EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor

EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor

The impact of epidurals on the second stage of labor has sparked a lot of discussion. Research suggests that epidurals can prolong this stage... and a prolonged second stage can be associated with increased risks of infection, severe tears and the need for interventions like forceps-assisted delivery or Cesarean. But does an epidural mean that you are higher risk for complications during the second stage of labor, or are there ways to lessen your risks? In this episode, Dr. Dekker explores the physiological effects of epidurals (and how they impact your body's birthing reflexes), the correlation between epidurals and the duration of the second stage of labor, and nuanced perspectives from professional guidelines worldwide— including a brief discussion of "laboring down" (aka delayed pushing). References:
  • To access all the scientific references that go along with this episode, visit our blog article here.
  • Access the rest of our EBB Pain Management series go to this page and click on "Pain Management Series."
  • Check out the EBB Pocket Guide to Comfort Measures here.
  • Find an EBB Childbirth Class near you here.

For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! 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 404 - Mini Q&A about Average Time Spent Pushing, Precipitous Labor, and Okra Water During the Third Trimester

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

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

Special Announcement: Join me in Summer School!

Special Announcement: Join me in Summer School!

This summer, join Dr. Rebecca Dekker and the EBB Research Team for a four-part live series on "How to Read Research," starting June 30. Get access to the full Summer School Series by joining the Quart...

26 Kesä 1min

REPLAY: EBB 196 - Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum

REPLAY: EBB 196 - Pelvic Biomechanics and Movement in Labor with Brittany Sharpe McCollum

The way we move during labor shapes far more than our comfort. It helps determine how a baby navigates through the pelvis, and whether a birth can unfold with fewer interventions! In this replay episo...

24 Kesä 41min

EBB 402 - Cultural Aspects of Lactation and Infant Feeding in India with Yogyata Wadhwa, IBCLC and Young Child Feeding Specialist

EBB 402 - Cultural Aspects of Lactation and Infant Feeding in India with Yogyata Wadhwa, IBCLC and Young Child Feeding Specialist

The ways we feed and care for babies are shaped not only by research, but also by family traditions, cultural values, and generations of shared wisdom.   In this episode, Dr. Rebecca Dekker talks with...

17 Kesä 48min

EBB 401 - Perinatal Mental Health for 2SLGBTQ+ Parents with Dr. Leiszle Lapping-Carr, Clinical Psychologist

EBB 401 - Perinatal Mental Health for 2SLGBTQ+ Parents with Dr. Leiszle Lapping-Carr, Clinical Psychologist

Research shows that queer and trans parents face significantly higher rates of perinatal depression and anxiety, but affirming and community-centered support can make a big difference. In this episode...

10 Kesä 40min

EBB 400 - Best of Evidence Based Birth®

EBB 400 - Best of Evidence Based Birth®

Happy EBB 400! In honor of this milestone, Team EBB is looking back on some of our and your favorite episodes of the EBB Podcast from the past nine years. From advocacy in birth and improving maternit...

3 Kesä 49min

EBB 399 - Benefits and Safety of Exercise during Pregnancy with Ashley Reid, Exercise Physiologist and Author of "Active Mom"

EBB 399 - Benefits and Safety of Exercise during Pregnancy with Ashley Reid, Exercise Physiologist and Author of "Active Mom"

Pregnancy fitness advice has changed dramatically over the last few decades, but many parents still receive outdated recommendations rooted more in fear than evidence. After receiving outdated advice ...

27 Touko 40min

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