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 73 - Learn all about the hospitalist role with Dr. Nicole Rankins

EBB 73 - Learn all about the hospitalist role with Dr. Nicole Rankins

In this episode, I interview Dr. Nicole Rankins about the role of a hospitalist obstetrician, and how families can prepare themselves to have a safe and fulfilling birth in a hospital setting. Nicole ...

10 Huhti 201932min

EBB 72 - Confidence to Face Changing Birth Plans with Heather Hyden and Jimmy Earley.

EBB 72 - Confidence to Face Changing Birth Plans with Heather Hyden and Jimmy Earley.

In this week's podcast, I interview new parents Heather Hyden and Jimmy Earley. They live in Lexington, Kentucky, and were one of the first couples to take the Evidence Based Birth Childbirth Class in...

3 Huhti 201944min

EBB 71 - Birth and Positive Masculinity with Ben Atkinson

EBB 71 - Birth and Positive Masculinity with Ben Atkinson

In this episode, I interview Ben Atkinson. Ben has been married for 20 years, and has four children and one angel baby. He attended all five of his children's births, and caught the last two himself. ...

27 Maalis 201931min

EBB 69 - Facing a difficult birth with knowledge and empowerment

EBB 69 - Facing a difficult birth with knowledge and empowerment

In this episode, I interview Noel and Joel Smothers, missionaries who gave birth to their first child last fall. They currently live in North Carolina but will be heading back to Brazil soon. Noel fel...

13 Maalis 201942min

EBB 68 - Meet Mr. EBB!

EBB 68 - Meet Mr. EBB!

In this episode, I am joined by "Mr. EBB" himself, Dan Dekker! Dan is an Accountant with his MBA, the father of 3 children, and also my husband. He has worked for more than 10 years in small business ...

6 Maalis 201925min

EBB 67 - Hear two special announcements from Evidence Based Birth®

EBB 67 - Hear two special announcements from Evidence Based Birth®

In this episode, I am joined by EBB Professional Membership and Higher Ed Program Coordinator Chanté Perryman. Chanté is a certified birth and postpartum doula, a childbirth educator, an Evidence Base...

27 Helmi 201919min

EBB 66 - Empowering Birth in Underserved Populations with CNM Olivia Favela-Gary

EBB 66 - Empowering Birth in Underserved Populations with CNM Olivia Favela-Gary

In this episode, I interview certified nurse midwife Olivia Favela-Gary. Olivia has been a CNM for over five years, and has been a registered nurse for 10 years. She currently practices in Los Angeles...

20 Helmi 201932min

EBB 65 - Navigating the Hospital Birth System with Midwife Afua Hassan

EBB 65 - Navigating the Hospital Birth System with Midwife Afua Hassan

In this episode, I interview midwife and Evidence Based Birth Professional member Afua Hassan. Afua has practiced as a midwife since 1984. In 2011, she expanded her home birth practice and founded The...

13 Helmi 201934min

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