EBB 367 - Early AROM and High-Dose Pitocin with all Inductions? Breaking Down the Latest Induction Trends with Jennifer Anderson, RN, Doula, and EBB Instructor

EBB 367 - Early AROM and High-Dose Pitocin with all Inductions? Breaking Down the Latest Induction Trends with Jennifer Anderson, RN, Doula, and EBB Instructor

Jennifer Anderson, RN, experienced doula, Evidence Based Birth® Instructor, and member of Team EBB, returns to the podcast to join Dr. Rebecca Dekker in unpacking a new trend in labor induction protocols—starting Pitocin at higher doses and incorporating early artificial rupture of membranes (AROM). Drawing from her work with high-risk clients and firsthand experience inside hospital systems, Jennifer highlights how policies aimed at "optimizing" labor often prioritize speed over patient-centered care. Together, they examine what's in these new induction bundles, the evidence behind faster-moving protocols like dual-method cervical ripening and 4x4 Pitocin, and the importance of informed decision-making at every stage. (04:10) A Client Story That Sparked Concern Over High-Dose Pitocin
(07:27) What "2x2" vs. "4x4" Pitocin Protocols Mean
(09:41) Hospital Protocols: What the Nurse Can (and Can't) Do
(12:25) Inside the New Induction Policy: What's Changing and Why
(18:40) Balloon Checks, Membrane Sweeps, and Patient Comfort
(23:43) "Timely AROM" and the Push for Early Artificial Rupture of Membranes
(30:54) Does Early AROM Shorten Labor Without Increasing Infection?
(45:19) Alternatives to Shorten Labor Without Breaking the Water
(52:04) Why a "Failed Induction" Policy Can Prevent Unnecessary Cesareans
(55:43) How to Push Back on High-Dose Pitocin or Early AROM Resources Explore Jen's work: birthfusion.com | @birthfusion Take the Evidence Based Birth® Childbirth Class: ebbirth.com/childbirth-class/ Watch the EBB Crash Course on YouTube here Get the EBB Labor Induction Pocket Guide here EBB Failure to Progress Resource Page: ebbirth.com/failuretoprogress EBB 155 – Pelvic Floor Health in Pregnancy and Postpartum with Dr. Juan Michelle Martin EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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 392 - Enduring a 54-Hour Long Induction for Preeclampsia with Paige Wener and Kevin Booth, Graduates of the EBB Childbirth Class

EBB 392 - Enduring a 54-Hour Long Induction for Preeclampsia with Paige Wener and Kevin Booth, Graduates of the EBB Childbirth Class

EBB Childbirth Class Graduates Paige Wener and Kevin Booth hoped for a low-intervention water birth at their midwife-led birth center in rural Vermont. But at 38 weeks and 6 days, a routine prenatal v...

25 Maalis 1h 2min

EBB 391 - Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book

EBB 391 - Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book

Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN ...

18 Maalis 54min

EBB 390 -  Simple but Effective Communication Techniques for Hospital Birth with Dr. Amber Weiseth, DNP, RNC-OB of Ariadne Labs and TeamBirth

EBB 390 - Simple but Effective Communication Techniques for Hospital Birth with Dr. Amber Weiseth, DNP, RNC-OB of Ariadne Labs and TeamBirth

In this episode, we explore how the traditional "game of telephone" model in hospitals can leave birthing people out of critical decisions about their own care and what happens when we redesign the sy...

11 Maalis 46min

EBB 389 - The Global Impact of Midwifery with Stephanie Marriott, Midwife Advisor for the International Confederation of Midwives

EBB 389 - The Global Impact of Midwifery with Stephanie Marriott, Midwife Advisor for the International Confederation of Midwives

Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of t...

4 Maalis 46min

EBB 388 - Updated Evidence on Induction for Gestational Diabetes

EBB 388 - Updated Evidence on Induction for Gestational Diabetes

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of...

25 Helmi 43min

EBB 387 - Doulas in the Operating Room, Risk of Repeating a Severe Tear, and White Coat Hypertension in Pregnancy with the EBB Research Team

EBB 387 - Doulas in the Operating Room, Risk of Repeating a Severe Tear, and White Coat Hypertension in Pregnancy with the EBB Research Team

In this episode, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of expe...

18 Helmi 33min

EBB 386 - A Peaceful yet Urgent Cesarean Birth Story with Krista DeYoung, EBB Childbirth Class Graduate and Placental Abruption Survivor

EBB 386 - A Peaceful yet Urgent Cesarean Birth Story with Krista DeYoung, EBB Childbirth Class Graduate and Placental Abruption Survivor

In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparin...

11 Helmi 52min

REPLAY: EBB 118 - How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin

REPLAY: EBB 118 - How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin

In one of the most popular podcast episodes ever published by Evidence Based Birth®, Dr. Rebecca Dekker sits down with Dr. Alyssa Berlin, a clinical psychologist specializing in pregnancy, postpartum,...

4 Helmi 37min

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