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 35 - Music

EBB 35 - Music

In this podcast, we look at the evidence for listening to music during labor. Does it help with pain relief? What is the best music for relaxation? To learn more about the EBB Professional Membership,...

18 Jul 201813min

EBB 34 - Massage

EBB 34 - Massage

We discuss the evidence on using massage for pain relief during labor and for pain in general. What benefits does massage provide? What types of massage might be helpful during labor? To learn more ab...

11 Jul 201816min

EBB 33- What's next for EBB

EBB 33- What's next for EBB

In this podcast, Rebecca gives you a sneak peek into what's coming for Evidence Based Birth® in the second half of 2018 and early 2019! Learn about the Signature Articles we're creating, the workshops...

3 Jul 201813min

EBB 32 - About EBB Signature Articles

EBB 32 - About EBB Signature Articles

In this podcast, Rebecca shares how the Evidence Based Birth® Signature Articles are created, and some important updates that were made to the Group B Strep and Erythromycin Eye Ointment article. Reso...

27 Jun 201822min

EBB 31 - Hypnosis

EBB 31 - Hypnosis

What hypnosis is and how hypnotherapy might work to provide pain relief during labor? Whether people who have used hypnosis during childbirth found it to be beneficial? What the evidence from randomiz...

20 Jun 201826min

EBB 30 - Fetal Monitoring

EBB 30 - Fetal Monitoring

Did you know there are different ways to monitor the baby's heartbeat during labor and birth? Continuous electronic fetal monitoring (EFM) is common but not without its drawbacks. We discuss the pros ...

13 Jun 201826min

EBB 29 - Sterile Water Injections

EBB 29 - Sterile Water Injections

In today's podcast, we'll learn what sterile water injections are and how they might help to provide pain relief during labor. We'll discuss the evidence on their effectiveness and the latest clinical...

6 Jun 201814min

EBB 28 - Childbirth Education

EBB 28 - Childbirth Education

This podcast covers the evidence on childbirth education for pain relief during labor. How many people take childbirth classes and what material do they cover? We discuss the challenges of studying ch...

30 Mai 201818min

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