EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor
Evidence Based Birth®24 Heinä 2024

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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Special Announcement - August with Team EBB

Special Announcement - August with Team EBB

Welcome to a special announcement episode of the Evidence Based Birth® Podcast! This August, we're celebrating the incredible people who make up Team EBB. Each Wednesday, you'll hear directly from tea...

1 Elo 20254min

REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact...

30 Heinä 202542min

EBB 366 - Practical Ways of Preparing for Postpartum with Sophie Walker, Author and Host of the Australian Birth Stories Podcast

EBB 366 - Practical Ways of Preparing for Postpartum with Sophie Walker, Author and Host of the Australian Birth Stories Podcast

Sophie Walker, host of the Australian Birth Stories podcast and author of The Complete Australian Guide to Pregnancy and Birth and The Complete Guide to Postpartum: A Mother-Focused Companion for Life...

23 Heinä 202555min

EBB 365 - Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate

EBB 365 - Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate

Leah Van Dale, former WWE superstar known as Carmella and founder of the women's health platform Snatch, joins Dr. Rebecca Dekker to share her deeply personal story of postpartum recovery after a trau...

16 Heinä 202542min

EBB 364 - How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife

EBB 364 - How to Prevent and Heal Birthworker Burnout with Doctoral Student Ihotu Ali and Grace Flannery, Certified Professional Midwife

Licensed community midwife Grace Flannery and doctoral student Ihotu Ali, founder of the Oshun Center for Intercultural Healing, join Dr. Rebecca Dekker for a moving conversation about burnout, bounda...

9 Heinä 20251h 6min

EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM

EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM

From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care. In this episode, Dr. Reb...

2 Heinä 202555min

EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together

EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together

Carson Meyer, doula, certified nutrition consultant, and author of Growing Together, joins Dr. Rebecca Dekker for a conversation about reclaiming the sacred, intuitive, and evidence-based aspects of p...

25 Kesä 202542min

REPLAY: EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum

REPLAY: EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum

Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresse...

11 Kesä 202525min

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