Evidence Based Birth®

Artificial intelligence is rapidly changing how people search for information, including how families learn about pregnancy and birth. As this technology grows, it raises important questions about accuracy, ethics, and the role of human expertise in healthcare information. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share a behind-the-scenes look at how Evidence Based Birth® developed its own AI policies. They discuss concerns about misinformation, bias, privacy, and environmental impact, as well as the potential effects on critical thinking and human connection. Learn why EBB has chosen to avoid the use of AI in our research, and what that means both for our team and for you. (03:22) Why EBB began developing an AI policy (10:39) Defining AI, generative AI, LLMs, and hallucinations (17:03) Ethical concerns: Accuracy, bias, and risks to evidence-based information (20:14) Environmental impact of AI and data centers (21:47) Privacy concerns and data security risks (26:21) Intellectual property, sustainability, and loss of research context (27:03) Humanitarian concerns and the impact of AI on jobs and communities (31:24) AI's potential effects on cognition and critical thinking (37:30) Why EBB takes a cautious, evidence-based approach to AI (38:20) Research team policy (42:06) Content team policy (45:01) Programs team policy and guidance for applicants (47:32) Hiring practices and commitment to human review (52:29) Final takeaways: EBB's overall stance on AI References Read EBB's Statement on Artificial Intelligence: ebbirth.com/artificial-intelligence-statement/ For a Student Who Used AI to Write a Paper, by Joseph Fasano: https://poets.org/poem/student-who-used-ai-write-paper Barrington, F. (2025). "Thirsty for power and water, AI-crunching data centers sprout across the West." & The West Magazine, Stanford University. April 8, 2025. https://andthewest.stanford.edu/2025/thirsty-for-power-and-water-ai-crunching-data-centers-sprout-across-the-west/ Gecker, J. (2025). "Big Tech is paying millions to train teachers on AI, in a push to bring chatbots into classrooms." Associated Press. October 20, 2025. https://apnews.com/article/artificial-intelligence-teacher-union-microsoft-f7554b6550fb90519dd8129acac8e291 Han, Y., Wu, Z., Li, P., et al. (2024). "The Unpaid Toll: Quantifying and Addressing the Public Health Impact of Data Centers." arXiv preprint arXiv: 2412.06288. https://arxiv.org/pdf/2412.06288 Hou, H., Leach, K., & Huang, Y. (2024). "ChatGPT Giving Relationship Advice - How Reliable Is It?" Proceedings of the Eighteenth International AAI Conference on Web and Social Media: 610–623. https://ojs.aaai.org/index.php/ICWSM/article/view/31338 Kosmyna, N., Hauptmann, E., Yuan, Y. T., et al. (2025). "Your Brain on ChatGPT: Accumulation of Cognitive Debt when Using an AI Assistant for Essay Writing Task." arXiv preprint arXiv:2506.08872. https://arxiv.org/abs/2506.08872 Marrinan, C. (2025). "Data Center Boom Risks Health of Already Vulnerable Communities." Tech Policy Press.com. June 12, 2025. https://www.techpolicy.press/data-center-boom-risks-health-of-already-vulnerable-communities/ NASA. (2024). "Defining Artificial Intelligence." Accessed November 17, 2025. https://www.nasa.gov/what-is-artificial-intelligence/ Notre Dame Learning. (2025). "AI Overview and Definitions." Accessed November 17, 2025. http://learning.nd.edu/resource-library/ai-overview-and-definitions/ Pataranutaporn, P., Karny, S., Archiwaranguprok, C., et al. (2025). "My Boyfriend is AI: A Computational Analysis of Human-AI Companionship in Reddit's AI Community." arXiv preprint arXiv:2509.11391.https://arxiv.org/pdf/2509.11391 Sonka, J. (2025). "The AI data center boom is coming for Kentucky. What will lawmakers do about it?" Kentucky Public Radio. December 9, 2025. https://www.lpm.org/news/2025-12-09/the-ai-data-center-boom-is-coming-for-kentucky-what-will-lawmakers-do-about-it Stryker, C. (n.d.) "What are LLMs?" IBM.com. Accessed November 17, 2025. https://www.ibm.com/think/topics/large-language-models Tabuchi, H. (2025). "Elon Musk's A.I. Company Faces Lawsuit Over Gas-Burning Turbines." New York Times. June 17, 2025. www.nytimes.com/2025/06/17/climate/naacp-musk-xai-supercomputer-lawsuit.html/ United Nations (UN). (2025). "AI has an environmental problem. Here's what the world can do about that." UN Environmental Programme. November 13, 2025. https://www.unep.org/news-and-stories/story/ai-has-environmental-problem-heres-what-world-can-do-about 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

At the 41-week mark in pregnancy, conversations and decisions about induction can start to feel more urgent and complex. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share why the 41st week has become such a focus in maternity care and what the evidence actually says about induction at this milestone. They discuss elective induction versus expectant management and key findings from major studies like the INDEX and SWEPIS trials. They also talk through potential benefits and risks, including changes in stillbirth risk, newborn outcomes, and maternal experiences. Content Warning: This episode contains discussion of stillbirth. Please take care while listening. (00:05:58) How common is labor induction? U.S. rates and challenges with data accuracy (00:09:25) Medically indicated vs. elective induction (00:15:24) The limits of research on induction vs. expectant management (00:20:18) The INDEX trial (00:28:36) Follow-up observational study to INDEX: preferences, Cesarean rates, and outcomes (00:32:51) The SWEPIS trial (00:41:59) Impact of SWEPIS on guidelines and outcomes in Sweden (00:44:40) Benefits of elective induction at 41 weeks (00:46:34) Risks and potential downsides of induction (00:49:18) FAQ: Induction and VBAC considerations For a full list of resources and references, visit ebbirth.com/inducingduedates. 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.

EBB Childbirth Class Graduates Paige Wener and Kevin Booth hoped for a low-intervention water birth at their midwife-led birth center in rural Vermont. But at 38 weeks and 6 days, a routine prenatal visit led to a surprise diagnosis of preeclampsia and recommendation for induction. In this episode, Paige and Kevin share the story of their 54-hour induction, including misoprostol, a Cook catheter, Pitocin, and eventually an epidural after more than a day of labor, with Kevin supporting Paige with counterpressure, movement, and comfort measures along the way. Paige also shares about recovering from a rare postpartum complication, temporary nerve damage that caused foot drop, and how rest and supportive care helped her heal. (03:26) Taking the EBB Childbirth Class together (07:33) Birth preferences and planning for a water birth (10:50) High blood pressure at a prenatal visit and preeclampsia diagnosis (15:01) Preparing to return for an induction (18:56) Induction begins with misoprostol (21:45) Adding the Cook catheter and overnight labor (27:35) Starting Pitocin and continuing labor support techniques (29:45) Comfort measures and partner support during labor (34:00) Trying Nubain and deciding on an epidural (41:07) Pushing phase and position changes (45:33) Immediate postpartum and first breastfeeding (47:28) Early postpartum recovery in the hospital (49:11) Discovering postpartum nerve injury (55:34) Advice for birth partners (58:51) Postpartum advice and safe sleep resources Resources EBB 194 – Nutrition and Real Food in Pregnancy with Lily Nichols RDN EBB 365 – Battling a Birth Injury with Leah Van Dale, Former WWE Wrestler and EBB Childbirth Class Graduate Get in touch with Paige and Kevin's EBB Instructor, Lucy Paradiso: lucyparadiso-doula.com/ Learn more about Spinning Babies: spinningbabies.com/ Check out Paige's safe sleep resources: Safe Infant Sleep, Dr. James McKenna How Babies Sleep, Helen Ball La Leche League @cosleepy 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.

Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN Dr. Jennifer Lincoln about what continuous electronic fetal monitoring actually does, what the research says, and why it became such a routine part of labor care in the first place. With recent media attention shining a spotlight on this technology, they break down the history, the evidence, and the real-world pressures that shape how it's used today. Learn why continuous monitoring can increase Cesarean rates in low-risk births, when it may be helpful in higher-risk situations, and how it can influence movement, comfort, and decision-making during labor. Dr. Lincoln also shares practical ways to ask questions, understand what terms like "reassuring" and "indeterminate" mean, and partner with your care team so you can make informed choices without feeling powerless or pressured. (02:26) Dr. Jennifer Lincoln's updates: doctors' strike, leadership, and writing The Birth Book (10:09) Why electronic fetal monitoring is in the spotlight and what it actually measures (13:40) The history of fetal monitoring and what it was designed to prevent (17:37) The biggest drawbacks: false positives, rising C-section rates, and medical-legal pressures (23:18) How continuous monitoring can affect movement, comfort, and labor experience (26:28) Artifact, wireless monitors, and challenges with accuracy (28:27) Intermittent monitoring: what it is and how it works (30:11) When continuous monitoring may be more beneficial in higher-risk situations (37:53) Understanding "reassuring," "indeterminate," and "non-reassuring" patterns (39:46) What care teams may try before recommending a cesarean (45:15) Questions parents can ask when concerns arise about the fetal heart rate (48:03) Continuous monitoring during VBAC and navigating autonomy and policy (51:01) Why these conversations should happen before labor and how to advocate collaboratively Resources Hear about the new research on home birth with Dr. Dekker on Dr. Lincoln's "Let's Talk about Birth" podcast: drjenniferlincoln.substack.com/p/announcing-my-new-podcast Get a copy of Dr. Lincoln's book, The Birth Book: An OB-GYN's Guide to Demystifying Labor and Delivery: penguinrandomhouse.com/books/785889/the-birth-book-by-dr-jennifer-lincoln/ Learn more about Three for Freedom: threeforfreedom.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.

In this episode, we explore how the traditional "game of telephone" model in hospitals can leave birthing people out of critical decisions about their own care and what happens when we redesign the system to center them instead. Dr. Rebecca Dekker sits down with Dr. Amber Weiseth, obstetric nurse and Director of the Delivery Decisions Initiative at Ariadne Labs, to talk about TeamBirth—a simple, evidence-based communication model transforming labor and delivery units across the U.S. and globally. Learn how structured bedside "huddles," shared decision-making, and a visible planning board can improve trust, autonomy, and patient experience, with especially powerful impacts for Black, Native American, publicly insured, and higher-risk patients. Because communication failures in childbirth aren't just awkward, they can be dangerous. (05:07) How the "game of telephone" model blocks patients from decision-making (09:15) Traditional rounding and decision-making in U.S. labor units (12:10) The added complexity of academic medical centers (14:52) A life-threatening hemorrhage and the power of systems change (17:57) What is TeamBirth? (22:04) How the TeamBirth board works: team, preferences, plan, next huddle (26:57) Implementation challenges and culture change in hospitals (34:36) Privacy, speakerphone huddles, and navigating complex family dynamics (44:15) Research results: Impact on trust, autonomy, and equity Resources TeamBirth resources, research, and implementation materials: ariadnelabs.org/delivery-decisions-initiative/teambirth/teambirth-implementation-resources/ WHO Surgical Safety Checklist initiative: who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources Association of Women's Health Obstetric and Neonatal Nurses: awhonn.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.

Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of the International Confederation of Midwives about the global impact of midwifery care. She outlines what defines a midwifery model of care, why continuity of midwife-led care matters for both outcomes and experiences, and how trust and relationship-based care can influence Cesarean rates, trauma-informed care, and access to services. Stephanie draws on her work across the U.K., Asia, and Africa to share how countries such as Indonesia and Bangladesh are strengthening midwifery education, regulation, and deployment, and what that means for maternal and newborn health. Together, Stephanie and Rebecca also discuss the essential role midwives play in humanitarian and disaster settings, the global shortage of midwives, and the growing call for One Million More midwives worldwide. (04:58) What is a midwifery model of care? (08:00) Why relationships are central to better birth outcomes (10:27) Time, workload, and sustainability for midwives (12:20) Trust, disclosure, and safety during pregnancy (13:01) How continuity of care shapes labor and birth experiences (16:48) What is the International Confederation of Midwives? (22:05) Strengthening midwifery education worldwide (28:13) Rebuilding midwifery education where it was lost (34:53) Rising cesarean rates and the role of midwives (39:26) Why midwives are essential in humanitarian settings (42:35) The global shortage of midwives Resources Learn more about the International Confederation of Midwives: internationalmidwives.org Support the One Million More campaign: millionmore.org Explore UNFPA's work supporting sexual and reproductive health, maternal health, and midwifery systems: unfpa.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.

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of Cesarean? Prevent big babies? Reduce stillbirth? Or does the timing matter more than the induction itself? In this episode, Dr. Rebecca Dekker and Dr. Morgan Richardson Cayama walk through the updated research on induction for gestational diabetes. You'll learn how outcomes differ before 39 weeks, between 39–40 weeks, and after 41 weeks, and why blood sugar control (diet-controlled versus medication-controlled GDM) can change the conversation entirely. They also review what major professional organizations recommend and discuss the role of extra fetal monitoring in the third trimester. Most importantly, they talk about informed consent, respectful maternity care, and how to navigate conversations if you're feeling pressure to schedule an induction. (00:02:40) Background & research update (00:05:34) What is GDM? Risks & induction rates (00:08:34) Research challenges & study limitations (00:15:36) Timing of birth: 38, 39, 40+ weeks (00:19:26) Big babies & health risks (00:24:27) Professional guidelines (ACOG, NICE, SOGC) (00:27:14) Birth before 41 weeks: common recommendation (00:27:54) Extra fetal monitoring in late pregnancy (00:32:49) Navigating pressure & informed consent View the full list of references here. Resources Read the updated Evidence on: Induction for Gestational Diabetes: ebbirth.com/inducingGDM Get the free respectful care handout: ebbirth.com/369 Grab your Pocket Guide to Labor Induction here. EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes 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, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of experiencing another severe perineal tear after a previous injury, and what white coat hypertension in pregnancy can tell us about future risk. Each question reflects real situations birth workers are encountering in practice, where guidance is often inconsistent, policies vary widely, and the research can feel hard to translate into day-to-day care. We walk through what the studies show, where the evidence is limited, and how this information can be used to support informed, individualized decision-making. (06:15) Evidence on doulas in the operating room (12:53) Participant experiences with doulas in the OR (14:20) Risk of severe perineal tears in subsequent births (17:30) Clarifying repeat tear severity and rates (20:27) White coat hypertension vs. preeclampsia (27:02) How blood pressure should be taken correctly (31:10) Research on white coat hypertension and pregnancy outcomes (36:20) Global trends and rising rates of hypertensive disorders Resources See the full list of references: ebbirth.com/387 Learn more about the EBB Pro Membership: ebbirth.com/become-pro-member/ Get the Evidence on: Skin-To-Skin After Cesarean: ebbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/

In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparing for a Cesarean, not knowing that information would be needed just 30 minutes later. In this follow-up episode, Krista returns to share what happened next: the urgent decision-making, the move to labor and delivery, and the Cesarean birth that unfolded just days before her scheduled 37-week surgery. Krista walks through the physical sensations of an urgent Cesarean, the grounding techniques that helped her stay calm during surgery, and the emotional reality of recovering after major abdominal surgery. She also opens up about NICU life, bringing her baby home on oxygen, and the unexpected emotional release that came after finally leaving the hospital following more than a month of inpatient care. (04:04) Krista's extended hospital stay & partial placental abruption recap (09:39) Preparing for a Cesarean just hours before it happened (011:07) Realizing there are Cesarean birth options (12:59) Staying calm: grounding, breath, and mental preparation (13:59) Labor begins & the shift to an urgent Cesarean (18:10) Epidural, tugging sensations, and what Cesarean feels like (20:54) Baby Jace is born! (23:40) Focusing inward during surgery (27:25) First moments with Jace & NICU transfer (31:42) Leaving the hospital after a month-long stay (38:10) Feeding challenges after NICU (41:26) Physical & emotional recovery after a Cesarean (45:52) Advice for families preparing for a Cesarean (47:38) Gratitude and shout-outs to nurses & care teams Resources EBB 266 – Advocating for your Newborn during an Unexpected NICU Stay with EBB Childbirth Class Graduates Priscilla and Nathan Layman EBB 284 – How to Help NICU Families Find Empowerment and Healing During their Challenging Journeys with Hollis Wakefield EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates EBB 350 – Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate EBB 356 – NICU-Informed Doulas: What are they and how can they change the NICU narrative? with Mary Farrelly, RN, Doula, and Founder of the NICU Translator 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 one of the most popular podcast episodes ever published by Evidence Based Birth®, Dr. Rebecca Dekker sits down with Dr. Alyssa Berlin, a clinical psychologist specializing in pregnancy, postpartum, and parenting, to discuss ways to make the transition to postpartum smoother, healthier, and more joyful for families. Together, they unpack why two-thirds of couples report a drop in relationship satisfaction after childbirth, what factors contribute to emotional struggles in the postpartum period, and how social media myths can set parents up for disappointment. Through relatable stories and evidence-based strategies, Dr. Berlin explains why preparation during pregnancy matters and shares guidance on protecting mental health, building support, and keeping relationships strong. (06:21) Parenting Expectations vs Reality (10:04) Perinatal Anxiety and Identity Struggles (13:33) Strengthening Bonds Before Parenthood (15:22) Parenting Lessons: The Humbling "Baby Vortex" (19:15) Postpartum Challenges and Parental Leave (23:08) Postpartum Doula Support Research Needed (25:47) Creative "Date Moment" Ideas for Couples Resources Follow Dr. Alyssa Berlin on Instagram: @dralyssaberlin Learn about the AfterBirth Plan Workshop here. Connect with the Berlin Wellness Group. EBB 85 – The power of a well-planned birth – of twins! 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 healing birth can change the way you understand everything that came before it. In this episode, Dr. Dekker talks with EBB Childbirth Class graduate Michaela Raines about experiencing a deeply healing birth after a first birth that didn't go as planned. Michaela shares her first hospital birth story—including unexpected interventions, a long pushing phase, perineal trauma, and a NICU stay—and how those experiences shaped her postpartum recovery. She then walks us through how education, intentional preparation, and support helped her approach her second pregnancy differently, leading to a fast, unmedicated water birth at a freestanding birth center. Michaela also reflects on how this birth felt both physically and emotionally redemptive and what she would share with parents preparing for a subsequent birth after a challenging experience. (03:13) Michaela's first birth expectations vs. reality (04:15) Unexpected interventions, epidural, and long pushing (08:16) Postpartum recovery and feelings of embarrassment (09:27) Discovering Evidence Based Birth® and choosing a birth center (12:10) Preparing mentally for an unmedicated birth (13:26) Birth center transfer protocols and emergency preparedness (14:34) Early labor and false starts (19:40) Arriving at the birth center and a rapid water birth (21:13) The healing impact of her second birth (24:58) Freedom of movement and choosing birth positions (30:35) Birth affirmations that carried her through labor (31:36) Advice for parents preparing for a healing second birth Resources EBB 292 – Confronting the Unknowns in Childbirth with Liesel Teen of the Mommy Labor Nurse EBB 318 – Advocating for Waterbirth in Hospitals with Dr. Liz Nutter, DNP, CNM, and Retired Lieutenant Colonel

What is a due date, and how accurate is it, really? Dr. Rebecca Dekker is joined by Dr. Sara Ailshire of Team EBB to walk through the latest research on due dates, pregnancy length, and what happens when pregnancies go past term. They share the new research on ultrasound dating, the natural length of pregnancy, genetics, and stillbirth risk. They also talk about what a due date actually represents and how pregnancy length varies widely between individuals. Content Note: This episode contains discussion of stillbirth, starting at 26:10 and ending at 40:57. Please take care while listening. Read the Evidence on "What is a Due Date?" here. (05:24) What is a due date and what it isn't (06:16) How due dates are traditionally calculated (09:45) Research on ultrasound accuracy (12:25) Safety of ultrasound & the ALARA principle (16:38) Why studying pregnancy length is complicated (22:27) Genetics and family history of longer pregnancies (25:41) Why providers worry about going past due dates (27:50) Understanding stillbirth risk and the U-shaped curve (34:20) Racial disparities in stillbirth risk (38:37) What pregnant people can do to lower risk (40:25) Sleep position, fetal movement awareness, and prenatal care (44:06) Balancing trust in birth with honest risk communication (45:20) What we know (and don't know) about placental aging Resources Count the Kicks: https://countthekicks.org/ PUSH Pregnancy: https://www.pushpregnancy.org/ Star Legacy Foundation: https://starlegacyfoundation.org/ Healthy Birth Day: https://healthybirthday.org/ CDC Stillbirth resources: https://www.cdc.gov/stillbirth/communication-resources/index.html Share Pregnancy and Infant Loss Support: https://nationalshare.org/ Stillbirth and infant loss support communities: https://postpartum.net/group/stillbirth-and-infant-loss-support-for-parents/

From heat waves to winter storms to hurricanes, extreme weather events are increasingly part of everyday life, and learning how they intersect with pregnancy and birth can empower families and birthworkers alike. Alicia Race, a climate resilience policy advocate with the Union of Concerned Scientists, is joining Dr. Rebecca Dekker this week to share how these events—especially during what experts now call "Danger Season"—can impact pregnant, postpartum, and breastfeeding families. As we enter 2026, educate yourself now about what scientists consider to be "Danger Season," why extreme heat and extreme cold can be dangerous for pregnant families, and how compounding climate hazards like heat waves, hurricanes, flooding, and wildfire smoke can increase risks such as preterm birth, low birth weight, hypertensive disorders, and mental health stress during pregnancy. Alicia also shares real-world examples, research findings, and tools that families and birthworkers can use to stay informed, prepared, and connected. (02:43) Climate displacement and the idea of "climate refugees" (04:30) What is Danger Season? (07:27) Research linking extreme weather to preterm birth and labor outcomes (08:36) How hurricanes and flooding affect pregnant families (11:29) Birth during disasters: access to care, transportation, and feeding infants (13:55) Extreme heat, wildfire smoke, and air quality risks in pregnancy (18:59) Power outages, utility shutoffs, and climate-related health equity (25:27) Apps and free tools for tracking air quality and heat alerts Resources Read Alicia's story, What to Expect When You're Expecting During Danger Season: https://blog.ucs.org/alicia-race/what-to-expect-when-youre-expecting-during-danger-season/ Use the UCS Killer Heat tool: ucs.org/resources/killer-heat-interactive-tool Take a look at the Danger Season Map: dangerseason.ucs.org/ Map your heat risk with the National Weather Service: www.wpc.ncep.noaa.gov/heatrisk/ Check the air quality where you live: airnow.gov/ Learn about air quality and smoke near you: airnow.gov/wildfires/ Read about the potential privatization of weather resources: pbs.org/newshour/politics/as-trump-slashed-weather-agency-his-appointees-have-ties-to-companies-that-stand-to-benefit-from-privatizing-forecasts 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.

Be the first to hear about the special event we're planning for 2026! To get on the waitlist for the upcoming event, visit ebbirth.com/waitlist.