Today, we are going to explore brand new updates to the Evidence Based Birth® Signature Article, Evidence on: Eating during Labor! We talk about four major topics: 

1. Nutritional needs during labor
2. New info on gestational or pre-gestational diabetes and eating during labor
3. New research on anesthesiology and its relationship to eating and drinking during labor, and
4. Finally, how body mass index and fatphobia relate to anesthesia concerns, and what that has to do with eating during labor.
    
    Content Warning: pregnancy-related death, anesthesia-related death, fatphobia and anesthesia, microaggressions related to health care workers' reaction to ethnic foods
    
   Resources:

• Refer to previous podcast episode: EBB 198 - Evidence on Eating & Drinking (linked on blog post below)
• Check out our Signature Article… Evidence on: Eating and Drinking during Labor at
• Check out our Signature Article... Evidence on: IV Fluids on Labor
• Check out our Signature Article... Evidence on: Diagnosing Gestational Diabetes
• Fat Phobia and It’s Racist Past and Present: https://www.npr.org/transcripts/893006538
• For a full list of scientific references, see the blog post that goes along with this episode

Today, I am so excited to present to you a replay of one of our most popular episodes on the Evidence Based Birth® podcast, and that is an episode from 2020 with special guest, Shafia Monroe. Before we get started with the replay, I wanted to let you know that this episode contains discussion of Black infant and maternal mortality related to racism, slavery and Jim Crow, and racism that continues to affect people’s lives today.
 
Shafia gave us such an inspirational episode in 2020, that we wanted to bring it back for those of you who are new to EBB, or for those of you who’ve listened to it before. Whenever I listen to this episode, it fills me with a sense of awe for Black traditional midwives, and it gives me hope while it reminds me of the tenacity of the human spirit.

So join us today as we replay this episode and you go on a storytelling journey with Mama Shafia Monroe about spirituality and traditional midwives.

In today’s podcast episode, we’re going to talk with Shafia Monroe about the role of the traditional midwife.

Shafia Monroe is a public health professional, a midwife, a motivational speaker, founder of the International Center for Traditional Childbearing, or ICTC, which was the first US-based black midwives and doulas professional organization. Shafia is also an author, infant mortality prevention specialist, doula trainer, and president of Doula Ready, LLC. Since 2002, she has trained thousands of people in doula trainings, with one-third of them going on to become midwives. In 2012, Shafia received her Master of Public Health from Walden University. In 2014, she opened Shafia Monroe Consulting, a cultural competency training service. Shafia has received numerous awards for her work, including the Lifetime Achievement Award and the Midwife Hero Award.

In this podcast, Ms. Monroe discusses the history of Black traditional midwifery and incorporating spirituality into birth work. We also talk about Shafia’s experience becoming a traditional Black midwife, along with her passion for advocacy in birth work through her doula program and her community.

**Trigger Content Warning: This podcast episode discusses racism and infant loss.**

Resources

• Learn more about Shafia Monroe and SMC Full Circle Doula Birth Companion Training here (https://shafiamonroe.com/).
• Follow Shafia on Instagram and Black Midwife Cooking here (https://www.instagram.com/shafiamonroe/).  
• Follow Shafia on Twitter here (https://twitter.com/Shafia_SMC).
• Follow Shafia on Facebook here (https://www.facebook.com/shafiamonroeconsulting/). 
• Click here (https://evidencebasedbirth.com/birth-justice/) to see the Evidence Based Birth® list of Birth Justice Resources, including research on racism and maternal health.
• More resources are listed on the the blog post at https://www.evidencebasedbirth.com/152  

On today's podcast, we're going to talk with Melek Öz about vaginal birth after Cesarean (VBAC), advocacy, and becoming a home birth midwife!

Content note: Mention of weight loss and racism.

Melek Öz (she/her) is a home birth midwife living with her family in South Austin, Texas. She moved to Austin in 2001 to attend the University of Texas, where she completed both her undergraduate studies and law school before transitioning to birth work. Melek has been active in birth advocacy for more than a decade throughout her childbearing years and now as a home birth midwife.

With her first pregnancy, Melek was told by her OB that her pelvis was "too small." She was pressured into an early induction that turned into a preventable Cesarean. Fresh out of surgery, Melek's OB told her, "Now that you've had one Cesarean, all your babies will have to be born by Cesarean."

In this podcast episode, Melek goes on to share her subsequent birth stories, in which she had a CBAC (Cesarean Birth after Cesarean) under general anesthesia, as well as a vaginal birth after 2 C-sections (VBA2C). Midwifery care helped her have "a really joyous and an incredible experience, and I'm lucky that I had all 3 experiences that I did, because it helped kind of round out and balance my views on birth."

Melek went on to pursue a career as a doula and eventually a home birth midwife! In this episode, we talk about the power of midwifery care, unpacking racism/classism and how it affects midwifery students, and how we can advocate for VBAC access in our communities. She also gives great tips for people who are considering a VBAC or thinking about going into midwifery!

Resources:

• Follow Melek Öz on Instagram (@midwifemelek) and visit her website at http://www.midwifemelek.com/
• EBB Podcast #113: The Evidence on VBAC
• EBB Podcast #209: Providing Unbiased VBAC Access and Support with Jen Kamel of VBAC Facts
• Visit the VBAC Facts website: https://vbacfacts.com
• Visit the International Cesarean Awareness Network website https://www.ican-online.org/
• EBB Podcast #224: Failure to Progress (info on racist beliefs about pelvic shapes)
• Tema Mercado teaches workshops on decolonizing apprenticeships at La Matriz Birth (https://www.lamatrizbirth.com/) and @matrizmidwife on Instagram
• Luz de Atabey (https://www.instagram.com/lampatx/) project in Austin focused on accessible perinatal care and support (QTBIPOC-led)
• Kmom passed away in 2019, but her blog, "The Well Rounded Mama," is still maintained by her loving family at https://wellroundedmama.blogspot.com/, where you can find many articles about fat phobia and VBAC.
• EBB Professional Membership (includes scholarship options!) https://evidencebasedbirth.com/membership '
• Non-profit fundraising organization Black Home Birth Matters: https://www.blackhomebirthmattersatx.org/

On today's podcast, we're going to talk with EBB Childbirth Class Parents, Lisa Mangini and Anand Swaminathan about their high-intervention birth story! So many people have negative associations with interventions— but Lisa and Anand's story shows how you can still experience a joyful, empowering birth, even in the midst of complications!

Lisa Mangini is a writer living in Central Pennsylvania with her husband, Anand and young son. She teaches English and creative writing at a university and is in the early stages of writing a book about becoming a parent.

I think Lisa is the first person I've heard of who found the EBB Childbirth Class through a neurologist! During her first pregnancy (which ended in a miscarriage), Lisa had her first tonic-clonic seizure. Lisa had to dive into a journey to manage her seizure disorder and several other health conditions, all while trying to conceive and then eventually getting pregnant.

Lisa and Anand's story is perfect for anyone who is facing a high-risk pregnancy or supporting clients who are high-risk! Lisa talks about dealing with prenatal anxiety, switching hospitals and providers, deciding to hire a doula, and how a calm, experienced midwife can be a huge asset during a high-risk birth situation.

Content warning: We mention miscarriage, prenatal anxiety, high levels of medical intervention, seizures, and fear of dying during childbirth

Resources:

• Follow Lisa at @lisaquarius and Lisamangini.com
• Find an EBB Childbirth Class at https://evidencebasedbirth.com/childbirthclass
• EBB Signature Article on doulas at https://evidencebasedbirth.com/doulas
• EBB Podcast episode 175 on the evidence on midwives https://evidencebasedbirth.com/evidence-on-midwives/
• EBB Podcast episode 186 on a high-risk pregnancy with Angela Jones https://evidencebasedbirth.com/a-positive-pregnancy-and-birth-outcome-with-multiple-high-risk-labels-with-ebb-childbirth-class-parent-angela-jones/