EBB 367 - Early AROM and High-Dose Pitocin with all Inductions? Breaking Down the Latest Induction Trends with Jennifer Anderson, RN, Doula, and EBB Instructor

EBB 367 - Early AROM and High-Dose Pitocin with all Inductions? Breaking Down the Latest Induction Trends with Jennifer Anderson, RN, Doula, and EBB Instructor

Jennifer Anderson, RN, experienced doula, Evidence Based Birth® Instructor, and member of Team EBB, returns to the podcast to join Dr. Rebecca Dekker in unpacking a new trend in labor induction protocols—starting Pitocin at higher doses and incorporating early artificial rupture of membranes (AROM). Drawing from her work with high-risk clients and firsthand experience inside hospital systems, Jennifer highlights how policies aimed at "optimizing" labor often prioritize speed over patient-centered care. Together, they examine what's in these new induction bundles, the evidence behind faster-moving protocols like dual-method cervical ripening and 4x4 Pitocin, and the importance of informed decision-making at every stage. (04:10) A Client Story That Sparked Concern Over High-Dose Pitocin
(07:27) What "2x2" vs. "4x4" Pitocin Protocols Mean
(09:41) Hospital Protocols: What the Nurse Can (and Can't) Do
(12:25) Inside the New Induction Policy: What's Changing and Why
(18:40) Balloon Checks, Membrane Sweeps, and Patient Comfort
(23:43) "Timely AROM" and the Push for Early Artificial Rupture of Membranes
(30:54) Does Early AROM Shorten Labor Without Increasing Infection?
(45:19) Alternatives to Shorten Labor Without Breaking the Water
(52:04) Why a "Failed Induction" Policy Can Prevent Unnecessary Cesareans
(55:43) How to Push Back on High-Dose Pitocin or Early AROM Resources Explore Jen's work: birthfusion.com | @birthfusion Take the Evidence Based Birth® Childbirth Class: ebbirth.com/childbirth-class/ Watch the EBB Crash Course on YouTube here Get the EBB Labor Induction Pocket Guide here EBB Failure to Progress Resource Page: ebbirth.com/failuretoprogress EBB 155 – Pelvic Floor Health in Pregnancy and Postpartum with Dr. Juan Michelle Martin EBB 118 – How to Have a Healthy Postpartum Transition with Dr. Alyssa Berlin 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 414 - Evidence on Natural Labor Induction: Acupuncture, Acupressure, and Breast Stimulation

EBB 414 - Evidence on Natural Labor Induction: Acupuncture, Acupressure, and Breast Stimulation

Acupuncture, acupressure, and breast stimulation are popular natural labor induction methods, but what does the latest research tell us about how well they actually work?   In this episode, Dr. Rebecc...

7 Loka 43min

EBB 413 - Evidence on Migraines and Pregnancy: Frequency, Prevention, and Comfort Measures

EBB 413 - Evidence on Migraines and Pregnancy: Frequency, Prevention, and Comfort Measures

Migraines during pregnancy can be debilitating, and figuring out how to prevent or manage them can be especially challenging. In this episode, Dr. Rebecca Dekker explores the research on migraines dur...

30 Syys 1h 5min

EBB 412 - Induction Tips for Families with High-Risk Doula Jennifer Anderson, RN

EBB 412 - Induction Tips for Families with High-Risk Doula Jennifer Anderson, RN

An induction may change your birth plan, but it doesn't mean giving up your preferences or your role in the decision-making process. In this episode, EBB's Director of Programs Chanté Perryman talks w...

23 Syys 1h 1min

EBB 411 - Advocating for a Family Centered Cesarean with Holly and Nathan Miller, EBB Childbirth Class Graduates

EBB 411 - Advocating for a Family Centered Cesarean with Holly and Nathan Miller, EBB Childbirth Class Graduates

When Holly and Nathan Miller learned their baby was breech late in pregnancy, the unmedicated vaginal birth they had been preparing for suddenly felt out of reach. Living in rural South Georgia, they ...

16 Syys 34min

EBB 410 - Evidence and Controversy Surrounding Freebirth

EBB 410 - Evidence and Controversy Surrounding Freebirth

In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire examine the available evidence on planned unassisted birth, also known as freebirth, defined as intentionally giving birth without a qualified...

9 Syys 1h 7min

EBB 409 - Business Advice for New Doulas with Katie Nyberg, Doula Trainer and Founder of The Iowa Baby Ladies

EBB 409 - Business Advice for New Doulas with Katie Nyberg, Doula Trainer and Founder of The Iowa Baby Ladies

A passion for supporting families during birth is the foundation for a career as a doula. But once that foundation has been laid, it takes business skills, boundaries, and collaboration to be sustaina...

2 Syys 45min

REPLAY: EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International

REPLAY: EBB 344 - Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International

Perinatal mental health is often a misunderstood landscape shaped by stigma, cultural expectations, and invisible struggles that touch entire families. In this replay episode, Dr. Rebecca Dekker sits ...

26 Elo 41min

EBB 408 - "What They Didn't Tell Me about Birth and Parenthood" with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach

EBB 408 - "What They Didn't Tell Me about Birth and Parenthood" with Dr. Jessica Vernon, Board-Certified OB/GYN and Perinatal Coach

Pregnancy, birth, and postpartum care should support the whole person, physically and mentally. In this episode, Dr. Rebecca Dekker talks with board-certified OB/GYN and perinatal coach Dr. Jessica Ve...

19 Elo 37min

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