Evidence Based Birth®3 Joulu 2025

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

In this episode, Dr. Rebecca Dekker explores the research on birthing positions and tried-and-true midwifery practices for protecting the perineum during childbirth. She explains why the flat-on-your-back position we often see on television isn't ideal and walks through the key differences between upright, sacrum-flexible positions, and common hospital practices like lithotomy and routine episiotomies. Dr. Dekker reviews data from global research as well as real-world wisdom from midwives, including the extraordinary outcomes of hands-off, undisturbed birth approaches in the Philippines. She uncovers how hospital system pressures, caregiver convenience, and even obstetric violence drive the overwhelming use of recumbent positions and invasive interventions while sidelining evidence-based, patient-centered care. You'll hear firsthand strategies for minimizing severe tears, promoting intact perineums, and advocating for birth plans that prioritize the autonomy and comfort of birthing people. Content Warning: Discussion of tears of the vagina, severe tears from the vagina to the rectum, obstetric violence related to episiotomies, and being forced giving birth on your back. Resources

For a full list of resources, visit: ebbirth.com/221
Watch the video version here on our YouTube channel which includes study breakdowns and PowerPoint slides.
Protecting the Perineum Series:

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

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families. In this replay episode, Dr. Rebecca Dekker sits ...

26 Elo 41min

EBB 408 - "What They Didn't Tell Me about Birth and Parenthood" with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Ve...

19 Elo 37min

EBB 407 - Migraines and Insulin and Umbilical Vein Varix, Oh My! An Empowering Pregnancy and Hospital Birth Story with Heidi Gustad, Librarian and EBB Childbirth Class Graduate

After years of hearing traumatic birth stories and questioning whether parenthood was right for her, Heidi Gustad entered pregnancy determined to make informed decisions every step of the way. When sh...

12 Elo 45min

EBB 406 - Critical Info Every Expecting Family Should Know about Cytomegalovirus (CMV) with Megan Nix, Author of Remedies for Sorrow

Congenital cytomegalovirus (CMV) is the leading infectious cause of congenital disorders in the United States, but many pregnant families have never heard of it. In this episode, Dr. Dekker is joined ...

5 Elo 48min

REPLAY: EBB 267 - Debunking Myths about Fundal Massage with Barbie Christianson, RN

Fundal massage, also known as uterine massage, is often performed as a routine procedure after birth, but research shows it does little to prevent postpartum hemorrhage and can be painful for many. On...

29 Heinä 56min

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

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. ...

22 Heinä 54min

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

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 Dekk...

15 Heinä 23min

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

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 belief...

8 Heinä 58min