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    What is the Evidence for Inducing Labor if Your Water Breaks at Term?

What is the Evidence for Inducing Labor if Your Water Breaks at Term?

By Alicia A. Breakey, MA, PhD Candidate, Angela Reidner, MS, CNM, and Rebecca Dekker, PhD, RN, APRN

What is PROM?

Prelabor or “premature” rupture of membranes (PROM), happens when your water breaks before the start of labor.

Term PROM is when your water breaks before labor at ≥37 weeks of pregnancy.

Preterm PROM, or PPROM, happens when your water breaks before 37 weeks.

In this article, we are going to focus on Term PROM.

This article was published November 20, 2014
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How many women experience term PROM?

Estimates vary, but researchers say that about 8-10%, or 1 in 10 women, will have their water break before the onset of labor (

Class on How to Bring Waterbirth Back!

Why Create a Class on How to Bring Waterbirth Back?

To understand why I created this class, let’s go back to April 2014, when ACOG and the AAP released their joint Opinion Statement denouncing waterbirth.

When the Opinion Statement came out, I sat down to carefully read through their paper and look at their references. As a research scientist, I was surprised to find many errors embedded in the text and reference list.

So at the end of April 2014, I wrote a letter to the ACOG Committee on Practice. You can read the original copy of the letter here.

The purpose of my letter was to describe my findings with regard to the opinion statement. Among other problems, […]

By |September 30th, 2014|Evidence based practice, Waterbirth|Comments Off|

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; Updated January 20, 2015; 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. In 2013, six 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 two had bleeding in the intestines. Although the six 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 […]

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