Down to Birth
Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on pregnancy, birth and postpartum, beyond the clichés and beyond the system. With 40 years' combined experience in midwifery, childbirth education and advocacy, publishing, research and postpartum care, they've guided thousands of families toward safer, more empowered choices. Down to Birth is all about safe childbirth, while recognizing a safe outcome isn't all that matters. They challenge the status quo, explore women's rights in childbirth, and feature women from all over the world, shining light on the policies, culture, and systemic forces that shape our most intimate and transformative life experiences.
Episodes
#374 | Fibroids in Pregnancy: IUGR, Induction, Hemorrhage, and a Life-Saving Birth
In today’s episode, Cassidy Peck shares a birth story shaped by large fibroids, a late IUGR diagnosis, low amniotic fluid, and a postpartum emergency that nearly cost her life.After years of debilitating periods and a delayed fibroid diagnosis, Cassidy conceived naturally and planned a home birth with an experienced midwife. Her pregnancy was largely uncomplicated until late third trimester, when
#373 | June Q&A: VBAC Labeling, Big Baby Ultrasounds, In-Law Matters & Labor Questions
In today's episode we reference the following resources:Should I be induced? Evidence on the ARRIVE TrialPlanning Your Successful VBAC**********Welcome to the June Q&A! In today's episode, we begin with a listener who has some things to say about the term VBAC. Our questions begin with one from a new mother whose enthusiastic in-laws are eager to babysit her exclusively breastfed bab
#372 | The First Meal: Colostrum, Formula, and Newborn Gut Health with Dr. Rhonda Trust, PhD
Most parents have heard that breastfeeding is beneficial. What far fewer understand is why those first feedings matter so much, what colostrum does beyond nutrition, and how early feeding choices shape the gut microbiome, immune system, and long-term health.Today, we’re joined by Dr. Rhonda Trust, PhD, registered dietitian, professor of health communication, and longtime breastfeeding educator, fo
#371 | Mothers in the Birth Space: Should You Have Her There? How Women Decide.
In today’s episode, we take on a question many women think about but don’t always say out loud: should your mother be at your birth?We share listener voicemails from women who made very different choices. Some had their mothers in the room, some kept them close by but not present for the birth, and others chose not to include them at all.It’s a candid, interesting conversation that gets into what
#370 | 43-Week Pregnancy: Jessica and Aaron Researched, Prayed, and Waited
In today's episode, we sat with Ontario couple Jessica and Aaron, who share the birth story of their first child. Jessica's pregnancy included several key decision points, including whether to accept RhoGAM and how to approach care and manage the expectations of their loved ones as they moved well past their due date -- nearly 3 weeks past!They describe how they evaluated risk, navigated
#369 | May Q&A: Postpartum Hemorrhage, RhoGAM, Family Boundaries, Induction, and Placenta Previa
Happy Spring! And welcome to the May Q&A!We start with a listener email we loved, followed by a discussion on creativity and why it matters, especially in the early years of motherhood when it can feel completely out of reach.Then we get into your questions.We talk about postpartum hemorrhage and how it’s defined, including whether 500 cc of blood loss is truly cause for concern, and the use o
#368 | Kristina's Vaginal Breech Birth at the Eleventh Hour
In today's episode, Kristina shares her breech birth story following a long journey marked by cycle irregularities, miscarriage, and difficulty conceiving. At 40 weeks, she learned that her baby was breech and was scheduled for a C-section, despite having been told throughout pregnancy that the baby was head down.Unwilling to move forward with surgery, Kristina sought out an alternative and u
#367 | Your VBAC Questions Answered by The First Woman to Have One, Nancy Wainer
In today’s episode, Cynthia and Trisha are joined once again by Nancy Wainer, award-winning author, longtime home birth midwife, and the woman who coined the term VBAC in her 1980s book Silent Knife. With decades of experience supporting women through vaginal birth after cesarean, Nancy brings clarity to a conversation that is shaped by fear, false information, and shifting medical standards.This
#366 | Full-Term Stillbirth at 39 Weeks: Penelope's Story
In today's episode, we speak with Stephanie about her stillborn daughter, Penelope, who arrived at 39 weeks and 6 days. After two healthy births and a completely uneventful third pregnancy, Stephanie found herself facing the unthinkable: an awareness of no fetal movement, confirmed by a silent Doppler and finally a hospital ultrasound. What followed was labor induction, birth, and the impossi
#365 | April Q&A: Best Age to Have Children, Precipitous Labor, Pushing and Tearing, Pregnancy Weight Gain, Water Birth Myths
Welcome to the April Q&A with Cynthia and Trisha! Today, we begin with a conversation about one of the most personal questions women face: is there a best age to have children? We talk about the pressures around timing, fertility, career, and spacing, and why this is one of those decisions that depends entirely on the individual woman, her life, and what feels right to her.Next, we get into yo
#364 | When Co-Sleeping Gets Complicated: Weaning, Toddlers, and Sleep Transitions with Tiffany Belanger
Today, we talk with Tiffany Belanger of @cosleepy about some of the challenges that may arise for co-sleeping families, whether you're trying to reduce night feeds, prepare for another baby, or simply want your bed back. We discuss how these transitions often unfold, including moving a child into a crib or floor bed, and why the experience can look completely different from one family to the
#363 | Breastfeeding Q&A: Chemical Pregnancy, Night Weaning, Oversupply, Mild Tongue Ties
We are back with another breastfeeding-only Q&A episode. In today's conversation, we respond to several listener questions related to nursing, sleep, and fertility after breastfeeding. One mother who is co-sleeping with her 15-month-old, who wakes three to five times per night to nurse, asks how she can help her toddler sleep longer stretches without abruptly stopping breastfeeding. Anoth
#362 | Birth Trauma to Redemptive Birth: Holly's Birth and Breastfeeding Stories
In today's episode, one of Trisha's clients, Holly, shares the story of two very different births and two equally different breastfeeding experiences, and what shifted between them.Her first labor began spontaneously but ended with a vacuum delivery, and the demoralizing message that her “pushes weren’t productive.” Breastfeeding was just as difficult, leading to a year of mostly exclus
#361 | Is Water Birth Dangerous? Barbara Harper Debunks Fallacies
Water birth has long been controversial, but more recently, a wave of claims has emerged from the natural birth community that water birth is dangerous for babies and disruptive to the physiologic process of birth. In this episode, we sit down with midwife Barbara Harper, the world's leading expert on water birth and founder of Waterbirth International, to explain the preponderance of evidenc
#360 | March Q&A: Wild Pregnancy Comments, Tipsy Family Member at Home Birth, Repeat Shoulder Dystocia, Pregnancy Irritability and More
Welcome to the March Q&A!We begin today’s episode with a conversation about the strange, intrusive, and sometimes downright insulting comments women receive in public while pregnant. We also share a listener story about a home birth that took an unexpected turn when a woman’s mother, meant to support her during labor, ended up creating some chaos after drinking too much wine.Next, we address f
#359 | When VBAC Comes with Medical Assault: Abby's Birth Story
In this episode, Abby shares her VBAC birth story following an emergency cesarean. Determined to experience a vaginal birth, she prepared carefully while navigating limited provider options in Alabama. What unfolded during labor and delivery underscores how provider behavior, rather than maternal physiology, often determines birth outcomes. Abby describes how a manual vaginal extraction caused a n
#358 | Dr. Sarah J. Buckley on Oxytocin, Safety, and the Biology of Birth
When Trisha was pregnant with her second baby, she read Gentle Birth, Gentle Mothering — a book that completely reframed how she understood labor, and to this day remains her favorite book on pregnancy. Trisha's second birth unfolded in just three hours, a stark contrast to her first. That book was written by Dr. Sarah J. Buckley, and we've long dreamed of getting her on the show. That d
#357 | Back to Basics: Birth Planning 2.0
Six seasons later, we are revisiting one of our first episodes of this podcast: Using evidence-based care to plan your birth. Much of what happens in labor is presented as standard, routine, or unavoidable—but that doesn’t mean it’s evidence-based. Birth care hasn’t become more complex because women need more intervention. It’s become more complex because intervention has become the default. If yo
#356 | February Q&A: Tearing vs. Episiotomy, Decels, Posterior Babies, Pitocin, Premature Rupture of Membranes, High Palates, Oversupply
Welcome to the February Q&A! We begin with a brief reflection on a mother's need to find time for play (not with her children but for herself) and creativity during early parenthood, before diving into your questions. Today’s episode addresses a common pattern in maternity care: past birth experiences being used by providers to justify predetermined interventions in subsequent pregnancie
#355 | First Birth as a Teen, Next as a Woman: Samantha's Blissful Experience Even with Induction
In today's episode, mother of two, Samantha Collignon, joins us to share two very different birth experiences separated by thirteen years. She gave birth to her first baby at 18 with minimal support and limited understanding of her options. At 31, married and deeply informed, she approached birth with education, confidence, and a strong sense of autonomy, resulting in a profoundly different a
#354 | From Trauma to Trust: Moran's (@2lifedoula) Journey to Birth Work and Motherhood
In this episode, we talk to Moran of @2lifedoula, a doula whose journey into birth work was born from her own harrowing transition into motherhood. Moran candidly shares the story of her first birth—a clinical, disconnected experience where lack of preparation and resurfaced childhood trauma led to a "full-blown panic attack" and postpartum depression.Knowing that wasn't how birth w
#353 | No Stitches Required: Preventing & Healing Perineal Tears in Birth
Tearing is one of the most common fears around birth—and one of the most misunderstood. In this episode, we talk about what really causes tearing, what the research shows, and what you can do to reduce your risk. We cover perineal massage, positions for birth, breathing and pacing, water birth, warm compresses, and what makes recovery smoother.Through the episode, we review our followers' rea
#352 | January Q&A: Water Birth Myths, Breaking Waters, Cord Clamping in C-Sections, Fetal Monitoring, Wake Windows, Frozen Breastmilk
Welcome to our first monthly Q&A episode of Season 7!In today's episode, we discuss why C-sections are sometimes framed as “prevention,” how fear around tearing, fetal monitoring, or cord concerns impacts clinical decision-making, and why breaking the bag of waters is still routine practice despite clear risks and limited benefit. We explain what delayed cord clamping looks like during a
#351 | Inside A Difficult Breastfeeding Journey: Flat Nipples, Tongue Tie and Slow Weight Gain
In this episode, Jessica shares the breastfeeding journey she never expected. After a smooth birth at a birth center, feeding quickly became complicated: flat nipples, an early nipple shield, a missed first feeding window, a significant tongue tie, and a baby who grew increasingly sleepy and underweight. What followed was weeks of pumping, weighted feeds, donor milk, tongue-tie revision, and the o
#350 | Breastfeeding Q&A: Nursing Boundaries with Toddlers; Breast Milkshake; Strong Let-Downs; Fast Flow; Oversupply; Vasospasm
In today’s breastfeeding Q&A, we take calls from mothers facing the challenges that often arise well beyond the newborn phase. We begin with a question about nursing an eighteen-month-old who lifts his mother’s shirt the moment she sits down, and what healthy boundaries can look like when a toddler is still deeply attached to nursing. From there, we address concerns about forceful letdowns, ov
#349 | The Supermom Complex: Trying to Do it All with Dr. Morgan MacDermott, NMD
Dr. Morgan MacDermott, NMD, a naturopathic medical doctor specializing in perinatal and postpartum health, joins us to explore why postpartum isn’t simply a recovery period—it’s a complete physiological and emotional transformation. We discuss why American culture celebrates productivity instead of rest, and the critical role of the “5-5-5 rule."As the conversation unfolds, we move into the
#348 | A New Year's Q&A Where We Talk About E-v-e-r-y-t-h-i-n-g
Welcome to our end-of-year Q&A episode! Settle in with your favorite drink and listen as we play listener voicemails from around the world. You'll hear us reflect on six years of podcasting together, while we share voicemails, questions, and stories as we close out the season and prepare for the new year.We begin by addressing one of our posts that sparked an unexpectedly intense reaction
#347 | When Doulas Face the Unthinkable: A Return Conversation with Dynamic Doulas
In today's episode, we reconnect with Sarah and Lara of Dynamic Doulas, who last joined us in Episode 196: The Toughest Part of Being a Doula. Three years later, we tackle the conversation that is in fact the toughest part of being a doula: Supporting women through the loss of a baby at birth. Sarah and Lara return to talk to us about their recent experiences including when a baby dies or fac
#346 | Your Breastfeeding Fears, Alleviated
Pregnant women often carry fears about breastfeeding long before their babies arrive — fears of pain, low supply, clogged ducts, or not knowing when to feed. After all, if breastfeeding is so natural, why do we keep hearing how hard it is? In this episode, Cynthia asks Trisha to address the most common concerns from the women in our community. We discuss why these fears are so prevalent, what’s ac
#345 | "There's Nothing More We Can Do": Two Birth Stories Midwife Sophia Henderson Never Expected
Midwife and mother of two, Sophia Henderson, host of the Born Wild podcast, joins us to tell the story of her children’s births – and how a chiropractor may have saved her newborn daughter’s life.In her first pregnancy, Sophia navigated weeks of unexplained bleeding, chose home birth as a student midwife, and after giving birth learned her son had no anal opening and would ultimately be diagnosed
#344 | November Q&A: Birth Partners, Postpartum Rage, VBAC, Infant Gas, Baby Names, Placenta Accreta, Endometrial Biopsy, Choosing Homebirth, Physical Boundaries with Your Toddler
Welcome to the November Q&A! Today, we start with a topic that always stirs strong feelings—birth partners. From the gestures that truly helped to the ones that fell short, we chat about your experiences of your partner's support, presence, connection or not.Next, we respond to an emotional call for help from a sleep-deprived and emotionally exhausted mother whose husband threatens to cal
#343 | Rest Assured: Your Instincts are Right About Your Baby's Sleep with Louise Herbert
When it comes to infant sleep, few topics are more misunderstood—or more burdened by cultural myths—than the expectation that babies should “sleep through the night.” Pediatric sleep and development specialist and author of Rest Assured: The Heart and Science of Nurturing Baby Sleep, Louise Herbert, joins us to explain what’s really happening in a baby’s body and brain during sleep.Louise breaks d
#342 | Inducing Labor Naturally: Proven Methods for Getting Down to Birth
After six seasons, we’re finally doing it—we’re talking about how to get down to birth.As your "due date" approaches, many women find themselves up against policies, deadlines, and pressure to accept a medical induction. But what if other ways actually work?Today, we explore all the safe, risk-free, and surprisingly enjoyable ways to support your body as it prepares for labor and to help
#341 | Genitourinary Syndrome of Lactation: How Breastfeeding Can Mimic Menopause
After birth, many women are left blindsided by physical changes they never expected. Vaginal dryness, painful sex, recurring UTIs, and even emotional strain can all show up during breastfeeding — but most mothers are never told why. In this episode, we sit down with Sara Perelmuter, a third-year medical student at Weill Cornell Medical College in New York City. Sara currently serves as president o
#340 | October Q&A: Pushing "Wrong", Laboring Down, Birthing the Placenta, Fistulas, Lip Ties, PP Rage, Pelvic Floors, Explaining Conception to Kids
Welcome to the October Q&A episode! We kick things off with a few confessions from our community (and one from us!) before diving into your thoughtful questions on pregnancy, birth, and postpartum.Today’s questions include: Is it safe if you pee in the birth tub? How can you afford a home birth when money is tight? What does it mean to “push wrong” in labor, and how does the Ferguson reflex re
#339 | Pitocin Without An Epidural Plus An Unintentional Free Birth
Emily shares two unforgettable and very different birth stories: an unmedicated hospital induction with Pitocin, and an unplanned free birth at home. In her first birth, she transferred late in pregnancy under New Hampshire’s “two high readings” rule for blood pressure. With a Foley balloon, Cervidil, and the lowest possible Pitocin drip, she labored quietly on all fours, declined unnecessary inte
#338 | Breastfeeding Q&A: How to Night Wean, Delayed Milk Production, Breastmilk & Cavities, Biting the nipple, Strong Let-Downs, Oversupply
Welcome to another Breastfeeding Q&A episode. Today, we start with a conversation on how to night wean and your personal experiences with what worked best. For today's questions, Trisha responds to:How child-led weaning works at 14 months, 18 months, and 2 years oldNursing strikes at 6 months — why they happen and how to respondNight weaning tips: gentle strategies without losing daytime
#337 | Toddlers & New Siblings: Expert Tips from Devon Kuntzman of Transforming Toddlerhood
Bringing a new baby home is exciting—but it can feel overwhelming when you’re worried about how your toddler will adjust. You may be wondering: Will my toddler feel jealous? How do I handle tantrums? How do I keep my child feeling loved while caring for a newborn?In this episode, toddler expert Devon Kuntzman, author of the book Transforming Toddlerhood: How to Handle Tantrums and Power Struggles
#336 | How Tongue Tie Impacts Vaginal Birth, Breastfeeding & Infant Development
In this episode, occupational therapist and IBCLC Michelle Emanuel joins us to explore the hidden ways tongue-tie affects babies long before birth. She explains how oral restrictions begin in the embryo, influence fetal positioning, and impact birth outcomes including torticollis and C-sections. We dive into the anatomy of the tongue, how it connects to breathing, posture, and feeding, and why man
#335 | September Q&A: Boundaries with Family, Oversupply, Pushing Techniques, Preventing GBS Infection, HBAC, Failure to Descend, Waterbirth
In this month’s Q&A, we start with a big one: What are your biggest fears in life? (Besides snakes and spiders, of course!) Then we dive into your thoughtful community questions, including:Homebirth vs. family pushback: My sister is a labor & delivery nurse, my family isn’t supportive, and my MIL has no boundaries. What should I do?Breastfeeding oversupply: I had a major oversupply with my
#334 | Why Moms Get Triggered: The Emotional Stressors of Postpartum Living
Motherhood, pregnancy, and postpartum life are filled with moments that test our patience — from bedtime battles and clutter overload to partner misunderstandings and in-law tensions. But these moments aren’t just “part of the job” — they’re emotional triggers, and they hold powerful clues for personal growth, stress relief, and a healthier, happier motherhood journey.In this episode, we dive deep
#333 | Emily Vondy's Encounter with God During Labor
Emily Vondy hardly needs an introduction. She's a mother of six, songwriter, and online creator @emilyvondy whose humor, reflections, and music have brought laughter and validation to millions. In this episode, she invites us into the story of her fifth birth, which came after two heartbreaking miscarriages. What began as a pregnancy marked by fear and doubt became an experience of profound p
#332 | The Hidden Power of the Infant Microbiome: Optimizing Exposure in Birth & Breastfeeding
In this episode, filmmaker and microbiome advocate Toni Harman joins us to explore the groundbreaking science behind establishing the infant microbiome—and why the earliest moments of life matter so much for lifelong health. Toni shares her personal journey from an unexpected C-section to uncovering how birth methods, antibiotics, and feeding choices shape immunity, metabolism, and risk of chronic
#331 | August Q&A: Sugar Cravings, Exclusive Breastfeeding vs Bottle, Moxibustion, Obstetric Coercion, Late Onset GD, Dystocia, Fundal Height
Welcome to the August Q&A episode! What is your secret quirk? We want to know! We share a few of yours along with our own. Today's first question is from a mother who had a large first baby without a diagnosis of gestational diabetes. She's concerned in her second pregnancy that she might develop late-onset gestational diabetes.Next, a pregnant mother's mother is a medical docto
#330 | Sleep Like a Baby: The Impact of Melatonin, Blue Light, and Sunrise with DreamWalkerz
Sleep is the foundation of health—and yet in modern motherhood, it’s often the first thing we lose. In this episode, we’re joined by Heidi and Thaddeus of DreamWalkerz, parents of six and passionate educators on the biology of sleep. Together, we explore how light—yes, just light—is one of the most overlooked but powerful regulators of our sleep, hormones, mood, and even fertility.Heidi and Thadde
#329 | Doula Confessions: Bearing Witness to Birth and Broken Systems
Doulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by
#328 | Jessie's Vaginal Breech Birth: The Way it Was Meant To Be
At 28 weeks, Jessie found out her baby was breech—but instead of panicking, she trusted her gut. She felt strongly that her baby was meant to be born this way. After initially planning a home birth, Jessie began exploring other options and considered traveling to Pennsylvania for a hospital birth with experienced breech providers.But when labor started at 39 weeks, everything shifted. Mid-drive to
#327 | July Q&A: Folic Acid & Tongue Tie, Nuchal Cords, VBAC & Pregnancy Intervals, IUGR & Induction, Fundal Massage, Fetal Heart Rate Variations
Welcome to the July Q&A! Today, we kick off the show with a conversation about your experiences of unnecessary, frequent stressors that we have the power to change or eliminate: For Trisha, it's taking phone calls while grocery shopping. Next, we get into your questions, beginning with:Did taking folic acid in pregnancy cause my baby's tongue tie?Is having the cord wrapped three time
#326 | Trisha's Three Home Births
Finally, after all these years, Trisha tells the stories of her three home births. Pregnancy, birth, & midwifery are woven into her life story, from her early obsession with pregnancy to her decision to pursue a career in midwifery, allowing her to understand every aspect of birth from a physiological and intellectual perspective. Hear how she became a midwife, how she got herself into labor w
#325 | Breast Cancer While Pregnant: Leslie’s Story of Faith, Birth & Healing
In this extraordinary episode, Leslie shares her deeply personal story of discovering a lump in her breast at 34 weeks pregnant—an aggressive, triple-negative breast cancer. A wellness coach who hadn’t taken over-the-counter medication in five years, Leslie spent her adult life doing everything she could to prevent disease. As she prepared to welcome her second baby at home, she was forced to face
#324 | The Impact of Beliefs on Birth: Changing Our Thoughts to Serve Us
Drawing from our their personal experiences, your words, and our intimate birth story processing sessions, Cynthia & Trisha delve into the neuroscience around beliefs and birth. Our brain constantly wants to make sense of things, but it often lands on unhelpful conclusions. This episode is about recognizing those negative beliefs and actively replacing them with empowering ones. It's abou
#323 | Two Planned Home Births at the Hospital: Emily's Birth Stories
Emily Woodward is a mother of two who planned a home birth for each of her babies. Her first labor began with confidence and joy—and stretched across multiple days, testing her endurance, her trust in her birth team, and her ability to surrender when the path ahead took an unexpected turn. She transferred from home to hospital with a crowning baby. Her second pregnancy was smooth and uneventful—un
#322 | June Q&A: VBAC Induction, Birth Plan Boundaries, Nuchal Hand Presentation, 36-Week Cervical Exams, Episiotomy, Newborn Transition
Welcome to the June Q&A with Cynthia & Trisha. This month we kick things off with a conversation about a midwife who dropped her client in early labor because her HBAC labor was taking too long to get going--as you can imagine, we have a lot to say about this! Next we take your questions:One mom writes about her 3rd attempt at a homebirth after two hospital transfers and wonders if it is o
#321 | Spoil Your Baby: The Neuroscience of Thriving Baby Brains with Dr. Greer Kirschenbaum, PhD
Neuroscientist and author of The Nurture Revolution, Dr. Greer Kirschenbaum, PhD, joins us today to discuss the profound impact of nurturing care in the first three years of life. Drawing from decades of brain research, Greer explains how responsive, connected parenting in early life lays the neurological foundation for emotional regulation, mental health, and lifelong resilience—and why this crit
#320 | Breastfeeding Q&A: Nipple Shields, Restricting Skin-to-Skin, Formula Marketing, Gentle Weaning, Nursing Strikes, Night Feeding
Welcome to the June Breastfeeding Q&A episode with Trisha & Cynthia. Today, we open with a follow-up discussion to our recent Patreon discussion on the predatory marketing of formula companies followed by a listener's comment about a hospital who forbade a mother and baby from doing skin-to-skin. Next, Trisha answers the following questions:Does a baby need to feed in the first 24 hou
#319 | Devon's Footling Breech Birth Story: Accepting the Necessary Cesarean
Devon Stockton was deeply rooted in health and wellness and armed with years of medical experience. She had only ever envisioned a natural, low-intervention birth and took all of the necessary steps to prepare herself. But her birth took an unexpected turn upon arrival at the hospital when she discovered her baby was footling breech and a cesarean would be necessary. Devon recounts the emotional s
#318 | May Q&A: Precipitous Births, Tearing Tips, Best Foods After Birth, Epidural Removal for Pushing, Induction & VBAC, Cord Clamping, Jaundice
Welcome to the May Q&A with Cynthia & Trisha. If you have been wondering what you should plan to eat after giving birth, we've got the answers in today's episode, and we think they'll surprise you! For today's regular episode, we answer the following:Can you remove an epidural for pushing?Can the cervix swell shut if you push before it is fully dilated?Can you prevent a
#317 | The Risk of Uterine Rupture: Breaking Down ACOG's VBAC Bulletin
What's the one question every woman wants to answer when considering a VBAC? Is it safe for me and my baby? In today's episode, Cynthia & Trisha break down the available data on VBAC, why we should discard the term TOLAC, the actual risks of uterine rupture, whether induced with Pitocon versus a prostaglandin or having spontaneous labor versus expectant management. We present the few
#316 | The Body Ready Method for Optimizing Labor With Co-Founder Lindsay McCoy
Did you know that how you breathe on a daily basis can influence how your birth goes? Yes, your rib cage impacts your pelvic tension! On today's episode, we have Lindsay McCoy, a birth doula, exercise physiologist, and co-founder of the Body Ready Method. She explains how breath, mobility, and pelvic balance all come together to support a smoother, more efficient labor—and how a few simple da
#315 | The Preeclampsia Puzzle: Misdiagnoses, Misconceptions and Prevention with Author Sarah Thompson
Preeclampsia is an increasingly common diagnosis, but are we getting it right? This episode tackles the alarming reality of misdiagnosis and the rush to intervene prematurely with induction. Join us and functional medicine expert Sarah Thompson, researcher and author of Functional Maternity, as we dive into the deeper nature of preeclampsia, beyond simple blood pressure readings. Learn about the c
#314 | April Q&A: Epidurals, Pushing Too Soon, Castor Oil Risks, Parental Coping, Gestational Diabetes & Big Babies; How Tall Is Arnold Schwarzenegger
Welcome to the April Q&A episode! Today's episode begins with your answers to our question: How do you cope when you are at your breaking point in parenting? If you are looking for some creative ideas, you will find them here! And someone, please tell us where one Mississippi, two Mississippi came from?Next, we get down to birth and answer the following questions: Why do some women choose
#313 | Including Children at Birth: Should They Be There? with Dr. Morgan MacDermott
What happens when we invite our children into the sacred space of birth? In this episode, we’re joined by Dr. Morgan MacDermott, a naturopathic doctor, perinatal health specialist, and mother of four, to talk about the transformative experience of having siblings present at birth. We tackle the key questions: Should all children be present at birth, and if not, which considerations should be consi
#312 | Avoiding the Unnecessary Cesarean: A Five-Step Evidence-Based Approach
Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference?In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded, e
#311 | Listen to Me: Black Maternal Health, Tragedy, and the Fight for Change
In honor of Black Maternal Health Week, we’re joined by Stephanie Etienne and Kanika Harris, creators of the documentary Listen to Me. The film follows the pregnancy and birth journeys of several black women. It reveals a devastating reality: Black mothers in the U.S. and U.K. are dying in childbirth at far higher rates than white women regardless of education, income, or resources.Kanika shares t
#310 | The Co-Sleeping Controversy: Overcoming Fear & Supporting Instincts with Isadora of Happy Co-Sleeper
What if sleeping beside your baby isn’t dangerous—but actually protective? In this episode, we talk about one of the most instinctive things mothers do—and one of the most feared and judged: co-sleeping. Today's guest is Isadora Ambrose, founder of Happy Co-Sleeper and a certified holistic infant sleep specialist.Why are parents told to never sleep with their babies when every cell in their b
#309 | March Q&A: Uterine Rupture Risk; Weaning without Guilt; Home Birth Laws; Timeframes for Placental Birth; Precipitous Birth; Botox and Nursing
Cynthia and Trisha are back with the March Q&A episode! This one kicks off with a fun discussion on things that our Instagram followers think people should know but don’t—like how, when you say you’re eating a kiwi, you’re actually referring to either a kiwi bird or, worse, a person from New Zealand!In today’s Q&A episode, we answer these questions:Do I need to schedule a cesarean at 40 we
#308 | Mammogram Myths: Safer Ways to Screen for Breast Cancer with Dr. Jenn Simmons
In today's episode, Dr. Jenn Simmons shares her powerful journey from a leading breast cancer surgeon to an advocate for functional medicine and holistic health. Drawing from her personal experience with illness and healing, Dr. Simmons discusses the dangers and limitations of traditional breast cancer screening with mammography and offers insight into safer, more effective alternatives like
#307 | When Labor Stalls: Recognizing and Resolving Dystocia with Midwife Molly O'Brien @biomechanics_for_birth
Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—bot
#306 | Breastfeeding Q&A: Engorgement & Oversupply; Sleepy Feeders; Hands-Free Pumps; Foremilk/Hindmilk Imbalances; Cracked Nipples
Do you know the "hi" joke? If not, you haven't been listening long enough or need to go back to our earliest episodes, lol! If you haven't been there you should. We have some amazing episodes from season one.Anyway, today is all about breastfeeding. Trisha answers our listeners' questions on the following:Are there any techniques to relieve engorgement and over-production
#305 | February Q&A: Induction at 37 Weeks, "Lazy" Feeders, Low-Lying Placenta, PPD, Respiratory Distress in Newborns, Kick Counts
Welcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions:1. Is there such a thing as a lazy newborn, and if so, what can you do about it?2. Can my placenta detach in pregnancy? My OB told me I can't have
#304 | Why Algae is the Superfood for Fertility, Pregnancy & Postpartum Health
In today’s episode, we explore the powerful benefits of spirulina and chlorella—two superfoods that boost energy, improve digestion, and alkalize your body, especially during pregnancy. Each tiny tablet is pure food with the nutritional equivalent of an entire plate of vegetables. Trisha noticed a significant difference in her energy level during her workouts once she started taking spirulina each
#303 | Car Birth to Premature Baby with Megan @wilsonfamilyhomestead
Today we dive deep into an incredibly empowering and unique birth story. Megan Wilson of @wilsonfamilyhomestead shares her journey of unexpectedly giving birth to her 33-week baby in a car and the powerful decision she made to trust her instincts, rather than following the traditional hospital protocol. She purposefully broke her own water in the car to expedite the birth once they were parked in
#302 | Facing PTSD with Shoulder Dystocia at Home Birth
In this episode, Allison Angelini shares the profound and challenging story of her second pregnancy and birth. From the start, Allison had a premonition that her birth might not go as planned. Compounding her worries, she experienced a traumatic event while camping with her toddler, which left her grappling with PTSD and anxiety throughout her pregnancy.Despite her fears, Allison pursued a home bi
#301 | January Q&A: Cervical Scarring, Shoulder Dystocia, Prenatal Vitamins, Birthing the Placenta in Water, Postpartum Aches & Pains
Welcome to the first Q&A episode of Season 6 with Cynthia & Trisha! We’re kicking things off by discussing some lesser-known causes of cervical scar tissue that could impact labor progress. It’s a good reminder to consider how any procedure or reproductive intervention might affect future births.In this episode, we answer a new collection of listener questions, including one about a mom-to
#300 | Vaccine Rights, Research and Consent with Just the Inserts
As an active member of the military, Alexandra was required to take various medical products. After experiencing multiple adverse reactions, she started researching the benefits, safety and risks of each, leading her to create the platform, "Just the Inserts." Just the Inserts provides all the publicly available information on vaccines and other medical products to help parents make inf
#299 | Vaginal Birth After Unnecessary LEEP Procedure
In her early 20s, Kelsey of Soul Shine Birth went to her OBGYN for a routine Pap smear. Her results came back with HPV and abnormal cells. Having been led to believe she had impending cervical cancer, she did exactly what her OB advised: Get a LEEP (Loop Electrosurgical Excision Procedure) as soon as possible to remove any potentially harmful cells. For the next 6-9 months sex was painful and she
#298 | Is Childbirth Painful?
Is childbirth truly one of the most painful experiences—even, as one person claims, comparable to being burned alive? In this episode, we bust this widespread myth after first diving into Elon Musk’s provocative claim that C-sections might lead to larger brains over generations.The debate about pain-free birth has been raging on social media, with strong opinions on both sides. We discuss the unin
#297 | A Patreon Q&A Special Episode to Ring in 2025
In this special New Year's Day episode, we’re giving you an exclusive peek into one of our private Patreon Q&A gatherings. Originally recorded in October, this off-the-record session features 18 thoughtful questions from our Patreon community, covering a wide range of topics related to birth, breastfeeding, pregnancy, and postpartum. We've only removed a few of the highly personal qu
#296 | Extended Q&A: RhoGAM; Premature Rupture of Membranes; Meconium; Fevers Cord Traction; Vitamin D; Waterbirth & Cold Plunges [Season 3 Reprise]
For this December Q&A, we kick it off, with a follow-up conversation based on one listener's response to episode #188 on RhoGAM. Next, we jump into our questions discussing the actual risks of going past 24 hours or ruptured membranes without contractions and how you can mitigate those risks. We break down why meconium becomes more concerning after 42 weeks gestation and what those actua
#295 | Is My Baby Tongue-Tied? with Author Cathy Watson Genna, IBCLC
Catherine Watson Genna is a renowned International Board Certified Lactation Consultant in private practice in New York City and author of Supporting Sucking Skills in Breastfeeding Infants. She specializes in teaching professionals around the world how treat to babies with anatomical, genetic and/or neurological issues. Today, she joins us to discuss the controversial topic of tongue tie. The res
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