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Evidence Based Birth®

EBB 2 - What is Evidence Based Care?

Evidence Based Birth®

Rebecca Dekker

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

4.6978 Ratings

🗓️ 8 October 2025

⏱️ 33 minutes

🧾️ Download transcript

Summary

Evidence based care is a term you hear often in medicine, but what does it really mean—especially when it comes to pregnancy and birth? In this episode, Dr. Rebecca Dekker takes you inside the foundations of Evidence Based Birth®®️, explaining what evidence based care is (and isn’t), and why it matters for families, providers, and communities.
 
Dr. Dekker breaks down the three essential pillars of evidence based care: the best available research, the provider’s expertise, and the birthing person’s values and preferences. She explores how care can drift away from this model when decisions are based solely on tradition, authority, or convenience rather than the evidence. Along the way, hear how families can use this knowledge to navigate common hospital policies and advocate for care that truly centers their needs.
 
(02:12) Outdated practices and the rise of evidence based medicine
(05:00) Florence Nightingale, Mary Seacole, and whose knowledge counts
(08:05) The three pillars of evidence based care: research, expertise, and patient values
(10:50) Understanding levels of evidence: from systematic reviews to case reports
(19:30) Why clinical expertise and trusted providers matter in applying research
(22:10) The role of patient values, preferences, and underlying biases
(27:10) What evidence based care is, and what it is not
 
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

Click on a timestamp to play from that location

0:00.0

Hi, everyone, before we get started with today's episode, I wanted to let you know that a countdown

0:04.5

is on. On Wednesday, October 15, we're hosting a live 90-minute signature training and Q&A

0:11.6

where we're going to unpack the newest research on Big Babies. The topic of Big Babies has a special

0:17.7

place in EBB history. It was one of the first issues that I researched more than a

0:23.1

decade ago, and it's still one of the most talked about factors in maternity care today,

0:28.6

because families are often told that their baby is too big, leading to pressure for a variety of

0:35.2

interventions. But the evidence tells a much more nuanced story.

0:40.3

So if you want to know what the research really says about our ability to predict a baby size

0:45.2

and those big baby warnings and whether or not they're really accurate, this training is your

0:49.8

chance to dig into the latest research, sort out the facts from the fears, and get your biggest questions

0:55.4

answered live. If you want to attend, this October training is exclusive to evidence-based

1:00.3

birth pro members. And right now, you can join the EBB Pro membership for just $29 for your first

1:05.9

month and lock in a special discounted rate if you decide to stay. Not only will you get access to our signature training on October 15 live,

1:15.1

but you'll also get access to courses with up to 27 nursing contact hours,

1:19.6

including 18 contact hours that can be applied to the CPM and CNM credentials and physician CEs.

1:26.6

We also have dual mentorship calls, midwife mentorship calls,

1:30.0

a library of printer-friendly PDFs from evidence-based birth to share with your clients,

1:34.5

and a supportive community where you can ask questions directly of myself and our research team.

1:39.8

Plus, if you sign up for a quarterly or annual membership, you'll receive a special welcome

1:44.7

package shipped to you directly from Team EBB after your first 30 days as a pro member.

1:50.3

So do you want to join us on October 15?

1:52.8

Just go to eBerbirth.com slash membership to join now for only $29 and get your invitation

...

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