EBB 353 - Mini Q & A on Induction for IVF, Peanut Balls, and D-MER

Evidence Based Birth®

Rebecca Dekker

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

4.6 • 978 Ratings

🗓️ 2 April 2025

⏱️ 23 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore:

The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates?
Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say?
Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope?

(02:30) How to Join the EBB Pro Membership & Submit Questions

(04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early labor vs. active labor?

(06:50) Key studies on peanut ball use—impact on labor duration, mode of birth, and satisfaction

(13:30) (Q2) Induction at 39 Weeks for IVF Pregnancies

(16:40) SMFM recommendations, lack of randomized trials, and shared decision-making in IVF pregnancies

(20:00) (Q3) Dysphoric Milk Ejection Reflex (D-MER)

(22:45) Hormonal theories behind D-MER, coping strategies, and available research

(30:00) Recap & How to Find More Evidence-Based Resources

For the full list of references and resources, visit the EBB website 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.

Transcript

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0:00.0	Hi, everyone. On today's podcast, we're going to do a mini Q&A on peanut balls for labor, induction
0:06.4	of labor for IVF pregnancies, and treatment for D.MUR. Welcome to the Evidence-Based Birth
0:15.2	Podcast. My name is Rebecca Decker, and I'm a nurse with my PhD and the founder of evidence-based birth.
0:21.9	Join me each week as we work together to get evidence-based information into the hands of
0:26.9	families and professionals around the world. As a reminder, this information is not medical advice.
0:33.4	See eBbirth.com slash disclaimer for more details.
0:38.7	Hi, everyone and welcome to today's episode of the evidence-based birth podcast.
0:43.3	My name is Dr. Rebecca Decker, pronouns she her, and I'll be your teacher for today's episode.
0:48.9	Today I'm so excited to answer some questions that we've been answering this past year
0:53.1	inside the Ask the
0:54.3	Research Team Forum for Evidence-based Birth Pro members. If you've ever wanted to personally
1:00.0	ask me or one of the other researchers at EBBB a question, you can always do so inside the
1:05.3	EBBPro membership. And you can learn more about that opportunity at eBbirth.com slash membership.
1:11.4	We have monthly, quarterly, and annual membership options available, as well as scholarships,
1:16.4	and all of the proceeds go to support the free work that we publish here at Evidence-based Birth.
1:21.3	If you join as an EBBPro member, not only do you get our full library of PDF handouts
1:26.7	and continuing education
1:28.2	courses and certificates, but you also get access to live monthly trainings,
1:32.8	Adula mentorship program, a midwifree brunch and learn, and of course, direct access to
1:38.1	ask myself and the other researchers questions about the evidence.
1:42.0	Today, I've chosen three questions from our EBB Pro members to
1:45.6	answer here on the podcast. So those three questions have to do with, number one, the evidence on
	...

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