Evidence Based Birth®

On today's podcast, I am excited to welcome a special guest and my friend, Cristen Pascucci of Birth Monopoly! Cristen and I talk about how to file hospital complaints when people experience mistreatment or unsafe care during childbirth.

Content warning: Obstetric violence, birth trauma, and sexual assault in obstetrics.

A former communications strategist at a top public affairs firm in Baltimore, Maryland, Cristen Pascucci is the founder of Birth Monopoly and creator of the online course, Know Your Rights: Legal and Human Rights in Childbirth for Birth Professionals and Advocates. She is also co-creator of the Exposing the Silence Project and host of Birth Allowed Radio, a podcast. Cristen is a leading voice in the field of maternity care, speaking around the world and consulting privately on issues related to birth rights and birthing options. Cristen and I talk about the formal process of how one can submit a complaint to the hospital and state licensing boards if they experienced mistreatment or unsafe childbirth practices. We also talk about obstetric violence and birth trauma due to systemic barriers in childbirth care, and how more people can become involved as advocates.

RESOURCES:

Learn more about Cristen Pascucci and Birth Monopoly here (www.birthmonopoly.com).

Check out the Complaint toolkit here: https://birthmonopoly.com/complaint

Find out about "Mother May I" the documentary here: https://mothermayithemovie.com

Follow Birth Monopoly on Facebook here (https://facebook.com/birthmonopoly). Follow Birth Monopoly on Instagram here (https://instagram.com/birthmonopoly).

Read the news report about the Annals of Internal Medicine paper about abusive behavior in the operating room 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 episode, we will be talking with postpartum doula, Ali Buchanan, about the importance of postpartum doula care. Ali (she/her), is a certified postpartum doula with Cornerstone Doula Trainings, and currently trained as a full spectrum doula with Doula Trainings International (DTI). As a postpartum doula, Ali works with parents and families to transition into their new roles before and after birth. **Content Warning: We will talk about postpartum depression.** 

We talk about Ali’s birthing story and her experience with postpartum depression. We also talk about how life-changing experiences led Ali to pursue her career as a postpartum doula. 

Resources:

Learn more about Ali here (https://www.instagram.com/buchananco2014/).

Learn more about Cornerstone Doula Trainings here (https://www.cornerstonedoulatrainings.com/). Follow Cornerstone Doula Trainings on Facebook (https://www.instagram.com/cornerstone.birthwork/) and Instagram (https://www.instagram.com/cornerstone.birthwork/).

Learn more about Doula Trainings International here (https://doulatrainingsinternational.com/). Follow DTI on Facebook (https://www.facebook.com/doulatrainingsinternational/)  and on Instagram (https://www.instagram.com/doulatrainingsint/). 

Learn more about Meela here (https://www.hellomeela.com/). Follow Meela on Facebook (https://www.facebook.com/hellomeela/)  and Instagram (https://www.instagram.com/hellomeela/). 

Learn more about DoulaMatch here (https://doulamatch.net/). 

Learn more about Free to Feed here (https://www.freetofeed.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 will be talking with our honored guest, Dr. Amber Warmsley. Dr. Warmsley is a wife of five years to an amazing husband and a mother of two young children. She's a native Southern Californian transplanted to the D.C. metro area who will always love the beach. Dr. Warmsley is also an attending board-certified practicing OB-GYN with 8 years experience, 12 years if you count residency (which you definitely should). Dr. Warmsley is currently Chairperson of the department of OB-GYN and hospitalist site director at a hospital in Maryland.

Dr. Warmsley is passionate about fostering a collaborative care approach to pregnancy-related care and creating a safe, positive, and uplifting birthing experience. She believes that all women and families deserve compassion, respect, dignity, and shared decision-making from their birthing team.

RESOURCES:

Learn more about The American College of Obstetricians and Gynecologists (ACOG) here (www.acog.org).

Hishikawa, K., Kusaka, T., Fukuda, T., et al. (2020). Neonatal outcomes of two-step delivery in low-risk pregnancy: A prospective observational study. J Obstet Gynaecol Res. 2020 Jul;46(7):1090-1097. Huang, H., Yang, M., Zhou, H., et al. (2018). Method of shoulder delivery and neonatal outcomes: A meta-analysis of prospective controlled studies. Natl Med J India. 2018 Nov-Dec;31(6):324-328. Kotaska, A. & Campbell, K. (2014). Two-step delivery may avoid shoulder dystocia: head-to-body delivery interval is less important than we think. J Obstet Gynaecol Can. 2014 Aug;36(8):716-720. Locatelli, A. Incerti, M., Ghidini, A., et al. (2011). Head-to-body delivery interval using 'two-step' approach in vaginal deliveries: effect on umbilical artery pH, The Journal of Maternal-Fetal & Neonatal Medicine, 24:6, 799-803. Zhang, H., Zhao, N., Lu, Y., et al. (2017). Two-step shoulder delivery method reduces the incidence of shoulder dystocia. Clin Exp Obstet Gynecol. 2017;44(3):347-352.

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 will be talking about the evidence on using erythromycin eye ointment for newborns. As this is a controversial topic, I am excited to talk about the intriguing research evidence and the history of eye ointment regarding how it started and why it was used in the past, as well as why it is still being used today.

We have covered this topic before here in our Signature Articles.

We will also discuss whether or not it is effective for its designed purpose, along with antibiotic resistance, the benefits and risks of using eye ointment on newborns, and alternatives to use in place of eye ointment.

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.

n today's podcast, we will be talking with Brooklynn and Hoang Pham. Brooklynn and Hoang currently live in Davis, California, and are the parents to Marvel, who turned seven months last December. Brooklynn is the senior managing director of Teach For America in Sacramento, and Hoang is finishing up his final year of law school at UC Davis School of Law. They took the Evidence Based Birth® Childbirth class with EBB instructor, Shalin Butterworth, and are here to share their birth story.

Content Warning: We will be talking about maternal mortality and racism.

We will talk about Brooklynn's and Hoang's empowering experience when they attended the Evidence Based Birth® Childbirth class and how it prepared them to feel ready for their powerful and miraculous birth with their doula and EBB instructor, Shalin. We also talk about the significantly high rates of maternal mortality among Black and Brown individuals and racism in birth work.

Hoang and Brooklyn's YouTube: https://www.youtube.com/channel/UCOBNp5cuEQpBDY3-3Bnl6eQ/ Instagram: @_hoangpham Twitter: @_hoangpham Birthplace Lab: You can explore the maps at https://www.birthplacelab.org/maps/. There is a How To video with tips on using the interactive maps: https://www.birthplacelab.org/how-to-explore-the-maps/. Visit BirthPlaceLab.org to learn about your state's score! Research References: Balde, M. D., Nasiri, K., Mehrtash, H., et al. (2020). Labour companionship and women's experiences of mistreatment during childbirth: results from a multi-country community-based survey. BMJ Glob Health. 2020 Nov;5(Suppl 2):e003564. Click here. Bohren, M. A., Berger, B. O., Munthe-Kaas, H., et al. (2019). Perceptions and experiences of labour companionship: a qualitative evidence synthesis. Cochrane Database of Systematic Reviews 2019, Issue 3. Art. No.: CD012449. Click here. Bohren, M. A., Hofmeyr, G. J., Sakala, C., et al. (2017). Continuous support for women during childbirth. Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD003766. Click here. Vedam, S., Stoll, K., MacDorman, M., et al. (2018). Mapping integration of midwives across the United States: Impact on access, equity, and outcomes. PLoS One. 2018 Feb 21;13(2):e0192523. Click 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 talk with L&D nurse, Ann Marie Gilligan, about perinatal positioning during labor. Ann is a labor and delivery nurse in Minnesota, who is trained in high-risk obstetrics and advanced fetal monitoring, certified through Waterbirth International and also, certified as a sexual assault nurse examiner. Ann has 30 years of labor and delivery experience, ranging from the start-up team for an independent birth center to working at a level three high-risk labor and delivery unit to working as a legal nurse consultant and prenatal yoga instructor. Ann has extensive experience caring for families who want an unmedicated birth as well as caring for people with high-risk conditions, such as pre-eclampsia, uncontrolled diabetes, postpartum hemorrhage, and sepsis. Ann has also traveled to Bolivia and Tanzania, where she taught high-risk obstetrics and maternal positioning for optimal fetal positioning. More recently, Ann became an Evidence Based Birth® Instructor in 2020 and is a Spinning Babies® Aware Practitioner.

We talk about maternal positioning and its effect on fetal positioning during labor. We also talk about Ann's vast experience as an L&D nurse and her web-based resource, Gilligan's Guide, where Ann teaches physicians, nurses, and families the importance of infant positioning for birth.

Learn about Ann Marie Gilligan and Gilligan's Guide here (www.gilligansguide.com). Follow Ann on Instagram here (www.instagram.com/gilligansguide).

Learn about EBB instructor, Rhonda Fellows, Learn about Oily Doula MN here (https://www.oilydoulamn.com/) and follow Oily Doula MN on Facebook (https://www.facebook.com/oilydoulamn/) and Instagram (https://www.instagram.com/oilydoulamn/).

Learn more about Spinning Babies® here (https://www.spinningbabies.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.

I'm pleased to share with you today's podcast episode, which is a comprehensive update of the research evidence on COVID-19 and pregnancy and childbirth!

To view the scientific references for this article, visit the COVID-19 resource page here and look for the February 17, 2021 podcast episode text.

In this podcast episode, I cover:

• The current global situation
• What we know so far about prevention/vaccines during pregnancy
• Testing and diagnosis
• Symptoms during pregnancy
• Risk of hospitalization and severe/critical illness in pregnancy
• Treatment of COVID-19 during pregnancy
• Risks to the fetus, including the risk of preterm birth
• Timing of birth if you're infected with COVID-19
• Whether its possible to transmit COVID-19 to the fetus in utero
• Antibody transfer during pregnancy and through human milk
• Newborn outcomes and best practices when a baby is born to an infected parent
• Hospital policies on permitting birth partners
• Hospital policies on permitting doulas
• Changes we've seen to labor and delivery practices during the pandemic
• Where you can go to read guidelines from professional organizations

I hope that this podcast episode is helpful! I'm happy that our research team was able to put it together for you.

On today's podcast, we're going to talk with Nathalie Walton, CEO of the Expectful app, about coping with anxiety during pregnancy and postpartum— especially when you have a high-risk pregnancy. Nathalie is the CEO of Expectful, the number one meditation and sleep app for growing families. She has spent the last eight years in leadership roles at Airbnb, Google, and eBay. As a new mother to her 10-month old son Everett, Nathalie experienced the failure of the U.S. healthcare system as it pertains to nurturing the mental and emotional well-being of pregnant and new parents. She joined the team at Expectful to provide universal access to evidence-based wellness solutions such as meditation to help millions of people around the world navigate the new stage of parenthood. **Content Warning: This episode includes a birth story with placental abruption, emergency cesarean, and NICU admission.** Natalie talks with us about her journey to parenthood, including how she prepared for her "marathon" high-risk pregnancy and birthing experience. We also talk about how she empowered herself to take control of her mental well-being during pregnancy and birth.

Learn more about Nathalie Walton and the Expectful app here (https://expectful.com/). To learn more about Expectful's Helping Hands scholarship program, email them at [email protected]. Follow Expectful on Facebook (https://www.facebook.com/expectful/) and on Instagram (https://www.instagram.com/expectful/).

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 are talking with Jamie and Ryan English about their unexpectedly long but empowering hospital birth, as well as the effects of severe diastasis recti on the labor process.

Jamie and Ryan are graduates of the Evidence Based Birth® Childbirth Class, which they took with EBB instructor Jennifer Anderson. Ryan is a commercial property manager and Jamie is a photographer. They moved to Sacramento a few years ago from San Diego, California, and at the same time they found out they were pregnant with their baby girl.

We talk about how Jamie and Ryan prepared for their birthing experience as first-time parents during the beginning of the COVID-19 pandemic. We also talk about Jamie's long labor experience due to the effects of having severe diastasis recti.

Learn more about Katy Bowman and her book, "Diastasis Recti: The Whole-Body Solution to Abdominal Weakness and Separation" here (https://linktr.ee/nutritiousmovement). Follow Katy on Instagram (https://www.instagram.com/nutritiousmovement/?hl=en) and on Facebook (https://www.facebook.com/NutritiousMovement/).

Learn more about the Fit2B exercise program here (https://fit2b.us/).

Learn more about the "The Birth Hour" podcast here (https://thebirthhour.com/). Follow "The Birth Hour" podcast on Facebook (https://www.facebook.com/thebirthhour/), Instagram (https://www.instagram.com/thebirthhour/), and Twitter (https://twitter.com/brynhuntpalmer).

Learn more about EBB Instructor, Jennifer Anderson, here (https://www.birthfusion.com/) and follow Birth Fusion on Facebook (https://www.facebook.com/birthfusion/).

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, I'm excited to talk with Kimberly Seals Allers. Kimberly is an award-winning journalist, five-time author, international speaker, strategist, and advocate for maternal and infant health. A former senior editor at Essence, and a writer at Fortune Magazine, Kimberly is a leading voice on the socio-cultural complexities of motherhood. Kimberly is also the founder of Irth, a new app to address bias in maternity and infant care.

We talk about how Kimberly's new app, Irth, which addresses biased maternal care and cultural competency when serving marginalized communities. We also talk about the challenges Kimberly overcame after launching Irth.

**Content Warning: We discuss racism/racial violence, Black maternal mortality, and infant mortality.**

Learn more about Kimberly Seals Allers and the Irth app here (https://birthwithoutbias.com/who-we-are). Follow Kimberly Seals Allers on Facebook (https://www.facebook.com/iamKSealsAllers/) and Instagram (https://www.instagram.com/iamksealsallers/?hl=en). Learn about Narrative Nation, Inc here (https://wewriteus.org/). Learn more about Kimberly's books, "Mocha Manual to a Fabulous Pregnancy" here (https://www.harpercollins.com/products/the-mocha-manual-to-a-fabulous-pregnancy-kimberly-seals-allers) and "The Big Letdown: How Medicine, Big Business, and Feminism Undermine Breastfeeding" here (https://www.amazon.com/Big-Letdown-Medicine-Undermine-Breastfeeding/dp/1250026962).

Learn more about Dr. Fleda Mask Jackson here (https://drfledamjackson.com/).

Learn more about Cristen Pascucci and Birth Monopoly here (https://birthmonopoly.com/). Follow Birth Monopoly on Facebook (https://www.facebook.com/birthmonopoly/) and on Instagram (https://www.instagram.com/birthmonopoly/?hl=en).

Learn more about the California Healthcare Foundation here (https://www.chcf.org/). Follow the California Healthcare Foundation on Facebook (https://www.facebook.com/chcfnews/) and Twitter (https://twitter.com/chcfnews).

Learn more about the Tower Health Foundation here (https://www.towerhealth.org/reading-hospital-foundation).

Learn more about the Grove Foundation here (https://www.thegrovefoundation.org/).

Learn more about the Kellogg Foundation here (https://www.wkkf.org/). Follow the Kellogg Foundation on Facebook (https://www.facebook.com/KelloggFoundation), Twitter (https://twitter.com/wk_kellogg_fdn), and Instagram (https://www.instagram.com/kelloggfoundation/).

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.