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:  

Resources for PPROM

 

 

Guidelines for PPROM

 

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 

 

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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.

 

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.

 

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.

 

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

 

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