Today, we are going to explore brand new updates to the Evidence Based Birth® Signature Article, Evidence on: Eating during Labor! We talk about four major topics: 

1. Nutritional needs during labor
2. New info on gestational or pre-gestational diabetes and eating during labor
3. New research on anesthesiology and its relationship to eating and drinking during labor, and
4. Finally, how body mass index and fatphobia relate to anesthesia concerns, and what that has to do with eating during labor.    Content Warning: pregnancy-related death, anesthesia-related death, fatphobia and anesthesia, microaggressions related to health care workers' reaction to ethnic foods   Resources:

• Refer to previous podcast episode: EBB 198 - Evidence on Eating & Drinking (linked on blog post below)
• Check out our Signature Article… Evidence on: Eating and Drinking during Labor at
• Check out our Signature Article... Evidence on: IV Fluids on Labor
• Check out our Signature Article... Evidence on: Diagnosing Gestational Diabetes
• Fat Phobia and It’s Racist Past and Present: https://www.npr.org/transcripts/893006538
• For a full list of scientific references, see the blog post that goes along with this episode

Today, I am so excited to present to you a replay of one of our most popular episodes on the Evidence Based Birth® podcast, and that is an episode from 2020 with special guest, Shafia Monroe. Before we get started with the replay, I wanted to let you know that this episode contains discussion of Black infant and maternal mortality related to racism, slavery and Jim Crow, and racism that continues to affect people’s lives today.   Shafia gave us such an inspirational episode in 2020, that we wanted to bring it back for those of you who are new to EBB, or for those of you who’ve listened to it before. Whenever I listen to this episode, it fills me with a sense of awe for Black traditional midwives, and it gives me hope while it reminds me of the tenacity of the human spirit. So join us today as we replay this episode and you go on a storytelling journey with Mama Shafia Monroe about spirituality and traditional midwives. In today’s podcast episode, we’re going to talk with Shafia Monroe about the role of the traditional midwife.

Shafia Monroe is a public health professional, a midwife, a motivational speaker, founder of the International Center for Traditional Childbearing, or ICTC, which was the first US-based black midwives and doulas professional organization. Shafia is also an author, infant mortality prevention specialist, doula trainer, and president of Doula Ready, LLC. Since 2002, she has trained thousands of people in doula trainings, with one-third of them going on to become midwives. In 2012, Shafia received her Master of Public Health from Walden University. In 2014, she opened Shafia Monroe Consulting, a cultural competency training service. Shafia has received numerous awards for her work, including the Lifetime Achievement Award and the Midwife Hero Award.

In this podcast, Ms. Monroe discusses the history of Black traditional midwifery and incorporating spirituality into birth work. We also talk about Shafia’s experience becoming a traditional Black midwife, along with her passion for advocacy in birth work through her doula program and her community.

**Trigger Content Warning: This podcast episode discusses racism and infant loss.** Resources

• Learn more about Shafia Monroe and SMC Full Circle Doula Birth Companion Training here (https://shafiamonroe.com/).
• Follow Shafia on Instagram and Black Midwife Cooking here (https://www.instagram.com/shafiamonroe/).  
• Follow Shafia on Twitter here (https://twitter.com/Shafia_SMC).
• Follow Shafia on Facebook here (https://www.facebook.com/shafiamonroeconsulting/). 
• Click here (https://evidencebasedbirth.com/birth-justice/) to see the Evidence Based Birth® list of Birth Justice Resources, including research on racism and maternal health.
• More resources are listed on the the blog post at https://www.evidencebasedbirth.com/152  

On today's podcast, we're going to talk with Melek Öz about vaginal birth after Cesarean (VBAC), advocacy, and becoming a home birth midwife!

Content note: Mention of weight loss and racism. Melek Öz (she/her) is a home birth midwife living with her family in South Austin, Texas. She moved to Austin in 2001 to attend the University of Texas, where she completed both her undergraduate studies and law school before transitioning to birth work. Melek has been active in birth advocacy for more than a decade throughout her childbearing years and now as a home birth midwife. With her first pregnancy, Melek was told by her OB that her pelvis was "too small." She was pressured into an early induction that turned into a preventable Cesarean. Fresh out of surgery, Melek's OB told her, "Now that you've had one Cesarean, all your babies will have to be born by Cesarean." In this podcast episode, Melek goes on to share her subsequent birth stories, in which she had a CBAC (Cesarean Birth after Cesarean) under general anesthesia, as well as a vaginal birth after 2 C-sections (VBA2C). Midwifery care helped her have "a really joyous and an incredible experience, and I'm lucky that I had all 3 experiences that I did, because it helped kind of round out and balance my views on birth." Melek went on to pursue a career as a doula and eventually a home birth midwife! In this episode, we talk about the power of midwifery care, unpacking racism/classism and how it affects midwifery students, and how we can advocate for VBAC access in our communities. She also gives great tips for people who are considering a VBAC or thinking about going into midwifery!

Resources:

• Follow Melek Öz on Instagram (@midwifemelek) and visit her website at http://www.midwifemelek.com/
• EBB Podcast #113: The Evidence on VBAC
• EBB Podcast #209: Providing Unbiased VBAC Access and Support with Jen Kamel of VBAC Facts
• Visit the VBAC Facts website: https://vbacfacts.com
• Visit the International Cesarean Awareness Network website https://www.ican-online.org/
• EBB Podcast #224: Failure to Progress (info on racist beliefs about pelvic shapes)
• Tema Mercado teaches workshops on decolonizing apprenticeships at La Matriz Birth (https://www.lamatrizbirth.com/) and @matrizmidwife on Instagram
• Luz de Atabey (https://www.instagram.com/lampatx/) project in Austin focused on accessible perinatal care and support (QTBIPOC-led)
• Kmom passed away in 2019, but her blog, "The Well Rounded Mama," is still maintained by her loving family at https://wellroundedmama.blogspot.com/, where you can find many articles about fat phobia and VBAC.
• EBB Professional Membership (includes scholarship options!) https://evidencebasedbirth.com/membership '
• Non-profit fundraising organization Black Home Birth Matters: https://www.blackhomebirthmattersatx.org/

On today's podcast, we're going to talk with EBB Childbirth Class Parents, Lisa Mangini and Anand Swaminathan about their high-intervention birth story! So many people have negative associations with interventions— but Lisa and Anand's story shows how you can still experience a joyful, empowering birth, even in the midst of complications! Lisa Mangini is a writer living in Central Pennsylvania with her husband, Anand and young son. She teaches English and creative writing at a university and is in the early stages of writing a book about becoming a parent. I think Lisa is the first person I've heard of who found the EBB Childbirth Class through a neurologist! During her first pregnancy (which ended in a miscarriage), Lisa had her first tonic-clonic seizure. Lisa had to dive into a journey to manage her seizure disorder and several other health conditions, all while trying to conceive and then eventually getting pregnant. Lisa and Anand's story is perfect for anyone who is facing a high-risk pregnancy or supporting clients who are high-risk! Lisa talks about dealing with prenatal anxiety, switching hospitals and providers, deciding to hire a doula, and how a calm, experienced midwife can be a huge asset during a high-risk birth situation. Content warning: We mention miscarriage, prenatal anxiety, high levels of medical intervention, seizures, and fear of dying during childbirth

Resources:

• Follow Lisa at @lisaquarius and Lisamangini.com
• Find an EBB Childbirth Class at https://evidencebasedbirth.com/childbirthclass
• EBB Signature Article on doulas at https://evidencebasedbirth.com/doulas
• EBB Podcast episode 175 on the evidence on midwives https://evidencebasedbirth.com/evidence-on-midwives/
• EBB Podcast episode 186 on a high-risk pregnancy with Angela Jones https://evidencebasedbirth.com/a-positive-pregnancy-and-birth-outcome-with-multiple-high-risk-labels-with-ebb-childbirth-class-parent-angela-jones/

On today's podcast, we're going to talk with EBB Childbirth Class Parent, Shelitha Owens about her inspirational home waterbirth story. Shelitha Owens (she/her) is an environmental policy manager who lives in Oaklawn Illinois, a suburb of Chicago with her husband Bobby, their dog, Reeses and their new baby, Alexander, who was born on June 18, 2021. Having a biology background, Shelitha has always been fascinated with anatomy and was curious about pregnancy and birth. After having her son at home with a planned water birth, Shelitha’s interest in birth work skyrocketed as she enjoys talking to new and expecting parents about their birth stories. We talk about how her experience in the EBB Childbirth Class supported her positive mindset related to the stages of labor and birth. She felt confident with the knowledge helping her and her partner prepare for their home waterbirth. Content note: We mention grief, implicit bias/racism, and medical trauma, and there is gendered language related to finding out baby's sex.

Resources:

• Signature Article on Waterbirth: https://evidencebasedbirth.com/waterbirth/
• Research on Racial Disparities and Systemic Racism in Childbirth YouTube Video: https://www.youtube.com/watch?v=vUmqcRCXysM
• EBB Childbirth Class: https://evidencebasedbirth.com/childbirth-class/

In today's episode, hosted by the EBB Research Team, we are sharing the audio from a private livestream we did with our Pro Members at Evidence Based Birth. We talk about three major topics related to updated research evidence on doulas: 1) research on the pandemic's effect on the doula profession around the world, 2) research on the difference between community-based doulas and private or traditional doulas, and 3) new info on paying or getting reimbursement for doula care in the U.S. [NOTE FOR LIBSYN ONLY]: This podcast is also posted on our YouTube channel in case you want to access the video of our team teaching, and a screenshare of some of the evidence we're talking about! As a content note, this episode includes discussion of COVID-19, racism, and how a lack of postpartum coverage is in some cases tied to the same places that have abortion bans. Today's episode is taught by Rebecca Dekker, PhD, RN (she/her), Ihotu Ali, MPH (she/her), and Erin Wilson, MPH (she/her). Dr. Dekker is a nurse with her PhD who is the founder and CEO of EBB. Ihotu is a community-based doula, Maya abdominal massage therapist, doctoral student in chiropractic medicine, director of the Oshun Center for Intercultural Healing, and Research Editor at EBB. Erin is a clinical researcher, doula, childbirth educator, policy advocate, and Research Editor at EBB. Together, we will share with you some research we were compiling about the evidence on doula care!   Content warning: Discussion of the COVID-19 pandemic, racism, and how a lack of postpartum Medicaid coverage is in some cases tied to the same places that are issuing abortion bans.   Resources:

• For a full list of scientific references, see the blog post that goes along with this episode
• Check out our Signature Article... Evidence on: Doulas at https://evidencebasedbirth.com/doulas
• The Sista Midwife Productions Black doula/midwife directory is here: http://www.sistamidwifedirectory.com/
• Go to our YouTube channel to see video versions of all our podcasts! (including PowerPoint presentations when used)
• Check your state's status on whether or not they're funding doulas through Medicaid here: https://healthlaw.org/doulamedicaidproject/#:~:text=Read%20the%20Report-,Current%20State%20Doula%20Medicaid%20Efforts,-The%20National%20Health
• Check your state's status on whether they're expanding Medicaid postpartum here: https://www.kff.org/medicaid/issue-brief/medicaid-postpartum-coverage-extension-tracker/
• Donate or apply for the Hello Seven doula fund for Black families here: https://helloseven.org/
• If you support this work, we encourage you to use your voice and speak up, and to caution against low reimbursement rates and expensive licensure/certification processes that have created barriers to entry in certain states that are actively reimbursing doulas. We at EBB want to see all doulas earn a living wage, regardless of which type of clients they serve (Commonwealth Fund: Issue Brief, 2021).
• Doulas can apply for a National Provider Identification (NPI) number. Here is a guide on how to apply and here is a link to the application through CMS. If you can get an NPI, it will increase your chances of getting paid through insurance/help your clients receive insurance reimbursement.

For more information and news about Evidence Based Birth, visit www.ebbirth.com . Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth  Childbirth Class.

On today's podcast, we're going to talk with the founder of The Pocket Doula, Anna Balagtas, about uplifting queer, and trans-care.  Anna Balagtas (she/siya) is a queer, Pinay full circle birth worker, educator, facilitator, energy worker, and pleasure advocate. Her practice is rooted in the decolonization of birth work, radical QTBIPOC care, and queer reproductive justice, taught to her by king yaa. Anna's deepest joy comes from witnessing her communities thrive through community care, mutual aid, and abolition work.  We talk about how Anna started The Pocket Doula and her journey to decolonized birth work. We also talk about Anna’s experience with radicalizing perinatal care for QTBIPOC communities by creating empowering spaces centered on queer reproductive justice.  Content warning: We mention abortion, the upcoming Supreme Court decision on abortion, queerphobia, transphobia, medical trauma, medical racism, death, miscarriage, and loss. 

Learn more about the founder of The Pocket Doula, Anna Balagtas, here. Follow Anna, The Pocket Doula, on Facebook and Instagram. 

Learn more about Decolonization is for Everyone here.

Learn more about Birthing Beyond the Binary by king yaa here.

Learn more about Cornerstone Birthwork Trainings here.

Learn more about Whole Body Pregnancy here.

Learn more about Birthing Advocacy Doula Trainings here.

Learn more about Gender Affirming Birthwork + All Genders Birth Class by Moss Froom here.

Learn more about king yaa here.

Learn more about Teaching Resistance by John Mink here.

Learn more about The Care We Dream Of: Liberatory and Transformative Approaches to LGBTQ+ Health by Zena Sharman here.

On today's podcast, we're going to talk with the founder of Dandy Doula, Xian Brooks, MPH, about the importance of intersectional birth work and amplifying the need for intersectional birth support for queer, trans, and BIPOC birthing bodies.

Xian Brooks (he/him) is a public health professional from Louisville, Kentucky, where he is a community-based birth doula and a Master of Science in Nursing student. Xian completed his Bachelor's of Science in Public Health Education at North Carolina Central University and his Master's of Public Health in Community and Behavioral Health at the University of Colorado. Over time, Xian has accumulated a lot of experience in queer, trans, non-binary, and gender non-conforming reproductive health education. Xian's training has equipped him to understand the root causes of perinatal death rates among Black individuals, especially how race, gender, sexual orientation, and class are not mutually exclusive when it comes to health disparities. Xian's lived experience recognizes that health disparities are more than just numbers on a page. Xian is currently working towards becoming a nurse-midwife because representation in healthcare is extremely important to Xian. He firmly believes it is necessary to overcome negative health outcomes and revolutionize healthcare.

We talk about what inspired Xian to dive into the work of community and behavioral health as well as his journey as a nurse-midwife. We also discuss what intersectional birth work looks like and the importance to amplify the need to create safe perinatal spaces for queer, trans, and BIPOC birthing bodies. 

Content warning: We mention transphobia, misgendering, deadnaming, racism, police violence, and birth trauma.

RESOURCES:

Learn more about Xian Brooks and The Dandy Doula here. Follow The Dandy Doula on Facebook and Instagram. 

Hoyert DL. Maternal mortality rates in the United States, 2019. NCHS Health E-Stats. 2021. DOI: https://doi.org/10.15620/cdc:103855.

Hunter, L., McMahon, E., Graves, B., Wooten, A., Kriebs, J., Pickett, E., Tanner, T., Garcia, R., Apatov, N., Burkman, R., Hodges, K., & Bright, C. (2019). (rep.). 2019 Demographic Report (p. 1). Linthicum, Maryland: American Midwifery Certification Board.

Loewenberg Weisband, Y., Klebanoff, M., Gallo, M. F., Shoben, A., & Norris, A. H. (2018). Birth outcomes of women using a midwife versus women using a physician for prenatal care. Journal of Midwifery & Women’s Health, 63(4), 399–409. https://doi.org/10.1111/jmwh.12750

Taffe MA, Gilpin NW. Racial inequity in grant funding from the US National Institutes of Health. Elife. 2021;10:e65697. Published 2021 Jan 18. doi:10.7554/eLife.65697. 

Tikkanen, R., Gunja, M. Z., FitzGerald, M., & Zephyrin, L. (2020). Maternal mortality and maternity care in the United States compared to 10 other developed countries. Issue briefs, Commonwealth Fund. 

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with EBB Childbirth Class parent, Mandy Childs and her doula, Dana Patterson, about having an emergency cesarean due to Bandl's ring. 

Mandy Childs (she/her) is a first-time parent to her son who she gave birth to in Greenville, South Carolina in March of 2021. Living now in Lynchburg, Virginia, Mandy is a trained elementary school teacher and currently a program coordinator for a nonprofit called Global Autism Project. Mandy lives with her husband, Ben, their son, Jack, and their dog, Penny. Mandy is also a graduate of the EBB Childbirth Class with EBB Instructor, Dana Patterson.

Dana Patterson (she/her) is an upstate South Carolina native and owner of The Doula Group, which offers birth doula support, postpartum doula support, and childbirth education. Dana has been involved in the upstate birth community for 15 years and has been a doula for eight years. 

We talk about Mandy’s experience taking the EBB Childbirth Class with Dana and what she learned as a first-time parent to apply to her own birth experience. We also talk about what Bandl’s ring is and how it led up to Mandy’s needing an urgent emergency cesarean. 

Content warning: We mention gendered language, grief and loss, perinatal death, cervical dilation check, epidural, uterine rupture, Bandl’s ring, resuscitation of a newborn, the urgency of an emergency cesarean, fear, birth trauma, and labor.

RESOURCES:

Learn more about EBB Instructor and founder of “The Doula Group,” Dana Patterson here.

Learn more about the Bandl's Ring Facebook Group here.

Learn more about  VBAC after Bandl's ring here. 

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

On today's podcast, we're going to talk with board-certified labor nurse and creator of the Birth Nurse, Mandy Irby, about trauma-informed childbirth education.

Mandy Irby (she/her) is a board-certified labor nurse with 13 years of experience, supporting survivors of assault and trauma through pregnancy, birth planning, and at their bedside during childbirth and pregnancy loss. After her own birth trauma, Mandy quickly learned that the birth care system is not centered on human rights, patient choice, and the individual experience.

In 2020, Mandy made education her full-time career as she now teaches and supports parents and nurses on how to improve centering one’s voice, choice, and physiology in birth. It's Mandy's mission to change the birth culture so that it's parent-centered, trauma-informed, and safe for all. 

Content warning: We will mention birth trauma, childbirth, assault, obstetric violence, fear-mongering, and perinatal loss.

RESOURCES:

Learn more about The Birth Nurse Founder, Mandy Irby, here.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.