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 374 - Educating the Public about Stillbirth Prevention with Ingrid Haas, Director of the Short Film "PUSH"

EBB 374 - Educating the Public about Stillbirth Prevention with Ingrid Haas, Director of the Short Film "PUSH"

Filmmaker Ingrid Haas is the writer and director of PUSH, a short film created in partnership with PUSH for Empowered Pregnancy to raise awareness about stillbirth prevention. In this episode, Ingrid ...

15 Loka 202533min

Signature Training Announcement - Unpacking New Research on Big Babies

Signature Training Announcement - Unpacking New Research on Big Babies

What does the newest research on Big Babies say? We'll be unpacking it all during our live 90-minute Signature Training + Q & A on Wednesday, October 15 at 7 PM EDT, exclusively for EBB Pro Members. I...

13 Loka 20252min

EBB 2 - What is Evidence Based Care?

EBB 2 - What is Evidence Based Care?

Evidence based care is a term you hear often in medicine, but what does it really mean—especially when it comes to pregnancy and birth? In this episode, Dr. Rebecca Dekker takes you inside the foundat...

8 Loka 202532min

EBB 373 - How to Confront Tokophobia and Clear Fears about Childbirth with Alexia Leachman, Author and Podcast Host of "Fear Free Childbirth"

EBB 373 - How to Confront Tokophobia and Clear Fears about Childbirth with Alexia Leachman, Author and Podcast Host of "Fear Free Childbirth"

For some, the thought of pregnancy and birth fills them with a visceral panic they can't explain. In this episode, Dr. Rebecca Dekker's talking tokophobia—the fear of pregnancy and birth—with Alexia L...

1 Loka 202552min

EBB 372 - Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates

EBB 372 - Comfort Measures and a 41-Week Induction with Hopey Fink and Ben Levin, EBB Childbirth Class Graduates

At 41 weeks, Hopey Fink and Ben Levin's birth plans shifted after elevated blood pressure readings led to an induction conversation. But, with the support of their doula, care team, and each other, th...

24 Syys 202546min

REPLAY: EBB 283 - How Colonialism, Environmental Instability, & Politics Impact Birth in Puerto Rico with EBB Instructors, Tania Silva Meléndez and Tamara Trinidad González, CPM

REPLAY: EBB 283 - How Colonialism, Environmental Instability, & Politics Impact Birth in Puerto Rico with EBB Instructors, Tania Silva Meléndez and Tamara Trinidad González, CPM

In today's episode, I'm revisiting a deeply important conversation with Tania Silva Meléndez and Tamara Trinidad González, two inspiring birth workers and Evidence Based Birth® Instructors based in Pu...

17 Syys 202556min

EBB 371 - Reclaiming Black Midwifery in the South with Dr. Nikia Grayson, Chief Clinical Officer of CHOICES in Memphis

EBB 371 - Reclaiming Black Midwifery in the South with Dr. Nikia Grayson, Chief Clinical Officer of CHOICES in Memphis

Dr. Nikia Grayson, nurse midwife, family nurse practitioner, and anthropologist, joins us to share how she's helping reclaim and restore Black midwifery in the South. As Chief Clinical Officer at CHOI...

10 Syys 202540min

EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes

EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes

Gestational diabetes (GDM) is one of the most common health issues during pregnancy, and diagnosing it is more complicated than you might think. In this episode, Dr. Dekker is joined by EBB Research T...

3 Syys 202556min

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