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®
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...
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In this episode, we explore how the traditional “game of telephone” model in hospitals can leave birthing people out of critical decisions about their own care and what happens when we redesign the system to center them instead. Dr. Rebecca Dekker sits down with Dr. Amber Weiseth, obstetric nurse and Director of the Delivery Decisions Initiative at Ariadne Labs, to talk about TeamBirth—a simple, evidence-based communication model transforming labor and delivery units across the U.S. and globally. Learn how structured bedside “huddles,” shared decision-making, and a visible planning...
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Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of the International Confederation of Midwives about the global impact of midwifery care. She outlines what defines a midwifery model of care, why continuity of midwife-led care matters for both outcomes and experiences, and how trust and relationship-based care can influence Cesarean rates, trauma-informed care, and access to services. Stephanie draws on her work across the U.K., Asia, and Africa to...
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Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of Cesarean? Prevent big babies? Reduce stillbirth? Or does the timing matter more than the induction itself? In this episode, Dr. Rebecca Dekker and Dr. Morgan Richardson Cayama walk through the updated research on induction for gestational diabetes. You’ll learn how outcomes differ before 39 weeks, between 39–40 weeks, and after 41 weeks, and why blood sugar control (diet-controlled versus...
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In this episode, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of experiencing another severe perineal tear after a previous injury, and what white coat hypertension in pregnancy can tell us about future risk. Each question reflects real situations birth workers are encountering in practice, where guidance is often inconsistent, policies vary widely, and the research can feel hard to translate into day-to-day care. We walk through what the studies show, where...
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In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparing for a Cesarean, not knowing that information would be needed just 30 minutes later. In this follow-up episode, Krista returns to share what happened next: the urgent decision-making, the move to labor and delivery, and the Cesarean birth that unfolded just days before her scheduled 37-week surgery. Krista walks through the physical sensations of an urgent Cesarean, the grounding techniques that...
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In one of the most popular podcast episodes ever published by Evidence Based Birth®, Dr. Rebecca Dekker sits down with Dr. Alyssa Berlin, a clinical psychologist specializing in pregnancy, postpartum, and parenting, to discuss ways to make the transition to postpartum smoother, healthier, and more joyful for families. Together, they unpack why two-thirds of couples report a drop in relationship satisfaction after childbirth, what factors contribute to emotional struggles in the postpartum period, and how social media myths can set parents up for disappointment. Through relatable stories...
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.