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As a physician, you are overworked, overwhelmed, and under-supported when it comes to your money. The Physician’s Guide to Wealth Podcast is where you finally unpack the silent burdens of financial stress, burnout, and sacrifice—and take back control. Hosted by James Nutter, Fiduciary Financial Advisor & Partner at IM Wealth, this isn’t your typical conversation about money. It’s a raw, thought-provoking journey at the crossroads of purpose and prosperity—challenging everything you’ve been t ...
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Evidence Based Birth®

Rebecca Dekker, PhD, RN

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In the Evidence Based Birth® podcast, we cover the research evidence on hot topics about pregnancy and childbirth! Our mission is to help birth workers build the evidence based knowledge, skills, and power they need to protect families' ability to give birth with empowerment. The work we do has a huge impact on parents who are searching for accurate information to empower their prenatal, birth, and postpartum experiences!
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When it comes to your first attending contract, the stakes are high—and the fine print is even higher. In this power-packed episode, James Nutter is joined by two heavy hitters: Jon Appino, founder of Contract Diagnostics, and CFP Jeff McPherson. Together, they dissect the most overlooked clauses, the real cost of skipping a review, and how to avoi…
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Struggling with low milk supply can feel overwhelming, isolating, and confusing. In this episode, Dr. Rebecca Dekker talks with midwife and International Board Certified Lactation Consultant Katie James to demystify the realities of low milk supply. Together, they explore the hormonal, medical, and systemic factors that can affect lactation, as wel…
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Special Announcement from EBB! If you're an experienced birth worker or health care professional and you're interested in becoming an Evidence Based Birth Instructor, applications for 2025 are opening soon for a limited time only! Podcast listeners who are interested in becoming an EBB Instructor are invited to join us for a live Q & A session on W…
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In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care. First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of in…
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Is this all there is? That quiet question haunts so many physicians navigating rigid hospital systems, RVU pressures, and the creeping feeling of burnout. But it doesn't have to end there. In this powerful conversation, James Nutter welcomes Donovan Miske—CEO of Kona Medical Consulting and trusted advisor to over 12,000 physicians—to explore how do…
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A traumatic first birth can shape everything that follows—but with the right support, education, and advocacy, it's possible to turn fear into empowerment. In this episode, Dr. Rebecca Dekker sits down with EBB Childbirth Class Graduates Rivka and Steven Dubinsky as they share the transformative journey from a traumatic hospital induction and birth…
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Think all financial advisors are working in your best interest? Think again. In this solo episode, James Nutter pulls back the curtain on the financial industry and empowers physicians to take the driver’s seat. Whether you’re hiring your first advisor or reevaluating your current team, this episode is your guide to spotting red flags, understandin…
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Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their fre…
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Money is the number one source of stress for most American families—and physicians are no exception. In this candid, educational, and downright entertaining episode, host James Nutter teams up with CPA Matt Barczak and CFP Jeff McPherson to reveal the five most common and costly financial mistakes physicians make. Whether you're a W2 doc, locums, o…
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In today’s episode, we’re diving into the evidence on perineal tears and the importance of avoiding episiotomies during childbirth. We’ll talk about what perineal tears are, the different types that can occur, and the potential health consequences that can follow. You’ll also hear about the various factors that may increase or decrease the risk of …
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When I first started learning about personal finance, I didn’t know what I didn’t know. I thought finding help was simple — ask around, get a referral, and trust the person with the right certifications. But what I didn't realize back then — and what so many physicians still don’t realize — is that not all financial advisors are built the same. Som…
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Navigating a neonatal intensive care unit (NICU) experience can be overwhelming and emotionally taxing. In this episode, Dr. Rebecca Dekker talks with Mary Farrelly, a certified NICU nurse, doula nurse educator, and founder of The NICU Translator. With over a decade of experience in a Level 4 NICU, Mary shares how families can find empowerment and …
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In a re-released and highly relevant episode, James Nutter exposes the hidden realities of the financial advisory world. Drawing from his experience and past features on the Financial Residency Podcast, he outlines 7 key steps every physician should follow when hiring a financial advisor. You'll learn why not all financial advisors are created equa…
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How can art serve as a powerful way to honor pregnancy, birth, and parenting experiences—especially for families who are often underrepresented in birth spaces? In this episode, Dr. Rebecca Dekker explores this question with Lauren J. Turner, a Baltimore-based artist, birth worker, and founder of Birth Nerds. Lauren shares how her own home birth ex…
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James Nutter pulls back the curtain on the murky world of financial advisor compensation, exposing five distinct models — from robo-advisors and commission-based salespeople to fiduciary flat-fee planners. Using relatable metaphors (like leg amputation versus ACL repair), he emphasizes the importance of working with a fiduciary advisor who is legal…
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Dr. Rebecca Dekker is joined by Camilla Costa Goetz, a graduate of the EBB Childbirth Class, to share her story of advocating for herself during labor. Camilla, a former fashion student turned full-time mom, opens up about navigating pregnancy with POTS (Postural Orthostatic Tachycardia Syndrome), preparing for birth while her husband was away at A…
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What if the pathway to financial peace wasn’t just about earning more—but learning what truly matters to you? In this heartfelt episode of A Life Well Lived, Dr. Lisha Taylor joins James to share the story behind her unique journey from Wall Street dreams to the heart of sports medicine—and how growing up in a money-savvy but value-rooted household…
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In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates? Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research …
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In this insightful episode of "A Life Well Lived: A Physician's Guide to Wealth," James Nutter delves into the powerful concept of self-investment as a cornerstone for achieving both financial and personal success. Drawing on examples of high-profile individuals such as Robin Williams and Avicii, Nutter illustrates the pitfalls of financial abundan…
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Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar shares her journey into maternal-fetal medicine, how she became interested in yoga and breathing techniques, and the growing body of research on prenatal…
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1099 income can open incredible financial opportunities — if you know where to look. In this special edition of A Life Well Lived, James hosts a live IM Wealth Masterclass featuring CPA Matthew Barczak, who partners with over 200 physicians nationwide. Together, they dive deep into the tax strategies most physicians miss — from family payroll hacks…
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Madi van Tonder is a birth photographer, doula, and educator based in the Netherlands. Originally from South Africa, Madi has lived in multiple countries and brings a unique perspective to birth work, particularly for families navigating new healthcare systems. Join Dr. Dekker and Madi as she shares insights into the Dutch maternity care system, wh…
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True wisdom—and financial success—starts with self-awareness. James discusses the importance of introspection, referencing Socrates, Aristotle, and personal growth experiences. He shares how his journey of self-discovery transformed his confidence and relationship with money. He encourages listeners to reflect on their past, question their financia…
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EBB Childbirth Class graduate Krista DeYoung joins us from her hospital room to share her journey through a high-risk pregnancy, an extended antepartum hospital stay for partial placental abruption, and preparing for a scheduled Cesarean at 37 weeks. Krista opens up about the challenges of long-term hospitalization, advocating for herself in a comp…
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This episode of A Life Well Lived: A Physician’s Guide to Wealth features a special recording from a recent Physician Financial Wellness Masterclass. James Nutter dives into the latest developments in Public Service Loan Forgiveness (PSLF) and the SAVE repayment plan, breaking down the key legal and political uncertainties physicians need to be awa…
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In this episode, Dr. Rebecca Dekker is joined by Trish Ware, Registered Nurse, childbirth educator, and host of The Birth Experience with Labor Nurse Mama. With 16 years of labor and delivery nursing experience, Trish shares her journey from feeling disempowered during her first birth to becoming an advocate for changing the birth culture one birth…
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You’ve spent years mastering medicine, but what about mastering your money? In this inaugural episode, we set the foundation for your financial journey—not with complex strategies, but with a simple truth: Your money should be a tool to amplify what already matters most to you. We’ll explore why so many physicians feel financially stuck despite hig…
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Physicians are some of the highest-paid professionals, yet financial stress is a persistent burden. Between student loans, conflicting advice, and the pressure to “live like a resident” versus enjoying life, many doctors feel trapped in a never-ending cycle of uncertainty. This episode dives into the emotional weight of money, the internal conflict…
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Jen McLellan, founder of Plus Size Birth and host of the Plus Mommy Podcast, is joining Dr. Dekker to explore how birth workers can provide compassionate, size-inclusive care for people in larger bodies. Jen shares her journey to founding Plus Size Birth, the impact of size bias in healthcare, and practical advice for both expectant parents and bir…
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In this very important episode, Dr. Rebecca Dekker is taking a look at the updated evidence on Vitamin K for newborns. Vitamin K deficiency bleeding (VKDB) is a rare but serious condition that can lead to life-threatening complications in infants. Dr. Dekker breaks down what Vitamin K is, why newborns are at risk for VKDB, and the different supplem…
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In this episode, Dr. Rebecca Dekker and investigative journalist Sarah Kliff of The New York Times explore the intricate world of cord blood banking. Sarah shares insights from her article, "Promised Cures, Tainted Cells," which explored cord blood banking practices, their marketing claims, and the stark contrast between public and private banking …
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Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and…
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In today’s episode, we’re revisiting an inspiring birth story featuring Emily Chandler and Taylor Washburn, graduates of the Evidence Based Birth® Childbirth Class. They share their journey of navigating an informed and empowered hospital birth experience, along with the challenges they faced during an extended hospital stay for their newborn’s jau…
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Dr. Rebecca Dekker welcomes Dr. Kat Kaeni, a perinatal mental health certified psychologist, author of The Pregnancy Workbook, and host of the Mom & Mind podcast. Dr. Kat shares her personal journey with postpartum depression, anxiety, and OCD, and how it shaped her commitment to supporting parents during the perinatal period. They explore the spec…
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In this episode, Dr. Rebecca Dekker and Morgan Richardson Cayama, EBB Research Fellow and doctoral candidate in public health, are sharing the top 10 evidence-based strategies for reducing your risk of a Cesarean birth. Drawing from the latest research, including insights from the ARRIVE trial and EBB’s Signature Articles, Rebecca and Morgan discus…
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In this episode, learn how Dr. Kimarie Bugg’s lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked…
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Happy New Year! Join Dr. Rebecca Dekker and EBB research fellows Morgan Richardson Cayama and Sara Ailshire as they celebrate the evidence from 2024. From updating key research on waterbirth, doulas, and elective inductions to launching new handouts, webinars, and pocket guides, it was a busy and rewarding year for Team EBB. Plus, get a sneak peek …
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Dr. Rebecca Dekker talks with EBB Childbirth Class graduates Kat Sullivan and Ben Winston about their journey through pregnancy and birth. Kat shares her deeply personal experience of living with emetophobia—the fear of vomiting—and how it impacted her pregnancy and decision to pursue a home birth. From navigating intrusive thoughts and panic attac…
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Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama tackle your questions about the ARRIVE trial and elective inductions at 39 weeks. They explore the evidence behind this controversial study, discuss the implications for Cesarean rates, and unpack the concept of patient autonomy in maternity care. Plus, they share practical tips fo…
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Dr. Jessica Brumley, a Certified Nurse Midwife and President of the American College of Nurse Midwives, joins Dr. Dekker to explore the transformative impact of respectful maternity care. Dr. Brumley reflects on her journey to midwifery, inspired by a lifelong commitment to equitable and compassionate healthcare. Together, they discuss the importan…
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In this episode, I’m joined by Camden Crane Wachowiak—a health coach, EBB Childbirth Class graduate, and new mom—who shares her high-risk pregnancy and birth journey. Camden walks us through her induction experience after her water broke at term and her decision to labor with non-pharmacological comfort measures. We also talk about Camden's approac…
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Team EBB's Chanté Perryman, Rikki Jenkins and Sara Ailshire are taking over the podcast to share their tips for transitioning home from the hospital and supporting new parents postpartum! Rikki, a seasoned childbirth educator, International Board Certified Lactation Consultant, and Instructor Program Coordinator at EBB, stresses the importance of h…
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We're celebrating the upcoming release of the brand new Pocket Guide to Newborn Procedures! Join us as Dr. Dekker explores essential aspects of newborn care: the evidence on 1) pain management during newborn procedures, 2) baby's first bath, and 3) whether and how newborns should receive screening for low blood sugar. In this episode, you'll learn …
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Join Dr. Rebecca Dekker and EBB Research Fellow Morgan Richardson Cayama as we explore the ARRIVE Trial and its impact on elective induction at 39 weeks. Together, we'll break down what elective induction involves, examine the trial's findings and critiques, and discuss the latest evidence on this increasingly common practice. Elective inductions h…
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In this episode, we're talking about uterine fibroids and their impact on pregnancy and birth with Dr. Veronica Gillispie-Bell, a board-certified OB/GYN and nationally recognized expert in fibroid treatment. Dr. Gillispie-Bell shares her wealth of knowledge on this critical, yet often overlooked, topic—explaining everything from what fibroids are t…
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Dr. Leslie Farrington, an African-American retired OB/GYN, birth justice advocate, and co-founder of the Black Coalition for Safe Motherhood, shares how her early experience with midwifery inspired her passion for patient-centered care. As a physician who later recognized the harmful effects of “physician supremacy” in the medical system, she detai…
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Chiropractor Dr. Lisa Vawter is all about women's health, especially when it comes to prenatal and postpartum care. With certifications in the Webster technique, Spinning Babies®, and BirthFit™, she's got all the tools to support expectant and new moms in a holistic way. Dr. Vawter is a firm believer in the power of chiropractic care to ease pregna…
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In this episode, we're joined by EBB Childbirth Class graduates Dr. Emily Guilfoy and her husband, Doug, as they share their unmedicated birth story. Dr. Emily, a chiropractor, walks us through her preparation for birth using self-hypnosis and the mental and physical strategies she employed for a calm, empowering labor. Together, they discuss their…
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In this episode, we're exploring the fascinating science of blood types and blood incompatibility in pregnancy. You’ll learn about the basics of blood types, how they are inherited, and why knowing your blood type is crucial—especially during pregnancy. Rebecca and Sara also discuss the implications of Rh incompatibility, ABO incompatibility, and o…
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