Evidence Based Birth®

• EBB 363 - A Remarkable Journey from "Babies Are Not Pizzas" Student to Critical Care Nurse to Nurse Midwife with Liz Carr, CNM

  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.

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• EBB 362 - Doula Wisdom and Holistic Practices for Pregnancy and Postpartum with Carson Meyer, Doula and Author of Growing Together

  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.

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• REPLAY: EBB 210 - Evidence on Warm Compresses and Hands-on vs. Hands-off for Protecting the Perineum

  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.

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• EBB 361 - Supporting Intersex Communities during Birth with Niki Khanna and Catherine Clune-Taylor, Co-Presidents of InterACT

  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.

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• EBB 360 - Overcoming Challenges with Low Milk Supply with Katie James, Midwife, IBCLC, and Host of the Midwives' Cauldron Podcast

  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.

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