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.

Episoder(418)

EBB 53 - Reaching Underserved Populations with Education and Doula Support

EBB 53 - Reaching Underserved Populations with Education and Doula Support

In this episode, I interview certified birth doula, postpartum doula, parent educator and breastfeeding counselor Nubia Jones. Nubia is a mother of five, and her journey of supporting women and famili...

21 Nov 201830min

EBB 52 - What role should men play in birth?

EBB 52 - What role should men play in birth?

Lisa Marie Sanchez Oxenham has been a birth worker for over 25 years, serving the last 10 as a licensed midwife. She works full time with her husband, Richard, who is currently pursuing his CPM. They ...

14 Nov 201826min

EBB 51 - How accurate are due dates and what impact do they have?

EBB 51 - How accurate are due dates and what impact do they have?

This week, I discuss the concept of due dates - as well as the free webinar I am hosting soon, the Evidence on Induction at 39 Weeks! I want to provide an overview on this topic so you can be prepped ...

7 Nov 201819min

EBB 50 - How does maternal age affect pregnancy and birth?

EBB 50 - How does maternal age affect pregnancy and birth?

In this podcast we discuss inducing labor in someone who is 35 and older. Over time in the United States, for the past four decades, there has been a dramatic increase in the number of people who are ...

31 Okt 201812min

EBB 49 - What are the birth implications for a suspected big baby?

EBB 49 - What are the birth implications for a suspected big baby?

This week, we talk about the evidence on induction for having a suspected big baby. I discuss the assumptions that lead to high rates of cesarean and induction for big babies, and whether the research...

24 Okt 201820min

EBB 48 - Induction When Your Water Breaks at Term

EBB 48 - Induction When Your Water Breaks at Term

This week, we cover the evidence on inducing labor versus waiting for labor to start on its own, when water has broken before the start of labor. For this podcast, we focus on when water breaks at 37 ...

17 Okt 201833min

EBB 47 -  Creating a Listening Birth Circle with Jenn D'Jamoos

EBB 47 - Creating a Listening Birth Circle with Jenn D'Jamoos

Jenn D'Jamoos is a CAPPA-certified childbirth educator and Evidence Based Birth Instructor, human rights activist and mom of four who lives in Michigan. She founded the Livingston County Birth Circle ...

10 Okt 201833min

EBB 46 - Creating a Supportive Birth Community with Kelsi Kennedy

EBB 46 - Creating a Supportive Birth Community with Kelsi Kennedy

Kelsi Kennedy is a birth doula serving women in the New York City and Westchester, NY area, and is also a grant writer for non-profit called The Birthing Circle in the greater Washington D.C. area. Sh...

3 Okt 201832min

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