Evidence Based Birth®

On today's episode, we celebrate our 200th episode on the Evidence Based Birth®podcast, where Ihotu Ali, EBB Research Associate, will be talking with our founder, Rebecca Dekker, about solidarity in birth work.

In this episode, Ihotu asks Rebecca about her cultural upbringing, and Rebecca reflects candidly on racism and cultural differences she witnessed as a child growing up in the suburbs of Memphis, Tennessee. We also explore the harmful impacts of white privilege and white supremacy on birth and reproductive justice work, as well as oppressive agendas that harm communities of color and other marginalized communities.

Ihotu and Rebecca also talk about solutions such as doing inner work, educating yourself, understanding your ancestry, creating solidarity with those from other cultural groups, protecting Black women and girls (vs. being a savior), and being aware of how your actions and words may have harmed people from marginalized groups.

Content warning: We mention racism, white supremacy culture (including aspects of anti-black white supremacy), the uprisings in Minneapolis, the murder of George Floyd, racialized violence against Black communities.

RESOURCES:

Listen to EBB 143 - "Birthing in a World with Reproductive Justice" here.

Listen to EBB 199 - " Writing about Racism's Effects on Pregnancy and Birth Outcomes" here.

Learn more about "Readings For Diversity And Social Justice" by Maurianne Adams, Warren Blumenfeld, Carmelita Rosie Castaneda, Heather Hackman, Madeline Peters, and Ximena Zuniga here.

Learn more about Minnesota Healing Justice Network here.

Learn more about the Oshun Center for Intercultural Healing here.

Learn more about Ijeoma Oluo here and "So You Want To Talk About Race" here.

Learn more about Ibram X. Kendi's "So You Want To Be Antiracist" here.

Learn more about Tema Okun's "Aspects of White Supremacy Culture" here.

Learn more about Dr. Sayida Peprah 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 Ihotu Ali, MPH, who is writing about research on the effects of racism on pregnancy and birth outcomes.

Ihotu ("love" in the Idoma language) (she/her) is a prenatal and Maya Abdominal massage therapist with a Master's in Public Health, and a doctoral student in Chiropractic Medicine. Ihotu is the granddaughter of a traditional Nigerian Chief, of Polish-Irish farmers, is a graduate of Columbia University. Ihoutu also conducted maternal health research with the United Nations before becoming a doula in 2011.

Fascinated by the connections between western and traditional medicine, Ihotu spent a decade studying Afro-Indigenous and global cultural practices for childbirth, ancestral, and womb healing, which she is now alongside medical training in chiropractic care and the neuroscience of spirituality and meditation. Ihotu is the co-founder of the Minnesota Healing Justice Network, featured in Rolling Stone Magazine for their focus on rest for residents and healers through the 2020 Uprising. In response to burnout among healers, Ihotu formed the Oshun Center for Intercultural Healing - an interracial collective offering support to apprentices, as well as public courses on decolonizing and democratizing medicine and small business. Ihotu teaches on cultural birth and bodywork, appropriation, racism in health care, allyship, and economic justice tools like the sliding scale fee.

In this podcast episode, we talk about Ihotu's shift towards researching the effects of racism on pregnancy and birth outcomes. We also talk about how Ihotu practices self-care as a researcher of heavy topics, and the scope of our upcoming EBB Signature Article which will cover the history of racism and the evidence on racism's effects on preterm births, low birth weight, and perinatal mortality.

Content Warning: We mention racism, preterm birth, police violence, COVID-19, maternal-infant death, and other adverse health outcomes.

RESOURCES:

Learn more about Ihotu Ali here and The Oshun Center here.

Learn more about the Minnesota Healing Justice Network here. Follow the Minnesota Healing Justice Network on Facebook and Instagram. Listen to EBB 143, "Birthing in a World with Reproductive Justice" here.

Learn more about Ancient Song here. Follow Ancient Song on Instagram and Facebook.

Learn more about Dr. Rachel Hardeman and the Roots Community Birth Center here. Learn more about Dr. Hardeman's research here. Read Dr. Hardeman's Stolen Breaths here.

Learn more about Dr. Sayida Peprah here.

Learn more about Black Mamas Matter Alliance here.

Learn more about the Momnibus Act bill here.

Learn more about the Medicaid Postpartum Expansion here. Listen to EBB 187 with Dr. McLemore and Dr. Taylor here.

Learn more about Jennie Joseph here. Learn more about Commonsense Childbirth here. Learn about "The JJ Way: Community-Based Maternity Center Evaluation Report" here. Listen to EBB 136 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 episode, we're going to take a deep dive into the research evidence on eating and drinking during labor! In this episode, I talk about the history of anesthesia and food and oral fluids during labor— starting in the 1940s and moving forward to current times. I also talk about Nothing by Mouth (NPO) policies in hospitals, and discuss how researchers have reframed the topic for birthing people today as one of bodily choice. I also talk about whether or not people should be able to eat once they experience medical interventions such as an epidural (because many hospitals around the world still forbid food once you have an epidural!) Content warning: In this episode, I talk about maternal death and labor complications.

RESOURCES:

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 episode, we have EBB podcast coordinator, Mystique Hargrove, talking with the co-founders of the Perinatal Mental Health Alliance for People of Color, Divya Kumar, Jabina Coleman, and Desirée Israel.

Divya Kumar (she/her) is a psychotherapist for And Still We Rise, LLC, and a licensed certified social worker. Ms. Kumar is also a certified lactation counselor and holds a certification in perinatal mental health from Postpartum Support International. Ms. Kumar specializes in perinatal mental health for BIPOC individuals, people who identify as first and, second-generation immigrants, and people who have experienced trauma as they navigate the transition to parenthood.

Jabina Coleman (she/her) is a "United States Breastfeeding Committee Cultural Change Maker" awardee and a dynamic regional speaker. Jabina is a licensed social worker, an International Board Certified Lactation Consultant, and is the creator of "Everyone Wants to Hold the Baby, Who Will Hold the Mother?" a call to action highlighting the lack of support Black birthing people are receiving before, during, and after pregnancy, as well as to educate birth workers, families, and communities on the importance of advocacy for equitable and safe perinatal health practices.

Desirée Israel (she/her) is a licensed clinical social worker, reproductive psychotherapist, herbalist, certified breastfeeding specialist, and trained birth worker specializing in perinatal mental health, reproductive justice, and the Black birthing experience. She is devoted to the liberation of ALL Black families of the Diaspora by using African-centered modalities and rituals to achieve holistic wellness. Additionally, Desirée is a co-founder of the Bloom Collective, a liberation-focused reproductive justice space serving Baltimore City.

They talk about how they co-created the Perinatal Mental Health Alliance for People of Color through their experience of seeing the lack of people of color in the perinatal mental health profession. They also talk about emphasizing the needs of communities of color regarding postpartum wellness.

Content warning: They will talk about postpartum depression, postpartum mental health, perinatal mortality, and morbidity.

RESOURCES:

Learn more about the Perinatal Mental Health Alliance for People of Color (PMHAPOC) here (https://linktr.ee/pmhapoc). Follow PMHAPOC on Facebook (https://www.facebook.com/pmhapoc/) and Instagram (https://www.instagram.com/pmhapoc).

Learn more about Divya Kumar here (http://www.divyakumar.org/). Follow Divya on Instagram (https://www.instagram.com/bothbrownand_).

Learn more about Jabina Coleman and The Lactation Therapist here (https://www.thelactationtherapist.com/). Follow The Lactation Therapist on Instagram (https://www.instagram.com/thelactationtherapist).

Learn more about Desirée Israel and The Bloom Collective here (https://www.motherlandco.com/). Follow The Bloom Collective on Instagram (https://www.instagram.com/bloominbaltimore).

Learn more about Postpartum Support International (PSI) here (https://www.postpartum.net/).

Learn more about The Ellen Story Commission on Postpartum Depression here (https://www.mass.gov/doc/ellen-story-commission-on-postpartum-depression-presentation-482019-0/download).

Learn more about National Perinatal Task Force here (https://perinataltaskforce.com/).

Learn more about Jennie Joseph here (https://jenniejoseph.com/) and here (https://commonsensechildbirth.org/). Listen to Jennie Joseph's EBB podcast interview here (https://evidencebasedbirth.com/solutions-for-the-crisis-in-american-maternity-care-with-jennie-joseph/).

Learn more about the Patient Healthcare Questionaire-2 (PHQ-2) here (https://www.chpscc.org/_literature_243927/The_Patient_Health_Questionnaire_(PHQ-2)) and here (https://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/patient-health).

Learn more about Graeme Seabrook here (https://www.graemeseabrook.com/).

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 Brittany Sharpe McCollum about pelvic biomechanics, movement, and fetal positioning during labor. Brittany Sharpe McCollum, CCE(BWI), CD(DONA), CLC (she/her) is the owner of Blossoming Bellies Wholistic Birth Services in the greater Philadelphia PA area, providing childbirth education classes, birth doula services, and dynamic labor support and pelvic biomechanics training workshops for both professionals and expectant parents. Brittany is a sought after guest at many international childbirth related conferences, including a standing room only presentation at the Evidence Based Birth conference in 2019. In this episode, we talk about the importance of movement in birth, and the best ways to facilitate fetal positioning within the pelvis. Brittany takes a deep dive into incorporating positions and movement with the use of epidurals, her "5-4-3" rule, why subtle movements can make a big difference during labor, and how understanding pelvic biomechanics is a key to minimizing interventions during birth.

RESOURCES:

• Read the EBB Signature Article on the Evidence on Birthing Positions at https://evidencebasedbirth.com/birthingpositions
• Visit Brittany Sharpe McCollum's website here: www.blossomingbelliesbirth.com
• Sign up for Brittany's upcoming Fetal Positioning workshops here
• You can also buy "Baby Got VBAC: An Inspiring Collection of Wisdom for Better Births After a Cesarean" here
• For parents, sign up for Brittany's free webinar "Practical Pushing: Efficiency and Well-Being in Labor's Second Stage"
• Follow Brittany on Instagram @blossomingbelliesbirth

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 Rose Rankin about grief and healing through pregnancy and infant loss.

Rose Rankin (she/her) is a full spectrum doula from Brooklyn, New York, who lives in Greensboro, North Carolina. Rose focuses her work on parents who are experiencing a loss, have a pregnancy with a child who is incompatible with life, or have a child with a terminal condition. Rose has been on the other side of this work numerous times before and her mission is to provide the care that we sometimes never knew we needed when we are grieving.

We talk about Rose's personal experience of pregnancy and infant loss, and how it inspired her to become a Pregnancy and Infant Loss (PAIL) doula. We also talk about Rose's experience as a PAIL doula for her community and how to better support those who have experienced loss during pregnancy, birth, and postpartum.

Content warning: We will mention grief, pregnancy complications, stillborn birth, miscarriage, late-term loss, and infant loss.

RESOURCES:

Learn more about Rose Rankin on Instagram here (https://www.instagram.com/tranquildoulaservices/).

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 Lily Nichols, RDN, about nutrition and real food in pregnancy. Lily Nichols (she/her) is a Registered Dietitian Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for evidence-based prenatal nutrition. Her work is known for being research-focused, thorough, and critical of outdated dietary guidelines. She is co-founder of the Women's Health Nutrition Academy and the author of two books, Real Food for Pregnancy and Real Food for Gestational Diabetes. Lily's bestselling books have helped tens of thousands of families, are used in university-level maternal nutrition and midwifery courses, and have even influenced prenatal nutrition policy internationally. In this episode, we talk about the difference between eating real food and processed food in pregnancy, and the best ways to use nutrition to "stack the deck in your favor" for a lower-risk, healthier pregnancy. Lily talks candidly about the gap between evidence and nutritional practice, the importance of protein and choline in pregnancy, and why blood sugar management is so important in pregnancy. If you'd like to watch a video of this interview, just visit the EBB YouTube channel here! Or visit our webpage for the transcript. Resources:

• Read the Evidence Based Birth article on Diagnosing Gestational Diabetes at https://ebbirth.com/diagnosinggdm
• Visit Lily Nichols' website here: https://lilynicholsrdn.com
• Find the books "Real Food for Pregnancy" and "Real Food for Gestational Diabetes" on Amazon or wherever books are sold!
• You can also buy "Real Food for Pregnancy" at Lily's shop here
• Read Lily's article about protein in pregnancy here: https://lilynicholsrdn.com/protein-requirements-pregnancy/
• Read Lily's article about 9 Myths about Gestational Diabetes: https://lilynicholsrdn.com/9-gestational-diabetes-myths/
• Visit the Women's Health Nutritional Academy here: https://whnacademy.com/
• Join Lily's Gestational Diabetes course here: http://realfoodforgd.com/online-course/
• Follow Lily on Instagram @lilynicholsrdn

In this episode I am joined by Anna Bertone (she/her), MPH, a research consultant at Evidence Based Birth®, to discuss the evidence on aromatherapy and essential oils for use during pregnancy, labor/birth, and postpartum. In this episode, we cover:

• What is aromatherapy, where did it come from, and how does it work?
• What have researchers found on essential oils for nausea and vomiting, stress reduction, and immune function during pregnancy?
• Which essential oils have been found to be effective for reducing labor pain and anxiety, encouraging labor progress, and treating post-Cesarean symptoms?
• What does the research say about aromatherapy for use postpartum, including with post-Cesarean symptoms, perineal trauma, sleep, and depression and anxiety?
• Are there any important safety precautions to be aware of, and what is the bottom line?

This episode was inspired by a peer-reviewed article we published in Clinical Obstetrics and Gynecology, in a special symposium that was edited by Shilpa Babbar, MD, MS, FACOG. Reference: Bertone, A. C., & Dekker, R. L. (September 2021). "Aromatherapy in Obstetrics: A Critical Review of the Literature." Clinical Obstetrics and Gynecology 64(3): 572-588.

Here are some other resources we mentioned:

• Access the EBB Pain Management Video Series here https://evidencebasedbirth.com/category-pain-management-series/
• You can find the abstract of our research paper, as well as a complete list of references used in this podcast can be found on PubMed here https://pubmed.ncbi.nlm.nih.gov/33927109/

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 Carissa Hunter about advocacy for families with sickle cell anemia.

After her daughter was born with a blood disorder called sickle cell anemia, Carissa started on a quest for healthy living and is now an intuitive womb worker— a holistic practitioner with many specialties in holistic healthcare. Specializing specifically in intuitive healing, ancestral lineage healing, energy, and sound healing, Carissa also is experienced in medical herbalism, and aromatherapy and she also practices as a stillbirth, birth, and bereavement doula.

We will talk about Carissa's personal experience growing up with the sickle cell trait (one copy of the gene), as well as being a parent to a child with sickle cell anemia (two copies of the gene). We also talk about Carissa's experience with unlearning and relearning many things around sickle cell anemia and her advocacy work to raise awareness about this blood disorder.

Content warning: we mention issues with sickle anemia, traumatic birth experiences, high-risk pregnancy, and pregnancy termination due to genetic conditions.

RESOURCES:

Learn more about Carissa Hunter here (https://www.healingjourneyintuitive.com). Follow Carissa on Instagram (https://www.instagram.com/healingjourneyintuitively).

Learn more about the Sickle Cell Foundation of Tallahassee here (https://sicklecellfoundation.org/tag/tallahassee/).

Learn more about the Sickle Cell Foundation and find a chapter near your here (https://www.sicklecelldisease.org/).

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 talk to Marnellie Bishop about life as a birth/postpartum doula and childbirth educator and the importance of cultural awareness in birth work.

Marnellie Bishop (she/her) is a certified birth and postpartum doula and childbirth educator. Serving the Portland, Oregon community, Marnellie takes on the role as a board member and director of finance and operations at Community Doula Alliance.

Prior to pursuing her passion to support families in their perinatal journey, Marnellie completed a bachelor's degree in business administration and used her degree to help grow and sell her family's printing company. As a second-generation immigrant to Filipino parents, Marnellie understands the intersectionality that many immigrant families face when it comes to identifying their parenting styles through the lens of their cultural background and today's parenting values.

We will talk about Marnellie's journey to becoming a birth and postpartum doula after being inspired by personally supporting the birthing needs of her friends. We also talk about the obstacles Marnellie faced and overcame as a birth and postpartum doula while amplifying the importance of respecting cultural traditions and customs when serving immigrant families or families who speak English as a second language in Portland, Oregon.

Content warning: We mention COVID-19, the murder of George Floyd, systemic oppression, Cesarean, and birthing complications such as late-term loss and preeclampsia.

RESOURCES:

Learn more about Marnellie Bishop and Hanau Doula here (https://hanaudoula.com/). Follow Marnellie on Instagram here (https://www.instagram.com/hanaudoula).

Learn more about Community Doula Alliance here (https://communitydoulaalliance.com/). Follow Community Doula Alliance on Facebook (https://www.facebook.com/communitydoulaalliance) and Instagram (https://www.instagram.com/communitydoulaalliance/).

Learn more about Hypnobabies® here (https://www.hypnobabies.com/).

Learn more about Oregon Health Authority here (https://www.oregon.gov/oha/Pages/index.aspx).

Learn more about Wall of Moms here (https://www.npr.org/2020/07/28/896174019/what-the-wall-of-moms-protests-say-about-motherhood-race-in-america).

Learn more about Black Lives Matter here (https://blacklivesmatter.com/).

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.