Evidence Based Birth®

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Syndication

In this episode, I am excited to share the evidence on vaginal birth after Cesarean, or VBAC. We have received many requests at Evidence Based Birth to cover this topic, so I want to share with you the information on VBAC that I present in a class we teach in the EBB Higher Ed program.

In this podcast, I define some common terms related to VBAC and talk about the history of the procedure. By the end, you will have the facts on the prevalence and risk factors for uterine rupture, and you’ll understand some of the maternal, fetal, and newborn risks of VBAC, elective repeat Cesarean, and Cesarean birth after Cesarean.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

  • American College of Obstetricians and Gynecologists/ Society for Maternal-Fetal Medicine (2018). Placenta accreta spectrum. Obstetric Care Consensus No. 7. Obstet Gynecol, 132, e259-275. Click here. Free full text!
  • Bujold, E., Goyet, M., Marcoux, S., et al. (2010). The role of uterine closure in the risk of uterine rupture. Obstet Gynecol, 116(1), 43-50.
  • Carlton Fagerberg, M. and Källén, K. (2019). Third trimester prediction of successful vaginal birth after one cesarean delivery - a Swedish model. Acts Obstet Gynecol Scand. (Epub ahead of print.] Click here.
  • Grobman, W. A., Lai, Y., Landon, M. B., et al. (2007). Development of a nomogram for prediction of vaginal birth after cesarean delivery. Obstet Gynecol, 109, 806. Click here.
    • VBAC calculator for use at first prenatal visit: https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbirth.html\
  • Guise, J.-M., Eden, K., Emeis, C., et al. (2010). Vaginal Birth After Cesarean: New Insights. Evidence Report/Technology Assessment No.191. (Prepared by the Oregon Health & Science University Evidence-based Practice Center under Contract No. 290-2007-10057-I). AHRQ Publication No. 10-E003. Rockville, MD: Agency for Healthcare Research and Quality. Click here. Free full text!
  • Landon, M. B., Hauth, J. C., Leveno, K. J. et al. (2004). Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery. N Engl J Med, 351, 258-2589. Click here. Free full text!
  • Landon, M. B., Grobman, W. A. and Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network (2016). What We Have Learned About Trial of Labor After Cesarean Delivery from the Maternal-Fetal Medicine Units Cesarean Registry. Seminars in perinatology, 40(5), 281–286. Click here. Free full text!
  • Metz, T. D., Stoddard, G. J., Henry, E., et al. (2013). Simple, validated vaginal birth after cesarean delivery prediction model for use at the time of admission. Obstet Gynecol, 122, 571. Click here. Free full text!
    • VBAC calculator for use at time of admission for birth: https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbrth2.html
  • Sandall, J., Tribe, R. M., Avery, L., et al. (2018). Short-term and long-term effects of caesarean section on the health of women and children. Lancet, 392(10155), 1349-1357. Click here.
  • Silver, R. M., Landon, M. B., Rouse, D. J., et al. (2006). Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol, 107(6), 1226-1232. Click here.
  • Smith, G. C. S., Pell, J. P., Cameron, A. D., et al. (2002). Risk of Perinatal Death Associated With Labor After Previous Cesarean Delivery in Uncomplicated Term Pregnancies. JAMA, 287(20), 2684–2690. Click here. Free full text!
  • Vlemminx, M. W., de Lau, H. and Oei, S. G. (2017). Tocogram characteristics of uterine rupture: a systematic review. Archives of gynecology and obstetrics, 295(1), 17–26. Click here. Free full text!
  • Access the International Cesarean Awareness Network’s "Terminology: What is a CBAC?” here.
  • Visit VBAC Facts here.
  • Visit The VBAC Link here.
  • Visit ICAN here.
  • See the Association of Ontario Midwives Clinical Guidelines Statement on Vaginal Birth After Previous Low-Segment Cesarean Section here.
  • Get the Association of Ontario Midwives handout, Thinking About VBAC: What’s Right for Me, here.
  • Get information on VBAC from Power to Push here (http://www.powertopush.ca/birth-options/types-of-birth/vaginal-birth-after-cesarean/).
  • Click here (https://evidencebasedbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/) for the Evidence Based Birth® Signature Article, The Evidence on: Skin to Skin Care After Cesarean.
Direct download: EBB_113_-_Evidence_on_VBAC.mp3
Category:general -- posted at: 4:00am EDT

In this episode, I am joined by Evidence Based Birth Instructor Jessica Hazboun, a childbirth educator and registered nurse with a background in labor and delivery. Jessica created her own birth business, Nearly Nested, to help empower new parents with evidence based information. 

Hear Jessica detail her two very different birth stories, and how evidence based information changed her entire perspective on birth and how she relates to her clients and patients. In her words - “everything about the Evidence Based Birth culture completely knocked me off my feet!”

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Follow Jessica at Nearly Nested on Instagram, Facebook, and at nearlynested.com.

Want to learn more about becoming an Evidence Based Birth Instructor? Applications for the Spring 2020 cohort open soon, and we are hosting a series of Q&A webinars all about the program, staring next week. Click here for all the details!

Direct download: EBB_112_-_EBB_Instructor_Series_Jessica_Hazboun24.mp3
Category:general -- posted at: 4:00am EDT

In this episode I am joined by Dr. Elliot Berlin, an award-winning prenatal chiropractor, childbirth educator, and labor support body worker. He is the co-founder of Berlin Wellness Group in Los Angeles, California, hosts The Informed Pregnancy podcast, and served as executive producer of two documentaries about birth - Head’s Up: The Disappearing Art of Breech Delivery, and Trial of Labor. Dr. Berlin is a labor support doula who attends births and provides laboring parents with body work such as massage, reflexology, accupressure, counter pressure, and chiropractic adjustments to help keep the birthing person relaxed, comfortable and focused for a smooth birth. He attends labor at hospitals, homes, and birth centers, and he works with several hundred breech babies each year.

Listen to our fascinating discussion on vaginal breech birth, cesarean, and things to find out about your baby’s positioning as you enter the late stages of pregnancy.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Direct download: EBB_111_-_Interview_with_Elliot_Berlin.mp3
Category:general -- posted at: 4:00am EDT

In this episode, I am joined by Sabrina Tran of Alabama, who recently had a daughter, and took the Evidence Based Birth Childbirth Class with Instructor Traci Weafer. Sabrina, a therapist, is now a stay at home mom.

Sabrina had a precipitous - or, extremely fast labor and delivery. She describes it as exciting! Hear her tell her story of how her baby was born before the midwife could make it to her home. I also share the evidence on perineal tearing,  and the relationships between tearing, provider experience, and home birth.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Click here for great images explaining perineal tears on the Mayo Clinic website.
More references:

Click here to access the EBB Signature Article, The Evidence on: Waterbirth.

Direct download: EBB_110_-_Interview_with_Sabrina_Tran.mp3
Category:general -- posted at: 4:00am EDT

This week, I am excited to bring you inside Evidence Based Birth and let you know what we will be up to in the coming year! I look back at all we accomplished in 2019 (and wow - what a year it was!) and how we are rolling right into 2020 with some amazing new projects and initiatives.

I have to tell you, just looking at my list of goals really gets me excited about what is to come. You won’t want to miss the announcements I have to share in this episode!

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:


Find my book, Babies are Not Pizzas, on Amazon, Barnes and Noble, and Audible!

Find a list of our current Spanish article translations here.

Access all of the Evidence Based Birth free, full-length Signature Articles here.

Direct download: EBB_109_-_EBB_in_2020.mp3
Category:general -- posted at: 4:00am EDT

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