Evidence Based Birth®

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.

In this episode, I am joined by reproductive justice advocate Danielle Jackson. Danielle is a wife, mother, doula, and co-host of the podcast Birth Stories in Color. She works to empower women to birth without fear, and has focused her career on helping families recognize their strengths and build healthy support systems. She became a doula in 2016.

Issues in her community of Columbus, Ohio drew Danielle to the organization Restoring Our Own Through Transformation, as a change agent in the ongoing fight for birthing justice in the area. Birth Stories in Color grew from a shared experience with her co-host, Laurel Gourrier, at a training for doulas of color. They quickly realized that in that environment, women of color felt liberated to speak their truths and share their experiences with birth. They now provide that space via their podcast.

Hear Danielle and I talk about strategies to be change makers in our communities, fostering healthy disruption and questioning the status quo.

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:

For more on the podcast Birth Stories in Color, click here. () Follow Birth Stories in Color on Facebook, and Instagram. Learn more about Restoring Our Own Through Transformation here.

In this episode, I am joined by reproductive justice advocate Danielle Jackson. Danielle is a wife, mother, doula, and co-host of the podcast Birth Stories in Color. She works to empower women to birth without fear, and has focused her career on helping families recognize their strengths and build healthy support systems. She became a doula in 2016.

Issues in her community of Columbus, Ohio drew Danielle to the organization Restoring Our Own Through Transformation, as a change agent in the ongoing fight for birthing justice in the area. Birth Stories in Color grew from a shared experience with her co-host, Laurel Gourrier, at a training for doulas of color. They quickly realized that in that environment, women of color felt liberated to speak their truths and share their experiences with birth. They now provide that space via their podcast.

Hear Danielle and I talk about strategies to be change makers in our communities, fostering healthy disruption and questioning the status quo.

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:

For more on the podcast Birth Stories in Color, click here. ()

Follow Birth Stories in Color on Facebook, and Instagram.

Learn more about Restoring Our Own Through Transformation here.

In this episode, I am joined by Bess English, a mother of two who lives near Pensacola, Florida. Bess describes her first hospital birth experience as traumatic. When she was pregnant with her second child, she and her husband took the Evidence Based Birth Childbirth Class to learn more about advocacy tools and comfort measures. Bess' attempted VBAC home birth did not go as planned - and she and her husband found themselves back in the hospital setting making some difficult choices. But this time, it was a different story. Hear Bess tell her birth stories, how she processed her birth trauma, and utilized advocacy tools to navigate and feel empowered in her complicated second 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:

For more information on the Evidence Based Birth Childbirth Class, click here. To find an Evidence Based Birth Instructor and EBB classes near you, click here. Get your copy of my book, Babies Are Not Pizzas, here. It's the story of my traumatic first birth, interwoven with the latest evidence surrounding common birth interventions.

In this episode, I am joined by Bess English, a mother of two who lives near Pensacola, Florida. Bess describes her first hospital birth experience as traumatic. When she was pregnant with her second child, she and her husband took the Evidence Based Birth Childbirth Class with Instructor Traci Weafer to learn more about advocacy tools and comfort measures.

In this episode, I am joined by Gail Tully - author, childbirth educator, midwife and creator of Spinning Babies. The Spinning Babies approach connects understanding of birth anatomy to fetal rotation and easier childbirth, and is recognized around the world by midwives, nurses, childbirth educators, doulas, and parents. Gail's ability to recognize the spatial relationships between the soft tissue pelvis and the baby has contributed to a paradigm shift in childbirth care and education. She began practicing as a midwife in a small, independent practice, and she now works worldwide, educating parents about her innovative approach. We talk about why some births are easy, while some are long and hard. Gail addresses the relationships between birth, physiology, and mentality, and covers the practical aspects of accessing the Spinning Babies method and instruction.

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:

Follow Spinning Babies on Facebook, Instagram, and Twitter. You can access the Spinning Babies blog here, and contact the organization via email at [email protected]. Join Evidence Based Birth for a FREE public webinar, The Evidence on Natural Induction! Attendees will also learn how to earn contact hours through EBB. Register here! The Evidence Based Birth Professional Membership is on sale! Get a monthly or annual subscription at 20% off for a limited time. Learn more here.

In this episode, I am joined by Gail Tully - author, childbirth educator, midwife and creator of Spinning Babies. The Spinning Babies approach connects understanding of birth anatomy to fetal rotation and easier childbirth, and is recognized around the world by midwives, nurses, childbirth educators, doulas, and parents. Gail’s ability to recognize the spatial relationships between the soft tissue pelvis and the baby has contributed to a paradigm shift in childbirth care and education. She began practicing as a midwife in a small, independent practice, and she now works worldwide, educating parents about her innovative approach.

We talk about why some births are easy, while some are long and hard. Gail addresses the relationships between birth, physiology, and mentality, and covers the practical aspects of accessing the Spinning Babies method and instruction.

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:

Follow Spinning Babies on Facebook, Instagram, and Twitter.

You can access the Spinning Babies blog here, and contact the organization via email at [email protected].

Join Evidence Based Birth for a FREE public webinar, The Evidence on Natural Induction! Attendees will also learn how to earn contact hours through EBB. Register here!

The Evidence Based Birth Professional Membership is on sale! Get a monthly or annual subscription at 20% off for a limited time. Learn more here.

In this episode I am joined by Ngozi Tibbs, a certified childbirth trainer and educator through Lamaze International, an international board certified lactation consultant, and co-founder of the Pittsburgh Black Breastfeeding Circle. With a Bachelor's degree in maternal child health and a Master's in public health, Ngozi has served as a private and community based doula, currently provides childbirth education and lactation consulting, and is involved with the non-profit Healthy Start. Often known to share her personal birth stories - including her fifth child's birth in a car - she believes the best way to approach birth and breastfeeding is through lots of support, and humor.

I had the privilege of listening to Ngozi speak quite a few years ago at a conference, andI was so impacted by her presentation that I included a story about experience that in my book, Babies Are Not Pizzas. In this interview, we have a candid conversation about community support, racism, and the needs of today's birthing families.

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:

Join the Evidence Based Birth® free webinar - The Evidence on Natural Induction! Register here.

Connect with Ngozi via her doula and lactation support practice, Sankofa. You can also reach her on Facebook. Learn more about the Pittsburgh Black Breastfeeding Circle here. For more information on Healthy Start, click here.

In this episode I am joined by Ngozi Tibbs, a certified childbirth trainer and educator through Lamaze International, an international board certified lactation consultant, and co-founder of the Pittsburgh Black Breastfeeding Circle. With a Bachelor’s degree in maternal child health and a Master’s in public health, Ngozi has served as a private and community based doula, currently provides childbirth education and lactation consulting, and is involved with the non-profit Healthy Start. Often known to share her personal birth stories - including her fifth child’s birth in a car - she believes the best way to approach birth and breastfeeding is through lots of support, and humor.

I had the privilege of listening to Ngozi speak quite a few years ago at a conference, andI was so impacted by her presentation that I included a story about experience that in my book, Babies Are Not Pizzas. In this interview, we have a candid conversation about community support, racism, and the needs of today’s birthing families.

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:

Join the Evidence Based Birth® free webinar - The Evidence  on  Natural Induction! Register here.

Connect with Ngozi via her doula and lactation support practice, Sankofa. You can also reach her on Facebook.

Learn more about the Pittsburgh Black Breastfeeding Circle here.

For more information on Healthy Start, click here.

In this episode I am joined by Jen McLellan, author, speaker, and founder of the website Plus Size Birth and the Plus Mommy blog. She is also host of the popular podcast Plus Mommy, and is a certified childbirth educator, wife, and mother. With more than four million page views on her blog, Jen is passionate about helping others navigate the bumps along the road of motherhood.

Jen notes that her doula's recommendation to look into the midwife model of care changed the course of her first pregnancy. As she had first began care under an obstetrician and researched plus size pregnancy online, she had started to believe that she was at high risk due to her size. However, she had an empowering natural birth with no complications.

As Jen developed her blog, she realized the great need for plus size pregnancy support. While she covers a variety of topics, one of her main areas of focus is helping women to connect with a care provider who will not make them feel ashamed. We discuss practical tips for finding a supportive and welcoming provider, as well as some of the biased messages women of size commonly hear during the course of their care and 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:

Follow Jen on Facebook, Instagram, and Twitter. Check out Plus Size Birth, the Plus Mommy blog and the Plus Mommy podcast. Use coupon code "EBB" to get 30% off Jen's book, My Plus Size Pregnancy Guide. For a directory of plus-friendly providers and doulas, visit SizeFriendly.com.