Evidence Based Birth®

In this engaging discussion, Carson Meyer, a doula and certified nutrition consultant, shares her journey into birth work, inspired by her own home birth experience. She emphasizes the importance of reclaiming holistic practices for pregnancy and postpartum care. Carson discusses her Growing Together Circles, highlighting informed choice, emotional support, and nourishment during postpartum. She also offers insights on avoiding burnout as a new doula and the critical role of environmental health in maternal well-being. Tune in for a blend of wisdom and practical advice!

Discover evidence-based strategies to prevent perineal tears during childbirth. Learn how warm compresses can lower the risk of severe tears and ease pain. Explore the debate between hands-on and hands-off techniques used by providers, and find out which method truly offers the best protection for your perineum. This informative discussion sheds light on practical approaches for expecting families and healthcare professionals, highlighting the importance of informed choices in maternal care.

Most 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 share powerful insights on how to provide affirming care, connect families with community, and ensure every baby is welcomed with dignity. (05:43) What Does "Intersex" Mean and How Common Is It? (09:05) Why Many Intersex Traits Aren't Identified at Birth (13:36) Understanding CAH and Newborn Screening (17:24) The History of Infant Surgeries and Gonadectomies (19:49) What Parents Are Told—And Why It's Often Incomplete (29:06) Ethics, Consent, and Who Gets to Decide (35:40) Why Intersex Babies Deserve Affirming, Informed Care (42:20) Barriers to Care for Intersex Youth and Adults Resources Learn more: interactadvocates.org | Instagram Find support groups: InterConnect Documentary on YouTube, "Intersexion: Boy or Girl?" click here For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Struggling 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) What is Low Milk Supply—and Can it Be Prevented? (14:58) Medical Conditions That Can Affect Milk Production (19:27) Gestational Diabetes, Cesarean Birth, and Milk Supply (23:42) The Trap of "Perceived" Low Supply (28:48) Why Judgment-Free Support Matters (36:56) When and How to Get Help from an IBCLC (38:16) The Rule of 3s: Key Windows to Boost Milk Supply (44:39) Why Partners Need Breastfeeding Education Too Resources Follow Katie: katiejames.site | Instagram Listen to her podcasts: The Midwives' Cauldron and The Feeding Couch Find an EBB Childbirth Class: evidencebasedbirth.com/childbirthclass Learn about the EBB Instructor Program: evidencebasedbirth.com/instructor For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Special 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 Pro Workshops, this is a your opportunity to learn more. Can't make it live? Register anyway and we'll send the replay straight to your inbox. Just head to ebbirth.com/instructor to attend. Want to listen to a few podcast episodes about being an EBB Instructor? EBB 310: Joyce Dykema, EBB Instructor & Doula, talks about teaching the EBB Comfort Measures for L & D Nurses Workshop! EBB 222: Jen Anderson, Nurse, Doula, and EBB Instructor, breaks down for us how she tailors her EBB Childbirth Class to high-risk birthing families EBB 226: Dana Patterson, Doula & EBB Instructor, joins her client Mandy on-air to talk about serving as both her client's doula and childbirth educator! EBB 252: Leslie Green, Doula & EBB Instructor, explains how the EBB Childbirth Class has advanced her ability to advocate for her clients EBB 283: EBB Instructors Tania Silva Meléndez, Doula, and Tamara Trinidad González, Certified Professional Midwife, share how they use EBB Instructor resources in Puerto Rico.

In 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 growing! Finally, she looks into the evidence on interpregnancy intervals. What does the research say about the risks associated with short or long gaps between pregnancies? And how might this information apply to those who are pregnant again after a five-year or more break? (00:00) Intro to Mini Q&A and EBB Pro Membership (02:17) Early Induction for Gestational Hypertension – What the Research Says (06:20) WILL Trial Findings and Recommendations from ACOG and NICE (08:23) Outcomes at 37 vs. 38 Weeks – Cesareans, NICU, and Respiratory Distress (10:15) Balancing Induction Timing and Risks of Continuing Pregnancy (11:03) Acupuncture and Acupressure – New Research and Applications (12:41) Studies on Pain, Anxiety, and Nausea During Labor and Cesareans (14:46) Acupuncture and Cesarean Recovery – Mobility and Pain Management (16:54) Interpregnancy Intervals – Definitions and Research Challenges (19:39) Risks of Short and Long Pregnancy Spacing (23:22) Global Perspectives and Meta-Analysis on Birth Outcomes (26:49) Public Health Implications and Final Thoughts View the full list of resources and references on ebbirth.com. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

A 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 understand what had been taken from her. Determined to have a different experience with her second child, she carefully selected a trauma-informed OB, dove into birth education, and found strength in preparing for every possibility. Together, Rivka and Steven share how they prepared as a team, how Steven stepped into his advocacy role during labor, and why they chose to "fire" a hospital-assigned doula. They also reflect on the surprising power of reclaiming their voice—even in the midst of pain—and how a supported birth experience can shift everything. Content Note: This episode includes discussion of birth trauma. This episode also contains mild language at 45:55. (01:48) Rivka's First Birth and the Silent Cost of Lost Autonomy (07:13) Steven's Reflections on Feeling Unprepared to Support (10:45) Moving to Ohio and Choosing Trauma-Informed Care (14:02) Becoming an "Information Junkie" and Taking the EBB Childbirth Class (17:02) Steven Learns Advocacy Through EBB (22:14) From Elective Cesarean Plan to Informed Induction (29:18) Navigating Nursing Styles and Hospital Systems (36:00) Epidural Differences and Listening to Her Body (40:50) Hands-On, Informed Support During Pushing (43:39) A Sunny-Side-Up Baby and Immediate Skin-to-Skin (45:53) Feeling Empowered, Present, and Powerful (50:06) Advice for Families Seeking Trauma-Informed Birth Care Resources Learn more about Rivka and Steven's EBB Instructor, Aly Romot: @alyromotdoula For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Dr. Ann Peralta, founder of Partner to Decide, and Kari Radoff, a certified nurse midwife at Boston Medical Center, tackle the importance of informed decision-making in labor induction. They delve into the creation of a multilingual decision aid that empowers families by providing balanced information. Ann shares how her own birthing experience shaped this initiative, while Kari discusses its impact on clinician-patient conversations, aiming to foster equity and reduce bias in maternity care. Their insights highlight the transformative power of accessible information in perinatal choices.

Explore the critical conversation around perineal tears and the importance of avoiding episiotomies. Learn about different types of tears and factors impacting their risk. Discover the historical context of episiotomies and why routine use can lead to adverse outcomes. Hear about the empowering role of advocates in childbirth and the necessity of informed consent. Engaging insights aim to empower listeners to advocate for better maternal care and understand their bodily autonomy during the birthing process.

Navigating 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 challenges, Mary offers compassionate and practical guidance. Learn how early preparation, trauma-informed care, and advocacy can make a difference in the NICU experience. Plus, Mary provides actionable tips for doulas supporting families through this journey. (03:18) Discovering the Path to NICU Nursing (06:16) Emotional Impact of NICU Nursing and Family Connections (11:25) Understanding NICU Levels of Care and Medical Needs (17:57) Staffing Shortages and Challenges in NICU Care (21:48) Families' Most Common Questions: "When Can My Baby Go Home?" (25:02) Transitioning from NICU to Home and Navigating Anxiety (29:11) Parental Mental Health and PTSD After a NICU Stay (33:14) The Role of NICU-Informed Doulas in Supporting Families (39:08) Effective Support Strategies for NICU Families (45:52) Resources for NICU Families and Doulas Resources: Connect with Mary Farrelly on Instagram: @thenicutranslator Visit The NICU Translator website: www.thenicutranslator.com Download the free NICU Birth Plan template: www.thenicutranslator.myflodesk.com/birthplan For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.