Evidence Based Birth®
After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thompson), she discovered that birth doesn’t have to go “according to plan” to be powerful.
 
In this episode, Dr. Rebecca Dekker talks with Erica and Tara about how preparation, advocacy, and teamwork carried them through a marathon labor filled with unexpected turns. From switching hospitals late in pregnancy to finding strength through challenges, their story exemplifies flexibility, informed choice, and the power of doula support.
 
(05:55) Tara’s updates from Atlanta and her path to becoming an IBCLC
(09:17) Erica’s lightbulb moments from the EBB Childbirth Class
(11:22) Switching hospitals at 35 weeks and advocating for the right fit
(16:18) Labor begins: prodromal labor, GBS, and waiting for spontaneous birth
(24:30) Hospital admission, challenges with staff, and early interventions
(32:17) The Pitocin battle and advocating for movement and monitoring choices
(35:40) Finding a supportive nurse and regaining freedom during labor
(39:53) Tara’s night shift: rest, affirmations, and encouragement
(44:20) Deciding on the epidural and reframing “failure” as flexibility
(49:18) The final stage: rest, relief, and meeting baby
(55:12) Postpartum recovery and breastfeeding challenges
(01:00:25) Tara’s advice for navigating long labors
(01:02:43) Erica’s reflections on flexibility, intuition, and informed choice
 
Resources
Get in touch with Tara: tarasbirthservices.com | @taras.birthservices
Connect with Tara's teammate, Brittany: @wellpreparednest
The Evidence on: GBS (Group B Strep): evidencebasedbirth.com/groupbstrep/
The Evidence on: Pitocin During the Third Stage of Labor: evidencebasedbirth.com/evidence-on-pitocin-during-the-third-stage-of-labor/
Epidural during Labor for Pain Management: evidencebasedbirth.com/epidural-during-labor-pain-management/
Learn more about the Evidence Based Birth Childbirth Class: evidencebasedbirth.com/childbirthclass
 
For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.
Direct download: EBB_379_with_edits.mp3
Category:general -- posted at: 4:00am EST

Across generations, birth workers have held space for families with skill, love, and deep purpose. In this episode, Dr. Rebecca Dekker talks with Elder Midwife Charlotte Shilo-Goudeau, a licensed Certified Professional Midwife from Louisiana, and Chanté Perryman, Director of Programs at Evidence Based Birth®®️, certified doula, and student midwife. Together, they explore what it means to embrace the dual calling of doula work and midwifery and how both roles are acts of service, advocacy, and healing.
 
Elder Charlotte shares her journey from personal loss to becoming one of only a few Black midwives in Louisiana, carrying forward the wisdom of generations. Chanté reflects on how her experiences as a doula shaped her path into midwifery and her vision for compassionate, individualized care. They remind us that titles may change, but the heart of this work remains the same: being present, being of service, and being called to birth.
 
(03:46) How Chanté’s Birth Experience Inspired Her to Become a Doula
(05:42) Elder Charlotte’s Journey from Stillbirth to Midwifery as a Calling
(10:59) How Doula Work Shapes Midwifery Care and Philosophy
(14:34) Serving Underserved Communities as One of Four Black Midwives in Louisiana
(19:01) Shifting from Midwife to Doula During Hospital Transfers
(24:08) Chanté’s Perspective on Identity, Service, and Humility in Birth Work
(28:40) Micro vs. Macro Advocacy: Supporting Families and Legislative Change
(37:29) Navigating Hospital Restrictions During the Pandemic
(42:57) Lessons from Midwifery School
(45:30) Advice for Those Considering Doula or Midwifery Paths
 
Resources
Follow Chanté on Instagram: @babydreamsmc
Connect with Ms. Charlotte: midwifecharlotte.com
Connect with an Evidence Based Birth®®️ Instructor: directory.evidencebasedbirth.com
Learn more about the National Perinatal Task Force: perinataltaskforce.com
Visit the Commonsense Childbirth School of Midwifery: commonsensemidwifery.org
Check out the Kentucky Birth Coalition: kentuckyhomebirthcoalition.com
Visit the Mercy In Action College of Midwifery: mercycollegeofmidwifery.edu
 
For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Introducing the My Doula Visit Workbook by Evidence Based Birth®. A tangible, interactive, and evidence-based guide designed to facilitate conversations, strengthen the doula-client relationship, and guide families through the most pressing topics related to pregnancy, birth, and postpartum. 

What’s Inside the My Doula Visit Workbook?

  • A 115-page, full-color, spiral-bound workbook packed with evidence-based resources
  • Structured guides for up to six prenatal visits + one postpartum check-in (but fully customizable to your practice!)
  • 18 official EBB handouts, birth plan templates, journaling prompts, discussion questions, activities, podcast playlists, and postpartum guides
  • Real-life photographs, colorful graphics, and easy-to-use worksheets
  • Access to an exclusive online resource page with additional videos, worksheets, and more!

Want flexibility? No problem! Choose which sections to cover in person, virtually, or assign as self-study for your clients.

Orders open on Monday, November 24 at 12:00 p.m. EST with bulk ordering discounts available. Learn more and explore the workbook at ebbirth.com/doulaworkbook.

Want early access and special perks? Join the waitlist at ebbirth.com/waitlist to shop 2 hours early!

Direct download: Bonus_episode_-_MDV_Workbook.mp3
Category:general -- posted at: 6:00am EST

What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement to make doula care accessible through Medicaid and insurance coverage.
 
Amy shares how her personal birth experiences inspired her work advocating for Medicaid reimbursement for doulas and explains how more than 20 states (and counting) are now implementing or expanding coverage. They also unpack the biggest challenges and successes so far, from sustainable reimbursement rates and certification requirements to how doulas can navigate the Medicaid billing process.
 
(03:17) How Amy’s birth experiences led her to advocate for Medicaid coverage of doula care
(06:54) The national shift toward Medicaid coverage for doulas after 2016 and early state pilots
(11:50) How 23 states plus D.C. have implemented Medicaid doula benefits and what comes next
(15:46) Lessons from California’s rollout: raising reimbursement from $450 to $3,200 through advocacy
(20:57) Why equitable reimbursement matters for sustaining the doula workforce
(25:52) How families can find out if doula care is covered through Medicaid, private insurance, or employers
(29:53) TRICARE’s pilot program for military families and expansion to overseas bases
(31:42) The challenges doulas face with Medicaid billing and how “doula hubs” help streamline the process
(36:49) How upcoming federal Medicaid cuts could threaten maternal health gains
(45:28) New 2024 research showing doula care cuts cesarean rates in half and lowers preterm births
(48:12) Closing thoughts and key resources for doulas, advocates, and policymakers
 
Resources
NHeLP Doula Medicaid Project: https://healthlaw.org/doulamedicaidproject/
Best Practices for Medicaid Coverage of Doula Care (2025): https://healthlaw.org/doulamedicaidproject/bestpractices/
NHeLP Doula Medicaid Project State Tracker Chart:
CA Department of Health Care Services Doula Benefit Implementation Report:
Private Insurance Coverage of Doula Care: Spring 2025 State of the States:
A Cost-Benefit Analysis of Doula Care from a Public Health Framework:
 
For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.
Direct download: EBB_377_with_edits_2.mp3
Category:general -- posted at: 4:00am EST

 
Direct download: EBB_376_with_edits2.mp3
Category:general -- posted at: 3:00am EST

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