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.

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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

EBB 9 - Epidural during Labor for Pain Management

EBB 9 - Epidural during Labor for Pain Management

How often epidurals during labor are used, and the difference between epidurals, spinals, and combined spinal epidurals (CSEs). The benefits of epidurals, spinals, and CSEs. The potential risks and si...

31 Jan 201842min

EBB 8 - Overview of pain management during labor

EBB 8 - Overview of pain management during labor

The difference between "pain" and "suffering". The two different approaches in pain management during labor and birth—"pain relief" versus "working with pain". Types of pain management strategies Vi...

24 Jan 201811min

EBB 58 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

EBB 58 - Using Knowledge to Navigate Birth with New Parents Annamarie and Drew

In this episode, I interview AnnaMarie and Drew Stoudenmire of Greenville, South Carolina. They are parents to Otto - their first baby - who at the time of recording was only seven weeks old. AnnaMari...

23 Jan 201827min

EBB 7: Evidence on placenta encapsulation

EBB 7: Evidence on placenta encapsulation

Frequently marketed claims about placenta encapsulation How many experimental trials have ever been done with placenta encapsulation Results from the newest randomized, placebo-controlled trial on pla...

12 Jan 20188min

EBB 5: Evidence on prenatal vaginal exams

EBB 5: Evidence on prenatal vaginal exams

The results from the two randomized trials on cervical checks at the end of pregnancy. The potential benefits and potential harms of prenatal cervical checks. How to handle a situation if your doctor ...

12 Jan 20189min

EBB 4:  Waterbirth and the newborn microbiome

EBB 4: Waterbirth and the newborn microbiome

How much research do we have on the microbiome and waterbirth? What does "normal flora" mean, and why is it important? What does the existing research say about waterbirth and the bacteria on a baby's...

12 Jan 20185min

EBB 3:  Why Is It So Hard to Get Evidence Based Care?

EBB 3: Why Is It So Hard to Get Evidence Based Care?

In this episode of the Evidence Based Birth® podcast, Rebecca Dekker, PhD, RN, talks about why it's so difficult to find evidence based care. To find out if there's a Savvy Birth Workshop near you, vi...

12 Jan 201814min

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