Podcast
Evidence Based Birth®
Hosted by Rebecca Dekker, PhD, RN · EN
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!
33episodes
Episodes
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EBB 398 - Supporting Neurodivergence in Birth and Postpartum with Victoria White, Doula and Author of "Why Neurodivergent Birth Matters"
2w ago00:43:41Tap to summarizeMany 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 experience for neurodivergent families and the small changes that can help neurodivergent people feel safer, more supported, and empowered. (04:30) The four support pillars of neurodivergent birth (10:11) How sleep deprivation impacts neurodivergent parents (12:02) Hormones, estrogen, ADHD, and postpartum changes (19:05) Barriers to adult diagnosis and self-identifying as neurodivergent (22:14) Strategies for sensory support, communication, and birth planning (25:50) Supporting executive functioning during pregnancy and postpartum (28:27) "Think neurodivergence first": what healthcare workers need to understand (30:33) Supporting neurodivergent partners during birth (31:31) Neurodivergence and cesarean birth experiences (36:53) Victoria's book Why Neurodivergent Birth Matters (38:27) Research groups, mental health resources, and the Neurodivergent Birth Podcast (39:22) Reasonable accommodations and disability protections in maternity care Resources Learn more about Neurodivergent Birth: ndbirth.com/ Get free, downloadable fact sheets and planning resources: ndbirth.com/downloads Listen to the Neurodivergent Birth podcast: ndbirth.com/podcast Maternity Autism Research Group: maternityautismresearchgroup.co.uk/ PANDAS Foundation: pandasfoundation.org.uk/ 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.
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REPLAY: EBB 253 – Preparing for a 38-week Labor Induction due to Intrauterine Growth Restriction with Leah Bergman, EBB Childbirth Class Graduate
3w ago00:34:39Tap to summarizeWhat happens when your carefully planned, low-intervention birth transforms into something entirely unexpected? In this replay episode, Dr. Rebecca Dekker revisits her conversation with Leah Bergman, a graduate of the Evidence Based Birth® Childbirth Class, and her birth story of navigating a surprise diagnosis of fetal growth restriction (sometimes called intrauterine growth restriction or IUGR) in late pregnancy. Together, they unpack the emotional rollercoaster of changing birth plans, wrestling with uncertainty, and making tough decisions around induction while still finding space for empowerment, advocacy, and joy. Leah opens up about leaning on evidence-based education, support from her husband and doula, and a compassionate midwifery team as she faced a challenging induction process complete with surprises, setbacks, and two trips to the hospital. You'll also hear practical strategies for advocating during labor, the realities of taking a break from an induction then "starting over", and how to build a positive birth experience even when things go off script. Content Note: Discussion of the risk of stillbirth associated with fetal growth restriction. (03:44) Discovering Evidence Based Birth® (09:15) Deciding to induce labor(10:43) Placenta health and birth timing(14:50 Discussing timing of delivery(17:41) Labor induction experience(23:29 Beginning stages of labor induction(25:55) Advocating for rest during labor(28:48) Unexpectedly quick delivery experience(31:51) Managing baby's low birth weight For the full list of resources from this epiosde, click here. 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.
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EBB 397 - Words of Wisdom about Birth that Can Bring You a Sense of Calm and Peace
4w ago00:39:05Tap to summarizePregnancy and birth don't require perfection to be empowering. In this solo episode, Dr. Rebecca Dekker shares share five life lessons she's learned over 14 years as a nurse, mother, and founder of Evidence Based Birth. She offers grounding guidance for navigating pregnancy, birth, and early parenthood with more trust, self-compassion, and calm. This episode centers on the idea that you don't have to know everything to have a positive birth experience. Instead, Dr. Dekker explores how building a supportive team, staying connected to your body, and focusing on what you can control can transform how you approach birth. She also reflects on the value and meaning of childbirth for those who choose it, the importance of respectful and empowering care, and the lifelong practice of letting go of what's outside your control. (02:05) You Don't Have to Know Everything About Pregnancy and Birth (07:01) Being the Expert of Your Own Body (13:39) Childbirth is Worth It (20:46) It is Possible to Have an Empowering Childbirth Experience (27:11) Controlling What You Can, Letting Go of What You Can't (36:56) Final Thoughts and Words of Comfort 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.
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EBB 396 - Inequities in VBAC Access with Dr. Nicholas Rubashkin, MD, PhD
Apr 2900:40:37Tap to summarizeThe evidence shows that vaginal birth after cesarean (VBAC) is a safe option for many families, but it's still frequently inaccessible to them. In this episode, Dr. Rebecca Dekker and Dr. Nicholas Rubashkin discuss the systemic barriers that limit families' opportunities to choose a VBAC. They explore how hospital policies, outdated guidelines, and clinical tools like the VBAC calculator have shaped who's a "good candidate" and who is not. Dr. Rubashkin also shares insights from his research on inequities in maternity care, including how race-adjusted algorithms reinforce disparities, why the "immediately available" standard still impacts hospital policies today, and how geography, provider practices, and induction policies can influence VBAC access. Plus, hear evidence-based strategies for advocating for a VBAC, including how to evaluate providers and interpret VBAC rates. (01:36) Dr. Rubashkin's background and path into obstetrics (08:32) Major barriers to VBAC access in the U.S. (11:37) The "immediately available" standard explained (14:38) Misconceptions about emergency cesarean availability (16:58) Ethical and legal implications of VBAC restrictions (18:02) Institutional barriers (20:17) The VBAC calculator and how it influenced access (26:12) Racism, bias, and interpretation of VBAC data (30:02) Induction and VBAC: evidence vs. practice (36:17) What informed consent for VBAC should include (37:18) Identifying supportive vs. reluctant providers Resources ACOG's VBAC guidelines and recommendations: acog.org/clinical/clinical-guidance/practice-bulletin/articles/2019/02/vaginal-birth-after-cesarean-delivery Human Rights in Childbirth: humanrightsinchildbirth.org/ UCSF's Better Birth Research Initiative: betterbirth.ucsf.edu/ International Cesarean Awareness Network: ican-online.org/ 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.
Transcribe →Induction Bootcamp Coming Soon
Apr 2400:02:54Tap to summarizeLearn more about EBB's upcoming Induction Bootcamp on Tuesday, April 28 from 2:00 - 4:30 PM EDT. To save your seat or access the replay, join the EBB Pro Membership for just $39 for your first 30 days: ebbirth.com/membership.
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EBB 395 - Postpartum Practices from African American Traditions with Shafia Monroe, Midwife and Author of Mothering the Mother
Apr 2200:47:28Tap to summarizePostpartum care wasn't always rushed, clinical, or isolating. In many African-American communities, the weeks after birth were treated as sacred time where families and communities gathered to care for the mother so she could focus on caring for her baby. In this episode, Dr. Rebecca Dekker talks with renowned midwife, cultural historian, and author Shafia Monroe about the traditions documented in her new book Mothering the Mother: African-American Postpartum Traditions, Recipes, and Healing. Mama Shafia shares how historically rooted postpartum practices—from the 42-day "lying-in" period to nourishing soups, herbal teas, and hands-on community support—helped mothers rest, recover, and bond with their babies. They explore what's missing from the modern Western postpartum model, how traditional wisdom from Black midwives supported physical and emotional recovery, and why caring for mothers is essential for healthy families and communities. (02:43) Why Shafia wrote Mothering the Mother and the lack of resources on African-American postpartum traditions (07:47) The love letter to Black mothers and words of affirmation for postpartum parents (11:56) What's missing in modern postpartum care and how Western systems differ from traditional community care (19:06) Hypervigilance, stress, and supporting postpartum healing (21:26) The 42-day "lying-in" period and traditional postpartum rituals (25:45) Postpartum food traditions, soups, and healing foods from African and African-American culture (33:50) Why these traditions matter for all families, not just one culture (37:45) "Mother wit": trusting intuition about your body and your baby (41:25) Advocating for yourself in healthcare and trusting your body during pregnancy and birth Resources Get Mama Shafia's book, Mothering the Mother: African-American Postpartum Traditions, Recipes, and Healing: shafiamonroe.com/mothering-the-mother/ Learn about the International Center for Traditional Childbearing (ICTC): thenaabb.org/ Read about SMC Full Circle Doula Birth Companion Training: smcdoulas.com/ EBB 152 – Shafia Monroe on Traditional Black Midwifery, Spirituality, and Community Advocacy 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.
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REPLAY: EBB 357 - Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide
Apr 1500:49:22Tap to summarizeEvery pregnant person deserves the information and support they need to make truly informed decisions about labor induction. In this encore episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, the co-creators of Partner to Decide, a nonprofit improving decision-making in perinatal care. They discuss their free, multilingual decision aid that helps families understand their options around routine induction of labor and empowers them to advocate for their own values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings, bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care. (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why "Routine" Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.org 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! Want more resources? Check out our Signature Articles 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.
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EBB 394 - Team EBB's Stance on AI in our Workplace
Apr 800:55:36Tap to summarizeArtificial 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. Learn why EBB has chosen to avoid the use of AI in our research, and what that means both for our team and for you. (03:22) Why EBB began developing an AI policy (10:39) Defining AI, generative AI, LLMs, and hallucinations (17:03) Ethical concerns: Accuracy, bias, and risks to evidence-based information (20:14) Environmental impact of AI and data centers (21:47) Privacy concerns and data security risks (26:21) Intellectual property, sustainability, and loss of research context (27:03) Humanitarian concerns and the impact of AI on jobs and communities (31:24) AI's potential effects on cognition and critical thinking (37:30) Why EBB takes a cautious, evidence-based approach to AI (38:20) Research team policy (42:06) Content team policy (45:01) Programs team policy and guidance for applicants (47:32) Hiring practices and commitment to human review (52:29) Final takeaways: EBB's overall stance on AI References Read EBB's Statement on Artificial Intelligence: ebbirth.com/artificial-intelligence-statement/ For a Student Who Used AI to Write a Paper, by Joseph Fasano: https://poets.org/poem/student-who-used-ai-write-paper Barrington, F. (2025). "Thirsty for power and water, AI-crunching data centers sprout across the West." & The West Magazine, Stanford University. April 8, 2025. https://andthewest.stanford.edu/2025/thirsty-for-power-and-water-ai-crunching-data-centers-sprout-across-the-west/ Gecker, J. (2025). "Big Tech is paying millions to train teachers on AI, in a push to bring chatbots into classrooms." Associated Press. October 20, 2025. https://apnews.com/article/artificial-intelligence-teacher-union-microsoft-f7554b6550fb90519dd8129acac8e291 Han, Y., Wu, Z., Li, P., et al. (2024). "The Unpaid Toll: Quantifying and Addressing the Public Health Impact of Data Centers." arXiv preprint arXiv: 2412.06288. https://arxiv.org/pdf/2412.06288 Hou, H., Leach, K., & Huang, Y. (2024). "ChatGPT Giving Relationship Advice - How Reliable Is It?" Proceedings of the Eighteenth International AAI Conference on Web and Social Media: 610–623. https://ojs.aaai.org/index.php/ICWSM/article/view/31338 Kosmyna, N., Hauptmann, E., Yuan, Y. T., et al. (2025). "Your Brain on ChatGPT: Accumulation of Cognitive Debt when Using an AI Assistant for Essay Writing Task." arXiv preprint arXiv:2506.08872. https://arxiv.org/abs/2506.08872 Marrinan, C. (2025). "Data Center Boom Risks Health of Already Vulnerable Communities." Tech Policy Press.com. June 12, 2025. https://www.techpolicy.press/data-center-boom-risks-health-of-already-vulnerable-communities/ NASA. (2024). "Defining Artificial Intelligence." Accessed November 17, 2025. https://www.nasa.gov/what-is-artificial-intelligence/ Notre Dame Learning. (2025). "AI Overview and Definitions." Accessed November 17, 2025. http://learning.nd.edu/resource-library/ai-overview-and-definitions/ Pataranutaporn, P., Karny, S., Archiwaranguprok, C., et al. (2025). "My Boyfriend is AI: A Computational Analysis of Human-AI Companionship in Reddit's AI Community." arXiv preprint arXiv:2509.11391.https://arxiv.org/pdf/2509.11391 Sonka, J. (2025). "The AI data center boom is coming for Kentucky. What will lawmakers do about it?" Kentucky Public Radio. December 9, 2025. https://www.lpm.org/news/2025-12-09/the-ai-data-center-boom-is-coming-for-kentucky-what-will-lawmakers-do-about-it Stryker, C. (n.d.) "What are LLMs?" IBM.com. Accessed November 17, 2025. https://www.ibm.com/think/topics/large-language-models Tabuchi, H. (2025). "Elon Musk's A.I. Company Faces Lawsuit Over Gas-Burning Turbines." New York Times. June 17, 2025. www.nytimes.com/2025/06/17/climate/naacp-musk-xai-supercomputer-lawsuit.html/ United Nations (UN). (2025). "AI has an environmental problem. Here's what the world can do about that." UN Environmental Programme. November 13, 2025. https://www.unep.org/news-and-stories/story/ai-has-environmental-problem-heres-what-world-can-do-about 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.
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EBB 393 - Evidence on Inducing at 41 Weeks or Later
Apr 101:00:05Tap to summarizeAt 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. Content Warning: This episode contains discussion of stillbirth. Please take care while listening. (00:05:58) How common is labor induction? U.S. rates and challenges with data accuracy (00:09:25) Medically indicated vs. elective induction (00:15:24) The limits of research on induction vs. expectant management (00:20:18) The INDEX trial (00:28:36) Follow-up observational study to INDEX: preferences, Cesarean rates, and outcomes (00:32:51) The SWEPIS trial (00:41:59) Impact of SWEPIS on guidelines and outcomes in Sweden (00:44:40) Benefits of elective induction at 41 weeks (00:46:34) Risks and potential downsides of induction (00:49:18) FAQ: Induction and VBAC considerations For a full list of resources and references, visit ebbirth.com/inducingduedates. 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.
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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
Mar 2501:02:14Tap to summarizeEBB 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 from a rare postpartum complication, temporary nerve damage that caused foot drop, and how rest and supportive care helped her heal. (03:26) Taking the EBB Childbirth Class together (07:33) Birth preferences and planning for a water birth (10:50) High blood pressure at a prenatal visit and preeclampsia diagnosis (15:01) Preparing to return for an induction (18:56) Induction begins with misoprostol (21:45) Adding the Cook catheter and overnight labor (27:35) Starting Pitocin and continuing labor support techniques (29:45) Comfort measures and partner support during labor (34:00) Trying Nubain and deciding on an epidural (41:07) Pushing phase and position changes (45:33) Immediate postpartum and first breastfeeding (47:28) Early postpartum recovery in the hospital (49:11) Discovering postpartum nerve injury (55:34) Advice for birth partners (58:51) Postpartum advice and safe sleep resources Resources EBB 194 – Nutrition and Real Food in Pregnancy with Lily Nichols RDN EBB 365 – Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate Get in touch with Paige and Kevin's EBB Instructor, Lucy Paradiso: lucyparadiso-doula.com/ Learn more about Spinning Babies: spinningbabies.com/ Check out Paige's safe sleep resources: Safe Infant Sleep, Dr. James McKenna How Babies Sleep, Helen Ball La Leche League @cosleepy 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.
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