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EBB 113 - The Evidence on VBAC

Evidence Based Birth®

Release Date: 01/29/2020

EBB 225 – Trauma-Informed Childbirth Education with Mandy Irby, The Birth Nurse show art EBB 225 – Trauma-Informed Childbirth Education with Mandy Irby, The Birth Nurse

Evidence Based Birth®

On today's podcast, we're going to talk with board-certified labor nurse and creator of the Birth Nurse, Mandy Irby, about trauma-informed childbirth education. Mandy Irby (she/her) is a board-certified labor nurse with 13 years of experience, supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After her own birth trauma, Mandy quickly learned that the birth care system is not centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education her full-time career as she now...

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EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker show art EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker

Evidence Based Birth®

On today’s podcast, we will be sharing with you an excerpt from a live webinar featuring Dr. Rebecca Dekker and the EBB Research Team that was taught for our Evidence Based Birth® Professional Members, all about failure to progress versus failure to wait.  What is the history of “Failure to Progress”? What are the top 5 factors that influence labor progress? Dr. Dekker and the EBB Research Team will talk about the history and background of "Failure to Progress" and how we have the definition all wrong. They will also talk about the updated research and evidence on the topic, the...

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EBB 223 - An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine show art EBB 223 - An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine

Evidence Based Birth®

On today's podcast, we're going to talk with EBB Childbirth Class graduates, Samantha Parker and Justin Fontaine, about their exciting hospital water birth story. Samantha Parker (she/her) is an environmental scientist with the State of California and an avid runner. Samantha’s husband, Justin Fontaine (he/him) is a principal systems engineer and a CrossFit: Level 2 trainer. Samantha and Justin live in Rockland, California with their almost 10-year-old son, and now their happy baby girl, Kira. Samantha and Justin are graduates of the EBB Childbirth Class with EBB Instructor, Laurie...

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EBB 222 - Navigating Induction and Pregnancy at 35+ with EBB Instructor and Birth Fusion Founder, Jennifer Anderson show art EBB 222 - Navigating Induction and Pregnancy at 35+ with EBB Instructor and Birth Fusion Founder, Jennifer Anderson

Evidence Based Birth®

On today's podcast, we're going to talk with Birth Fusion founder and Evidence Based Birth® Instructor, Jennifer Anderson, about her work as a childbirth educator and doula while serving families who get pregnant via in vitro fertilization and those over the age of 35. Jennifer Anderson (she/her) is an RN, doula, childbirth educator, birth photographer, and Evidence Based Birth Instructor. Jennifer provides labor support to couples in the Sacramento, California region and she also teaches the Evidence Based Birth® Childbirth Class online to families everywhere. In 2011, Jennifer started...

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EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum show art EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

Evidence Based Birth®

In this episode, we are finishing up our series on protecting the perineum by talking about the evidence on birthing positions and how upright positions help prevent tears! We’ll also discuss tried-and-true protective practices that midwives have passed down through countless generations (hint: it's simpler/easier than you think!) Head's up... if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears. You can also go back to Episodes 210, 216, and 218 for more info about other proposed methods of...

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EBB 220 - Fighting Bias in the Birth Room with Irth® App Founder, Kimberly Seals Allers show art EBB 220 - Fighting Bias in the Birth Room with Irth® App Founder, Kimberly Seals Allers

Evidence Based Birth®

On today's podcast, we're going to talk with Irth® App founder, Kimberly Seals Allers, to update us on Irth® App's mission to fight against racism and bias in perinatal and infant care.  Kimberly Seals Allers (she/her) is an award-winning journalist, five-time author, international speaker strategist, and an advocate for perinatal and infant health. A former senior editor at Essence, and writer at Fortune Magazine, Kimberly is a leading voice on the racial and socio-cultural complexities of birth, lactation, and parenthood. Kimberly is the founder of Irth®, a new Yelp-like app for...

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EBB 219 - Life as a Student Midwife with EBB's New Program Team Manager, Chanté Perryman show art EBB 219 - Life as a Student Midwife with EBB's New Program Team Manager, Chanté Perryman

Evidence Based Birth®

On today's podcast, we're going to talk with student midwife and Evidence Based Birth®'s new Program Team Manager, Chanté Perryman about life as a student midwife. Chanté Perryman (she/her) is a midwifery student studying to become a certified professional midwife in Central Kentucky. She owns Baby Dreams Maternity Concierge and has a goal of opening a freestanding birth center to continue to provide community support, education, and advocacy for birthing families. Chanté is the new Program Team Manager here at Evidence Based Birth®. She is also a professionally certified birth and...

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EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker show art EBB 218 - The Evidence on Perineal Massage during Labor with Dr. Rebecca Dekker

Evidence Based Birth®

In this episode, we are continuing our series on protecting the perineum by talking about the evidence on whether prenatal perineal massage during labor (more specifically, during the pushing phase) is effective at preventing severe perineal tears. We’ll also discuss the importance of critically analyzing research, and poor quality meta-analyses can have a negative impact by spreading inaccurate information! Head's up... if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears. Content warning:...

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EBB 217 - Disability Justice in Birth and Parenting with Stefanie Lyn Kaufman-Mthimkhulu show art EBB 217 - Disability Justice in Birth and Parenting with Stefanie Lyn Kaufman-Mthimkhulu

Evidence Based Birth®

On today's podcast, we're going to talk with Stefanie Lyn Kaufman-Mthimkhulu about disability justice in birth and parenting. Stefanie Lyn Kaufman-Mthimkhulu, (they/she) is a white, queer, and non-binary disabled, neuro-divergent, a survivor of sexual violence in the psychiatric system. They show up for their communities as a disability justice educator and organizer, parent, somatic and non-clinical healer, writer, transformative justice practitioner, and, as the founding director of Project LETS, which you can check out their website at projectlets.com. Stefanie's work specializes in...

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EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker show art EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

Evidence Based Birth®

In this episode, we are continuing our series on protecting the perineum by talking about the evidence on whether prenatal perineal massage is effective at preventing perineal tears during childbirth. We’ll also discuss the importance of critically analyzing research, and what “predatory open access publishing” has to do with some of the research on perineal massage! Head's up... if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears.  Content warning: Discussion of perineal tears...

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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.