Evidence Based Birth®

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: 

 

Direct download: Replay_-_EBB_241_Evidence_on_Birthing_Positions.mp3
Category:general -- posted at: 2:00am EDT

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
 

Read our Signature Article on GBS here 

Read our Abortion Resource Guide here

 
Guidelines for PPROM
 
Listen to the following EBB Episodes and read the associated Signature Articles: 
 
For more information and news about Evidence Based Birth, visit www.ebbirth.com.
Find us on: 
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.
 
Direct download: EBB_281_-_Preterm_PROM_Mini_episode.mp3
Category:general -- posted at: 2:01am EDT

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 
 
 
Listen to EBB episodes:
 
 
For more information and news about Evidence Based Birth®, visit www.ebbirth.com.
Find us on: 
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.
Direct download: EBB280_NekishaKillings_22Jun2023.mp3
Category:general -- posted at: 1:00am EDT

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:
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: 
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.
Direct download: EBB279_MariaRosselson_12Jun2023.mp3
Category:general -- posted at: 2:00am EDT

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: 
Listen to EBB Episodes: 

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:
 
For more information and news about Evidence Based Birth, visit www.ebbirth.com.
Find us on: 
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.
Direct download: EBB_277_-_Evidence_PROM.mp3
Category:general -- posted at: 1:57am EDT

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:

For more information and news about Evidence Based Birth®, visit www.ebbirth.com.

Ready to get involved?


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
 

In today's episode, we talk with Emily Helgerson, an EBB Childbirth Class Graduate about how taking the EBB Childbirth class helped her navigate transferring from a birth center to the hospital after experiencing premature rupture of membranes while being positive for Group B Strep.
 
Emily Helgerson holds a Bachelor of Arts in elementary education in Spanish, with a minor in Italian, from the University of Minnesota and a master's in second language teaching with a focus on immersion from McGill University. Emily taught Spanish immersion elementary school before deciding to stay home with baby Teddy, after he was born. Her and her partner, Brad, live in Minneapolis with their toddler and two cats. In 2023, it was announced that Emily will be the new Dean of Skovsøen, the Danish language village in Northern Minnesota.
 
Emily shares how the Evidence Based Birth®️ Childbirth Class provided tools, resources and preparation that her and her partner were able to practice throughout pregnancy and remain empowered when they faced a hospital transfer. Emily talks about her Golden Ticket team, with her partner, doula (who is also her mom!) and the team of midwives between the birth center and the hospital.  
 
We will also introduce a newer research topic regarding placenta size, placental measurement and its correlation to newborn health outcomes.
 
Content Warning: Group B Strep, Antibiotics for group B Strep, Heart decelerations, birth center transfer to hospital
 
 
Resources:
 
Check out EBB's Signature Articles:
 
Follow Emily Helgerson’s Parenting Group on IG @Common Ground Parenting 
 
Listen to the following podcasts: 
 
Check out these pregnancy books
 
·      The Birth Partner
 
Learn more about Spinning Babies here
Subscribe to Jen McLellans pregnancy week by week here
Learn more about Sharon Quinn's EBB Childbirth Class here
Direct download: EBB_275_Emily_Helgerson_-_revised.mp3
Category:general -- posted at: 2:00am EDT

On this episode of the EBB podcast, we talk with Michelle Browder, artist, activist, and the creator of the Anarcha, Lucy, and Betsy Monument in Montgomery, Alabama, established to honor the three Mothers of Gynecology.
 
Michelle Browder is a nationally recognized artist, activist, and amplifier, bridging the racial divide through art, history, and conversation. Michelle's artwork has been exhibited in art galleries around the world, most notably, the Rosa Parks Museum located in Montgomery, Alabama. In September 2021, she created a monument to honor three enslaved women, Anarcha, Lucy, and Betsey, in Montgomery, Alabama. This monument is a reminder of the inhumane treatment and experimentation on enslaved Black bodies. The medical procedures that we have access to today in gynecology have been perfected because of them. The monument honors these Black women and all those that came after to correct the historical narrative around the beginnings of gynecology.
 
Michelle shares with us how she originally learned about the dark history of Anarcha, Lucy and Betsy and the inspiration to create a monument about the true founders of the field of gynecology. Not only is Michelle working to correct the history of gynecology, she discusses her progress and future plans to bring access, care, and healing to families and practitioners in the 21st Century, at the same site of the torture of Anarcha, Lucy, and Betsy, the Mothers of Gynecology. In the words of Michelle, y'all ain't ready!

Trigger Warning: anti black racism, the use of the N-word, experimentation on enslaved women, sexual trafficking and sexual abuse, postpartum suicidal ideation.

Resources:
Follow Michelle’s Work
Instagram: @anarchalucybetsey
Twitter @mothersofgyno and on Facebook  
 
Sign up for Michelle’s newsletter and learn more about the 2024 conference here https://www.anarchalucybetsey.org
 
Read the following books:
Learn about Africatown 
 
Learn about what Evidence Based Birth®️ is doing to fight racism and download free handouts here
 
Read more reproductive justice research on EBB's Birth Justice page