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Evidence Based Birth®

Author: Rebecca Dekker, PhD, RN

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In the Evidence Based Birth® podcast, we cover the research evidence on hot topics about pregnancy and childbirth! Our mission is to raise the quality of childbirth care globally, by putting accurate, evidence based research into the hands of families and communities, so they can make informed, empowered choices.
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EBB 38 - Breathing

EBB 38 - Breathing

2018-08-0815:58

Many childbirth classes teach breathing for pain relief during labor. But is there evidence that this is effective? Which breathing techniques work best? To learn more about the EBB Professional Membership, visit https://evidencebasedbirth.com/become-pro-member/
EBB 39 - Wrap Up

EBB 39 - Wrap Up

2018-08-1530:02

This wrap-up of pain management series covers the many different drug and non-drug comfort measures during labor. Learn our overall takeaway. To learn more about the EBB Professional Membership, visit https://evidencebasedbirth.com/become-pro-member/
Doula and Evidence Based Birth® Instructor Traci Weafer gives a glimpse into the challenges and successes of working with birthing families in Alabama. After having her first child, Traci realized many in her community lacked birth education, and she noticed gaps in maternity care. Her passion to educate led her to early opportunities to learn from midwives and she eventually launched her career as a doula. Later she became an Evidence Based Birth® instructor, and she will soon be a Spinning Babies® parent educator. Traci also focuses on mentoring new doulas through online communities. While she has tackled many challenges, Traci has been able to witness many successes in her community, including improvements in VBAC rates, evolved language among hospital staff, respectful informed consent and teamwork, and a focus on family centered care. Learn more about Traci at her website. You can also find her on DoulaMatch, Facebook and Instagram. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership and our Instructor program.
Juliet Swedlund is the director of the Topeka Doula Project, a nonprofit offering evidence based doula support to teen mothers, incarcerated and reintegrating mothers, and low-income mothers and their families. Juliet has worked as a birth doula for four years, and has 16 years experience working in health and wellness. She achieved her DONA Birth Doula certification in 2016, and became an Evidence Based Birth® Instructor in 2018. Juliet discusses her organization’s beginnings and her inspirations, as well as the unique challenges of the underserved populations she works with. “Some of the women I work with who are incarcerated… so much is out of their control, and they do feel like the system gets to decide what it looks like,” she said. “So part of our job as doulas for those women is to help them understand that they can take an active role in what they do have control over - in what they can find autonomy in in that birth setting.” She and Rebecca also discuss funding strategies for non-profits.  Learn more about Juliet and her work at her website. You can also follow Topeka Doula Project on Facebook and Instagram. Contact Juliet at julietswedlund@topekadoula.org. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership and our Instructor program.
Katie Rachanow leads the Military Birth Resource Network at the largest overseas installment in Europe, and has specialized knowledge of the military birth system. Katie is a doula, yoga instructor, and Evidence Based Birth instructor practicing in Germany. She recently moved there following a two-year tour in Colorado Springs and a five-year tour in the UK.  Katie shares how having her first child in the UK launched her career as a birth worker, and how she operates exclusively in a military setting. She notes that the main problem for birth in the military is continuity of care. “Everybody is moving around constantly - nobody ever stays put.” Additionally, people often end up birthing on their own, as their partner may be deployed or on duty, and their families cannot afford to travel to where they are. “I’ve had a lot of instances where moms have been alone - just by themselves - until it’s time for delivery,” she said. Together, Katie and I brainstorm ways to promote funding of doula support for military members, and build relationships among birth workers in new communities. Connect with Katie on her website, Facebook, LinkedIn and the EBB Instructor Directory. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership and our Instructor program.
April Oglesby is a nurse and monitrice in Amarilo, Texas. She has been a nurse for 13 years, specializing in all types of care for mothers and babies. Recently, she left hospital work to start her own business, Welcome Baby! Throughout her hospital nursing career, she began to see huge deficits in the knowledge, education, empowerment and support for expecting families. She was frustrated watching patients receive care that was not evidence-based, and was often unnecessary. From that, Welcome Baby! was born, offering evidence based childbirth classes, doula and monitrice care, home visits for breastfeeding support and newborn care, as well as placental encapsulation. April shares her journey of providing education and empowerment to birthing families in her community. She also asks Rebecca her advice on building bridges and personal relationships with local providers. Connect with April on the Welcome Baby! Facebook page, Instagram account, and website. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership and our Instructor program.
Amber Ginn is a birth and postpartum doula in Puerto Rico. She had her first child at 15, and is dedicated to providing essential support to pregnant adolescents. Amber’s first birth was a traumatic experience, with interventions she was not educated or informed about, and she felt her concerns and questions were dismissed by her providers. She also battled postpartum depression with little support. Despite these challenges, Amber finished high school and college while caring for her son. These experiences led her to her career in birth work, and she hopes to shine a light on the support that is needed - and often lacking - for young mothers. Amber is an EBB Professional member, and is also working towards certification as a lactation consultant. She and Rebecca discuss postpartum depression in adolescents, and the existing resources and research available on caring for young pregnant people and new moms.  Resources mentioned in this episode: Science and Sensibility: Welcoming All Families; Working with Teen Parents Midwifery Today: Doulas Supporting Teens Research article: Going Beyond the Call of Doula More research available on PubMed.gov Connect with Amber at her website, VillageBirthandPostpartumCare.com, Facebook page, and Instagram. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this week's podcast I interview Cheri Grant RN, ICCE, CLC, ICD, CLD, CD BDT(DONA), known in the birth world as "the peanut ball lady.” She is the founder, chief contributor and inspiration for Premier Birth Tools. For over 42 years, she has served women as a labor and delivery nurse, childbirth educator, lactation consultant, national speaker, author, doula, and doula trainer. She has helped with well over 2,700 deliveries in the span of her career. Cheri is also the founder of Tulsa Doulas, a community group that has helped train and support doulas for over 20 years. Cheri’s interest in peanut balls began when she first saw their use in labor in 1985. At that time, they were just straddled. In the 2000’s, the usage of peanut balls was refined to the side-lying position, and interest in them began to grow among birth professionals. They are used with and without an epidural, and can be effective in shortening labor. Premier Birth Tools promotes education via its website, as well as Peanut Ball Ambassadors and Authorized Peanut Ball Trainers. Cheri discusses peanut ball positions and other new information on this tool. Resources mentioned in this episode: Connect with Cheri at the Premier Birth Tools website and Facebook page. Contact Premier Birth Tools for a free information packet for doulas, L&D nurses, midwives and nursing instructors. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
Kelsi Kennedy is a birth doula serving women in the New York City and Westchester, NY area, and is also a grant writer for non-profit called The Birthing Circle in the greater Washington D.C. area. She has a Masters in Applied Psychology from NYU, and spent two years volunteering and interning as a data analyst for a human trafficking rescue, Restore NYC. Kelsi is also CEO & founder of a brand new ethical fashion business called rev thread.  When she first connected with The Birthing Circle she was a new mom, briefly living in Maryland, and was impressed by the resources they offered. “I realized that every woman deserves this kind of support in her pregnancy and birth,” she said. The organization provides childbirth education, doula services, breastfeeding support and facilitates donations of baby supplies to families in need. The Birthing Circle is also promoting the hashtag #mybirthtoo - a sister campaign of the #metoo movement. While Kelsi currently practices in a very supportive community, where the movement toward doulas and holistic care is growing, she advocates for more education and access to care in other areas which don’t have the same support. In this podcast, we discuss how some communities and underserved populations lack access to evidence based education and advocacy - and how the birth community can bridge that divide. Resources mentioned in this episode: Unpacking the Invisible Knapsack by Peggy McIntosh   Connect with Kelsi on Instagram @kelsi102 or @doulakelsi or website doulakelsi.com. Any women who have experienced any sort of discrimination, violence, trauma, or anything that has had a lasting impact on them from pregnancy or birth to use the hashtag #mybirthtoo, or visit https://mybirthtoo.com/. For more on The Birthing Circle, visit their website here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
Jenn D’Jamoos is a CAPPA-certified childbirth educator and Evidence Based Birth Instructor, human rights activist and mom of four who lives in Michigan. She founded the Livingston County Birth Circle in 2013 to serve the needs of families in her area. While the stated goal of the LCBC is to provide non-judgmental support to expectant and new families, the organization also works to elevate conversation surrounding the birth experience.  Jenn recently enrolled in White Woman School through Mothering Justice to explore opportunities for anti-racism work in the context of perinatal education. Jenn and I discuss the importance of birth settings and putting care provider relationships into proper perspective, as well as the use of motivational interviewing to help guide people through changes without telling them what to do. We also brainstorm ways to help people birth experiences with supportive dialogue, without reigniting feelings of trauma or stress. Connect with Jenn at EarthMamaBirth.com, on Facebook, and Twitter. Other resources:  Ladder of Empowerment - “From White Racist to White Anti-Racist: the Life-Long Journey” by Tema Okun Mothering Justice          For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
This week, we cover the evidence on inducing labor versus waiting for labor to start on its own, when water has broken before the start of labor. For this podcast, we focus on when water breaks at 37 weeks of pregnancy or later. This is also known as pre-labor rupture of membranes, or PROM.  PROM is a common situation - researchers say that about one in ten pregnant people will have their water break before the onset of labor. Join me as we examine the evidence to see how pregnant people can make the best decisions for themselves when faced with the choice of inducing or waiting.  For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
This week, we talk about the evidence on induction for having a suspected big baby. I discuss the assumptions that lead to high rates of cesarean and induction for big babies, and whether the research shows these assumptions to be true. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this podcast we discuss inducing labor in someone who is 35 and older. Over time in the United States, for the past four decades, there has been a dramatic increase in the number of people who are giving birth for the first time at age 35 and older. Today, roughly one in ten first time mothers is now considered advanced maternal age.  We will examine the risks and the evidence for induction in this population. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
This week, I discuss the concept of due dates - as well as the free webinar I am hosting soon, the Evidence on Induction at 39 Weeks! I want to provide an overview on this topic so you can be prepped for the webinar, which will include discussions on the controversial ARRIVE study. Tune in as we discuss what it means to be full term, the accuracy of due dates, and how they are calculated. This is important, because inductions for non-medical reasons have been rising globally in the last 30 years. Studies show that inducing labor because the pregnancy is full term, close to the due date, is the number one reason for induction in the United States. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Read EBB’s Signature Article, The Evidence on Due Dates (link: ebbirth.com/duedates) Register for our webinar, The Evidence on Induction at 39 Weeks (link: ebbirth.com/webinar)
Lisa Marie Sanchez Oxenham has been a birth worker for over 25 years, serving the last 10 as a licensed midwife. She works full time with her husband, Richard, who is currently pursuing his CPM. They specialize in water birth and past trauma, and travel all over Southern California to provide in-home care. Together, they work to include the partner in birth - especially men, who are often mis-portrayed in birth environments in the media. Lisa and Richard support all birthing parties with comprehensive relationship building with a focus on trust. They find that utilizing both men and women in birth seems to really help men - which helps their birthing partners - and dispels the belief that brith belongs only to women. They also believe that water birth is particularly helpful for victims of rape and sexual abuse. Listen in as we discuss Lisa’s journey and mission, as well as the evidence on misoprostol for induction and details about water birth. Contact Lisa Marie on Instagram, Facebook, and at sacredjourneymidwifery.com. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this episode, I interview certified birth doula, postpartum doula, parent educator and breastfeeding counselor Nubia Jones. Nubia is a mother of five, and her journey of supporting women and families began 18 years ago during the birth of her first child. She went on to become involved in her local birth community, determined to help many families have positive and peaceful births, especially in hospital settings. Now, she serves a diverse population throughout New York City. As an Evidence Based Birth Instructor, Nubia’s mission is to support families by respecting their personal choices and providing evidence based information. She also serves as a Certified Attachment Parenting International Educator, and a Certified Integrative Nutrition Health Coach, so she has much information to offer her clients and members of the community. Among her main areas of focus are guiding families on paths to avoid preventable cesarians, as well as supporting young mothers and mothers of color. Her most recent endeavor is working with a charter high school in Brooklyn that has a high number of teen parents and expecting mothers. She has joined the school’s parent support initiative with other staff members, as the only birth professional in the group.  Nubia and Rebecca discuss the evidence on cesarean rates, as well as other birth experiences, for teen moms. They also talk about the upcoming Evidence Based Birth Childbirth Education course, which a select number of EBB Instructors will be able to teach as early as January 2019. Connect with Nubi at  https://www.doulavivabirths.com/, and on Instagram. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this episode I interview Krysta Dancy, licensed marriage and family therapist, certified birth doula, and Evidence Based Birth Instructor. Krysta has over 15 years of experience in the field of psychology. In her office in Roseville, CA, she provides compassionate and evidence-based care for a variety of fertility-related mental health issues, with special emphasis on trauma and birth (for both providers and patients). She also serves as Co-Director and Clinical Supervisor at The Place Within, a nonprofit that makes counseling affordable for those who may not otherwise have access.  As a longtime friend to the birth community, Krysta has had the opportunity to intimately experience the birth process and its many complexities. She brings a deeply held optimism to her work and holds space for the contributions of each person in the birth room. Her warmth, passion, expertise, experience and background in professional public speaking combine to make her workshops both informative and meaningful. We discuss the patterns Krysta sees in people who have experienced a traumatic birth, as well as some of the effective therapies she utilizes to address these challenges for both parents and birth workers. We also cover the systemic recognition and definition of birth trauma, the disruption of the sharing of generational wisdom, and the effects of maternal trauma on future generations.  Connect with Krysta and see her class schedules at www.ThePsychologyOfBirth.com or on Facebook. Find more information about Krysta’s therapy work here.  Click here learn about The Place Within. Connect with the Birth and Trauma Support Center, as well as on Facebook. To join a free support group for parents who have experienced birth trauma, click here and for support for birth professionals, click here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this episode, I interview Carissa Hipsher, a parent who was pressured into a cesarean for breech positioning. Carissa lives with her husband and three month old baby in Columbus, Ohio, and is working on obtaining her PhD in environmental science. She had a surprise breech positioning at the end of her pregnancy, and was pressured into a cesarean very quickly. After that experience, she decided to become more involved in examining the evidence on breech positioning and its different delivery options, as well as advocating for pregnant families’ rights. After compiling the evidence on breech delivery and asking to present it to her hospital management to help future families have more choices in birth, Carissa received little response. Now she is working on getting a modified version of the letter she sent to the hospital published in a national obstetrics journal. She is also focusing on processing her birth, including talking to other women who had unplanned c-sections. Find our more about the International Cesarean Awareness Network (ICAN) here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.  
In this episode I interview Ms. Charlotte Marie Shilo-Goudeau, one of three African American women in the state of Louisiana to hold the title of Licensed Certified Professional Midwife. She is the founder of “P.Y.O.B.E. (Pick Your Own Birthing Experience) with Mama CHAR’s Birthing Service,” located in the rural area of Maringouin, LA. Ms. Charlotte has committed her life work to serving women who lack resources needed to ensure positive and healthy prenatal and perinatal outcomes. By coining and implementing her “CPM’s Preventative Cup of TEA Philosophy”, she uses strategies of training, evidence-based education, and advocating to help bring awareness to the disparities found in misrepresented and underserved communities. Her “TEA Philosophy” helps to prevent negative health outcomes and brings awareness to the institutionalized limitations placed on all women of childbearing years, especially minorities. With her hard work and dedication she bridges the gap of communication between midwives, clients, and other healthcare providers.  Ms. Charlotte became an Evidence Based Birth  Instructor after passing an advanced training in “How to Help Families Receive Evidence Based Care” in 2018. We discuss strategies to overcome adversity - both for birthing people and birth professionals - as well as ways to make your voice heard and/or provide support within your realm of influence. RESOURCES You can connect with Ms. Charlotte at charlotteshilo@yahoo.com. Click here for more information on NARM and the Portfolio Evaluation Process. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
In this episode I interview Courtney Carangian, a native to the Hawai’ian island of O’ahu. Courtney is an Evidence Based Birth Instructor, and is currently undergoing the DONA certification process to be a birth and postpartum doula. A mother of two children, Courtney has been married for seven years. She serves the birth and parenting community on O’ahu with doula services, lactation education, and EBB instruction.  Courtney got involved in birth work via baby wearing. She started a business, Wearing and Caring, and much of her focus is on creating connections in her local birth community. Courtney helps run Birth Processionals of O’ahu, and she also hosts play dates to mix local birth pros and parents. We discuss how native Hawai’ians interface with their local medical community, as well as how research is generated and how evidence is applied in the real world. We also discuss the topic of pain after epidurals. RESOURCES You can connect with Courtney at Wearing and Caring. For more information on Birth Professionals of O’ahu, click here. For information on Rebecca’s Comfort Measures Workshop in Honolulu, click here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program.
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