EBB 317 - Evidence on Epidurals for Pain Management during Labor

EBB 317 - Evidence on Epidurals for Pain Management during Labor

Have you ever wondered what the evidence is on epidurals for pain management during labor? Join us on today's podcast as we discuss most recent evidence on epidurals, spinals, and combined spinal-epidurals! We'll begin with some background on these methods, including how common they are in the U.S. and around the world, before moving on to the effectiveness, benefits, and risks for use during labor. We'll also talk about alternative methods of pain relief during labor, and share recommendations from professional healthcare organizations. [Bonus addition to the podcast at 20:00: We talk about the study on epidurals out of Scotland [Kearns et al. 2024] that is generating lots of news headlines!] Join us to learn more about pain relief options during labor! Content Note: Topics related to epidural use, how they're provided (including needles and catheters), and the benefits and risks of this intervention. Discussion of assisted vaginal delivery (forceps and vacuum deliveries), severe maternal complications, surgery, perineal tears, and postpartum depression. 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.

Episoder(417)

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 Mar 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 Mar 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 Mar 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 Mar 201813min

EBB 14 - Injectable Opioids

EBB 14 - Injectable Opioids

Which IV opioids during labor are most commonly used. What studies have found about the safety and effectiveness of IV opioids during labor. The potential pros and cons of using IV opioids during labo...

28 Feb 20189min

EBB 13 - Epidurals and 2nd stage

EBB 13 - Epidurals and 2nd stage

How epidurals could potentially slow the pushing phase of labor. What randomized, controlled trials and large observational studies have found about the effects of epidurals on the second stage of lab...

21 Feb 20188min

EBB 12 - Epidurals and Breastfeeding

EBB 12 - Epidurals and Breastfeeding

How epidurals and spinals could potentially harm breastfeeding success. If the relationship between epidurals during labor and breastfeeding success has been studied—and what they found! Visit our of...

14 Feb 201811min

EBB 10 - ARRIVE study

EBB 10 - ARRIVE study

This podcast is all about the ARRIVE study, a Randomized Trial of Induction versus Expectant Management, was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Developme...

5 Feb 201825min

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