Evidence Based Birth®

In this episode, we are kicking off a new series on protecting the perineum - starting with the evidence on perineal tears and the importance of avoiding episiotomies. In this episode, we will cover the factors that can increase or decrease your risk of tearing during birth. We’ll also talk about the types of perineal tears that can occur, as well as the consequences of perineal tears. Finally, we’ll wrap up this podcast by discussing 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. Resources: For a full list of scientific references, see the blog post that goes along with this episode. The Mayo Clinic has graphics that show the different types of tears: http://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129 Read Dr. Klein’s story here https://www.cbc.ca/radio/whitecoat/meet-dr-michael-k

On today's podcast, we're going to talk with team members of Evidence Based Birth®, about a wrap-up of this past year and what our goals are for next year.  Dr. Rebecca Dekker (she/her) is the founder and CEO of Evidence Based Birth® where in a world without allergies, you would find Rebecca running a garden center or maybe leading a summer camp for kids who love animals. Erin Wilson (she/her) is the research editor for Evidence Based Birth® where if Erin were stranded on a desert island, she would be fine with lots of coffee and a big sun hat.  After 10 years as an on-call doula, Erin is currently taking it slow in the mountains doing lots of cooking and exploring with her family. Ali Buchanan (she/her) is the operations coordinator and content team manager for Evidence Based Birth® where you can find Ali quoting movies, drinking coffee on the beach, and dreaming she was a backup dancer for Janet Jackson. Iya Mystique Faodugun (they/she) is the podcast coordinator and inclusivity specialist for Evidence Base

On today's podcast, we're going to talk with board certified physician Dr. Stacy De-Lin about the spread of misinformation online about COVID, particularly COVID and pregnancy.  Dr. Stacy De-Lin MD (she/her), is a board certified physician whose specialty and area of practice is gynecology and family planning. Dr. De-Lin is an Associate Medical Director at Planned Parenthood and works to provide access to full-spectrum reproductive healthcare no matter what. In addition to her busy practice, Dr. De-Lin works to combat online misinformation through her Instagram account @stacydelin_md.  We talk about the rise of misinformation online about COVID regarding pregnancy. We also talk about how evidence based research about COVID can assist pregnant people and their families to make informed decisions about their health.  Content Warning: We mention COVID, COVID-related deaths, abortion, and miscarriage. RESOURCES: Learn more about Dr. Stacy De-Lin and follow her Instagram here. Learn more about Planned Parenthood h

On today's podcast we talk with Haley Grachico about her intense, fast birth experience at a freestanding birth center. Haley and her husband, Dr. Ismael, are graduates of the EBB childbirth class with EBB Instructors Marnellie Bishop and Ali Buchanan. For the birth of their baby, Josefine, they hired Marnellie and Marnellie's backup Ali Buchanan as their doula. Iz completed his general surgery residency at Oregon Health and Science University just 13 days before Josefine's arrival. A week after Josefine was born, the Grachico family moved to Grants Pass, Oregon, where Is joined a private practice general surgery group. Haley is enjoying time with Josefine and their two dogs, Duke and Bentley. Haley has since then started a new parents group in town and is exploring options to possibly become a doula and to support families in a different way in their new community. We talk about Haley and Dr. Iz's experience taking the EBB Childbirth Class, and the importance of them having a doula to help with their differe

On today's podcast we're going to talk with Paula Richards about advocacy work as a trauma-informed nurse educator.  Paula Richards (she/her) is a perinatal nurse and nurse educator who likes to nerd out about OB-related nursing professional development on Instagram under the handle @NurseBrownGirl. Paula joined the Evidence Based Birth® Instructor program in the spring of 2020 and she's also a guest teacher in the videos of our Evidence Based Birth® Childbirth Class where we talk about interventions during childbirth. We talk about Paula’s journey to become a nurse and her experience of unlearning traumatic childbirth practices that are problematic and harmful for birthing people. We also talk about the gap between evidence, human rights, and actual practice, as well as the need for more ethical nurse education. Content warning: We will talk about traumatic childbirth and obstetric abuse. This episode also contains strong language, swear words, and how binary language/terminology is routinely used in labor a

On today’s episode, we celebrate our 200th episode on the Evidence Based Birth®podcast, where Ihotu Ali, EBB Research Associate, will be talking with our founder, Rebecca Dekker, about solidarity in birth work. In this episode, Ihotu asks Rebecca about her cultural upbringing, and Rebecca reflects candidly on racism and cultural differences she witnessed as a child growing up in the suburbs of Memphis, Tennessee. We also explore the harmful impacts of white privilege and white supremacy on birth and reproductive justice work, as well as oppressive agendas that harm communities of color and other marginalized communities.  Ihotu and Rebecca also talk about solutions such as doing inner work, educating yourself, understanding your ancestry, creating solidarity with those from other cultural groups, protecting Black women and girls (vs. being a savior), and being aware of how your actions and words may have harmed people from marginalized groups. Content warning: We mention racism, white supremacy culture (inclu

On today's podcast, we're going to talk with Ihotu Ali, MPH, who is writing about research on the effects of racism on pregnancy and birth outcomes. Ihotu (“love” in the Idoma language) (she/her) is a prenatal and Maya Abdominal massage therapist with a Master's in Public Health, and a doctoral student in Chiropractic Medicine. Ihotu is the granddaughter of a traditional Nigerian Chief, of Polish-Irish farmers, is a graduate of Columbia University. Ihoutu also conducted maternal health research with the United Nations before becoming a doula in 2011. Fascinated by the connections between western and traditional medicine, Ihotu spent a decade studying Afro-Indigenous and global cultural practices for childbirth, ancestral, and womb healing, which she is now alongside medical training in chiropractic care and the neuroscience of spirituality and meditation. Ihotu is the co-founder of the Minnesota Healing Justice Network, featured in Rolling Stone Magazine for their focus on rest for residents and healers throu

On today’s episode, we're going to take a deep dive into the research evidence on eating and drinking during labor! In this episode, I talk about the history of anesthesia and food and oral fluids during labor— starting in the 1940s and moving forward to current times. I also talk about Nothing by Mouth (NPO) policies in hospitals, and discuss how researchers have reframed the topic for birthing people today as one of bodily choice. I also talk about whether or not people should be able to eat once they experience medical interventions such as an epidural (because many hospitals around the world still forbid food once you have an epidural!) Content warning: In this episode, I talk about maternal death and labor complications.  RESOURCES: For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? C

On today’s episode, we have EBB podcast coordinator, Mystique Hargrove, talking with the co-founders of the Perinatal Mental Health Alliance for People of Color, Divya Kumar, Jabina Coleman, and Desirée Israel. Divya Kumar (she/her) is a psychotherapist for And Still We Rise, LLC, and a licensed certified social worker. Ms. Kumar is also a certified lactation counselor and holds a certification in perinatal mental health from Postpartum Support International. Ms. Kumar specializes in perinatal mental health for BIPOC individuals, people who identify as first and, second-generation immigrants, and people who have experienced trauma as they navigate the transition to parenthood.  Jabina Coleman (she/her) is a “United States Breastfeeding Committee Cultural Change Maker” awardee and a dynamic regional speaker. Jabina is a licensed social worker, an International Board Certified Lactation Consultant, and is the creator of “Everyone Wants to Hold the Baby, Who Will Hold the Mother?” a call to action highlighting t

On today's podcast, we're going to talk with Brittany Sharpe McCollum about pelvic biomechanics, movement, and fetal positioning during labor.  Brittany Sharpe McCollum, CCE(BWI), CD(DONA), CLC (she/her) is the owner of Blossoming Bellies Wholistic Birth Services in the greater Philadelphia PA area, providing childbirth education classes, birth doula services, and dynamic labor support and pelvic biomechanics training workshops for both professionals and expectant parents. Brittany is a sought after guest at many international childbirth related conferences, including a standing room only presentation at the Evidence Based Birth conference in 2019.  In this episode, we talk about the importance of movement in birth, and the best ways to facilitate fetal positioning within the pelvis. Brittany takes a deep dive into incorporating positions and movement with the use of epidurals, her "5-4-3" rule, why subtle movements can make a big difference during labor, and how understanding pelvic biomechanics is a key t

On today's podcast, we're going to talk with Rose Rankin about grief and healing through pregnancy and infant loss. Rose Rankin (she/her) is a full spectrum doula from Brooklyn, New York, who lives in Greensboro, North Carolina. Rose focuses her work on parents who are experiencing a loss, have a pregnancy with a child who is incompatible with life, or have a child with a terminal condition. Rose has been on the other side of this work numerous times before and her mission is to provide the care that we sometimes never knew we needed when we are grieving. We talk about Rose’s personal experience of pregnancy and infant loss, and how it inspired her to become a Pregnancy and Infant Loss (PAIL) doula. We also talk about Rose’s experience as a PAIL doula for her community and how to better support those who have experienced loss during pregnancy, birth, and postpartum.  Content warning: We will mention grief, pregnancy complications, stillborn birth, miscarriage, late-term loss, and infant loss. RESOURCES: Learn

On today's podcast, we're going to talk with Lily Nichols, RDN, about nutrition and real food in pregnancy. Lily Nichols (she/her) is a Registered Dietitian Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for evidence-based prenatal nutrition. Her work is known for being research-focused, thorough, and critical of outdated dietary guidelines. She is co-founder of the Women's Health Nutrition Academy and the author of two books, Real Food for Pregnancy and Real Food for Gestational Diabetes. Lily’s bestselling books have helped tens of thousands of families, are used in university-level maternal nutrition and midwifery courses, and have even influenced prenatal nutrition policy internationally. In this episode, we talk about the difference between eating real food and processed food in pregnancy, and the best ways to use nutrition to "stack the deck in your favor" for a lower-risk, healthier pregnancy. Lily talks candidly about the gap between evidence and nutritional practic

In this episode I am joined by Anna Bertone (she/her), MPH, a research consultant at Evidence Based Birth®, to discuss the evidence on aromatherapy and essential oils for use during pregnancy, labor/birth, and postpartum. In this episode, we cover: What is aromatherapy, where did it come from, and how does it work? What have researchers found on essential oils for nausea and vomiting, stress reduction, and immune function during pregnancy? Which essential oils have been found to be effective for reducing labor pain and anxiety, encouraging labor progress, and treating post-Cesarean symptoms? What does the research say about aromatherapy for use postpartum, including with post-Cesarean symptoms, perineal trauma, sleep, and depression and anxiety? Are there any important safety precautions to be aware of, and what is the bottom line? This episode was inspired by a peer-reviewed article we published in Clinical Obstetrics and Gynecology, in a special symposium that was edited by Shilpa Babbar, MD, MS, FACOG. R

On today's podcast, we're going to talk with Carissa Hunter about advocacy for families with sickle cell anemia. After her daughter was born with a blood disorder called sickle cell anemia, Carissa started on a quest for healthy living and is now an intuitive womb worker— a holistic practitioner with many specialties in holistic healthcare. Specializing specifically in intuitive healing, ancestral lineage healing, energy, and sound healing, Carissa also is experienced in medical herbalism, and aromatherapy and she also practices as a stillbirth, birth, and bereavement doula.  We will talk about Carissa’s personal experience growing up with the sickle cell trait (one copy of the gene), as well as being a parent to a child with sickle cell anemia (two copies of the gene). We also talk about Carissa’s experience with unlearning and relearning many things around sickle cell anemia and her advocacy work to raise awareness about this blood disorder. Content warning: we mention issues with sickle anemia, traumatic b

On today's podcast, we talk to Marnellie Bishop about life as a birth/postpartum doula and childbirth educator and the importance of cultural awareness in birth work. Marnellie Bishop (she/her) is a certified birth and postpartum doula and childbirth educator. Marnellie has additional training as an Evidence Based Birth®  Instructor and Hypnobabies Hypno-Doula. Serving the Portland, Oregon community, Marnellie takes on the role as a board member and director of finance and operations at Community Doula Alliance. Prior to pursuing her passion to support families in their perinatal journey, Marnellie completed a bachelor's degree in business administration and used her degree to help grow and sell her family's printing company. As a second-generation immigrant to Filipino parents, Marnellie understands the intersectionality that many immigrant families face when it comes to identifying their parenting styles through the lens of their cultural background and today's parenting values. We will talk about Marnellie

In this episode I am joined by Erin Wilson, MPH, a research editor at Evidence Based Birth, to discuss the latest research on Big Babies. In this episode, we cover: What is considered a "big" baby? Can we accurately predict if a baby will be born big? Does it really matter if a baby is born big? What are the risks? Could suspecting that you're pregnant with a big baby be more harmful than helpful? Is early induction beneficial for big babies? RESOURCES: You can access all of the references for this podcast, as well as a full-length Signature Article and one-page handout on Big Babies by visiting ebbirth.com/bigbaby. Don't forget that we also have several resources for people who are pregnant with gestational diabetes: Diagnosing Gestational Diabetes: ebbirth.com/diagnosinggdm Inducing Labor for Gestational Diabetes: ebbirth.com/inducinggdm For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://

On today's podcast, we're going to talk with Janiya Mitnaul Williams, IBCLC, about becoming a lactation consultant and the importance of Black Breastfeeding Week. Janiya Mitnaul Williams is an international board certified lactation consultant, a registered lactation consultant, and a certified lactation counselor who has been supporting nursing families since 2007. She holds degrees from North Carolina Agricultural and Technical State University, and Union Institute & University in Speech, Language Pathology in Audiology, and Health and Wellness with a concentration in Human Lactation. Janiya is the program director of the Pathway 2 Human Lactation Training Program at North Carolina A&T State University. She also works for the Women's and Children's Center at Cone Health as a perinatal educator researcher, community liaison, and doula services coordinator. In 2015, Janiya created Mahogany Milk Support Group in order to promote, encourage and normalize nursing for Black and Brown families. That same y

On today's podcast, we are talking with Evidence Based Birth® Childbirth Class parent, Kathryn Remivasan, about her experience giving birth to a posterior-positioned baby. Kathryn and her husband, Dushyant, are graduates of the Evidence Based Birth® Childbirth Class with EBB Instructor and doula, Julie Fors. Dushyant and Kathryn are software engineers. They live in Chicago with their two cats, dog, and now beautiful baby girl, Elakshi, who Kathryn gave birth to in January 2021. We talk about Kathryn’s use of a “marathon training” mindset to have an unmedicated birth during the pandemic. We also talk about Kathryn’s experience of including medical interventions during her birth, as well as how she coped with postpartum recovery after a long labor. Content warning: We talk about COVID, infant/labor trauma, the use of medical interventions while in labor, and postpartum anxiety/recovery. RESOURCES: Learn more about Julie Fors here (https://journeyforwardbirthandparenting.com/).  Learn more about Rush University

On today’s podcast, we have the pleasure to talk with our honored guests, Dr. Monica McLemore and Dr. Jamila K. Taylor, about postpartum justice and the need for Medicaid coverage for the entire postpartum year. Dr. Monica McLemore is a tenured associate professor at the University of California-San Francisco in the family healthcare nursing department, an affiliated scientist with advancing new standards in reproductive health, and a member of the Bixby Center for Global Reproductive Health. She retired from clinical practice as a public health and staff nurse after a 28-year clinical nursing career in 2019. Dr. McLemore's program of research is focused on understanding reproductive health injustice. Dr. Jamila K. Taylor is a director of health care reform and senior fellow at The Century Foundation, where she leads TCF's work to build on the Affordable Care Act and develop the next generation of health reform to achieve high quality, affordable and universal coverage in America. Dr. Taylor also works on iss

On today’s podcast, we will be talking with Tyler Jean Dukes, my doctoral fellow intern.  Tyler (she/her) is a doctoral candidate and graduate instructor at Texas Christian University. Over this past year, Tyler has been working with me as part of a graduate fellowship program. Tyler specializes in the medical humanities and early British literature. She is also a trained childbirth doula, which informs her scholarly and personal interests. Tyler teaches many classes at TCU, including “Introduction to Literature, Fiction, and Narrative Medicine,” and she is one year away from graduating with her Ph.D. We talk about her research with integrating childbirth and birth work into her doctoral studies in literature. We also talk about what Tyler discovered about the history of prenatal ultrasounds and pelvic exams. I encourage everyone to listen to EBB 174 with The Black OBGYN Project and EBB 180 with Stephanie Tillman, who is an expert on trauma-informed pelvic care.  Content warning: We talk about the history of