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EBB 113 - The Evidence on VBAC

Evidence Based Birth®

Release Date: 01/29/2020

EBB 316 - Discovering a Passion for Birth Work and Training the Next Generation of Black Doulas with Brandie Bishop, CEO of the National Black Doulas Association show art EBB 316 - Discovering a Passion for Birth Work and Training the Next Generation of Black Doulas with Brandie Bishop, CEO of the National Black Doulas Association

Evidence Based Birth®

Brandie Bishop, CEO of the National Black Doulas Association (NBDA), joins us to explore the vital role of doulas in supporting pregnant individuals and families within Black and Brown communities. From her early experiences working with refugee families to her passion for advocating for marginalized populations, Brandie's unique journey into birth work led to her role today— continuing NBDA's mission of training the next generation of Black doulas. Through comprehensive trainings and mentorship programs, NBDA aims to empower doulas to make a meaningful impact in reducing maternal mortality...

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EBB 315 - Supporting LGBTQ+ Families from Fertility through Parenthood with Gena Jaffe, Founder of Connecting Rainbows show art EBB 315 - Supporting LGBTQ+ Families from Fertility through Parenthood with Gena Jaffe, Founder of Connecting Rainbows

Evidence Based Birth®

In this episode, Dr. Dekker's joined by Gena Jaffe, an LGBTQ+ activist, attorney, and founder of Connecting Rainbows©️. Gena shares her personal story of embarking on reciprocal IVF with her wife and the legal hurdles they faced as a lesbian couple. From navigating complex parental rights to accessing inclusive healthcare, Gena sheds light on the challenges faced by some LGBTQ+ individuals and families on their path to parenthood.  Gena's experience led her to creating Connecting Rainbows©️, a groundbreaking organization offering free legal and fertility resources tailored to the...

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EBB 314 - Babywearing Benefits and Tips with Whitney Dula, IBCLC, Postpartum Doula, and Babywearing Expert show art EBB 314 - Babywearing Benefits and Tips with Whitney Dula, IBCLC, Postpartum Doula, and Babywearing Expert

Evidence Based Birth®

Learn about the world of babywearing, including its impact on infant development, digestion, and sleep with Whitney Dula, a maternal child health advocate and founder of The Mama's Dula. Whitney shares her personal journey into babywearing, the rich cultural history of babywearing, its role in community-based child-rearing practices, and practical tips for parents. From fostering a close bond between caregivers and babies to being an affordable alternative to expensive baby carriers, learn how this practice could benefit you and your child. Learn more about Whitney and The Mama's Dula . Follow...

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EBB 313 - A Birth Story with Hydrotherapy and Injectable Opioids for Pain Management with Melissa and Brendon Smyles, EBB Childbirth Class Graduates show art EBB 313 - A Birth Story with Hydrotherapy and Injectable Opioids for Pain Management with Melissa and Brendon Smyles, EBB Childbirth Class Graduates

Evidence Based Birth®

In this episode, EBB Childbirth Class graduates Melissa and Brendon Smyles' share their experiences preparing for an unmedicated birth while embracing flexibility in their birthing plan. From the unexpected premature rupture of membranes to the decision to use fentanyl for rest during labor, Melissa and Brendon tell their birth story, emphasizing the importance of informed choices and personalized support. Join us as they reflect on the transformative power of evidence-based education and the profound impact of tailored guidance and informed decision making in achieving a positive birth...

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EBB 312 - Evidence on Injectable Opioids for Pain Management during Labor show art EBB 312 - Evidence on Injectable Opioids for Pain Management during Labor

Evidence Based Birth®

Were you aware that beyond the standard epidural, there is an additional medication option for managing pain during childbirth? Today, Dr. Dekker discusses another common option, intravenous (IV) or intramuscular (IM) opioids. Dr. Dekker explains the different types of injectable opioids available during labor, how they work, and the current evidence that you need to know to make an informed decision. Plus, learn about the benefits and risks of IV opioids for pain relief labor and an in-depth look at one opioid in particular: Remifentanil, which is commonly given through a...

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REPLAY - EBB 149 – Shifting from Hospital Labor and Delivery Nurse to Home Birth Advocate with Melissa Anne DuBois show art REPLAY - EBB 149 – Shifting from Hospital Labor and Delivery Nurse to Home Birth Advocate with Melissa Anne DuBois

Evidence Based Birth®

For Nurse's Week 2024, we wanted to share a replay of one of our favorite episodes at EBB, and that is an interview with Melissa Anne DuBois about shifting from hospital labor and delivery nurse to home birth advocate. Content note: Discussion of obstetric racism and graphic description of obstetric violence. Melissa Anne DuBois is an experienced perinatal nurse living in Central Massachusetts. She graduated summa cum laude from the University of Massachusetts Amherst School of Nursing in 2006 and has worked in a variety of perinatal settings since 2007 including in-patient labor and delivery,...

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EBB 311 - Creating a Community-Led Birth Center in New York City with Myla Flores of the Womb Bus show art EBB 311 - Creating a Community-Led Birth Center in New York City with Myla Flores of the Womb Bus

Evidence Based Birth®

Join us in diving deep into Myla Flores' incredible story of becoming a leader and visionary in the birth field! From Myla's early experiences as a birth doula to her ongoing advocacy for safe, dignified birth options, Myla's passion shines through as she discusses the challenges and triumphs of birth work.  Discover how The Womb Bus, a mobile wellness hub, brings essential education, resources, and outreach to blossoming families in under-resourced areas. Learn about Myla's vision for The Birthing Place, a future birth center that will offer midwifery-led collaborative care, and about...

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EBB 310 - Doulas & Nurses Advocating Together for Positive Shifts in Birth Culture with Joyce Dykema, EBB Instructor & Brianna Fields, RN show art EBB 310 - Doulas & Nurses Advocating Together for Positive Shifts in Birth Culture with Joyce Dykema, EBB Instructor & Brianna Fields, RN

Evidence Based Birth®

Dr. Rebecca Dekker is joined by Joyce Dykema, doula and EBB Instructor, and Brianna Fields, a labor and delivery nurse, to discuss advocating for positive shifts in birth culture, particularly in Nebraska. Joyce shares her journey into birth work and the impact of the Evidence Based Birth Instructor program on accessing research evidence, highlighting changes in hospital practices and provider attitudes that support more diverse birthing options.   Brianna discusses her experience in Joyce's EBB Comfort Measures Workshop—which covers the importance of language, positioning,...

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EBB 309 - Evidence on Doulas show art EBB 309 - Evidence on Doulas

Evidence Based Birth®

What is a doula, and what are the different types of doulas? How many people use doulas during childbirth, and what does a doula actually do? Are there any randomized, controlled trials on doula support? What are the benefits and risks of having a doula, if any? And if the evidence shows that doulas improve health outcomes… then why are some hospitals around the world unsupportive of labor companions? And how can you find a doula if you’re interested in having one at your birth?    Today’s podcast episode with Dr. Dekker and Sara Ailshire, MA, is chock full of research...

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EBB 308 - The Intersection of Environmental Justice and Midwifery Care with Dr. Tanya Khemet Taiwo show art EBB 308 - The Intersection of Environmental Justice and Midwifery Care with Dr. Tanya Khemet Taiwo

Evidence Based Birth®

Curious which toxins should be most avoided for people of reproductive age and their children? In this episode, Dr. Tanya Khemet Taiwo, LM, CPM, MPH, PhD unravels the intricate connection between environmental exposures and their profound impact on pregnancy and birth outcomes. We will explore the hidden risks associated with heavy metals such as mercury, cadmium, and arsenic. You'll learn about the research on how environmental exposures contribute to issues like reduced birth weight, miscarriage, stillbirth, congenital anomalies, and neurodevelopmental delays. Plus, Dr. Taiwo teaches about...

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More Episodes

In this episode, I am excited to share the evidence on vaginal birth after Cesarean, or VBAC. We have received many requests at Evidence Based Birth to cover this topic, so I want to share with you the information on VBAC that I present in a class we teach in the EBB Higher Ed program.

In this podcast, I define some common terms related to VBAC and talk about the history of the procedure. By the end, you will have the facts on the prevalence and risk factors for uterine rupture, and you’ll understand some of the maternal, fetal, and newborn risks of VBAC, elective repeat Cesarean, and Cesarean birth after Cesarean.

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:

  • American College of Obstetricians and Gynecologists/ Society for Maternal-Fetal Medicine (2018). Placenta accreta spectrum. Obstetric Care Consensus No. 7. Obstet Gynecol, 132, e259-275. Click here. Free full text!
  • Bujold, E., Goyet, M., Marcoux, S., et al. (2010). The role of uterine closure in the risk of uterine rupture. Obstet Gynecol, 116(1), 43-50.
  • Carlton Fagerberg, M. and Källén, K. (2019). Third trimester prediction of successful vaginal birth after one cesarean delivery - a Swedish model. Acts Obstet Gynecol Scand. (Epub ahead of print.] Click here.
  • Grobman, W. A., Lai, Y., Landon, M. B., et al. (2007). Development of a nomogram for prediction of vaginal birth after cesarean delivery. Obstet Gynecol, 109, 806. Click here.
    • VBAC calculator for use at first prenatal visit: https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbirth.html\
  • Guise, J.-M., Eden, K., Emeis, C., et al. (2010). Vaginal Birth After Cesarean: New Insights. Evidence Report/Technology Assessment No.191. (Prepared by the Oregon Health & Science University Evidence-based Practice Center under Contract No. 290-2007-10057-I). AHRQ Publication No. 10-E003. Rockville, MD: Agency for Healthcare Research and Quality. Click here. Free full text!
  • Landon, M. B., Hauth, J. C., Leveno, K. J. et al. (2004). Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery. N Engl J Med, 351, 258-2589. Click here. Free full text!
  • Landon, M. B., Grobman, W. A. and Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network (2016). What We Have Learned About Trial of Labor After Cesarean Delivery from the Maternal-Fetal Medicine Units Cesarean Registry. Seminars in perinatology, 40(5), 281–286. Click here. Free full text!
  • Metz, T. D., Stoddard, G. J., Henry, E., et al. (2013). Simple, validated vaginal birth after cesarean delivery prediction model for use at the time of admission. Obstet Gynecol, 122, 571. Click here. Free full text!
    • VBAC calculator for use at time of admission for birth: https://mfmunetwork.bsc.gwu.edu/PublicBSC/MFMU/VGBirthCalc/vagbrth2.html
  • Sandall, J., Tribe, R. M., Avery, L., et al. (2018). Short-term and long-term effects of caesarean section on the health of women and children. Lancet, 392(10155), 1349-1357. Click here.
  • Silver, R. M., Landon, M. B., Rouse, D. J., et al. (2006). Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol, 107(6), 1226-1232. Click here.
  • Smith, G. C. S., Pell, J. P., Cameron, A. D., et al. (2002). Risk of Perinatal Death Associated With Labor After Previous Cesarean Delivery in Uncomplicated Term Pregnancies. JAMA, 287(20), 2684–2690. Click here. Free full text!
  • Vlemminx, M. W., de Lau, H. and Oei, S. G. (2017). Tocogram characteristics of uterine rupture: a systematic review. Archives of gynecology and obstetrics, 295(1), 17–26. Click here. Free full text!
  • Access the International Cesarean Awareness Network’s "Terminology: What is a CBAC?” here.
  • Visit VBAC Facts here.
  • Visit ICAN here.
  • See the Association of Ontario Midwives Clinical Guidelines Statement on Vaginal Birth After Previous Low-Segment Cesarean Section here.
  • Get the Association of Ontario Midwives handout, Thinking About VBAC: What’s Right for Me, here.
  • Get information on VBAC from Power to Push here (http://www.powertopush.ca/birth-options/types-of-birth/vaginal-birth-after-cesarean/).
  • Click here (https://evidencebasedbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/) for the Evidence Based Birth® Signature Article, The Evidence on: Skin to Skin Care After Cesarean.