Evidence Based Birth®

In the Evidence Based Birth® podcast, we cover the research evidence on hot topics about pregnancy and childbirth! Our mission is to help birth workers build the evidence based knowledge, skills, and power they need to protect families' ability to give birth with empowerment. The work we do has a huge impact on parents who are searching for accurate information to empower their prenatal, birth, and postpartum experiences!

EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth 02/26/2025

EBB 347 - Updated Evidence on Vitamin K 02/19/2025

EBB 347 - Updated Evidence on Vitamin K In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lead to life-threatening complications in infants. Dr. Dekker breaks down what Vitamin K is, why newborns are at risk for VKDB, and the different supplementation options available—including the Vitamin K shot and oral drops. This episode also tackles myths and misinformation surrounding Vitamin K, including concerns about safety, the so-called “gentle birth” exemption, and the controversial "black box warning." Armed with new research, we explore the effectiveness of various oral Vitamin K regimens, and go over the global recommendations for Vitamin K supplementation. (00:04:01) The Essential Role of Vitamin K for Blood Clotting (00:08:10) Significance of Vitamin K in Newborns' Health (00:14:31) Preventing VKDB: Vitamin K Shot vs Drops (00:16:14) Vitamin K Shot vs. Oral Drops Debate (00:20:00) Effectiveness of Oral Vitamin K Drops vs. Injection (00:31:39) Vitamin K Transfer Through Placental Barrier (00:41:33) Preventing VKDB in Newborns: Pros and Cons of Vitamin K Options Resources: Read the full-length EBB Signature Article on Vitamin K (includes all scientific references + a FREE 1-page handout!) at EBB Pocket Guide to Newborn Procedures: EBB Childbirth Class: from Dr. Matt and Dr. Mike about Hemostasis and the Clotting Cascade (and why Vitamin K and Calcium are important) (and other people who care about facts) For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/35243630

EBB 346 - Uncovering the Facts about Private Cord Blood Banking with Journalist Sarah Kliff 02/12/2025

EBB 346 - Uncovering the Facts about Private Cord Blood Banking with Journalist Sarah Kliff In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised Cures, Tainted Cells," which explored cord blood banking practices, their marketing claims, and the stark contrast between public and private banking systems. Together, they discuss: The differences between public and private cord blood banks Marketing tactics and their impact on parents The decline in the medical utility of cord blood over the last decade Ethical concerns, such as contamination, low stem cell counts, and hidden collection fees Sarah also shares the stories of families who invested in private banking, only to find their samples unusable when needed. This episode sheds light on the decisions surrounding cord blood banking and provides a look at the system's pitfalls. Join us at the EBB Conference (virtually) this March by registering ! You can also see if the EBB Pocket Guide to Newborn Procedures is in stock . (00:05:56) Paid vs. Donated Cord Blood Storage (00:08:06) Stem Cell Storage for Future Medical Use (00:09:32) "Cord Blood Marketing: Promises and Concerns" (00:21:44) Rising Financial Burden of Cord Blood Storage (00:25:46) Unregulated Growth in Private Cord Blood Banking (00:26:14) Quality Control Concerns in Private Cord Blood Banking (00:34:48) Cord Blood Banking Implications in Delayed Clamping (00:41:52) Unregulated Risks of Cord Blood Storage Resources: For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34806790

EBB 345 - Taking the First Steps toward Trauma-Informed Lactation Care with Porsche Holland-Otunba, Founder of Reclaim Black Motherhood 02/05/2025

EBB 345 - Taking the First Steps toward Trauma-Informed Lactation Care with Porsche Holland-Otunba, Founder of Reclaim Black Motherhood Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and inadequate lactation support affected her pregnancy and birth, leading her to become a passionate birth worker, doula, and lactation consultant. Porsche emphasizes the need for trauma-informed, culturally competent care, particularly for Black families, and offers invaluable advice for healthcare workers and birth professionals on how to center the needs of families through active listening and compassionate support. Register for the EBB Conference ! (02:29) Porsche’s Birth Story and the Impact on Her Approach to Trauma-Informed Care (05:34) A Call to Action: Rising Up After a Traumatic Birth (07:19) The Systemic Failures and Lack of Representation in Healthcare (10:20) Advocating for Change and Getting Involved in Maternal Health Initiatives (13:13) Generational Trauma and Preeclampsia in Black Families (15:33) The Future of Preeclampsia Care and Prevention (17:56) The Intersection of Preeclampsia and Mental Health (22:06) Lactation Challenges: Generational Trauma and Cultural Barriers (25:40) The Role of Lactation Support in Hospitals (29:43) Trauma-Informed Lactation Support: Practical Tips for Birth Workers (35:29) Prioritizing Basic Needs in Trauma-Informed Care (38:04) Supporting Families Beyond the Birth: A Holistic Approach to Care (46:04) The Importance of Perinatal Mental Health Awareness Learn more about Visit the Get mental health resources and support from Read Black birth people's stories of preeclampsia with the EBB Podcast #342: EBB Podcast #344: For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34983530

REPLAY: EBB 262 – Advocacy During Birth and Navigating a Hospital Stay for Newborn Jaundice with Emily Chandler and Taylor Washburn, EBB Childbirth Class Graduates 01/29/2025

REPLAY: EBB 262 – Advocacy During Birth and Navigating a Hospital Stay for Newborn Jaundice with Emily Chandler and Taylor Washburn, EBB Childbirth Class Graduates In today’s episode, we’re revisiting an inspiring birth story featuring Emily Chandler and Taylor Washburn, graduates of the Evidence Based Birth® Childbirth Class. They share their journey of navigating an informed and empowered hospital birth experience, along with the challenges they faced during an extended hospital stay for their newborn’s jaundice diagnosis. Emily, a marine scientist, and Taylor, a teacher and rowing coach in the Boston area, enjoy an active lifestyle filled with hiking, biking, and rowing. While preparing for parenthood, Emily immersed herself in learning about pregnancy, birth, and the state of maternity care in the U.S. This journey led them to take the EBB Childbirth Class with instructor Chanté Perryman, where they gained valuable knowledge and advocacy skills. Emily and Taylor share how the EBB Childbirth Class empowered them to make informed decisions about their birth plan—including Taylor’s memorable experience of “catching” their baby. They also highlight the importance of the advocacy skills they learned, which helped them effectively communicate with healthcare providers and navigate unexpected challenges, such as breastfeeding difficulties and securing the right support during their baby’s jaundice treatment. Be sure to listen all the way to the end of the episode for an exciting update from our guests! Content Note: This episode covers topics such as extended hospital stays, breastfeeding challenges, jaundice testing and treatment, and the racial disparities affecting Black and Brown infants with jaundice. (00:03:15) Doula Guidance During Pregnancy (00:09:24) Minimal Intervention Birth Plan Worries (00:17:45) Unexpected Labor Challenges (00:24:45) Efficient and Caring Nurse's Impact (00:34:34) Newborn's Breastfeeding and Jaundice Journey (00:40:03) Newborn Care and Feeding Challenges (00:43:17) Optimal Umbilical Cord Clamping Timing (00:47:27) Risk Factors for Infant Jaundice (00:52:18) Jaundice Warning Signs and Emergency Help (00:55:57) Home Birth Journey and EBB Impact Resoures: Get the Evidence Based Birth® Pocket Guide to Newborn Procedures You can learn more about jaundice here at the Mayo Clinic , or here at the Cleveland Clinic . Access the Evidence Based Birth Signature Articles on: The Evidence on Premature Rupture of Membranes The Evidence on Group B Strep The Evidence on Pitocin in the Third Stage Listen to EBB 145- Fatherhood and Advocacy in Birth with JacMichael Perryman Listen to EBB 244 – Evidence on AROM, AVD and Internal Monitoring Learn more about Chanté Perryman’s EBB Childbirth Class and services Learn more about the Nest Collaborative For more information about Evidence Based Birth and a crash course on evidence based care, visit . Follow us on and ! Ready to learn more? Grab an or read Dr. Dekker’s book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34983505

EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International 01/22/2025

EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International Dr. Rebecca Dekker welcomes Dr. Kat Kaeni, a perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast. Dr. Kat shares her personal journey with postpartum depression, anxiety, and OCD, and how it shaped her commitment to supporting parents during the perinatal period. They explore the spectrum of perinatal mental health conditions, from baby blues to postpartum psychosis, and discuss the stigma, barriers to care, and strategies for managing symptoms. Dr. Kat explains the power of Cognitive Behavioral Therapy, mindfulness techniques, and the importance of accessing resources like Postpartum Support International. Content Warning: This episode includes discussions of perinatal mental health disorders, including postpartum depression, anxiety, OCD, and psychosis. Sensitive topics such as intrusive thoughts, stigma, feelings of guilt and shame, and the potential for harm to self or others are addressed. Listener discretion is advised, and we encourage anyone who may be affected by these topics to reach out for support through or a trusted healthcare provider. (00:07:28) Unique Challenges in Perinatal Mental Health (00:11:05) Caregivers' Mental Health and Bonding Challenges (00:16:32) Parental Isolation Stemming from Anxiety and Depression (00:21:53) Emergent Postpartum Psychosis Symptoms (00:27:08) Overcoming Stigma in Perinatal Mental Health (00:31:54) Thought and Behavior Change Therapy for Depression (00:36:56) Perinatal Mental Health Challenges and Support For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34349220

EBB 343 - Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean 01/15/2025

EBB 342 - Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere 01/08/2025

EBB 342 - Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere In this episode, learn how Dr. Kimarie Bugg’s lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers to breastfeeding, including workplace challenges, access to lactation support, and the lack of consistent education for healthcare providers. She emphasizes the importance of policy change, workforce development, and healing generational trauma through initiatives like ROSE’s "Breast Friend" and the Reaching Our Brothers Everywhere (ROBE) programs. Tune in for a conversation about the critical role of breastfeeding equity, the unique challenges faced by African American families, and the power of community-driven solutions. (09:34) Empowering Black Nurses in Breastfeeding Support (8:08) Supporting Breastfeeding in African American Community (27:08) "Breast Friend Program: Reducing Breastfeeding Disparities" (28:22) Empowering Communities for Inclusive Breastfeeding Support (32:46) Reframing Breastfeeding Narratives in African American Community (34:54) Enhancing Breastfeeding Equity Beyond Hospital Stay (41:39) Community Transformers: Empowering Maternal Health Support Explore ROSE's programs, including Breast Friends, Community Transformers, and more . Learn about Boston Medical Center's Community and Hospitals Advancing Maternity Practices (CHAMPS), a Baby-Friendly hospital initiative, . Learn more about the Academy of Breastfeeding Medicine . For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34348970

Special Announcement from EBB 01/07/2025

EBB 341 - 2024 Year-in-Review and Sneak Peek of 2025! 01/01/2025

EBB 340 - Emetophobia in Pregnancy and an Inspiring Home Birth Story with Kat Sullivan and Ben Winston, EBB Childbirth Class Graduates 12/18/2024

EBB 340 - Emetophobia in Pregnancy and an Inspiring Home Birth Story with Kat Sullivan and Ben Winston, EBB Childbirth Class Graduates Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emetophobia—the fear of vomiting—and how it impacted her pregnancy and decision to pursue a home birth. From navigating intrusive thoughts and panic attacks to finding a supportive care team and discovering the power of SSRIs, Kat and Ben open up about their challenges and triumphs. Hear how they prepared for labor, the role of their midwives, and how the EBB Childbirth Class helped them feel informed and empowered. Whether you're curious about home births, mental health in pregnancy, or simply love heartfelt birth stories, this episode is a must-listen! Content Note: The first half of the interview will discuss distressing symptoms related to emetophobia, panic attacks, and OCD, as well as considering pregnancy termination due to emetophobia. (00:01:24) Joyful Home Birth Experience despite Challenges (00:04:56) Empowered by Supportive Providers for Emetophobia (00:10:17) Navigating Mental Health in Parenthood Transition (00:17:53) Navigating Challenges with a Strong Support System (00:30:10) Unpredictable Transitions in Labor and Birth (00:35:03) Empowering Decisions Through Evidence-Based Home Birth (00:36:07) Empowering Parents Through Evidence-Based Childbirth Education Learn more about Kat and Ben's EBB Instructor, Emily McMichael, or follow her on Instagram ! For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34038053

EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team 12/11/2024

EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips for managing pressure to induce and delve into how the ARRIVE trial impacts outcomes like breastfeeding, epidurals, and costs. Tune in to hear this Q&A session originally broadcast to listeners worldwide. (03:38) How often are we seeing pressure from obstetricians to induce? (07:20) How can you manage pressure from an obstetrician to get an induction at 39 weeks? (12:00) What are the geographic trends in induction rates? (15:30) What are the statistics on infant death and mortality? (19:56) What happens if a midwife or obstetrician refuses a 39-week elective induction requested by a birthing person? (21:50) Why did the ARRIVE trial report such high rates of preeclampsia and hypertension? (32:16) Is induction considered to be more cost-effective? (34:54) Are inductions affecting breastfeeding and epidural rates? (36:54) Is there research around maternal satisfaction and birthing experience? (40:11) Why are IVF and advanced maternal age clients often pressured or offered induction? (41:24) What strategies can doulas use to support clients facing discussions about 39-week induction with their provider? For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/34243135

EBB 338 - What is Respectful Maternity Care? with Dr. Jessica Brumley, CNM, PhD, and President of the American College of Nurse Midwives 12/04/2024

EBB 337 - Getting through a Long Labor Induction without Pain Medication with Camden Crane Wachowiak, Fitness Instructor and EBB Childbirth Class Graduate 11/27/2024

EBB 337 - Getting through a Long Labor Induction without Pain Medication with Camden Crane Wachowiak, Fitness Instructor and EBB Childbirth Class Graduate In this episode, I’m joined by Camden Crane Wachowiak—a health coach, EBB Childbirth Class graduate, and new mom—who shares her high-risk pregnancy and birth journey. Camden walks us through her induction experience after her water broke at term and her decision to labor with non-pharmacological comfort measures. We also talk about Camden's approach to navigating unique health considerations during pregnancy, including antiphospholipid syndrome and a cardiac pacemaker. She reflects on the empowering choices she made with her partner, such as hiring a supportive doula, and the role of the EBB Childbirth Class in helping them feel informed and confident. Discover how Camden built a team of providers who respected her strength, addressed her concerns without excessive intervention, and supported her in achieving a safe and positive birth experience. (05:45) Experienced Doula Enhancing Birthing Experiences (09:52) Personalized Obstetric Care Based on Medical History (17:50) Natural Methods for Inducing Labor Contractions (19:39) Natural Comfort Techniques During Medication-Free Labor (23:32) Enduring labor pains without medical intervention (25:05) Breathwork and Support in Intense Childbirth (35:26) Vital Importance of Newborn Resuscitation Training (37:27) Embracing Motherhood: Navigating New Priorities and Routines (43:26) Transformative Role of Postpartum Communities Learn more about Camden’s fitness coaching business, Camden C3 Fit For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/33899047

EBB 336 - Team EBB's Top Tips for Bringing Your Baby Home from the Hospital 11/20/2024

EBB 336 - Team EBB's Top Tips for Bringing Your Baby Home from the Hospital Team EBB's Chanté Perryman, Rikki Jenkins and Sara Ailshire are taking over the podcast to share their tips for transitioning home from the hospital and supporting new parents postpartum! Rikki, a seasoned childbirth educator, International Board Certified Lactation Consultant, and Instructor Program Coordinator at EBB, stresses the importance of having a strong support system and being open about postpartum mental health. Sara, a Research Fellow at EBB, draws from cultural practices and her own journey into parenthood to discuss the importance of accepting help and cherishing special moments with a newborn. Together, with Chanté, Director of Programs at EBB, they remind us to celebrate the transition into parenthood and practice self-compassion during this transformative period. Don't forget to sign up for the ! (00:04:59) New Beginnings: Homecoming Baby Celebration (00:11:15) Building a Strong Postpartum Support System (00:12:34) Postpartum Support through Meal Trains (00:13:36) Setting Boundaries for Postpartum Support (00:31:04) Multilingual Breastfeeding Support and Resources (00:31:20) Partners' Support in Postpartum Hydration Plan (00:41:04) Neglecting Self-Care: Early Postpartum Warning Signs (00:46:48) Supportive Partner Role in Preventing Postpartum Depression (00:50:30) Navigating Postpartum Mental Health Challenges (00:53:28) Transformative Self-Compassion in Parenthood Resources on Nursing and Pumping . . . . Resources for Car Seats Resources for Postpartum Depression and Anxiety Support Organizations For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker's book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/33736187

EBB 335 - Evidence on Newborn Baths and Screening for Low Blood Sugars 11/13/2024

EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks 10/30/2024

EBB 333 - Treatment for Uterine Fibroids and its Impact on Fertility, Pregnancy, and Birth with Dr. Veronica Gillispie-Bell, OB/GYN and Advocate for Health Equity 10/23/2024

EBB 333 - Treatment for Uterine Fibroids and its Impact on Fertility, Pregnancy, and Birth with Dr. Veronica Gillispie-Bell, OB/GYN and Advocate for Health Equity In this episode, we're talking about uterine fibroids and their impact on pregnancy and birth with Dr. Veronica Gillispie-Bell, a board-certified OB/GYN and nationally recognized expert in fibroid treatment. Dr. Gillispie-Bell shares her wealth of knowledge on this critical, yet often overlooked, topic—explaining everything from what fibroids are to the various treatment options available. We cover how fibroids affect reproductive health, debunk myths about Cesarean versus vaginal birth, and discuss the racial disparities in fibroid care that Black women face. Dr. Gillispie-Bell also opens up about her personal connection to this field, tracing her passion for fibroid treatment back to her own mother’s journey. Content Note: This episode contains discussions of maternal mortality and pregnancy-related death. Please take care while listening. 02:30 Understanding Uterine Fibroids and Their Prevalence 04:22 Symptoms and Health Consequences of Uterine Fibroids 08:05 Dr. Gillispie-Bell's Interest in Fibroids and Racial Disparities 16:13 Minimally Invasive Procedures for Fibroids 19:12 Hysterectomy as a Treatment Option 21:55 Considerations for Fibroid Treatment in Relation to Fertility 24:19 Safety and Impact on Fertility of Certain Fibroid Treatments 26:11 Primary Surgical Procedure: Myomectomy 28:19 Hysteroscopic Fibroid Removal Resources Follow Dr. Gillispie-Bell on Instagram . Help prevent maternal mortality with the . Learn more about fibroid advocacy by visiting the and the . Follow the work of the . For more information about Evidence Based Birth® and a crash course on evidence based care, visit . Follow us on , , and ! Ready to learn more? Grab an or read Dr. Dekker’s book, If you want to get involved at EBB, join our (scholarship options available) and get on the wait list for our EBB . Find an here, and click to learn more about the EBB Childbirth Class. /episode/index/show/evidencebasedbirth/id/33302292