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...
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EBB 385 - A Healing Birth Center Waterbirth with Michaela Raines, EBB Childbirth Class Graduate
Evidence Based Birth®
A healing birth can change the way you understand everything that came before it. In this episode, Dr. Dekker talks with EBB Childbirth Class graduate Michaela Raines about experiencing a deeply healing birth after a first birth that didn’t go as planned. Michaela shares her first hospital birth story—including unexpected interventions, a long pushing phase, perineal trauma, and a NICU stay—and how those experiences shaped her postpartum recovery. She then walks us through how education, intentional preparation, and support helped her approach her second pregnancy differently, leading to...
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EBB 384 - Evidence on "What is a Due Date?"
Evidence Based Birth®
What is a due date, and how accurate is it, really? Dr. Rebecca Dekker is joined by Dr. Sara Ailshire of Team EBB to walk through the latest research on due dates, pregnancy length, and what happens when pregnancies go past term. They share the new research on ultrasound dating, the natural length of pregnancy, genetics, and stillbirth risk. They also talk about what a due date actually represents and how pregnancy length varies widely between individuals. Content Note: This episode contains discussion of stillbirth, starting at 26:10 and ending at 40:57. Please take care while...
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EBB 383 - Impact of Extreme Weather on Pregnancy with Alicia Race, Climate Resilience Policy Advocate
Evidence Based Birth®
From heat waves to winter storms to hurricanes, extreme weather events are increasingly part of everyday life, and learning how they intersect with pregnancy and birth can empower families and birthworkers alike. Alicia Race, a climate resilience policy advocate with the Union of Concerned Scientists, is joining Dr. Rebecca Dekker this week to share how these events—especially during what experts now call “Danger Season”—can impact pregnant, postpartum, and breastfeeding families. As we enter 2026, educate yourself now about what scientists consider to be "Danger Season," why...
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Special Announcement from EBB
Evidence Based Birth®
Be the first to hear about the special event we're planning for 2026! To get on the waitlist for the upcoming event, visit .
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EBB 382 - The Power of Your Birth Story with Lisa Greaves Taylor, Host of the Birth Matters Podcast
Evidence Based Birth®
Long before labor begins, the stories we hear about birth are already shaping our expectations and choices. In this episode, Dr. Rebecca Dekker talks with Lisa Greaves Taylor, founder of Birth Matters NYC Childbirth Education, director of the East River Doula Collective, and host of the Birth Matters podcast, about the power of birth stories as tools for education, healing, and self-advocacy. Drawing from her work supporting families in New York City since 2010, Lisa shares how storytelling helps birthing people move beyond fear-based narratives and reconnect with their intuition,...
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EBB 381 - Ask Me Anything with Dr. Rebecca Dekker
Evidence Based Birth®
As 2025 comes to an end, guest host Dr. Sara Ailshire turns the tables and interviews Dr. Rebecca Dekker about the biggest childbirth trends, lessons, and breakthroughs of 2025, and what exciting changes are coming to EBB in 2026. Together, Sara and Rebecca dive into the shifting landscape of birth: the unprecedented rise in labor inductions, how AI is complicating the search for evidence-based information, changes in doula access and Medicaid coverage, and how politics continues to shape pregnancy and postpartum care. They walk through the most impactful EBB research updates of...
info_outlineIn 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 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.