On today’s podcast, we’re going to talk with Certified Nurse Midwife and Founder of The Vagina Chronicles, Aiyana Davison (She/Her), about her transition from hospital midwifery to a home birth practice.  
 
Aiyana is a Certified Nurse Midwife and Women’s Health Nurse Practitioner currently practicing in Southern California. While she has worked for the past six years at a large hospital-based teaching facility, she recently started her own home birth practice and has plans to open a birth center. Aiyana has been featured on a wide variety of platforms including ESSENCE, Peanut, Elvie, Ovia Health, and Mama Glow.

Aiyana uses her social media platforms and website, The Vagina Chronicles, to help bridge the knowledge gap in people understanding their bodies as well as taking charge of their health care. Aiyana focuses her work on healing long-standing historical trauma within the Black community by sharing and vocalizing stories and supporting Black people as they traverse the healthcare system. 

In this episode, we talk about the midwifery model of care in the United States and Aiyana's experiences working in a hospital-based setting, her home birth practice and her associations with a free standing birth center. Additionally, we talk about the excitement of new Black midwives entering the field, and, conversely, the associated apprehensions of Black midwives due to professional burnout and lack of interprofessional collaboration and community support.
 
Content Warning: Poor birth outcomes, professional burnout, miscarriage, abortion, trauma, home birth, Black birth, birth work 
 
Resources:
The Vagina Chronicles
Aiyana's Pregnancy Prep Course can be accessed here. All sales through 12/3/22 are at a discounted rate in honor of The Vagina Chronicles 5 Year Anniversary. 

Find The Vagina Chronicles on Social Media:
·      Instagram
·      Twitter
 
You can learn more about Aiyana’s home birth practice, Village House Wellness, here and follow Village House Wellness on Instagram.
 
Learn more about Kindred Space Birth Center here.
 
Go to our YouTube channel to see video versions of the episode listed above!!

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

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• TikTok
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• Pinterest

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.

On today’s podcast, we’re going to talk with Molecular Biologist and Founder of Free to Feed, Dr. Trill Paullin (She/Her), about misconception in infant feeding and infant food reactivity. 

Dr. Trill is mother to two beautiful daughters who had severe infant food reactions to proteins transferred from her diet to breast milk. After processing the painful fact that she could hurt her children through breastfeeding, she started researching how to produce breast milk they could properly digest. 

Dr. Trill has discovered that many parents experience the same troubling situation. She has created a place for parents to find answers to their questions about infant food reactivity and empower them to reach their feeding goals. Free to Feed was born to provide the research, resources, and support she wished they had early on. They have started this mission by creating an annual subscription to empower parents through their food allergy journey, a tracking app built specifically for this space, personal consultations, as well as an allergy friendly post-natal multivitamin. Free to Feed’s team is working hard towards launching an at-home test strip that will allow parents to analyze their breast milk for allergens.

We talk about the misconceptions of allergy versus intolerance, what food reactivity actually looks like and how it occurs, and the common foods infants react to and how to remove them from human milk. 

Content Warning: fear of a child dying, a description of a serious infant food reaction with bloody diapers, and gendered language related to lactation. 

Resources:

Free to Feed 

Find Free to Feed (@freetofeed) on Social Media: 

• Instagram
• Facebook 
• TikTok

Go to our YouTube channel to see video versions of the episode listed above!!

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

Find us on: 

• TikTok
• Instagram
• Pinterest

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.

To celebrate the upcoming release of our Intervention Pocket Guide, we are going to share with you some of the new research on interventions! Last week I had so much fun on Episode 244 sharing the research on amniotomy (or AROM), assisted vaginal delivery (also known as forceps or vacuum assisted delivery), and internal monitoring. Today I’m going to reveal information from the Pocket Guide on 3 more interventions-- Pitocin Augmentation, Regional Analgesia (Epidurals and Spinals), and Cesareans.
 
Content note: discussion of the benefits and risks of these interventions, including the risk of mortality.

Resources:
Make sure you're on the Pocket Guide wait list by going here 

Pitocin Augmentation:
·       Webinar on the Evidence on Pitocin 
·       EBB #131 Evidence on Pitocin in the Third Stage of Labor
·       EBB #224 Failure to Progress or Failure to Wait webinar (also on YouTube with PowerPoint slides)
 
Regional Analgesia:
·      EBB YouTube series on Pain Management https://evidencebasedbirth.com/category-pain-management-series/
 
Cesareans
·      EBB 113 Evidence on VBAC
·      EBB 236 Unexpected Cesarean after a normal vaginal birth with Katie Kane
·      EBB 226 Emergency Cesarean with Mandy Childs
·      EBB 62 Unplanned Cesarean with Michelle Wilson
·      EBB 79 From a Cesarean to VBAC with Chanté Perryman
·      Breech Series episodes 171 (vaginal breech story with Janae and Andrew Rick), 172 (Breech Vaginal Birth evidence with Dr. Rixa Freeze and Dr. David Hayes), 173 (evidence on ECV for breech)

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

Find us on: 

• TikTok
• Instagram 
• Pinterest  

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.

EBB 244: Evidence on Artificial Rupture of Membranes, Assisted Vaginal Delivery, and Internal Monitoring.

We are so excited to announce the upcoming release of a new Evidence Based Birth(R) Pocket Guide, all about Interventions! To give you a sneak peek to the Invention Pocket Guide,  we are diving into the research and evidence on artificial rupture of membranes, assisted vaginal delivery an internal monitoring.

Content note: Discussion of the benefits and risks of these interventions, including forceps and vacuum-assisted deliveries, which can be associated with birthing trauma for birthing people and babies, as well as the risk of mortality.

Resources:

Make sure you're on the Pocket Guide wait list by going here 

Amniotomy References:

• Kawakita, T., Huang, C-C, and Landy, H. J. (2018). Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes. AJP Rep 8(2): e89-e94. https://pubmed.ncbi.nlm.nih.gov/29755833/
• Simpson, K. R. (2020). Cervical Ripening and Labor Induction and Augmentation, 5th Edition. AWHONN Practice Monograph 24(4): PS1-S41. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2491-4
• Smyth, R. M., Markham, C. & Dowswell, T. (2013). Amniotomy for shortening spontaneous labour. Cochrane Database Syst Rev 6:CD006167. https://pubmed.ncbi.nlm.nih.gov/23780653/
• Alfirevic, Z., Keeney, E., Dowswell, T., et al. (2016). Methods to induce labour: a systematic review, network meta-analysis and cost-effectiveness analysis. BJOG 123(9):  1462-1470. https://pubmed.ncbi.nlm.nih.gov/27001034/ 
• de Vaan, M. D. T., ten Eikelder, M. L. G., Jozwiak, M., et al. (2019). Mechanical methods for induction of labour. Cochrane Database of Systematic Reviews 10: CD001233. https://www.cochrane.org/CD001233/PREG_mechanical-methods-induction-labour
• Simpson, K. R. (2020). Cervical Ripening and Labor Induction and Augmentation, 5th Edition. AWHONN Practice Monograph, 24(4), PS1-S41. https://nwhjournal.org/article/S1751-4851(20)30079-9/abstract

Assisted Vaginal Delivery References:

• NHS article on forceps or vacuum delivery https://www.nhs.uk/pregnancy/labour-and-birth/what-happens/forceps-or-vacuum-delivery/
• Bailey, P. E., van Roosmalen, J., Mola, G., et al. (2017). Assisted vaginal delivery in low and middle income countries: an overview. BJOG 124(9): 1335-1344. https://pubmed.ncbi.nlm.nih.gov/28139878/
• CDC Wonder Database
• Feeley, C., Crossland, N., Betran, A. P., et al. (2021). Training and expertise in undertaking assisted vaginal delivery (AVD): a mixed methods systematic review of practitioners views and experiences. Reprod Health 18(1): 92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097768/
• Crossland, N., Kingdon, C., Balaam, M. C. (2020). Women’s, partners’ and health care providers’ views and experiences of assisted vaginal birth: a systematic mixed methods review. Reprod Health 17:83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268509/
• Hook, C. D., Damos, J. R. (2008). Vacuum-Assisted Vaginal Delivery. Am Fam Physician 78(8): 953-960. https://www.aafp.org/afp/2008/1015/p953.html
• Tsakiridis, I., Giouleka, S., Mamopoulos, A., et al. (2020). Operative vaginal delivery: a review of four national guidelines. J Perinat Med 48(3): 189-198. https://pubmed.ncbi.nlm.nih.gov/31926101/
• Verma, G. L., Spalding, J. J., Wilkinson, M. D., et al. (2021). Instruments for assisted vaginal birth. Cochrane Database Syst Rev. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005455.pub3/full

Internal Monitoring References:

• Euliano, T. Y., Darmanjian, S., Nguyen, M. T., et al. (2017). Monitoring fetal heart rate during labor: A comparison of three methods. J Pregnancy 2017: 8529816. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368359/
• Neilson, J. P. (2015). Fetal electrocardiogram (ECG) for fetal monitoring during labor. Cochrane Database Syst Rev 12: CD000116. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000116.pub5/full
• Harper, L. M., Shanks, A. L., Tuuli, M. G., et al. (2013). The risks and benefits of internal monitors in laboring patients. Am J Obstet Gynecol 209(1): 38.e1-38.e6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3760973/
• Bakker, J. J. H., Verhoeven, C. J. M., Janssen, P. F., et al. (2010). Outcomes after internal versus external tocodynamometry for monitoring labor. N Engl J Med 362(4): 306-13. https://www.nejm.org/doi/10.1056/NEJMoa0902748?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200www.ncbi.nlm.nih.gov
• Frolova, A. I., Stout, M. J., Carter, E. B., et al. (2021). Internal fetal and uterine monitoring in obese patients and maternal obstetrical outcomes. Am J Obstet Gynecol MFM 3(1): 100282. https://pubmed.ncbi.nlm.nih.gov/33451595/
• Bakker, J. J. H., Janssen, P. F., van Halem, K. (2013). Internal versus external tocodynamometry during induced or augmented labor. Cochrane Database Syst Rev 8: CD006947. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006947.pub3/full
• van Halem, K., Bakker, J. J. H., VerHoeven, C. J., et al. (2011). Does use of an intrauterine catheter during labor increase risk of infection? J Maternal Fetal Neonatal Med 25(4): 415-418. https://www.tandfonline.com/doi/abs/10.3109/14767058.2011.582905

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

Find us on: 

• TikTok
• Instagram 
• Pinterest  

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.