Evidence based practice

Evidence on the Safety of Water Birth

The Evidence on Waterbirth

In April 2014,  waterbirth—an alternative method for pain relief in which a mother gives birth in a tub of warm water—made national headlines. The event that pushed water birth safety into the spotlight was a joint Opinion Statement from the American Congress of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP), denouncing the practice.

In their opinion statement, ACOG and the AAP firmly admonished that waterbirth should be considered an experimental practice that should only occur in the context of a clinical research study. Their conclusion, which echoed a previous AAP Opinion Statement from 2005, was based on their opinion that water birth does not have any benefits and may pose […]

By |July 10th, 2014|Evidence based practice, Tearing, Waterbirth|Comments Off|

Evidence for the Vitamin K Shot in Newborns

March 18, 2014 by Rebecca Dekker, PhD, RN, APRN
© Copyright Evidence Based Birth. Please see disclaimer and terms of use.

Vitamin K deficiency bleeding, thought to be a problem of the past—has been recently thrust back into the spotlight. During an 8-month period in 2013, five infants were admitted to Vanderbilt Children’s Hospital in Nashville, Tennessee, with life-threatening bleeding. The infants were diagnosed with late Vitamin K deficiency bleeding (VKDB)—four of the infants had bleeding in the brain, and one had bleeding in the intestines. Although the five infants survived, two required emergency brain surgery to save their lives, one has severe brain damage (a stroke with right-sided paralysis and severe cognitive delays), and two have mild to […]

By |March 18th, 2014|Evidence based practice, Newborn procedures|Comments Off|

Evidence for using Moxibustion to turn Breech Babies

November 11, 2013 by Rebecca Dekker, PhD, RN, APRN
© Copyright Evidence Based Birth. Please see disclaimer and terms of use.

Approximately 3-4% of babies are in a breech position (bottom-down) at the end of pregnancy. Most women who have a baby in breech positioning have limited options for how they can give birth, with the majority (90% in the U.S.) giving birth by Cesarean. I have already written about the evidence for using external cephalic version, or the hands-to-belly procedure, for to turn breech babies. But what is the evidence for using other methods, like moxibustion or accupuncture, to turn a breech baby? Is moxibustion junk science or does it actually work?

I recently wrote a guest article on the evidence […]

By |November 11th, 2013|Breech positioning, Evidence based practice|Comments Off|

Evidence Based Birth Class on Suspected Big Babies

Keep reading to find out how you can take a class on suspected big babies!


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Did you know?

One in three pregnant women is told she is going to have a big baby.

But in reality, only 1 in 10 babies is born big.

In fact, there are a lot of “myths” out there about big babies– and these myths are spread both by health care providers and by the general public.

This class […]