EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker
Release Date: 05/11/2022
EBB 394 - Team EBB's Stance on AI in our Workplace
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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EBB 393 - Evidence on Inducing at 41 Weeks or Later
Evidence Based Birth®
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 392 - Enduring a 54-Hour Long Induction for Preeclampsia with Paige Wener and Kevin Booth, Graduates of the EBB Childbirth Class
Evidence Based Birth®
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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EBB 391 - Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book
Evidence Based Birth®
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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EBB 390 - Simple but Effective Communication Techniques for Hospital Birth with Dr. Amber Weiseth, DNP, RNC-OB of Ariadne Labs and TeamBirth
Evidence Based Birth®
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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EBB 389 - The Global Impact of Midwifery with Stephanie Marriott, Midwife Advisor for the International Confederation of Midwives
Evidence Based Birth®
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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EBB 388 - Updated Evidence on Induction for Gestational Diabetes
Evidence Based Birth®
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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EBB 387 - Doulas in the Operating Room, Risk of Repeating a Severe Tear, and White Coat Hypertension in Pregnancy with the EBB Research Team
Evidence Based Birth®
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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EBB 386 - A Peaceful yet Urgent Cesarean Birth Story with Krista DeYoung, EBB Childbirth Class Graduate and Placental Abruption Survivor
Evidence Based Birth®
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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REPLAY: EBB 118 - How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin
Evidence Based Birth®
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_outlineOn 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 top 5 factors that influence the length of labor, as well as how to prevent a "Failure to Progress" diagnosis.
Content warning: We will mention labor, medical interventions (i.e. Pitocin, epidural), cesarean, hospital transfer, racism, pain, nonconsensual vaginal examinations, forceps, episiotomy, gendered language, medications in labor, eugenics, microaggressions, and vaginal/pelvic birth
RESOURCES:
EBB SIGNATURE ARTICLES
- Evidence on Failure to Progress https://evidencebasedbirth.com/friedmans-curve-and...
- Evidence on Big Babies: https://evidencebasedbirth.com/evidence-for-induction-or-c-section-for-big-baby/
- Evidence on Inducing for Due Dates https://evidencebasedbirth.com/evidence-on-inducin...
- Evidence on Waterbirth https://evidencebasedbirth.com/waterbirth/
- Evidence on Birthing Positions: https://evidencebasedbirth.com/evidence-birthing-positions/
EBB PODCASTS
- EBB 221 – The Evidence on Birthing Positions
- EBB 196 – Pelvic Biomechanics and Movement in Labor
- EBB 188 – Birthing A Posterior-Positioned Baby
- EBB 75 - Birth In Twilight Sleep-The Experiences of Rebecca’s Mom
- EBB 55 – Advocating for Evidence Based Care
- EBB 45 – How Do Peanut Balls Support Labor
- EBB 16 – Movement and Positions
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.