by Jen & Heidi from The Uterverse
đď¸A journal club, but make it audio! Join us each week to unpack, debate, and bring back to the bedside the latest perinatal research. Jen and Heidi break down new studies, revisit crowd favorites, and weave in real-world stories from life on the unitâbecause evidence matters, but so does the context we practice in. Designed to help perinatal nurses talk about evidence with confidence and influence practice on their units.
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Publishing Since
5/6/2026
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May 29, 2026
<p> If your unit implement early AROM due to the ACOG practice bulletin, you might wonder "Does early AROM actually help induced labor progress fasterâor does it create more problems than it solves?"</p> <p>In this Birth Nurse Hotline episode, Jen and Heidi answer a listener question about <strong>early artificial rupture of membranes (AROM) during induction</strong> and walk through how they think about the research, physiology, and downstream effects of labor interventions.</p> <p>This is not a conversation about spontaneous labor (hands off!!). Itâs a nuanced discussion about induction management, efficiency, labor progress, and how nurses apply evidence in real-world bedside care.</p> <p>We unpack what research on early AROM during induction shows, how physiology changes once membranes are ruptured, and why the âright answerâ often depends on the bigger clinical picture...not just whether labor speeds up.</p> <p>We explore why intervention effects may not be equal across all patient populations, and what questions research still hasnât fully answered. Evidence-based practice requires more than simply applying a study conclusion in isolation.</p> <p><span>âąď¸ <strong>TIMESTAMPS</strong></span></p> <p><strong>00:00</strong> â Intro + Birth Nurse Hotline question<br><strong>02:00</strong> â Framing the conversation: induction vs physiologic labor<br><strong>04:00</strong> â What research on early AROM actually shows<br><strong>07:00</strong> â Physiology changes after membrane rupture<br><strong>10:00</strong> â Labor efficiency vs downstream effects<br><strong>13:00</strong> â Pitocin, contractions, and intervention cascades<br><strong>16:00</strong> â Applying research in real bedside care<br><strong>18:00</strong> â Population differences and research gaps<br><strong>20:00</strong> â Final thoughts + key takeaways</p> <p></p> <p><span>Articles in the peisode:</span></p> <p><span>Battarbee, A. N., Glover, A. V., & Stamilio, D. M. (2020). Association between early amniotomy in labour induction and severe maternal and neonatal morbidity. </span></p> <p><span>Berry, M., Lamiman, K., Slan, M. N., Zhang, X., Arena Goncharov, D. D., Hwang, Y. P., Rogers, J. A., Pacheco, L. D., Saade, G. R., & Saad, A. F. (2024). Early vs delayed amniotomy following transcervical Foley balloon in the induction of labor: a randomized clinical trial. American journal of obstetrics and gynecology</span></p> <p><span>First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics & Gynecology </span></p> <p><span>Halouani, A., Masmoudi, Y., Hamdaoui, R., Hammami, A., Triki, A., & Ben Amor, A. (2023). Early versus late amniotomy during induction of labor using oxytocin: A randomized controlled trial</span></p> <p> </p> <p><span>𧏠<strong>Key Concepts</strong></span></p> <ul> <li>Early AROM in induction</li> <li>Induction management</li> <li>Labor physiology and interventions</li> <li>Applying research at the bedside</li> <li>Pitocin and labor progress</li> <li>Intervention cascades in labor</li> <li>Fetal positioning and membrane rupture</li> <li>Clinical judgment in obstetric nursing</li> <li>Population differences in intervention effects</li> <li>Research gaps and unanswered questions</li> </ul>
May 20, 2026
<p> Can labor nurses actually influence birth outcomes? And if so⌠how?</p> <p>In this episode, Heidi surprises Jen with a research study about nurse influence on labor outcomesâand the findings are not what either of us expected.</p> <p>Together, we react in real time to what the research says about bedside nursing, labor progress, interventions, and the factors that may shape patient outcomes in labor and delivery.</p> <p>This conversation goes beyond the simplistic idea that âgood nurses get better outcomesâ and digs into the more complicated reality of systems, staffing, patient variability, physiology, communication, and bedside decision-making.</p> <p>Along the way, we talk about what nurses can influence, what we probably overestimate, and why conversations about outcomes in labor and delivery deserve more nuance than social media usually allows.</p> <p>If youâve ever wondered how much impact bedside nurses really haveâor felt pressure to personally âownâ every outcomeâthis episode is for you.</p> <p><strong>Why This Matters</strong></p> <p> </p> <p>Labor nurses spend more continuous time with patients than almost anyone else on the care team.</p> <p>But conversations about nursing influence on outcomes can quickly become oversimplifiedâeither placing unrealistic responsibility on nurses or ignoring the ways bedside care truly matters.</p> <p>đ Understanding what research actually says about nurse influence helps support more realistic, evidence-based conversations about labor, teamwork, systems, and patient care.</p> <p> </p> <p><strong><span>âąď¸ </span>TIMESTAMPS</strong></p> <p><strong>00:00</strong><span> â Intro + Heidi surprises Jen with the study</span><br><strong>02:00</strong><span> â First reactions to the research</span><br><strong>05:00</strong><span> â What the study actually found</span><br><strong>08:00</strong><span> â Nurse influence vs system influence</span><br><strong>11:00</strong><span> â The emotional weight nurses carry around outcomes</span><br><strong>14:00</strong><span> â What bedside nurses </span>can<span> influence</span></p> <p><span>Study Links:</span></p> <p><span style="font-weight: 400;"><span>T.Tiwari, E. W.VanGompel, J. P.Selig, et al., âPersonal Birth Experiences and Clinician Attitudes About </span><span>Cesarean Birth: A Cross-Sectional Study With Female Labor and Delivery Unit Staff,â Birth (2026): </span><span>1â8, </span><a href="https://doi.org/10.1111/birt.70062"><span>https://doi.org/10.1111/birt.70062</span></a><span>.</span></span></p> <p><span style="font-weight: 400;">Edmonds, J. K., Yehezkel, R., Liao, X., & Simpson, K. R. (2017). </span><span style="font-weight: 400;">Variation in cesarean birth rates by labor and delivery nurse </span><span style="font-weight: 400;">staffing. </span><span style="font-weight: 400;">Journal of Obstetric, Gynecologic & Neonatal Nursing, 46</span><span style="font-weight: 400;">(5), 707â716. </span><a href="https://doi.org/10.1016/j.jogn.2017.03.009"><span style="font-weight: 400;">https://doi.org/10.1016/j.jogn.2017.03.009</span></a></p> <p><span style="font-weight: 400;">Roberts, K., & Alba, B. (2025). Work Experience and Attitudes </span><span style="font-weight: 400;">About Birth in Relation to Nurses' Cesarean Rates for </span><span style="font-weight: 400;">Women With Low-Risk Pregnancies. </span><span style="font-weight: 400;">Journal of obstetric, </span><span style="font-weight: 400;">gynecologic, and neonatal nursing : JOGNN</span><span style="font-weight: 400;">, </span><span style="font-weight: 400;">54</span><span style="font-weight: 400;">(4), </span><span style="font-weight: 400;">450â460. </span><a href="https://doi.org/10.1016/j.jogn.2025.04.004"><span style="font-weight: 400;">https://doi.org/10.1016/j.jogn.2025.04.004</span></a></p> <p> </p> <p><span><br style="font-weight: 400;"><br style="font-weight: 400;"></span></p>
May 13, 2026
<p> What happens when nurses stop asking questions?</p> <p>In this episode, Jen and Heidi explore the concept of questioning attitudeâa term often used in other high-risk industries, but is not well applied in labor and delivery nursing.</p> <p>We talk about why a questioning attitude is not the same thing as negativity, conflict, or âbeing difficult,â and why curiosity and critical thinking are essential for safe bedside care. From protocols and routines to unit culture and hierarchy, we unpack the subtle ways nurses can be conditioned to stop questioning things that deserve a second look.</p> <p>This conversation is all about building the confidence to stay curious, think critically, and engage more deeply with the âwhyâ behind clinical decisions.</p> <p>Because good nursing is not just about following directionsâitâs about understanding whatâs happening, recognizing when something doesnât fit, and being willing to ask questions when it matters.</p> <p> </p> <p><span>đĽ <strong>Why This Matters</strong></span></p> <p>Healthcare is complex, fast-paced, and highly protocol-drivenâbut patients do not always fit neatly into algorithms or routines.</p> <p>When nurses lose the ability (or psychological safety) to question what theyâre seeing, important concerns can be missed and critical thinking can erode over time.</p> <p>đ A questioning attitude supports safer care, stronger clinical judgment, and more thoughtful bedside practice.</p> <p> </p> <p><span>âąď¸ <strong>TIMESTAMPS</strong></span></p> <p><strong>00:00</strong> â Intro + what is âquestioning attitudeâ?<br><strong>02:30</strong> â Why high-risk industries teach questioning culture<br><strong>05:00</strong> â Nursing hierarchy and psychological safety<br><strong>08:00</strong> â The difference between curiosity and conflict<br><strong>11:00</strong> â Protocols, routines, and critical thinking<br><strong>14:00</strong> â Real-world bedside examples<br><strong>16:30</strong> â Final takeaways + staying curious in practice</p>
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đď¸A journal club, but make it audio!
Join us each week to unpack, debate, and bring back to the bedside the latest perinatal research. Jen and Heidi break down new studies, revisit crowd favorites, and weave in real-world stories from life on the unitâbecause evidence matters, but so does the context we practice in. Designed to help perinatal nurses talk about evidence with confidence and influence practice on their units.
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