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 341 - 2024 Year-in-Review and Sneak Peek of 2025!

EBB 341 - 2024 Year-in-Review and Sneak Peek of 2025!

Happy New Year! Join Dr. Rebecca Dekker and EBB research fellows Morgan Richardson Cayama and Sara Ailshire as they celebrate the evidence from 2024. From updating key research on waterbirth, doulas, ...

1 Tammi 202556min

EBB 340 - Emetophobia in Pregnancy and an Inspiring Home Birth Story with Kat Sullivan and Ben Winston, EBB Childbirth Class Graduates

EBB 340 - Emetophobia in Pregnancy and an Inspiring Home Birth Story with Kat Sullivan and Ben Winston, EBB Childbirth Class Graduates

Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emet...

18 Joulu 202437min

EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team

EBB 339 - Q & A on the ARRIVE Trial with the EBB Research Team

Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversia...

11 Joulu 202445min

EBB 338 - What is Respectful Maternity Care? with Dr. Jessica Brumley, CNM, PhD, and President of the American College of Nurse Midwives

EBB 338 - What is Respectful Maternity Care? with Dr. Jessica Brumley, CNM, PhD, and President of the American College of Nurse Midwives

Dr. Jessica Brumley, a Certified Nurse Midwife and President of the American College of Nurse Midwives, joins Dr. Dekker to explore the transformative impact of respectful maternity care. Dr. Brumley ...

4 Joulu 202447min

EBB 337 - Getting through a Long Labor Induction without Pain Medication with Camden Crane Wachowiak, Fitness Instructor and EBB Childbirth Class Graduate

EBB 337 - Getting through a Long Labor Induction without Pain Medication with Camden Crane Wachowiak, Fitness Instructor and EBB Childbirth Class Graduate

In this episode, I'm joined by Camden Crane Wachowiak—a health coach, EBB Childbirth Class graduate, and new mom—who shares her high-risk pregnancy and birth journey. Camden walks us through her induc...

27 Marras 202447min

EBB 336 - Team EBB's Top Tips for Bringing Your Baby Home from the Hospital

EBB 336 - Team EBB's Top Tips for Bringing Your Baby Home from the Hospital

Team EBB's Chanté Perryman, Rikki Jenkins and Sara Ailshire are taking over the podcast to share their tips for transitioning home from the hospital and supporting new parents postpartum! Rikki, a sea...

20 Marras 202459min

EBB 335 - Evidence on Newborn Baths and Screening for Low Blood Sugars

EBB 335 - Evidence on Newborn Baths and Screening for Low Blood Sugars

We're celebrating the upcoming release of the brand new Pocket Guide to Newborn Procedures! Join us as Dr. Dekker explores essential aspects of newborn care: the evidence on 1) pain management during ...

13 Marras 202445min

EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks

EBB 334 - Evidence on the ARRIVE Trial and Elective Induction at 39 Weeks

Join Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama as we explore the ARRIVE Trial and its impact on elective induction at 39 weeks. Together, we'll break down what elective induc...

30 Loka 202453min

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