EBB 343 - Top Ten Evidence-Based Strategies for Lowering the Risk of Cesarean

Evidence Based Birth®

Rebecca Dekker

Pregnancy, Health & Fitness, Childbirth, Parenting, Birth, Medicine, Kids & Family, Doula, Obstetrician, Midwife

4.6 • 978 Ratings

🗓️ 15 January 2025

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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.

Transcript

Click on a timestamp to play from that location

0:00.0	Hi everyone. On today's podcast, we're going to talk about the top 10 evidence-based ways to lower
0:06.6	your risk of having a cesarian birth. Welcome to the evidence-based birth podcast. My name is Rebecca
0:16.0	Decker and I'm a nurse with my PhD and the founder of evidence-based birth.
0:25.9	Join me each week as we work together to get evidence-based information into the hands of families and professionals around the world.
0:28.9	As a reminder, this information is not medical advice.
0:32.5	See eBbirth.com slash disclaimer for more details.
0:37.7	Hi, everyone, and welcome to today's episode of the Evidence-Based Bird Podcast
0:41.9	where we're going to talk about the top 10 evidence-based ways to lower your risk of
0:46.4	cesarian birth.
0:47.4	Before we get started with today's episode, just a quick reminder that this is the last
0:51.6	week to get on the wait list for early bird registration for the
0:54.8	2025 evidence-based birth conference. This early bird registration opens on January 22 for the wait
1:01.6	list only. We will have special bonuses and ticket opportunities that are only available to the
1:06.9	wait list. So make sure you get on the waitlist at eBbirth.com slash waitlist for all the
1:11.9	latest info and details sent to your inbox. The evidence-based birth conference will be happening
1:17.0	virtually in March 2025. My co-host for today's podcast episode is Morgan Richardson
1:22.9	Kayama, and together we are excited to talk about evidence-based strategies and options that someone can
1:28.8	use to lower their risk of having a cesarean birth. The information in this podcast episode was
1:34.0	originally published as a table inside our recent full-length signature article on the
1:38.9	arrived trial and elective inductions at 39 weeks. You can access that entire article,
1:43.9	including the table,
1:44.9	about lowering the risk of cesarean, all the scientific references, and a free two-page
	...

Transcript will be available on the free plan in -29 days. Upgrade to see the full transcript now.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Rebecca Dekker, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Rebecca Dekker and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.