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(416)

EBB 369 - What is Mistreatment in Childbirth? with Dr. Morgan Richardson Cayama from Team EBB

EBB 369 - What is Mistreatment in Childbirth? with Dr. Morgan Richardson Cayama from Team EBB

Dr. Morgan Richardson Cayama, public health researcher, doula, and member of Team EBB, joins Dr. Rebecca Dekker to explore the critical issue of mistreatment in maternity care. Drawing from her doctor...

27 Aug 202543min

EBB 368 - Redemptive Cesarean after Planning a Home VBAC with Rikki and Nova Jenkins

EBB 368 - Redemptive Cesarean after Planning a Home VBAC with Rikki and Nova Jenkins

Rikki and Nova Jenkins join Dr. Rebecca Dekker to share the personal and powerful story of their second birth: a planned home VBAC that ultimately led to a hospital transfer. Rikki, Evidence Based Bir...

20 Aug 202555min

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 protoc...

13 Aug 202559min

EBB 1 - Intro to Evidence Based Birth®

EBB 1 - Intro to Evidence Based Birth®

What happens when a nurse finishing up her PhD in evidence-based practice becomes a parent and realizes her own birth care was anything but evidence-based? In this episode, Dr. Rebecca Dekker take us ...

6 Aug 202529min

Special Announcement - August with Team EBB

Special Announcement - August with Team EBB

Welcome to a special announcement episode of the Evidence Based Birth® Podcast! This August, we're celebrating the incredible people who make up Team EBB. Each Wednesday, you'll hear directly from tea...

1 Aug 20254min

REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

REPLAY: EBB 216 - The Evidence on Prenatal Perineal Massage for Preventing Tears in Childbirth with Dr. Rebecca Dekker

Curious if prenatal perineal massage actually works to prevent tears during childbirth? In this episode, Dr. Rebecca Dekker examines the evidence on perineal massage in late pregnancy, separating fact...

30 Jul 202542min

EBB 366 - Practical Ways of Preparing for Postpartum with Sophie Walker, Author and Host of the Australian Birth Stories Podcast

EBB 366 - Practical Ways of Preparing for Postpartum with Sophie Walker, Author and Host of the Australian Birth Stories Podcast

Sophie Walker, host of the Australian Birth Stories podcast and author of The Complete Australian Guide to Pregnancy and Birth and The Complete Guide to Postpartum: A Mother-Focused Companion for Life...

23 Jul 202555min

EBB 365 - Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate

EBB 365 - Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate

Leah Van Dale, former WWE superstar known as Carmella and founder of the women's health platform Snatch, joins Dr. Rebecca Dekker to share her deeply personal story of postpartum recovery after a trau...

16 Jul 202542min

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