Evidence Based Birth®

Rebecca Dekker, PhD, RN
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Sep 7, 2022 • 1h 2min

EBB 238 - Black Fatherhood and Fighting Anti-Black Racism with Brandon Diggs Williams, Licensed Clinical Social Worker

On today’s podcast, we’re going to talk with Licensed Clinical Social Worker, Brandon Diggs Williams (he/him), BSW, MSW, LCSW, about Black fatherhood, parenting in partnership, self-care, and fighting anti-Black racism. Mr. Williams currently works full-time at the Durham VA Medical Center (DVAMC), providing individual, couples, and (primarily) group therapy through the VA. He specializes in personal/spiritual development, transformative thinking, and cultural competency with a focus on the Black community. Mr. Williams is involved in multiple efforts that contribute to ally-ship, diversity and inclusion, and anti-Black racism efforts at the departmental and facility level at the Durham VA. He created, developed, and facilitates “The Invisible Struggle” therapeutic group which focuses on providing clinical mental health care for veterans dealing with stress unique to Black people in America. And serves on multiple boards/teams at the DVAMC including: The Antiracism and Black Equity Advisory Board, the Diversity and Inclusion Workgroup, and the Social Work Service Social Justice Committee. He created and leads a community organization called “Lion Tamers” that is dedicated to the holistic development of Black men. In this episode, we talk about Mr. William’s balance of self-care, and self-awareness in the changing family dynamic, and the partnership between he and his wife. Content Warning: We mention anti-Black racism, internalized racism, and Christian beliefs related to gender roles. This podcast is also posted on our YouTube channel in case you want to access the video. EBB 145 – Fatherhood and Advocacy in Birth with JaMichael Perryman EBB 189 - Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams Go to our YouTube channel to see video versions of the YouTube episodes listed above!! Follow Brandon Diggs Williams on Instagram @thediggsmethod You are The Best Thing by Tarana Burke and Brené Brown White Fragility by Dr. Robin DiAngelo Key & Peele - Black Ice Video Jane Elliot Experiment - PBS - Frontline - “A Class Divided” Me and White Supremacy by Layla F. Saad The Mis-Education of the Negro by Dr. Carter G. Woodson The Unapologetic Guide to Black Mental Health by Dr. Rheeda Walker, PhD   For more information and news about Evidence Based Birth®, Visit www.ebbirth.com Instagram (https://www.instagram.com/ebbirth/ ) Pinterest (https://www.pinterest.com/ebbirth/ ) Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.
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Aug 31, 2022 • 44min

EBB 237 - Infant Feeding and Meeting your Community where they're at with Family Nurse Practitioner and IBCLC Nikki Hunter-Greenaway

On today’s podcast, we’re going to talk with Nikki Hunter-Greenaway, Nurse Practitioner and IBCLC, about the formula shortage this year and meeting your community at where they are to provide the concierge reproductive health care they deserve. Nikki Hunter-Greenaway, AKA, Nurse Nikki is a board-certified family nurse practitioner and International Board Certified Lactation Consultant. Nikki is the proud owner of Bloom Maternal Health, which provides Telehealth and house calls to pregnant and postpartum families in both Texas and Louisiana.  In 2018, she co-founded the New Orleans Breastfeeding Center and Café au Lait Breastfeeding Circle for families of color, and co-founded Nikki and Nikki Lactation Career Consultants to help Black, Indigenous, and People of Color demystify the path to becoming an IBCLC. Her goal is to improve maternal health outcomes through community education, peer mentorship, and patient-centered care. We will talk about challenges and insights Nurse Nikki experienced during her journey to becoming a lactation consultant. We also talk about cultural barriers in lactation, the importance of meeting folks where they are, and the effects of the formula shortage on the communities she serves. Content warning: We will discuss the cultural barriers and in the field of lactation, gendered language (breastfeeding), plus mentions of historical trauma, horizontal violence, formula shortage, maternal mortality rates, infant mortality rates, abortion, postpartum depression, classism, Black maternal disparities, and racism.   Resources: Nikki's FNP and IBCLC practice: Nurse Niki NP Cafe au Lait in New Orleans Follow Nikki on Instagram @nursenikkinp and on YouTube at "Nurse Nikki NP"  EBB 189 – Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams  WHO International Code of Marketing of Breast - Milk Substitutes  Go to our YouTube channel to see video versions of YouTube episodes you listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on: Instagram (https://www.instagram.com/ebbirth/ ), TikTok (https://www.tiktok.com/@ebbirth), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Apply to be an EBB Instructor here (https://www.evidencebasedbirth.com/instructor ) Click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class
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Aug 24, 2022 • 55min

EBB 236 - An Unexpected Cesarean after an Unmedicated First Birth with EBB Parent Katie Kane

In today’s podcast, we’re going to be talking with EBB Childbirth Class Parent, Katie Kane about the birth of her second baby. Unexpectedly, her second baby was in a breech position, leading to a surgical birth after the unmedicated vaginal birth of her first baby.   Katie Kane is a high school counselor who lives in New Jersey with her two daughters, husband, and dog Roscoe.   Katie is the first EBB Childbirth Class graduate to tell both of her birth stories on the Evidence Based Birth® Podcast!   Katie talks about her journey with a breech baby, including all of the tools and techniques she used for support throughout her pregnancy. Ultimately, the baby persisted in the breech position, and she was able to experience a family-centered cesarean by speaking with her birth team.   Katie’s story is perfect for anyone planning a cesarean or writing a cesarean birth plan. She talks about healing physically, and emotionally, and speaks of advocating for her family’s wishes amid an unplanned surgical birth.     Content warning: breech birth, unexpected cesarean birth, fear of death, postpartum anxiety, perinatal anxiety, postpartum rage, thoughts/fears of maternal death and includes some gendered language.   Resources: Listen to Katie's first Interview with Rebecca here: EBB 127 – An unmedicated hospital birth with Katie Kane Chiropractic Prenatal Care & the Webster Technique: https://icpa4kids.com/training/webster-certification/webster-technique/ Spinning Babies (for fetal positioning/breech babies): https://www.spinningbabies.com EBB 111 – Positioning Breech Babies with Dr. Elliot Berlin EBB 171 – The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB 172 – Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB 173 - Evidence on External Cephalic Version for Breeched Positioned Babies Take the EBB Childbirth Class and find an Instructor near you! https://evidencebasedbirth.com/childbirth-class/ 
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Aug 17, 2022 • 40min

EBB 235 - Evidence on IV Fluids with Dr. Rebecca Dekker

In today’s episode, hosted by Evidence Based Birth® founder, Dr. Rebecca Dekker, we talk about four major topics related to updated research evidence on IV Fluids: 1) research on how IV Fluids can affect the length of labor, 2) research on how IV Fluids can impact breast/chest/body feeding, 3) the relationship between fluids, newborn weight, and blood sugar levels, and 4) finally, review the current recommendations surrounding IV use in labor. This podcast is also posted on our YouTube channel in case you want to access the video  As a content note, this episode includes a discussion of newborn weight drop, newborn feeding struggles, and Cesareans.  The current episode is taught by Rebecca Dekker, PhD, RN (she/her). Dr. Dekker is a nurse with her PhD, who is the founder and CEO of EBB.   Content warning: Cesarean, breastfeeding/chestfeeding struggles, infant weight drop   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article blog post and download our 1-page handout on: Evidence on: Eating and Drinking During Labor Evidence on: IV Fluids During Labor Evidence on: Failure to Progress  Additional podcasts to listen to include: EBB 12 - Epidurals & Breastfeeding EBB 104 – The Evidence on Saline Locks Go to our YouTube channel to see video versions of the YouTube episodes you listed above!!   For more information and news about Evidence Based Birth®, visit www.ebbirth.com.  Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Become an EBB Instructor with Applications opening April 24th! https://www.evidencebasedbirth.com/instructor  Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth® Childbirth Class.
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Aug 10, 2022 • 33min

Replay - EBB 45 How do Peanut Balls Support Labor with Cheri Grant

Explore the history and evolution of peanut balls in labor support, from sitting to sideline positions. Learn about the benefits of peanut balls, including shorter labor times and easier pushing experiences. Discover the importance of correct positioning and sizing for optimal pelvis opening. Delve into the research on peanut balls during labor and the need for standardized guidelines. Uncover the positive impact of peanut balls on fetal descent and maternal pain reduction.
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Aug 3, 2022 • 47min

EBB 234 - Tackling Fatphobia in Lactation with Kristin Cavuto

On today’s podcast, we’re going to talk with the founder of Every Baby Eats, licensed clinical social worker, and IBCLC, Kristin Cavuto Kristin Cavuto, pronouns she/they, is a licensed clinical social worker in IBCLC and private practice in central New Jersey. Her practice specialties are low supply, parental and infant mental health, and the intersection of ethnicity, sexual orientation, and gender in the care of the new family.   Kristin is the mother of two children who nursed full-time despite maternal insufficient glandular tissue (IGT) and who are now 16 and 13. Kristin is also an anti-racist activist and an LGBT+ activist, a member of Transformative Works fandoms, and makes fighting for a better world part of their daily life. We talk to Kristin about supporting families struggling with feeding infants in a realistic, family-centered, and non-disparaging way. We also talk about fatphobia as a form of oppression and marginalization in medicine and birth and what we can all do to challenge bias and model acceptance Content warning: We mention the intersection of fatphobia and racism.   Resources: EBB 99 – Plus Size Pregnancy and Birth with Jen McLellan  Harvard Implicit Bias Test Fat Phobia Scale Revisited by Robinson, Bacon, et al.  HAES (Health at Every Size) The Body is Not An Apology  National Association for the Advancement of Fat People  To follow Kristin on Facebook  Kristin's current project: https://www.everybabyeats.com/
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Jul 27, 2022 • 34min

Episode 233 - Updates on Eating during Labor

Today, we are going to explore brand new updates to the Evidence Based Birth® Signature Article, Evidence on: Eating during Labor! We talk about four major topics:  Nutritional needs during labor New info on gestational or pre-gestational diabetes and eating during labor New research on anesthesiology and its relationship to eating and drinking during labor, and Finally, how body mass index and fatphobia relate to anesthesia concerns, and what that has to do with eating during labor.    Content Warning: pregnancy-related death, anesthesia-related death, fatphobia and anesthesia, microaggressions related to health care workers' reaction to ethnic foods   Resources: Refer to previous podcast episode: EBB 198 - Evidence on Eating & Drinking (linked on blog post below) Check out our Signature Article… Evidence on: Eating and Drinking during Labor at Check out our Signature Article... Evidence on: IV Fluids on Labor Check out our Signature Article... Evidence on: Diagnosing Gestational Diabetes Fat Phobia and It’s Racist Past and Present: https://www.npr.org/transcripts/893006538 For a full list of scientific references, see the blog post that goes along with this episode
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Jul 20, 2022 • 1h 2min

Replay - EBB 152 Shafia Monroe on Traditional Midwifery, Spirituality, and Advocacy

Today, I am so excited to present to you a replay of one of our most popular episodes on the Evidence Based Birth® podcast, and that is an episode from 2020 with special guest, Shafia Monroe. Before we get started with the replay, I wanted to let you know that this episode contains discussion of Black infant and maternal mortality related to racism, slavery and Jim Crow, and racism that continues to affect people’s lives today.   Shafia gave us such an inspirational episode in 2020, that we wanted to bring it back for those of you who are new to EBB, or for those of you who’ve listened to it before. Whenever I listen to this episode, it fills me with a sense of awe for Black traditional midwives, and it gives me hope while it reminds me of the tenacity of the human spirit. So join us today as we replay this episode and you go on a storytelling journey with Mama Shafia Monroe about spirituality and traditional midwives. In today’s podcast episode, we’re going to talk with Shafia Monroe about the role of the traditional midwife. Shafia Monroe is a public health professional, a midwife, a motivational speaker, founder of the International Center for Traditional Childbearing, or ICTC, which was the first US-based black midwives and doulas professional organization. Shafia is also an author, infant mortality prevention specialist, doula trainer, and president of Doula Ready, LLC. Since 2002, she has trained thousands of people in doula trainings, with one-third of them going on to become midwives. In 2012, Shafia received her Master of Public Health from Walden University. In 2014, she opened Shafia Monroe Consulting, a cultural competency training service. Shafia has received numerous awards for her work, including the Lifetime Achievement Award and the Midwife Hero Award. In this podcast, Ms. Monroe discusses the history of Black traditional midwifery and incorporating spirituality into birth work. We also talk about Shafia’s experience becoming a traditional Black midwife, along with her passion for advocacy in birth work through her doula program and her community. **Trigger Content Warning: This podcast episode discusses racism and infant loss.** Resources Learn more about Shafia Monroe and SMC Full Circle Doula Birth Companion Training here (https://shafiamonroe.com/). Follow Shafia on Instagram and Black Midwife Cooking here (https://www.instagram.com/shafiamonroe/).   Follow Shafia on Twitter here (https://twitter.com/Shafia_SMC). Follow Shafia on Facebook here (https://www.facebook.com/shafiamonroeconsulting/).  Click here (https://evidencebasedbirth.com/birth-justice/) to see the Evidence Based Birth® list of Birth Justice Resources, including research on racism and maternal health. More resources are listed on the the blog post at https://www.evidencebasedbirth.com/152  
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Jul 13, 2022 • 47min

EBB 232 - Advocacy, VBAC, and Becoming a Home Birth Midwife with Melek Öz

On today's podcast, we're going to talk with Melek Öz about vaginal birth after Cesarean (VBAC), advocacy, and becoming a home birth midwife! Content note: Mention of weight loss and racism. Melek Öz (she/her) is a home birth midwife living with her family in South Austin, Texas. She moved to Austin in 2001 to attend the University of Texas, where she completed both her undergraduate studies and law school before transitioning to birth work. Melek has been active in birth advocacy for more than a decade throughout her childbearing years and now as a home birth midwife. With her first pregnancy, Melek was told by her OB that her pelvis was "too small." She was pressured into an early induction that turned into a preventable Cesarean. Fresh out of surgery, Melek's OB told her, "Now that you've had one Cesarean, all your babies will have to be born by Cesarean." In this podcast episode, Melek goes on to share her subsequent birth stories, in which she had a CBAC (Cesarean Birth after Cesarean) under general anesthesia, as well as a vaginal birth after 2 C-sections (VBA2C). Midwifery care helped her have "a really joyous and an incredible experience, and I'm lucky that I had all 3 experiences that I did, because it helped kind of round out and balance my views on birth." Melek went on to pursue a career as a doula and eventually a home birth midwife! In this episode, we talk about the power of midwifery care, unpacking racism/classism and how it affects midwifery students, and how we can advocate for VBAC access in our communities. She also gives great tips for people who are considering a VBAC or thinking about going into midwifery! Resources: Follow Melek Öz on Instagram (@midwifemelek) and visit her website at http://www.midwifemelek.com/ EBB Podcast #113: The Evidence on VBAC EBB Podcast #209: Providing Unbiased VBAC Access and Support with Jen Kamel of VBAC Facts Visit the VBAC Facts website: https://vbacfacts.com Visit the International Cesarean Awareness Network website https://www.ican-online.org/ EBB Podcast #224: Failure to Progress (info on racist beliefs about pelvic shapes) Tema Mercado teaches workshops on decolonizing apprenticeships at La Matriz Birth (https://www.lamatrizbirth.com/) and @matrizmidwife on Instagram Luz de Atabey (https://www.instagram.com/lampatx/) project in Austin focused on accessible perinatal care and support (QTBIPOC-led) Kmom passed away in 2019, but her blog, "The Well Rounded Mama," is still maintained by her loving family at https://wellroundedmama.blogspot.com/, where you can find many articles about fat phobia and VBAC. EBB Professional Membership (includes scholarship options!) https://evidencebasedbirth.com/membership ' Non-profit fundraising organization Black Home Birth Matters: https://www.blackhomebirthmattersatx.org/
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Jul 6, 2022 • 46min

EBB 231 - A Joyful, High-Intervention Birth with EBB Childbirth Class Graduates Lisa Mangini and Anand Swaminathan

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

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