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(417)

EBB 352 - Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist

EBB 352 - Calming Breathing Techniques for Pregnancy with Dr. Shilpa Babbar, Obstetrician and Maternal Fetal Medicine Specialist

Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar sha...

26 Mar 202544min

EBB 351 -"Home Birth is a National Heritage!" and other Surprising Features of the Dutch Healthcare System with Doula Madi van Tonder

EBB 351 -"Home Birth is a National Heritage!" and other Surprising Features of the Dutch Healthcare System with Doula Madi van Tonder

Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work,...

19 Mar 202532min

EBB 350 - Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate

EBB 350 - Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate

EBB Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, a...

12 Mar 202558min

EBB 349 - An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama

EBB 349 - An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama

In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing ...

5 Mar 202546min

EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth

EBB 348 - Best Practices for Size-Inclusive Birth Care with Jen McLellan of Plus Size Birth

Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodi...

26 Feb 202556min

EBB 347 - Updated Evidence on Vitamin K

EBB 347 - Updated Evidence on Vitamin K

In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lea...

19 Feb 202546min

EBB 346 - Uncovering the Facts about Private Cord Blood Banking with Journalist Sarah Kliff

EBB 346 - Uncovering the Facts about Private Cord Blood Banking with Journalist Sarah Kliff

In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised ...

12 Feb 202548min

EBB 345 - Taking the First Steps toward Trauma-Informed Lactation Care with Porsche Holland-Otunba, Founder of Reclaim Black Motherhood

EBB 345 - Taking the First Steps toward Trauma-Informed Lactation Care with Porsche Holland-Otunba, Founder of Reclaim Black Motherhood

Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth ex...

5 Feb 202549min

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