counts and whether they necessitate induction. Lastly, we'll look at new research on the location of the placenta—whether anterior, posterior or lateral—and its impact on birth experiences. Tune in for evidence-based answers on these important topics!
View the full list of references for this episode here.
For...
Duration: 00:40:24EBB 322 - Harnessing the Power of the Mind to Enhance Joy and Comfort in Childbirth with Kerry Tuschhoff, Founder of Hypnobabies®️
Aug 07, 2024Kerry Tuschhoff, founder and director of Hypnobabies®, brings a wealth of experience as a childbirth educator, doula, speaker, and hypnotherapist to the realm of hypnobirthing. Inspired by her own challenging birth experiences and a TV show about hypnosis for childbirth, she meticulously studied hypnotherapy and pain management to develop Hypnobabies®, which integrates hypno-anesthesia techniques for effective pain relief during labor. Her program not only empowers expectant parents to make informed decisions regarding interventions such as epidurals and episiotomies but also emphasizes the role of birth partners in maintaining a calm and supportive environment. Kerry champions the idea that consistent practice of...
Duration: 00:47:15EBB 321 - An Empowering, Trauma-Informed Home Birth with First-Time Mom and EBB Childbirth Class Graduate Iris Casey
Jul 31, 2024Evidence Based Birth® Childbirth Class graduate Iris Casey is sharing her inspiring home birth story with Dr. Dekker. Iris opens up about her journey to motherhood, after grappling with the decision to become a parent and overcoming past traumas. She recounts the unexpected onset of labor, navigating the early stages with her supportive partner, and utilizing the knowledge gained from the EBB Childbirth Class and Dr. Dekker's book, "Babies Are Not Pizzas," to create a tailored birth plan. Tune in to hear Iris's story of resilience, preparation, and the emotional experience of bringing her daughter, Roselle, into the world in t...
Duration: 00:56:46EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor
Jul 24, 2024The impact of epidurals on the second stage of labor has sparked a lot of discussion. Research suggests that epidurals can prolong this stage... and a prolonged second stage can be associated with increased risks of infection, severe tears and the need for interventions like forceps-assisted delivery or Cesarean. But does an epidural mean that you are higher risk for complications during the second stage of labor, or are there ways to lessen your risks? In this episode, Dr. Dekker explores the physiological effects of epidurals (and how they impact your body's birthing reflexes), the correlation between epidurals and the d...
Duration: 00:22:40EBB 319 - Exploring Love and Intimacy in Birth with Debra Pascali-Bonaro, Founder of Orgasmic Birth
Jul 17, 2024
Dr. Rebecca Dekker's joined by Debra Pascali-Bonaro, host of the Orgasmic Birth podcast, to explore the connections between love, intimacy, and childbirth. A world-renowned speaker and doula trainer, and the creative force behind the documentary "Orgasmic Birth: The Best-Kept Secret," Debra shares her origins into the world of childbirth education and her groundbreaking work. Debra and Dr. Dekker delve into how intimacy can enhance the birthing experience by promoting relaxation, reducing fear, and allowing for a more joyous and fulfilling labor. Learn how the power of pleasure and joy can transform the birth experience, and hear compelling stories that...
Duration: 00:48:40EBB 318 - Advocating for Waterbirth in Hospitals with Dr. Liz Nutter, DNP, CNM, and Retired Lieutenant Colonel
Jul 10, 2024
Dr. Liz Nutter, a retired Lieutenant Colonel with over 20 years of nursing and healthcare leadership experience, is bringing her expertise as a board-certified nurse midwife and national expert in waterbirth and hydrotherapy evidence-based practice. Dr. Nutter shares her journey from serving in the United States Army to becoming an assistant professor at St. Martin's University in Washington State. She discusses her pivotal role in advocating for waterbirth practices within the military healthcare system and maternal health rights within the military, including extending maternity leave to 12 weeks and providing support for service members experiencing pregnancy loss. From overcoming misconceptions to...
Duration: 00:45:24REPLAY: EBB 186 – A Positive Pregnancy and Birth Outcome with Multiple High-Risk Labels with EBB Childbirth Class Parent, Angela Jones
Jul 03, 2024Today, we're sharing a replay of our podcast episode with EBB Childbirth Class parent, Angela Jones, about having an uncomplicated pregnancy and birth when labeled as high risk.
Angela is a macro-level social worker, wife to her husband, Tony, and mom to her son, Allister, and their cats, Pumpernickel and Lion-O. Angela and Tony graduated from the Evidence Based Birth Childbirth Class with EBB instructor, Victoria Michonski. Both Victoria and Heather McCullough, who is also an EBB instructor, were Angela and Tony's doulas for Allister's birth.
In today's replay, we talk about Angela's birth story...
Duration: 01:01:56EBB 317 - Evidence on Epidurals for Pain Management during Labor
Jun 26, 2024Have you ever wondered what the evidence is on epidurals for pain management during labor? Join us on today's podcast as we discuss most recent evidence on epidurals, spinals, and combined spinal-epidurals! We'll begin with some background on these methods, including how common they are in the U.S. and around the world, before moving on to the effectiveness, benefits, and risks for use during labor. We'll also talk about alternative methods of pain relief during labor, and share recommendations from professional healthcare organizations. [Bonus addition to the podcast at 20:00: We talk about the study on epidurals out of Scotland...
Duration: 00:42:01EBB 316 - Discovering a Passion for Birth Work and Training the Next Generation of Black Doulas with Brandie Bishop, CEO of the National Black Doulas Association
Jun 12, 2024Brandie Bishop, CEO of the National Black Doulas Association (NBDA), joins us to explore the vital role of doulas in supporting pregnant individuals and families within Black and Brown communities. From her early experiences working with refugee families to her passion for advocating for marginalized populations, Brandie's unique journey into birth work led to her role today— continuing NBDA's mission of training the next generation of Black doulas. Through comprehensive trainings and mentorship programs, NBDA aims to empower doulas to make a meaningful impact in reducing maternal mortality rates and ensuring equitable access to compassionate care for all birthing pe...
Duration: 00:36:47EBB 315 - Supporting LGBTQ+ Families from Fertility through Parenthood with Gena Jaffe, Founder of Connecting Rainbows
Jun 05, 2024In this episode, Dr. Dekker's joined by Gena Jaffe, an LGBTQ+ activist, attorney, and founder of Connecting Rainbows©️. Gena shares her personal story of embarking on reciprocal IVF with her wife and the legal hurdles they faced as a lesbian couple. From navigating complex parental rights to accessing inclusive healthcare, Gena sheds light on the challenges faced by some LGBTQ+ individuals and families on their path to parenthood.
Gena's experience led her to creating Connecting Rainbows©️, a groundbreaking organization offering free legal and fertility resources tailored to the LGBTQ+ community. Tune in for an empowering conversation celebrating divers...
Duration: 00:32:25EBB 314 - Babywearing Benefits and Tips with Whitney Dula, IBCLC, Postpartum Doula, and Babywearing Expert
May 29, 2024Learn about the world of babywearing, including its impact on infant development, digestion, and sleep with Whitney Dula, a maternal child health advocate and founder of The Mama's Dula. Whitney shares her personal journey into babywearing, the rich cultural history of babywearing, its role in community-based child-rearing practices, and practical tips for parents. From fostering a close bond between caregivers and babies to being an affordable alternative to expensive baby carriers, learn how this practice could benefit you and your child.
Learn more about Whitney and The Mama's Dula here.
Follow Whitney on Instragram, TikTok...
Duration: 00:50:45EBB 313 - A Birth Story with Hydrotherapy and Injectable Opioids for Pain Management with Melissa and Brendon Smyles, EBB Childbirth Class Graduates
May 22, 2024In this episode, EBB Childbirth Class graduates Melissa and Brendon Smyles' share their experiences preparing for an unmedicated birth while embracing flexibility in their birthing plan. From the unexpected premature rupture of membranes to the decision to use fentanyl for rest during labor, Melissa and Brendon tell their birth story, emphasizing the importance of informed choices and personalized support. Join us as they reflect on the transformative power of evidence-based education and the profound impact of tailored guidance and informed decision making in achieving a positive birth outcome. Resources: Get the Evidence on Injectable Opioids for Pain Management during Labor...
Duration: 00:36:55EBB 312 - Evidence on Injectable Opioids for Pain Management during Labor
May 15, 2024Were you aware that beyond the standard epidural, there is an additional medication option for managing pain during childbirth? Today, Dr. Dekker discusses another common option, intravenous (IV) or intramuscular (IM) opioids. Dr. Dekker explains the different types of injectable opioids available during labor, how they work, and the current evidence that you need to know to make an informed decision. Plus, learn about the benefits and risks of IV opioids for pain relief labor and an in-depth look at one opioid in particular: Remifentanil, which is commonly given through a "Patient-Controlled Analgesia" or PCA pump.
EBB Pocket... Duration: 00:19:55REPLAY - EBB 149 – Shifting from Hospital Labor and Delivery Nurse to Home Birth Advocate with Melissa Anne DuBois
May 08, 2024For Nurse's Week 2024, we wanted to share a replay of one of our favorite episodes at EBB, and that is an interview with Melissa Anne DuBois about shifting from hospital labor and delivery nurse to home birth advocate.
Content note: Discussion of obstetric racism and graphic description of obstetric violence.
Melissa Anne DuBois is an experienced perinatal nurse living in Central Massachusetts. She graduated summa cum laude from the University of Massachusetts Amherst School of Nursing in 2006 and has worked in a variety of perinatal settings since 2007 including in-patient labor and delivery, high-risk obstetrics, outpatient...
Duration: 01:00:12EBB 311 - Creating a Community-Led Birth Center in New York City with Myla Flores of the Womb Bus
May 01, 2024
Join us in diving deep into Myla Flores' incredible story of becoming a leader and visionary in the birth field! From Myla's early experiences as a birth doula to her ongoing advocacy for safe, dignified birth options, Myla's passion shines through as she discusses the challenges and triumphs of birth work.
Discover how The Womb Bus, a mobile wellness hub, brings essential education, resources, and outreach to blossoming families in under-resourced areas. Learn about Myla's vision for The Birthing Place, a future birth center that will offer midwifery-led collaborative care, and about group efforts to expand access t...
Duration: 00:41:56EBB 310 - Doulas & Nurses Advocating Together for Positive Shifts in Birth Culture with Joyce Dykema, EBB Instructor & Brianna Fields, RN
Apr 24, 2024Dr. Rebecca Dekker is joined by Joyce Dykema, doula and EBB Instructor, and Brianna Fields, a labor and delivery nurse, to discuss advocating for positive shifts in birth culture, particularly in Nebraska. Joyce shares her journey into birth work and the impact of the Evidence Based Birth Instructor program on accessing research evidence, highlighting changes in hospital practices and provider attitudes that support more diverse birthing options. Brianna discusses her experience in Joyce's EBB Comfort Measures Workshop—which covers the importance of language, positioning, acupressure, and eating and drinking during labor. Together, Joyce and Brianna talk about the need for ong...
Duration: 01:02:56EBB 309 - Evidence on Doulas
Apr 17, 2024What is a doula, and what are the different types of doulas? How many people use doulas during childbirth, and what does a doula actually do? Are there any randomized, controlled trials on doula support? What are the benefits and risks of having a doula, if any? And if the evidence shows that doulas improve health outcomes… then why are some hospitals around the world unsupportive of labor companions? And how can you find a doula if you're interested in having one at your birth?
Today's podcast episode with Dr. Dekker and Sara Ailshire, MA, is chock fu...
Duration: 00:57:21EBB 308 - The Intersection of Environmental Justice and Midwifery Care with Dr. Tanya Khemet Taiwo
Apr 10, 2024
Curious which toxins should be most avoided for people of reproductive age and their children? In this episode, Dr. Tanya Khemet Taiwo, LM, CPM, MPH, PhD unravels the intricate connection between environmental exposures and their profound impact on pregnancy and birth outcomes. We will explore the hidden risks associated with heavy metals such as mercury, cadmium, and arsenic.
You'll learn about the research on how environmental exposures contribute to issues like reduced birth weight, miscarriage, stillbirth, congenital anomalies, and neurodevelopmental delays. Plus, Dr. Taiwo teaches about the unequal distribution of these exposures across populations, what parents can...
Duration: 00:43:18EBB 307 - Unexplained Infertility, Endometriosis, and a Birth Center Birth Story with Ellora La Shier, EBB Childbirth Class Graduate
Apr 03, 2024In this episode, Ellora La Shier, graduate of the EBB Childbirth Class, shares about her struggle with six years of unexplained infertility and how it impacted her eventual birth story. Listen in as Ellora describes the frustration of unexplained infertility, suffering through years of increasingly painful periods, and the relief of finally receiving a diagnosis of endometriosis. Despite facing numerous challenges and undergoing various treatments, including intrauterine insemination (IUI), Ellora remained determined and resilient. Finally, after years, Ellora underwent surgery to remove the abnormal tissue caused by endometriosis. Following surgery, she and her husband were overjoyed to discover that they q...
Duration: 00:43:55EBB 306 - Culturally Sensitive Doula Training with Divya Deswal and Neha Misra of the Doula Collective in India
Mar 27, 2024As we wrap up the celebration of World Doula Week, explore the transformative journey of pregnancy and childbirth in the Indian context with Divya Deswal and Neha Misra, founders of The Doula Collective©️. In this interview, Divya and Neha shed light on the unique challenges and triumphs faced by expectant families in India. You'll learn how The Doula Collective©️, with its culturally sensitive and trauma-informed approach, is reshaping the landscape of birth support!
Also... have you ever heard of a year-long doula training program? Divya and Neha share the intricacies of their in-depth doula training program and how it...
Duration: 00:45:52EBB 305 - A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates
Mar 20, 2024
You're going to love this family-centered birth story with Dr. Dekker's brother John DeYoung and his wife Krista DeYoung! On today's episode, Krista and John (who are graduates of the EBB Childbirth Class with EBB Instructor Chanté Perryman) get vulnerable and open up about their complex pregnancy and son Eli's miraculous birth story. In addition to facing a pregnancy with a prior diagnosis of Crohn's disease, they also had to cope with lockdowns during the pandemic, genetic concerns including an initial diagnosis of triploidy, a HUGE and abnormally low-functioning placenta, potential growth restriction, a 39-week induction, and placental retention t...
Duration: 00:57:46EBB 304 - Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental Encapsulation
Mar 13, 2024
Welcome to a special Q &A episode of the Evidence Based Birth® Podcast! Today I address some of your burning questions on key childbirth topics!
In this episode, I share evidence on the (unproven) relationship between synthetic oxytocin (Pitocin) administration and postpartum depression, the complexities of delayed cord clamping and the power dynamics around requesting delayed cord clamping, the use of Nubain (an IV opioid) for pain relief during labor and its potential impact on babies, and the latest insights into consuming the placenta—whether it's dehydrated, freeze-dried, or consumed raw.EBB Resources:
The EBB Pocket Gui... Duration: 00:21:20EBB 303 - Advocating for Bodily Autonomy in Pregnancy and Birth with Mama Doctor Jones, OB/GYN
Mar 06, 2024
In this episode, we chat with obstetrician Dr. Danielle Jones, aka Mama Doctor Jones, about challenging norms in pregnancy and childbirth. Dr. Jones passionately advocates for patient autonomy as we dive into the resistance to eating and drinking from the anesthesia community, debunk myths on this hot topic, and call on healthcare professionals to prioritize evidence-based practices.
We also discuss the challenges nurses and obstetricians face in changing hospital policies, especially when confronted by powerful figures resistant to evidence-based approaches. Dr. Jones urges professionals to find allies and use data-driven discussions to challenge outdated norms. We wrap...
Duration: 00:45:08EBB 302 - Solo Delivery: Navigating Birth During Spouse's Military Deployment with Kellie McKinnon, EBB Childbirth Class Graduate
Feb 28, 2024
Delve into a powerful and emotional conversation with the incredible Kellie McKinnon, a military spouse, San Diego-based personal trainer, and graduate of the Evidence Based Birth®️ Childbirth Class! In this episode, Kellie shares her unique and challenging journey through pregnancy while her partner was deployed. We explore the emotional and logistical aspects of facing pregnancy and childbirth without the physical presence of a partner. Discover the importance of a doula, the role of childbirth education, and the unexpected challenges within the military healthcare system.
If you're an expecting military spouse, Kellie's experiences offer valuable insights into the str...
Duration: 00:52:04