Podcasts about Dekker

Licensed community midwife Grace Flannery and doctoral student Ihotu Ali, founder of the Oshun Center for Intercultural Healing, join Dr. Rebecca Dekker for a moving conversation about burnout, boundaries, and building sustainable birth work. Together, they explore the root causes of burnout in maternity care, from systemic extraction to internalized pressure, and how the path to healing lies in slowing down, reconnecting with purpose, and redefining productivity. Ihotu and Grace share the origin of their collaboration through the Sweetwater Alliance, the transformative “One Main Thing” meditation, and their four-part framework for reclaiming balance: Seasons, Smallify, Support, and Spirit. This episode is a heartfelt invitation to anyone holding space for others while feeling the weight of burnout.   (04:27) Grace and Ihotu's Birth Work Journey (07:54) The Roots of Burnout in Maternity Care (13:19) Presence, Boundaries, and the Burnout Cycle (18:33) Symptoms and Signs of Burnout (27:06) The “Four S's” Framework for Sustainable Practice (30:08) Accountability, Rest, and Seasonal Rhythms (38:21) The “One Main Thing” Meditation Practice (44:28) Reconnecting with Purpose and Capacity (58:51) Final Reflections on Slowing Down and Healing   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources Learn more about the Oshun Center: oshuncenter.com Follow Ihotu on Instagram: @ihotuali Learn more about Trillium Midwifery Care: trilliummidwives.com Follow Grace on Instagram: @midwifegracef For a full list of resources, including links to the free One Main Thing Meditation, visit ebbirth.com.    For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Stefan en Laurens gaan verder. Het Grand Départ weekend in Lille zit erop - de heren zijn weer neergestreken in Amsterdam. Voor 8 dagen precies - want volgende week reist de Villa Tour karavaan achter de renners aan, richting de Pyreneeën. Vanaf vandaag is Oomen ingeruild voor kersverse vader Dekker. Ondanks zijn korte nachtjes is hij weer scherp zoals je van ‘m verwacht. Een kort hazenslaapje op de bank in de Bajes was nodig - maar niet funest. Want het was een dodelijk saaie rit, met maar weinig sleutelmomenten. Uiteraard op een aantal flinke valpartijen na. Een rit zo 'mak an' - hoe ontstaat dat? Jasper Philpsen out, wat zijn de gevolgen voor de ploeg van Roodhooft? En de verantwoordelijkheid voor veiligheid - ligt die bij de renners of het parcours en dus de organisatie?En hoe zit het nou met Tricky Trine - hoe is de reactie van Jonas the day after?Je hoort het allemaal in de Live Slow Ride Fast podcast.

From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care.   In this episode, Dr. Rebecca Dekker reconnects with former nursing student turned certified nurse midwife, Liz Carr. Liz shares her unique trajectory: from critical care nursing to catching babies, from witnessing obstetric violence as a student to providing trauma-informed, evidence-based midwifery care. Liz and Rebecca explore the impact of diverse clinical experiences, the challenges of navigating midwifery school without labor and delivery experience, and the transformative power of reproductive justice. Liz also opens up about working in abortion care before and after the fall of Roe v. Wade, how she centers consent and autonomy in every interaction, and why investing in the education of future physicians is one of her biggest hopes for change.   Content Note: This episode contains discussion of obstetric violence (non-consented episiotomy) and providing abortion care.   (00:00) Liz Carr's Journey from Nursing Student to Certified Nurse Midwife (04:27) Early Inspiration and Moving to Kentucky (08:02) Witnessing Harmful Obstetric Practices and Choosing a Different Path (11:53) Gaining Lifesaving Skills as a Critical Care Nurse (16:30) Transitioning from ICU Nurse to Birth Work through Doula Training (21:24) Midwifery Education and Clinical Challenges (25:39) Abortion Care Training at CHOICES Before and After Roe v. Wade (32:46) Systemic Barriers and the Importance of Postpartum Support (35:36) Most Memorable Births and Special Moments (37:13) Teaching Medical Residents and Modeling Consent (40:54) Advice for Aspiring Midwives and Navigating Career Choices (45:01) Red Flags and Green Flags in Job Interviews (48:04) When Slower Access to Surgery Leads to Better Birth Outcomes   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources Explore Choices Center for Reproductive Health Read about the Turnaway Study Check your hospital's stats at the Leapfrog Hospital Safety Grade Learn more about Frontier Nursing University Get your copy of Babies Are Not Pizzas   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Carson Meyer, doula, certified nutrition consultant, and author of Growing Together, joins Dr. Rebecca Dekker for a conversation about reclaiming the sacred, intuitive, and evidence-based aspects of pregnancy, birth, and postpartum. Carson shares how she stepped into birth work at a young age, driven by a desire to transform a system that can leave parents disempowered and unsupported. She opens up about her own home birth experience, the spiritual preparation that carried her through, and the tools she now teaches others through her virtual Growing Together Circles. Together, Carson and Dr. Dekker discuss the importance of informed choice and the emotional, physical, and environmental foundations of holistic care.   (04:57) Carson's Path to Becoming a Doula (07:24) Growing Together Circles and Virtual Doula Support (09:39) Carson's Home Birth Story (13:23) Holistic Practices for Pregnancy and Labor (17:33) Four Pillars of Postpartum Healing (21:15) Nourishment and Hydration During Postpartum (25:20) Environmental Health and Conscious Skincare (37:48) Advice for New Doulas on Avoiding Burnout   Resources Explore Carson's work: carson-meyer.com Follow Carson on Instagram: @ccmeyer   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Arbeiders in Nederland stemmen allang niet meer op de Partij van de Arbeid. Maar waar beweegt de arbeider zich wel naartoe? Te gast is dr. Fabian Dekker, arbeidssocioloog aan de Erasmus Universiteit Rotterdam. Praktisch opgeleiden stemmen de laatste jaren vaker rechts dan links. Waarom? De tip van dr. Dekker: focus minder op ideologie en culturele thema's en kom met een duidelijk economisch plan. 

Curious how to actually prevent perineal tears during childbirth? In this episode, Dr. Rebecca Dekker breaks down the latest research on three of the most talked-about methods: 1) using warm compresses, 2) provider “hands on” techniques, 3) provider “hands off” techniques, and how these approaches measure up when it comes to protecting your perineum. You'll learn surprising facts, like how a simple warm washcloth can significantly lower your risk of severe tears (and even ease pain!), plus what the evidence really says about whether a provider should help “guard” the perineum or just keep their hands off you during the actual birth.   Content note: Discussion of perineal tears during childbirth, severe tears, and episiotomy.   (02:55) What is the Perineum? (05:33) Warm Compresses Reduce Birth Tears (08:51) Warm Compresses Reduce Birth Complications (12:27) Hands On vs. Hands Off (18:07) Hands-On vs. Hands-Off Perineal Techniques (19:38) Perineal Support Training Reduces Tearing (22:47) Hands-On vs. Hands-Off Birth   Resources For a full list of scientific references, visit the EBB website here. To watch the EBB YouTube video with visual props, visit here.  Listen to Episode 206 of the EBB Podcast (Perineal Tears and Avoiding Episiotomy) here. Learn about becoming an EBB Instructor here.  For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, “Babies Are Not Pizzas: They're Born, Not Delivered!” If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Nog maar net bekomen van de Giro en de Dauphiné staat alweer voor de deur. En wat een heerlijke Dauphiné gaat het worden. Pogi, Vingi en God staan aan de start. Een maand voor de start van de Tour gaan ze elkaar eens even goed testen. Wat wil een bankzitter nog meer? Nou, een fijne voorbeschouwing met Tank en Sneakerdave natuurlijk. Uiteraard kijken we met deze twee kenners ook nog even terug op de ontknoping van de Giro. En Sneakerdave geeft sprintcollege. Wat een feest! Bieden op de bergtrui van Wout Poels voor het goede doel? Check: marktplaats.nl/v/sport-en-fitness/wielrennen/wout-poels-bergtrui-ronde-van-turkije

Most parents are told their baby is either a boy or a girl. But what happens when a baby is born with intersex traits—and how can birth workers and clinicians respond with compassion, accuracy, and care? In this episode, Dr. Rebecca Dekker speaks with Niki Khanna, MA, MFT, and Dr. Catherine Clune-Taylor, co-presidents of InterACT, about how to support families when a baby's physical sex characteristics don't fit binary expectations. Together, they explore how often this occurs, what parents are typically told in the hospital, and why rushed decisions about infant genital surgery can cause lasting harm. They also share powerful insights on how to provide affirming care, connect families with community, and ensure every baby is welcomed with dignity.   (05:43) What Does “Intersex” Mean and How Common Is It? (09:05) Why Many Intersex Traits Aren't Identified at Birth (13:36) Understanding CAH and Newborn Screening (17:24) The History of Infant Surgeries and Gonadectomies (19:49) What Parents Are Told—And Why It's Often Incomplete (29:06) Ethics, Consent, and Who Gets to Decide (35:40) Why Intersex Babies Deserve Affirming, Informed Care (42:20) Barriers to Care for Intersex Youth and Adults   Resources Learn more: interactadvocates.org | Instagram Find support groups: InterConnect Documentary on YouTube, "Intersexion: Boy or Girl?" click here For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Struggling with low milk supply can feel overwhelming, isolating, and confusing. In this episode, Dr. Rebecca Dekker talks with midwife and International Board Certified Lactation Consultant Katie James to demystify the realities of low milk supply. Together, they explore the hormonal, medical, and systemic factors that can affect lactation, as well as the critical importance of early postpartum support. Katie shares how birth interventions, lack of education, and misinformation can interfere with lactation—and how reclaiming knowledge, honoring instinct, and receiving timely help can make all the difference.   (07:21) How Birth Interventions Impact Breastfeeding (09:30) Prolactin, Oxytocin, and the Critical First 3 Days (11:18) What is Low Milk Supply—and Can it Be Prevented? (14:58) Medical Conditions That Can Affect Milk Production (19:27) Gestational Diabetes, Cesarean Birth, and Milk Supply (23:42) The Trap of “Perceived” Low Supply (28:48) Why Judgment-Free Support Matters (36:56) When and How to Get Help from an IBCLC (38:16) The Rule of 3s: Key Windows to Boost Milk Supply (44:39) Why Partners Need Breastfeeding Education Too   Resources Follow Katie: katiejames.site | Instagram Listen to her podcasts: The Midwives' Cauldron and The Feeding Couch Find an EBB Childbirth Class: evidencebasedbirth.com/childbirthclass Learn about the EBB Instructor Program: evidencebasedbirth.com/instructor   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

You learn something new every day. At least, that's how the saying goes. But it's not always how the reality goes – particularly when it comes to our work.   Even though 84% of us feel like learning adds more purpose to our work, demanding deadlines and overflowing inboxes often stop us from finding time to focus on our own development. But being given the time and space to learn new things can lead to some seriously good things, like new opportunities, career growth and improved mental wellbeing. And what's good for us, is good for business too. In fact, research shows that organisations who invest in learning and development are 59% more likely to experience growth. Which could be why workplace learning is back on the agenda. Once associated with bad coffee and badly lit conference rooms, it's now benefiting from better technology and better understanding of the different ways in which we learn.   So, what needs to happen to ensure that learning doesn't keep getting moved to the bottom of our to-do list? And instead, it becomes a continuous process that's rewarding for both individuals and the businesses they work for? That's what we're exploring with guests Professor Nick van Dam, Chief of the IE University Center for Corporate Learning Innovation, and Heike Dekker-Schäch, Dean at Deloitte University, in this episode of The Green Room, as we ask: How can learning be part of our everyday work? Tune in to find out:  Whether ‘on the job' really is the best way to learn What a ‘learning climate' is and how businesses can influence it Why we all need to consider the next chapter of our careers – regardless of our age How workplace learning is linked to business success Enjoyed this episode? Check our website for our recommendations to learn more about this topic: www.deloitte.co.uk/greenroompodcasts You can also watch our episodes on Youtube: youtube.com/@DeloitteUK  Scope here:  scope.org.uk Guests: Professor Nick van Dam, Chief of the IE University Center for Corporate Learning Innovation, and Heike Dekker-Schäch, Dean at Deloitte University Hosts: Annie Wong and Stephanie Dobbs Original music: Ali Barrett  

Immerse yourself in captivating science fiction short stories, delivered daily! Explore futuristic worlds, time travel, alien encounters, and mind-bending adventures. Perfect for sci-fi lovers looking for a quick and engaging listen each day.

  In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care.   First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of inducing labor at 37 or 38 weeks for gestational hypertension? And how should families weigh these decisions with their providers?   Next, Dr. Dekker shares new insights into the effectiveness of acupuncture and acupressure for labor pain, anxiety, and Cesarean recovery. From systematic reviews to randomized trials, the data is growing!   Finally, she looks into the evidence on interpregnancy intervals. What does the research say about the risks associated with short or long gaps between pregnancies? And how might this information apply to those who are pregnant again after a five-year or more break?   (00:00) Intro to Mini Q&A and EBB Pro Membership (02:17) Early Induction for Gestational Hypertension – What the Research Says (06:20) WILL Trial Findings and Recommendations from ACOG and NICE (08:23) Outcomes at 37 vs. 38 Weeks – Cesareans, NICU, and Respiratory Distress (10:15) Balancing Induction Timing and Risks of Continuing Pregnancy (11:03) Acupuncture and Acupressure – New Research and Applications (12:41) Studies on Pain, Anxiety, and Nausea During Labor and Cesareans (14:46) Acupuncture and Cesarean Recovery – Mobility and Pain Management (16:54) Interpregnancy Intervals – Definitions and Research Challenges (19:39) Risks of Short and Long Pregnancy Spacing (23:22) Global Perspectives and Meta-Analysis on Birth Outcomes (26:49) Public Health Implications and Final Thoughts   View the full list of resources and references on ebbirth.com.   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

A traumatic first birth can shape everything that follows—but with the right support, education, and advocacy, it's possible to turn fear into empowerment.   In this episode, Dr. Rebecca Dekker sits down with EBB Childbirth Class Graduates Rivka and Steven Dubinsky as they share the transformative journey from a traumatic hospital induction and birth injury to a redemptive second birth experience centered on autonomy, education, and trust. Rivka opens up about how her first birth left her physically injured and emotionally shaken, and how she didn't initially recognize it as trauma. Over time—and with therapy, research, and support—she came to understand what had been taken from her. Determined to have a different experience with her second child, she carefully selected a trauma-informed OB, dove into birth education, and found strength in preparing for every possibility.   Together, Rivka and Steven share how they prepared as a team, how Steven stepped into his advocacy role during labor, and why they chose to “fire” a hospital-assigned doula. They also reflect on the surprising power of reclaiming their voice—even in the midst of pain—and how a supported birth experience can shift everything.   Content Note: This episode includes discussion of birth trauma. This episode also contains mild language at 45:55.   (01:48) Rivka's First Birth and the Silent Cost of Lost Autonomy (07:13) Steven's Reflections on Feeling Unprepared to Support (10:45) Moving to Ohio and Choosing Trauma-Informed Care (14:02) Becoming an “Information Junkie” and Taking the EBB Childbirth Class (17:02) Steven Learns Advocacy Through EBB (22:14) From Elective Cesarean Plan to Informed Induction (29:18) Navigating Nursing Styles and Hospital Systems (36:00) Epidural Differences and Listening to Her Body (40:50) Hands-On, Informed Support During Pushing (43:39) A Sunny-Side-Up Baby and Immediate Skin-to-Skin (45:53) Feeling Empowered, Present, and Powerful (50:06) Advice for Families Seeking Trauma-Informed Birth Care   Resources Learn more about Rivka and Steven's EBB Instructor, Aly Romot: @alyromotdoula For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.  

If you’ve ever asked “Can’t I just do a gut test and fix it in a month?” — this episode is your wake-up call. Functional nutritionist Sheradyn Dekker breaks down why true gut healing takes time — and what most women are missing when they try to fast-track the process. We dive into:✨ Why 6 months is often the minimum✨ The truth about biofilms, hidden infections & relapses✨ Why detox, minerals, and hormones matter✨ The overlooked phases: rebuild, repair, reintroduce✨ The biggest mistakes women make (and how to avoid them) This one’s for the women who want lasting gut health — not just a quick fix.

Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their values, preferences, and autonomy.   Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings—bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care.   (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why “Routine” Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools   Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.org For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

An hour of top tunes from Pit Pony, Ugly, Pollyfromthedirt, Night Swimming, Dekker, Prima Queen, El Knight, Natalie Wildgoose, Fergy LH, Adult DVD, Goodnight Louisa, Humour, VC Pines feat. Josie Man, The Oidz, Limpit feat. Kitty, and Westide Cowboy, handpicked by Emily Pilbeam from the BBC Introducing Uploader.

In today's episode, we're diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We'll talk about what perineal tears are, the different types that can occur, and the potential health consequences that can follow. You'll also hear about the various factors that may increase or decrease the risk of tearing during birth. Finally, we'll cover why it's so important to avoid an episiotomy during childbirth. Content warning: Discussion of perineal tears during childbirth, severe tears, episiotomy, and obstetric violence related to cutting episiotomies without consent. (05:58) Understanding Perineal Tears (09:15 Midwife Care Reduces Birth Tears (13:06) Risk Factors for Severe Birth Tears (16:08) Postpartum Tear Impact Study Findings (21:59) Episiotomy History and Controversy (24:02) Episiotomy Study on Routine vs. Restricted Use (28:02) Episiotomy Risks vs. Natural Tears (31:39) Episiotomy Awareness and Informed Consent Resources For the full list of references, visit the EBB website here. To watch the EBB YouTube video with visual props, visit here.  View graphics from the Mayo Clinic that show the different types of tears here. Read Dr. Klein's story here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Think constipation is just about fiber? Think again. In this eye-opening episode, we uncover why your gut struggles might have less to do with what you're adding — and more to do with what’s already going wrong. From hormone imbalances to hidden bacterial overgrowth, we break down the real root causes behind constipation, bloating, and even loose stools. You'll learn why simply adding more fiber isn't the magic fix — and how functional testing could be the game-changer your gut’s been waiting for. Ready to rethink everything you know about digestion? Let’s dive in. P.S Whenever you’re ready, here are 3 ways I can help you overcome constipation, bloating & fatigue. Get the “IBS” crash course In how to heal your gut with nutrition. I’ll show you how to have regular bowel movements, stop bloating and have more food choices here. Join our Gut Health Solutions Facebook Group for gut health recipes, tips & tricks here. Book a Gut Health Planning Session And if you ever want to get some 1:1 help, we can jump on Zoom for a quick call, and brainstorm how to overcome your bloating & heal your gut. Book here.See omnystudio.com/listener for privacy information.

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If you’ve been stuck avoiding gluten, dairy, or every high-FODMAP food just to keep your IBS symptoms in check — this episode is for you.Today, we’re breaking down why long-term food restrictions can actually harm your gut health, not heal it. We’ll talk about why your gut microbiome needs a variety of foods, how key nutrients and prebiotics like garlic, onions, and bananas play a role in true healing, and why "less is more" isn’t always the answer. Plus, I'll share a step-by-step look at how to safely rebuild food diversity, reintroduce favorites without fear, and finally stop feeling trapped by your diet.Let’s help you move from bloated and restricted — to balanced, nourished, and free! P.S Whenever you’re ready, here are 3 ways I can help you overcome constipation, bloating & fatigue. Get the “IBS” crash course In how to heal your gut with nutrition. I’ll show you how to have regular bowel movements, stop bloating and have more food choices here. Join our Gut Health Solutions Facebook Group for gut health recipes, tips & tricks here. Book a Gut Health Planning Session And if you ever want to get some 1:1 help, we can jump on Zoom for a quick call, and brainstorm how to overcome your bloating & heal your gut. Book here.See omnystudio.com/listener for privacy information.

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What Happened Dekker and Chloe Pt 1 by STAR 102.5/Des Moines

Navigating a neonatal intensive care unit (NICU) experience can be overwhelming and emotionally taxing. In this episode, Dr. Rebecca Dekker talks with Mary Farrelly, a certified NICU nurse, doula nurse educator, and founder of The NICU Translator. With over a decade of experience in a Level 4 NICU, Mary shares how families can find empowerment and confidence in the NICU.   Mary discusses the importance of emotional, social, and informational support for families, and how NICU-informed doulas can play a critical role in bridging the gap between parents and medical teams. From understanding the different levels of NICU care to navigating postpartum challenges, Mary offers compassionate and practical guidance. Learn how early preparation, trauma-informed care, and advocacy can make a difference in the NICU experience. Plus, Mary provides actionable tips for doulas supporting families through this journey.   (03:18) Discovering the Path to NICU Nursing (06:16) Emotional Impact of NICU Nursing and Family Connections (11:25) Understanding NICU Levels of Care and Medical Needs (17:57) Staffing Shortages and Challenges in NICU Care (21:48) Families' Most Common Questions: "When Can My Baby Go Home?" (25:02) Transitioning from NICU to Home and Navigating Anxiety (29:11) Parental Mental Health and PTSD After a NICU Stay (33:14) The Role of NICU-Informed Doulas in Supporting Families (39:08) Effective Support Strategies for NICU Families (45:52) Resources for NICU Families and Doulas   Resources: Connect with Mary Farrelly on Instagram: @thenicutranslator Visit The NICU Translator website: www.thenicutranslator.com Download the free NICU Birth Plan template: www.thenicutranslator.myflodesk.com/birthplan For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Melvyn Bragg and guests discuss one of the most energetic, varied and innovative playwrights of his time. Thomas Middleton (1580-1627) worked across the London stages both alone and with others from Dekker and Rowley to Shakespeare and more. Middleton's range included raucous city comedies such as A Chaste Maid in Cheapside and chilling revenge tragedies like The Changeling and The Revenger's Tragedy, some with the main adult companies and some with child actors playing the scheming adults. Middleton seemed to be everywhere on the Jacobean stage, mixing warmth and cruelty amid laughter and horror, and even Macbeth's witches may be substantially his work.WithEmma Smith Professor of Shakespeare Studies at Hertford College, University of OxfordLucy Munro Professor of Shakespeare and Early Modern Literature at Kings College LondonAnd Michelle O'Callaghan Professor of Early Modern Literature at the University of ReadingProducer: Simon TillotsonReading list:Swapan Chakravorty, Society and Politics in the Plays of Thomas Middleton (Clarendon Press, 1996)Suzanne Gossett (ed.), Thomas Middleton in Context (Cambridge University Press, 2011)R.V. Holdsworth (ed.), Three Jacobean Revenge Tragedies: A Selection of Critical Essays (Macmillan, 1990), especially ‘Calvinist Psychology in Middleton's Tragedies' by John StachniewskiMark Hutchings and A. A. Bromham, Middleton and His Collaborators (Northcote House, 2007)Gordon McMullan and Kelly Stage (eds.), The Changeling: The State of Play (The Arden Shakespeare, 2022)Lucy Munro, Shakespeare in the Theatre: The King's Men (The Arden Shakespeare, 2020)David Nicol, Middleton & Rowley: Forms of Collaboration in the Jacobean Playhouse (University of Toronto Press, 2012)Michelle O'Callaghan, Thomas Middleton: Renaissance Dramatist (Edinburgh University Press, 2009)Gary Taylor and Trish Thomas Henley (eds.), The Oxford Handbook of Thomas Middleton (Oxford University Press, 2012)In Our Time is a BBC Studios Audio Production

MONOLOGUE Mountie Mavericks Unleash Hell: Exposing Liberal Treachery in Canada's Darkest Hour NEWSMAKER   Debate Sidesteps Immigration https://www.blacklocks.ca/debate-sidesteps-immigration/   MPs Calls Conspiracy Theory https://www.blacklocks.ca/mps-calls-conspiracy-theory/   Sees CBC As Local Non-Profit https://www.blacklocks.ca/sees-cbc-as-local-non-profit/   Tom Korski, Managing Editor of Blacklock's Reporter https://www.blacklocks.ca OPEN LINES MONOLOGUE The Death of Blind Justice in Canada NEWSMAKER RCMP Whistleblowers accuse Carney's Liberal Circle of Illegalities https://www.todayville.com/rcmp-whistleblowers-accuse-members-of-mark-carneys-inner-circle-of-security-breaches-and-surveillance Ross McLean, Crime and Security Specialist and host of The McLean Chronicles https://www.youtube.com/@McLeanChronicle OPEN LINES THIS DAY IN ROCK HISTORY 1969 - Desmond Dekker and the Aces were at No.1 on the UK singles chart with 'The Israelites', making Dekker the first Jamaican artist to have an UK No.1 single. 1970 - The Led Zeppelin single 'Whole Lotta Love' was certified Gold in the US after selling over a million copies. The single had peaked at No. 4 on the US singles chart. In the UK Atlantic Records had expected to issue the edited version themselves, and pressed initial copies for release on 5th December 1969. However, band manager Peter Grant was adamant that the band maintain a 'no-singles' approach to marketing their recorded music in the UK, and he halted the release.   1972 - The Electric Light Orchestra made their debut at The Fox and Greyhound in Croydon, London. ELO were formed to accommodate former Move members Roy Wood and Jeff Lynne's desire to create modern rock and pop songs with classical overtones. Wood departed following the band's debut record, Lynne wrote and arranged all of the group's original compositions and produced every album. Learn more about your ad choices. Visit megaphone.fm/adchoices

  How can art serve as a powerful way to honor pregnancy, birth, and parenting experiences—especially for families who are often underrepresented in birth spaces?   In this episode, Dr. Rebecca Dekker explores this question with Lauren J. Turner, a Baltimore-based artist, birth worker, and founder of Birth Nerds. Lauren shares how her own home birth experiences, her journey with postpartum and neurodivergence, and a diagnosis of multiple sclerosis shaped her path into birth work and fine art.   Together, Rebecca and Lauren explore how art can be a healing, meditative process for birthing families, and a meaningful tool for birth workers to honor their clients' journeys. Lauren opens up about creating paintings that reflect diverse parenting experiences—from lactation to the NICU—and how she uses bold colors and imagery to bring visibility to Black and Brown families in maternal health.   (03:44) Lauren's First Home Birth Experience and the Impact of Midwives (06:28) A Challenging Second Birth and the Role of Trust and Teamwork (11:19) Starting Over with Doula Training and the Importance of Comprehensive Education (12:27) Living with Multiple Sclerosis and Being Dismissed by the Healthcare System (19:29) Redefining Rest through Art and Creativity (27:51) Exploring Themes in Maternal Health and Parenting Art (28:34) How Parents and Birth Workers Can Use Art to Process Birth (35:41) The Beauty of the Placenta in Art (37:10) Fiber Arts in Birth Work and Creative Expression (40:21) Uplifting Lactation Through Art and Community   Resources Explore Lauren's art: laurenjturnerfineart.com Follow Lauren on Instagram: @birthnerds Shop prints, shirts, and stickers: birthnerds.com Learn more about Mamatoto Village: mamatotovillage.org EBB 92 – Impacts of the Community Birth Worker Model with Aza Nedhari Discover MamAmor Dolls: mamamordolls.com For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Skin Deep: How Rashes, Acne, and Dermatitis Impact Mental Health and Confidence in Women Let’s talk about what no one’s talking about—the emotional toll our skin can take on us. In this episode, we’re getting real about the mental health impact of skin conditions like acne, rashes, and peri-oral dermatitis, especially for women navigating these challenges well beyond their teenage years. (Yes, adult acne is very real—and I’m living proof!) We’ll uncover the hidden triggers behind these skin issues, from hormone shifts and gut imbalances to skincare products and environmental stressors. You’ll also hear why conditions like SIBO often show up on your face before your lab results, and how functional testing can help you finally connect the dots. Whether you’ve struggled with self-esteem, social anxiety, or just feel tired of covering up, this episode dives beneath the surface—literally and emotionally. Because when your skin suffers, your confidence often does too—and it’s time we started talking about it. P.S Whenever you’re ready, here are 3 ways I can help you overcome constipation, bloating & fatigue. Get the “IBS” crash course In how to heal your gut with nutrition. I’ll show you how to have regular bowel movements, stop bloating and have more food choices here. Join our Gut Health Solutions Facebook Group for gut health recipes, tips & tricks here. Book a Gut Health Planning Session And if you ever want to get some 1:1 help, we can jump on Zoom for a quick call, and brainstorm how to overcome your bloating & heal your gut. Book here. See omnystudio.com/listener for privacy information.

  Dr. Rebecca Dekker is joined by Camilla Costa Goetz, a graduate of the EBB Childbirth Class, to share her story of advocating for herself during labor. Camilla, a former fashion student turned full-time mom, opens up about navigating pregnancy with POTS (Postural Orthostatic Tachycardia Syndrome), preparing for birth while her husband was away at Army Ranger School, and making the bold decision to push back against hospital norms to have the birth she wanted.   Tune in as Camilla and Rebecca discuss why self-advocacy is crucial in birth, how hospital policies can conflict with evidence-based care, and how standing firm can make all the difference in your birth experience. Learn tips for preparing your birth team, confidently saying no to interventions you don't want, and making sure your birth preferences are honored—even in a hospital setting.   (02:11) How Camilla Discovered Evidence Based Birth® and Her Pregnancy Challenges (05:11) Navigating Pregnancy with POTS and Health Concerns (10:27) Preparing for Birth Without Her Husband by Her Side (17:31) Planning for an Unmedicated Birth and Overcoming Fear of Hospitals (23:06) The Problem with Hospital Birth Policies and Misinformed Providers (26:13) How Camilla Switched Hospitals to Avoid an Unwanted C-Section (34:26) The Surprising Lack of Support for Unmedicated Birth in the Hospital (39:50) How Camilla Stood Her Ground in the Delivery Room (45:57) Her Husband's Emotional Reaction to Missing the Birth (51:06) Postpartum Challenges, Military Life, and the Strength of Advocacy   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates? Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say? Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope?   (02:30) How to Join the EBB Pro Membership & Submit Questions (04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early labor vs. active labor? (06:50) Key studies on peanut ball use—impact on labor duration, mode of birth, and satisfaction (13:30) (Q2) Induction at 39 Weeks for IVF Pregnancies (16:40) SMFM recommendations, lack of randomized trials, and shared decision-making in IVF pregnancies (20:00) (Q3) Dysphoric Milk Ejection Reflex (D-MER) (22:45) Hormonal theories behind D-MER, coping strategies, and available research (30:00) Recap & How to Find More Evidence-Based Resources   For the full list of references and resources, visit the EBB website here!   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.    

Today we are talking about weight gain from body fat vs bloating P.S Whenever you’re ready, here are 3 ways I can help you overcome constipation, bloating & fatigue. Get the “IBS” crash course In how to heal your gut with nutrition. I’ll show you how to have regular bowel movements, stop bloating and have more food choices here. Join our Gut Health Solutions Facebook Group for gut health recipes, tips & tricks here. Book a Gut Health Planning Session And if you ever want to get some 1:1 help, we can jump on Zoom for a quick call, and brainstorm how to overcome your bloating & heal your gut. Book here. See omnystudio.com/listener for privacy information.

Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar shares her journey into maternal-fetal medicine, how she became interested in yoga and breathing techniques, and the growing body of research on prenatal yoga. They discuss how breathwork can support pregnant individuals, the physiological effects of deep breathing, and how birth workers can incorporate these techniques into prenatal care. Dr. Babbar also shares her experience using alternate nostril breathing to manage blood pressure during pregnancy and her vision for making integrative therapies a standard part of obstetric care.   (01:41) Dr. Babbar's Journey into Maternal-Fetal Medicine (04:16) How Yoga and Prenatal Yoga Research Began (09:37) Studying the Effects of Prenatal Yoga on Pregnancy (12:46) Yoga's Impact on Labor Duration (14:33) The Role of Breathwork in Pregnancy (17:48) How Dr. Babbar Used Breathing Techniques for Her Own Pregnancy (22:30) The Science Behind Alternate Nostril Breathing (28:52) Guided Demonstration of Deep Breathing Techniques (35:10) Applying Breathwork During Pregnancy and Labor (39:08) The Future of Integrative Obstetric Care   Resources Learn more about Dr. Shilpa Babbar's work at drshilpababbar.com Follow the Integrative Obstetric Care Conference on Instagram: @IOBCare   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Lesbians and Sex Work The Lesbian Historic Motif Podcast - Episode 309 with Heather Rose Jones In this episode we talk about: Four motifs that connect women loving women and sex work in historic sources Sources used Bennett, Judith and Shannon McSheffrey. 2014. “Early, Erotic and Alien: Women Dressed as Men in Late Medieval London” in History Workshop Journal. 77 (1): 1-25. Beynon, John C. 2010. “Unaccountable Women” in Lesbian Dames: Sapphism in the Long Eighteenth Century. Beynon, John C. & Caroline Gonda eds. Ashgate, Farnham. ISBN 978-0-7546-7335-4 Blackmore, Josiah. 1999. “The Poets of Sodom” in Queer Iberia: Sexualities, Cultures, and Crossings from the Middle Ages to the Renaissance ed. Josiah Blackmore and Gregory S. Hutcheson. Duke University Press, Durham. ISBN 9780822323495 Boehringer, Sandra (trans. Anna Preger). 2021. Female Homosexuality in Ancient Greece and Rome. Routledge, New York. ISBN 978-0-367-74476-2 Burford, E.J. 1986. Wits, Wenchers and Wantons - London's Low Life: Covent Garden in the Eighteenth Century. Robert Hale, London. ISBN 0-7090-2629-3 Cheek, Pamela. 1998. "The 'Mémoires secrets' and the Actress: Tribadism, Performance, and Property", in Jeremy D. Popkin and Bernadette Fort (eds), The "Mémoires secrets" and the Culture of Publicity in Eighteenth-Century France, Oxford: Voltaire Foundation. Choquette, Leslie. 2001. “'Homosexuals in the City: Representations of Lesbian and Gay Space in Nineteenth-Century Paris” in Merrick, Jeffrey & Michael Sibalis, eds. Homosexuality in French History and Culture. Harrington Park Press, New York. ISBN 1-56023-263-3 Craft-Fairchild, Catherine. 2006. “Sexual and Textual Indeterminacy: Eighteenth-Century English Representations of Sapphism” in Journal of the History of Sexuality 15:3 DeJean, Joan. 1989. Fictions of Sappho, 1546-1937. Chicago: University of Chicago Press. ISBN 0-226-14136-5 Donoghue, Emma. 1995. Passions Between Women: British Lesbian Culture 1668-1801. Harper Perennial, New York. ISBN 0-06-017261-4 Engelstein, Laura. 1990. "Lesbian Vignettes: A Russian Triptych from the 1890s" in Signs vol. 15, no. 4 813-831. Garber, Marjorie. 1992. Vested Interests: Cross-Dressing and Cultural Anxiety. Routledge, New York. ISBN 0-415-91951-7 Faderman, Lillian. 1981. Surpassing the Love of Men. William Morrow and Company, Inc., New York. ISBN 0-688-00396-6 Gilhuly, Kate. 2015. “Lesbians are Not from Lesbos” in Blondell, Ruby & Kirk Ormand (eds). Ancient Sex: New Essays. The Ohio State University Press, Columbus. ISBN 978-0-8142-1283-7 Habib, Samar. 2007. Female Homosexuality in the Middle East: Histories and Representations. Routledge, New York. ISBN 78-0-415-80603-9 Haley, Shelley P. “Lucian's ‘Leaena and Clonarium': Voyeurism or a Challenge to Assumptions?” in Rabinowitz, Nancy Sorkin & Lisa Auanger eds. 2002. Among Women: From the Homosocial to the Homoerotic in the Ancient World. University of Texas Press, Austin. ISBN 0-29-77113-4 Ingrassia, Catherine. 2003. “Eliza Haywood, Sapphic Desire, and the Practice of Reading” in: Kittredge, Katharine (ed). Lewd & Notorious: Female Transgression in the Eighteenth Century. The University of Michigan Press, Ann Arbor. ISBN 0-472-11090-X Jones, Ann Rosalind & Peter Stallybrass. 1991. “Fetishizing gender: constructing the Hermaphrodite in Renaissance Europe” in Body guards : the cultural politics of gender ambiguity edited by Julia Epstein & Kristina Straub. Routledge, New York. ISBN 0-415-90388-2 Jones, Heather Rose. 2021. “Researching the Origins of Lesbian Myths, Legends, and Symbols” (podcast). https://alpennia.com/blog/lesbian-historic-motif-podcast-episode-201-researching-origins-lesbian-myths-legends-and Katritzky, M.A. 2005. “Reading the Actress in Commedia Imagery” in Women Players in England, 1500-1660: Beyond the All-Male Stage, edited by Pamela Allen Brown & Peter Parolin. Ashgate, Burlington. ISBN 978-0-7546-0953-7 Klein, Ula Lukszo. 2021. Sapphic Crossings: Cross-Dressing Women in Eighteenth-Century British Literature. University of Virginia Press, Charlottesville. ISBN 978-0-8139-4551-4 Kranz, Susan E. 1995. The Sexual Identities of Moll Cutpurse in Dekker and Middleton's The Roaring Girl and in London in Renaissance and Reformation 19: 5-20. Merrick, Jeffrey. 1990. “Sexual Politics and Public Order in Late Eighteenth-Century France: the Mémoires secrets and the Correspondance secrète” in Journal of the History of Sexuality 1, 68-84. Merrick, Jeffrey & Bryant T. Ragan, Jr. 2001. Homosexuality in Early Modern France: A Documentary Collection. Oxford University Press, New York. ISBN 0-19-510257-6 Rizzo, Betty. 1994. Companions without Vows: Relationships among Eighteenth-Century British Women. Athens: University of Georgia Press. ISBN 978-0-8203-3218-5 Sears, Clare. 2015. Arresting Dress: Cross-Dressing, Law, and Fascination in Nineteenth-Century San Francisco. Durham: Duke University Press. ISBN 978-0-8223-5758-2 Shapiro, Michael. 1994. Gender in Play on the Shakespearean Stage: Boy Heroines and Female Pages. Ann Arbor. Van der Meer, Theo. 1991. “Tribades on Trial: Female Same-Sex Offenders in Late Eighteenth-Century Amsterdam” in Journal of the History of Sexuality 1:3 424-445. Vanita, Ruth and Saleem Kidwai, eds. 2000. Same-Sex Love in India: Readings from Literature and History. St. Martin's, New York. ISBN 0-312-22169-X Velasco, Sherry. 2011. Lesbians in Early Modern Spain. Vanderbilt University Press, Nashville. ISBN 978-0-8265-1750-0 Wahl, Elizabeth Susan. 1999. Invisible Relations: Representations of Female Intimacy in the Age of Enlightenment. Stanford University Press, Stanford. ISBN 0-8047-3650-2 Walen, Denise A. 2005. Constructions of Female Homoeroticism in Early Modern Drama. New York: Palgrave MacMillan. ISBN 978-1-4039-6875-3 A transcript of this podcast is available here. Links to the Lesbian Historic Motif Project Online Website: http://alpennia.com/lhmp Blog: http://alpennia.com/blog RSS: http://alpennia.com/blog/feed/ Twitter: @LesbianMotif Discord: Contact Heather for an invitation to the Alpennia/LHMP Discord server The Lesbian Historic Motif Project Patreon Links to Heather Online Website: http://alpennia.com Email: Heather Rose Jones Mastodon: @heatherrosejones@Wandering.Shop Bluesky: @heatherrosejones Facebook: Heather Rose Jones (author page)

Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work, particularly for families navigating new healthcare systems.   Join Dr. Dekker and Madi as she shares insights into the Dutch maternity care system, where midwives play a central role, home birth is considered a national heritage, and postpartum families receive in-home support through the Kraamzorg system. We explore how Dutch birth culture prioritizes physiological birth, minimizes unnecessary interventions, and encourages parents to trust in their bodies. Madi also highlights the challenges faced by immigrant families and the importance of informed decision-making, regardless of where you give birth.   (00:03:16) Overview of the Dutch Maternity Care System: Midwife-Led Model (00:05:52) Home Birth as National Heritage: Dutch Birth Culture & Trends (00:06:54) Role of Doulas in the Netherlands & Their Place in the System (00:10:33) Dutch Approach to Birth Interventions & Cesarean Rates (00:12:46) Pain Management Options: Non-Medicated Comfort Measures First (00:16:18) Early Hospital Discharge & the Kraamzorg Postpartum Care System (00:20:01) Dutch Parental Leave Policies & Family-Friendly Work Culture (00:22:54) Challenges in the System: Protocols, Immigration, & Language Barriers (00:28:47) Lessons from the Dutch Birth Model: Autonomy, Education & Low-Intervention Birth (00:31:08) Madi's Advice for Expecting Parents & Birth Professionals   Resources Learn more about Madi van Tonder and her work at Meraki Madi. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Deze aflevering had beter kunnen heten 'De sweet spot tussen fashion en 'wat ben jij nou aan het doen'?' Maar dat is een te lange titel. Plus, iedereen heeft het over Roxy Dekker, dus dat zal wel werken. Tevens, 'Waarom likt iedereen aan Oma Pluis' klinkt toch een beetje goor. Het antwoord is trouwens wel grappig. Over Roxy Dekker gesproken, Alex heeft heel casual een vers trauma. Maar dat drukken we een beetje weg in de aflevering, as you do met trauma's. Niet Roxy Dekker maar Nynke mag zingen op het Boekenbal (Mama, I made it!) en neemt Hanneke mee als coach. Anne draagt geen spijkerbroeken meer en Alex heeft een geschil. We hebben het nauwelijks over leverworst, wel over Roxy Dekker.Groeten!Anne, Hanneke, Nynke en karma's favoriete slachtoffer-Sponsor: Bamigo!De nieuwe collectie herenboxershorts is gearriveerd: het comfort dat je gewend bent van Bamigo, verpakt in de mooiste seizoenskleuren. Je vindt de sets hier: https://bamigo.com/nl/heren/new Luisteraars van deze podcast ontvangen maar liefst 25% korting op de gehele collectie – dus ook op de nieuwste boxershorts - met de code IEMAND5. Sla je slag!Zie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.

EBB Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, and preparing for a scheduled Cesarean at 37 weeks. Krista opens up about the challenges of long-term hospitalization, advocating for herself in a complex medical system, and the emotional toll of being away from her family. Dr. Rebecca Dekker walks Krista through creating a Cesarean birth plan, covering topics like delayed cord clamping, optimizing the operating room experience, and postpartum recovery expectations and strategies.   (00:03:01) High-Risk Pregnancy & Partial Placental Abruption Diagnosis (00:07:35) Managing an Antepartum Hospital Stay: Challenges & Coping Strategies (00:12:09) Navigating Medical Information & Self-Advocacy in the Hospital (00:26:53) Mental Health Strategies & Staying Positive in a Prolonged Hospital Stay (00:31:36) Preparing for a Cesarean Birth: Creating a Birth Preferences Plan (00:36:28) Discussing Delayed Cord Clamping & Other Cesarean Options (00:45:17) What to Expect Physically & Emotionally During a Cesarean (00:48:52) Postpartum Recovery: Healing, Movement, and Emotional Processing (00:53:29) Building a Postpartum Support Plan   Resources EBB 304 – Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental encapsulation EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates EBB 343 – Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Lynda and Tim, co-devs of D'Avekki Studios, lend their game-making expertise and total lack of mushroom knowledge with the prompts:wildmushroom huntingphone gameIt may seem like a simple mushroom-identifying phone app, but "Professor Morel's Bad Trip" has so much more going on. Delve into the mysterious mushroom that killed Professor Morel and pinpoint who could have done the deed. Was it the celebrity chef hoping to cook up the greatest culinary delight? Or the rival professor who has their eye on the discovery? And just what does this mythical mushroom do to you anyway??Check out Lynda and Tim on Steam at D'Avekki Studios! I can particularly recommend playing The Shapeshifting Detective, and you should wishlist The Infectious Madness of Doctor Dekker 2. Follow them on Bsky @Davekki, and join the audition newsletter blast here!Visit the DFTBA Big Game Hunger merch shop at bit.ly/jennamerch. Support this show, and submit your OWN random prompts, by subscribing at Patreon.com/TheJenna. Gift subscriptions are now available at Patreon.com/TheJenna/Gift.Email the show at BigGameHungerPod@gmail.com.Big Game Hunger is part of the Multitude Collective of podcasts. Created and hosted by Jenna Stoeber.Big Game Hunger is a weekly video game podcast where Jenna Stoeber and a guest get three random prompts and have to make the big next game based on them.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing experience, Trish shares her journey from feeling disempowered during her first birth to becoming an advocate for changing the birth culture one birth at a time. Tune in as Trish and Rebecca discuss how to effectively advocate for yourself during labor, overcome fears of being "that patient," and navigate common labor scenarios like refusing unnecessary interventions. Learn tips for building a strong birth team, empowering your partner to advocate for you, and ensuring your voice is heard in the delivery room.   (01:31) Trish's Journey to Becoming a Labor and Delivery Nurse (05:42) Early Birth Experiences and the Importance of Advocacy (10:59) The Power of Human Dignity During C-Sections (13:38) Why Parents Struggle to Advocate for Themselves (17:07) Changing the Power Dynamic in the Labor Room (20:43) Thinking Outside the Bed: Encouraging Movement in Labor (25:43) Advocating for Yourself with Simple, Firm Responses (34:57) Protecting Yourself Against Unwanted Interventions (38:59) Empowering Birth Partners to Advocate Effectively (43:31) Building Strong Birth Teams with Nurses and Doulas   Resources Join the virtual EBB Conference here.  Explore birth classes and the Mama Membership at Labor Nurse Mama. Listen to The Birth Experience with Labor Nurse Mama podcast here. Follow Trish on Instagram for educational content and reels: @LaborNurseMama. Learn about induction and informed consent with the Induction Pocket Guide here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodies. Jen shares her journey to founding Plus Size Birth, the impact of size bias in healthcare, and practical advice for both expectant parents and birth professionals. Together, they discuss how to challenge assumptions about plus-size pregnancies, the importance of self-advocacy, and how to create a welcoming and supportive environment for all bodies during pregnancy, birth, and postpartum.   (01:41) Jen's Journey to Founding Plus Size Birth (03:42) Misconceptions About Plus-Size Pregnancy (07:35) The Effects of Weight Bias in Healthcare (10:09) Navigating Healthcare as a Plus-Size Person (14:36) Tips for Birth Workers to Provide Size-Inclusive Care (17:46) The Power of Language in Size-Inclusive Care (24:06) The Impact of Healthcare Bias on Other Areas (28:50) The Challenge of Anesthesia for Plus-Size People (33:09) Addressing Bias in Fertility and Pregnancy (43:40) The Future of Ozempic and Weight Loss in Pregnancy (46:17) Empowering People Through Size-Inclusive Support (50:47) Body Image and Advocacy   Resources Get the Plus Size Pregnancy Guide and Audio Book here. Sign up for the Size-Friendly Birth Course for Birth Professionals here. Tune in to the Plus Mommy Podcast here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lead to life-threatening complications in infants. Dr. Dekker breaks down what Vitamin K is, why newborns are at risk for VKDB, and the different supplementation options available—including the Vitamin K shot and oral drops. This episode also tackles myths and misinformation surrounding Vitamin K, including concerns about safety, the so-called “gentle birth” exemption, and the controversial "black box warning." Armed with new research, we explore the effectiveness of various oral Vitamin K regimens, and go over the global recommendations for Vitamin K supplementation.   (00:04:01) The Essential Role of Vitamin K for Blood Clotting (00:08:10) Significance of Vitamin K in Newborns' Health (00:14:31) Preventing VKDB: Vitamin K Shot vs Drops (00:16:14) Vitamin K Shot vs. Oral Drops Debate (00:20:00) Effectiveness of Oral Vitamin K Drops vs. Injection (00:31:39) Vitamin K Transfer Through Placental Barrier (00:41:33) Preventing VKDB in Newborns: Pros and Cons of Vitamin K Options   Resources: Read the full-length EBB Signature Article on Vitamin K (includes all scientific references + a FREE 1-page handout!) at https://ebbirth.com/vitaminK EBB Pocket Guide to Newborn Procedures: https://ebbirth.com/shop EBB Childbirth Class: https://ebbirth.com/childbirthclass CDC Real stories: People with Vitamin K. Deficiency Bleeding CDC VKDB information Watch this YouTube video from Dr. Matt and Dr. Mike about Hemostasis and the Clotting Cascade (and why Vitamin K and Calcium are important) International Federation of Library Associations and Institutions: How to Spot Fake News University of Chicago: Evaluating Resources and Misinformation Web Literacy for Student Fact Checkers (and other people who care about facts) For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised Cures, Tainted Cells," which explored cord blood banking practices, their marketing claims, and the stark contrast between public and private banking systems.   Together, they discuss: The differences between public and private cord blood banks Marketing tactics and their impact on parents The decline in the medical utility of cord blood over the last decade Ethical concerns, such as contamination, low stem cell counts, and hidden collection fees Sarah also shares the stories of families who invested in private banking, only to find their samples unusable when needed. This episode sheds light on the decisions surrounding cord blood banking and provides a look at the system's pitfalls.   Join us at the EBB Conference (virtually) this March by registering here! You can also see if the EBB Pocket Guide to Newborn Procedures is in stock here.    (00:05:56) Paid vs. Donated Cord Blood Storage (00:08:06) Stem Cell Storage for Future Medical Use (00:09:32) "Cord Blood Marketing: Promises and Concerns" (00:21:44) Rising Financial Burden of Cord Blood Storage (00:25:46) Unregulated Growth in Private Cord Blood Banking (00:26:14) Quality Control Concerns in Private Cord Blood Banking (00:34:48) Cord Blood Banking Implications in Delayed Clamping (00:41:52) Unregulated Risks of Cord Blood Storage   Resources: Read "Promised Cures, Tainted Cells" here Check out the American Academy of Pediatrics recommendations on cord blood banking here For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Episode 183: Colorectal Cancer in Young AdultsFuture Dr. Avila and Dr. Arreaza present evidence-based information about the screening and diagnosis of colorectal cancer and explain the increasing incidence among young adult and the importance to screen early in high risk groups.  Written by Jessica Avila, MS4, American University of the Caribbean School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.IntroductionJessica: Although traditionally considered a disease only affecting older adults, colorectal cancer (CRC) has increasingly impacted younger adults (defined as those under 50) at an alarming rate. According to the American Cancer Society, CRC is now the leading cause of cancer-related death in men under 50 and the second leading cause in women under 50 (American Cancer Society, 2024). Arreaza: Why were you motivated to talk about CRC in younger patients?Jessica: Because despite advancements in early detection and treatment, younger patients are often diagnosed at later stages, resulting in poorer outcomes. We will discuss possible causes, risk factors, common symptoms, and why early screening and prevention are important. Arreaza: This will be a good reminder for everyone to screen for colorectal cancer because 1 out of every 5 cases of colorectal cancer occur in adults between the ages of 20 and 54. The Case of Chadwick BosemanJessica: Many people know Chadwick Boseman from his role as T'Challa in Black Panther. His story highlights the worrying trend of increasing CRC in young adults. He was diagnosed with stage III colorectal cancer at age 39. This diagnosis was not widely known until he passed away at 43. His case shows how silent and aggressive young-onset CRC can be. Like many young adults with CRC, his symptoms may have been missed or thought to be less serious issues. His death drew widespread attention to the rising burden of CRC among young adults and emphasized the critical need for increased awareness and early screening efforts.Arreaza: Black Panther became a hero not only in the movie, but also in real life, because he raised awareness of the problem in young AND in Black adults. EpidemiologyJessica: While rates of CRC in older populations have decreased since the 1990s, adults under 50 have seen an increase in CRC rates of nearly 50%. (Siegel et al., 2023). Currently, one in five new CRC diagnoses occurs in individuals younger than 55 (American Cancer Society, 2024).Arreaza: What did you learn about the incidence by ethnic groups? Are there any trends? Jessica: Yes, certain ethnic groups are shown to have higher rates of CRC. Black Americans, Native Americans, and Alaskan Natives have the highest incidence and mortality rates from CRC (American Cancer Society, 2024). Black Americans have a 20% higher incidence and a 40% higher mortality rate from CRC compared to White Americans, primarily due to disparities in access to screening, healthcare resources, and early diagnosis. Hispanic and Asian American populations are also experiencing increasing CRC rates, though to a lesser extent.Arreaza: It is important to highlight that Black Americans have the highest rate of both diagnoses and deaths of all groups in the United States. Who gets colorectal cancer?Risk FactorsJessica: Anyone can get colorectal cancer, but some are at higher risk. In most cases, environmental and lifestyle factors are to blame, but early-onset CRC are linked to hereditary conditions. Arreaza: There is so much to learn about colorectal cancer risk factors. Tell us more.Jessica: The following are key risk factors:Modifiable risk factors:Diet and processed foods: A diet high in processed meats, red meat, refined sugars, and low fiber is strongly associated with an increased risk of CRC. Fiber is essential for gut health, and its deficiency has been linked to increased colorectal cancer risk (Dekker et al., 2023).Obesity and sedentary lifestyle: Obesity and physical inactivity contribute to CRC risk by promoting chronic inflammation, insulin resistance, and metabolic disturbances that promote tumor growth (Stoffel & Murphy, 2023).Gut microbiome imbalance: Disruptions in gut microbiota, especially an overgrowth of Fusobacterium nucleatum, have been noted in CRC pathogenesis, potentially causing tumor development and progression (Brennan & Garrett, 2023).Arreaza: As a recap, processed foods, obesity, sedentarism, and gut microbiome. We also have to mention smoking and high alcohol consumption as major risks factors, but the strongest risk factor is a family history of the disease.Non-modifiable risk factors:Genetic predisposition: Although only 20% of early-onset CRC cases are linked to hereditary syndromes such as Lynch syndrome and familial adenomatous polyposis (FAP), individuals with a first-degree relative with CRC are at a significantly higher risk and should undergo earlier and more frequent screening (Stoffel & Murphy, 2023).Arreaza: Also, there is a difference in incidence per gender assigned at birth, which is also not modifiable. The rate in the US was 33% higher in men (41.5 per 100,000) than in women (31.2 per 100,000) during 2015-2019. So, if you are a man, your risk for CRC is slightly higher. Protective factors, according to the ACS, are physical activity (no specification about how much and how often) and dairy consumption (400g/day). Jessica, let's talk about how colon cancer presents in our younger patients.Clinical Presentation and Challenges in DiagnosisJessica: Young-onset CRC is often diagnosed at advanced stages due to delayed recognition of symptoms. Common symptoms include:Rectal bleeding (often mistaken for hemorrhoids)Young individuals may ignore it, believe they do not have time to address it, or lack insurance to cover a comprehensive evaluation.Unexplained weight lossFatigue or weaknessChanges in bowel habits (persistent diarrhea or constipation)This may also be rationalized by dietary habits.Abdominal pain or bloatingIron deficiency anemia.Arreaza: All those symptoms can also be explained by benign conditions, and colorectal cancer can often be present without clear symptoms in its early stages. Jessica: Yes, in young adults, symptoms may be dismissed by healthcare providers as benign conditions such as irritable bowel syndrome (IBS), hemorrhoids, or dietary intolerance, leading to significant diagnostic delays. Arreaza: We must keep a low threshold for ordering a colonoscopy, especially in patients with the risks we mentioned previously. Jessica: We may also be concerned about the risk/benefit of colonoscopy or diagnostic methods in younger adults, given the traditional low likelihood of CRC. Approximately 58% of young CRC patients are diagnosed at stage III or IV, compared to 43% of older adults (American Gastroenterological Association, 2024). Early recognition and prompt evaluation of persistent symptoms are crucial for improving outcomes. Empowering and informing young adults about concerning symptoms is the first step in better recognition and better outcomes for these individuals.Arreaza: This is when the word “follow up” becomes relevant. I recommend you leave the door open for patients to return if their common symptoms worsen or persist. Let's talk about screening. Screening and PreventionJessica: Due to the trend of CRC being identified in younger populations, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended screening age for CRC from 50 to 45 in 2021 (USPSTF, 2021). Off the record, some Gastroenterologists also foresee the USPSTF lowering the age to 40. Arreaza: That is correct, it seems like everyone agrees now that the age to start screening for average-risk adults is 45. It took a while until everyone came to an agreement, but since 2017, the US Multi-Society Task Force had recommended screening at age 45, the American Cancer Society recommended the same age (45) in 2018, and the USPSTF recommended the same age in 2021. This podcast is a reminder that the age of onset has been decreased from 50 to 45, for average-risk patients, according to major medical associations.Jessica: For individuals with additional risk factors, including a family history of CRC or chronic gastrointestinal symptoms, screening starts at age 40 or 10 years before the diagnosis of colon cancer in a first-degree relative. Dr. Arreaza, who has the lowest and the highest rate of screening for CRC in the US? Arreaza: The best rate is in Massachusetts (70%) and the lowest is California (53%). Let's review how to screen:Jessica: Recommended Screening Methods:Colonoscopy: Considered the gold standard for CRC detection and prevention, colonoscopy allows for identifying and removing precancerous polyps.Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood, recommended annually.Stool DNA Testing (e.g., Cologuard): This test detects genetic mutations associated with CRC and is recommended every three years.Arreaza: Computed tomographic colonography (CTC) is another option, it is less common because it is not covered by all insurance plans, it examines the whole colon, it is quick, with no complications. Conclusion:Colorectal cancer is rapidly emerging as a serious health threat for young adults. The increase in cases over the past three decades highlights the urgent need for increased awareness, early symptom detection, and proactive screening. While healthcare providers must weigh the risk/benefit of testing for CRC in younger adults, patients must also be equipped with knowledge of concerning signs so that they may also advocate for themselves. Early detection remains the most effective tool in preventing and treating CRC, emphasizing the importance of screening and risk factor modification.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Cancer Society. (2024). Colorectal Cancer Statistics, 2024. Retrieved fromhttps://www.cancer.orgAmerican Gastroenterological Association. (2024). Delays in Diagnosis of Young-Onset Colorectal Cancer: A Systemic Issue. Gastroenterology Today.Brennan, C. A., & Garrett, W. S. (2023). Gut Microbiota and Colorectal Cancer: Advances and Future Directions. Gastroenterology.Dekker, E., et al. (2023). Colorectal Cancer in Adolescents and Young Adults: A Growing Concern. The Lancet Gastroenterology & Hepatology.Siegel, R. L., et al. (2023). Colorectal Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians.Stoffel, E. M., & Murphy, C. C. (2023). Genetic and Environmental Risk Factors in Young-Onset Colorectal Cancer. JAMA Oncology.U.S. Preventive Services Task Force. (2021). Colorectal Cancer Screening Guidelines.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and inadequate lactation support affected her pregnancy and birth, leading her to become a passionate birth worker, doula, and lactation consultant. Porsche emphasizes the need for trauma-informed, culturally competent care, particularly for Black families, and offers invaluable advice for healthcare workers and birth professionals on how to center the needs of families through active listening and compassionate support.   Register for the EBB Conference here!    (02:29) Porsche's Birth Story and the Impact on Her Approach to Trauma-Informed Care (05:34) A Call to Action: Rising Up After a Traumatic Birth (07:19) The Systemic Failures and Lack of Representation in Healthcare (10:20) Advocating for Change and Getting Involved in Maternal Health Initiatives (13:13) Generational Trauma and Preeclampsia in Black Families (15:33) The Future of Preeclampsia Care and Prevention (17:56) The Intersection of Preeclampsia and Mental Health (22:06) Lactation Challenges: Generational Trauma and Cultural Barriers (25:40) The Role of Lactation Support in Hospitals (29:43) Trauma-Informed Lactation Support: Practical Tips for Birth Workers (35:29) Prioritizing Basic Needs in Trauma-Informed Care (38:04) Supporting Families Beyond the Birth: A Holistic Approach to Care (46:04) The Importance of Perinatal Mental Health Awareness Learn more about Reclaim Black Motherhood Visit the Preeclampsia Foundation Get mental health resources and support from Postpartum Support International (PSI) Read Black birth people's stories of preeclampsia with the Take 10 Campaign EBB Podcast #342: Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere EBB Podcast #344: Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In today's episode, we're revisiting an inspiring birth story featuring Emily Chandler and Taylor Washburn, graduates of the Evidence Based Birth® Childbirth Class. They share their journey of navigating an informed and empowered hospital birth experience, along with the challenges they faced during an extended hospital stay for their newborn's jaundice diagnosis.   Emily, a marine scientist, and Taylor, a teacher and rowing coach in the Boston area, enjoy an active lifestyle filled with hiking, biking, and rowing. While preparing for parenthood, Emily immersed herself in learning about pregnancy, birth, and the state of maternity care in the U.S. This journey led them to take the EBB Childbirth Class with instructor Chanté Perryman, where they gained valuable knowledge and advocacy skills.   Emily and Taylor share how the EBB Childbirth Class empowered them to make informed decisions about their birth plan—including Taylor's memorable experience of “catching” their baby. They also highlight the importance of the advocacy skills they learned, which helped them effectively communicate with healthcare providers and navigate unexpected challenges, such as breastfeeding difficulties and securing the right support during their baby's jaundice treatment.   Be sure to listen all the way to the end of the episode for an exciting update from our guests!   Content Note: This episode covers topics such as extended hospital stays, breastfeeding challenges, jaundice testing and treatment, and the racial disparities affecting Black and Brown infants with jaundice. (00:03:15) Doula Guidance During Pregnancy (00:09:24) Minimal Intervention Birth Plan Worries (00:17:45) Unexpected Labor Challenges (00:24:45) Efficient and Caring Nurse's Impact (00:34:34) Newborn's Breastfeeding and Jaundice Journey (00:40:03) Newborn Care and Feeding Challenges (00:43:17) Optimal Umbilical Cord Clamping Timing (00:47:27) Risk Factors for Infant Jaundice (00:52:18) Jaundice Warning Signs and Emergency Help (00:55:57) Home Birth Journey and EBB Impact Resoures: Get the Evidence Based Birth® Pocket Guide to Newborn Procedures here You can learn more about jaundice here at the Mayo Clinic site, or here at the Cleveland Clinic website. Access the Evidence Based Birth Signature Articles on: The Evidence on Premature Rupture of Membranes here The Evidence on Group B Strep here The Evidence on Pitocin in the Third Stage here Listen to EBB 145- Fatherhood and Advocacy in Birth with JacMichael Perryman here Listen to EBB 244 – Evidence on AROM, AVD and Internal Monitoring here Learn more about Chanté Perryman's EBB Childbirth Class and services here Learn more about the Nest Collaborative here For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, “Babies Are Not Pizzas: They're Born, Not Delivered!” If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Ross is joined by broadcaster Olivia Harlan Dekker to discuss her journey, growing up in a broadcaster household, what she's up to at Sky Sports, and much more! Download the DraftKings Sports Book App and use code ROSS for a sign up bonus up to $1,000 Connect with the Pod Website - https://www.rosstucker.com Become A Patron - https://www.patreon.com/RTMedia Podcast Twitter - https://twitter.com/RossTuckerPod Podcast Instagram - https://www.instagram.com/rosstuckerpod/ Ross Twitter - https://twitter.com/RossTuckerNFL Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Rebecca Dekker welcomes Dr. Kat Kaeni, a perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast. Dr. Kat shares her personal journey with postpartum depression, anxiety, and OCD, and how it shaped her commitment to supporting parents during the perinatal period. They explore the spectrum of perinatal mental health conditions, from baby blues to postpartum psychosis, and discuss the stigma, barriers to care, and strategies for managing symptoms. Dr. Kat explains the power of Cognitive Behavioral Therapy, mindfulness techniques, and the importance of accessing resources like Postpartum Support International.   Content Warning: This episode includes discussions of perinatal mental health disorders, including postpartum depression, anxiety, OCD, and psychosis. Sensitive topics such as intrusive thoughts, stigma, feelings of guilt and shame, and the potential for harm to self or others are addressed. Listener discretion is advised, and we encourage anyone who may be affected by these topics to reach out for support through Postpartum Support International or a trusted healthcare provider.   (00:07:28) Unique Challenges in Perinatal Mental Health (00:11:05) Caregivers' Mental Health and Bonding Challenges (00:16:32) Parental Isolation Stemming from Anxiety and Depression (00:21:53) Emergent Postpartum Psychosis Symptoms (00:27:08) Overcoming Stigma in Perinatal Mental Health (00:31:54) Thought and Behavior Change Therapy for Depression (00:36:56) Perinatal Mental Health Challenges and Support   EBB 197 – Addressing Perinatal Mental Health for Communities of Color with the Co-Founders of the Perinatal Mental Health Alliance for People of Color, Divya Kumar, Jabina Coleman, and Desirée Israel Postpartum Support International The Mom & Mind Podcast The Pregnancy Workbook: Manage Anxiety and Worry with CBT and Mindfulness Techniques For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this episode, Dr. Rebecca Dekker and Morgan Richardson Cayama, EBB Research Fellow and doctoral candidate in public health, are sharing the top 10 evidence-based strategies for reducing your risk of a Cesarean birth. Drawing from the latest research, including insights from the ARRIVE trial and EBB's Signature Articles, Rebecca and Morgan discuss actionable methods such as choosing a provider and birth setting with low Cesarean rates, receiving midwifery-led care, using labor support like a doula, staying mobile during labor, and avoiding non-medically indicated interventions. They also talk about the impact of tools like peanut balls, the role of intermittent fetal monitoring, and options for breech pregnancies.   (04:38) Provider Attitude Impact on Cesarean Rates (08:34) Cesarean Risk Reduction Through Midwifery Care (11:03) Lower-Risk Birth Settings for Cesarean Prevention (19:34) Reduced Cesarean Risk with 39-Week Induction (22:21) Optimal Timing for Hospital Admission in Labor (27:53) Upright Positions and Cesarean Risk in Labor (33:24) Upright Birthing Positions for Safer Delivery (34:53) Reducing Cesarean Rates through Intermittent Auscultation   Check out the ARRIVE Trial Signature Article for evidence on elective induction at 39 weeks Friedman's Curve and Failure to Progress: A Leading Cause of Unplanned Cesareans Evidence on: Induction or Cesarean for a Big Baby Evidence on: Doulas EBB 45 – How do peanut balls support labor? Evidence on: Birthing Positions Evidence on: Fetal Monitoring EBB 296 – Evidence on Breech Birth with Dr. Rebecca Dekker and Sara Ailshire, MA EBB 297 – Frequently Asked Questions about Breech with Dr. Rebecca Dekker and Sara Ailshire, MA Use Leapfrog Group Hospital Ratings, a Tool to compare Cesarean rates and maternity care statistics by hospital. Get a copy of Dr. Dekker's book, Babies are Not Pizzas. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

In this episode, learn how Dr. Kimarie Bugg's lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers to breastfeeding, including workplace challenges, access to lactation support, and the lack of consistent education for healthcare providers. She emphasizes the importance of policy change, workforce development, and healing generational trauma through initiatives like ROSE's "Breast Friend" and the Reaching Our Brothers Everywhere (ROBE) programs. Tune in for a conversation about the critical role of breastfeeding equity, the unique challenges faced by African American families, and the power of community-driven solutions.   (09:34) Empowering Black Nurses in Breastfeeding Support (8:08) Supporting Breastfeeding in African American Community (27:08) "Breast Friend Program: Reducing Breastfeeding Disparities" (28:22) Empowering Communities for Inclusive Breastfeeding Support (32:46) Reframing Breastfeeding Narratives in African American Community (34:54) Enhancing Breastfeeding Equity Beyond Hospital Stay (41:39) Community Transformers: Empowering Maternal Health Support   Explore ROSE's programs, including Breast Friends, Community Transformers, and more here. Learn about Boston Medical Center's Community and Hospitals Advancing Maternity Practices (CHAMPS), a Baby-Friendly hospital initiative, here. Learn more about the Academy of Breastfeeding Medicine here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Happy New Year! Join Dr. Rebecca Dekker and EBB research fellows Morgan Richardson Cayama and Sara Ailshire as they celebrate the evidence from 2024. From updating key research on waterbirth, doulas, and elective inductions to launching new handouts, webinars, and pocket guides, it was a busy and rewarding year for Team EBB. Plus, get a sneak peek at what's ahead in 2025, including an updated virtual conference, fresh podcast episodes, and exciting new research. Let's celebrate the wins, reflect on the research, and dream big for what's next!   (00:04:06) Benefits of Water Birth in Hospitals (00:05:13) Positive Outcomes of Water Birth Research (00:10:58) Water Birth Safety: Preventing Infections and Complications (00:14:16) Water Birth Cord Avulsion Risk Factors (00:23:23) Cultural Relevance in Doula Support Services (00:25:23) Integral Role of Doulas in Childbirth (00:30:40) Elective Inductions at 39 Weeks Impact (00:44:11) Vitamin K Update: Black Box Warning Insights (00:52:20) "Top 10 Evidence-Based Cesarean Risk Reduction Strategies"   The Evidence on: Waterbirth EBB 300: The Evidence on Waterbirth EBB 318: Advocating for Waterbirth in Hospitals EBB 287: Positive Hospital Waterbirth Story EBB 268: Debunking Myths about PROM, GBS, and Waterbirth EBB 258: Waterbirth Story with Cord Avulsion EBB 230: Inspirational Home Waterbirth Story The Evidence on: Doulas EBB 309: The Evidence on Doulas The Evidence on: The ARRIVE Trial and Elective Induction at 39 Weeks ARRIVE Trial Signature Article Pain Management Series EBB 312: Injectable Opioids EBB 317: Epidurals for Pain Management EBB 320: Epidurals and the Pushing Phase of Labor Rh Incompatibility EBB 329: Blood Types, Rh Incompatibility, and RhoGAM Shot For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.  

Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emetophobia—the fear of vomiting—and how it impacted her pregnancy and decision to pursue a home birth. From navigating intrusive thoughts and panic attacks to finding a supportive care team and discovering the power of SSRIs, Kat and Ben open up about their challenges and triumphs. Hear how they prepared for labor, the role of their midwives, and how the EBB Childbirth Class helped them feel informed and empowered. Whether you're curious about home births, mental health in pregnancy, or simply love heartfelt birth stories, this episode is a must-listen! Content Note: The first half of the interview will discuss distressing symptoms related to emetophobia, panic attacks, and OCD, as well as considering pregnancy termination due to emetophobia. (00:01:24) Joyful Home Birth Experience despite Challenges (00:04:56) Empowered by Supportive Providers for Emetophobia (00:10:17) Navigating Mental Health in Parenthood Transition (00:17:53) Navigating Challenges with a Strong Support System (00:30:10) Unpredictable Transitions in Labor and Birth (00:35:03) Empowering Decisions Through Evidence-Based Home Birth (00:36:07) Empowering Parents Through Evidence-Based Childbirth Education Learn more about Kat and Ben's EBB Instructor, Emily McMichael, here or follow her on Instagram here! For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips for managing pressure to induce and delve into how the ARRIVE trial impacts outcomes like breastfeeding, epidurals, and costs. Tune in to hear this Q&A session originally broadcast to listeners worldwide.   Episode 334: The ARRIVE Trial and Elective Induction at 39 Weeks (03:38) How often are we seeing pressure from obstetricians to induce? (07:20) How can you manage pressure from an obstetrician to get an induction at 39 weeks? (12:00) What are the geographic trends in induction rates? (15:30) What are the statistics on infant death and mortality? (19:56) What happens if a midwife or obstetrician refuses a 39-week elective induction requested by a birthing person? (21:50) Why did the ARRIVE trial report such high rates of preeclampsia and hypertension? (32:16) Is induction considered to be more cost-effective? (34:54) Are inductions affecting breastfeeding and epidural rates? (36:54) Is there research around maternal satisfaction and birthing experience? (40:11) Why are IVF and advanced maternal age clients often pressured or offered induction? (41:24) What strategies can doulas use to support clients facing discussions about 39-week induction with their provider?   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.