Evidence Based Birth®

• EBB 379 - A Challenging Birth Story with GBS, Prolonged PROM, Pitocin, and an Epidural, with EBB Childbirth Class Graduate Erica Wright and EBB Instructor Tara Thompson

  After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thompson), she discovered that birth doesn't have to go "according to plan" to be powerful.   In this episode, Dr. Rebecca Dekker talks with Erica and Tara about how preparation, advocacy, and teamwork carried them through a marathon labor filled with unexpected turns. From switching hospitals late in pregnancy to finding strength through challenges, their story exemplifies flexibility, informed choice, and the power of doula support.   (05:55) Tara's updates from Atlanta and her path to becoming an IBCLC (09:17) Erica's lightbulb moments from the EBB Childbirth Class (11:22) Switching hospitals at 35 weeks and advocating for the right fit (16:18) Labor begins: prodromal labor, GBS, and waiting for spontaneous birth (24:30) Hospital admission, challenges with staff, and early interventions (32:17) The Pitocin battle and advocating for movement and monitoring choices (35:40) Finding a supportive nurse and regaining freedom during labor (39:53) Tara's night shift: rest, affirmations, and encouragement (44:20) Deciding on the epidural and reframing "failure" as flexibility (49:18) The final stage: rest, relief, and meeting baby (55:12) Postpartum recovery and breastfeeding challenges (01:00:25) Tara's advice for navigating long labors (01:02:43) Erica's reflections on flexibility, intuition, and informed choice   Resources Get in touch with Tara: tarasbirthservices.com | @taras.birthservices Connect with Tara's teammate, Brittany: @wellpreparednest Listen to EBB 146 - How Doula and EBB Instructor Tara Thompson Supports Families in Atlanta Listen to EBB 357 – Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide The Evidence on: GBS (Group B Strep): evidencebasedbirth.com/groupbstrep/ The Evidence on: Pitocin During the Third Stage of Labor: evidencebasedbirth.com/evidence-on-pitocin-during-the-third-stage-of-labor/ Epidural during Labor for Pain Management: evidencebasedbirth.com/epidural-during-labor-pain-management/ Learn more about the Evidence Based Birth Childbirth Class: evidencebasedbirth.com/childbirthclass   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 378 - Embracing the Dual Calling of Doula Work + Midwifery with Chanté Perryman and Elder Charlotte Shilo-Goudeau

  Across generations, birth workers have held space for families with skill, love, and deep purpose. In this episode, Dr. Rebecca Dekker talks with Elder Midwife Charlotte Shilo-Goudeau, a licensed Certified Professional Midwife from Louisiana, and Chanté Perryman, Director of Programs at Evidence Based Birth®, certified doula, and student midwife. Together, they explore what it means to embrace the dual calling of doula work and midwifery and how both roles are acts of service, advocacy, and healing.   Elder Charlotte shares her journey from personal loss to becoming one of only a few Black midwives in Louisiana, carrying forward the wisdom of generations. Chanté reflects on how her experiences as a doula shaped her path into midwifery and her vision for compassionate, individualized care. They remind us that titles may change, but the heart of this work remains the same: being present, being of service, and being called to birth.   (03:46) How Chanté's Birth Experience Inspired Her to Become a Doula (05:42) Elder Charlotte's Journey from Stillbirth to Midwifery as a Calling (10:59) How Doula Work Shapes Midwifery Care and Philosophy (14:34) Serving Underserved Communities as One of Four Black Midwives in Louisiana (19:01) Shifting from Midwife to Doula During Hospital Transfers (24:08) Chanté's Perspective on Identity, Service, and Humility in Birth Work (28:40) Micro vs. Macro Advocacy: Supporting Families and Legislative Change (37:29) Navigating Hospital Restrictions During the Pandemic (42:57) Lessons from Midwifery School (45:30) Advice for Those Considering Doula or Midwifery Paths   Resources Follow Chanté on Instagram: @babydreamsmc Connect with Ms. Charlotte: midwifecharlotte.com Connect with an Evidence Based Birth® Instructor: directory.evidencebasedbirth.com Learn more about the National Perinatal Task Force: perinataltaskforce.com Visit the Commonsense Childbirth School of Midwifery: commonsensemidwifery.org Check out the Kentucky Birth Coalition: kentuckyhomebirthcoalition.com Visit the Mercy In Action College of Midwifery: mercycollegeofmidwifery.edu   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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• Bonus Announcement: Surprise Project for Doulas

  Introducing the My Doula Visit Workbook by Evidence Based Birth®. A tangible, interactive, and evidence-based guide designed to facilitate conversations, strengthen the doula-client relationship, and guide families through the most pressing topics related to pregnancy, birth, and postpartum.  What's Inside the My Doula Visit Workbook? A 115-page, full-color, spiral-bound workbook packed with evidence-based resources Structured guides for up to six prenatal visits + one postpartum check-in (but fully customizable to your practice!) 18 official EBB handouts, birth plan templates, journaling prompts, discussion questions, activities, podcast playlists, and postpartum guides Real-life photographs, colorful graphics, and easy-to-use worksheets Access to an exclusive online resource page with additional videos, worksheets, and more! Want flexibility? No problem! Choose which sections to cover in person, virtually, or assign as self-study for your clients. Orders open on Monday, November 24 at 12:00 p.m. EST with bulk ordering discounts available. Learn more and explore the workbook at ebbirth.com/doulaworkbook. Want early access and special perks? Join the waitlist at ebbirth.com/waitlist to shop 2 hours early!

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• EBB 377 - Medicaid Coverage for Doula Care with Amy Chen, Senior Attorney at the National Health Law Program

  What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement to make doula care accessible through Medicaid and insurance coverage.   Amy shares how her personal birth experiences inspired her work advocating for Medicaid reimbursement for doulas and explains how more than 20 states (and counting) are now implementing or expanding coverage. They also unpack the biggest challenges and successes so far, from sustainable reimbursement rates and certification requirements to how doulas can navigate the Medicaid billing process.   (03:17) How Amy's birth experiences led her to advocate for Medicaid coverage of doula care (06:54) The national shift toward Medicaid coverage for doulas after 2016 and early state pilots (11:50) How 23 states plus D.C. have implemented Medicaid doula benefits and what comes next (15:46) Lessons from California's rollout: raising reimbursement from $450 to $3,200 through advocacy (20:57) Why equitable reimbursement matters for sustaining the doula workforce (25:52) How families can find out if doula care is covered through Medicaid, private insurance, or employers (29:53) TRICARE's pilot program for military families and expansion to overseas bases (31:42) The challenges doulas face with Medicaid billing and how "doula hubs" help streamline the process (36:49) How upcoming federal Medicaid cuts could threaten maternal health gains (45:28) New 2024 research showing doula care cuts cesarean rates in half and lowers preterm births (48:12) Closing thoughts and key resources for doulas, advocates, and policymakers   Resources NHeLP Doula Medicaid Project: https://healthlaw.org/doulamedicaidproject/ Best Practices for Medicaid Coverage of Doula Care (2025): https://healthlaw.org/doulamedicaidproject/bestpractices/ NHeLP Doula Medicaid Project State Tracker Chart: https://tinyurl.com/NHeLPStateTracker CA Department of Health Care Services Doula Benefit Implementation Report: https://www.dhcs.ca.gov/provgovpart/Documents/Doula-Benefit-Report.pdf Private Insurance Coverage of Doula Care: Spring 2025 State of the States: https://healthlaw.org/private-insurance-coverage-of-doula-care-spring-2024-state-of-the-states/ A Cost-Benefit Analysis of Doula Care from a Public Health Framework: https://healthlaw.org/resource/a-cost-benefit-analysis-of-doula-care-from-a-public-health-framework/   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 376 - How to Find and Interview a Doula with Team EBB Members Julie Fors and Chanté Perryman

  Hiring a doula can be one of the most impactful choices you make during pregnancy, but how do you actually find the right one? In this episode, Dr. Rebecca Dekker talks with Team EBB members and experienced doulas, Julie Fors and Chanté Perryman, to share insider tips on finding and interviewing a doula with confidence.   Julie and Chanté walk you through where to begin your search, the most important questions to ask, and how to know if a doula's personality and philosophy are the right fit for you and your partner. They also tackle misconceptions about doula work, explain backup plans and postpartum support, and discuss how insurance and Medicaid are changing access to doula care.   (06:19) The pillars of doula support (09:06) Where to start your doula search: Google, recommendations, and directories (12:20) Why interviews are essential before hiring a doula (17:49) Key questions to ask a potential doula (style, philosophy, postpartum support) (23:58) Backup doula plans and long labors (29:45) Common misconceptions about doulas and how to clear them up (33:30) Shifts in doula access: insurance, Medicaid, and nonprofit programs (37:06) How childbirth education and doula support work together (39:09) Tips for finding a postpartum doula and planning ahead (42:46) Overcoming nervousness about reaching out to doulas   Access the EBB Signature Article, "Evidence on: Doulas" for all the scientific research on doulas + a comprehensive list of doula directories and interview questions!   Resources Something new is coming! Join the waitlist: ebbirth.com/waitlist Get the Evidence on Doulas Tearaway Pads: ebbirth.com/shop Search the EBB Instructor Directory: directory.evidencebasedbirth.com/ Learn more about the EBB Childbirth Class: evidencebasedbirth.com/childbirth-class/   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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