EBB 142 - Home Birth Transfer during COVID-19 and Uprisings in MN with Jenae Herron and Marcel Malekebu
Release Date: 09/02/2020
Evidence 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...
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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...
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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 They explore how hospital policies, outdated guidelines, and clinical tools like the VBAC calculator have shaped who’s a “good candidate” and who is not.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...
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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: .
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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...
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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...
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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. ...
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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. ...
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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...
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Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN Dr. Jennifer Lincoln about what continuous electronic fetal monitoring actually does, what the research says, and why it became such a routine part of labor care in the first place. With recent media attention shining a spotlight on this technology, they break down the history, the evidence, and the real-world pressures that shape how it’s used today. Learn why continuous monitoring can increase...
info_outlineToday, I am excited to continue our important 3-day series about the Minnesota Healing Justice Network!
**Content warning: In this episode, we talk about the uprisings after George Floyd’s murder and safety concerns during birth due to racial traumatic event. We also discuss an event in which parents were temporarily separated from their newborn baby, which may be disturbing to listen to.**
In this episode, you'll hear from new parents Jenae Herron and Marcel Malekebu. Jenae is a housing case manager, and Marcel does podcast production. Jenae and Marcel took the Evidence Based Birth® Childbirth Class co-taught by EBB Instructors Heather Christine Struwe and Rhonda Fellows. Rhonda was also their doula, and she was featured on yesterday's podcast about birth in Minnesota.
Towards of the end of Jenae's pregnancy in June, the COVID-19 pandemic was already in full swing, and then George Floyd was murdered. The day Jenae's water broke at 37 weeks, they were unsure what to do because of elevated safety concerns in the city. She and Marcel navigated a long labor and a switch from planning a birth center birth at Roots Community Birth Center, to home birth, to hospital birth.
We discuss their unique experience and flexibility in their birth, as well as the evidence surrounding chorioamnionitis (maternal infection) and the implications for newborn care. I answered their questions about newborn resuscitation with the cord intact, and how to know when a baby needs antibiotics if the mother had an infection during labor.
Learn about Oily Doula MN here (https://www.oilydoulamn.com/) and follow Oily Doula MN on Facebook (https://www.facebook.com/oilydoulamn/) and Instagram (https://www.instagram.com/oilydoulamn/).
Learn about the Minnesota Healing Justice Network here (https://www.mnhealingjustice.com/).
Follow Minnesota Healing Justice Network on Facebook (https://www.facebook.com/mnhealingjustice) and Instagram (https://www.instagram.com/mnhealingjustice/).
Follow and support the Roots Community Birth Center here (https://www.rootsbirthcenter.com/)
For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.