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EBB 405 - Navigating Unexpected Turns in Pregnancy, Birth, and Postpartum with Emily Cook, EBB Childbirth Class Graduate and Preeclampsia Survivor

Evidence Based Birth®

Release Date: 07/22/2026

EBB 405 - Navigating Unexpected Turns in Pregnancy, Birth, and Postpartum with Emily Cook, EBB Childbirth Class Graduate and Preeclampsia Survivor show art EBB 405 - Navigating Unexpected Turns in Pregnancy, Birth, and Postpartum with Emily Cook, EBB Childbirth Class Graduate and Preeclampsia Survivor

Evidence Based Birth®

Emily Cook hoped for a low-intervention birth. But after managing high blood pressure throughout her pregnancy, her plans changed when she was diagnosed with preeclampsia late in her third trimester.   In this episode, Emily shares how the EBB Childbirth Class helped her prepare to navigate an unexpected induction, magnesium therapy, and an epidural while still advocating for the birth experience she wanted. She talks about asking questions, requesting a lower-dose epidural so she could remain mobile, advocating for wireless fetal monitoring and hands-and-knees pushing, and finding...

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EBB 404 - Mini Q&A about Average Time Spent Pushing, Precipitous Labor, and Okra Water During the Third Trimester show art EBB 404 - Mini Q&A about Average Time Spent Pushing, Precipitous Labor, and Okra Water During the Third Trimester

Evidence Based Birth®

How long does the pushing phase of labor typically last? Does precipitous labor run in families? And can drinking okra water actually make labor and birth easier? In this Q&A episode, Dr. Rebecca Dekker tackles three questions submitted by EBB Pro Members. First, Dr. Dekker details the findings of a recently published study from France that found many birthing people spent less than 15 minutes actively pushing before birth. She explains the concept of delayed pushing and why these results may not be easily replicated in other birth settings. She also reviews the available evidence on...

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EBB 403 - Why Is My Hospital's Cesarean Rate So High (or Low)? with Dr. Emily White VanGompel, Family Medicine Physician and Research Scientist show art EBB 403 - Why Is My Hospital's Cesarean Rate So High (or Low)? with Dr. Emily White VanGompel, Family Medicine Physician and Research Scientist

Evidence Based Birth®

Even when caring for similar patient populations, some hospitals have significantly higher Cesarean rates than others, and factors like teamwork, psychological safety, leadership, staffing, and beliefs about childbirth can affect outcomes. In this episode, Dr. Rebecca Dekker talks with family physician and researcher Dr. Emily White VanGompel about how the culture of labor and delivery units can shape decision-making and influence the birth experience for families.   Dr. White VanGompel explains the NTSV (nulliparous, term, singleton, vertex) Cesarean rate, why it is used as a quality...

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Special Announcement: Join me in Summer School! show art Special Announcement: Join me in Summer School!

Evidence Based Birth®

This summer, join Dr. Rebecca Dekker and the EBB Research Team for a four-part live series on "How to Read Research," starting June 30. Get access to the full Summer School Series by joining the Quarterly EBB Pro Membership at a special summer rate! Plus, enroll by June 28 and receive a free digital EBB Pocket Guide to Labor Induction! Learn more and save your seat in our virtual classroom: 

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REPLAY: EBB 196 - Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum show art REPLAY: EBB 196 - Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum

Evidence Based Birth®

The way we move during labor shapes far more than our comfort. It helps determine how a baby navigates through the pelvis, and whether a birth can unfold with fewer interventions! In this replay episode, Dr. Rebecca Dekker talks with Brittany Sharpe McCollum, a childbirth educator, doula, lactation counselor, and pelvic biomechanics educator. Brittany explains how the bones of the pelvis move during labor, why that movement matters for fetal positioning, and how everyone can benefit from intentional position changes during labor-- whether you're planning an unmedicated birth or not! They...

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EBB 402 - Cultural Aspects of Lactation and Infant Feeding in India with Yogyata Wadhwa, IBCLC and Young Child Feeding Specialist show art EBB 402 - Cultural Aspects of Lactation and Infant Feeding in India with Yogyata Wadhwa, IBCLC and Young Child Feeding Specialist

Evidence Based Birth®

The ways we feed and care for babies are shaped not only by research, but also by family traditions, cultural values, and generations of shared wisdom.   In this episode, Dr. Rebecca Dekker talks with Yogyata Wadhwa, an IBCLC, childbirth educator, birth doula, sleep consultant, and infant feeding specialist based in India. Drawing on her experience supporting more than 10,000 families, Yogyata shares how parents can honor cultural traditions while making informed decisions about breastfeeding, introducing solids, and navigating the postpartum period.   They explore common...

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EBB 401 - Perinatal Mental Health for 2SLGBTQ+ Parents with Dr. Leiszle Lapping-Carr, Clinical Psychologist show art EBB 401 - Perinatal Mental Health for 2SLGBTQ+ Parents with Dr. Leiszle Lapping-Carr, Clinical Psychologist

Evidence Based Birth®

Research shows that queer and trans parents face significantly higher rates of perinatal depression and anxiety, but affirming and community-centered support can make a big difference. In this episode, clinical psychologist and researcher Leiszle Lapping-Carr joins Dr. Rebecca Dekker to talk about the unique mental health challenges 2SLGBTQ+ parents may experience during pregnancy and postpartum and what providers, birth workers, and communities can do to create safer, more supportive care. Dr. Lapping-Carr shares how stigma, discrimination, isolation, and lack of affirming healthcare spaces...

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EBB 400 - Best of Evidence Based Birth® show art EBB 400 - Best of Evidence Based Birth®

Evidence Based Birth®

Happy EBB 400! In honor of this milestone, Team EBB is looking back on some of our and your favorite episodes of the EBB Podcast from the past nine years. From advocacy in birth and improving maternity care to exercise in pregnancy, postpartum support, Vitamin K, and upright birthing positions, this anniversary episode highlights the stories and evidence that have shaped the EBB community since 2017. Whether you’ve been here since episode one or just recently found the podcast, this episode is a celebration of evidence-based information and the families and professionals who make this work...

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EBB 399 - Benefits and Safety of Exercise during Pregnancy with Ashley Reid, Exercise Physiologist and Author of EBB 399 - Benefits and Safety of Exercise during Pregnancy with Ashley Reid, Exercise Physiologist and Author of "Active Mom"

Evidence Based Birth®

Pregnancy fitness advice has changed dramatically over the last few decades, but many parents still receive outdated recommendations rooted more in fear than evidence. After receiving outdated advice during her own pregnancy, exercise physiologist and prenatal/postnatal wellness practitioner Ashley Reid was inspired to help moms stay active through every stage of motherhood. In this episode, Dr. Rebecca Dekker talks with Ashley about the latest evidence on exercise and strength training during pregnancy and postpartum. Ashley shares why old recommendations like keeping your heart rate under...

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EBB 398 - Supporting Neurodivergence in Birth and Postpartum with Victoria White, Doula and Author of EBB 398 - Supporting Neurodivergence in Birth and Postpartum with Victoria White, Doula and Author of "Why Neurodivergent Birth Matters"

Evidence Based Birth®

Many neurodivergent people move through pregnancy, birth, and postpartum feeling misunderstood and unsupported in healthcare settings that were not designed with their minds in mind. In this episode, doula and founder of Neurodivergent Birth Victoria White shares how her own later-in-life autism and ADHD diagnoses reshaped her understanding of her postpartum experiences and why many neurodivergent parents struggle in systems that often assume everyone processes in the same way. Learn about how sensory processing, communication, and executive functioning challenges can shape the perinatal...

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More Episodes
Emily Cook hoped for a low-intervention birth. But after managing high blood pressure throughout her pregnancy, her plans changed when she was diagnosed with preeclampsia late in her third trimester.
 
In this episode, Emily shares how the EBB Childbirth Class helped her prepare to navigate an unexpected induction, magnesium therapy, and an epidural while still advocating for the birth experience she wanted. She talks about asking questions, requesting a lower-dose epidural so she could remain mobile, advocating for wireless fetal monitoring and hands-and-knees pushing, and finding confidence in making informed decisions even when things didn’t go as planned.
 
Emily also reflects on the emotional realities of postpartum, from recovering after preeclampsia and establishing breastfeeding to navigating grief after the unexpected loss of her grandmother just weeks after giving birth. Her story is a reminder that birth is only one part of the transition to parenthood, and that caring for the birthing parent is just as important as caring for the baby.
 
(02:04) How Emily Found EBB
(04:29) Her Original Birth Plan and Adapting to Preeclampsia
(07:36) Advocating for Individualized Care During Labor
(09:22) High Blood Pressure, Triage, and Preeclampsia Diagnosis
(15:03) Induction Begins
(20:08) Magnesium Drip and Feeling "Tethered" During Labor
(25:57) Comfort Measures and Movement
(29:07) Pushing on Hands and Knees and Meeting Her Baby
(35:57) Postpartum Recovery and Continued Monitoring
(40:47) Recovering from Preeclampsia
(42:06) Grief and Postpartum
(49:06) Emily's Advice for Expecting Parents
 
Resources
Learn more about the EBB Childbirth Class: evidencebasedbirth.com/parentclasses/
 
For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.