Advertise on podcast: Evidence Based Birth®

Ableism shapes birth, parenting, and even the ways our society values whose lives matter. In this replay episode, Dr. Rebecca Dekker talks about disability justice in birth and parenting with Stefanie Lyn Kaufman-Mthimkhulu, a Mad, Disabled, multidisciplinary care strategist/worker, educator, psychiatric survivor, healing practitioner, and founder and director of Project LETS. Together, they explore what disability justice is and how it connects to reproductive justice, from the history of forced sterilization to the ways disabled parents are penalized for both accessing and not accessing care. Stefanie also shares how ableism showed up in their own pregnancy, in both medical and alternative care settings, and why everyone who supports birth and parenting needs a basic understanding of disability and mental health. Content warning: We mention self-injury, disability, neuro-divergent, eugenics, reproductive trauma, ableism, epilepsy, seizures, trauma, sexual violence, medical violence, and history of sterilization.   Connect with Stefanie Lyn Kaufman Becoming Disabled Again for BAD Birth and Disability Course with Birthing Advocacy Doula Trainings Crisis Response for Birthworkers Disability in the Family: A Course for Parents + Caregivers   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? 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.

Acupuncture, acupressure, and breast stimulation are popular natural labor induction methods, but what does the latest research tell us about how well they actually work?   In this episode, Dr. Rebecca Dekker dives into the new research on whether these approaches can help ripen the cervix, encourage spontaneous labor, or reduce the need for a medical induction. She explores the evidence on acupuncture, acupressure, and the related practice of Shiatsu, including why studies have reached conflicting conclusions about their effectiveness. She also examines the research on breast and nipple stimulation, how it can trigger the release of oxytocin, and what studies suggest about its potential role in preparing for and starting labor.   For a full list of resources and references, visit ebbirth.com/414.   (02:07) Understanding Acupuncture, Acupressure, and Shiatsu (08:30) Cervical Ripening and the Bishop Score (10:26) Evidence and Safety of Acupuncture for Labor Induction (19:43) Evidence on Acupressure for Labor Induction (23:16) Shiatsu and Labor Induction (27:27) Breast and Nipple Stimulation for Labor Induction (28:51) Research on Breast Stimulation, Cervical Ripening, and Labor (32:54) Breast Stimulation vs. Pitocin for VBAC (35:57) Safety of Breast and Nipple Stimulation (37:42) Breastfeeding During Pregnancy and Preterm Labor   Resources EBB 359 – Mini Q & A on Early Induction for Gestational Hypertension, Acupuncture/Acupressure for Labor, and Time Intervals between Pregnancies EBB 407 – Migraines and Insulin and Umbilical Vein Varix, Oh My! An Empowering Pregnancy and Hospital Birth Story with Heidi Gustad, Librarian and EBB Childbirth Class Graduate EBB 408, what they didn't tell me about birth and parenthood with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach   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.

Migraines during pregnancy can be debilitating, and figuring out how to prevent or manage them can be especially challenging. In this episode, Dr. Rebecca Dekker explores the research on migraines during pregnancy, including why they happen, how pregnancy can affect migraine patterns, and why new or changing headaches should be taken seriously. Rebecca also discusses migraine triggers, medication overuse or "rebound" headaches, and strategies for prevention. Plus, drawing from both the research and her own lifelong experience with migraines, Rebecca shares non-pharmacological comfort measures for coping with migraine pain, from hydration and body work to temperature therapy, acupressure, mindfulness, and more. (04:29) What migraines are and how common they are (11:39) Migraines during pregnancy and postpartum (14:54) When headaches may signal a more serious condition (23:56) Preventing migraines during pregnancy (24:32) Medication overuse and rebound headaches (30:52) Migraine triggers and thresholds (34:22) Non-medication strategies for migraine prevention (46:05) Comfort measures for an active migraine (59:09) Final encouragement, support, and resources For a full list of references, visit ebbirth.com/413. Resources Postpartum Support International: https://postpartum.net/ Call 988 for the Suicide Crisis and Lifeline: https://988lifeline.org/ Hear Her campaign with list of maternal warning signs: https://www.cdc.gov/hearher/maternal-warning-signs/index.html American Headache Society: https://americanheadachesociety.org/ The Headache Hat: https://theheadachehat.com/ Acupressure points for headaches in pregnancy: https://www.youtube.com/watch?v=LNbXWKStr-4 Aculief acupressure device (NOT recommended for pregnancy unless you've reached term, as it may cause contractions): https://finance.yahoo.com/news/aculief-reviews-does-migraine-relief-045700296.html S-shaped massage hook: https://www.bodyback.com/products/body-back-buddy-classic-trigger-point-therapy-self-massage-tool-body-back-company Renpho eye massager: https://renpho.com/collections/eye-massager 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.

An induction may change your birth plan, but it doesn't mean giving up your preferences or your role in the decision-making process. In this episode, EBB's Director of Programs Chanté Perryman talks with team EBB's Jennifer Anderson about how families can prepare for and navigate an induction. A nurse, doula, and childbirth educator, Jennifer's sharing five of her favorite advocacy tips, including asking about outpatient cervical ripening, considering the timing of your induction, exploring monitoring options that support movement, using water for comfort, and understanding the criteria for a failed induction. (01:36) The "Golden Ticket": Taking an Independent Childbirth Class (06:38) Tip #1: Ask About Outpatient Cervical Ripening (13:45) Tip #2: Consider the Timing of Your Induction (22:41) Tip #3: Ask About Bluetooth Fetal Monitoring (28:21) Tip #4: Using Water and Movement During an Induction (31:32) Learning Your Hospital's Policies Before Birth (33:00) Tip #5: Understanding Failed Induction Criteria (42:09) Preparing When an Induction Is Unexpected (49:00) Birth Story: Navigating a Surprise Gestational Hypertension Induction   Resources Get the Evidence Based Birth® Induction Pocket Guide: https://shop.evidencebasedbirth.com/products/evidence-based-birth-pocket-guides  Evidence on: The ARRIVE Trial and Elective Induction at 39 Weeks Evidence on: Induction for Gestational Diabetes Evidence on: Group B Strep EBB 348 – Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth Friedman's Curve and Failure to Progress: A Leading Cause of Unplanned Cesareans Get your California Maternal Quality Care Collaborative (CMQCC) Toolkit: https://www.cmqcc.org/toolkits-quality-improvement/all-toolkits EBB 359 – Mini Q & A on Early Induction for Gestational Hypertension, Acupuncture/Acupressure for Labor, and Time Intervals between Pregnancies 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.

When Holly and Nathan Miller learned their baby was breech late in pregnancy, the unmedicated vaginal birth they had been preparing for suddenly felt out of reach. Living in rural South Georgia, they explored their options, including finding a provider experienced in vaginal breech birth, but ultimately faced limited choices close to home.   In this episode, EBB Childbirth Class graduates Holly and Nathan share how they shifted their focus from the birth they had originally envisioned to creating a family-centered Cesarean experience. They talk about advocating for a clear drape and immediate skin-to-skin, navigating conflicting information from providers, and finding ways to remain active participants in their baby's birth. They also reflect on Cesarean recovery, the importance of partner support, and what they learned about speaking up for their preferences even when circumstances were outside their control.   (01:27) Finding Evidence Based Birth® and Preparing for an Unmedicated Birth (03:33) When Birth Plans Began to Change (05:03) Navigating Birth Options in Rural South Georgia (07:51) Exploring ECV, Vaginal Breech Birth, and Cesarean (10:24) Shifting Toward a Family-Centered Cesarean (12:50) Advocating for a Clear Drape and Immediate Skin-to-Skin (15:10) Holly and Nathan's Cesarean Birth Story (17:43) What a Cesarean Felt Like Physically and Emotionally (22:03) Meeting Eliana and Beginning Skin-to-Skin (25:31) Breastfeeding and Recovering from a Cesarean (28:53) Partner Support During Postpartum Recovery (30:09) Advice for Navigating Breech Birth and Unexpected Changes (31:53) Looking Ahead to a Future VBAC   Resources EBB 256 – Top 3 Recommendations for Preventing Pelvic Floor Dysfunction after Birth with Dr. Sarah Duvall, Founder of Core Exercise Solutions All About Breach EBB 299 – A Breech Vaginal Birth Story with EBB Parents Naoma Kleisner, RN, MSN and Mohamed Koraichi EBB 298 – Overcoming Barriers to Breech Vaginal Birth with Dr. Emiliano Chavira, OB/GYN and Maternal Fetal Medicine Specialist EBB 297 – Frequently Asked Questions about Breech with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 296 – Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 173 - Evidence on External Cephalic Version for Breech Positioned Babies EBB 172 – Breech Vaginal Birth with Dr. Rixa Freeze and Dr. David Hayes EBB 171 – The Experience of a Unique Vaginal Breech Birth with Janae and Andrew Rick EBB 111 – Positioning Breech Babies with Dr. Elliot Berlin 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.

In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire examine the available evidence on planned unassisted birth, also known as freebirth, defined as intentionally giving birth without a qualified midwife or physician present.   They explore why some people choose a planned unassisted birth, including previous trauma, distrust of the medical system, barriers to preferred care, and a desire for greater autonomy. Dr. Dekker and Dr. Ailshire also explain how freebirth differs from midwife-attended home birth, what research shows about planned community birth, and the safeguards a trained birth attendant can provide during pregnancy, labor, birth, and the newborn period. Finally, they discuss investigative reporting concerning the Free Birth Society, including allegations of misinformation and preventable harm associated with its community.   Content Note: This episode includes discussions of stillbirth, maternal death, newborn death, birth trauma, and serious complications related to planned unassisted birth.   (00:03:20) What Is Freebirth? (00:07:41) Prenatal Care, Wild Pregnancy, and Freebirth (00:10:30) How Common Is Freebirth? (00:14:27) The History and Origins of Freebirth (00:22:16) Why Do Some People Choose Freebirth? (00:26:14) What Do We Know About the Risks of Freebirth? (00:34:42) The Role of Skilled Midwives in Home Birth Safety (00:42:28) Free Birth Society Controversy (00:53:49) Lessons from the Free Birth Society (00:55:44) Warning Signs of Controlling Group Dynamics and Influencer Manipulation (01:01:50) Final Takeaways on Freebirth, Safety, and Informed Decision-Making   View the full transcript for this episode at evidencebasedbirth.com.   Resources EBB 23 – Home Birth Midwives EBB 110 – Inside an Unplanned, Unassisted Home Birth with Parent Sabrina Tran EBB 122 – Home birth during the pandemic with Vicki Penwell EBB 292 – Confronting the Unknowns in Childbirth with Liesel Teen of the Mommy Labor Nurse EBB 130 – Home Birth in the Black Community with Isis Rose Count the Kicks: https://countthekicks.org/ PUSH Pregnancy: https://www.pushpregnancy.org/ Star Legacy Foundation: https://starlegacyfoundation.org/ Healthy Birth Day: https://healthybirthday.org/ CDC Stillbirth resources: https://www.cdc.gov/stillbirth/communication-resources/index.html Share Pregnancy and Infant Loss Support: https://nationalshare.org/ Stillbirth and infant loss support communities: https://postpartum.net/group/stillbirth-and-infant-loss-support-for-parents/   Works Cited Birthplace in England Collaborative Group (BECG). (2011). "Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study." BMJ 343: d7400. https://pubmed.ncbi.nlm.nih.gov/22117057/ Biesele, M. (1997). "An Ideal of Unassisted Birth: Hunting, Healing, and Transformation among the Kalahari Ju/'hoansi." In Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives. Davis-Floyd, R. & C.F. Sargent (eds), Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives, Berkeley: University of California Press, pp. 474-92. Bjellmo, S. & Iversen, J. K. (2025). "Unassisted home births in Norway: A growing concern." Acta Obstet Gynecol Scand 104(8): 1418-1419. https://pubmed.ncbi.nlm.nih.gov/40536244/ Boodman, S. G. (2007). "Do-it-yourself Delivery." The Washington Post. July 31. https://www.washingtonpost.com/wp-dyn/content/article/2007/07/27/AR2007072702164.html Bovbjerg, M. L., Cheyney, M., Hoehn-Velasco, L., et al. (2024). "Planned Home Births in the United States Have Outcomes Comparable to Planned Birth Center Births for Low-Risk Birthing Individuals." Med Care 62(12): 820-829. https://pubmed.ncbi.nlm.nih.gov/39514513/ Boushra, M., Stone, A., & Rathbun, K. M. (2023). "Umbilical Cord Prolapse." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK542241/ Brandt, J. S. & Ananth, C. V. (2023). "Placental abruption at near-term and term gestations: pathophysiology, epidemiology, diagnosis, and management." Am J Obstet Gynecol 228(5S): S1313-S1329. https://pmc.ncbi.nlm.nih.gov/articles/PMC10176440/ Carlson, K. & Vadakekut, E. S. (2026). "Amniotic Fluid Embolism." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559107/ Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System, Natality on CDC WONDER Online Database. (2026). Data are from the Natality Records 2016-2024, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/natality-expanded-current.html on Jul 29, 2026. Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). "Outcomes of care for 16,924 planned home births in the United States: the Midwives Alliance of North America Statistics Project, 2004 to 2009." J Midwifery Womens Health 59(1): 17-27. https://pubmed.ncbi.nlm.nih.gov/24479690/ Dahlen, H., Kumar-Hazard, B., & Schmied, V. (2020). Birthing Outside the System: The Canary in the Coal Mine. Edited Volume. London: Routledge. Dahlen, H. G., Jackson, M., & Stevens, J. (2011). "Homebirth, freebirth and doulas: casualty and consequences of a broken maternity system." Women Birth 24(1): 47-50. https://pubmed.ncbi.nlm.nih.gov/21163719/ Davey, M. (2026). "Stacey Warnecke died after choosing a birth free of all medical help. An inquest wants to know why." The Guardian. June 19. https://www.theguardian.com/australia-news/2026/jun/20/stacey-warnecke-melbourne-influencer-died-freebirth-inquest-ntwnfb Davis-Floyd, R. & Cheyney, M. (2019). Birth in Eight Cultures. Edited Volume. Waveland Press. Einerson, B. D., Gilner, J. B., & Zuckerwise, L. C. (2023). "Placenta Accreta Spectrum." Obstet Gynecol 142(1): 31-50.https://pmc.ncbi.nlm.nih.gov/articles/PMC10491415/ Feeley, C. & Thomson, G. (2016). "Tensions and conflicts in 'choice': Womens' experiences of freebirthing in the UK." Midwifery 41: 16-21. https://pubmed.ncbi.nlm.nih.gov/27498184/ Feeley, C. & Thomson, G. (2016). "Why do some women choose to freebirth in the UK? An interpretative phenomenological study." BMC Pregnancy Childbirth 16: 59. https://pubmed.ncbi.nlm.nih.gov/27000100/ Greenfield, M., Payne-Gifford, S., McKenzie, G. (2021). "Between a Rock and a Hard Place: Considering "Freebirth" During Covid-19." Front Glob Womens Health 2: 603744. https://pubmed.ncbi.nlm.nih.gov/34816178/ Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). "Outcomes associated with planned place of birth among women with low-risk pregnancies." CMAJ 188(5): E80-E90. https://pubmed.ncbi.nlm.nih.gov/26696622/ Iceland Monitor. (2024). "How do you know this woman had this child." Iceland Monitor. May 9. https://icelandmonitor.mbl.is/news/news/2024/05/09/how_do_you_know_this_woman_had_this_child/ Johansson, M., Jansson, O., Lilja, F., et al. (2023). "Freebirth, the only option for women who do not fit into common practice- A Swedish national interview study." Sex Reprod Healthc 37: 100866. https://pubmed.ncbi.nlm.nih.gov/37295181/ Johnston, K. & MacDougall, C. (2026). "Toward Conceptual Clarity: Out-of-Hospital Birth Practices and Freebirth Entrepreneurialism." Atlantis: Critical Studies in Gender, Culture, & Social Justice. 47(1): 44–57. https://atlantisjournal.ca/atlantis/en/article/view/5920 Kale, S. & Osborne, L. (2025). "Influencers made millions pushing 'wild' births – now the Free Birth Society is linked to baby deaths around the world." The Guardian. November 22. https://www.theguardian.com/world/ng-interactive/2025/nov/22/free-birth-society-linked-to-babies-deaths-investigation Kale, S. & Davey, M. (2026). "A US champion of 'freebirthing' always claimed there had been no maternal deaths linked to the movement. Is Stacey Warnecke the first?" The Guardian. June 29. https://www.theguardian.com/world/2026/jun/30/freebirth-wellness-influencer-stacey-warnecke-death-ntwnfb Lou, S., Dahlen, H. G., Gefke Hansen, S., et al. (2022). "Why freebirth in a maternity system with free midwifery care? A qualitative study of Danish women's motivations and preparations for freebirth." Sex Reprod Healthc 34: 100789. https://pubmed.ncbi.nlm.nih.gov/36332498/ Mackeen, D. (2026). "She wanted a `free birth.' It put her and her baby in grave danger." The New York Times. April 22. https://www.nytimes.com/2026/04/22/science/free-birth-wild-pregancy-risks-home-birth.html McKenzie, G., Robert, G., & Montgomery, E. (2020). "Exploring the conceptualisation and study of freebirthing as a historical and social phenomenon: a meta-narrative review of diverse research traditions." Med Humanit 46(4): 512-524. https://pubmed.ncbi.nlm.nih.gov/32361690/ Miller, J. F. (2020). "Solitary and Kin-Assisted Rarámuri Birth: Ideals and realities." In Birthing Models on the Human Rights Frontier. Daviss, B. & Davis-Floyd, R., eds. Routledge: London. Payne, E. (2025). "Officials 'strongly advise' against freebirths after cluster of stillbirths in Ontario." Ottawa Citizen. January 15. https://ottawacitizen.com/news/local-news/officials-advise-against-freebirths-after-stillbirths-ontario Pillai, S., Cheyney, M., Everson, C. L., et al. (2020). "Fetal macrosomia in home and birth center births in the United States: Maternal, fetal, and newborn outcomes." Birth 47(4):409-417. https://pmc.ncbi.nlm.nih.gov/articles/PMC8923081/ Rosenberg, K. & Trevathan, W. (1995). " Bipedalism and human birth: The obstetrical dilemma revisited." Evolutionary Anthropology 4(5): 161-168. https://doi.org/10.1002/evan.1360040506Sargent, C. (1982). "The Implications of Role Expectations for Birth Assistance among Bariba." Soc Sci Med 16(16): 1483-1489. https://pubmed.ncbi.nlm.nih.gov/7135022/ Shorey, S., Jarašiūnaitė-Fedosejeva, G., Akik, B. K., et al. (2023). "Trends and motivations for freebirth: A scoping re

A passion for supporting families during birth is the foundation for a career as a doula. But once that foundation has been laid, it takes business skills, boundaries, and collaboration to be sustainable.   In this episode, Dr. Rebecca Dekker talks with Katie Nyberg, founder of The Iowa Baby Ladies, about her journey from fifth-grade teacher to doula, trainer, and owner of one of Iowa's largest doula agencies. Katie shares the early lessons she learned about setting fees, communicating with clients, and navigating the unpredictable realities of on-call work. Katie also opens up about the exhaustion that once made her consider leaving birth work altogether, and the changes that helped her build a more sustainable career. She discusses how recognizing the root causes of burnout, diversifying income, creating intentional seasons of work and rest, and building supportive relationships with other doulas keep her going.   (02:05) Katie's journey from teacher to birth doula (04:55) Early lessons in business, fees, and communication (07:21) Setting healthy boundaries with clients (11:40) Navigating childcare and the on-call doula lifestyle (14:02) Preparing for long births and using backup support (19:53) Recognizing and addressing doula burnout (25:45) Saying no and making space for rest (27:05) Growing The Iowa Baby Ladies (33:41) Advice for new doulas getting started (37:02) Overcoming imposter syndrome through education and experience (43:13) Advice for building a lasting doula career Resources Learn more about the EBB Instructor Program: https://evidencebasedbirth.com/become-an-evidence-based-birth-instructor/ Find an EBB Instructor: https://evidencebasedbirth.com/find-an-instructor-parents/ Follow Katie on Instagram: https://www.instagram.com/theiowababylady/ Learn more about the Iowa Baby Ladies: https://theiowababylady.com/ Evidence on: Doulas EBB 364 – How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife 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.

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families. In this replay episode, Dr. Rebecca Dekker sits down with Dr. Kat Kaeni, perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast, to break the silence around postpartum anxiety, depression, OCD, and psychosis. Drawing on her professional expertise and personal experience, Dr. Kat reveals why shame and isolation are so common, how symptoms really show up for new parents, and what makes perinatal mental health distinct from other forms of mental illness. They discuss the myths that keep parents suffering in silence, the real impact of mental health on babies and families, and how therapy and support groups, including free resources from Postpartum Support International, can empower families on the path to healing. Content Warning: This episode includes discussions of perinatal mental health disorders, including postpartum depression, anxiety, OCD, and psychosis. Sensitive topics such as intrusive thoughts, stigma, feelings of guilt and shame, and the potential for harm to self or others are addressed. Listener discretion is advised, and we encourage anyone who may be affected by these topics to reach out for support through Postpartum Support International or a trusted healthcare provider. (00:07:28) Unique Challenges in Perinatal Mental Health (00:11:05) Caregivers' Mental Health and Bonding Challenges (00:16:32) Parental Isolation Stemming from Anxiety and Depression (00:21:53) Emergent Postpartum Psychosis Symptoms (00:27:08) Overcoming Stigma in Perinatal Mental Health (00:31:54) Thought and Behavior Change Therapy for Depression (00:36:56) Perinatal Mental Health Challenges and Support Resoureces EBB 197 – Addressing Perinatal Mental Health for Communities of Color with the Co-Founders of the Perinatal Mental Health Alliance for People of Color, Divya Kumar, Jabina Coleman, and Desirée Israel Postpartum Support International The Mom & Mind Podcast The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques   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? 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.

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Vernon about how integrative medicine can create a more holistic and personalized approach to obstetric care.   Dr. Vernon explains how integrative care combines traditional Western medicine with complementary approaches such as therapy, physical therapy, acupuncture, yoga, breathwork, meditation, and nutrition. She also shares how her own experience with postpartum anxiety and depression transformed the way she practices medicine and deepened her understanding of the physical, emotional, and identity-related transitions into parenthood. Plus, get practical guidance for changing providers, asking informed questions after a prior Cesarean, and navigating the overwhelming, and sometimes unreliable, health information found through social media and artificial intelligence.   (00:02:03) Dr. Vernon's journey into obstetrics and the influence of midwifery (00:05:47) Understanding matrescence and the transition into parenthood (00:07:14) What integrative medicine looks like in pregnancy and postpartum care (00:09:59) Bringing perinatal mental health and integrative medicine into obstetric practice (00:12:19) Gaps in traditional perinatal care and the need for individualized support (00:16:59) Supporting parents after infertility, pregnancy loss, birth trauma, or a difficult postpartum experience (00:21:32) Why it is okay to change providers (00:24:31) How infertility and pregnancy loss can shape a subsequent pregnancy (00:27:25) Practicing evidence-based, person-centered care that protects patient autonomy (00:29:02) Finding trustworthy pregnancy information online (00:32:27) Balancing medical evidence with personal intuition and individual circumstances   Resources Connect with Dr. Vernon and learn more about her 1:1 perinatal coaching: https://www.drjessicavernon.com/ Follow Dr. Vernon on Instagram: https://www.instagram.com/dr.jessicavernon/ Then Comes Baby: An Honest Conversation About Birth, Postpartum, and the Complex Transition to Parenthood by Dr. Jessica Vernon: https://www.bloomsbury.com/us/then-comes-baby-9781538195925/ Matrescence: On Pregnancy, Childbirth, and Motherhood by Lucy Jones: https://www.penguinrandomhouse.com/books/714054/matrescence-by-lucy-jones/ Free Postpartum Support International online support groups: https://postpartum.net/get-help/psi-online-support-meetings/ PSI Perinatal Mental Health Provider Directory: https://postpartum.net/get-help/provider-directory/   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.

After years of hearing traumatic birth stories and questioning whether parenthood was right for her, Heidi Gustad entered pregnancy determined to make informed decisions every step of the way. When she was diagnosed with insulin-managed gestational diabetes, debilitating migraines, and a rare umbilical cord abnormality called an umbilical vein varix, the birth center birth she had envisioned was suddenly no longer an option.   In this episode, Heidi shares how evidence-based education, a supportive care team, and careful preparation helped her navigate unexpected changes with confidence. She and Dr. Dekker discuss what it was like to advocate for herself through multiple diagnoses, switch care providers late in pregnancy, and prepare for a hospital birth while still hoping for an unmedicated labor. Heidi also shares the surprising series of events that led to spontaneous labor before her scheduled induction, and how she welcomed her baby after a fast, nine-hour labor.   (01:36) Overcoming a lifelong fear of pregnancy and choosing parenthood (05:13) Navigating migraines, gestational diabetes, and changing providers (08:52) Risking out of birth center care and finding the right hospital (11:11) Understanding a rare umbilical vein varix diagnosis (17:47) Building confidence through education, advocacy, and a supportive birth team (21:59) Preparing for birth with physical therapy, acupuncture, and evidence-based resources (25:50) Spontaneous labor begins weeks before a scheduled induction (32:02) Coping strategies for a fast, unmedicated labor (37:19) Postpartum recovery and breastfeeding (40:42) Heidi's advice on informed decision-making and birth preferences (43:06) Using anxiety and pain-coping techniques during labor   Resources Find an EBB Childbirth Class: evidencebasedbirth.com/parentclasses/ Diagnosing Gestational Diabetes and the Glucola Test Evidence on: Induction for Gestational Diabetes Listen to EBB's Natural Induction Series on Acupuncture, Raspberry Red Leaf Tea, and Nipple Stimulation: evidencebasedbirth.com/category/series/natural-labor-induction-series/ EBB 304 – Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental encapsulation: evidencebasedbirth.com/ebb-304-q-and-a-on-ppd-pitocin-delayed-cord-clamping-nubain-and-placental-encapsulation/ Read the research on Umbilical Chord Varix Fetal intra-abdominal umbilical vein varix: retrospective cohort study and systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/28876490/ Isolated fetal umbilical vein varix and the association with intrauterine fetal death and fetal growth restriction: A systematic review, meta-analysis, and nested retrospective cohort study: https://pubmed.ncbi.nlm.nih.gov/38502055/ The Development of the Umbilical Vein and Its Anatomical and Clinical Significance: https://pmc.ncbi.nlm.nih.gov/articles/PMC11954436/ Learn more about Spinning Babies®: spinningbabies.com   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.

Congenital cytomegalovirus (CMV) is the leading infectious cause of congenital disorders in the United States, but many pregnant families have never heard of it. In this episode, Dr. Dekker is joined by author Megan Nix who shares the personal story behind her memoir, "Remedies for Sorrow," and discusses how gaps in the system leave many families unaware of this common virus. Megan shares how her daughter Anna's congenital CMV diagnosis changed her family's life and launched her years-long investigation into why such a common condition remains largely absent from prenatal education. You'll learn what CMV is, how it spreads during pregnancy, evidence-informed prevention strategies, newborn screening and treatment, and why informed consent and narrative medicine matter for families navigating pregnancy and birth.   (02:01) Megan's journey into motherhood and how Anna's diagnosis led her to write the book (07:04) What congenital CMV is and why so few families know about it (10:26) Why CMV prevention isn't routinely discussed during pregnancy (15:40) Megan's illness during pregnancy and the missed opportunities for diagnosis (18:00) Antiviral treatment for newborns with congenital CMV (22:50) Steps pregnant families can take to reduce CMV exposure (25:55) Newborn screening for CMV and the current landscape of universal testing (32:16) Hearing screening, progressive hearing loss, and why early diagnosis matters (34:05) Parenting a child with developmental delays and what Anna has taught their family (40:11) Finding her voice, self-advocacy, and overcoming the culture of silence (46:41) Megan's final advice for pregnant families and where to learn more   Resources Get your copy of "Remedies for Sorrow": penguinrandomhouse.com/books/704982/remedies-for-sorrow-by-megan-nix/ Learn more about the National CMV Foundation: nationalcmv.org/ EBB 185 – The History of Narrative Medicine and Childbirth with Tyler Jean Dukes   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.

Fundal massage, also known as uterine massage, is often performed as a routine procedure after birth, but research shows it does little to prevent postpartum hemorrhage and can be painful for many. On today's replay episode of the EBB Podcast, nurse, community educator, and advocate Barbie Christianson joins Dr. Rebecca Dekker to talk about the myths surrounding this common postpartum procedure and how it connects to broader patterns of obstetric violence in maternity care. Barbie explains the difference between a fundal assessment, a routine massage, and the massage used to treat active postpartum hemorrhage, and walks through what the evidence actually shows about each approach. She also shares trauma-informed scripts that nurses and providers can use to explain what they are doing and obtain informed consent, even in urgent, fast moving situations. Learn how unit culture, staffing, and fear based practice patterns can affect whether an unnecessary intervention becomes the default standard of care, and how to speak up and advocate for respectful care. (02:40) Barbie's path from special education to labor and delivery nurse (04:36) Witnessing obstetric violence as a new nurse and learning the term (10:52) Defining fundal assessment versus fundal massage (18:06) When uterine massage is actually medically necessary (22:07) Recap: fundal assessment, routine massage, and massage for active hemorrhage (23:01) What the research says about routine fundal massage (26:04) How forceful and painful routine massage can be without consent (30:35) Misinformation about fundal massage on social media (34:11) Scripts for advocating for yourself if massage is done without medical need (37:00) How to assess and massage your own fundus after birth (39:26) What your uterus should feel like in the days after birth (44:35) A message to nurses who want to change their practice (45:11) Trauma-informed scripts for when massage is medically necessary (53:30) Unit culture and unaddressed trauma among nurses and providers Resources The Evidence on Pitocin During the Thrird Stage of Labor: ebbirth.com/thirdstage 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 a Pocket Guide, the My Doula Visit Workbook, 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 waitlist for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Emily Cook hoped for a low-intervention birth. But after managing high blood pressure throughout her pregnancy, her plans changed when she was diagnosed with preeclampsia late in her third trimester.   In this episode, Emily shares how the EBB Childbirth Class helped her prepare to navigate an unexpected induction, magnesium therapy, and an epidural while still advocating for the birth experience she wanted. She talks about asking questions, requesting a lower-dose epidural so she could remain mobile, advocating for wireless fetal monitoring and hands-and-knees pushing, and finding confidence in making informed decisions even when things didn't go as planned.   Emily also reflects on the emotional realities of postpartum, from recovering after preeclampsia and establishing breastfeeding to navigating grief after the unexpected loss of her grandmother just weeks after giving birth. Her story is a reminder that birth is only one part of the transition to parenthood, and that caring for the birthing parent is just as important as caring for the baby.   (02:04) How Emily Found EBB (04:29) Her Original Birth Plan and Adapting to Preeclampsia (07:36) Advocating for Individualized Care During Labor (09:22) High Blood Pressure, Triage, and Preeclampsia Diagnosis (15:03) Induction Begins (20:08) Magnesium Drip and Feeling "Tethered" During Labor (25:57) Comfort Measures and Movement (29:07) Pushing on Hands and Knees and Meeting Her Baby (35:57) Postpartum Recovery and Continued Monitoring (40:47) Recovering from Preeclampsia (42:06) Grief and Postpartum (49:06) Emily's Advice for Expecting Parents   Resources Learn more about the EBB Childbirth Class: evidencebasedbirth.com/parentclasses/ EBB 391 – Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book EBB 349 – An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama Evidence on: Pitocin® During the Third Stage of Labor   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.

How long does the pushing phase of labor typically last? Does precipitous labor run in families? And can drinking okra water actually make labor and birth easier? In this Q&A episode, Dr. Rebecca Dekker tackles three questions submitted by EBB Pro Members. First, Dr. Dekker details the findings of a recently published study from France that found many birthing people spent less than 15 minutes actively pushing before birth. She explains the concept of delayed pushing and why these results may not be easily replicated in other birth settings. She also reviews the available evidence on precipitous labor, birth that occurs within three hours of the onset of contractions, and discusses whether fast labors appear to run in families. Finally, she examines the growing social media trend of drinking okra water during pregnancy, exploring the cultural history of okra as a nutritious food, separating popular claims from scientific evidence, and discussing what researchers currently know (and don't know) about its effects during pregnancy. (02:34) Delayed pushing and active pushing times under 15 minutes (04:22) Understanding delayed pushing practices in France versus the United States (05:33) Study methods, hospital protocols, and participant characteristics (06:56) Results: Average pushing times, epidural effects, and birth outcomes (08:14) Key takeaways from the delayed pushing study (10:53) Does precipitous labor run in families? (12:21) Research on precipitous labor risk factors and prevalence (14:20) Is there evidence that fast labor is hereditary? (15:05) What are the benefits of drinking okra water during pregnancy? (17:46) Popular social media claims about okra water (18:46) What researchers did and did not find about okra water (21:15) Okra's cultural significance in pregnancy and postpartum traditions For a full list of references, visit ebbirth.com/404. 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.

Even when caring for similar patient populations, some hospitals have significantly higher Cesarean rates than others, and factors like teamwork, psychological safety, leadership, staffing, and beliefs about childbirth can affect outcomes. In this episode, Dr. Rebecca Dekker talks with family physician and researcher Dr. Emily White VanGompel about how the culture of labor and delivery units can shape decision-making and influence the birth experience for families.   Dr. White VanGompel explains the NTSV (nulliparous, term, singleton, vertex) Cesarean rate, why it is used as a quality measure, how hospitals have successfully reduced unnecessary Cesareans, and what families can look for when choosing a birth setting that supports vaginal birth. Plus, learn about the Labor Culture Survey (LCS), Dr. White VanGompel's research on the impact of the ARRIVE Trial on provider attitudes, and why conversations about reducing Cesarean overuse are important from a public health perspective.   (01:58) Growing up around home birth and discovering differences in birth culture during medical training (09:05) How family medicine influences perspectives on childbirth, postpartum care, and long-term family health (12:46) What NTSV Cesarean rates are and why they are used as a quality measure (16:19) Defining labor and delivery unit culture and how it affects Cesarean decision-making (19:23) Lessons from hospitals that successfully reduced Cesarean rates (23:50) Real-world examples of hospitals that transformed their birth culture and lowered Cesarean rates (29:36) Common attitudes and beliefs associated with higher Cesarean rates (32:32) The Labor Culture Survey (35:44) The ARRIVE Trial, provider attitudes toward induction, and shifting birth culture (43:01) How families can evaluate hospitals and providers when seeking support for vaginal birth (48:24) Midwifery models of care and their potential role in supporting vaginal birth (52:40) How personal birth experiences influence clinician attitudes toward Cesarean and vaginal birth   Resources View the original validation study that explains the creation of the LCS: https://onlinelibrary.wiley.com/doi/abs/10.1111/birt.12406 See how the first statewide use of the LCS found an association between labor culture and hospital-level cesarean rates: https://onlinelibrary.wiley.com/doi/full/10.1111/1475-6773.13123 Deep-dive into this qualitative study about how hospitals that lowered their cesarean rates changed their cultures: SpringerAccess research journals, articles, books and more | Springer Nature Linkarticle/10.1186/s12913-024-12108-3 See how this study used the Labor Culture Survey (LCS) to compare clinician beliefs and attitudes about induction of labor before and after the publication of the ARRIVE Trial: Sciencedirectsciencedirect.com science/article/abs/pii/S0884217522003914   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.