Evidence Based Birth®

On today's podcast, I talk with Tania Silva Meléndez  and Tamara Trinidad González, CPM, birth workers and Evidence Based Birth® Instructors about giving birth and midwifery care in Puerto Rico.   Tania Silva Meléndez  is a certified birth, postpartum, and abortion doula serving families in Puerto Rico since 2009. She's also a certified childbirth educator and breastfeeding/chestfeeding educator and counselor. She is the general coordinator of the team of Caderamen, a nonprofit community-based organization that works towards reducing inequalities in reproductive care, and she also supports Alimentación Segura Infantil, a community-based organization born after the impacts of Hurricanes Irma and Maria in 2017 to support breastfeeding and chestfeeding families in their lactation journeys, help them relactate their children when needed. Tania is also a human rights activist and advocate in her community and part of the Observatorio de Violencia Obstétrica in Puerto Rico and Las Mingas de Aborto, an abortion doula collective that offers free support in Puerto Rico.   Tamara Trinidad González, CPM, is a community parteira/midwife, perinatal educator and herbalist born and raised in Puerto Rico. Tamara is a mother of two children who were born at home with midwives and has been actively involved in birth work for 10 years. She holds a Master of Science in midwifery with foundations in botanical medicine from Bastyr University and is a certified professional midwife. Her midwifery and herbal practice is called Semilla Creciente, Midwifery & Herbalism.   In this episode, Tania and Tamara have a very candid conversation about the realities of pregnancy, birth, and postpartum care in Puerto Rico. They speak to how Puerto Rico’s birth landscape has been negatively impacted by the island’s history of colonialism, economic crisis’, environmental changes, and changes in political power. This has culminated in a system with far too few midwives and obstetricians, as well as high surgical birth rates, low VBAC rates, high prematurity rates, and more. Both Tania and Tamara educate our listeners on these issues but also raise awareness to the community organizations who have the trust of the pregnant and postpartum families they serve and the work being done to better support the families of Puerto Rico.   If you are interested in joining with Tania and Tamara and volunteering your time or skills to help them reform the maternal health system in Puerto Rico, they are currently looking for volunteers with experience in law, public relations, funding, data collection, research, and writing. OR if you have resources, or access to connections that could help fund their work, please email puertoricobirthrights@gmail.com.     Resources: Read about the history of Puerto Rico: ·  How to hide an empire by Daniel Immerwahr ·  Puerto Rico: What everyone needs to know by Jorge Duany   · Learn more about Caderamen, a nonprofit organization that has a service program that is called SePARE, which offers education and doula services, midwifery services and naturopathic medicine services, social workers, mental health by clicking here. · Learn more about the Asociación de Parteras of Puerto Rico here. · Learn more about Alimentación Segura Infantil, a community-based organization born after the impacts of Hurricanes Irma and Maria in 2017 to support breastfeeding and chestfeeding families in their lactation journeys by clicking here.  · Learn more about Observatorio de Violencia Obstétrica in Puerto Rico here. · Learn more about Las Mingas de Aborto, an abortion doula collective that offers free support in Puerto Rico here.    Check out the work by Puerto Rican journalist Biana Graulau here: https://www.youtube.com/@BiancaGraulau/videos   If you would like to read a transcript of this episode in Spanish, please visit the blog post here or you can watch the captions in Spanish on YouTube.   For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Follow us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class

On this episode of the Evidence Based Birth podcast, I talk with Marea Goodman of Restore Midwifery and Ray Rachlin of Refuge Midwifery, all about their work and their new book Baby Making For Everybody- A Guide for LGBTQ+ and Solo Parents.   Marea Goodman, CPM, pronouns she/her/they, is the licensed midwife specializing in pregnancy, birth, postpartum and conception care for the LGBTQ+ community. She's the co-author of the new book Baby Making For Everybody- A Guide for LGBTQ+ and Solo Parents and the founder of PregnantTogether, an online community for queer people and their allies throughout trying to conceive pregnancy and the postpartum.   Ray Rachlin, she/they, is a licensed midwife, certified professional midwife, author, and founder of Refuge Midwifery. Since 2017, Ray has been providing fertility care, home birth care, and community education throughout the greater Philadelphia area and South Jersey. Ray is also co-author of the book Baby Making For Everybody, which just came out in April 2023. Ray and her family live in West Philadelphia.   Marea and Ray join me to discuss their practices as queer midwives and the work they are doing to make the fields of midwifery, fertility, and reproductive health more inclusive, more transparent, and more accessible to the clients they serve. Through their new book, they have demystified and provide comprehensive education on everything regarding baby making from nutrition to legal matters. Their work is the definition reproductive justice – by inviting more families to be included and safe in this space.   Resources: ·       Follow Marea’s work on Instagram @Restore_Midwifery ·       Follow Ray’s work @refugemidwifery ·       Follow the impact of Marea and Ray’s new book on Instagram @babymakingforeverybody and check for additional information and resources on their blog  ·       Join the community PregnantTogether  and on Instagram   Check out the following books: ·       Complete Lesbian Conception Pregnancy Birth. ·       Taking Charge Of Your Fertility    For legal information about family formation near you, check out Family Equality here https://www.familyequality.org   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth Childbirth Class.

On today's episode we are bringing back one of the most popular Signature Article episodes on the Evidence on Birthing Positions. Listen and learn more about: How upright birthing positions benefit pregnant people and babies, How common are upright birthing positions and understanding your options, Which birthing positions are best supported by evidence, and, For people with epidurals, which birthing positions are best supported by evidence. Read more about The Evidence on: Birthing Positions on the blog.  For parents - learn more about your options and sign up for the EBB Childbirth Class here . For birth professionals - get access to the full-length signature articles here.  Don't forget to join the conversation on social:  Instagram TikTok YouTube  

Content note: We strongly encourage you to listen to EBB Podcast Episode 277 The Evidence on PROM and check out our recently updated Signature Article on PROM here before listening to this episode.    Content Warnings: Discussion of viability, complications with preterm birth, causes of preterm birth, and racism.    On this episode of the EBB Podcast, we bring you a mini episode on the research on Preterm Premature Rupture of Membranes. We are excited to share this episode as an extension of the recent Signature Article update on PROM.    In this episode, I will cover the following topics:   What is Preterm Premature Rupture of Membranes (PPROM)? How Common is it?  What Causes Preterm Premature Rupture of Membranes (PPROM)?  When does Preterm Premature Rupture of Membranes (PPROM) occur? Treatment Options for Preterm Premature Rupture of Membranes (PPROM) Risks associated with Preterm Premature Rupture of Membranes (PPROM) Prevention of Preterm Premature Rupture of Membranes (PPROM) and Pre-Term Birth  Racism and Pre-Term Birth  Resources for PPROM   The PPROM Foundation: PPROM Facts Nationwide Children’s Hospital: PPROM Facts Cleveland Clinic: Term PROM and PPROM Facts Continuing Education for Medical Practitioners: Premature Rupture of Membranes EBB Signature Article: Anti-Racism in Health Care and Birth Work The March of Dimes: PPROM  Read our Signature Article on GBS here  Read our Abortion Resource Guide here   Guidelines for PPROM American College of Obstetricians and Gynecologists 2020 (addresses both PROM and PPROM, free text not available) National Institute for Health and Care Excellence (UK) 2022 Queensland Health Clinical Guidelines 2018  Royal College of Obstetricians and Gynaecologists 2022 Society of Obstetricians and Gynaecologists of Canada 2022 (free text not available)   Listen to the following EBB Episodes and read the associated Signature Articles:  EBB 277 - Evidence on PROM  EBB 175 - Evidence on Midwives  EBB 265 - Evidence on Anti-Racism in Health Care and Birth Work  EBB 21 - Evidence on Doulas  EBB 240 - Top 5 Surprising Findings from the EBB Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes    For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based BirthChildbirth Class.

On this episode of the EBB podcast, I talk with Nekisha Killings, IBCLC and founder of The Melanated Mammary Atlas®, all about cultural humility and educating clinicians and birth workers about identifying and diagnosing conditions that present in Black and Brown breasts/chests.   Nekisha Killings, holds a master's in public health (MPH) and is an international board certified lactation consultant (IBCLC). She's an equity strategist and maternal and child health advocate who speaks, teaches and facilitates on topics related to equity and dismantling bias across various sectors. She is also a director of equity, inclusion, and belonging with the Black Mothers' Breastfeeding Association and consults with organizations on implementing creative strategies to better support marginalized communities. As a leader in the field, she wrote the chapter titled Cultural Humility in the latest core curriculum for interdisciplinary lactation care and continues to wow audiences with new realizations that positively impact their approach to business and life.   Nekisha shares how she's working to change the face of lactation education and bring equity, inclusion, diversity and most importantly training and education to clinicians and birth workers around the normalization of Black and Brown breasts/chests, as well as, identifying and diagnosing clinical conditions that present on melanated skin. Not only is Nekisha working to revolutionize how we understand many pathologies in lactation, she shares how she has been entrusted to carry forward in the production of the pivotal Breastfeeding Atlas and ensure that future clinicians and folks vested in the lactation dyad have access to accurate, complete, and inclusive information.   Content Warning: Discussion of birth/lactation trauma and lack of diversity and inclusion in lactation training.   Resources:   Follow The Melanated Mammary Atlas® on Instagram  Follow Nekisha on Instagram    Learn more and subscribe to The Melanated Mammary Atlas® here  Learn more about Nekisha and her work here   Find The Breastfeeding Atlas here    Learn about the Black Mothers' Breastfeeding Association  Learn about Black Breastfeeding Week    Listen to EBB episodes:   EBB 214 - Supporting Pumping Parents in Lactation with IBCLC, Nichelle Clark EBB 211 - Supporting Expectant Families through Birth and Lactation with Birth Doula and EBB Program Team Assistant, Rikki Jenkins EBB 189 - Why Black Lactation Matters and the Importance of Black Breastfeeding Week with IBCLC, Janiya Mitnaul Williams   For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth Childbirth Class.

In this episode of the EBB Podcast, I talk with EBB Childbirth Class graduates, Dr. Maria Rosselson and Nim Guttman their surprise pregnancy, and equally surprising home birth.   Dr. Maria Rosselson is a physician practicing as a board certified ophthalmologist in the Chicago area. Her husband, Nim Guttman, is an architect. They've been married since 2016 and live with their dog, Asher.   Maria and Nim share their experiences taking the EBB Childbirth Class and how it resulted in an evolution of thought for Maria as a physician and discuss extensively what it was like to surprisingly grow their family well after they thought that chapter of their lives was behind them. Their life took a surprising turn when they found themselves unexpectedly expecting their first child, a baby girl, in the Fall of 2022. Their baby's arrival into the world was just as unexpected, an unanticipated, unplanned, unmedicated home birth.   Content Warning: discussion of unplanned pregnancy, unplanned home birth, and a 911 call. There is also a mention of witnessing a postpartum maternal death in medical school.   Resources: Learn about about the topics discussed in this episode at the following EBB resources: EBB Signature Article on Pregnancy at Age 35+ Natural Induction Podcast Series Pocket Guide to Induction Podcast Listening Guide  Learn about 312 Doulas here  Learn more about taking the EBB Childbirth Class with Heather McCullough here   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth Childbirth Class.

On this episode of the EBB podcast, we interview Hakima Payne, founder and executive director of Uzazi Village, about her creation of the Village Circle, an innovative Afrocentric model of prenatal and postpartum care.    Hakima Payne, holds a bachelor's in nursing and a master's in nursing education. She is the founder of Uzazi Village, a nonprofit working to eliminate maternal health disparities in African American communities, as well as the founder of The Village Doula Program, which is a community-based home visiting community health worker program for pregnant families. She also created Chocolate Milk Cafe, a breastfeeding support group for Black families, the Village Circle, which is an Afrocentric group prenatal care model, and a curriculum called Culturally Congruent Care, which is an anti-racist medical education curriculum. Hakima sits on her local Fetal Infant Mortality Review board to address Black infant mortality and has been appointed by her city's mayor to serve as a health commissioner. Mama Hakima is a certified trainer for community health workers and she speaks nationally on the topics of Black maternal and infant health.    Ms. Payne works relentlessly to make birth safer, the village healthier, and to promote anti-racist models of care for African American families. She is the subject of a documentary that just came out called Sister Doula, and she's going to be featured in a second upcoming documentary called Pregnancy and Prejudice.    Hakima talks with us about her work in improving maternal health in Kansas City. Not only is Hakima bringing an innovative model of care to her community, that includes access to community-based, Afrocentric prenatal care, doulas, herbalists, a chef and more, she is proving that it works. Through partnerships with a team of epidemiologists and a local university, Hakima is able to measure and quantify their client experience and demonstrate how Uzazi Village improves birth and postpartum outcomes. Hakima discusses the unique aspects of the Village Circle model and why each piece is important to the care of the community.   Resources:  Learn more about Uzazi Village here (uzazivillage.org) Follow Uzazi Village on Instagram and Facebook.  Follow Hakima on Instagram @hakima_the_dreama Find a screening for the Sister Doula documentary here: sisterdoulafilm.com Watch the trailer for Pregnancy and Prejudice here. https://www.youtube.com/watch?v=cc43eQZX468 Listen to EBB Episodes:  EBB 274 - Honoring the Mothers of Gynecology with Michelle Browder EBB 260 - Midwifery, Community Birth Work, and Plant Medicine in Louisana with Ms. Divine Bailey-Nicholas EBB 229 - Evidence on Doulas: Community-Based Models, the Pandemic, and Reimbursement with the Research Team  Ready to get involved? Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here   Click here to learn more about the Evidence Based Birth® Childbirth Class.  Sign up for the EBB Newsletter here.  Check out the Birth Justice page here. For more information and news about Evidence Based Birth®, visit www.ebbirth.com.     

On this episode of the EBB Podcast, I am so excited to bring you brand new, evidence on premature rupture of membranes (PROM) at term!      We are releasing today’s episode to celebrate the update of our Signature Article on the Evidence on PROM.     In today’s episode, I am going to cover the following topics related to PROM: What are the membranes, and what does it mean to say they’ve “ruptured”? Membrane rupture can help prepare the body for the process of childbirth—but why? What is it like when your water breaks before labor? What are some risk factors that might increase the chances of your water breaking before labor? What is the “24-hour clock for PROM,” and where did it come from? If you have PROM, how long does it take for labor to start on its own? How are GBS and PROM related? What does the research evidence say on Induction versus Waiting for Labor for term PROM? What are the professional guidelines? What is the Bottom Line? Resources: For a full list of resources and references please visit our blog on the Evidence on PROM here.   To read the full Signature Article on PROM and download our 1-Page Handout, click here.   Watch our special video on PROM on our YouTube Channel   Listen to EBB Episodes: EBB 268 – Debunk the Myths of Premature Rupture of Membranes, GBS, & Waterbirth with EBB Founder, Dr. Dekker  EBB 275 – A PROM, GBS, and Birth Center Transfer Story with EBB Childbirth Class Graduate, Emily Helgerson   For more information and news about Evidence Based Birth, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Want to get involved at EBB?  Check out our Professional Membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth Childbirth Class.

July 26, 2023 - For today's episode, we are highlighting one of our favorite podcast episodes with the replay of an interview with Lily Nichols, RDN, all about nutrition and real food in pregnancy. Content warning: gestational diabetes, high-risk pregnancies, food insecurities, "failed diet therapy", NICU, and interventions 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 practice, the importance of protein and choline in pregnancy, and why blood sugar management is so important in pregnancy. Resources: Read the Evidence Based Birth article on Diagnosing Gestational Diabetes here Visit Lily Nichols’ website here: https://lilynicholsrdn.com Find the books “Real Food for Pregnancy” and “Real Food for Gestational Diabetes” on Amazon or wherever books are sold! You can also buy “Real Food for Pregnancy” at Lily’s shop here Read Lily’s article about protein in pregnancy here: https://lilynicholsrdn.com/protein-requirements-pregnancy/ Read Lily’s article about 9 Myths about Gestational Diabetes: https://lilynicholsrdn.com/9-gestational-diabetes-myths/ Visit the Women’s Health Nutritional Academy here: https://whnacademy.com/ Join Lily’s Gestational Diabetes course here: http://realfoodforgd.com/online-course/ Follow Lily on Instagram @lilynicholsrdn 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? 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/), Click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On this episode of the EBB podcast, we are talking with Avital Norman Nathman, author and freelance writer about trends in birth and parenthood in the US.   Avital is a freelance writer and editor who focuses her work on motherhood, maternal health, gender and reproductive rights and justice. Her writing, which places a feminist lens on a variety of topics, including motherhood, maternal health, gender, reproductive rights, and cannabis, can be found in a variety of print and online articles for outlets like The New York Times, Teen Vogue, Rolling Stone, Cosmopolitan, VICE, and more.    Her first book, The Good Mother Myth: Redefining Motherhood to Fit Reality, provides a platform for diverse voices that often get left out of the conversations surrounding parenting. Avital is currently working on two new books. She is a co-editor for an anthology on abortion, and her upcoming book, The Perfect Birth Myth, combines research, expert analysis, and narrative experiences to look at the intersection of the birth industry and the health care system to understand how this ideal of the perfect birth came about, why it’s a red herring, and how we can do better to ensure that all folks who are pregnant can have access to quality care and the chance at a birth that is safe and that they are comfortable with.   Avital discusses the evolution of “motherhood” from the early aughts and “Mommy blogging” to internet activism, connection, and the ongoing “mommy wars” of the internet. Additionally, Avital discusses her upcoming and ongoing projects related to writing about the current state of having a baby in the US healthcare system and political climate, while calling out the experiences of marginalized populations and bringing forth the less obvious but very important consequences of the Dobbs decision to overturn Roe v. Wade.   Trigger Warning: abortion, miscarriage, hemorrhage, Dobbs decision, Roe v. Wade, maternal healthcare deserts, birth trauma   Resources: Listen to the following podcast: EBB 87 – Cristen Pascucci on How to Disagree on Birth Topics – Respectfully! EBB 240 – Top Five Most Surprising Findings from the Abortion Research Guide with Dr. Dekker & Doctoral Candidate Tyler Jean Dukes Find EBB's Abortion Research Guide here: Ebbirth.com/birthjustice   Follow Avital's work: https://www.themamafesto.com Twitter: @themamafesto IG: @themamafesto