Podcasts about certified nurse midwife

Today, I am delighted to welcome Emily Sadri, a board-certified women's health nurse practitioner and certified nurse-midwife, also trained in functional medicine. Emily is the founder of Aurelia Health, a private women's health practice in the Van Aken district of Shaker Heights, Ohio, offering telehealth services specializing in hormone therapy and weight-loss support for women ages 35 to 55. As a leading hormone expert, she has built her practice around a hormones-first approach. In today's conversation, Emily explains the differences between being a nurse practitioner and a midwife, and we discuss nurse practitioner training, scope of practice, professional support, anticipatory guidance, and the limitations of conventional midlife care. Emily also shares why she prioritizes precision-oriented, personalized care, the value of Mira monitoring for precision hormone replacement therapy management in perimenopause, key hormonal changes she sees in early perimenopause, the impact of cyclic, static, and physiologic dosing of HRT, the influence of progestin IUDs, trends in healthcare, and less common reasons why women in midlife tend to become weight loss resistant. Stay tuned for an insightful conversation on hormones, precision care, and supporting women through perimenopause and midlife. IN THIS EPISODE, YOU WILL LEARN: How women's health nurse practitioner training differs from midwifery, and how midwifery shaped Emily's professional philosophy and ethics Why women need to take ownership of their health throughout every life stage  The importance of moving beyond treating symptoms by using comprehensive lab work to identify broader hormonal and metabolic patterns The value of using Mira, an at-home hormone monitoring system, to follow hormone patterns throughout an entire menstrual cycle, rather than relying on isolated laboratory measurements Why Emily believes in looking at hormone patterns rather than progesterone decline or isolated estrogen levels when making hormone replacement therapy decisions How static, cyclic, and physiologic HRT differ, and why Emily believes physiologic dosing deserves greater consideration. Why treating hormones in isolation often fails to address the bigger picture, particularly during perimenopause The importance of women being fully informed when considering hormonal birth control and intrauterine devices Factors beyond sarcopenia, nutrition, sleep, and stress that could contribute to weight loss resistance  Bio: Emily Sadri Emily Sadri is a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife, and hormone expert who founded Aurelia Health, a modern concierge telehealth company that serves women navigating perimenopause and menopause. Emily's areas of expertise include metabolic health, precision hormone care, and longevity medicine. Her mission is to advance comprehensive care in midlife, create a model that fills in the gaps where primary care is failing women, and to recenter care around the relationship AS the medicine. She resides in the Midwest with her husband, four children, and two dogs. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Emily Sadri On her website Instagram Aurelia Health

What actually happens during a home birth?In part two of this Home Birth 101 conversation, Dr. Morgan walks through what makes home birth safe, the role of midwives, what labor looks like at home, when transfers happen, newborn care, cost considerations, and how to prepare physically and mentally.If you've ever wondered what home birth looks like behind the scenes, or what happens if things don't go according to plan, this episode gives you the practical breakdown.00:00 Trailer + Introduction01:26 What Makes Home Birth Safe?06:36 Different Types of Midwives Explained11:56 Why Candidate Selection Matters15:11 What Actually Happens During a Home Birth20:56 Common Reasons for Hospital Transfer26:11 Emergency vs Non-Emergency Transfers29:06 Newborn Care After Home Birth33:46 Finding the Right Midwife39:36 Home Birth Cost & Insurance45:41 Birth Prep & Classes51:56 Managing Labor Pain at Home57:46 Common Home Birth Fears1:01:36 Final Thoughts: Is Home Birth Right for You?Resources From This Episode:Birthing from Within bookBradley MethodHypnobirthing40 Blinks EyemaskNew Earth Mama Spotify PlaylistOther Related Episodes:Birth Plan EpisodeBirth Episode PlaylistHealthy As A Mother Podcast | YouTubeHealthy As A Mother Podcast | InstagramHealthy As A Mother Podcast | TikTokHealthy As A Mother Podcast | Merch StoreFind more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteWomanhood Wellness | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 10% at EarthleyUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHERUse code HAAM and save 10% at Fond

Dr. Carole Keim takes listeners through one of the earliest and most important decisions in pregnancy: choosing the right support team. In this solo episode, she explains the differences between obstetricians, certified nurse midwives, and doulas, helping parents understand the unique role each plays during pregnancy, labor, delivery, and postpartum recovery. Dr. Keim also walks through the typical timeline of prenatal visits, ultrasounds, testing, and vaccines, giving expectant parents a practical overview of what to expect from the first positive pregnancy test through delivery. With her warm and reassuring approach, Dr. Keim also explores what labor and birth are really like beyond what's often portrayed in movies. She discusses birth plans, labor support, cervical checks, fetal monitoring, inductions, C-sections, and postpartum healing, while emphasizing that every pregnancy and birth experience is different. Parents will come away with a clearer understanding of how to build a supportive birth team and how to prepare emotionally and physically for welcoming a new baby.  Key Moments 00:00 Introduction to OBs, midwives, and doulas 02:17 Pregnancy tests and scheduling the first prenatal appointment 03:35 The 8–12 week visit, ultrasounds, and viability checks 05:35 The 20-week anatomy scan and fetal development 07:53 Glucose tolerance testing and gestational diabetes screening 10:16 Vaccines during pregnancy: Tdap, flu, COVID, and RSV 12:29 Breech babies, turning procedures, and planned C-sections 14:58 Routine late pregnancy visits and induction discussions 16:15 Certified nurse midwives vs obstetricians 20:07 What doulas do during pregnancy, labor, and postpartum 24:23 Birth plans, labor positions, and creating a calming environment 27:13 Labor monitoring, cervical checks, and delivery interventions 31:59 Postpartum healing, recovery, and spacing pregnancies 35:23 Final thoughts and additional resources for parents __ How to choose an OB or midwife  OBs, family doctors, and midwives can deliver babies Group practices are pretty standard nowadays; meet your main doctor/midwife but also meet the team who might be delivering (either other people in the office or a laborist) Personality fit is a big deal Obstetricians and family doctors are medical doctors.  Their training involves 4 years of undergrad, 4 years of medical school, and 4 years of residency (12 years total). There are two types of midwives: lay midwives and CNMs. Lay midwives are those who have experience delivering low-risk babies out of the hospital, typically at home.  They have no certification or licensure requirements, and no formal medical training.  Home births with a lay midwife are by far the most dangerous and I have seen some bad outcomes and cannot ethically support them.  When I speak about midwives during this episode, I am not including lay midwives. CNMs are required to have a bachelor's degree in nursing (4 years of undergrad), then 2 years of graduate-level nurse midwife training (6 years total). The main differences are the knowledge base and the approach to care. Doctors Nurses OBs, family doctors, and midwives can see you during your pregnancy and can deliver babies vaginally. Only OBs can perform c sections and take care of high-risk pregnancies (moms under 18yrs or over 35 years, those with health conditions, those with prior c-section, twins/triplets Birth location OBs deliver in hospitals because it is the safest setting Midwives can deliver at hospitals, birth centers, and/or at home depending on the local regulations Timing of appointments   In the US, the number of weeks starts at the beginning of your last period, so when you miss a period and test you are 4 weeks pregnant Ovulation and fertilization happen at 2 weeks, so you aren't actually pregnant until then, but we are counting from LMP In the US, the due date is at 40 weeks In other countries they may count dates starting at conception/ovulation, so the due date is at 38 weeks Initial appt: 6-8 weeks or whenever you find out you're pregnant, whichever is later First trimester (until 12 weeks and 6 days): you'll be seen 2-3x; initial confirmation appt, 6-8 weeks for dating, 10-12 weeks for NIPT. Blood testing and urine testing for STIs, drugs, ultrasound for dates, hear heartbeat, NIPT (check out the genetics episode 503) Second trimester (13 0/7 to 27 6/7): appts about every other week, anatomy scan, testing for gestational diabetes, further genetic testing and/or ultrasounds if indicated. Third trimester (28-40 weeks): appointments every 2 weeks, then weekly starting at 38 weeks.  Check urine for protein (a sign of pre eclampsia) at each visit.  GBS screen.  RPR on admission to hospital. Postpartum: 2 weeks and 6 weeks High-risk pregnancies will be seen more often.  A pregnancy can become high risk at any time. Doula What they can do: emotional support, physical comfort during labor and delivery. What they can't do: anything medical, including deliver babies. Reasons you might want one: to keep you as comfortable as possible during labor; they can get you food/water/ice chips, rub your feet or neck if you want, call the nurse for you, crowd control, can articulate your preferences while you're in labor, possibly also attending to partner during delivery Reasons you might not want one: expense, privacy, not needed if you have a support person Birthing options / Birth plans Birth plans How you want your birth experience to be Birth is a very tenuous process and doesn't always go according to plan.  A birth plan is a nice outline of preferences, if you have any. If you are planning a vaginal delivery, keep in mind that your birth team has the main objective of having a healthy mom and baby.  If your provider says that something needs to change during labor or delivery, there is usually a medical safety reason for that change. Scheduled C-Sections Reasons you might be scheduled for a C-section: repeat, breech baby, twins/triplets, high risk for underlying medical conditions in you or the baby.  Scheduled C-sections typically have a shorter birth plan: music in the operating room one support person in there with you will the support person go with the baby or stay with mom when the C-section is over? Even if you're scheduled for a C-section, you might go into labor early and need an urgent or emergent C-section before the scheduled date. Scheduled inductions  Reasons you might be scheduled: post dates, pre eclampsia, gestational diabetes, specific high-risk pregnancy reasons There are a few ways to induce labor, including medication taken by mouth or placed in the vagina to help open the cervix, IV medication called pitocin which causes your uterus to contract, and placing something such as a stick that absorbs fluid and expands or a balloon that is placed by your provider in the cervix to help it open Less to plan, but the same as for vaginal delivery. Mixed evidence as to whether scheduled inductions are more or less likely to end in C-section Vaginal delivery If you fully go into labor naturally, meaning you have contractions every 3-5 minutes lasting 1 minute each and your water breaks, you may need no intervention at all. Areas to plan: People who will be there Environment: music, smells, lighting, etc Comfort measures / pain relief - birth ball, shower, tub, squat bar, etc Words to use or to avoid Position for labor/delivery Mirror during delivery Plans for the placenta Newborn procedures: skin to skin, eye drops, vitamin K, Hep B, circumcision, timing of first bath, breast/bottle/both Who is allowed after baby is born and how they will be notified Check out The Baby Manual on Amazon.  It will give you peace of mind when your new baby arrives.   __  Resources discussed in this episode: The Holistic Mamas Handbook is available on Amazon The Baby Manual is also available on Amazon __ Contact Dr. Carole Keim MD Website: CaroleKeim.com Linktree TikTok Instagram   ---FullScriptUse this link to get 10% off and free shipping for orders over $50.HIRO DiapersUse code DRCAROLEKEIM for a discount at checkout. Click here. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Thinking about a home birth but unsure whether it's actually safe?In part one of this Home Birth 101 series, Dr. Morgan breaks down the biggest myths around home birth, who is actually a good candidate, why some women choose home birth over hospital birth, and what the research says about safety outcomes for low-risk pregnancies.We also unpack intervention rates, C-sections, epidurals, transfers, and why birth environment matters more than most people realize.If you've been curious about home birth but overwhelmed by fear-based messaging, this episode is a must-listen.00:00 Introduction + Trailer02:39 Why We Needed a Home Birth Episode09:05 What We're Covering in This Series09:54 Home Birth vs Birth Center vs Hospital Birth13:19 Why Women Choose Home Birth20:09 Who Is a Good Candidate for Home Birth?23:05 The Mindset Required for Home Birth26:32 COVID & The Shift Toward Home Birth28:09 Is Home Birth Actually Safe?36:47 What Research Says About Home Birth Outcomes44:37 Part 1 Wrap-UpResources From This Episode:Maternal Outcomes StudyOther Related Episodes:Dr. Morgan's First Three Home Birth StoriesDr. Morgan's 4th Birth StoryDr. Leah's 1st Birth StoryDr. Leah's 2nd Birth StoryEverything You Need to Know About Hospital Birth with Care MesserHow Breech Birth Exposes Hospital Dysfunction with Dr. Stuart FischbeinHealthy As A Mother Podcast | YouTubeHealthy As A Mother Podcast | InstagramHealthy As A Mother Podcast | TikTokHealthy As A Mother Podcast | Merch StoreFind more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteWomanhood Wellness | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 10% at EarthleyUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHERUse code HAAM and save 10% at Fond

Send us Fan MailIn this episode, I sit down with my longtime friend and community member, Maria Jasanya. Based in Brooklyn, Maria is a nurse educator and medical writer who has mastered the art of balancing a traditional nursing career with multiple income streams.She shares her journey from wanting to be a nurse since elementary school to becoming a nurse residency coordinator, adjunct professor, and prolific freelance writer. We dive deep into how a curious mind and a willingness to say “yes” to new opportunities can lead to a fulfilling and diversified professional life.About Maria JasanyaMaria Jasanya, MSN, RNC, CNM, CLC, CNE, is a Nurse Educator, Adjunct Nursing Faculty, Certified Nurse Midwife and Nurse Freelance Medical Writer with extensive experience in nursing education, maternal–child health, and professional development. She obtained her BSN from CUNY Hunter College in 2007, MSN from SUNY Downstate Medical Center in 2012 and a post-MSN certificate from SUNY Stony Brook in 2019.Maria is passionate about mentoring nurses, advancing nursing education, self and patient advocacy and improving maternal and newborn health outcomes by applying evidence-based research. She has devoted herself to be a lifelong learner and encourages nurses to do the same! Key TakeawaysThe Power of Multiple Income Streams: We discuss how Maria manages her primary role as a nurse residency coordinator alongside being an adjunct professor at three different nursing colleges and a frequent contributor to major medical databases.The Art and Science of Writing: Maria explains how she transitioned into medical writing through our connection on LinkedIn. She now contributes to platforms like EBSCO's Dynamic Health and Relias, specializing in updating references, fact-checking, and writing nursing and continuing education content.Speaking into Existence: After taking a chance on her first podcast guest appearance, Maria discovered a new passion for speaking and now proactively uses LinkedIn to book future engagements.Advice for Nurses Seeking ChangeFollow Your Passion: Maria emphasizes that you shouldn't chase money; instead, chase your passion, and the multiple income streams will naturally follow.Ignore the “Marketable” Myth: You don't have to work in high-acuity areas like the ICU just to be marketable; there are endless opportunities in settings like school health, correctional nursing, and neuro rehab.Start Small and Take Risks: Growth happens when you are willing to be uncomfortable. Whether it's a small $25 project or a new credential like SEO, every step helps build your professional repertoire.Follow Maria on Socials!LinkedInWelcome to the Savvy Scribe Podcast, I'm so glad you're here! Before we start the show, if you're interested, we have a free Facebook group called "Savvy Nurse Writer Community"I appreciate you following me and listening today. I would LOVE for you to subscribe: ITUNESAnd if you love it, can I ask for a

Jackie Griggs, CNM, is a Certified Nurse Midwife who has been practicing in the Houston/Beaumont area for the past 35 years. She is a mom of 5 grown sons, 3 born at home with the help of midwives. Three grandchildren, … Continue reading →

We are closing out our Cesarean Awareness Month series on the most common reasons for C-sections with a deep dive into all things fetal monitoring! CNM Paige Boran, who attended Lily's VBAC and who we deeply love and trust, answers every question you can imagine. This is definitely an episode you will want to save and listen back to often!Midwife Paige talks about:The history of continuous fetal monitoringThe differences between continuous, internal, and internal monitoringBradycardia and tachycardia readingsCFM and VBACWhen she recommends having CFMHow to advocate informed consent and declinationEarly, variable, and late decelerationsHead compression and cord compressionWhen fetal heart tracings become concerning & what empowered conversations look likeWays to help resolve decelsPlacental insufficiencyAll signs of uterine ruptureHow to make the decision of going for a C-section or continuing to labor Evidence on continuous fetal monitoringAnd more!! We are so grateful for providers like Midwife Paige who we have seen in action and are willing to take the time to help educate our community. For those who question if they made the right call to have a cesarean or continue to labor due to fetal heart readings, we send you love. It is so tough! Fetal heart tones are so nuanced. We hope that with this episode, you feel empowered with more knowledge to find a team that gives you the support and individualized care you deserve. Evidence Based Birth®: Evidence on Continuous Fetal MonitoringNYT Article on Continuous Fetal MonitoringThe VBAC Link Blog: The 5 Most Common Reasons for C-sectionThe VBAC Link Blog: How to Navigate VBAC Hospital PoliciesNeeded Website: Code TVL for 20% OffAdvertising Inquiries: https://redcircle.com/brands

Welcome to another insightful episode of the Legal Nurse Podcast. Today, Pat Iyer is joined by Karen Woods, a certified nurse midwife and expert witness, to explore the critical and often complex role nurse midwives play in obstetrical care. From the nuances of prenatal screening and managing high-risk pregnancies to the challenges of interpreting fetal heart tracings, this episode dives into real-world issues that both patients and healthcare professionals face during labor and delivery.  Together, they break down the responsibilities and autonomy of nurse midwives in the United States, highlighting how their scope of practice can differ by state and clinical setting. Pat Iyer and Karen also discuss the kinds of pregnancy complications that can lead to litigation, and the documentation strategies nurse midwives should use to safeguard both mothers and themselves from legal risk. You'll gain a deeper appreciation for the collaborative relationship between midwives and physicians and the shared goal of safe, healthy outcomes for mothers and babies.  Whether you're a legal nurse consultant, healthcare provider, or involved in reviewing obstetrical cases, this episode offers invaluable practical insights and expert commentary on navigating the intersection of clinical practice and legal analysis in perinatal care.  What You'll Learn in This Episode on Legal Challenges and Standard of Care Issues for Nurse Midwives  Here are 5 discussion questions answered in the podcast: How does the level of autonomy for nurse midwives differ based on practice location and state laws within the United States?  What are the most critical prenatal screening tests recommended, and how can missing a test impact maternal or fetal outcomes?  In what scenarios is a patient considered high-risk during pregnancy, and how does that influence the approach of a nurse-midwife versus a physician?  What are some of the serious complications during pregnancy that can lead to legal scrutiny or litigation?  Why is documentation so vital for nurse midwives, especially when complications or adverse events arise?  Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/RgsGS8KEbJ4 Your Presenter for Legal Challenges and Standard of Care Issues for Nurse Midwives Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Karen Woods Karen Woods is a Certified Nurse Midwife, wife, and mother, and the founder of Expert Midwife Consulting, where she provides expert review and consultation in obstetric and perinatal malpractice cases. A first-generation American with Jamaican roots, Karen lives in the suburbs of Atlanta, Georgia. When she's not on this podcast, she's carpooling her 9-year-old competitive dancer to the studio or unwinding with a good true-crime documentary. Connect with Karen Woods by email at karen@expertmidwifeconsulting.com

Host: Courtney Luecking, PhD, MPH, RDN Extension Specialist for Maternal and Child Health, Department of Dietetics and Human Nutrition Guest: Hayden Meza, APRN, Certified Nurse Midwife, UK Healthcare Season 8 | Episode 46 Join guest host Dr. Courtney Luecking in a conversation with Hayden Meza, a Certified Nurse Midwife (CNM) at the University of Kentucky, as they explore the history and modern practice of midwifery. Topics include Kentucky's midwifery roots with Mary Breckenridge and the Frontier Nursing Service, the role of CNMs within the healthcare system, differences between midwives and OB‑GYNs, and common myths about midwifery and birth settings. Hayden shares patient‑centered examples of midwifery care, evidence on outcomes, guidance on choosing the right care model for individual risk and preferences, and tips for finding midwives locally. For more information: About Midwifery | American College of Nurse Midwives Find a Midwife | Midwives of Kentucky Core Competencies | American College of Nurse Midwives  Connect with FCS Extension through any of the links below for more information about any of the topics discussed on Talking FACS. Kentucky Extension Offices UK FCS Extension           Website           Facebook           Instagram           FCS Learning Channel  

Did you know that midwives can provide gynecological care outside of pregnancy and postpartum? While this used to be the standard practice, more and more medicine has moved inside of hospitals and toward physicians, but the role of midwife to the local community shouldn't be overlooked. Because of their unique skills and training, they can provide gynecological care that may better meet your preferences and needs. Certified Nurse Midwife, Hamilton Yarbrough, joins us to talk about her midwifery practice and the services she offers to women who are not pregnant or postpartum.NOTE: This episode is appropriate for most audiences but does mention birth and trauma.GUEST BIO: Hamilton Yarbrough is a wife to her wonderful husband Jordan of 10 years; they have two wild little boys Charlie and Lewis, both born at home (which is what sparked her desire to move into midwifery model with Homebirth). She has been practicing as a midwife for 8 years now and has had her own clinic for 5. She has helped over 500 mothers, sisters, and friends navigate the ups and downs of GYN care, pregnancy, loss, birth, and everything in between and loved every second of it!SHOW NOTES:Aurora Midwifery: https://www.aurorabhm.com/Ep. 174: Faith over fear during pregnancy and labor, with Laura DucoteEp. 71: Advocating in the Dr.'s Office: Pelvic ExamSend Us a Text!Support the showOther great ways to connect with Woven Natural Fertility Care: Learn the Creighton Model System with us! Register here!Get our monthly newsletter: Get the updates!Chat about issues of fertility + faith: Substack Follow us on Instagram: @wovenfertilityWatch our episodes on YouTube: @wovenfertilityLove the content? The biggest gift you could give is to click a 5 star review and write why it was so meaningful! This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any representations, exp...

Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) break down what labor & delivery nurses do versus midwives, OBs, and some family medicine providers, including who typically handles low- vs high-risk care and which interventions midwives can't do. They explain why some people choose midwives versus OBs, and note midwives can provide full-spectrum women's health care. Roxanne outlines three midwife paths—CPM (apprenticeship plus education/exam; licensing varies by state), CM (non-nurse bachelor's plus grad midwifery; limited states), and CNM (nursing degree to grad midwifery, boards, state licensure, collaboration requirements). They discuss clinical hour/birth requirements, costs, licensing logistics, and how Roxanne used ROTC and the GI Bill to pay for school, then end with a top tip: attend births (even on YouTube) to see if the calling is real.00:00 Welcome and Episode Setup01:17 Feeling Called to Midwifery02:40 Nurse vs Midwife vs OB07:15 Choosing Midwife or OB13:06 Midwives Beyond Birth Care14:54 Three Midwife Types Overview15:47 CPM Path and Licensure17:57 Unlicensed CPM Tradeoffs22:13 Certified Midwife Route24:19 CNM Training and Nursing Paths29:06 Midwifery School Format and Clinicals33:16 Clinical Skills and Birth Requirements39:02 Clinical Volume Matters40:04 Choosing the Right Provider41:40 Certification Exam Reality45:20 State Licensure and Reciprocity48:46 Midwife Training Pathway50:48 Costs and Barriers52:52 Military Funding Options58:49 Paying for Grad School01:03:53 Labor and Delivery Nursing Route01:06:08 Best Tip Attend Births01:09:23 Wrap Up and Resources————Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

In this episode of the Just A Mom podcast, Dr. Karen Sheffield-Abdullah discusses the critical topic of postpartum depression and maternal mental health, as about one in seven women experiences postpartum depression. She explains the differences between postpartum depression and anxiety, the importance of prenatal screening, and the role of medication management during pregnancy. Dr. Karen emphasizes the impact of social media on new moms, the significance of trauma in maternal mental health, and the necessity of sleep for recovery. She also highlights mindfulness as a beneficial practice for mental well-being and discusses the importance of support for partners of new moms. Finally, she introduces the MomGenes Study (https://momgenesfightppd.org/), which aims to explore the genetic components of postpartum depression. To learn more about Dr. Karen, please visit her website at https://www.beingdrkaren.com/.

Tune in for a conversation with Allison Lorne, Registered Nurse and Certified Nurse Midwife about the challenges for women in finding helpful and appropriate care throughout life's transitions. Exploring Holistic health care for the mind, body and spirit.

Weight frustration in perimenopause isn't just about vanity—it's about a physiological shift that changes how our bodies handle fuel. In this episode, Dr. Rachel Pope sits down with midlife health expert Ann Konkoly to demystify GLP-1 medications (like Ozempic and Zepbound), the hidden dangers of visceral fat, and why the scale is often a "shitty measurement" for your actual health.In this episode, we discuss: The "Middle" Mystery: Why the "eat less, move more" mantra fails women in perimenopause and how this transition impacts weight maintenance. GLP-1s Beyond Weight Loss: Ann explains the metabolic benefits of these medications, including reducing neuroinflammation and protecting the heart and kidneys. The Hidden Danger of Visceral Fat: Why a "normal BMI" can be misleading and how internal fat affects your risk for chronic disease. Synergy with MHT: How optimizing cardiovascular health can create a safer "on-ramp" for starting hormone replacement therapy. Preserving Lean Muscle: Strategies for "muscle-centric medicine" to ensure weight loss doesn't come at the expense of your strength and bone density. The HOMA-IR Hack: A simple way to use fasting glucose and insulin levels to see if insulin resistance is your primary roadblock. Planning for your later years: Why the choices you make in your 40s and 50s determine your mobility and independence in your 80s and 90s.The "Proactive Midlife" Lab ChecklistAnn suggests asking your provider for these specific markers to get a true picture of your metabolic health: Fasting Insulin & Fasting Glucose (to calculate your HOMA-IR score). Lipid Panel (focusing on Triglycerides). Lipoprotein(a) & hs-CRP (markers of inflammation and genetic heart risk). Body Composition Analysis (to track muscle mass vs. visceral fat).About Ann:Ann Konkoly is a board-certified Nurse Practitioner, Certified Nurse Midwife, and Menopause Society Certified Practitioner. She is the founder and CEO of Kultivate Women's Health in Beachwood, Ohio, where she specializes in evidence-based hormone therapy, metabolic health, and medical weight management.Connect with Ann: Website: www.kultivatewomenshealth.com/about Instagram: www.instagram.com/annkonkoly.npConnect with Dr. Rachel Pope: Website: ourwomanity.comSocial Media: @drrachelpope

Jackie Griggs, CNM, is a Certified Nurse Midwife who has been practicing in the Houston/Beaumont area for the past 35 years. She is a mom of 5 grown sons, 3 born at home with the help of midwives. – Three … Continue reading →

Emily Sadri is a double board-certified Women's Health Nurse Practitioner and Certified Nurse Midwife. She studied at the University of Pennsylvania and began her career in New York City, drawn to midwifery for its deep focus on relationships and walking with women—not in front of them.After a decade in conventional medicine, frustrated by the limits of insurance-based care, Emily founded Aurelia—a telehealth practice for women in midlife—on the belief that real care starts with time, trust, and connection.A mother of four, Emily lives what she teaches: that women deserve healthcare that sees them, hears them, and stands beside them through every stage of life. At Aurelia, she's rewriting the rules—and helping women do midlife better™.SHOWNOTES:

“Trish” Perkins is a Certified Nurse Midwife who began her career as a Labor and Delivery nurse at Jefferson Davis Hospital. She is the mother of 4 children all brought into this world into the hands of midwives. The first … Continue reading →

Kathleen Vandegiessen, CNM, MN, founder of North Houston Birth Center since 2005. A Certified Nurse Midwife since 1994, Kathleen Vandegiessen has been a CNM for nearly three decades, indicating her expertise in providing healthcare and support to pregnant women during … Continue reading →

Dive into the midwifery model with Samantha Crouch, Certified Nurse Midwife at UAMS Northwest, as she unpacks the role midwives play in pregnancy and women's health. Discover how midwives provide holistic, low-intervention care and support across various settings, from hospitals to home birth. Join us to learn why more mothers are choosing midwives for a more personalized birthing experience.  Learn more about Samantha Crouch, DNP, CNM, IBCLC  

Why do so many women feel unheard, rushed, or dismissed in today's medical system—whether they're pregnant, postpartum, or just trying to get answers about their health? It's not in your head. And it didn't start with you. It started with the Flexner Report, and major money influencers like Carnegie and Rockefeller. In this eye-opening episode, Certified Nurse-Midwife and Christian wellness coach Lori Morris reveals the origin story almost no one talks about: how a single document in the early 1900s shaped the entire structure of modern medicine, pushed midwives aside, medicalized birth, erased holistic care, and left women feeling unseen for generations. You'll learn: ✨ The historical shift that pushed birth out of homes and into hospitals and how the Flexner Report drove the shift ✨ How natural, herbal, and community-based medicine were labeled “unscientific” ✨ Why women's voices were systematically removed from maternity care ✨ Why today's rushed, symptom-focused model was baked into the system from the start ✨ How to reclaim wisdom, discernment, and God's design for your body If you've ever walked out of an appointment feeling dismissed, confused, or pressured—this episode will help you understand why, and what you can do differently.

In episode #408 of The Hormone Puzzle Podcast, our guest, Emily Sadri, talks about Trying to Conceive After 35? What You Really Need to Know About Preparing Your Body for Pregnancy as You Approach Perimenopause. More about Emily Sadri: Emily Sadri is a double-board certified Women's Health Nurse Practitioner and Certified Nurse Midwife. Originally from New York City, she completed her graduate education at the University of Pennsylvania. Drawn to midwifery for its meaning "with woman," she values care built on relationship and believes women need someone to walk alongside them, not direct them. After a decade in conventional medicine, she founded Aurelia Health in 2021. As a mother of four balancing career and well-being, she relates deeply to the women she serves. Emily leads by challenging norms and believes women can have it all when supported with exceptional, relationship-centered healthcare. Thank you for listening! This episode is brought to you in partnership with Proov - https://proovtest.com/PUZZLE Follow Emily on Instagram: @‌aureliawomenshealth Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Want to enjoy Thanksgiving and feel amazing afterward? In this episode, Certified Nurse-Midwife and Christian wellness coach Lori Morris teaches you how to feast with freedom, peace, and intention — without the regret, the blood sugar crash, or the guilt trip the next morning. God designed food to be good — and He designed your body to feel good. Let's bring those two things back together.

In this episode of The MamasteFit Podcast, hosts Gina, a perinatal fitness trainer and birth doula, and Roxanne, a Certified Nurse Midwife, discuss the importance of understanding pelvic mechanics for birth workers. The episode addresses how the pelvis opens, the different movements and exercises that can create space prenatally and during labor, and the impact of pelvic mechanics on pregnancy comfort, labor progress, and postpartum recovery. They delve into common pregnancy discomforts, birth complications related to baby positioning, and the significance of prenatal preparation. The episode also highlights the importance of collaborative care among birth professionals to best support positive birth outcomes.Here is our free pelvic floor guide, designed with our in house pelvic floor PT!: https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/00:00 Introduction to The MamasteFit Podcast01:08 Understanding Pelvic Mechanics02:51 The Importance of Pelvic Mobility During Pregnancy07:17 Normal Asymmetry and Its Impact on Pregnancy11:56 Personal Experiences with Pelvic Pain18:12 Prenatal Preparation for Better Birth Outcomes21:34 The Role of Pelvic Mechanics in Labor23:13 Sponsor Break: Needed Perinatal Nutrition25:33 Resources and Referrals for Pelvic Health29:42 Introduction to Labor Variations30:54 Understanding Pelvic Mechanics31:42 Common Labor Issues and Solutions32:41 Techniques for Creating Space in the Pelvis35:38 The Mile Circuit Explained36:54 Addressing Baby's Position and Movement46:13 Collaborative Care and Observations52:43 Conclusion and Course Promotion————Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

Have you ever felt like you're doing all the right things—eating healthy, exercising, praying, and staying consistent—yet your body still isn't responding? You're not broken, and you're not failing. Sometimes your body doesn't need more effort… it needs safety. In this episode, Lori Morris, Certified Nurse-Midwife and Christian wellness coach, shares why even the most disciplined routines can fall flat when your nervous system is in survival mode. You'll learn how stress, isolation, and striving can block your healing—and how to finally work with your body, not against it. ✨ Inside, you'll discover: Why your body resists healing even when you're doing everything “right” How nervous system safety impacts your hormones, metabolism, and energy The missing piece in most health plans: peace and connection How to reconnect your physical and spiritual health through God's design Plus, Lori shares a special invitation to join the Verity Village waitlist (sign up at https://www.morriswellnessservices.com/villagewaiting), her Christ-centered wellness community for women ready to heal in truth and community.

Jackie Griggs, CNM, is a Certified Nurse Midwife who has been practicing in the Houston/Beaumont area for the past 35 years. She is a mom of 5 grown sons, 3 born at home with the help of midwives. – Two … Continue reading →

SHOW NOTES: In this episode, Lori shares a faith-based look at supplements, nutrition, and biblical body stewardship — helping women understand how to nourish their bodies God's way. You'll learn:

In this episode, I speak with APRN, Seasoned Nurse Practitioner, Certified Nurse Midwife, and proud Owner of West Nassau. Wellness Nicole Neidhart on Taking A Leap of Faith.  Listen as Nicole sharers on how God opens doors to things that you may have not considered possible. She explains how He is faithful to provide support, wise council, and confirmation when you might not have total clarity.  Please join Nicole as she takes you through he personal Leap of Faith. Find Nicole :    the website Email: nicole@westnassauwellness.com Scripture: Ester 4:14 For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father's family will perish. And who knows but that you have come to your royal position for such a time as this?”   Ecclesiastes 11:4 Whoever watches the wind will not plant; whoever looks at the clouds will not reap.   2 Timothy 1:7 For the Spirit God gave us does not make us timid, but gives us power, love and self-discipline.   Exodus 3:3 So Moses thought, “I will go over and see this strange sight—why the bush does not burn up.”   Ecclesiastes 7:4 The heart of the wise is in the house of mourning, but the heart of fools is in the house of pleasure.   Additional Scripture: James 1:5, Proverbs 19:20 CFLEX Academy Arts Enrichment REGISTER for CFLEX ACADEMY ONLINE Classes   Listen to our sister podcast:  Abundantly Rooted   Other Resourses: Grab your Artza Subscription Box and bring home a bit of Israel.  use promo code: ARTZAKRISTINARISINGER for 25% off   Check out our Linktree   Get the Books:  Life After Losing A Loved One: How to Turn Grief Into Hope Strength and Purpose Adventures of LiLy and Izzy Bee: The Imagination Journey 

Have you ever thought about how families can benefit from receiving care alongside others going through the same stages of pregnancy?  Our host Chama Woydak talks to Amanda Brickhouse Murphy, a Certified Nurse Midwife at MAHEC, and Kelley and Matt, new parents who participated in the Centering Pregnancy program.  They will explain the Centering model and how it differs from traditional prenatal care. Kelley and Matt will share their own experiences, and how the Centering program helped them navigate pregnancy for both the patient and the partner. You will also learn about many benefits of this model and why you should consider implementing the Centering model in your own community. Resources    Centering Healthcare InstituteCentering PregnancyCentering Pregnancy at MAHECWe would love your feedback on our podcast!  Please take our listener survey to provide your comments.Follow us on FacebookFollow us on InstagramMusic credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 Licensehttp://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK

From ICU to birth center, Liz Carr's story is a reminder that midwives come to this work through many paths, and each journey holds wisdom for the future of maternal care.   In this episode, Dr. Rebecca Dekker reconnects with former nursing student turned certified nurse midwife, Liz Carr. Liz shares her unique trajectory: from critical care nursing to catching babies, from witnessing obstetric violence as a student to providing trauma-informed, evidence-based midwifery care. Liz and Rebecca explore the impact of diverse clinical experiences, the challenges of navigating midwifery school without labor and delivery experience, and the transformative power of reproductive justice. Liz also opens up about working in abortion care before and after the fall of Roe v. Wade, how she centers consent and autonomy in every interaction, and why investing in the education of future physicians is one of her biggest hopes for change.   Content Note: This episode contains discussion of obstetric violence (non-consented episiotomy) and providing abortion care.   (00:00) Liz Carr's Journey from Nursing Student to Certified Nurse Midwife (04:27) Early Inspiration and Moving to Kentucky (08:02) Witnessing Harmful Obstetric Practices and Choosing a Different Path (11:53) Gaining Lifesaving Skills as a Critical Care Nurse (16:30) Transitioning from ICU Nurse to Birth Work through Doula Training (21:24) Midwifery Education and Clinical Challenges (25:39) Abortion Care Training at CHOICES Before and After Roe v. Wade (32:46) Systemic Barriers and the Importance of Postpartum Support (35:36) Most Memorable Births and Special Moments (37:13) Teaching Medical Residents and Modeling Consent (40:54) Advice for Aspiring Midwives and Navigating Career Choices (45:01) Red Flags and Green Flags in Job Interviews (48:04) When Slower Access to Surgery Leads to Better Birth Outcomes   To sign up for the EBB Summer Series, visit ebbirth.com/summer!   Resources Explore Choices Center for Reproductive Health Read about the Turnaway Study Check your hospital's stats at the Leapfrog Hospital Safety Grade Learn more about Frontier Nursing University Get your copy of Babies Are Not Pizzas   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.

In this enlightening conversation, Shelley Hines shares her journey as a healer and teacher, exploring her spiritual guidance and profound connection with Mary Magdalene. She discusses the misconceptions surrounding Magdalene's identity, her role as a divine feminine figure, and the significance of the Magdalena Asteroid in astrology. The dialogue emphasizes the importance of intuition, the healing power of understanding one's lineage, and the awakening of the soul group associated with Mary Magdalene. Shelley encourages listeners to embrace their inner messages and trust their spiritual journeys. Shelley Lynn Hines, RN, MSN, is a student of life with a special focus on the Feminine Divine, and all things mystical. She had a true call and knowing that she was to become a nurse since the age of five. Working as a Registered Nurse, healer, teacher, and Lifestyle Consultant/Coach she has been helping women over 30 years. As a Certified Nurse-Midwife she attended the births of over one thousand Earthbound souls directly into her awaiting hands. Her interest in the safe arrival of these unique beings fueled her fascination in our life between lives as she furthered her studies into hypnotherapies including past life regressions and medical hypnotherapy. This also led to a brief time working with hospice patients and supported her belief that our souls come and go through a similar if not the same doorway. Born with an astrological and veiled Piscean Moon, Shelley has been sensitive to and gravitated toward all things metaphysical and occult or hidden from the mundane since a very young age. Reading her horoscope as soon as she could read, led her to study with the Steven Forest Apprenticeship Program, receiving a Master's Level Certification in Evolutionary Astrology. Using the birth chart as a tool to aid in validating the soul's purpose, karma, and dharma, is one of her methods for healing. She also includes her certification as an Intentional Creativity (T) teacher assisting women and men to set the inner critic aside and allow the muse to have a voice, so important in these times of increasing uncertainty and censoring. She is the founder of “She Rises in Wellness Women's Retreats (C)” and her biggest passion is to gather likeminded women for comfort, guidance, and learning. After a mystical experience in 2016 she began studying in earnest all things Mary Magdalene and is authoring a soon to be published book about Magdalene's archetypes in the hopes of educating the public regarding this historical figure who represents the Feminine Divine. Find Shelley: www.shelleyhines.com Magdalene Society Private Facebook group Astrologyshines Facebook page Learn more about your ad choices. Visit megaphone.fm/adchoices

In this enlightening conversation, Shelley Hines shares her journey as a healer and teacher, exploring her spiritual guidance and profound connection with Mary Magdalene. She discusses the misconceptions surrounding Magdalene's identity, her role as a divine feminine figure, and the significance of the Magdalena Asteroid in astrology. The dialogue emphasizes the importance of intuition, the healing power of understanding one's lineage, and the awakening of the soul group associated with Mary Magdalene. Shelley encourages listeners to embrace their inner messages and trust their spiritual journeys. Shelley Lynn Hines, RN, MSN, is a student of life with a special focus on the Feminine Divine, and all things mystical. She had a true call and knowing that she was to become a nurse since the age of five. Working as a Registered Nurse, healer, teacher, and Lifestyle Consultant/Coach she has been helping women over 30 years. As a Certified Nurse-Midwife she attended the births of over one thousand Earthbound souls directly into her awaiting hands. Her interest in the safe arrival of these unique beings fueled her fascination in our life between lives as she furthered her studies into hypnotherapies including past life regressions and medical hypnotherapy. This also led to a brief time working with hospice patients and supported her belief that our souls come and go through a similar if not the same doorway. Born with an astrological and veiled Piscean Moon, Shelley has been sensitive to and gravitated toward all things metaphysical and occult or hidden from the mundane since a very young age. Reading her horoscope as soon as she could read, led her to study with the Steven Forest Apprenticeship Program, receiving a Master's Level Certification in Evolutionary Astrology. Using the birth chart as a tool to aid in validating the soul's purpose, karma, and dharma, is one of her methods for healing. She also includes her certification as an Intentional Creativity (T) teacher assisting women and men to set the inner critic aside and allow the muse to have a voice, so important in these times of increasing uncertainty and censoring. She is the founder of “She Rises in Wellness Women's Retreats (C)” and her biggest passion is to gather likeminded women for comfort, guidance, and learning. After a mystical experience in 2016 she began studying in earnest all things Mary Magdalene and is authoring a soon to be published book about Magdalene's archetypes in the hopes of educating the public regarding this historical figure who represents the Feminine Divine. Find Shelley: www.shelleyhines.com Magdalene Society Private Facebook group Astrologyshines Facebook page Learn more about your ad choices. Visit megaphone.fm/adchoices

  Jami Hain has been a Certified Nurse Midwife for 13 years and owner of Nativiti Family Birth Center since 2014. She has supported women in her role as doula and a Nativiti birth assistant since 2003 and has been … Continue reading →

What if you already have what it takes to breastfeed your baby—and just need the right support to unlock it?This question is at the heart of my conversation with Lisa Paladino, Certified Nurse Midwife, IBCLC, and a fierce advocate for women and babies. Lisa has decades of experience helping families navigate the powerful, joyous, and sometimes confusing, emotional, and occasionally challenging terrain of breastfeeding. Not just a brilliant clinician, but a graduate of both my Women's Integrative and Functional Medicine and Herbal Medicine for Women training programs… and now, a lifelong friend.Lisa is the passionate founder of Tongue Tie Experts. She's spent decades supporting parents through the intense, sacred, and often confusing path of breastfeeding—especially when things don't go as planned.Lisa's journey from hospital-based nurse and midwife to fierce advocate for women's rights and breastfeeding education is one you won't forget. And what we unpack in this conversation might change how you see everything from nipple pain to infant sleep—and even adult airway health.In this episode, we dive into:What exactly is an IBCLC—and why it mattersThe silent struggle of mastitis, milk supply issues, and painHow breastfeeding shapes your baby's airway—and possibly lifelong healthThe heartbreak of not making enough milk—and how to support yourselfSetting yourself up for breastfeeding success before the baby comesWhy so many moms stop breastfeeding before they want to—and how we can change thatAnd yes… we go there with nipple toughening myths, lactation cookies, pumping in broom closets, and airplane glares. Because we've all been there—or know someone who has.

In this insightful episode, HeHe welcomes Trisha Ludwig from the Down to Birth Show to explore the critical aspects of breastfeeding. They discuss the tremendous benefits for both mother and baby, including improved mental health for mom and reduced cancer risks. Trisha emphasizes the importance of prenatal education, the role of partners, and why breastfeeding is a learned skill. They also cover common breastfeeding problems, the significance of skin-to-skin contact, and how pain can indicate the need for latch adjustments. Essential tips for advocating breastfeeding in hospitals and advice on how to manage newborn feeding cues are also highlighted.   Guest Bio: Trisha Ludwig is a Certified Nurse-Midwife and International Board Certified Lactation Consultant with a Master's degree from Yale School of Nursing. After practicing as a homebirth midwife she started a holistic gynecology and women's health practice, which she ran for 10 years. She is passionate about supporting and optimizing women's transitions through the major shifts such as pregnancy, postpartum, peri-menopause, and menopause. She believes in treating health issues on the physical, emotional, and spiritual level.   She is a mother of three children, all of whom were born at home. It is her knowledge as a midwife and women's health practitioner, but most importantly as a mother herself, which gives her first-hand insight into the complex emotional shifts of the postpartum transition. As a woman who is equally passionate about her work as she is about mothering, she understands the process of “becoming mom.” SOCIAL MEDIA: Connect with HeHe on YouTube Connect with HeHe on IG    Connect with Trisha on IG    BIRTH EDUCATION: Check out our free class on how to avoid a c-section and reduce tearing in labor here!   Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Connect with Trisha

  Part 2 – Continued from last week… Jaelin Stickels is a Certified Nurse Midwife who is honored to work with families as they experience pregnancy, labor, birth, and the postpartum period. Jaelin followed her passion into midwifery and has … Continue reading →

  Jaelin Stickels is a Certified Nurse Midwife who is honored to work with families as they experience pregnancy, labor, birth, and the postpartum period. Jaelin followed her passion into midwifery and has been practicing with women and babies since … Continue reading →

Feeling drained, moody, or out of balance? It could be perimenopause. This episode dives into practical strategies for managing hormonal changes, optimizing energy, and navigating the perimenopausal transition with confidence. Double board-certified women's health nurse practitioner and certified nurse midwife Emily Sadri, NP, shares her expertise on identifying root causes, balancing hormones naturally, and building sustainable habits to support your health. You'll learn how to assess hormone levels, address thyroid dysfunction and blood sugar imbalances, and implement tools like continuous glucose monitors and targeted supplements. Emily also explores the role of stress management, diet tweaks, and hormone replacement therapy to keep you feeling your best. Whether you're proactively preparing for perimenopause or already experiencing symptoms, this episode will empower you with actionable tips, expert insights, and a clear roadmap to thrive through hormonal changes Topics Covered In This Episode: Hormonal balance and perimenopause Natural remedies for hormone health Managing blood sugar imbalances Stress management techniques for women Hormone replacement therapy insights Show Notes: Visit emilysadri.com to learn more Get $100 off The Hormone Club program with code DRMOMPOD100OFFHC Get $200 off The Right Way to Weight Loss program with code DRMOMPODRWTWL Take the Perimenopause Quiz Learn more about the Calocurb Supplement Click here to learn more about Dr. Elana Roumell's Doctor Mom Membership, a membership designed for moms who want to be their child's number one health advocate! Click here to learn more about Steph Greunke, RD's Substack Mindset + Metabolism where women can learn how to nourish their bodies, hit their health and body composition goals, and become the most vibrant version of themselves.  Listen to today's episode on our website Emily Sadri, is a double-board certified Women's Health Nurse Practitioner and Certified Nurse Midwife. She hails from New York City and obtained her graduate education at The University of Pennsylvania. She was drawn to midwifery, meaning “with woman,” or “to stand in front of,” because it was a practice rooted in relationship.  Emily believes that what women need, across their lifespans, is someone to walk alongside them—not to tell them what to do. Emily practiced in conventional medicine settings for a decade, and was continually frustrated by the restrictions inherent in insurance-based models of care. Medical providers across the spectrum are burnt out and over extended. She believes we are living in a care and wellness deficit—and that needs to change.  Emily founded Aurelia on the principal that transformational care is built on strong relationships. That begins with long appointments, and is maintained by trust and open communication. Emily is not unlike the women she serves at Aurelia—she's raising four amazing kids, balancing a career, and prioritizing her health.  She leads at Aurelia by breaking down norms and rejecting the idea that a woman's worth is derived from her productivity. Emily believes that women can have it all—and it starts with great healthcare, and one woman standing beside another, leading the way.  This Episode's Sponsors  Enjoy the health benefits of PaleoValley's products such as their supplements, superfood bars and meat sticks.  Receive 15% off your purchase by heading to paleovalley.com/doctormom  Discover for yourself why Needed is trusted by women's health practitioners and mamas alike to support optimal pregnancy outcomes. Try their 4 Part Complete Nutrition plan which includes a Prenatal Multi, Omega-3, Collagen Protein, and Pre/Probiotic. To get started, head to thisisneeded.com, and use code DOCTORMOM20 for 20% off Needed's Complete Plan! Active Skin Repair is a must-have for everyone to keep themselves and their families healthy and clean.  Keep a bottle in the car to spray your face after removing your mask, a bottle in your medicine cabinet to replace your toxic first aid products, and one in your outdoor pack for whatever life throws at you.  Use code DOCTORMOM to receive 20% off your order + free shipping (with $35 minimum purchase). Visit BLDGActive.com to order. INTRODUCE YOURSELF to Steph and Dr. Elana on Instagram. They can't wait to meet you! @stephgreunke @drelanaroumell Please remember that the views and ideas presented on this podcast are for informational purposes only.  All information presented on this podcast is for informational purposes and not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a healthcare provider. Consult with your healthcare provider before starting any diet, supplement regimen, or to determine the appropriateness of the information shared on this podcast, or if you have any questions regarding your treatment plan.  

In this episode, we honor the life and legacy of Krista Labbe, a passionate advocate for women's health, Certified Nurse Midwife, and U.S. Army officer, whose untimely passing in 2023 left a profound impact. Krista's journey highlights the potential risks associated with the copper IUD, particularly the under-recognized issue of copper toxicity. We explore the science behind copper metabolism, the unique insights provided by Hair Tissue Mineral Analysis (HTMA), and why blood tests alone may not detect hidden mineral imbalances. Through Krista's story, we uncover the serious health implications she faced, including severe anxiety, infections, and physical symptoms, which ultimately linked back to elevated copper levels. Join us as we raise awareness about this silent risk, empower women with critical knowledge, and emphasize the importance of informed consent when choosing birth control options. Also, we want to give a special thank you to Natural Womanhood (www.naturalwomanhood.com) for shedding light on this important topic. Contact: For more information about copper toxicity, please visit: www.coppertoxic.com For info about HTMA (hair test mineral analysis) please visit: https://www.mineralsandhealth.com/order To learn more about Krista's story, please visit https://kristallabbe.com/ To read the Natural Womanhood Article, please visit: https://naturalwomanhood.org/copper-toxicity-and-the-iud-depression-psychosis-and-death/ SPONSORSHIP OPPORTUNIES WITH THE HORMONE GENIUS PODCAST! If you, or a business you know, are looking to expand your reach and connect with an audience passionate about women's health and hormone education, we'd love to hear from you! Whether you're interested in affiliate partnerships or episode sponsorships, we have options to fit your goals. Reach out to us at thehormonegenius@gmail.com for more details and/or fill out the appropriate form below! Affiliate Form: https://docs.google.com/forms/d/e/1FAIpQLScB9KKcAhKnzrAGsmfw25AEUnyR5S9qylieqKTzgk06b-o9Kg/viewform?usp=header Sponsor Form: https://docs.google.com/forms/d/e/1FAIpQLSeC0PM0P7NguN2dduMSnHB-NViKfAxiLbahiRU9DeZPtiseUA/viewform?usp=sf_link Medical disclaimer: The information presented in this podcast is for informational purposes only and is not intended to be a substitute for actual medical advice from a doctor, or any medical professional.

Dr. Lorraine and Dr. Brie join HeHe to discuss the critical and often overlooked topic of obstetrical violence. In this eye-opening episode, they break down what obstetrical violence is, its impact on women globally, including psychological trauma and avoidable morbidity, and how it violates human rights. The discussion highlights the importance of informed consent, respectful maternity care, and midwifery as potential solutions. The duo also emphasizes the need for systemic changes within the healthcare system to prevent obstetrical violence and improve maternal outcomes. Tune in to learn about practical steps women can take to avoid birth trauma and the crucial role of midwifery in transforming maternity care.   Understanding Obstetrical Violence Examples and Impact of Obstetrical Violence Legal Recourse and Advocacy The Iceberg Analogy and Measurement Tools Respectful Maternity Care and Systemic Issues Transparency and Hospital Reporting Midwifery Care and Trauma Prevention Systemic Obstacles and Solutions Navigating the Complexities of U.S. Healthcare Challenges Faced by Healthcare Providers The Impact of Insurance on Birth Choices Midwifery Care and Its Benefits Policy and Systemic Barriers The Role of Consumer Advocacy Future Directions and Solutions Connecting and Collaborating for Change Guest Bio: Lorraine M. Garcia, PhD, WHNP-BC, CNM does research on the problem of obstetric violence in the US maternity care system and the public health and ethical duties to implement solutions. She also works as a Certified Nurse Midwife with experience in home birth, birth center, and hospital-based care. Lorraine is a reproductive justice advocate and frames most of her research with critical lenses from healthcare systems science, structural and organizational theories, and social justice in nursing. Her perspective on the systemic, normalized abuse and mistreatment of childbearing people is aligned with advocacy workers, interdisciplinary scientists, and all interested and affected parties working to end obstetric violence and achieve birth equity.   Dr. Brie Thumm is an Assistant Professor at the University of Colorado College of Nursing. She has been practicing midwifery domestically and internationally since 2001 when she completed her Masters in the Science of Nursing at Yale University. She obtained her MBA in Healthcare Administration at Baruch College in New York City and her PhD in health systems research at University of Colorado College of Nursing. Her area of research is perinatal workforce development to address disparities in maternal health outcomes and improve the well-being of health care professionals. Prior to her current position, Brie provided care at Planned Parenthood of New York City, served as the Assistant Director of the Sexual Assault Response Team for the Manhattan public hospitals, conducted mental and behavioral health research at the Rocky Mountain Regional Veteran's Affairs Medical Center, and led the clinical and research arms of the Maternal Mortality Prevention Program at the Colorado Department of Public Health and Environment. She continues to practice clinically at Denver Health. SOCIAL MEDIA: Connect with HeHe on IG    Connect with Lorraine on IG  Connect with Lorraine on LinkedIn   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS: Lorraine's website: https://www.makingbirthbettertogether.com/ Lorraine's Online Store:https://makingbirthbetterstore.com/ Use code    References: Association of Women's Health, Obstetric and Neonatal Nurses. (2022). Respectful maternity care framework and evidence-based clinical practice guideline. Nursing for Women's Health, 26(2), S1−S52. https://doi.org/10.1016/j.nwh.2022.01.001 Beck, C. T. (2018). A secondary analysis of mistreatment of women during childbirth in healthcare facilities. Journal of Obstetric Gynecologic and Neonatal Nursing, 47(1), 94−104. https://doi.org/10.1016/j.jogn.2016.08.015    Borges, M. T. (2018). A violent birth: Reframing coerced procedures during childbirth as obstetric violence. Duke Law Journal, 67(4), 827−862.    Carlson, N. S., Neal, J. L., Tilden, E. L., Smith, D. C., Breman, R. B., Lowe, N. K., Dietrich, M. S., & Phillippi, J. C. (2019). Influence of midwifery presence in United States centers on labor care and outcomes of low-risk parous women: A Consortium on Safe Labor study. Birth, 46(3), 487-499. https://doi.org/10.1111/birt.12405    Chadwick, R. (2021). The dangers of minimizing obstetric violence. Violence Against Women, 29(9), 1899−1908. https://doi.org/10.1177/10778012211037379    Cohen Shabot, S. (2021). Why ‘normal' feels so bad: Violence and vaginal examinations during labour: A (feminist) phenomenology. Feminist Theory, 22(3), 443−463. https://doi.org/10.1177/1464700120920764   Cooper Owens, D. (2017). Medical bondage: Race, gender, and the oigins of American gynecology. University of Georgia Press.    Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of Women's Health, 30(2), 230−235. https://doi.org/10.1089/jwh.2020.8882    Davis, D. A., Casper, M. J., Hammonds, E. & Post, W. (2024). The continued significance of obstetric violence: A response to Chervenak, McLeod-Sordjan, Pollet et al. Health Equity, 8, 513-518. https://www.liebertpub.com/doi/10.1089/heq.2024.0093   Davis, D. A. (2019). Obstetric racism: The racial politics of pregnancy, labor, and birthing. Medical Anthropology, 38(7), 560-573. https://doi.org/10.1080/01459740.2018.1549389 Garcia, L. M. (2020). A concept analysis of obstetric violence in the United States of America. Nursing Forum, 55(4), 654−663. https://doi.org/10.1111/nuf.12482    Garcia, L. M. (2021). Theory analysis of social justice in nursing: Applications to obstetric violence research. Nursing Ethics, 28(7−8). https://doi.org/10.1177/0969733021999767   Garcia L. M. (2023). Obstetric violence in the United States and other high-income countries: An integrative review. Sexual and Reproductive Health Matters, 31(1), 2322194. https://doi.org/10.1080/26410397.2024.2322194   Garcia, L. M., Jones, J., Scandlyn, J., Thumm, E. B., & Shabot, S. C. (2024). The meaning of obstetric violence experiences: A qualitative content analysis of the Break the Silence campaign. International Journal of Nursing Studies, 160, 104911. https://doi.org/10.1016/j.ijnurstu.2024.104911   Hardeman, R. R., Karbeah, J., Almanza, J., & Kozhimannil, K. B. (2020). Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth. Healthcare, 8(1). https://doi.org/10.1016/j.hjdsi.2019.100367    Howell, E. A., & Zeitlin, J. (2017). Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Seminars in Perinatology, 41(5), 266−272. https://doi.org/10.1053/j.semperi.2017.04.002    Jolivet, R. R., Gausman, J., Kapoor, N., Langer, A., Sharma, J., & Semrau, K. E. A. (2021). Operationalizing respectful maternity care at the healthcare provider level: A systematic scoping review. Reproductive Health, 18(1), 194. https://doi.org/10.1186/s12978-021-01241-5   Julian, Z., Robles, D., Whetstone, S., Perritt, J. B., Jackson, A. V., Hardeman, R. R., & Scott, K. A. (2020). Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Seminars in Perinatology, 44(5). https://doi.org/10.1016/j.semperi.2020.151267   Logan, R. G., McLemore, M. R., Julian, Z., Stoll, K., Malhotra, N., GVtM Steering Council, & Vedam, S. (2022). Coercion and non-consent during birth and newborn care in the United States. Birth (Berkeley, Calif.), 49(4), 749–762. https://doi.org/10.1111/birt.12641   Margulis, J. (2013). The business of baby. Scribner.    Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse Education Today, 88, https://doi.org/10.1016/j.nedt.2020.104364   Morton, C. H., & Simkin, P. (2019). Can respectful maternity care save and improve lives?. Birth (Berkeley, Calif.), 46(3), 391–395. https://doi.org/10.1111/birt.12444   Neal, J. L., Carlson, N. S., Phillippi, J. C., Tilden, E. L., Smith, D. C., Breman, R. B., Dietrich, M. S., & Lowe, N. K. (2019). Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: A Consortium on Safe Labor study. Birth (Berkeley, Calif.), 46(3), 475–486. https://doi.org/10.1111/birt.12407   Nelson, H. O. (2022). Conflicted care: Doctors navigating patient welfare, finances, and legal risk. Stanford University Press.    Niles, P. M., Baumont, M., Malhotra, N., Stoll, K., Strauss, N., Lyndon, A., & Vedam, S. (2023). Examining respect, autonomy, and mistreatment in childbirth in the U.S.: Do provider type and place of birth matter? Reproductive Health, 20(1), 67. https://doi.org/10.1186/s12978-023-01584-1    Oparah, J. C., Arega, H., Hudson, D., Jones, L., & Oseguera, T. (2018). Battling over birth: Black women and the maternal health care crisis. Praeclarus Press.    Salter, C., Wint, K., Burke, J., Chang, J. C., Documet, P., Kaselitz, E., & Mendez, D. (2023). Overlap between birth trauma and mistreatment: A qualitative analysis exploring American clinician perspectives on patient birth experiences. Reproductive Health, 20(1), 63. https://doi.org/10.1186/s12978-023-01604-0    Scott, K. A., Britton, L., & McLemore, M. R. (2019). The ethics of perinatal care for Black women: Dismantling the structural racism in "Mother Blame" narratives. The Journal of Perinatal & Neonatal Nursing, 33(2), 108–115. https://doi.org/10.1097/JPN.0000000000000394   Smith, D. C., Phillippi, J. C., Lowe, N. K., Breman, R. B., Carlson, N. S., Neal, J. L., Gutierrez, E., & Tilden, E. L. (2020). Using the Robson 10-group classification system to compare cesarean birth utilization between US centers with and without midwives. J Midwifery Womens Health, 65(1), 10-21. https://doi.org/10.1111/jmwh.13035    Smith, S., Redmond, M., Stites, S., Sims, J., Ramaswamy, M., & Kelly, P. J. (2023). Creating an agenda for Black birth equity: Black voices matter. Health Equity, 7(1), 185−191. https://doi.org/10.1089/heq.2021.0156    Thumm, E. B., & Flynn, L. (2018). The five attributes of a supportive midwifery practice climate: A review of the literature. Journal of Midwifery & Women's Health, 63(1), 90−103. https://doi.org/10.1111/jmwh.12707    Thumm, E. B., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale. Journal of Midwifery & Women's Health, 65(5), 643−650. https://doi.org/10.1111/jmwh.13142    Thumm, E. B., Shaffer, J., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale: Part 2. Journal of Midwifery & Women's Health, 65(5), 651−659. https://doi.org/10.1111/jmwh.13160  Thumm, E. B., Smith, D. C., Squires, A. P., Breedlove, G., & Meek, P. M. (2022). Burnout of the U.S. midwifery workforce and the role of practice environment. Health Services Research, 57(2), 351−363. https://doi.org/10.1111/1475-6773.13922    Williams, C. R., & Meier, B. M. (2019). Ending the abuse: The human rights implications of obstetric violence and the promise of rights-based policy to realise respectful maternity care. Sexual and Reproductive Health Matters, 27(1). https://doi.org/10.1080/26410397.2019.1691899    Yarrow, A. (2023). Birth control: The insidious power of men over motherhood. Seal Press.    Zhuang, J., Goldbort, J., Bogdan-Lovis, E., Bresnahan, M., & Shareef, S. (2023). Black mothers' birthing experiences: In search of birthing justice. Ethnicity and Health, 28(1), 46−60. https://doi.org/10.1080/13557858.2022.2027885  

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 importance of supporting normal physiology in birth, the guiding principles of the midwifery model, and the need for systemic change to foster respectful care in hospitals. Dr. Brumley also shares insights from her work with the Florida Perinatal Quality Collaborative, including initiatives to reduce unnecessary interventions and amplify patient voices. Tune in to learn how respectful care can improve outcomes, build trust, and why a “midwife for every community” could change the landscape of maternal health in the United States. (00:07:30) Equitable and Respectful Maternity Care Advocacy (00:28:57) Promoting Respectful Maternity Care in Workplaces (00:30:28) Creating a Culture of Respect in Healthcare (00:30:49) Cultural Respect in Healthcare Settings (00:34:24) Promoting Equitable and Respectful Healthcare Practices (00:43:11) Elevating Midwifery Practice for Improved Healthcare (00:44:47) Retention Strategies for Midwifery Professionals   Resources: EBB 324 – Blending Birth, Science, Technology, and Storytelling with Erica Chidi, Co-founder and CEO of LOOM EBB 332 – Advocating for Yourself during Prenatal Visits with Retired Obstetrician Dr. Leslie Farrington, Co-Founder of the Black Coalition for Safe Motherhood Read Protecting Your Birth: A Guide For Black Mothers in The New York Times. Learn about the International Confederation of Midwives (ICM) and the ICM's RESPECT Presentation (mentioned by Jessica) Learn about the Florida Perinatal Collaborative Learn more about Dr. Brumley and her work Learn about the American College of Nurse Midwives For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! 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.

Rachel is a professor, an author, and a VBAC mom who is here to share her story from a traumatic C-section birth through a VBAC. This episode really dives deep into how picking the right provider is key to improving your chances for a VBAC. They give practical questions to ask your providers, more than just yes or no, to really get to know their birth philosophy and what qualifications and experiences your provider might have that would make them a better fit for VBAC chances. Rachel and Meagan also give a lot of validation and advice on how to start the process of overcoming birth trauma; it's reality and to not be ashamed of it. You're not alone. Through the many important messages of this episode, they both mention many times to trust your intuition. If something feels off, listen to that. And if a change in provider is necessary…it is never ever too late to change. Invisible Labor: The Untold Story of the Cesarean SectionHow to Naturally Induce LaborHow to Turn Prodromal Labor into Active LaborMembrane Sweeps for VBACHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello everybody! Welcome to the show! I am so honored to have Rachel Somerstein on with us today. She is a friend of ours from New York. She is a writer and an associate professor of journalism at SUNY New Paltz. She is an author of Invisible Labor: The Untold Story of the Cesarean Section.  And her writing has also appeared in the Boston Globe, The Guardian, The Washington Post, and Women's Health. She lives in Hudson Valley, NY with her husband and her two children and is here to share her stories with you today. Rachel had an unplanned Xesarean section with her first child and the experience was anything but routine. I know that there are many of us who have been through this journey and on this podcast, maybe listening today, that also had an unexpected experience and it may have left us with trauma, or doubt, or fear, or all the feelings, right? And so she is going to be talking to us today about her experiences, but then also we're going to talk about some guidance on how to find peace and to offer ourselves grace and to set ourselves up for a much better experience next time. We do have a review of the week, so I want to get into that and I'm going to turn the time over to Rachel.This review is by Deserie Jacobsen. The review title is “Thank You.” She actually emailed this in and it says, “This podcast and parents course is amazing. I am not a VBAC mom, but I have been listening since 2020. I binge listen near the end of every pregnancy to remind me of everything I need to remember in birth and process through my previous births. This time around I felt more prepared than ever before, having plans in place just in case. We were able to have a quick birth of my 5th baby. I love the education, passion, and love this podcast gives. I recommend it to everyone I know, and I have learned so much from it. I am so grateful for this podcast, thank you.”Thank you so much Deserie for your review! Seriously you guys, I just love hearing that people are finding the information that they need, they're finding community, they're finding that they can do this too. Just like them, and all these reviewers and all the people that have shared their stories and all these reviewers you guys can too. This birth, VBAC, is possible too. Better experience is possible. A healing CBAC; it's possible. You guys, all it takes is getting the information, the prep, finding the provider, to have a better experience.Meagan: Alright Ms. Rachel, welcome to the show and thank you again so much for being here with us. I kind of talked about this a little bit before we started recording about how I think your episode is going to be so powerful and deep and raw too. You've got these feelings and these words. I love it. I love reading your book and I can't wait to hear it from your own mouth. Which speaking of book, can we talk about that a little bit? What kind of just inspired you, jumpstarted you into writing a book about this?Rachel: Well, I'm a writer. And I wrote an essay about my birth about two years after I had my baby, my first birth, my C-section. And I realized I had a lot more to say and also I heard from a lot of moms when that came out and that made me start thinking that I think there was a bigger project. Meagan: Absolutely. And an amazing project that you completed.Rachel: Yes.Meagan: And remind everybody before we get into your stories where they can find your book. I actually have it here in my hands. It's Invisible Labor. So where all can they find that? And we'll make sure that we link it. Rachel: Sure, thank you! Yeah, so it's Invisible Labor: The Untold Story of The Cesarean Section. And you can get it on Amazon, you can get it from Barnes and Noble, you can get it from your local bookstore, you can get it as an audiobook? Or you can also get it as an ebook.Meagan: For the audiobook, did you record it?Rachel: I did not. The narrator is Xe Sands and she did a great, great job. It sounds excellent. Meagan: Awesome. We'll be sure to link that. I think it's definitely a book that everyone should check out. There's a lot of power in that book.Rachel: Thank you.Meagan: And it's not even just your story. I mean there's a ton. Like if you go through the note section there's a ton of research in there, and history and studies, and so many really great things. Well okay, let's hear about the story that started the inspiration and behind this amazing book.Rachel: Sure! Thank you. So like so many moms, I had an unplanned C-section that I was completely unprepared for, which is another reason I wanted to write this book because I think a lot of people go into pregnancy just assuming they're going to have a vaginal birth and like me, I didn't even read the parts of the books about C-sections, I skipped them. Because I was not going to have a C-section. Which is whatever, hindsight is everything, right? But I had a totally textbook pregnancy. I switched to a different group of midwives and OB's about halfway through because I just didn't have a connection I felt with the providers in the first one. And frankly, I didn't have a connection with the providers in the second one either, but by that point, I was like well whatever, it's fine. Which I think is actually, if I could go back and do it again I would have changed that. But you kind of are like, I don't want to, could I possibly change again? And I think that for people who are VBACing, yes you can and sometimes you actually really need to, even like late on in your pregnancy, people will switch groups or providers even late in the third trimester, so. Meagan: Even if you're changed already, you can do it multiple times.Rachel: Exactly.Meagan: It's not a bad thing to find the right provider for you. It's not. Rachel: It's not. And It's hard. And you can feel like, Oh my god. Am I really going to send all my records over? It can feel like so much effort and it can really be worth it. I just wanted to say that as someone who switched once and then was like, Okay, I'm done, and wished I'd switched again. So anyways, it was late in week 39 I went into prodromal labor but I didn't know that prodromal labor even existed because nobody told me about it.  And it was my first baby. So I was like is this labor? I think I'm having contractions, these are not Braxton Hicks. And in the end, we talked to the doula I was working with, and in the end they ended up petering out. And at that, I think that that for me marked the beginning of, this is not going to look like the way I had expected it to look. And again, hindsight is everything. What I wish I had known at the time– and I think this is really relevant to some VBAC moms is that sometimes prodromal labor means that your baby is not in the best position for having a vaginal birth. And I can't exactly say oh I would have done this or that differently if I'd known it, but it would have helped me understand what I was going into with the labor and the birth. So anyway, I eventually went into labor in the middle of the night. It was exactly my due date and I knew it was different. I could just feel this is labor. And I was really eager to get it going quickly. And again, I wish someone would have said, “Rachel, rest. It's early. You're going to need your strength. You're going to need your energy however your baby is born.” And instead I quite literally was running up and down the stairs of my house to try to push labor along. Which is, I have compassion for myself, I understand why I was doing that. What I really needed to do was get in the bath, or I don't know, lay over the birth ball. Watch a silly movie, right? The feelings I was having were real pain and I was scared. But you kind of can't run through this, especially a first labor as we all know, those take a long time, right?Meagan: Yeah. And if we were having prodromal labor, our body may be kicking into labor, but still might need some time to help that baby rotate and change positions. Rachel: Exactly, exactly. And this is the kind of education that is so missing from birth classes. And that is one reason why this kind of podcast is so helpful because that's how I learned about these different things. I didn't ever learn about them from a provider being like, “Let's talk about what will happen in your birth, and let's talk about why you had prodromal labor.”So anyway, we went to the doctors office where we met a midwife and my doula for a labor check. And I was hardly dilated, I was at a 2 but I was in extreme pain. And I have to say, I have a very, very high pain tolerance and I now know I was having back labor. Meagan: Baby's position.Rachel: Exactly. And the contractions were like boom boom boom boom. They were not, I didn't have any rest in between them. Which again, I think my baby was like I gotta get in the right position, this isn't working out, I'm freaking out, ah! Plus my mom is running around, ah! Right?Meagan: Yeah. Rachel: So we went to the hospital and I was checked in and the midwife who checked me in was like, “Oh you're actually not even 2 centimeters, you're just 1 centimeter dilated.” And they checked me because I was in so much pain I think. And I don't know that that was necessarily wrong,  but again, no one was sort of explaining, “Here's what we think is going on.” And it's partly because I believe those providers thought I was exaggerating what I was experiencing physically. They didn't know me. Well, they didn't know that I'm usually pretty stoic. They didn't know that I'm not a squeaky wheel. And I wasn't like screaming or crying or pounding. I was like quiet and I was like I'm in a lot of pain.Meagan: An intense quiet.Rachel: Intense quiet. Exactly. But that doesn't look like what we think pain looks like to people. And the fact is that people are very individual and how they express pain especially during labor where you're already kind of like leaving the regular plane of reality.Meagan: Yes. Rachel: So an important takeaway is like, even experienced providers cannot read your mind and make mistakes in assessing what's truly going on with you. And this comes up later in my second birth, but my husband now does a much better job of saying, “You might look at Rachel right now and think she looks like she's doing great, but this is what's really going on with her.” And he does that in a way that's not like he's speaking for me in a way that's annoying, but it's like I actually can't advocate for myself, I can't express this. So anyways, I asked for an epidural. They said that the anesthesiologist was busy. Which may have been true, but may have been they were trying to put me off because I was hardly dilated. And they told me to get in the birth tub. And I remember hanging over the side of the tub and staring at the clock on the wall and being like, I actually don't know if I'm going to survive this hour. I was just in so much pain. Incredible pain from back labor that was incessant. Eventually he showed up. They hooked me up to all the monitors. At that point, one of the nurses was like, “Oh, you are having monster contractions.” Like the contractions that were being measured were so intense they were going each time to the edge of what was measurable. And now that the computer said it it was like oh…Meagan: You're validated now. Rachel: Exactly. Right. And the anesthesiologist, it took him three tries to get the epidural working properly which would echo problems to come. But he did, and it took away the pain. And then I was just in the bed and kind of left there. And the nurses and the midwife did not use a peanut ball, they didn't move me around. And obviously, listen, I'm attached to the monitors. You know you cannot really move that well, the belt slips, and that increases the chances you'll have a C-section. And there are still things that can be done. It's not like you're a loaf of bread, you just lay in a bed. But they didn't do that stuff and I wasn't dilating. The nurse and doula eventually basically were like, “Well, we're going to go out for dinner and we'll be back in a few hours and we're going to give you this thing to sleep and if you haven't dilated by the time we get back you're going to have a C-section.” And at that point I was exhausted. It's evening now, I've been up since the middle of the night. I'm totally like, what is happening with this birth? No preparation; I took birth classes, I read books, no preparation suggested that this series of events could take place. I felt completely abandoned by my providers, including my doula who I was paying out of pocket. And one thing that came up at this time also was I had this colposcopy in college, like scraping of cervical cells. I didn't hide it from anybody, I was open. And the midwife said well maybe that's why you're not dilating is because of this colposcopy.Meagan: Do you think you got scar tissue?Rachel: That's what she said. And I remember at the time being like why are we only talking about this now? Why has nobody brought this up in any of the prenatal visits that I've done? And I felt blamed. This thing about your body is defective. After a few hours when the midwife and the doula came back and I rested and it was quiet, I had dilated to a 9. And I think what that's about is that I had been in too much pain to dilate. I was so frozen up and tense and also extremely scared.At this point people are like, “Oh wow.” And finally my water broke,y water hadn't broken. So you know, things are kind of continuing and I am starting to actually feel even more fear and my room is getting really crowded with people. And the midwife asks me to start pushing. And I was afraid and I was excited. They turned on the baby warmer, and they were like, “Okay, your baby is going to come out.” And I started to push but I couldn't feel what I was doing. I had no idea. And the midwife was like, “Do you have an urge to push?” And I was like, “No.” The epidural that hadn't gone well from the beginning had then come down with a very heavy hammer and I felt total numbness. It was not helpful. I needed someone to have turned it off or something, or turned it down so I could feel an urge to push and feel how to push, where to push, what muscles to use. And at a certain point I could tell something was going not right and it turned out that my baby was having heart rate decelerations. So just to sketch the scene. At this point it's 1 o'clock in the morning, I've been awake for 24 hours. I'm exhausted. My husband is exhausted. Neither of us has any idea that things could have gone like this. The midwife says I think it's time to do a C-section. And I don't disagree with her. I don't even know what to think at that point. I'm also feeling tremendous fear. I was like I'm afraid I'm going to die, I'm afraid my baby's going to die. And the overall sense in the room…and people were like, “Oh no, you're going to be fine”. And the sense in the room was that I was hysterical and I was not in my right mind. Which I wasn't in my right mind; I had been awake for a long time, I'd been trying to have this baby, nobody really told me what was going on and I felt totally unsupported. Actually, my response was completely reasonable given the circumstances and nobody really attended to that and saw that and recognized that as completely valid. Plus, I don't have evidence to stack this up absolutely, but I have since come to find out that there is a medication that some laboring women are given to help them rest and one of the side effects is an impending sense of doom. And I have a friend who had a baby at this same hospital and had the same response after having been given something to rest during her labor. I could go back and look at my records and I may do that but I'm like, well that would explain also why I had the response I did. Meagan: Mhmm.Rachel: Anyway, we go to the OR. I hunch my back for the spinal that the anesthesiologist has to do a couple of times to get it right. I'm still contracting at this point. My body is still like, Come on, let's get this baby out. Let's get this baby out. And I'm so uncomfortable. And you know that advice to not lay down flat on your back when you're pregnant, but that's what you have to do when you're in the OR. The whole thing felt like I was going to choke under my stomach and very exposed like you are in the operating room. Meagan: Yeah, it's cold and it's bright and you're very exposed. And you can't move your body normally, especially if you've had a spinal. Rachel: And also in retrospect, again I'm like I cannot believe that the first time I learned what happened in a C-section was in my C-section. I really should have at least learned about this even though it would have still been scary and I still would have been surprised. So when the OB goes to operate, he starts his incision and I say, “I felt that.” And he says, “You'll feel pressure.” And I say, “I felt that.” And he continues operating and I was not numb. I felt the operation. And according to his notes..parts of this I don't remember…but he wrote it down and my husband has also told me that I was screaming, my legs were kicking. There's no question that I was in tremendous pain. And I was moaning and it was horrible. And it was horrible for the people in the room too by the way.Meagan: I'm sure. Rachel: Right? Like it's really important to say that. My OB didn't listen to me. That is a super common thing that happens in healthcare, especially for women. Especially for pregnant women. He's not a sociopath. He didn't want to be evil, but he didn't listen and the consequences were so steep and so dire. And I think that it was traumatizing to him and I know it was traumatizing to some of the other providers in that room, the nurses to watch this. He kept going and when the baby was born, which I don't remember, apparently they held her up to my face and they put me under general anesthesia and sent my baby and my husband away and stitched me up. Then I woke up in recovery. The doula and the midwife had gotten the baby to latch while I was unconscious and were talking about me without knowing that I was awake about her latch which really, really bothered me because it just underscored how it felt like I was just a body. And even people who were supposed to be there to take care of me and be tender and advocates, I felt they disregarded me. And under other circumstances I really would have wanted to breastfeed my baby like right away. But I wasn't even there to say yes I want to do this or no I don't want to do this. It was a terrible birth and I would not wish it on anybody. Meagan: And I think, kind of talking about what you were just talking about with breastfeeding and stuff, these people in their hearts and in their minds were probably like this is what she would have wanted. We're trying to help. But in whole other frame of mind over here, I'm not present. I haven't said those things. And I know you're trying to help and I know that's where your heart is, but I'm not okay with this. Rachel: Totally.Meagan: And I think sometimes as doulas, as birth workers, as any one of you listening, remember that words matter. Actions matter. These moms' feelings matter and it's sometimes in our minds we're trying to do what's best, but it might not be. Rachel: Totally. Absolutely. Yes and I again, it's so important to point out. Yes they were coming from a good place. They really were coming from a good place. But it wasn't the way that I felt it or experienced it. Meagan: And it left you with trauma and angst and heartache. Rachel: Absolutely. Totally. Yeah. Meagan: Well that definitely sounds like a really rough birth. And it's so crazy because it's like you went from not progressing to baby in a poor position, to getting an epidural. I love that you talked about that. That can be an amazing tool. A lot of people are very against epidurals, and there are pros and cons with epidurals. We've talked about those. Fetal heart decels is one of them. I don't think, maybe in this situation it sounds like a lot of other things happened; baby's position being one of the biggest ones. But that can really be a tool that helps you just relax and be more present and have less trauma. We talk about this in my doula practice of where there's a difference between pain and suffering. And pain, progressive positive pain that's bringing our baby to us that's one thing. But when we're suffering and we're so tense that our body's not even able to try; that epidural could come into great play. But again, we're not that loaf of bread in a bed and it is important to move and rotate. And it doesn't have to be drastic. It doesn't have to be crazy big movements. Just subtle movements to change the dynamics of the pelvis and to encourage our baby to keep coming down. So there were so many things that just went poorly but also went well, and then poorly again and then well and then real poorly there at the end. Rachel: And I think like to your point, I went into my birth I should say, I was planning on having an unmedicated vaginal birth. I was like I'm not going to have an epidural. And I think that if my providers had different skills I would have, I may have been able to have that baby vaginally. And I say that based on what happened in my second birth. So it's not just like wishful thinking, right? And I'm really glad I had that epidural. I really needed that. I was suffering. The pain I was experiencing was not productive pain. And an epidural can help you with suffering, alleviate your suffering. But it can't and doesn't substitute for emotional support. And I think that's what was missing for me, throughout that first birth. Even if I had gone on to have ok fine, a cesarean, or even a vaginal birth, I still think I would have been like that wasn't a good birth because I didn't feel emotionally supported. And an epidural can't do that. Meagan: Yeah. No an epidural cannot do that. And I, for anyone listening who supports birth, or even who are going for a birth you kind of mentioned it. You're in this other land and sometimes it's hard to advocate and open. You might be thinking something and you might so badly want to say it. It's right here, coming out. And you can't say it for whatever reason. It's a weird thing, it doesn't make sense sometimes but it can happen. But really being heard, validated, understood; which are so many things you weren't. Right? And when we're not heard and when we don't feel safe, and we don't feel supported, those things leave us with PTSD. In fact there was, in your book, I'm just going to read it. It says, “2022 study by anesthesiology and obstetrics professor Joanna and colleagues found that what's important about women who feel pain during childbirth is how mothers feel about their pain. And how their providers communicate with them overall…”You were communicating, and no one was communicating to you. “...feeling positively about pain and heard by providers protects a mother from developing PTSD.” And I mean it goes on which is why you need to get the book so you can read more about it. Rachel: Yep. Meagan: But really, feeling heard. Rachel: It's not just crunchy whoo-hoo feels good, feels right, sounds good. It really matters. And I have to say that I'm participating in and helping to work with providers on designing some studies about providing different pain options for moms during C-sections. We literally had a conversation about this yesterday. And one of things we were talking about is it's not just the pain. It's not just pain relief. It's also being listened to. Because there will be people who are like, I might say I'm in pain, but that doesn't mean I need an epidural or want an epidural. But I'm feeling pain and I want to be heard and I want somebody to…even if you can't express this. You can't even express it because you're the one having labor. What you're needing is someone to see you and look you in the eye and be like you're going to be okay. And I think as mothers we totally are experienced with that all the time. When your child is hurt or sick, part of your job obviously is to get them the help they need, but it's also to assure them this nosebleed is going to end. You're not going to have a bloody nose for the rest of your life. Which, when you're going through something really hard you can sometimes forget, right? And you're pointing out from the studies this helps to prevent people in birth, in labor, from developing PTSD. The stakes are really high. They matter so much. Meagan: When you were just talking, I don't know if you saw my eyes kind of well up a little, but I connected a lot with my first birth when I was clinging to a bed, literally clinging. And I was looking at my husband and I'm like, “Do something!” I had a baby in a poor position. I was being jacked full of pitocin. My water had broken, there was a lot of discomfort going on. I had told him I didn't want an epidural and he's like what do you want me to do? And I was like I don't know, I just need something! And I was terrified and desperate. And he was just like… It wasn't fair for me to put him in that position either but at the same time he was like I don't know, I don't know what to do, right? And the nurses were just like we'll just get you an epidural. And I was like no, I don't want an epidural. And then it just was like epidural, just went down from there. And I wish so badly that there was something else. Let's get you out of the bed. Let's get you in the shower. Let's give you some nitrous. There was so much more that I could have had, but wasn't even offered. And I think too, I needed someone to tell me that nosebleed was going to end. Rachel: Yes. Meagan: And it was going to end and it was going to come back every five minutes and it was going to end again and I was going to be okay. And I was going to survive that. And just hearing you talk about that, why my eyes got all welly, is that I don't know if I realized how much that impacted me until just barely. And here I am, my daughter is almost 13.Rachel: Just like how powerful these things that, I don't know, this is part of why we have these conversations. They shed different corners of light on our experiences that it's like oh my gosh, I didn't even know I knew that. And that's so why we, even though I'm not postpartum immediately, it's valuable for me to talk about it too; to hear what you're saying, you know?Meagan: Yeah. Ah, so after a not-so-amazing experience, going into that postpartum, you've talked a little bit about that in your book. Well, not a little bit, you've talked about that a lot. Tell us about that journey and then what led you to deciding on VBAC and ultimately going and having a VBAC. Rachel: So I should say, I was really…Talk about not realizing things right away. It took me a long time to figure out how traumatized I had been by that birth. And I was about two years postpartum and I was having a procedure for something else and I just completely, I had a panic attack. I had never had a panic attack before, I didn't know what it was and couldn't have explained what was happening. And when the anesthesiologist who did this procedure was like have you ever had any issues with anesthesia, which is exactly the question that should be asked, and I had said what had happened he was so taken aback. He was shocked and didn't know what to say and walked out of the room.Not in the way of, I'm abandoning my patient, but just like from his perspective here's this kind of routine thing. This patient is crying and shaking and talking about this very traumatic incident which I had not talked about. I didn't go to therapy. I had talked about it with friends and my family, it wasn't a secret, but I felt a lot of shame. I felt like I must have been this total freak of a person that this had happened to me. And after that I remember saying to my husband, I just don't know if I'm ever going to be able to get over this trauma enough to have another baby. And I didn't even know if I wanted another baby, like separate from the trauma. In therapy I started to see that I felt very stuck in my life and that included how and whether to grow my family. And that was actually because of the traumatic birth. It just like made this big block. I think one thing that's important to think about for those who have had a traumatic birth is that sometimes that can show up in your life in ways that you don't expect. Meagan: Yes. Rachel: And so to be compassionate with yourself about that and also to be open to that. We're in the era of warnings and trigger warnings and those are important, but sometimes for a traumatized person the things that are triggering or activating are not what you would think. Like for me, I couldn't watch a scene of a hospital birth even if it was happy without getting very uncomfortable and having to walk away and there wouldn't be a content warning on that. So it's just to say be patient with yourself. Accept that…don't, I guess if you've had a traumatizing birth you don't have to struggle against these things. As horrible as they might feel, as uncomfortable as they might feel it's normal and it's ok and it shows up differently for everybody. Rachel: Yeah so I had this big question and then I was like ok, it took awhile for me to be like I do want to have another baby. But I wasn't ready emotionally. And so I waited. And then about, let's see, October of 2019, I was like I think that I'm ready to try to have another baby. And we had met this midwife who lived in our community, who my daughter actually made friends with her niece at our public pool which is so beautiful. I ran into her one night while she was walking her dog. She was like your husband shared a little bit with me, if you ever want to talk. And this, I feel like, I could not be more grateful that this person came into my life. She just is, her skills are phenomenal. Just as a clinician in terms of trauma-informed care, and I've felt safe enough going to her for prenatal care to decide that I was ready to get pregnant. My joke is that I should tour high schools and be like it only takes once to have unprotected sex to become a parent. And I was really lucky that I got pregnant right away and at that point I was 37. So I should say I had my first baby at 33 and I got pregnant again at 37. And that's not always the case for people. Obviously it can take a long time and especially after a C-section, secondary infertility is real. Meagan: It is. Rachel: Yeah. Not talked about enough. Really not talked about enough. Meagan: There's a lot of things, right, about C-sections that is not discussed about. For personal, for the mom, for the individual, the infertility, adhesions, all those things. Just the emotional and the physical. Then even the baby. There's risks for the baby, the allergies, the microbiome getting messed up. All the risks, it's just not discussed. Rachel: No, it's really not. And you kind of only find out later if you've had a C-section and you've had a problem down the road that you're like, maybe that's because of my C-section. It's ridiculous.So we got pregnant and I was not sure if I wanted to have a VBAC, but I started thinking about it from the beginning. And I also was like, if I don't have a VBAC how am I ever going to get myself into an OR, I just don't know. And I really think that VBAC is the under-discussed pain point for moms. And I'm preaching to the choir here but we're talking about half a million moms every year have to make this decision, if it's even available to them. Meagan: I was going to say, if it's even offered. Rachel: If it's even offered. Which is totally not a given. But theoretically, they do have this decision and I really have not…I should say, in the course of writing this book, but also just being a mom who had a bad C-section and then had a VBAC, I hear from people a lot about their journeys just like on the playground. Every person I've talked to, they agonize over it. No matter what they choose, no matter what. Why is that not talked about more? I mean that part of what this podcast is doing that's so important, but I still can't believe how under the radar it is, yet it's such a big deal when you're going through it. So anyway, I told myself I did not have to decide right away about a VBAC or a C-section. My midwife was like you can totally have a VBAC, you can totally have a C-section. Even if you have a C-section you can keep seeing me. I was worried like oh would I get bumped out of midwifery care. One of the things I'm really fortunate about and that I think is really good about that practice is that she has a very close relationship with one of the OB's there. Like they kind of share patients, I should say that. And that's because she's worked with him for a long time and he really respects her clinical skills and vice versa. The other thing about her that's unique and that I didn't know how important it is she's a Certified Nurse Midwife, so she attends births in the hospital. But she previously had been a homebirth practice and at a birth center as a CNM. So her skills are, like I said are phenomenal. A C-section is truly like we have to do this. I've run out of my bag of skills or like the baby or mom's health suggests that like we need to do this now. She worked with me to work with the scheduler so that I saw her for every visit which helped me to learn how to trust her and she didn't pressure me. Either way she was completely open. She also worked with me to make sure that I could see her for virtually every visit so that way she earned my trust. And I got to show her who I am. She got to understand me which was really important to the birth. Meagan: Yes, which I want to point out. There are a lot of providers these days that are working in groups. And I understand why they're working in groups. They're overworked, definitely not rested. There's reasons why, both midwives and OBGYNs are working in these big practices. But the thing is it's really nice to have that established relationship but for some reason specially for VBAC it's so important to have that one-on-one relationship. So if you can, during your search for finding providers, if you can find a provider that is going to be like Rachel's midwife where she's just like I want to get to know you, I want to establish this relationship. Yes, we have this OB over here but I want to be your person. I definitely think it's impactful.Rachel: I totally agree with you and I didn't even know that was possible. And she works for a big group and even so she told the schedulers, hey make sure you schedule her with me. She didn't just do that with me by the way, it wasn't just a special favor for this traumatized patient. And frankly it's better for the providers too because they're not coming in cold. Like ok who's this person, and she's saying this. And what's her prenatal care like? What's her pregnancy like? Of course they're looking at the notes, but it's not the same. Meagan: It isn't. And I love that she said that. But I also want to point out that you can request that. If you're in a group and you can connect whole-heartedly with someone and you feel it's definitely who you need, it's ok to ask hey. I know that I am supposed to meet Sarah Jane and Sally, but can I stay with whoever. And maybe you might not get every visit, but if you can get more visits than only that one? It's worth asking. Rachel: Totally. And also then you know their style. So like she was not an alarmist. Let's say I was over 35; I had to see a MFM just because of my age. That went fine, but if something had come up, like let's say I had a short cervix or there was something I found in an appointment with an MFM specialist I would know her well enough to take that to her to be like, put it to me straight. How worried should I be about this? As opposed to maybe this one's an alarmist, this one is more like ahh let me put this in…And the only way you're going to learn about that is from meeting with them again and again. And for VBAC that's so so important. Meagan: It is. It kind of reminds me of dating. It's weird. I had said this with my provider when I didn't switch. I was like, I feel like I'm breaking up with him. Like he's my second boyfriend, it's just weird. It's not really boyfriend but you know what I mean. But it is, we're dating them. And anyone, in my opinion, can come off really great for that first date because they're wanting to make that impression. They're wanting you to like them. But the more you get to know them, the more they may show their true colors. And you also may realize, I don't think I'm the right person for you. My desires aren't something that aligns with you and so I don't want to put you in this situation. And so if we date our providers, “date our providers,” a little bit more than just one time it really will help us know. And like you said, if something were to come up you could have that trusted person in your corner, which is so important for VBAC, that you can go to. Rachel: Totally. Yeah. So yeah, so pregnancy went well. And then right as I entered my third trimester it started to be COVID. Meagan: Mhmmm. The joys. Rachel: Nobody saw that coming. And then you know, things for the entire society obviously went completely off the rails. Obviously something like COVID is, we hope, not even once in a generation. Once in a hundred years experience. But given all the stuff that was up in the air, boy was I glad that there was one provider who I trusted. Who I could be like ok what do I do, what do I do. And I have to tell you that she and my daughter's pediatrician…I'm a professor. So I should say I'm in the classroom with young people who, you get sick a lot anyways. They're living in dorms, like they're not taking the best care of themselves. So COVID was circulating, and we live right outside New York City, COVID was circulating early here and I have a lot of colleagues that ended up getting it. And both my midwife and my child's pediatrician told me early you need to stop going in person, it's too dangerous for you. And I trust my daughter's pediatrician a lot, you know we have a nice relationship and I really trusted my midwife. Right? So I followed that advice and was really fortunate because boy. You know what you don't want while pregnant? COVID. And you know what you really didn't want? COVID in 2020 when you were pregnant and nobody knew anything, you know?Meagan: Right? Rachel: So, the blessing in disguise was that I was able to work from home. And it was super stressful because I had my daughter and my husband was here and you know, my husband is a photographer…I mean the funny thing is that I ended up, not my head but my body, being in these different photos he ended up taking and my belly was getting bigger and bigger and we kind of had to hide it. I'd be holding a book, or cleaning something. It was an absurd, crazy, isolating, scary, and also funny time. You know the blessing in disguise was that I wasn't on my feet as much and I think that that was really good for me as a pregnant person. There is also data that preterm birth went down during the lockdowns because people got to stay home and they don't necessarily get to do that leading up to birth, which tells us a lot about what we need and the rest we need and aren't getting. So anyway, at first everything went virtual and then when I started going in again for my appointments I had met the OB who works closely with my midwife. And we talked about what would happen if I went over 40 weeks. And he was like well, we're not going to automatically schedule a C-section, we would talk about potentially waiting or induction. And I really appreciated having that conversation with him because I understood where he was coming from and it wasn't again like we're going to schedule a C-section right now. So we know if you get to 40+3 and you haven't had the baby, bing bang boom. And that was very important information about his risk tolerance and his stance. Just like with my first birth I went into prodromal labor a few days before my due date. I had had a membrane sweep with my midwife. My in-laws came to stay with my daughter and we went to the hospital on a Saturday night. I didn't know this but my father-in-law told my husband I think she's getting ahead of her skis. And he was right in the end. So we get to the hospital and my contractions stop. And I'm like oh no. And my midwife was like, they put me on the monitor to get a strip which is like you know, what happens. Meagan: Normal.Rachel: And my midwife was like listen, your baby, he's not looking that good on the monitor. I want you to rest for a little bit and let's see. So I'll check back in with you in like half an hour. And I was so upset. I remember being like I can totally see where this is going to go and I had learned about VBAC in terms of like what could increase the chance of rupture or not and I was like I'm going to end up with another C-section and I'm going to be caught in the net. I didn't even have a shot, is what I felt. And then she came back half an hour later and she was like, “He looks great. I think he was just sleeping, and if you want to go home you can go home.”  And it was like 1 o'clock in the morning. And I was like, “I think we should go home.” I just felt like he's not ready. He's not ready to be born.  And remember, I trusted her so much. She would not tell me this if she thought that there was something…Meagan: If there was something wrong. Rachel: Exactly. She wasn't trying to be my friend. She was my provider. And so it felt really weird to leave and come home and not have a baby. And I thought was this the wrong thing to do, because I live like half an hour from the hospital, and was like no this is it.And then everything was quiet for a few days. And then just like my first labor, my daughter, I went into labor in the middle of the night and I had intense back labor, and I knew like this is the real deal, here we are. And this time I tried to rest. I did like cat/cow and just like anything, child's pose, just anything to feel more comfortable. And I called my midwife at 7 in the morning and she was like, “Okay, I want you to come in and be prepared to go into the hospital from this appointment.” So we did that and at that appointment, I had a headache, I had higher blood pressure, I was dilated to a 6, and she said to me, “Listen. Just so you know, they're not going to let you go home. You're going to the hospital, no matter what if your contractions stop or not whatever. This is what's happening because of how dilated you are, the fact that you have this headache, this BP readings, whatever.” And I was like that's completely reasonable, I felt that way too. You know what I mean? But I really appreciated she communicated that with me so clearly and explained why. So I planned initially to try to have an unmedicated, vaginal birth. My midwife and I had discussed these saline boluses you can have in your, by your, what's it called. Like the triangular bone in your back? I'm totally blanking. Meagan: Your sacrum?Rachel: The sacrum. Yeah, that that can alleviate some pain. And very quickly the pain was, I found it to be unbearable. And I asked for an epidural. And the anaesthesiologist came right away and did a very good job. And the nurses and the midwife who were at the hospital were using a peanut ball and helping me move and really supportive emotionally. And I was still really scared, right? Because I had had this terrible birth before, I thought something would happen to me. And nobody treated me like I was exaggerating or you know like, unreasonable. And that mattered a lot. And I think what's important is you shouldn't have to have gone through a bad birth for people then to take you at face value. With your first birth, it should be the standard for everybody. Meagan: Such a powerful saying right there. Rachel: And they were wonderful, truly, clinically and beside.Meagan: Good.Rachel: And then my midwife surprised me by showing up. She was not on call, she came in at like 9 o'clock, no she came in at like 5 o'clock, like once she'd seen her patients and I was just like oh my god,  so moved to see her. And you know, I was pretty far along at that point and she kind of helped me get into different positions and then it was like okay, it was time to push. And they had managed that epidural so I could feel when it was time to push, and I could feel how she and the nurse were telling me to like push here, right? Like use this, make this go. The pain was really intense but it wasn't suffering, like okay, I'm getting instruction. And as I was pushing I could feel that it wasn't going to work. I was like he's not, his head…I could just feel it. Apparently he was kind of coming and kind of going back up, like his head forward and back. And my midwife was like do I have permission from you to try and move his head? I think his head is not in the best position. And I said yes, and she tried to do it and she couldn't. Her fingers weren't strong enough and then she went to the OB and she told me this later.She said to him can you come and move his head? He'd been trained by midwives in the military, by the way, which is one reason his clinical skills are so amazing.Meagan: That's awesome. Okay.Rachel: Awesome. And at first he apparently was like, oh she's a VBAC, like I can't believe you're asking me to do this. And my midwife, again they trust each other right, and she was like the baby's doing great and the mom's doing great. I really think this is going to work. And he was like okay. So he came in, asked my permission, I said yes and he moved my son's head. My water had not broken again, right? So it's like the same thing as the first one. And once he got in position and I started pushing my water broke in an explosion all over my midwife. That's why they wear goggles, now I know. And she went and changed her clothes. I pushed for 45 minutes and then he came out.Meagan: Oh my gosh. Rachel: It was amazing and I felt so proud and I was completely depleted. I was so high and also so low. And I think what's amazing to me is that it was almost the same labor as my daughter, which just tells me that's how my body tends to do.Meagan: Your pelvis. And some babies need to enter posterior or even in a weird position to actually get down. So that can happen. Rachel: Thank you. And also my water didn't break until the very end so there was buoyancy to be moved, right? And again who knows what would have happened if I had been with this provider the first time. Like maybe these decels really meant that my daughter had to come out like then. That is possible. And that first team did not have the skills of the second team. None of this was even brought up, wasn't even a possibility. And I should say that first birth, I didn't even mention this. The OB that gave me that C-section, later told me that my daughter's head was kind of cocked when he took her out. Which suggests that it was just like my son. And how I'm grateful for my epidural. I'm grateful for, you know, all the things that technological kept me safe, but it was these skills of facilitating vaginal birth that made the difference for me to have that VBAC. Meagan: Absolutely. And the hardest thing for me is seeing that these skills are being lost. Rachel: Yes.Meagan: Or maybe it's not that they're being lost, they're being ignored. And I don't know which one it is. I really don't know because I see people using them. So I feel like it's got to be there. But then I go to other births and I'm like, wait what? You're not going to do anything to help her right here? Or you know, it probably could have been a vaginal birth if we had a provider come in and be like we have  a little asynclitic head, why don't we change into this position and let me see if I can just ever so slightly help this baby's head turn. It just isn't even offered. Rachel: Yes. Meagan: And that's something that I think needs to be added to questions for your provider. In the event that my baby is really low and coming vaginally, but is in a wonky position, what do you do to help my babys' position change to help me have a vaginal birth. And then even further what steps do you take past then if it doesn't work and my baby's so slow. Do we do assisted delivery? What do we do, let's have this conversation. So if it does come up, you're aware. Rachel: I love that. Meagan: I was going to say if your provider says, I don't know/I don't really help, then maybe that's not your right provider. Rachel: And I think what's so smart about that framing is that it's not putting the provider on the defensive of like, what's your training, right? Then it's like, what is your problem? But you're actually asking about their skills and you're asking about their approach, without coming from a place of seeming doubt. Just like, I'm just curious. Meagan: Yeah. Like what could I expect if this were to happen, especially if in the past. Say your C-section was failure to descend, mostly based off on position, we know that this is a big thing. But if your past cesarean was failure to descend, ask those questions to your provider. What steps can you take? What steps can we do together, you and I, to help this baby come out vaginally? Rachel: Totally. And I think also, that way, let's say the VBAC doesn't work out, you won't then be looking back over your shoulder and being like I should of/could of/why didn't I/if only. And you know, what do you want out of your birth experience? Well a lot, but part of it is a sense of peace. Right? That I did the best that I could. That my team did the best that they could.Meagan: Yes. Yeah and really interviewing your provider. Again, dating your provider and asking them the questions, learning more about them and what they do and their view. Taking out the yes and no questions and really trying to get to know this provider and letting them get to know you. I think it's just so impactful. I also, kind of like what you were saying with your first birth, also learning the other types of birth that could happen, you know learning about assisted birth. This is a new thing. Learning if assisted birth trumps a cesarean for you. Would you rather go for an assisted birth, even if it may end in cesarean, would you rather attempt that? Or would you just rather skip that and go right to the cesarean. Really educating yourself and trying not to push off the scary even though it can be scary. Rachel: Yes, yes. I love that you're saying this and I was just thinking about this and talking about this with a friend; there's stuff we hope doesn't happen. But not talking about it or thinking about it isn't going to protect us from it happening, it's just going to mean you're not prepared. Meagan: Yeah.Rachel: If it does happen. And yeah. Meagan: It's a disservice to ourselves. And it's weird. And it's hard to hear those stories. It's hard to hear the CBAC stories, it's hard to hear the uterine rupture stories that we do share on this podcast. Kind of what you're talking about the trigger warnings earlier, yeah it might be a trigger. It really might. But if we know all the signs of uterine rupture leading up to, we can be aware. And it's not something to hyperfocus on. We don't want it to be like oh my gosh I have this weird pain, right now, I don't know. It's not to make you scared, it really isn't. It's to just help you feel educated. Kind of what you were saying too. I don't know what a C-section looked like until I was in my own C-section. Rachel: Yeah. I've been talking about this recently with an anesthesiologist, some anti-anxiety medicine which you might get during a C-section, can cause memory loss. That's a side effect. So the time to decide…Let's say you're not planning on having a C-section. And then you're having a C-section and you're really anxious, really reasonable. The time to decide whether to take that anti-anxiety medicine which might cause memory loss; you should have an opportunity to reflect on that and talk about that  and think about that not only in the moment when you're scared and should I take it right now or not. Meagan: Yeah.Rachel: It's just like that's not a good way to make a decision, you know?Meagan: Yeah. And also learning about alternatives. Okay, these are the side effects of this medication, and I don't think I'm willing to accept that. So let's talk about other medications and those side effects so we can see if we can switch it up.  They have a whole bunch of things in their toolbox when it comes to medication. Rachel: Exactly. Meagan: For nausea. You know I had a medication and it affected my chest. It went all the way into my chest and I had to consciously focus on my chest moving. It was the weirdest feeling. Rachel: Terrifying, yeah. Meagan: I wish I would have known the alternatives to that. Right? So having these educated discussions, learning as much as you can. It's hard and it's scary and it's intimidating to not learn what you don't want. It's understandable, too.Rachel: Completely, completely. But that's informed consent, right? The risks, the benefits, the alternatives. And to go back to the anti-anxiety thing. You might be like okay, what could you do for me non-pharmacologically? Let's say I have a C-section and I'm feeling really anxious. Can I have a doula with me there who's giving me a massage? Can I have a doula there who's maybe put some lavender essence on a washcloth to hold to my nose. Can the anesthesiologist hold my hand and tell me it's going to be okay? And then you start actually opening up real options. Like wow I can have a doula with me?Meagan: Yes. That is something that I am very passionate about. We need to get doulas in the OR way more than we are. And I understand that it's like oh we don't have PPE, or oh it's an extra body, and oh it's a very big surgery, like I understand that. But I have been in the OR a good handful of times. And I understand my position in that room. I understand and respect my position in that room. And I always let an anesthesiologist know, if at any point something happens where I need to leave this room you just tell me. I will leave. No questions asked. But please let me be here with my client. Please let me stroke her hair. Please let me talk to her when dad goes over to baby so she's not alone. When you were put under general anesthesia to be there by your side, whether or not you were waking up in the OR. Because sometimes you could wake up sooner, or waking up in post-operative. Let's get these people here. Let's play music. Let's talk to them. Let's communicate the birth.I mean with my first C-section, they were complaining about the storm outside, they weren't even talking to me, right? And it would have impacted my birth in such a more positive light if I would have been talked to. And I wouldn't have felt like, what's going on. You know and all those things, you talked about it in your book. This drape that is separating us from our birth, it's just wild. So one of the questions we ask when you sign up to be on the podcast is topics of discussion that you would like to share, and one of those things is you said, why it's important to balance preparation for VBAC with an understanding of the systemic forces that promote C-sections. We're kind of talking about that, but do you have anything else to say on that? Rachel: I think that there is so much self-blame for having a C-section, when you wanted to have a vaginal birth. And go back to pain and suffering, that causes suffering. And it's heartbreaking to see that and to feel that. And when I think about it, I think what's important to keep in mind is like there are the particulars of your experience, right? Like your providers had the skills or didn't. They listened or they didn't. Your baby had decels or didn't. Like all that is real. And you're not the first or only person any of that is happening to. So why are we hooked up to electronic fetal monitoring, EFM, as soon as we walk into the hospital? Well that is because of how technology reigns supreme right now in every aspect of our society, but medicine too. And also that like it's an efficient system and medical birth, medicalized birth is all about efficiency and making as much money as possible frankly. Meagan: And there's even deeper history, we talk about that in our VBAC course, about why that was happening around cerebral palsy and what it actually did for cerebral palsy rates. All of these things. It's pretty fascinating when you get into it and understand one, why they do it and does it work? Does it make sense? They do it and just became practice and norm, but it did it actually impact the things that, okay how do I say this. Does it impact the things that they were originally creating it to impact? Rachel: Right. Totally. And it's actually the opposite; it was supposed to bring down the number of C-section rates, or the number of C-sections, when the number was like 4.5% in the early seventies and it's just gone in the opposite direction.There's so much evidence that you use it and it makes you more likely to have a C-section. And so yeah, okay, not your fault. That's the system. And I don't mean it in this way like, that's the system, give up, lay down, don't try to make your own feet, but also just to accept that that's what you're operating in and that's what your providers are operating in too. Right? Use it as a way to let go of the guilt and the shame and the, I messed up. My body messed up. Meagan: Yeah. Because there's so many of us that feel that. Rachel: Yes. Meagan: And it goes into the next topic they were saying that I think really can help us walk away with less of, I messed up. My body messed up. My baby failed me. You know whatever it may be. And doing effective research about the hospitals and their employment patterns and the chances of you even having a VBAC. That does kind of go into the balls in our court where we have to get the education and understand. But even when we do that, even when we don't have the best experience, in the end we're still going to look back at it as we did, WE did, the best we could. Right? And it takes less of that blame on us in a way because we know we did everything we could. Rachel: Yes.Meagan: And sometimes it just still happens. Even if you have the doula. Take the VBAC course. Read all the VBAC books, listen to all the podcasts, understand all the risks. Sometimes it still happens. Rachel: Totally. And I mean I think about in my case, like let's say my midwife hadn't come in for me and my OB hadn't been the one who had been attending that night, maybe I would have had a C-section. Because maybe the people there wouldn't have known how to effectively move my son's head. Even though I like did my best and that's okay. It has to be okay because you can't kind of change it. And again, not to be defeat-ist. But to find peace, just to find peace. Meagan: Yeah. I wish that for our VBAC community is finding peace and giving ourselves grace along our journeys. Because we've had 100's of podcast stories and there are so many of us who are still searching for peace. And still not offering ourselves grace, and putting that blame on us, or whatever, right? Everyone's so different and again, we talked about this earlier, it's just different. But I would love to see our community offering themselves more grace and finding more peace with their experiences along the way. And I don't exactly know what that healing looks like and how that peace is found. Do you have any suggestions on ways you have found peace with a very very very traumatic experience that not only led to trauma in that experience, but even in future procedures, in future experiences you know. Do you have any tips on just, guidance on finding peace? Rachel: I mean, I struggle with this still. And it sounds counterintuitive, but I think like not pushing away your feelings. And in the sense of not wallowing, but also not like struggling against them, trying to quiet them, make them be like ugh I hate this. Ugh I hate that I feel this way. Ugh if only I could get over it. So I'll say like, when I go to the doctor now, I get really scared especially if it's a new person and my blood pressure goes up and sometimes my heart rate goes up and it just sort of happens. And I hate it. And there are times when I'm like ugh I hate this part of me. I just hate it.But then when I'm kind of more accepting and it's like, this is how my body responds. It's understandable that this is how my body responds. And I take a Xanax actually. I say that to really take away the stigma I think that still exists around medical trauma and taking medication to manage your symptoms. I take a low dose Xanax before I go to see a provider and it helps me with my suffering. And also just like accepting. Because also there's this saying, if you struggle against the feelings of suffering, then you kind of suffer twice over. Right?Meagan: You do. Rachel: So I would say that, and then specifically for people who feel they had a traumatic experience, I've found EMDR treatment to be very effective, to deal with stuff in the body. That was pioneered more to deal with people who've been in like combat trauma, but it's very effective for traumatic birth. Tapping is another thing that can be very effective. And you can find that online, like there are different…Meagan: I was gonna say, you can go to YouTube and google trauma tapping or anything like that, and you can actually find some pretty great videos for free on how to do that. And it's pretty wild actually how well it works. Rachel: It really is. Meagan: Sometimes it's like wait, how is this working? It really does work. Rachel: Totally. And also I would say like in terms of again, peace, I think it's really important to speak openly about what has happened to you. And to the extent possible, we're conditioned to be like I'm just going to tie this up with a bow and it's okay. Someone says to you, you've expressed something hard, and they're like oh I'm so sorry and you're like it's okay, I'm going to be okay. Like you don't have to worry so much about reassuring your listener. You can be like yeah I had this C-section, and I'm still kind of upset about it. And yeah, that's how I feel. You don't have to self-qualify that. You know, but my baby is healthy. But I'm okay. But I love my baby. We do that; there's a lot of pressure to do that. And it's okay not to do that. It's okay to be like these are my feelings. And two things can be true at the same time. You can love your baby, and you can also be like I'm not that thrilled with the birth. Meagan: Awe yes. Julie and I have talked about that for years. They don't have to be separate. They can go together. You can love your baby and feel connected to your baby and really not like your birth experience. And you can also, we have found that people prep and then they have a vaginal birth and they're like I actually didn't really like that either. So you know, they don't have to just always be separate. You can be really happy and really be upset at the same time. It's okay to have those feelings, right? I have had things in my life where I've done something and I'm like dang. I really like how it turned out, but I hated the journey to getting there. And that's okay. So I love that you pointed that out. Rachel: Yes. or if you think about how you feel on your children's birthdays. So like I have very different feelings on my daughter's birthdays then my son's birthday. I had a good birth with my son. And it was good not because it was a VBAC, but because I was respected and I felt safe. That's what made that a good birth. Right? Just to be totally clear. I'm really glad I had a VBAC, I'm happy I got what

If you want to gain referrals from doctors working with your demographic whether for HRT or using a GLP-1 drug, learn how to show what you do. It's not your certifications or your website. It's the art of communicating what you do and how you do it by demonstrating or by testimonials that will win you referrals.   My Guest: Emily Sadri is a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife, and the founder of Aurelia Health, a modern telemedicine practice for women over 35. Aurelia Health provides comprehensive hormone replacement therapy and weight loss support with long visits and un-rushed care. Emily is passionate about making complex hormonal topics accessible and believes that great health starts with happy hormones and a balanced stress response. Questions We Answer in this Episode:  How can you, within your scope of practice, support the female clients you're working with in midlife? [00:08:58] What is attractive about a health and fitness professional for a provider so that you can be that? [00:11:57] What coaches do you refer to? [00:13:24] What is Emily's tip for success in working with this demographic? [00:13:50]   There you have it. This is a blue ocean waiting for you. Few coaches and trainers do this outreach to the medical community well. This is not an email campaign. This is getting to know one doctor at a time and letting them know you and what you do. You heard it here! To gain referrals you also may want to consider referring clients to others.  Connect with Emily and The Perimenopause Revolution Summit: https://www.flippingfifty.com/revolution  On Social: Instagram: https://www.instagram.com/emilysadri_np/  Facebook: https://www.facebook.com/emilysadri.np.ohio  Resources:  Business Scorecard: https://www.fitnessmarketingmastery.com/scorecard  Flipping 50 Menopause Fitness Specialist: https://www.flippnigfifty.com/specialist  Other Episodes You Might Like:  Coaching Client Nutrition within Scope of Practice for Revenue & Impact: https://www.fitnessmarketingmastery.com/coaching-nutrition-clients/ Is There a Boundary Between Your Personal and Professional Self? https://www.fitnessmarketingmastery.com/boundary-personal-professional-self/ Tools to Get Clients to Stick With Their Exercise: https://www.fitnessmarketingmastery.com/clients-stick-with-their-exercise/  Optimizing Hormones Early in Perimenopause: https://www.flippingfifty.com/optimizing-hormones-early

My Guest: Emily Sadri is a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife, and the founder of Aurelia Health, a modern telemedicine practice for women over 35. Aurelia Health provides comprehensive hormone replacement therapy and weight loss support with long visits and un-rushed care. Emily is passionate about making complex hormonal topics accessible and believes that great health starts with happy hormones and a balanced stress response. Questions We Answer in This Episode: Why do you think there still so much confusion about hormone replacement therapy and if it's "good" or "bad"[00:18:56] You suggest there are downsides to hormone testing… and I'm curious about why you'd say so? [00:22:50] I'm also shocked to find some believe testing is unnecessary with estrogen and progesterone replacement therapy, that seems like a big fat game of trial and error and any woman on HRT knows that getting your cocktail right already is a course-correcting journey as it is - say more about these people who are shooting darts in the dark.. Who does that? [00:24:29] First of all, what is balanced? How do you know when all of the major hormones are "balanced"? [00:27:52] Do you think every woman benefits from testosterone replacement therapy? [00:34:26] What additional factors do you focus on with your patients to help them be successful with HRT? [00:35:08] Few women were optimizing hormones early in perimenopause a decade ago. But the health outlook for those that do stands to be significantly better than for those women who experience drops then boost it again. Are you doing HRT in perimenopause? Or Did you? Connect with Emily and The Perimenopause Revolution Summit https://www.flippingfifty.com/revolution On Social: Instagram: https://www.instagram.com/emilysadri_np/ Facebook: https://www.facebook.com/emilysadri.np.ohio Other Episodes You Might Like: Can I Still Start Hormones 10 Years After Menopause? Doctors Respond: https://www.flippingfifty.com/start-hormones-10-years-after-menopause/ What Women Need to Know about Hormone Replacement Therapy: https://www.flippingfifty.com/what-to-know-about-hrt/ Hormone Testing Started It: What My GI Doctor Suggested I Do Next: https://www.flippingfifty.com/hormone-testing-started/ Resources: 5 Day Flip: https://www.flippingfifty.com/

I am so excited to welcome Emily Sadri to the show to talk all things perimenopause! She's a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife, and hormone expert who's helped thousands of women through this journey.  Emily is amazing at breaking down complex topics and making them accessible, and we got into the weeds on weight loss, insomnia, and how and why the loss of estrogen affects us so deeply. If you want more info, join the summit for free! I'll be speaking there:  https://perimenopauserevolution.com/?orid=16 North American Menopause Society: https://www.menopause.org/ (referenced during the interview) Read the show notes for today's episode at terricole.com/653

In another transformative episode of Health Youniversity, we dive deep into the maternal health blueprint that every woman needs to support her journey through pregnancy, motherhood, and perimenopause. Our guest, Emily Sadri, a midwife and women's health advocate, shares her powerful story of navigating burnout while juggling motherhood and a demanding career. Emily also offers actionable strategies for sustaining long-term health and well-being. Whether you're planning for pregnancy or looking ahead to perimenopause, this episode will inspire you to prioritize self-care and create a wellness plan that evolves with you.Emily Sadri is the founder of an innovative hormone Telehealth practice, Aurelia Women's Health, whose mission is to help women repair their hormones and lose weight with confidence and ease (and without dieting).Emily is a Board Certified Women's Health Nurse Practitioner, Certified Nurse Midwife and hormone expert who has helped thousands of women understand the complex transition from reproductive yeas to and through perimenopause, and regain their sanity, clarity and zest for life.Emily has a gift for making complex hormonal topics accessible and actionable, and she believes that great health starts with happy hormones and a balanced stress response.Website: http://emilysadri.com/  Register now for “The Perimenopause Revolution Summit – Discover the Path to Thriving Midlife” October 17-20, 2024, hosted by Emily Sadri. https://perimenopauserevolution.com/?orid=25 Visit Emily's new site, Aurelia Health, comes online on October 15th: http://aureliawomenshealth.com/   

Send us a textIn this episode, Cara and Missi are joined by Dr. Krsyta Ramirez Henry, a Certified Nurse-Midwife that works in a recently developed OB emergency department at a high-volume community hospital. Krysta and Missi compare and contrast the various triage presentations, protocols, and interprofessional communication that takes place in a busy triage unit. #MidwifeLife #ScopeOfPractice #InterprofessionalCare #PatientTeaching #EveryWomanDeservesAMidwife #TeamBasedCare

What are IBCLCs Afraid of? Episode 364 In this conversation, Lisa Paladino discusses her experiences, as an IBCLC and Certified Nurse Midwife, with 35 years of experience, and the fears that come with this career.. She talks about the responsibility of not missing any medical problems or lactation issues, the fear of not being trusted or taken seriously, and the concern of giving care plans that may not work for families. Lisa emphasizes the importance of developing a rapport with the families and providing education and resources to build trust. She also shares a case study of a baby with a tongue tie to illustrate the decision-making process and the art and science of being an IBCLC.Takeaways: Being an IBCLC is a high-pressure job with a lot of responsibility.IBCLCs fear missing medical problems or lactation issues and not being trusted or taken seriously.Developing a rapport with families and providing education and resources is crucial for building trust.Care plans should be tailored to the individual needs and capabilities of the families.The decision-making process as an IBCLC involves a combination of science and art.More From Tongue Tie Experts:To learn more, download freebies, and for the links mentioned in the episode, including our popular course, Understanding Milk Supply for Medical and Birth Professionals, click here: www.tonguetieexperts.net/LinksUse code PODCAST15 for 15% off all of our offerings.A gentle disclaimer. Please do not consider anything discussed on this podcast, by myself or any guest of the podcast, to be medical advice. The information is provided for educational purposes only and does not take the place of your own medical or lactation provider.

In this episode of Health Youniversity, we are joined by Dr. Paul Quinn, a distinguished professor, author, and midwife with 30 years of experience. Dr. Paul discusses his latest book, Prenatal Possibilities, a unique cookbook designed for women and families during pregnancy and beyond. This book not only focuses on nutritious recipes but also emphasizes the importance of aligning the mind and body during pregnancy. With a deep-rooted connection to his New York upbringing and Italian heritage, Dr. Paul offers a refreshing perspective on prenatal nutrition. Tune in as we explore the misconceptions around prenatal care, the significance of holistic health practices, and how Dr. Paul's extensive clinical experience has shaped his approach to supporting pregnant women.Paul Quinn, PhD, CNM has been a nurse for close to three decades and a Certified Nurse Midwife (CNM) for almost two decades. Dr. Quinn has worked in the most diverse settings and had the privilege to meet, care for, and interact with the most dynamic, interesting, and insightful women. Possessing a PhD in nursing, he is a scientist at heart with a passion for putting research into action in ways that improve people's lives.More about Dr. Quinn PhD, CNMWebsite:  https://prenatalpossibilities.com/author/prenatalpossibilities/Certified Nurse Midwife for almost three decades Longtime employee at The Valley Hospital in Ridgewood, New JerseyProfessor in obstetrical nursing and nursing research at Dominican University New YorkAuthor of five books, all found HERE on Amazon 

Send us a Text Message.Welcome to our first breastfeeding-only Q&A with Trisha & Cynthia. Trisha is a Certified Nurse-Midwife and International Board Certified Lactation Consultant with thousands of hours of clinical experience. Today's episode follows the format of our regular monthly Q&A episodes, where women call in with questions and we wrap up with Quickies at the end, but this time it's your breastfeeding questions only. Today Trisha answers questions such as: Can I introduce a pacifier to my exclusively breastfed baby at two and a half weeks?Is it a nursing strike or weaning: Help! My eleven-month-old is refusing my breast. What is the best way to manage pumping for my exclusively breastfed baby when I am away?How and when do I introduce a bottle to my exclusively breastfed baby so that I can leave him/her with a caregiver?What are your thoughts on using the medication Domperidone with a diagnosis of Insufficient Glandular Tissue (IGT)?In our round of Quickies, we touch on leaking, supplements for increasing supply, prenatal hand expression of colostrum, alcohol and breastmilk, breast refusal, lip blisters, breast fullness and milk supply, and flat nipples.Please remember, that every mother and baby dyad is unique, and breastfeeding issues require an individualized care plan. Online appointments are available with Trisha by texting 734-649-6294.**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products to nourish yourself before, during, and after pregnancy.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.Use promo code: DOWNTOBIRTH for all of the above sponsors.Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWNWork with Cynthia: 203-952-7299 HypnoBirthingCT.comWork with Trisha: 734-649-6294Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.Connect with us on Patreon for our exclusive content.Email Contact@DownToBirthShow.comInstagram @downtobirthshowCall us at 802-GET-DOWN Work with Cynthia: 203-952-7299 HypnoBirthingCT.com Work with Trisha: 734-649-6294 Please remember we don't provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

adrienne welcomes Queer, non-binary, gender expansive, Two-Spirit human, Sara Flores to Witch School. They get into hot springs, presence-ing, “where intention flows energy goes”, mother's backyard garden, picking red berries, making magic potions, being in a safe imaginary land, sacred kink, PLEASURE, surviving target violence, midwifery, the word “midwife”, unearthing what's behind all of this, witch hunts on Turtle Island, children feeling magic, accessing your own divinity instead of someone else's, the secret mission of this whole season being that we all have it, being specific, the plant you need is always nearest to you, yarro, spider medicine, not wanting to knock down wasp nests and safeguarding our attention! Sara Flores (they/them) is a midwife who strives to forward the legacy of those who protected and passed on Indigenous Sacred Technology and who see health and bodily autonomy as key aspects of individual and collective liberation. They are a Registered Nurse, Certified Nurse Midwife, and Reproductive Justice Health Nurse Practitioner by way of the cis-heteronormative, racist education model that they are determined to disrupt. Sara has experienced joy and community accountability as co-author of “Freeing Ourselves: A Guide to Health and Self Love for Brown Bois”, being a founding member of the Healing Clinic Collective which provides free traditional healing clinics throughout Occupied Huichin(Bay Area California), and being a member of The Intergalactic Council of Midwives, a council that enhances the spiritual fortitude of midwives.  --- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SUPPORT OUR SHOW! - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/Endoftheworldshow --- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TRANSCRIPT⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ --- Music by Tunde Olaniran, Mother Cyborg and The Bengsons --- HTS ESSENTIALS ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SUPPORT Our Show on Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/Endoftheworldshow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PEEP us on IG⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/endoftheworldpc/⁠⁠⁠⁠⁠⁠⁠⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/how-to-survive-the-end-of-the-world/message