Evidence Based Birth®19 Mars 2025

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, particularly for families navigating new healthcare systems. Join Dr. Dekker and Madi as she shares insights into the Dutch maternity care system, where midwives play a central role, home birth is considered a national heritage, and postpartum families receive in-home support through the Kraamzorg system. We explore how Dutch birth culture prioritizes physiological birth, minimizes unnecessary interventions, and encourages parents to trust in their bodies. Madi also highlights the challenges faced by immigrant families and the importance of informed decision-making, regardless of where you give birth. (00:03:16) Overview of the Dutch Maternity Care System: Midwife-Led Model (00:05:52) Home Birth as National Heritage: Dutch Birth Culture & Trends (00:06:54) Role of Doulas in the Netherlands & Their Place in the System (00:10:33) Dutch Approach to Birth Interventions & Cesarean Rates (00:12:46) Pain Management Options: Non-Medicated Comfort Measures First (00:16:18) Early Hospital Discharge & the Kraamzorg Postpartum Care System (00:20:01) Dutch Parental Leave Policies & Family-Friendly Work Culture (00:22:54) Challenges in the System: Protocols, Immigration, & Language Barriers (00:28:47) Lessons from the Dutch Birth Model: Autonomy, Education & Low-Intervention Birth (00:31:08) Madi's Advice for Expecting Parents & Birth Professionals Resources

Learn more about Madi van Tonder and her work at Meraki Madi.

For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! 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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REPLAY: EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families. In this replay episode, Dr. Rebecca Dekker sits ...

26 Aug 41min

EBB 408 - "What They Didn't Tell Me about Birth and Parenthood" with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Ve...

19 Aug 37min

EBB 407 - Migraines and Insulin and Umbilical Vein Varix, Oh My! An Empowering Pregnancy and Hospital Birth Story with Heidi Gustad, Librarian and EBB Childbirth Class Graduate

After years of hearing traumatic birth stories and questioning whether parenthood was right for her, Heidi Gustad entered pregnancy determined to make informed decisions every step of the way. When sh...

12 Aug 45min

EBB 406 - Critical Info Every Expecting Family Should Know about Cytomegalovirus (CMV) with Megan Nix, Author of Remedies for Sorrow

Congenital cytomegalovirus (CMV) is the leading infectious cause of congenital disorders in the United States, but many pregnant families have never heard of it. In this episode, Dr. Dekker is joined ...

5 Aug 48min

REPLAY: EBB 267 - Debunking Myths about Fundal Massage with Barbie Christianson, RN

Fundal massage, also known as uterine massage, is often performed as a routine procedure after birth, but research shows it does little to prevent postpartum hemorrhage and can be painful for many. On...

29 Juli 56min

EBB 405 - Navigating Unexpected Turns in Pregnancy, Birth, and Postpartum with Emily Cook, EBB Childbirth Class Graduate and Preeclampsia Survivor

Emily Cook hoped for a low-intervention birth. But after managing high blood pressure throughout her pregnancy, her plans changed when she was diagnosed with preeclampsia late in her third trimester. ...

22 Juli 54min

EBB 404 - Mini Q&A about Average Time Spent Pushing, Precipitous Labor, and Okra Water During the Third Trimester

How long does the pushing phase of labor typically last? Does precipitous labor run in families? And can drinking okra water actually make labor and birth easier? In this Q&A episode, Dr. Rebecca Dekk...

15 Juli 23min

EBB 403 - Why Is My Hospital's Cesarean Rate So High (or Low)? with Dr. Emily White VanGompel, Family Medicine Physician and Research Scientist

Even when caring for similar patient populations, some hospitals have significantly higher Cesarean rates than others, and factors like teamwork, psychological safety, leadership, staffing, and belief...

8 Juli 58min