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EBB 113 - The Evidence on VBAC

Evidence Based Birth®

Release Date: 01/29/2020

EBB 229 - Evidence on Doulas: Community-based Model, the Pandemic, and Reimbursement with the EBB Research Team show art EBB 229 - Evidence on Doulas: Community-based Model, the Pandemic, and Reimbursement with the EBB Research Team

Evidence Based Birth®

In today's episode, hosted by the EBB Research Team, we are sharing the audio from a private livestream we did with our Pro Members at Evidence Based Birth. We talk about three major topics related to updated research evidence on doulas: 1) research on the pandemic's effect on the doula profession around the world, 2) research on the difference between community-based doulas and private or traditional doulas, and 3) new info on paying or getting reimbursement for doula care in the U.S. [NOTE FOR LIBSYN ONLY]: This podcast is also posted on our YouTube channel in case you want to access the...

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EBB 228 - Uplifting Radicalized Birth Work with Anna, The Pocket Doula show art EBB 228 - Uplifting Radicalized Birth Work with Anna, The Pocket Doula

Evidence Based Birth®

On today's podcast, we're going to talk with the founder of The Pocket Doula, Anna Balagtas, about uplifting queer, and trans-care.  Anna Balagtas (she/siya) is a queer, Pinay full circle birth worker, educator, facilitator, energy worker, and pleasure advocate. Her practice is rooted in the decolonization of birth work, radical QTBIPOC care, and queer reproductive justice, taught to her by king yaa. Anna's deepest joy comes from witnessing her communities thrive through community care, mutual aid, and abolition work.  We talk about how Anna started The Pocket Doula and her journey...

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EBB 227 – Amplifying the Need for Intersectional Birth Support for QTBIPOC Birthing People with Xian Brooks of the Dandy Doula show art EBB 227 – Amplifying the Need for Intersectional Birth Support for QTBIPOC Birthing People with Xian Brooks of the Dandy Doula

Evidence Based Birth®

On today's podcast, we're going to talk with the founder of Dandy Doula, Xian Brooks, MPH, about the importance of intersectional birth work and amplifying the need for intersectional birth support for queer, trans, and BIPOC birthing bodies. Xian Brooks (he/him) is a public health professional from Louisville, Kentucky, where he is a community-based birth doula and a Master of Science in Nursing student. Xian completed his Bachelor's of Science in Public Health Education at North Carolina Central University and his Master's of Public Health in Community and Behavioral Health at the University...

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EBB 226 - An Emergency Cesarean Due to Bandl's Ring with EBB Parent Mandy Childs and EBB Instructor Dana Patterson show art EBB 226 - An Emergency Cesarean Due to Bandl's Ring with EBB Parent Mandy Childs and EBB Instructor Dana Patterson

Evidence Based Birth®

On today's podcast, we're going to talk with EBB Childbirth Class parent, Mandy Childs and her doula, Dana Patterson, about having an emergency cesarean due to Bandl's ring.  Mandy Childs (she/her) is a first-time parent to her son who she gave birth to in Greenville, South Carolina in March of 2021. Living now in Lynchburg, Virginia, Mandy is a trained elementary school teacher and currently a program coordinator for a nonprofit called Global Autism Project. Mandy lives with her husband, Ben, their son, Jack, and their dog, Penny. Mandy is also a graduate of the EBB Childbirth Class with...

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EBB 225 – Trauma-Informed Childbirth Education with Mandy Irby, The Birth Nurse show art EBB 225 – Trauma-Informed Childbirth Education with Mandy Irby, The Birth Nurse

Evidence Based Birth®

On today's podcast, we're going to talk with board-certified labor nurse and creator of the Birth Nurse, Mandy Irby, about trauma-informed childbirth education. Mandy Irby (she/her) is a board-certified labor nurse with 13 years of experience, supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After her own birth trauma, Mandy quickly learned that the birth care system is not centered on human rights, patient choice, and the individual experience. In 2020, Mandy made education her full-time career as she now...

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EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker show art EBB 224 - Failure to Progress or Failure to Wait with Ihotu Ali, Erin Wilson, and Rebecca Dekker

Evidence Based Birth®

On 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...

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EBB 223 - An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine show art EBB 223 - An Empowering Hospital Water Birth Story with Samantha Parker and Justin Fontaine

Evidence Based Birth®

On today's podcast, we're going to talk with EBB Childbirth Class graduates, Samantha Parker and Justin Fontaine, about their exciting hospital water birth story. Samantha Parker (she/her) is an environmental scientist with the State of California and an avid runner. Samantha’s husband, Justin Fontaine (he/him) is a principal systems engineer and a CrossFit: Level 2 trainer. Samantha and Justin live in Rockland, California with their almost 10-year-old son, and now their happy baby girl, Kira. Samantha and Justin are graduates of the EBB Childbirth Class with EBB Instructor, Laurie...

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EBB 222 - Navigating Induction and Pregnancy at 35+ with EBB Instructor and Birth Fusion Founder, Jennifer Anderson show art EBB 222 - Navigating Induction and Pregnancy at 35+ with EBB Instructor and Birth Fusion Founder, Jennifer Anderson

Evidence Based Birth®

On today's podcast, we're going to talk with Birth Fusion founder and Evidence Based Birth® Instructor, Jennifer Anderson, about her work as a childbirth educator and doula while serving families who get pregnant via in vitro fertilization and those over the age of 35. Jennifer Anderson (she/her) is an RN, doula, childbirth educator, birth photographer, and Evidence Based Birth Instructor. Jennifer provides labor support to couples in the Sacramento, California region and she also teaches the Evidence Based Birth® Childbirth Class online to families everywhere. In 2011, Jennifer started...

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EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum show art EBB 221 - Evidence on Birthing Positions and Tried-and-True Midwifery Practices for Protecting the Perineum

Evidence Based Birth®

In this episode, we are finishing up our series on protecting the perineum by talking about the evidence on birthing positions and how upright positions help prevent tears! We’ll also discuss tried-and-true protective practices that midwives have passed down through countless generations (hint: it's simpler/easier than you think!) Head's up... if you haven't listened to EBB Episode 206 yet, I recommend listening to that episode first, since it covers introductory information about perineal tears. You can also go back to Episodes 210, 216, and 218 for more info about other proposed methods of...

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EBB 220 - Fighting Bias in the Birth Room with Irth® App Founder, Kimberly Seals Allers show art EBB 220 - Fighting Bias in the Birth Room with Irth® App Founder, Kimberly Seals Allers

Evidence Based Birth®

On today's podcast, we're going to talk with Irth® App founder, Kimberly Seals Allers, to update us on Irth® App's mission to fight against racism and bias in perinatal and infant care.  Kimberly Seals Allers (she/her) is an award-winning journalist, five-time author, international speaker strategist, and an advocate for perinatal and infant health. A former senior editor at Essence, and writer at Fortune Magazine, Kimberly is a leading voice on the racial and socio-cultural complexities of birth, lactation, and parenthood. Kimberly is the founder of Irth®, a new Yelp-like app for...

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More Episodes

In 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.