Evidence Based Birth®

In this episode I am joined by Dr. Elliot Berlin, an award-winning prenatal chiropractor, childbirth educator, and labor support body worker. He is the co-founder of Berlin Wellness Group in Los Angeles, California, hosts The Informed Pregnancy podcast, and served as executive producer of two documentaries about birth - Head's Up: The Disappearing Art of Breech Delivery, and Trial of Labor. Dr. Berlin is a labor support doula who attends births and provides laboring parents with body work such as massage, reflexology, accupressure, counter pressure, and chiropractic adjustments to help keep the birthing person relaxed, comfortable and focused for a smooth birth. He attends labor at hospitals, homes, and birth centers, and he works with several hundred breech babies each year.

Listen to our fascinating discussion on vaginal breech birth, cesarean, and things to find out about your baby's positioning as you enter the late stages of pregnancy.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

• Connect with Dr. Berlin via his website, InformedPregnancy.com (), and Instagram ().
• Get the Informed Pregnancy Podcast here ()!
• Evidence Based Birth® Signature Article, The Evidence on: Breech Version.
• EBB's article on the Evidence for using Moxibustion to Turn Breech Babies.

In this episode, I am joined by Sabrina Tran of Alabama, who recently had a daughter, and took the Evidence Based Birth Childbirth Class with Instructor Traci Weafer. Sabrina, a therapist, is now a stay at home mom. Sabrina had a precipitous - or, extremely fast labor and delivery. She describes it as exciting! Hear her tell her story of how her baby was born before the midwife could make it to her home. I also share the evidence on perineal tearing, and the relationships between tearing, provider experience, and home birth.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Click here for great images explaining perineal tears on the Mayo Clinic website. More references:

• Albers, L. L., Sedler, K. D., Bedrisk, E. J., et al. (2005). Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: a randomized trial. J Midwifery Womens Health. 50(5): 365-372.
• Mizrachi, Y., Leytes, S., Levy, M., et al. (2017). Does midwife experience affect the rate of severe perineal tears? Birth. 44(2): 161-166.
• Begley, C., Guilliland, K., Dixon, L., et al. (2018). A qualitative exploration of techniques used by expert midwives to preserve the perineum intact. Women Birth.
• Kopas, M. L. (2014). A review of evidence-based practices for management of the second stage of labor. J Midwifery Womens Health. 59(3):264-76.
• Shorten, A., Donsante, J. and Shorten, B. (2002). Birth position, accoucheur, and perineal outcomes: informing women about choices for vaginal birth. Birth. 29(1): 18-27.
• Sandall, J., Soltani, H., Shennan, A., et al. (2013). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. (8): CD004667.
• Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). Outcomes associated with planned place of birth among women with low-risk pregnancies. CMAJ. 188(5): E80-E90.
• Hastings-Tolsma, M., Vincent, D., Emeis, C., et al. (2007). Getting through birth in one piece: protecting the perineum. MCN AM J Matern Child Nurs. 32: 158-64.
• Landy H. J., Laughon, S. K., Bailit, J. L., et al. (2011). Characteristics associated with severe perineal and cervical lacerations during vaginal delivery. Obstet Gynecol. 117(3): 627-35
• Klein, M. C., Gauthier, R. J., Jorgensen, S. H., et al. (1992). Does episiotomy prevent perineal trauma and pelvic floor relaxation? Online J Curr Clin Trials. 10.
• Klein, M. C., Gauthier, R. J., Robbins, J. M., et al. (1994). Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol. 171(3): 591-8.
• Aasheim, V., Nilsen, A. B. V., Reinar, L. M., et al. (2017). Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database of Sys Rev. 6: CD006672
• Alliman, J. and Phillippi, J. C. (2016). Maternal Outcomes in Birth Centers: An integrative review of the literature. J Midwifery Womens Health. 61(1): 21-51.
• Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). Outcomes of care for 16,924 planned home births in the U.S.: the Midwives Alliance of North America Statistics Project, 2004 to 2009. J Midwifery Womens Health. 59(1): 17-27.
• Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). Outcomes associated with planned place of birth among women with low-risk pregnancies. CMAJ. 188(5): E80-E90.

Click here to access the EBB Signature Article, The Evidence on: Waterbirth.

This week, I am excited to bring you inside Evidence Based Birth and let you know what we will be up to in the coming year! I look back at all we accomplished in 2019 (and wow - what a year it was!) and how we are rolling right into 2020 with some amazing new projects and initiatives. I have to tell you, just looking at my list of goals really gets me excited about what is to come. You won't want to miss the announcements I have to share in this episode!

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Find my book, Babies are Not Pizzas, on Amazon, Barnes and Noble, and Audible! Find a list of our current Spanish article translations here. Access all of the Evidence Based Birth free, full-length Signature Articles here.

This episode concludes our series of interviews we conducted live from the 2019 Evidence Based Birth Conference - Bringing the Evidence to Life. EBB Instructor and Professional Membership Coordinator Chanté Perryman interviewed several different panels of attendees, hearing from them the most pressing issues in their communities, and how they plan to affect change. This week, we hear from some inspiring birth workers of color: doula, certified lactation counselor, and student midwife Divine Bailey-Nicholas; nurse, doula, certified childbirth educator and certified lactation counselor Carmen Southall-Wamhoff; and midwife, doula, monitrice, and advocate Ms. Charlotte Marie Shilo-Goudeau. Hear each of these dynamic change makers describe the challenges they are facing and how they are making an impact for the women and families they serve. In addition to the conference interview, I am pleased to continue the conversation with further insights from Carmen!

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Evidence Based Birth offers a fantastic cross-professional community in our Professional membership! Get more information here. As long as minority mothers and babies are dying at disparately high rates, I am committed to offering scholarships for our membership for birth professionals of color. Learn more here.

This episode is the second in our series of interviews we conducted live from the 2019 Evidence Based Birth Conference. EBB Instructor and Professional Membership Coordinator Chanté Perryman interviewed several different panels of attendees, hearing from them the most pressing issues in their communities, and how they plan to affect change. This week, we hear from midwives: CPM Paige Dickinson, CNM Jen Matera, and direct entry midwife Rachel Mueller. Hear about the cultural climate towards midwifery in each of their areas, how they are interacting with their hospitals and birth centers, and the challenges being faced within the midwife community. After the interview, I discuss the research evidence on birth centers.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

• American Association of Birth Centers: https://birthcenters.org
• Commission for the Accreditation of Birth Centers: https://www.birthcenteraccreditation.org/
• Declercq et al. Listening to Mothers SM III. New York: Childbirth Connection, May 2013.
• MacDorman, M. F. and Declercq, E. (2018). Trends and state variations in out-of-hospital births in the United States, 2004-2017. Birth;00:1–10.
• Stapleton (2013). "Outcomes of Care in Birth Centers: Demonstration of a Durable Model." J Midwifery Women's Health 58: 3-14.
• Birthplace in England Collaborative Group (2011). Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ;343:d7400.

Evidence Based Birth offers a fantastic cross-professional community in our Professional membership! Get more information here.

This episode is the first in our series of interviews we conducted live from the 2019 Evidence Based Birth Conference - Bringing the Evidence to Life. EBB Instructor and Professional Membership Coordinator Chanté Perryman interviewed several different panels of attendees, hearing from them the most pressing issues in their communities, and how they plan to affect change after being inspired at the conference. This week, we will hear from nurses and doulas: doula Rebecca McKinney, doula Sara Pixton, and labor and delivery nurse Paula Richards. Listen as they highlight some of the challenges faced between the two professions, and how both can work together to support women in labor. After their brief interview, I talk about the research evidence on the challenges of doulas and nurses working together, and offer potential solutions for collaboration!

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

• Facebook Group for Doulas and L & D Nurses working collaboratively together: here
• Goer & Romano (2013). Optimal Care in Childbirth. Classic Day Publishing.
• Morton & Clift. (2014). Birth Ambassadors. Texas: Praeclarus Press.
• Bohren, M. A., Hofmeyr, G. J., Sakala, C., et al. (2017). Continuous support for women during childbirth. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD003766.
• 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, Issue 3. Art. No.: CD012449.
• Roth, L. M., et al. (2016). "North American Nurses' and Doulas' Views of Each Other."J Obstet Gynecol Neonatal Nurs 45(6):790-800.
• Veltman (2007). Disruptive behavior in obstetrics: a hidden threat to patient safety. Am J Obstet Gynecol 196(6): 587e1-4, discussion e4-5.
• Tumblin and Simkin. "Pregnant women's perceptions of their nurses' role during labor and delivery" (2001). Birth 28(1): 52-6
• Bowers. "Mothers' experiences of labor support: exploration of qualitative research." (2002). J Obstet Gynecol Neonatal Nurs 31(6): 742-52.
• McNiven et al. "Supporting women in labor: a work sampling study of the activities of labor and delivery nurses." (1992). Birth 19(1): 3-8.
• Gagnon, Waghorn. "Supportive care by maternity nurses: a work sampling study in an intrapartum unit." (1996). Birth 23 (1): 1-6.
• Gale et al. "Measuring nursing support during childbirth. (2001). Am J Matern Cild Nurs 26(5): 264-71
• Miltner. "More than support: nursing interventions provided to women in labor." (2002). J Obstet Gynecol Neonatal Nurs 38(2): 753-61.
• Barnett. "A new way to measure nursing: Computer timing of nursing time and support of laboring patients." (2008). Computers, Informatics, Nursing 26(4): 199-206.

Evidence Based Birth offers a fantastic cross-professional community in our Professional membership! Get more information here.

This episode is the first in our series of interviews we conducted live from the 2019 Evidence Based Birth Conference - Bringing the Evidence to Life. EBB Instructor and Professional Membership Coordinator Chanté Perryman interviewed several different panels of attendees, hearing from them the most pressing issues in their communities, and how they plan to affect change after being inspired at the conference. 

This week, we will hear from nurses and doulas: doula Rebecca McKinney, doula Sara Pixton, and labor and delivery nurse Paula Richards. Listen as they highlight some of the challenges faced between the two professions, and how both can work together to support women in labor. After their brief interview, I talk about the research evidence on the challenges of doulas and nurses working together, and offer potential solutions for collaboration!

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

• Facebook Group for Doulas and L & D Nurses working collaboratively together: here
• Goer & Romano (2013). Optimal Care in Childbirth. Classic Day Publishing.
• Morton & Clift. (2014). Birth Ambassadors. Texas: Praeclarus Press.
• Bohren, M. A., Hofmeyr,  G. J., Sakala,  C., et al. (2017). Continuous support for women during childbirth. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD003766. 
• 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, Issue 3. Art. No.: CD012449. 
• Roth, L. M., et al. (2016). “North American Nurses’ and Doulas’ Views of Each Other.”J Obstet Gynecol Neonatal Nurs 45(6):790-800. 
• Veltman (2007). Disruptive behavior in obstetrics: a hidden threat to patient safety. Am J Obstet Gynecol 196(6): 587e1-4, discussion e4-5.
• Tumblin and Simkin. “Pregnant women’s perceptions of their nurses’ role during labor and delivery” (2001). Birth 28(1): 52-6 
• Bowers. “Mothers’ experiences of labor support: exploration of qualitative research.” (2002). J Obstet Gynecol Neonatal Nurs 31(6): 742-52. 
• McNiven et al. “Supporting women in labor: a work sampling study of the activities of labor and delivery nurses.” (1992). Birth 19(1): 3-8. 
• Gagnon, Waghorn. “Supportive care by maternity nurses: a work sampling study in an intrapartum unit.” (1996). Birth 23 (1): 1-6. 
• Gale et al. “Measuring nursing support during childbirth. (2001). Am J Matern Cild Nurs 26(5): 264-71 
• Miltner. “More than support: nursing interventions provided to women in labor.” (2002). J Obstet Gynecol Neonatal Nurs 38(2): 753-61. 
• Barnett. “A new way to measure nursing: Computer timing of nursing time and support of laboring patients.” (2008). Computers, Informatics, Nursing 26(4): 199-206.

Evidence Based Birth offers a fantastic cross-professional community in our Professional membership! Get more information here.

In this episode, I am joined by two of our distinguished keynote speakers from the 2019 Evidence Based Birth Conference, "Bringing Evidence to Life": Dr. Sayida Peprah, Psy.D, licensed clinical psychologist, trained birth doula and founder of Diversity Uplifts, Inc., and Heather Thompson, MS, PhD, a molecular and cellular biologist, clinical researcher, birth worker and deputy director of birth justice organization Elephant Circle. The 2019 Evidence Based Birth conference brought together an incredible mix of birth workers and advocates from many professions and backgrounds. Listen as the three of us debrief the conference - what was impactful, what went right, and what went we would do differently in the future. Hear their perspectives as members of a non-dominant cultures, and what they and their communities experienced in a diverse and intense conference setting.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Connect with Dr. Sayida Peprah via her website, Instagram, and LinkedIn. For more information on Diversity Uplifts, Inc., click here. Visit the Elephant Circle website here. Click here for the Evidence Based Birth Podcast episode, "How to Disagree on Birth Topics - Respectfully!" with Cristen Pascucci.

In this episode, I am joined by two of our distinguished keynote speakers from the 2019 Evidence Based Birth Conference, “Bringing Evidence to Life”: Dr. Sayida Peprah, Psy.D, licensed clinical psychologist, trained birth doula and founder of Diversity Uplifts, Inc., and Heather Thompson, MS, PhD, a molecular and cellular biologist, clinical researcher, birth worker and deputy director of birth justice organization Elephant Circle.

In this episode, I explore the latest evidence on the use of saline locks!

A saline lock - sometimes called a "hep-lock" in reference to how it used to be used - is an intravenous (IV) catheter that is threaded into a peripheral vein, flushed with saline, and then capped off for later use. Nurses use saline locks to have easy access to the vein for potential injections. They can be useful in administering drugs as needed, and in the event of emergency surgery.

What is the latest research on the use of saline locks in labor and delivery? What is the evidence for the saline lock in someone who wants an un-medicated birth or wants to avoid medical interventions as much as possible? Should a saline lock be in place "just in case" it may be needed? I'll cover the evidence on this topic, along with the risks and benefits.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

Bailey, J. M., C. Bell, R. Zielenski (2019). "Timing and outcomes of an indication-only use of intravenous cannulation during spontaneous labor." J Midwifery Womens Health 00:1-7. Bateman, B. T., M. F. Berman, et al. (2010). "The epidemiology of postpartum hemorrhage in a large, nationwide sample of deliveries." Anesthesia and analgesia 110(5): 1368-1373. Maki, D. G., D. M. Kluger, et al. (2006). "The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies." Mayo Clin Proc 81(9): 1159-1171. Newton, N., M. Newton, et al. (1988). "Psychologic, physical, nutritional, and technologic aspects of intravenous infusion during labor." Birth 15(2): 67-72. Rickard, C. M., D. McCann, et al. (2010). "Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial." BMC Med 8: 53. Want evidence on more topics? Access all of the Evidence Based Birth Signature Articles at our blog.