EBB 153 – Pros and Cons of the Foley and Dilapan-S® for Cervical Ripening During an Induction
Play • 28 min

In this episode, I will talk about cervical ripening, the Bishop score, and some "mechanical" ways to ripen the cervix. More specifically, we'll talk about the advantages and disadvantages of cervical osmotic dilators (including Dilapan-S®), and using the Foley balloon for cervical ripening.

Get on the wait list for the Pocket Guide here: https://evidencebasedbirth.com/pocket-guide-wait-list/

References on Cervical Ripening:

  • Curran, M. (2020). Bishop Score Calculator. Click here.
  • Kolkman, D. G. E., Verhoeven, C. J. M., Brinkhorst, S. J., et al. (2013). Bishop score as a predictor of labor induction success: a systematic review. American Journal of Perinatology, 30(8), 625-30. Click here.
  • Ivars, J., Garabedian, C., Devos, P., et al. (2016). Simplified Bishop score including parity predicts successful induction of labor. Eur J Obstet Gynecol Reprod Biol., 203, 309-314. Click here.

References on the Foley:

  • Abdelhakim, A. M. Shareef, M .A., AlAmodi, A. A., et al. (2020). Outpatient versus inpatient balloon catheter insertion for labor induction: A systematic review and meta-analysis of randomized controlled trials. Journal of Gynecology Obstetrics and Human Reproduction, In Press. Click here.
  • Alfirevic, Z., Keeney, E., Dowswell, T., et al. (2016). Methods to induce labour: a systematic review, network meta-analysis and cost-effectiveness analysis. BJOG., 123(9), 1462-1470. Click here.
  • American College of Obstetricians and Gynecologists (2009, Reaffirmed 2019). ACOG Practice Bulletin No. 107: Induction of labor. Obstet Gynecol.,114(2 Pt 1), 386-397. Click here.
  • de Vaan, M. D. T., ten Eikelder, M. L. G., Jozwiak, M., et al. (2019). Mechanical methods for induction of labour.
Cochrane Database of Systematic Reviews 2019, Issue 10. Art. No.: CD001233. Click here.
  • Dong, S., Khan, M., Hashimi, F., et al. (2020). Inpatient versus outpatient induction of labour: a systematic review and meta-analysis. BMC pregnancy and childbirth, 20(1), 382. Click here.
  • Leduc, D., Biringer, A., Lee, L., et al. (2013). Induction of Labor: SOGC Clinical Practice Guideline. No. 296, 35(9), 840-857. Click here.
  • Liu, X., Wang, Y., Zhang, F., et al. (2019). Double- versus single-balloon catheters for labour induction and cervical ripening: a meta-analysis. BMC pregnancy and childbirth, 19(1), 358. Click here.
  • Simpson, K. R. (2020). Cervical Ripening and Labor Induction and Augmentation, 5th Edition. AWHONN Practice Monograph, 24(4), PS1-S41. Click here.

References on Dilapan-S:

  • American College of Obstetricians and Gynecologists (2009, Reaffirmed 2019). ACOG Practice Bulletin No. 107: Induction of labor. Obstet Gynecol.,114(2 Pt 1), 386-397. Click here.
  • Levine, L. D., Valencia, C. M. and Tolosa, J. E. (2020). Induction of labor in continuing pregnancies. Best Pract Res Clin Obstet Gynaecol., S1521-6934(20), 30079-1. Click here.
  • Gupta, J., Chodankar, R., Baev, O., et al. (2018). Synthetic osmotic dilators in the induction of labour-An international multicentre observational study. Eur J Obstet Gynecol Reprod Biol., 229, 70-75. Click here.
  • Saad, A. F., Villarreal, J., Eid, J., et al. (2019). A randomized controlled trial of Dilapan-S vs Foley balloon for preinduction cervical ripening (DILAFOL trial). Am J Obstet Gynecol., 220(3), 275.e1-275.e9. Click here.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/), Instagram (https://www.instagram.com/ebbirth/), and Pinterest (https://www.pinterest.com/ebbirth/). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/), and click here (https://evidencebasedbirth.com/childbirth-class/) to learn more about the Evidence Based Birth® Childbirth Class.

Yoga | Birth | Babies
Yoga | Birth | Babies
Deb Flashenberg and Independent Podcast Network
Coping with a Colicky Baby with Jackie DelVecchio
Many pregnant people envision the early days of parenthood snuggled close with their new cooing baby. But, what happens when the dream-like vision collides with brutal reality of a constantly crying baby? One in four babies suffer from a condition called, colic. The baby cries for long stretches of time with little break and no obvious reason as to what is wrong. You can imagine the stress, frustration and sense of helplessness this puts on new parents.  In this episode of Yoga| Birth|Babies, I speak with Licensed Mental Health Counselor and mother of a colicky baby, Jackie DelVecchio. Jackie shares her story of having a colicky baby and what she learned about herself as a new parent. As a social worker, Jackie specializes in Perinatal Mental Health and draws on her experiences to support other parents living through life with a colicky baby. She offers solids tips for coping through this challenging and transient time.  Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com If you love what you’ve been listening to, please leave a rating and review! Yoga| Birth|Babies Support Our Sponsors: You deserve to know what’s in your multivitamin. Get 10% off your first 3 moths of Ritual at ritual.com/ybb to start you ritual today! Join the conversation about National Birth Defects Prevention Month by following hashtag #Best4YouBest4Baby on social media and by visitingMarch of Dimes at marchofdimes.org/YogaBirthBabiesand CDC at cdc.gov/birthdefects To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices
51 min
Get Pregnant Naturally
Get Pregnant Naturally
Sarah Clark
How To Know Which Supplements To Take When You Are TTC
Justine Altman joins us today as we’re digging into the basic supplements you need to know about if you are TTC. There is a lot of information about which supplements are right for fertility. And like most women that I speak with you are probably taking A LOT of supplements. But are these supplements optimizing or harming your fertility? And taking supplements for years and not really knowing WHY or if they are helpful...doesn’t make sense either! As you may know, we take a functional approach to fertility and while supplements are included in our customized protocols (which are based on testing) - they are only a part of the equation. Because there is no magic pill you can take that will out supplement the basics - such as diet, sleep, movement, and stress. That’s why we wanted to talk about the BASIC supplements that we DO recommend for both men and women so that you don't waste time and money taking the wrong ones. Today I'm welcoming Justine Altman back to the podcast. Justine is part of my team here at Fab Fertile. She is an integral part of our Couples Coaching program - which uses functional lab testing, diet, and lifestyle changes to dramatically improve conception. If you are struggling with infertility...your body is desperately trying to tell you something...focusing on your health will either help you get pregnant naturally or if you do need to go to the fertility clinic it will improve your chances of success. Justine is a Functional Diagnostic Nutrition Practitioner. She was diagnosed with POCS and struggled with infertility but after taking a functional approach was able to have both her children naturally. In this episode you'll learn: 1) How to watch out for dyes, fillers, and top allergens in your supplements 2) Our take on generalized fertility supplement recommendations (are they worth your money?) i.e. chastetree, maca, royal jelly, bee pollen, zinc, iron 3) Our basic (these are the supplements you need to be taking if you are TTC) supplement recommendations (your partner is included too!) 4) Our approach with supplements and why they are only part of the equation. We discuss the importance of diet, sleep, exercise, and stress so that you can prepare your body in the best way for pregnancy success. TIMESTAMPS: 05:29- JUSTINE'S BIO 06:19- WHY WE ARE ADDRESSING SUPPLEMENTS * Why taking heaps of supplements can be problematic * Why we are addressing supplements for both men and woman * "You cannot out supplement the basics." 08:58- WHAT WE NEED TO KNOW ABOUT THE SUPPLEMENT INDUSTRY * The importance of good quality supplements * The harm low-quality supplements can have * Should you buy supplements from Amazon? 12:23- GENERAL RECOMMENDATIONS- SHOULD WE LISTEN? * Supplements that might be helpful, but aren't always for everyone 14:10- BASIC SUPPLEMENTS- PRENATAL * What you MUST have in your prenatal 16:34- MEN'S MULTIVITAMIN 17:32- COQ10 18:26- MAGNESIUM 19:52- OMEGA 3'S * OMEGA 3's vs. OMEGA 6's * Anti-inflammatory properties 21:03- VITAMIN D3 & K2 * Why is it important? Why do we take K2 with it? 23:38- PROBIOTICS 26:00- USING PROBIOTICS WHILE TRYING TO REDUCE INFECTIONS 27:00- RECAP OF SUPPLEMENT BASICS * How long should we be taking them? * Which ones we should temporarily take vs. take long-term. 29:27- FINAL THOUGHTS AND RECOMMENDATIONS "Most of the supplements are not forever." "One size does not fit all." "We cannot out supplement any bad diet or lifestyle behaviors." --- Sponsored by Fab Fertile Store. Ensure your preconception supplements are free from dyes, filler, and top allergens. Check out our basic recommendations that are essential for preconception health. Visit https://www.fabfertilestore.com/ -- Book your Free Supercharge Your Fertility Discovery Call here: https://intakeq.com/booking/cZ7XW6 --- Connect with Sarah on social media and learn more about functional fertility solutions that will help you have your baby. * Instagram: https://www.instagram.com/fabfertile/ * Facebook: https://www.facebook.com/sesacoaching/ * Twitter: https://twitter.com/fabfertile * Linkedin: https://www.linkedin.com/in/sarahclarkfertilitycoach/ --- HELP SUPPORT THE SHOW! Love the show? You’ll really love Sarah’s resources page - filled with handpicked products/books/devices - get exclusive discounts and support the show by making purchases SHOP here: https://fabfertile.com/resources/ Other ways to support: Apple podcasts: https://podcasts.apple.com/us/podcast/get-pregnant-naturally/id1329414094 Spotify: https://open.spotify.com/show/36NoCIuODqlo3bQcVDOO02 Stitcher: https://www.stitcher.com/podcast/sarah-clark/get-pregnant-naturally Youtube: https://www.youtube.com/channel/UC97zsClWDEbgmECB6uLUuiA Player FM: https://player.fm/series/get-pregnant-naturally Listen Notes: https://www.listennotes.com/podcasts/get-pregnant-naturally-sarah-clark-82DYJtZnFAa/ Podbean: https://www.podbean.com/podcast-detail/usiv9-629c6/Get-Pregnant-Naturally-Podcast iHeart Radio: https://www.iheart.com/podcast/256-get-pregnant-naturally-30947830/ LEAVE APPLE PODCAST REVIEW: http://bit.ly/getpregnantreview SHARE: Spread the word! Tell someone else about the show! Together we are strong. Related episodes: Functional Medicine 101 - https://www.fabfertile.com/blog/functional-medicine-101-and-your-fertility/ How Not To Waste Time When You Are TTC - https://www.fabfertile.com/blog/how-not-to-waste-time-when-you-are-ttc/ How To Optimize Sleep To Improve Your Fertility - https://www.fabfertile.com/blog/how-to-optimize-sleep-to-improve-your-fertility/
39 min
Fertility Friday Radio | Fertility Awareness for Pregnancy and Hormone-free birth control
Fertility Friday Radio | Fertility Awareness for Pregnancy and Hormone-free birth control
Lisa | Fertility Friday
FFP 348 | Self Care Down There | Taq Bhandal
Taq, ਤਕਦੀਰ ਕੌਰ Taqdir Kaur Bhandal, is the CEO of @imwithperiods. She runs her small business & think tank and spends her days doing research and teaching at the University of BC. She also gets to nerd out with fellow scholars as a member of the Society for Menstrual Cycle Research. When she’s not engaging in period research & writing of some kind, she spends her days trying to follow the rays of the sun with her dog. She’s trained as a human developmental biologist, health policy analyst, and herbalist. She is now physically based in Halifax, Nova Scotia on Mi’kmaw Territories after spending many years living in Vancouver. She is passionate about nachos & nach (dance)! In today’s episode, we talk all about self care, and why it’s essential to maintaining healthy menstrual cycles! Today’s episode is sponsored by the Fertility Awareness Mastery Mentorship Program! We start the first week of March! For details and to apply now Click here to register now! Topics discussed in today's episode: * Taq’s background and what prompted her to write Self Care Down There * Inspired her to focus on this area of female self-care * What is the overarching message of the book? * How did FAM effect Taq’s understanding of self-care and how it changed Taq’s way of taking care of herself? * How being aware of emotional and energetic changes in your body can help cope with the shifts that happen in your cycle * What are things we can do and useful information in the book that we may not know * Taq’s thoughts on how to overcome challenges that come from outside influences * How pop culture has affected how sex is portrayed and how we relate to each other sexually * Taq and Lisa’s thoughts on sexual abuse and consent Connect with Taqdir Kaur Bhandal : You can connect Taq on her Facebook, Instagram, Email and website. Resources mentioned: * Self Care Down There * Pleasure Activism: The Politics of Feeling Good * The Fifth Vital Sign: Master Your Cycles & Optimize Your Fertility (Book) | Lisa Hendrickson-Jack * Fertility Awareness Mastery Charting Workbook * Fertility Awareness Mastery Online Self-Study Program Related podcasts & blog posts: * FFP 317 | Vaginal Steaming | Fourth Trimester Vaginal Steam Study | Keli Garza & Kimberly Ann Johnson * FFP 296 | All About Menstrual Cups | Your Questions Answered | INTIMINATM | Lisa | Fertility Friday * FFP 226 | Xenoestrogens in Black Hair Products | Tola Okogwu * FFP 217 | All About Menstrual Cups! | Lisa | Fertility Friday * FFP 202 | Vaginal Steaming for Period Problems | Steamy Chick | Keli Garza * FFP 156 | Menstrual Cups & Your Period | An Interview With The Founder of Lunette | Heli Kurjanen * FFP 078 | Lunapads & The Diva Cup | Sustainable, Eco-friendly & Healthy Menstrual Products | Madeleine Shaw & Suzanne Siemens * FFP 026 | Myths and Facts About Sexual Assault | The Impact of Sexual Abuse on Fertility and Infertility Part 1 | Erin Martin * FFP 027 | The Impact of Sexual Abuse on Fertility and Infertility | Part 2 | Dr Erica Berman Join the community! Find us in the Fertility Friday Facebook Group. Subscribe to the Fertility Friday Podcast in Apple Podcasts! Music Credit: Intro/Outro music Produced by J-Gantic A Special Thank You to Our Show Sponsors: Fertility Friday | Fertility Awareness Programs This episode is sponsored by my Fertility Awareness Programs! Master Fertility Awareness and take a deep dive into your cycles and how they relate to your overall health! Click here to apply now! The Fertility Awareness Charting Workbook This episode is sponsored by my new book the Fertility Awareness Mastery Charting. Click here to buy now.
1 hr 4 min
The VBAC Link
The VBAC Link
Julie Francom & Meagan Heaton
160 Everything Left Unsaid with Mari and Allie
“To the unsupportive OB:” “To that labor and delivery nurse:” “To my partner:” “To the midwife who believed in me:” “To myself:” The long-awaited episode is here. This is the one where YOU have the spotlight. Mari Vega and Allie Mennie are back to join Meagan and Julie as they read your letter submissions. Let your voices be heard. Let your trauma heal. We tell the world everything you weren’t given the chance to say during your birth. Additional links The VBAC Link’s Advanced VBAC Doula Certification Program Allie Mennie’s website Mari Vega’s website Episode sponsor This episode is sponsored by our Advanced VBAC Doula Certification Program. This course is designed for birth workers who want to take their VBAC education to the next level so you can support parents who have had a Cesarean in the most effective ways. Head over to thevbaclink.com to find out more information and sign up today. Sponsorship inquiries Interested in sponsoring a The VBAC Link podcast? Find out more information here at advertisecast.com/TheVBACLink or email us at info@thevbaclink.com. Full transcript Note: All transcripts are edited to correct grammar and to eliminate false starts and filler words. Julie: Happy Wednesday, women of strength. We have a really incredible episode for you today. I can’t even put into words all of the things I am feeling about what we are about to do because it’s big. It’s big, and it’s emotional. Some of us are reading over these for the first time. I think there’s going to be lots of tears and crying. I don’t know. We’re going to try to not get angry and frustrated. We asked you back in December, or the end of November, maybe it was, to write an anonymous letter to a healthcare worker, your provider, somebody on your hospital staff, or somebody that negatively affected your birth. These are all anonymous letters. We have lots and lots of submissions, and we are excited to read them to you today. Now, I want you to be advised that some of these letters have some difficult experiences explained in them. But, I think it’s really, really important that we listen to these, we hear them, and we meet these anonymous letter writers where they are because this is the state of maternity care in our country. These things that we are about to read are not uncommon experiences. And this is why we as The VBAC Link, and we as birth doulas and all of us advocate so much for change and education, and all sorts of things. But before I start rambling on more, I don’t want to take too long. We are not going to read a review of the week. We are just going to get right into the letters after the intro. Episode sponsor Julie: Birth workers, listen up. Do you want to increase your knowledge of birth after a Cesarean? We created our Advanced VBAC Doula Certification Program just for you. It is the most comprehensive VBAC doula training in the world, perfectly packaged in an online, self-paced video course. This course is designed for birth workers who want to take their VBAC education to the next level so you can support parents who have had a Cesarean in the most effective ways. We have created a complete system, a step-by-step road map that shows exactly what you need to know to support parents birthing after a Cesarean. Head over to thevbaclink.com to find out more information and sign up today. That’s thevbaclink.com. See you there. Everything Left Unsaid Julie: Alright, as you know, we have invited Allie Mennie and Marilys back with us to this episode as a follow-up to Marilys’ episode. We are going to take turns reading the letters. You guys, these are really raw and vulnerable. We are going to rotate through and try not to scream, and yell, and hit our computer screens. But also, yeah. That’s it, nothing else. Mari, do you have the first one? Mari: Our first letter starts with: “Hello, beautiful doula angels! I just listened to Marilys’ episode and wanted to send you my letter. My letter may actually be the opposite of what you are looking for. It would be a positive one because although I ended up with a Cesarean, my provider made my birth experience amazing. It was the nurses I didn’t care for. ‘To my provider, thank you. Thank you for letting me make my own decisions. Thank you for asking for consent before doing any procedures or taking the next steps. For informing me of all the risks and benefits of any procedure, I had the OPTION for during my pregnancy, labor, and delivery. Thank you for not making me feel guilty or bad about my 60lb pregnancy weight gain. For giving me the option of which hospital I wanted to deliver at. For dealing with my many text messages asking you questions throughout my pregnancy. Thank you for coming to my birth even though you were not on call. For having me push for four hours before even mentioning a Cesarean. For being quiet and calm while having me and my son in our most vulnerable states-- my body open and my mind full of fear. Thank you for taking time going over the risks and benefits of a Cesarean as well as a VBAC and reminding me that the best-case scenario for me would be to VBAC. For assuring me that the risk of uterine rupture is extremely low and should not deter me from having a VBAC. Thank you for recommending a pelvic floor therapist when I came to you six months postpartum, still leaking urine and in agonizing pain during intercourse. Thank you for being the provider that performed my cesarean and the provider I have 110% confidence in to support my VBAC.’ I hope this letter can be a reminder that a negative birth experience is not always the result of the provider or their actions. My provider was one of the most positive aspects of my birth and the only time I was fully able to relax was with her in the room. The negative aspects of my birth experience came from the labor and postpartum nurses, as well as my lack of knowledge and education about the whole process. I didn’t know what I didn’t know. But because of The VBAC Link, I now know what I didn’t know, and more.” Meagan: Wow. Mari: Whew! Go, VBAC Link. Julie: I love that. Mari: What a nice start. Julie: What a great letter to start this episode off with. Perfect. Mari: It’s important. It’s important for people to know that it’s also the journey that matters and not the outcome. Julie: Absolutely. Absolutely. I love it. Alright. Allie, you are up with the next letter. Allie: Alrighty. They start by saying: “Thank you for posting the most recent podcast.” This is actually a member of Mari’s ICAN chapter. She says: “I'm so glad to have seen and heard her on your platform. This is such a good exercise. I'm glad to have had the chance to write out my feelings to MYSELF on my ‘failed’ VBAC.” So this is a letter that this mother wrote to herself. It says: “You are a warrior mama to your two beautiful babies. I wish you didn't cast so much self-doubt and ill feelings of your capacity to be a mom simply because you didn't push them out of your vagina. After your first C-section, which we both agree you naively weren't prepared for but still doesn't justify how traumatic it was (even these 30 months later), you did ALL the things in preparation of your next pregnancy-- switched providers, read all the books, listened to podcasts, went to ICAN meetings, hired a doula, found your voice to fight for the birth you knew you wanted and the chance to make that happen. That morning, four days before your due date when you went into labor, remember those feelings. You were ecstatic to go into labor on your own, something previously robbed of you, it escalated so fast. You got to the hospital two hours later to have your water break as you wobbled in, to find you were already at a ten and fully effaced and ready to push that baby out. As you started pushing, you had a deep gut feeling that this wasn't going to be a different…
57 min
Mom Brain
Mom Brain
Gallery Media Group Originals
Kate The Chemist is the Girl in Designer Heels Who Likes to Blow Stuff Up
Dr. Kate Biberdorf wants your kids to be passionate about science. She's an associate Chemistry professor at the University of Texas where during the day she teaches students but by night she is blowing things up as 'Kate the Chemist'. She is the author of the children's fiction series Kate the Chemist and her new book is Kate the Chemist: The Big Book of Experiments. Kate has appeared on The Today Show, The Kelly Clarkson Show, the Rachael Ray Show, Late Night with Stephen Colbert and much more. Kate gets Hilaria and Daphne enthusiastic about doing experiments with their kids. She explains the science behind Mentos and Diet Coke, elephant toothpaste, and breathing fire. All things she does to get kids excited about science and chemistry. She also discusses how to inspire girls specifically to pursue science and the importance to foster their pursuits in these subjects. Plus, Kate also previews her upcoming book of edible experiments. _Favorite Things:_ Daphne: Yeti Customizable Rambler Jr. 12 oz. Kids Bottle Hilaria: Disco Lights Bluetooth Speaker Kate: Calcium chloride and sodium alginate to make gummy worms at home Email us with your questions at mombrainpod@gmail.com and follow us on Instagram, just search for @MomBrain. We answer a lot of your questions on there! Check out videos of our episodes on our YouTube channel! We also invite you to become a member of Mom Brain's official Facebook Group.
43 min
More episodes
Search
Clear search
Close search
Google apps
Main menu