EBB 99 - Plus Size Pregnancy and Birth with Jen McLellan
Release Date: 10/16/2019
Evidence Based Birth®
Many neurodivergent people move through pregnancy, birth, and postpartum feeling misunderstood and unsupported in healthcare settings that were not designed with their minds in mind. In this episode, doula and founder of Neurodivergent Birth Victoria White shares how her own later-in-life autism and ADHD diagnoses reshaped her understanding of her postpartum experiences and why many neurodivergent parents struggle in systems that often assume everyone processes in the same way. Learn about how sensory processing, communication, and executive functioning challenges can shape the perinatal...
info_outlineEvidence Based Birth®
What happens when your carefully planned, low-intervention birth transforms into something entirely unexpected? In this replay episode, Dr. Rebecca Dekker revisits her conversation with Leah Bergman, a graduate of the Evidence Based Birth® Childbirth Class, and her birth story of navigating a surprise diagnosis of fetal growth restriction (sometimes called intrauterine growth restriction or IUGR) in late pregnancy. Together, they unpack the emotional rollercoaster of changing birth plans, wrestling with uncertainty, and making tough decisions around induction while still finding space for...
info_outlineEvidence Based Birth®
Pregnancy and birth don't require perfection to be empowering. In this solo episode, Dr. Rebecca Dekker shares share five life lessons she’s learned over 14 years as a nurse, mother, and founder of Evidence Based Birth. She offers grounding guidance for navigating pregnancy, birth, and early parenthood with more trust, self-compassion, and calm. This episode centers on the idea that you don’t have to know everything to have a positive birth experience. Instead, Dr. Dekker explores how building a supportive team, staying connected to your body, and focusing on what you can control can...
info_outlineEvidence Based Birth®
The evidence shows that vaginal birth after cesarean (VBAC) is a safe option for many families, but it’s still frequently inaccessible to them. In this episode, Dr. Rebecca Dekker and Dr. Nicholas Rubashkin discuss the systemic barriers that limit families’ opportunities to choose a VBAC. They explore how hospital policies, outdated guidelines, and clinical tools like the VBAC calculator have shaped who’s a “good candidate” and who is not. Dr. Rubashkin also shares insights from his research on inequities in maternity care, including how race-adjusted algorithms reinforce...
info_outlineEvidence Based Birth®
Learn more about EBB's upcoming Induction Bootcamp on Tuesday, April 28 from 2:00 - 4:30 PM EDT. To save your seat or access the replay, join the EBB Pro Membership for just $39 for your first 30 days: .
info_outlineEvidence Based Birth®
Postpartum care wasn’t always rushed, clinical, or isolating. In many African-American communities, the weeks after birth were treated as sacred time where families and communities gathered to care for the mother so she could focus on caring for her baby. In this episode, Dr. Rebecca Dekker talks with renowned midwife, cultural historian, and author Shafia Monroe about the traditions documented in her new book Mothering the Mother: African-American Postpartum Traditions, Recipes, and Healing. Mama Shafia shares how historically rooted postpartum practices—from the 42-day...
info_outlineEvidence Based Birth®
Every pregnant person deserves the information and support they need to make truly informed decisions about labor induction. In this encore episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, the co-creators of Partner to Decide, a nonprofit improving decision-making in perinatal care. They discuss their free, multilingual decision aid that helps families understand their options around routine induction of labor and empowers them to advocate for their own values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and...
info_outlineEvidence Based Birth®
Artificial intelligence is rapidly changing how people search for information, including how families learn about pregnancy and birth. As this technology grows, it raises important questions about accuracy, ethics, and the role of human expertise in healthcare information. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share a behind-the-scenes look at how Evidence Based Birth® developed its own AI policies. They discuss concerns about misinformation, bias, privacy, and environmental impact, as well as the potential effects on critical thinking and human connection. ...
info_outlineEvidence Based Birth®
At the 41-week mark in pregnancy, conversations and decisions about induction can start to feel more urgent and complex. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share why the 41st week has become such a focus in maternity care and what the evidence actually says about induction at this milestone. They discuss elective induction versus expectant management and key findings from major studies like the INDEX and SWEPIS trials. They also talk through potential benefits and risks, including changes in stillbirth risk, newborn outcomes, and maternal experiences. ...
info_outlineEvidence Based Birth®
EBB Childbirth Class Graduates Paige Wener and Kevin Booth hoped for a low-intervention water birth at their midwife-led birth center in rural Vermont. But at 38 weeks and 6 days, a routine prenatal visit led to a surprise diagnosis of preeclampsia and recommendation for induction. In this episode, Paige and Kevin share the story of their 54-hour induction, including misoprostol, a Cook catheter, Pitocin, and eventually an epidural after more than a day of labor, with Kevin supporting Paige with counterpressure, movement, and comfort measures along the way. Paige also shares about recovering...
info_outlineIn this episode I am joined by Jen McLellan, author, speaker, and founder of the website Plus Size Birth and the Plus Mommy blog. She is also host of the popular podcast Plus Mommy, and is a certified childbirth educator, wife, and mother. With more than four million page views on her blog, Jen is passionate about helping others navigate the bumps along the road of motherhood.
Jen notes that her doula’s recommendation to look into the midwife model of care changed the course of her first pregnancy. As she had first began care under an obstetrician and researched plus size pregnancy online, she had started to believe that she was at high risk due to her size. However, she had an empowering natural birth with no complications.
As Jen developed her blog, she realized the great need for plus size pregnancy support. While she covers a variety of topics, one of her main areas of focus is helping women to connect with a care provider who will not make them feel ashamed. We discuss practical tips for finding a supportive and welcoming provider, as well as some of the biased messages women of size commonly hear during the course of their care and 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:
Follow Jen on Facebook, Instagram, and Twitter.
Check out Plus Size Birth, the Plus Mommy blog and the Plus Mommy podcast.
Use coupon code “EBB” to get 30% off Jen’s book, My Plus Size Pregnancy Guide.
For a directory of plus-friendly providers and doulas, visit SizeFriendly.com.