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EBB 113 - The Evidence on VBAC

Evidence Based Birth®

Release Date: 01/29/2020

EBB 160 - Introducing Mystique Hargrove: EBB Featured Instructor and Podcast Coordinator show art EBB 160 - Introducing Mystique Hargrove: EBB Featured Instructor and Podcast Coordinator

Evidence Based Birth®

On today’s podcast, we will be speaking with Mystique Hargrove, EBB Featured Instructor, and our new Podcast Coordinator. Mystique (She/They) is a certified full spectrum doula who serves BIPOC (Black, Indigenous, and People of color), and LGBTQ+ individuals in Greensboro, North Carolina. Mystique also serves as an advisory board member for the United States Lactation Consultant Association, and is a Certified Lactation Educator, as well as a Certified Childbirth Educator. Mystique completed her Master of Science in Clinical and Mental Health Counseling from North Carolina A&T State...

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On today's podcast, we are going to talk about the research evidence on failure to progress.  We also talk about what studies have shown about the normal length of labor, as well as the benefits and risks of having a longer pushing time. We encourage you to visit to get all the research references and a one-page handout. 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) (). Find an EBB Instructor here (), and...

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EBB 158 - Empowering Hospital Birth Experience during COVID-19 with Fiona and Craig Castleton show art EBB 158 - Empowering Hospital Birth Experience during COVID-19 with Fiona and Craig Castleton

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On today's podcast, I interview Fiona and Craig Castleton about their birthing experience during the COVID-19 pandemic. Fiona and Craig welcomed their first baby in April 2020 — when everything was locked down. To prepare for their experience, they took the Evidence Based Birth Childbirth Class with EBB Instructor, Shalin Butterworth, who also happened to be their doula. We talk about their experience taking the online Evidence Based Birth Childbirth Class and how Shalin helped mentor them in comfort measures and advocacy. We also talk about birthing during the COVID-19 pandemic and how...

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EBB 157 - Year End Wrap Up of 2020 show art EBB 157 - Year End Wrap Up of 2020

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On today's , I wrap up all the resources we created at Evidence Based Birth in 2020, as well as the challenges we faced as a team. I also talk about what our plans are for the year 2021. This was not an easy podcast to record. How do you sum up a year like 2020? Like many of you, our team members at EBB have experienced loss and grief, uncertainty and anxiety, stress, and burnout. Somehow our team pulled together to continue getting evidence based information to the public. We leaned on each other— when some of us were having difficulties, others pitched in... then roles would quickly...

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EBB 156- Nicole Deggins of Sista Midwife Productions on Navigating Systemic Racism in Birth Work show art EBB 156- Nicole Deggins of Sista Midwife Productions on Navigating Systemic Racism in Birth Work

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In today’s episode, I interview Nicole Deggins, a Certified Nurse Midwife and one of the country's leading birth advocacy experts.. She served as faculty for the Louisiana Perinatal Quality Collaborative and sits on the Louisiana Pregnancy-Associated Mortality Review committee, the Louisiana Healthy Moms, Healthy Babies council, and is a consultant for the Global Infant Safe Sleep Center. Nicole has provided guest lectures to public health students at universities and has provided training and consultation to many local and national agencies, including the New Orleans Maternal Child Health...

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On today’s episode, I will be talking with Dr. Juan Michelle Martin. Dr. Martin is a pelvic floor specialist for 13 years. Dr. Martin is the owner and founder of JMM Health Solutions. She's created a few programs for pregnant individuals as well as two coaching programs, one of them being a 12-week program for people with endometriosis, and the other being a four-week program for individuals suffering from dyspareunia. We talk about the benefits of pelvic floor therapy for pregnancy and postpartum. We also talk about the importance of advocating for accessible pelvic care services. Learn...

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EBB 154 - Birthing at Home during COVID-19 with Grace and Roderick Murphy show art EBB 154 - Birthing at Home during COVID-19 with Grace and Roderick Murphy

Evidence Based Birth®

On today's podcast, we're going to talk with Grace Murphy and Roderick Murphy about their home birth during COVID. Grace Murphy has been married to Roderick Murphy for the past two years, and they were high school sweethearts. Grace and Roderick are graduates of the Evidence Based Birth® childbirth class with EBB instructor, Heidi Duncan. They welcomed their firstborn son, Edmond, on June 14th of 2020. Roderick has been in the Army for the past six years, and just transferred to the civilian world in July of 2020, so they've been through three nine-month deployments throughout their dating...

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EBB 153 – Pros and Cons of the Foley and Dilapan-S® for Cervical Ripening During an Induction show art EBB 153 – Pros and Cons of the Foley and Dilapan-S® for Cervical Ripening During an Induction

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In this episode, I will talk about cervical ripening, the Bishop score, and some "mechanical" ways to ripen the cervix. More specifically, we'll talk about the advantages and disadvantages of cervical osmotic dilators (including Dilapan-S®), and using the Foley balloon for cervical ripening. Get on the wait list for the Pocket Guide here: References on Cervical Ripening: Curran, M. (2020). Bishop Score Calculator.  Kolkman, D. G. E., Verhoeven, C. J. M., Brinkhorst, S. J., et al. (2013). Bishop score as a predictor of labor induction success: a systematic review. American Journal...

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In today's podcast episode, we're going to talk with Shafia Monroe about the role of the traditional midwife. Shafia Monroe is a public health professional, a midwife, a motivational speaker, founder of the International Center for Traditional Childbearing, or ICTC, which was the first US-based black midwives and doulas professional organization. Shafia is also an author, infant mortality prevention specialist, doula trainer, and president of Doula Ready LLC. Since 2002, she has trained thousands of people in doula trainings, with one-third of them going on to become midwives. In 2012, Shafia...

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EBB 151- Updated Evidence on the Pros and Cons of Membrane Sweeping show art EBB 151- Updated Evidence on the Pros and Cons of Membrane Sweeping

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In this episode I talk about the updated research evidence on using membrane sweeping or membrane stripping for inducing labor. Is membrane sweeping effective? What are the advantages and disadvantages? Why do some providers perform membrane sweeping without asking your permission beforehand? We talk about all of this, and more, in this latest episode of the Evidence Based Birth® podcast! 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...

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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 The VBAC Link 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.