EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER
Evidence Based Birth®2 Apr 2025

EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore:
  • The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates?
  • Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say?
  • Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope?
(02:30) How to Join the EBB Pro Membership & Submit Questions (04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early labor vs. active labor? (06:50) Key studies on peanut ball use—impact on labor duration, mode of birth, and satisfaction (13:30) (Q2) Induction at 39 Weeks for IVF Pregnancies (16:40) SMFM recommendations, lack of randomized trials, and shared decision-making in IVF pregnancies (20:00) (Q3) Dysphoric Milk Ejection Reflex (D-MER) (22:45) Hormonal theories behind D-MER, coping strategies, and available research (30:00) Recap & How to Find More Evidence-Based Resources For the full list of references and resources, visit the EBB website here! 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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