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How epidurals could potentially slow the pushing phase of labor. What randomized, controlled trials and large observational studies have found about the effects of epidurals on the second stage of labor. If turning off a mother’s low-dose epidural at the start of the second stage makes a difference in labor duration or other health outcomes

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The Joint Commission Requires Evidence-Based Perinatal Measures

January 30, 2013 by Rebecca Dekker, PhD, RN, APRN © Copyright Evidence Based Birth®. Please see disclaimer and terms of use. Last December, I announced on my Facebook page that the Joint Commission had decided to make their perinatal core measures mandatory for U.S....

Can Hospitals Keep Moms and Babies Together after a Cesarean?

  In my previous article on skin-to-skin care after a C-section, I wrote that skin-to-skin care after a C-section has many benefits for moms and babies. However, I have come to realize that women cannot do early skin-to-skin if they are routinely separated from...

Perineal Massage during Pregnancy to Prevent Tears

December 18, 2012 by Rebecca Dekker, PhD, RN, APRN © Copyright Evidence Based Birth®. Please see disclaimer and terms of use. A few weeks ago, I posted on my Facebook page that I was planning to review the evidence for prenatal perineal massage. I clicked "post" and...

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