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 22 - Rise of Home Birth in the U.S.

EBB 22 - Rise of Home Birth in the U.S.

Recently, rates of home birth have nearly doubled in the U.S., from 0.56% to 1% today. Where is this increase in home birth coming from? How many women desire home birth, and why are they interested i...

18 Huhti 201813min

EBB 21 - Doula

EBB 21 - Doula

What a birth doula is and how a doula provides pain relief during childbirth. What the evidence shows about using a doula for pain relief. If continuous support from a doula is more effective for impr...

11 Huhti 201812min

EBB 20 - Water immersion

EBB 20 - Water immersion

What hydrotherapy is and how often it is used for pain relief during labor and birth. What studies have found about the effectiveness of water immersion during labor for pain relief. What several prof...

4 Huhti 201813min

EBB 19 -  Childbirth Class

EBB 19 - Childbirth Class

Learn from the comfort of your own home Flexibility of online learning + Support of in-person connections Watch online videos of Dr. Rebecca Dekker and other professionals Learn directly from an expe...

28 Maalis 201818min

EBB 18 - Painless Birth

EBB 18 - Painless Birth

If research evidence tells us how often painless birth occurs. How labor pain can be interpreted as positive or negative. How pain perception can be influenced by state of mind, environmental stress, ...

21 Maalis 201815min

EBB 17 - The Evidence on: Birthing Positions

EBB 17 - The Evidence on: Birthing Positions

How could upright birthing positions benefit mothers and babies? How common are upright birthing positions? For people without epidurals, which birthing positions are best supported by evidence? For p...

14 Maalis 201817min

EBB 16 - Movement and Positions

EBB 16 - Movement and Positions

Why researchers think that upright positions during labor may benefit normal, physiologic childbirth. What studies have found about the effectiveness of movement and upright positions during labor for...

12 Maalis 201812min

EBB 15 - Nitrous oxide

EBB 15 - Nitrous oxide

What nitrous oxide gas is and how it is used during labor for pain relief. What studies have found about the safety and effectiveness of nitrous oxide during labor. The potential pros and cons of usin...

7 Maalis 201813min

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