Podcasts about cesarean

Hey everyone, thanks for tuning in. If you've spent any time in the OR during a cesarean delivery, you know that the choice between uterine exteriorization and in situ repair usually comes down to how you were trained or personal surgeon preference. It's a debate as old as modern obstetrics. But a major piece of clarity is coming down the pipeline. This episode, we are getting a sneak peek at a brand-new systematic review and meta-analysis dropping this July 2026 in the European Journal of OBGYN. We're asking the big question: is this the study that finally settles the debate once and for all? Grab your coffee, stick around, and let's find out.16% OFF TONA ACTIVE WEAR PROMO: https://tonaactive.com/discount/CHAPANOSPINOBG​ Coutinho, I. C., Ramos de Amorim, M. M., Katz, L., & Bandeira de Ferraz, Á. A. (2008). Uterine exteriorization compared with in situ repair at cesarean delivery: A randomized controlled trial. Obstetrics & Gynecology, 111(3), 639–647. https://doi.org/10.1097/aog.0b013e31816521e2 . (One of the most heavily cited clinical trials on the subject. It established that women in the exteriorized group experienced a 41% greater risk of moderate-to-severe pain at 6 hours postoperatively compared to the non-exteriorized cohort).​ Tan, H. S., Taylor, R. C., Sharawi, N., Sultana, R., Barton, K. D., & Habib, A. S. (2021). Uterine exteriorization versus in situ repair in Cesarean delivery: A systematic review and meta-analysis. Canadian Journal of Anaesthesia, 69(2), 216–233. https://doi.org/10.1007/s12630-021-02142-8​ Fonseca Queiroz L, Lemos M, Pereira da Silva D . Uterine exteriorization versus in-situ uterine repair during cesarean delivery: a systematic review and meta-analysis of randomized controlled trial. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2026; 323

TWiN explains the finding that vaginal microbiota transfer ameliorates cesarean-associated neurodevelopmental deficits in mice via synthesis of a sphingosine derivative on neonatal skin. .Hosts: Vincent Racaniello, Vivianne Morrison, and Tim Cheung Subscribe (free): Apple Podcasts, Google Podcasts, RSS Links for this episode MicrobeTV Discord Server Vaginal microbiota transfer ameliorates cesarean-associated neurodevelopmental deficits (Cell Host Microbe) Timestamps by Jolene Ramsey. Thanks! Music is by Ronald Jenkees Send your neuroscience questions and comments to twin@microbe.tv

Are you expecting to have a cesarean or "belly birth" soon? Are you curious about how your surgery will impact your breastfeeding relationship with your new baby? Get the facts about breastfeeding after cesarean. How soon can you feed your baby? How important is skin to skin contact? And what do you need to know about babies who are unusually sleepy. Learn more about your ad choices. Visit megaphone.fm/adchoices

Celia is a mom of four, an Air Force Technical Sergeant, and a passionate advocate for evidence-based communication in birth. In this episode, she shares her four very different birth experiences: a 36-hour induction ending in a forceps delivery and severe tear, another induction that turned precipitous, a breech Cesarean that felt calm and healing, and ultimately a hospital water birth VBAC at a hospital that DIDN'T allow water births! Celia opens up about prenatal depression, birth trauma, knowing your worth, switching providers, and the reality that both cesareans and vaginal births can be traumatic, and both can also be healing.Celia also sheds light on the power dynamics with navigating military maternity care as an enlisted service member treated by officers within the system. She talks about healing from an abusive relationship, how she opened her heart to love and trust again, and the unique challenges that come with a blended family. We encourage all Women of Strength to give grace to the younger versions of yourself just as Celia so beautifully exemplifies!Keywords: VBAC, hospital water birth, birth trauma, military maternity care, MTF, active duty VBAC, switching providers, forceps delivery, breech cesarean, advocacy, prenatal depression, precipitous labor, healing, hospital policiesPostpartum Support International Provider DirectoryNeeded Website: Code TVL for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingAdvertising Inquiries: https://redcircle.com/brands

Cesarean delivery on maternal request requires individualized counseling. Reduced risks of pelvic floor disorders should be weighed against surgical risks and future risks including abnormal placentation. Author Marianna Alperin, MD, MS, from UC San Diego School of Medicine, discusses this and more with JAMA Deputy Editor Linda Brubaker, MD. Related Content: Cesarean Delivery on Maternal Request Cesarean Delivery—Reply Cesarean Delivery

This episode features Prof. Rihua Xie from Guangdong Medical University (China) and Dr. Yuhang Zhang from Peking University First Hospital (China), speaking about vaginal microbiota transfer (VMT) and how it may affect neurodevelopment in newborn infants born by Cesarean section. Compared with vaginally delivered infants, C-section delivered infants have altered microbial exposures. VMT has been proposed as a way to ‘restore' the microbiota of these infants to more closely resemble that of vaginally-born infants. A recent study by Prof. Xie and Dr. Zhang showed that the order and timing of early microbial colonization of the infant is important. They found that VMT could establish a vaginal-like skin microbiota in infants born by C-section, with two particular bacterial species that were higher after VMT. These two species led to the production of metabolites that combined on the newborn's skin to synthesize an important lipid, which was positively correlated with neurodevelopment scores at three and six months. Subsequent mouse model work showed how this lipid could reach the brain. In the future, safety and standardization of VMT will be important priorities in this research area. Prof. Xie and Dr. Zhang emphasized that their work needs to be replicated in larger cohorts, with the eventual goal of engineering bacteria to create a probiotic intervention that delivers neurodevelopmental benefits to C-section born infants. Episode abbreviations and links: The research by Prof. Xie and Dr. Zhang demonstrating how a VMT intervention alters the skin microbiota of newborns, with a mechanistic link to neurodevelopment: Vaginal microbiota transfer ameliorates cesarean-associated neurodevelopmental deficits in mice via N-bc2S1P synthesis on neonatal skin About Prof. Rihua Xie: Dr. Ri-hua Xie (RN, PhD, FAAN) is Professor, Principal Investigator, and Chief Nurse at the School of Nursing, Southern Medical University, and the Affiliated Foshan Women and Children Hospital, Guangdong Medical University, China. Dr. Xie is widely recognized for her expertise in maternal and infant health as a clinician, researcher, and supervisor. She has published more than 90 peer-reviewed papers and 11 nursing textbooks and has received 12 competitive research grants from institutions in China and Canada. In addition to her academic work, Dr. Xie is actively engaged in community and public health service, including breastfeeding promotion and frontline support during the COVID-19 pandemic. Her research focuses on perinatal epidemiology, maternal and child health, and microbiome science, with a particular emphasis on the effects of vaginal microbiota transfer (VMT) on the microbiota composition and health outcomes of cesarean-delivered infants. About Dr. Yuhang Zhang: Yuhang Zhang, PhD in Pharmacology, is an Associate Professor and Principal Investigator at Peking University First Hospital. He received his MD-PhD from Capital Medical University and was a visiting scholar at McGill University, Canada. Dr. Zhang's research focuses on gut microbiome, probiotics, and microbial metabolism in metabolic diseases, who has published over 20 peer‑reviewed papers as first or corresponding author in journals including Gastroenterology, Journal of Hepatology, and Nature Communications, cited >1,000 times. He has led 9 grants, including the National Natural Science Foundation of China, who was selected for the Beijing Association for Science and Technology Young Talent Program (2022) and the China Association for Science and Technology Young Talent Program (2025). The research of Dr. Zhang focuses on the integrated systems pharmacology, multiomics and microbiome‑host interactions to develop precision medicine.

Listen to Jacquelyn and Ruth react to Evidence Based Birth's podcast episode all about reducing risk of cesarean section! You can listen to EBB's original episode, with all of the statistics and studies mentioned, here: https://evidencebasedbirth.com/ebb-343-top-ten-evidence-based-strategies-for-lowering-the-risk-of-cesarean/***Enjoying the Having A Baby In China Podcast? Leave us a rating or write a review in your favorite podcast app, share us with your friends, or contact us on Instagram!***Visit the Having a Baby in China Website: https://www.havingababyinchina.com/Follow @HavingABabyInChina on Instagram Check out Having a Baby in China: The Course - A Video Course to learn about it all!

When Samantha became pregnant with her first baby, she was already working as a doula and felt more familiar with birth than most first-time mothers. She planned a home birth with a midwife, but after a long labor she transferred to the hospital. There, her experience was deeply impacted by a nurse who yelled at her during the pushing phase. Although her baby was born healthy, Samantha struggled with severe postpartum anxiety after the birth. For her second pregnancy, Samantha chose a new midwife and planned another home birth. Once again, she transferred to the hospital near the end of labor, but this time the experience was completely different because she was the one making the decisions. At the hospital, Samantha began having panic attacks during contractions and ultimately decided she wanted a cesarean birth. Even though there was no medical emergency, the staff respected her wishes and supported her choice. In this episode, Samantha shares how an empowered hospital transfer and maternal autonomy turned her second birth, and cesarean experience, into something deeply healing and unexpectedly beautiful. Find Samantha on Instagram @Samantha_yeaton_ Samantha's Website  If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

Detectives Olivia Benson and Elliot Stabler search for a baby who was ripped out of her pregnant mother's body. The detectives learn Nichol Manning was having an affair and suspect the man who may be the actual father. But the alibi of Nichol's husband isn't adding up. Dr. George Huang says Richard Manning (played by John Ritter) is an arrogant neat freak who didn't want another man's baby ruining his life. Though the infant is later found dead, ADA Alexandra Cabot says they have to prove the child took one breath to make a murder charge stick. During a devastating cross-examination, Manning gives them the proof they need: he says the baby cried before he killed it.  We're talking about Special Victims Unit season 3 episode 11 "Monogamy." Our guest from our October 24, 2018 episode is Rebecca's best friend, Molly McKean, Esq.  The ripped from the headlines story is the murder of expectant mother Bobbie Jo Stinnett.   New episodes of These Are Their Stories will return July 8! For exclusive content from Kevin and Rebecca, sign up on Patreon.This show was recorded in The Caitlin Rogers Project Studio. Click to find out more. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Sponsor: Inito For Birth Hour listeners, the Insight Reader is available right now for just $89 with the code BIRTHHOUR at inito.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon! 

Why do cesarean rates keep rising and what does that actually mean for the families you support? We have to start by breaking down the cesarean rate conversation the birth world has been getting wrong. From the origins of the WHO 15% figure what it actually said, what it was designed to measure, and why we've been misapplying it for 40 years. We also need to understand to the difference between total cesarean rates, primary cesarean rates, and the NTSV rate that matters most for hospital comparison. Without underdstanding these numbers we can not have accurate and honest coversations with clients about what they mean. Whether your client is working toward an unmedicated birth or scheduling a cesarean by choice, this episode is for you. Bodily autonomy doesn't require our approval and our clients deserve better than our unexamined assumptions.

TISS is a weekly podcast where Varun, Kautuk, Neville & Aadar discuss crazy "facts" they find on the internet. Come learn with them... or something like that.This week, the boys are talking about 'Screen Addiction'To support TISS, check out our Instamojo: www.instamojo.com/@TISSOPFollow #TISS Shorts where we put out videos: https://bit.ly/3tUdLTCYou can also check out the podcast on Apple podcast, Spotify and Google podcast!https://shorturl.at/hfQZXhttp://apple.co/3neTO62http://spoti.fi/3blYG79http://bit.ly/3oh0BxkCheck out the TISS Sub-Reddit: https://bit.ly/2IEi0QsCheck out the TISS Discord: / discord  Buy Varun Thakur's 420 Merch - http://bit.ly/2oDkhRVSubscribe To Our YT Channels:Varun - https://bit.ly/2HgGwqcAadar - https://bit.ly/37m49J2Kautuk - https://bit.ly/3jcpKGaNeville - https://bit.ly/2HfYlWyFollow Us on Instagram:Varun -   / varunthakur  Aadar -   / theaadarguy  Kautak -  / cowtuk  Neville -  / nevilleshahChapters:00:00 Varun Uncle00:49 Intro Animation00:58 Apologies01:33 Recovering from Holiday02:17 Lodha Mangroves02:50 Jackie Shroff Saving Earth03:37 Berghain Club06:12 Banksy in India07:22 BMC Construction08:18 London Park09:03 “Clock it”09:57 Varun the Poet11:06 Bollywood Postmortem11:41 Bouncers for Screen time18:04 Youtube Baby's19:49 Gorillas hooked on phone23:13 Cocaine Melon24:59 Screen Addiction28:35 Dumb Phone30:28 Reality Check32:18 What phone does to you34:38 Heard this from a reel36:41 Time Wasted38:10 Not using Phone40:09 Recording on phone41:24 Dopamine Hit42:33 Me & Me45:23 Cesarean gone wrong47:57 Kautuk's Dumbnet48:36 Phone while in Labour49:44 Inner Voice50:13 Write a mail51:16 AI Brainrot54:57 Chat Bot Psychosis58:29 Dopamine Dependency59:35 Second Screen Entertainment01:00:48 Apple Kumar01:02:04 Sleep Scrolling01:02:36 Aadar Youtube Addiction01:03:09 Cat Gate Keeper01:03:49 Swap Phones01:04:34 App Lock01:05:26 Annoying Phone01:06:57 Phone Divider01:08:11 Germany01:08:38 Tech Neck01:10:22 Retina Projector01:11:03 Neura Link01:11:57 Court Cases01:13:00 Phubbing01:13:29 Phone Bans01:13:57 Gym Videos01:14:23 Elderly People Phone Addiction01:16:35 Why are they addicted01:17:51 Cab Drivers01:20:15 Profession01:21:26 Overdose01:22:29 Mic Jhol01:23:27 Outro01:24:28 Outro Animation01:24:43 Post CreditsEdit & Thumbnail - MetaFX Studio

Hi listeners! We are partnering with Behind the Knife (a surgery podcast) to produce quality oral board study podcasts. In the next few weeks, we will be releasing several more as a samples of our collaboration. If you're interested in studying for oral boards through them, please download their app through the app store or go to their website to find out more.  Happy studying!  https://www.behindtheknife.org/

In this episode, Sophia sits down with Liz Eidelman, a birth doula and mom of two, who shares her powerful journey through two very different birth experiences. After a traumatic first birth and unexpected NICU stay, Liz entered her second pregnancy seeking a different experience — but still found herself navigating fear, medical pressure, and ultimately a cesarean birth.This conversation explores how birth trauma, conditioning, and fear influence decision-making, and how Liz transformed her experiences into a passion for supporting other women as a doula. They also discuss NICU experiences, feeding after birth trauma, and the importance of education and emotional preparation.Connect with Liz: ▸ IG @The.sage.sister OR @ LizEidelman▸ website Connect with Sophia: ▸ Website Our Favorite products to recommend: ▶︎Afterease Tincture by Wish Garden Herbs: ▶︎Sitz Bath Herbs by Motherlove Organics: ▶︎HIRO diapers: Chapters: 00:00 Intro01:30 Liz's first pregnancy + birth04:30 NICU + diagnosis (VACTERL / TEF)08:30 Postpartum + separation from baby11:00 Second pregnancy + fear14:30 Hiring a doula + switching care24:00 Induction pressure + decision making28:00 Cesarean experience30:30 Becoming a doula33:00 Feeding after trauma36:00 Fear + conditioning around birth38:00 Why education matters early43:00 Healing through birth work47:00 Where to find LizThis podcast is intended for educational and informational purposes only. The views and experiences shared by guests are their own and do not constitute medical, legal, or professional advice.We are not providing medical or legal guidance, nor are we encouraging listeners to engage in any practice that may be unsafe or unlawful in their jurisdiction. Birth choices, medical care decisions, and midwifery practices are highly regulated and vary by state and country.Listeners are encouraged to consult with qualified, licensed professionals and to research the laws applicable to their location before making any health or birth-related decisions.By listening to this podcast, you acknowledge that you are responsible for your own decisions and actions.The show notes may contain affiliate links. IF you click and purchase product or service I might be compensated. Thank you for your support. 

A gentle cesarean, also called a family-centered cesarean, involves adjustments that shift a cesarean from a standard surgical procedure to a more personal, connected birth experience. As cesarean births have become more common, the options available to you have expanded significantly. However, options only matter if you know they exist. If you do not know what you can ask for, you cannot advocate for it, especially when it comes to options that may not be part of your care provider's routine standard of care. This episode walks through every modification, from clear drapes and immediate skin-to-skin contact to a slower delivery and delayed cord clamping. We also take a deep dive into the rapidly evolving research on vaginal seeding and what it means for your baby's microbiome. Whether you are planning a cesarean or preparing a backup plan, understanding these options gives you the tools to advocate for the birth experience you want. Full article and resources for this episode: https://pregnancypodcast.com/gentlecesarean/ Thank you to the brands that power this podcast: 8 Sheep Organics makes amazing, 100% Clean, Natural Pregnancy Products. From skin care to treating common pregnancy symptoms like stretch marks with clinically proven ingredients, 8 Sheep Organics has you covered. Every product from 8 Sheep Organics comes with a 100-Day Happiness Guarantee. You can try it completely risk-free for 100 days. If you feel the product has not worked for you, or if you're not 100% happy with your purchase, simply send them an email and they will get you a refund, no questions asked. Check out 8 Sheep Organics and save 10% when you go to https://pregnancypodcast.com/8sheep/ AG1 is the Daily Health Drink that combines your multivitamin, pre- and probiotics, superfoods, and antioxidants into one simple, green scoop. It's one of the easiest things you can do to support your body every day. When you first subscribe to AG1, you'll get an AG1 Welcome Kit, a bottle of Vitamin D3+K2, AND you'll get to try each new flavor of AG1. Unlock the Ultimate AG1 Starter Kit at https://drinkAG1.com/pregnancypodcast Get More from the Pregnancy Podcast Join thousands of expecting parents who stay up to date with the latest pregnancy news, new episode alerts, exclusive offers, and more: https://pregnancypodcast.com/newsletter Upgrade to Pregnancy Podcast Premium for ad-free episodes, full access to the back catalog, and a free copy of the Your Birth Plan book: https://pregnancypodcast.com/premium Save with discounts and deals available for Pregnancy Podcast listeners: https://pregnancypodcast.com/resources Follow your pregnancy week-by-week with the 40 Weeks podcast. Learn how your baby grows, what's happening in your body, what to expect at prenatal appointments, and get tips for dads and partners: https://pregnancypodcast.com/week Find more evidence-based information on the Pregnancy Podcast website: https://pregnancypodcast.com

After leaving an unhealthy relationship, Theresa made a solemn vow to herself: she would never again say yes when her intuition told her no, or no when it told her yes. So when she became pregnant with her first baby, she knew the conventional, conveyor-belt obstetric path wasn't for her. Instead, she sought out bodywork, worked with a naturopath, and developed a deep relationship with her body and her baby. The plan was to freebirth at home. But when labor began and she noticed thick meconium, she immediately knew the right thing to do was to face her biggest fear and transfer. Her twins (!) were born safely via cesarean section, but she experienced abusive treatment from medical staff that left her with lasting trauma. Recorded just about one year postpartum, Theresa is still moving through the healing portal. She shares beautiful reflections on trusting yourself, the nuances of engaging with the medical system, and reclaiming sovereignty. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

At the 41-week mark in pregnancy, conversations and decisions about induction can start to feel more urgent and complex. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire share why the 41st week has become such a focus in maternity care and what the evidence actually says about induction at this milestone.   They discuss elective induction versus expectant management and key findings from major studies like the INDEX and SWEPIS trials. They also talk through potential benefits and risks, including changes in stillbirth risk, newborn outcomes, and maternal experiences.   Content Warning: This episode contains discussion of stillbirth. Please take care while listening.   (00:05:58) How common is labor induction? U.S. rates and challenges with data accuracy (00:09:25) Medically indicated vs. elective induction (00:15:24) The limits of research on induction vs. expectant management (00:20:18) The INDEX trial (00:28:36) Follow-up observational study to INDEX: preferences, Cesarean rates, and outcomes (00:32:51) The SWEPIS trial (00:41:59) Impact of SWEPIS on guidelines and outcomes in Sweden (00:44:40) Benefits of elective induction at 41 weeks (00:46:34) Risks and potential downsides of induction (00:49:18) FAQ: Induction and VBAC considerations   For a full list of resources and references, visit ebbirth.com/inducingduedates.   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.

April is Cesarean Awareness Month and Women of Strength, we are aware of YOU. All month long, we are bringing you VBAC stories & discussions featuring these most common reasons for cesareans:• Big babies• Failure to progress• Twins• Breech• Fetal heart tonesAnd for our CBAC and RCS mamas, we've got a special episode all about maternal assisted cesareans, so stay tuned!! In today's episode, we talk with Katie, a Certified Professional Midwife from Oregon, whose journey into midwifery began after her own VBAC. Her first birth began spontaneously at the start of COVID and ended in a cesarean with an asynclitic, sunny side up baby. Her second birth was a healing VBAC at a freestanding birth center with midwives.Her third birth at home was longer than her previous VBAC and required her to let go of expectations and trust the process. This birth ended in a successful VBAC with a shoulder dystocia, postpartum hemorrhage, and a second degree tear. We'll let you listen to the episode to find out just how big her record-setting baby was!Katie talks about just how different births can be, what it takes to become a CPM, ways to manage postpartum hemorrhage, shoulder dystocia maneuvers, safe transfer from out-of-hospital to hospital care, and recent policies that impact midwives attending VBACs. Katie reminds us to choose your birth team wisely, the mind is a powerful thing, and sometimes letting go of expectations is the only way through.VBAC Certified Doula FinderThe VBAC Link Supportive Provider ListThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSubmit Your VBAC/CBAC StoryAdvertising Inquiries: https://redcircle.com/brands

Electronic fetal monitoring is one of the most common interventions in hospital birth, but it's also one of the least understood. In this episode, Dr. Rebecca Dekker talks with board-certified OB-GYN Dr. Jennifer Lincoln about what continuous electronic fetal monitoring actually does, what the research says, and why it became such a routine part of labor care in the first place. With recent media attention shining a spotlight on this technology, they break down the history, the evidence, and the real-world pressures that shape how it's used today. Learn why continuous monitoring can increase Cesarean rates in low-risk births, when it may be helpful in higher-risk situations, and how it can influence movement, comfort, and decision-making during labor. Dr. Lincoln also shares practical ways to ask questions, understand what terms like "reassuring" and "indeterminate" mean, and partner with your care team so you can make informed choices without feeling powerless or pressured. (02:26) Dr. Jennifer Lincoln's updates: doctors' strike, leadership, and writing The Birth Book (10:09) Why electronic fetal monitoring is in the spotlight and what it actually measures (13:40) The history of fetal monitoring and what it was designed to prevent (17:37) The biggest drawbacks: false positives, rising C-section rates, and medical-legal pressures (23:18) How continuous monitoring can affect movement, comfort, and labor experience (26:28) Artifact, wireless monitors, and challenges with accuracy (28:27) Intermittent monitoring: what it is and how it works (30:11) When continuous monitoring may be more beneficial in higher-risk situations (37:53) Understanding "reassuring," "indeterminate," and "non-reassuring" patterns (39:46) What care teams may try before recommending a cesarean (45:15) Questions parents can ask when concerns arise about the fetal heart rate (48:03) Continuous monitoring during VBAC and navigating autonomy and policy (51:01) Why these conversations should happen before labor and how to advocate collaboratively Resources Hear about the new research on home birth with Dr. Dekker on Dr. Lincoln's "Let's Talk about Birth" podcast: drjenniferlincoln.substack.com/p/announcing-my-new-podcast Get a copy of Dr. Lincoln's book, The Birth Book: An OB-GYN's Guide to Demystifying Labor and Delivery: penguinrandomhouse.com/books/785889/the-birth-book-by-dr-jennifer-lincoln/ Learn more about Three for Freedom: threeforfreedom.com/ 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.

This episode of RAPM Focus challenges physicians to think differently about pain after cesarean delivery by showcasing a new approach for patient care after cesarean delivery. RAPM Executive Editor Eric Schwenk, MD, explores the SPACE-postpartum model with Sarah Ciechanowicz, BMBCh, FRCA, following the October 2025 publication of her brief technical report, “SPACE-Postpartum: a multidomain biopsychosocial framework for predicting chronic pain and impaired recovery after cesarean delivery – proof-of-concept report.” The SPACE-postpartum model is essentially a multidomain symptom system for understanding recovery after cesarean delivery. This biopsychosocial framework brings together five interconnected symptom areas—sleep, pain, affect, cognition, and energy—for early risk assessment after surgery, offering a comprehensive approach to the entire recovery process after cesarean delivery. Early recovery is not just about pain scores, but about a pattern of symptoms that tend to cluster and shape a patients' long-term trajectory. By assessing that pattern early on, we could potentially identify a modifiable risk profile for chronic pain and impaired recovery.  Dr. Sarah Ciechanowicz (“Chye-kha-no-vich”) is a consultant anesthetist at University College London Hospitals, researcher at Imperial College London, and former visiting fellow in obstetric anesthesia research at Stanford University. Her work focuses on improving postpartum recovery and pain prediction after caesarean delivery. She developed the SPACE-Postpartum framework—a multidomain biopsychosocial model designed to identify women at risk of chronic pain and inform intervention in the early postpartum period. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.

Over the years, birth has slowly shifted from a natural, woman-centered experience to something much more medicalized — and most pregnant moms have no idea why.In this episode, I'm pulling back the curtain on how modern maternity care evolved, why so many women are left feeling like their bodies are broken (or are told something along those lines), and what you can do right now to walk into birth feeling confident, informed, and supported.Because the truth is… your body isn't broken.When you understand how birth actually works — and how the system around birth operates — everything begins to look different. You can start to trust your body again, ask better questions, and make decisions that truly support the birth experience you want.I absolutely loved recording this episode because it gives moms the bigger picture that most of us were never taught. Understanding the history and structure of maternity care can completely change the way you prepare for birth — and help you walk into labor feeling calm, confident, and empowered.This is an episode every I hope every pregnant mom has a chance to hear before she gives birth.Here are some highlights from the episode:• How birth slowly shifted from a normal life event to a highly medicalized experience • The rise of interventions like inductions, Cesarean birth, and routine procedures in modern birth • Why helpful medical tools sometimes become routine practices — even when they aren't always necessary • What research actually says about home birth vs hospital birth for low-risk pregnancies • Why your birth environment plays a huge role in how your body labors • What the pandemic revealed about birth choices and maternity care systems • The hidden limitations of many hospital birth classes • The epidural conversation many moms aren't prepared for before labor begins • Why informed consent matters and the options many women don't realize they have during birth • The foundational pieces that help women feel confident and empowered heading into labor • Postpartum decisions most moms never realize they'll be making before birthTune in to learn how understanding the system around birth can help you take back ownership of your experience, trust your body, and prepare for the empowered birth you deserve.Don't forget to RATE & FOLLOW the Pregnancy & Birth Made Easy Podcast! Leave a Review! ⭐️ Here's how >> On Apple Podcasts Find “Pregnancy & Birth Made Easy” podcast Select “Ratings and Reviews” Click the stars! Select “Write a Review” and tell us what was the most amazing, comforting, eye-opening thing that you loved! On Spotify Find "Pregnancy & Birth Made Easy" podcast Click the 3 dots "..." Select "Rate podcast" Click the stars and write a quick review! FOLLOW "Pregnancy & Birth Made Easy" so you never miss an episode that makes pregnancy & birth feel easier! Here's how to do it in just 2 seconds: On Apple Podcasts → Tap the “+” Follow button in the top right corner of the show page. On Spotify → Tap the “Follow” button right under the show titles Let's Connect!Join the Course! https://www.myessentialbirth.com/getstartedEmail: hello@myessentialbirth.com. Follow @myessentialbirth on INSTAGRAM!

We unpack the Gray Journal's special edition on Cesarean Delivery, separating strong evidence from expert habit, and spotlight where technique, culture, and policy collide. From TXA and barbed sutures to better metrics and imaging, we share what to adopt now and what to question. Featuring Maddie White.• evidence versus expert opinion across the special issue• TXA at cesarean shows no meaningful outcome gains• barbed versus braided sutures and the cost of “speed”• why fundamentals beat gadgets for blood loss and time• critique of New Jersey NTSV study and outcome framing• imaging pearls for post‑cesarean complications• infection prevention steps supported by trials• history of cesarean steps and why we dropped some• rising cesarean rates driven by non‑clinical forces• better classification systems and dyadic metrics• balancing maternal and neonatal outcomes• tool use in obesity and cost‑conscious choicesBe sure to check out thinkingaboutobgyn.com for more information, and be sure to follow us on Instagram0:01 Why A Massive C‑Section Special Issue Matters3:15 Expert Opinion vs Evidence: Read With Caution5:44 Safety Basics: Wear Eye Protection7:46 Evidence‑Based Technique Still Stands10:55 TXA At Cesarean: Reanalyzing TRAAP218:19 Barbed Sutures And The Myth Of Speed27:30 Operative Time: Fundamentals Over Gadgets33:54 New Jersey QI Study: Claims And Confounders42:05 Outcomes Framing: “Cone Heads” And Bias49:15 Imaging After Cesarean: What To Look For54:35 Infection Prevention And SSI TakeawaysFollow us on Instagram @thinkingaboutobgyn.

Some of the most effective solutions for improving birth outcomes worldwide are rooted in relationships, not technology. In this episode, Dr. Rebecca Dekker speaks with midwife Stephanie Marriott of the International Confederation of Midwives about the global impact of midwifery care. She outlines what defines a midwifery model of care, why continuity of midwife-led care matters for both outcomes and experiences, and how trust and relationship-based care can influence Cesarean rates, trauma-informed care, and access to services. Stephanie draws on her work across the U.K., Asia, and Africa to share how countries such as Indonesia and Bangladesh are strengthening midwifery education, regulation, and deployment, and what that means for maternal and newborn health. Together, Stephanie and Rebecca also discuss the essential role midwives play in humanitarian and disaster settings, the global shortage of midwives, and the growing call for One Million More midwives worldwide. (04:58) What is a midwifery model of care? (08:00) Why relationships are central to better birth outcomes (10:27) Time, workload, and sustainability for midwives (12:20) Trust, disclosure, and safety during pregnancy (13:01) How continuity of care shapes labor and birth experiences (16:48) What is the International Confederation of Midwives? (22:05) Strengthening midwifery education worldwide (28:13) Rebuilding midwifery education where it was lost (34:53) Rising cesarean rates and the role of midwives (39:26) Why midwives are essential in humanitarian settings (42:35) The global shortage of midwives Resources Learn more about the International Confederation of Midwives: internationalmidwives.org Support the One Million More campaign: millionmore.org Explore UNFPA's work supporting sexual and reproductive health, maternal health, and midwifery systems: unfpa.org 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.

Moderator: James P. Rathmell, M.D. Participants: James O'Carroll, M.B.B.S., and Ruth Landau, M.D. Articles Discussed: Incidence of Pain during Cesarean Delivery with Neuraxial Anesthesia: an International, Prospective Cohort Study Pain during Cesarean Delivery with Neuraxial Anesthesia: Have we Made any Progress? Transcript

At the end of her first pregnancy, Celine's plans for the birth unraveled. Her baby was breech, and the natural birth she had envisioned was replaced with a scheduled cesarean. Though the surgery itself wasn't traumatic, it shook her confidence. She was left wrestling with painful questions: Why didn't my baby turn? Is my body broken? Her healing began in the presence of women who believed deeply in birth and in her. Their unwavering faith helped her reclaim her own. When she became pregnant again, Celine chose a different path. She planned a home birth, supported by a midwife and doula, and consciously turned away from the fear that so often surrounds VBAC. When labor came, it came swiftly. Before the midwife could arrive, Celine birthed her baby in the quiet of her own bathroom, immersed in warm water, guided by instinct alone. The experience was powerful, psychedelic, and profoundly redemptive. She did not just give birth that day. She reclaimed herself. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of Cesarean? Prevent big babies? Reduce stillbirth? Or does the timing matter more than the induction itself? In this episode, Dr. Rebecca Dekker and Dr. Morgan Richardson Cayama walk through the updated research on induction for gestational diabetes. You'll learn how outcomes differ before 39 weeks, between 39–40 weeks, and after 41 weeks, and why blood sugar control (diet-controlled versus medication-controlled GDM) can change the conversation entirely. They also review what major professional organizations recommend and discuss the role of extra fetal monitoring in the third trimester. Most importantly, they talk about informed consent, respectful maternity care, and how to navigate conversations if you're feeling pressure to schedule an induction. (00:02:40) Background & research update (00:05:34) What is GDM? Risks & induction rates (00:08:34) Research challenges & study limitations (00:15:36) Timing of birth: 38, 39, 40+ weeks (00:19:26) Big babies & health risks (00:24:27) Professional guidelines (ACOG, NICE, SOGC) (00:27:14) Birth before 41 weeks: common recommendation (00:27:54) Extra fetal monitoring in late pregnancy (00:32:49) Navigating pressure & informed consent View the full list of references here. Resources Read the updated Evidence on: Induction for Gestational Diabetes: ebbirth.com/inducingGDM Get the free respectful care handout: ebbirth.com/369 Grab your Pocket Guide to Labor Induction here. EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes

Links: Get your breast pump, lactation support, and maternity compression garments for free at aeroflowbreastpumps.com/birthhour and use promo code BIRTHHOUR15 at for 15% off supplies and accessories. Know Your Options Online Childbirth Course - use code 100OFF for $100 off Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon! 

You had a cesarean with your first baby, and now you're pregnant again. Should you plan for another operation or go for a vaginal birth after cesarean, also known as a VBAC? What are some of the risks associated with having a repeat c-section? What makes you a good candidate for a VBAC? We'll give you the facts to help you determine which option is best for you.  Learn more about your ad choices. Visit megaphone.fm/adchoices

In EBB 350, Krista DeYoung called in from her hospital room after weeks of inpatient monitoring for partial placental abruption. She and Dr. Rebecca Dekker had just finished a crash course on preparing for a Cesarean, not knowing that information would be needed just 30 minutes later. In this follow-up episode, Krista returns to share what happened next: the urgent decision-making, the move to labor and delivery, and the Cesarean birth that unfolded just days before her scheduled 37-week surgery. Krista walks through the physical sensations of an urgent Cesarean, the grounding techniques that helped her stay calm during surgery, and the emotional reality of recovering after major abdominal surgery. She also opens up about NICU life, bringing her baby home on oxygen, and the unexpected emotional release that came after finally leaving the hospital following more than a month of inpatient care. (04:04) Krista's extended hospital stay & partial placental abruption recap (09:39) Preparing for a Cesarean just hours before it happened (011:07) Realizing there are Cesarean birth options (12:59) Staying calm: grounding, breath, and mental preparation (13:59) Labor begins & the shift to an urgent Cesarean (18:10) Epidural, tugging sensations, and what Cesarean feels like (20:54) Baby Jace is born! (23:40) Focusing inward during surgery (27:25) First moments with Jace & NICU transfer (31:42) Leaving the hospital after a month-long stay (38:10) Feeding challenges after NICU (41:26) Physical & emotional recovery after a Cesarean (45:52) Advice for families preparing for a Cesarean (47:38) Gratitude and shout-outs to nurses & care teams   Resources EBB 266 – Advocating for your Newborn during an Unexpected NICU Stay with EBB Childbirth Class Graduates Priscilla and Nathan Layman EBB 284 – How to Help NICU Families Find Empowerment and Healing During their Challenging Journeys with Hollis Wakefield EBB 305 – A High-Risk Pregnancy and Miraculous Birth with Krista and John DeYoung, EBB Childbirth Class Graduates EBB 350 – Surviving a Long Antepartum Hospital Stay and Preparing for a Scheduled Cesarean with Krista DeYoung, EBB Childbirth Class Graduate EBB 356 – NICU-Informed Doulas: What are they and how can they change the NICU narrative? with Mary Farrelly, RN, Doula, and Founder of the NICU Translator

Join Augustine on the Midwifery Wisdom Podcast as she welcomes Ashley from Michigan, who shares her transformative journey from birth trauma to healing and empowerment. Ashley, a former ICU nurse, candidly discusses the importance of recognizing and honoring birth trauma, advocating for co-care and collaborative care, and the revolutionary experience of having a maternal assisted C-section. Together, they delve into the significance of patient rights, the balance between medical intervention and natural processes, and the profound impact compassionate, dignified care can have on the birthing experience. This episode is a powerful testament to the possibility of change and hope within the birthing community.Links: For more information about the Turnkey Birth Centre for Sale in Abilene, Texas, write to amy@midwiferywisdom.comFollow Ashley's Instagram @birthonherterms00:00 Introduction and Special Announcement01:26 Meet Ashley: A Journey of Change03:32 Balancing Art and Science in Birth04:08 Challenges in Community-Based Midwifery08:48 Ashley's Personal Birth Experiences21:40 The Maternal Assisted C-Section37:41 Standing Firm on Informed Decisions38:21 The Importance of Family Inclusion39:52 Advocating for Support During Birth41:16 The Impact of Birth Experiences on Mental Health42:28 The Need for Patient Rights and Advocacy44:14 The Role of Communication in Healing48:36 Transforming Pain into Power49:11 Balancing Passion and Parenthood54:12 The Value of Midwives and Postpartum Support01:04:20 The Importance of Trauma-Informed Care01:12:58 Advocating for Change in Healthcare01:16:54 Sharing the Journey and Future Plans

Are modern habits around cleanliness, parenting, and social contact shaping your gut health more than you realise?  In this episode, Professor Tim Spector explains how gut microbes are shared between people - through relationships, daily contact, and the environments we live in, and why this matters for long-term health. You'll learn how human contact may be influencing your gut in ways most of us never consider. Tim explains why supporting gut microbiome is less about control and more about balance, and you'll learn simple ways to support a healthier gut through food, social connection and lifestyle habits. If your gut reflects the people you live with and the places you spend time, what small change could you make this week - in your home, your habits, or your social life - that might support your gut for the long term?

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastThis week's episode is also brought to you by Nursing Queen; stylish nursing clothes that will make your life easier and that you'll want to wear long after your nursing days are over. Use promo code BADASS for 10% off your purchase at www.nursingqueen.com.Birth interventions can make breastfeeding challenging in the beginning. Listen intoday as Dianne and Abby discuss different interventions and how you can getthrough this difficult time.If you are a new listener, we would love to hear from you.  Please consider leavingus a review on iTunes or sending us an email with your suggestions and commentsto badassbreastfeedingpodcast@gmail.com. You can also add your email to ourlist and have episodes sent right to your inbox!Things we talked about:Birth interventions-Revisited [4:48]Medicated delivery [6:25]Vacuum or forceps delivery [12:40]Fast (precipitous) birth [16:20]Cesarean delivery [16:46]Things that can help [19:55]Pitocin and latch issues [22:00]Mother / Baby separation [27:52]Episiotomy and perineal repair [32:40]Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/jaundice-myths-and-breastfeedinghttps://badassbreastfeedingpodcast.com/episode/breastfeeding-nicu-and-separated-babies/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring, https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.comMusic we use:Music: Levels of Greatness from We Used to Paint Stars in the Sky (2012)courtesy of Scott Holmes at freemusicarchive.org/music/ScottHolmes

Today I'm joined by Mika Fox on Yoga | Birth | Babies.  A native New Yorker, Mika lives on the Upper West Side with her husband and baby boy, Nogah. She works in account management at a tech company and loves to dance, hike, travel, and practice yoga. Mika is also a PYC alum, having attended classes from weeks 14–39 of her pregnancy. Her birth story took unexpected twists and turns, but one thing remained constant throughout: her deep trust in her body and her baby. Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE  If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices

Links: Airdoctorpro.com code BIRTHHOUR for up to $400 off! Cozy Earth - up tp 20% off site wide use the code BIRTHHOUR. Know Your Options Online Childbirth Course - use code 100OFF for $100 off. Beyond the First Latch Course (comes free with KYO course)  Support The Birth Hour via Patreon! You can now gift memberships to Patreon here! 

Long before labor begins, the stories we hear about birth are already shaping our expectations and choices. In this episode, Dr. Rebecca Dekker talks with Lisa Greaves Taylor, founder of Birth Matters NYC Childbirth Education, director of the East River Doula Collective, and host of the Birth Matters podcast, about the power of birth stories as tools for education, healing, and self-advocacy.   Drawing from her work supporting families in New York City since 2010, Lisa shares how storytelling helps birthing people move beyond fear-based narratives and reconnect with their intuition, confidence, and voice. Together, Rebecca and Lisa explore the realities of giving birth in NYC—including high rates of induction, limited access to midwifery and birth centers, and postpartum support gaps—while also highlighting reasons for hope, advocacy, and change. They also talk about how birth stories can support preparation during pregnancy, help process trauma after difficult births, and empower families navigating VBAC, repeat pregnancies, and systemic barriers to evidence-based care.   (02:51) What drew Lisa to childbirth education and doula work (07:45) Giving birth in NYC then vs. now (09:07) The evidence-practice gap in New York City maternity care (15:02) Postpartum care challenges and lactation support gaps (18:05) The role of midwives in improving birth experiences (23:47) How storytelling activates intuition and self-advocacy (28:15) When birth stories can be harmful and how to curate wisely (35:34) Trauma, dissociation, and the importance of processing birth (42:18) What gives Lisa hope for the future of birth work (46:28) Stories, Education, and Support   Resources Learn more about Lisa Birth Matters NYC: birthmattersnyc.com Birth Matters Podcast: birthmattersnyc.com/podcast East River Doula Collective: eastriverdoulas.nyc Instagram: @birthmattersnyc Ina May's Guide to Childbirth by Ina May Gaskin: share.libbyapp.com/title/5017296 The Story Factor by Annette Simmons: annettesimmons.com/the-story-factor/ The Evidence on: Induction or Cesarean for a Big Baby EBB 311 – Creating a Community-Led Birth Center in New York City with Myla Flores of the Womb Bus   Organizations & Advocates Mentioned Ancient Song Doula Services: ancientsongdoulaservices.com Chanel Porchia-Albert: chanelporchia.com Jennie Joseph: jenniejoseph.com Kimberly Seals Allers: kimberlysealsallers.com Michelle Browder: ebbirth.com/274 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.

For this last episode of 2025, we wanted to emphasize just how unique all VBAC journeys really are, and Amanda's story does just that! Women of Strength, VBACs are possible in sooo many different scenarios, even the ones that weren't planned or prepped for. Amanda thought she was having a planned C-section, but with a little gentle encouragement from her care team, she ended up with an unplanned, completely intervention-free VBAC. The way Amanda's team communicated with her every step of the way is SO COOL to hear about.Her first birth was a traumatic crash C-section with NICU time and postpartum anxiety/OCD, but her second was healing and empowering. Amanda wants other moms to know that while you don't have to do all the “things” to have a VBAC, prep can make a big difference.We're so grateful to our podcast guests, listeners, and support this year!Andddd…..We are excited to share some BIG news for the podcast in 2026. Stay tuned for next week's HUGE announcement! Any guesses on what it might be??Needed Website: Code VBAC for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

VBAC can be an empowering and safe option for many women—but it isn't the right choice for everyone. In this episode of MamaDoc BabyDoc, we break down what VBAC really means, who is a good candidate, and when a repeat C-section may be the safer option. We talk candidly about the benefits and risks of VBAC, including uterine rupture, success rates, and how factors like the type of prior C-section, spacing between pregnancies, and labor history matter. We also discuss how to advocate for yourself, what questions to ask your provider, and how hospital policies can impact your options. Whether you're considering a VBAC, planning a repeat cesarean, or just want clear, evidence-based information without fear or pressure, this episode is here to help you make the decision that's right for you and your baby. Because informed choices make confident parents.

In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Julie Arafey discuss a complex case involving a pregnant patient who experiences respiratory compromise leading to cardiac arrest. They explore the challenges in assessment, admission, and management of high-risk obstetric patients, emphasizing the importance of communication, monitoring, and emergency protocols. The conversation highlights the need for preparedness in handling obstetric emergencies, including the critical timing of resuscitative cesareans, and the necessity of training healthcare teams to respond effectively in such situations.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...

In this episode, Dr. Rebecca Dekker dives into the evidence-practice gap, the disconnect between what research tells us is best during childbirth and what is actually happening in labor and delivery units around the world. She walks through the latest statistics on Cesarean rates, VBAC access, and the widespread use of non–evidence-based interventions, as well as the persistent underuse of practices proven to improve outcomes, like doulas, midwifery care, and birthing positions that support physiologic labor.   Dr. Dekker also unpacks the systemic forces driving these gaps, including the role of paternalism, hierarchical power structures in healthcare, legal pressures, and the phenomenon of horizontal violence among healthcare workers. She explores how overlapping forms of oppression shape the experiences of both patients and providers.   (02:40) Why research takes so long to become routine care (03:42) A look at U.S. cesarean rates and what's driving them (05:38) The rise and fall of VBAC access and why families struggle to get support (08:01) The "bait and switch" problem in maternity care (09:34) Interventions that are overused vs. underused during labor (11:47) How paternalism and medical hierarchy fuel the evidence gap (16:39) Horizontal violence among nurses, midwives, and doulas (19:11) Trauma and burnout across the maternity care workforce (23:04) Real signs of progress and positive change in birth settings   Resources EBB 1 - Intro to Evidence Based Birth EBB 2 – What is Evidence Based Care? Listening to Mothers in California (Sakala et al., 2018) Basile Ibrahim et al. (2020) study on VBAC access and barriers Register for the EBB Course: How to Help Families Get Evidence-Based Care: evidencebasedbirthacademy.com/register/course-how-to-help-families-get-evidence-based-care/   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.

Moderator: BobbieJean Sweitzer, M.D. Participants: Mark D. Neuman, M.D., M.Sc. Articles Discussed: Neonatal Outcomes with Regional versus General Anesthesia for Cesarean Delivery: A Meta-analysis of Randomized Controlled Trials Transcript

After what should have been a joyful birth, Sofía Herrera (childbirth educator, EBB Instructor, Hypnobirthing instructor, and social & clinical psychologist) spent nearly 20 years believing she had postpartum depression, until her investigation revealed the truth: she had experienced birth trauma. That realization became the catalyst for her work supporting birthing families and confronting the widespread obstetric violence and misinformation embedded in Mexico's maternity care system.   Sofía shares what trauma really means, how unconsented interventions and paternalistic care shape birthing experiences, and why so many families mistakenly believe they "failed" when in reality, the system failed them. She also describes the challenges of childbirth in Mexico—from extremely high Cesarean rates to routine episiotomies—and how evidence-based education empowers families to find safer, more respectful care.   (02:26) Sofía's 20-year journey living with untreated trauma (06:45) Patterns she saw as a childbirth educator (10:20) Why psychosocial trauma in birth is under-researched and misunderstood (12:18) Sofía's own birth experience (18:23) Mexico's extremely high Cesarean rates (19:48) How paternalism shows up culturally and inside clinical relationships (21:08) Routine episiotomies and outdated "protocols" still being taught (22:24) Can childbirth education prevent trauma? How informed families change the system (28:35) Differences between private vs. public hospitals in Mexico (32:38) How Sofía uses EBB resources to support and empower families (35:19) Sofía's top advice for families fearing obstetric violence or disrespectful care   Resources Connect with Sofía: @sukhamoms Get EBB Handouts in Spanish: evidencebasedbirth.com/translations/   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 episode, I'm sharing the raw and vulnerable truth behind our second baby's arrival — a birth center VBAC that slowly shifted into a hospital transfer and ultimately, a homebirth cesarean. It wasn't the outcome we imagined or prayed for, but it became a story marked by redemption in ways I never expected.If you've ever walked through a birth that didn't go “to plan,” or you're preparing for a VBAC, or you simply want to feel less alone in the unexpected, this episode is for you.Episode Show Notes + Highlights on Living Wisely Well WebsiteFollow our story on IG

As roughly one third of American Babies are born via C-Section, Cesareans rank among the top surgical procedures given in the US. Since it's such a common procedure, it can be easy to forget that it's major abdominal surgery. New parents are sent home with the daunting task of caring for a newborn and healing from surgery often with little support. In this episode of Yoga | Birth | Babies, I speak with Sara Reardon and Jessica Reale, two doctors of Physical Therapy and board-certified Specialists in Women's Health. Sara and Jessica offer tips and advice for healing after a cesarean including how and why to do scar mobilization. They also explain how the pelvic floor is affected postpartum even if you had a cesarean.  Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE  If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices

Sponsor: Learn more about Zenith Health's Pregnancy Evidence Navigator -Penny- tool and their Pregnancy Evidence Project at www.zenithhealth.io The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon! 

Kari joins us today from Huntsville, Alabama sharing her story of two induced but very different births. Her first was an unplanned Cesarean after a 39-week induction and the second was a medically induced VBAC due to preeclampsia. With her second baby, Kari saw a new provider who was VBAC supportive, hired a doula, and went to a chiropractor. She also found out that she had a velamentous cord insertion and signs of preeclampsia. Although she was planning for a spontaneous, unmedicated labor, Kari was able to have an empowering experience with Pitocin, an epidural, a delivery, magnesium, a 3rd-degree tear, and a blood transfusion, Kari found deep healing and pride in her VBAC experience.She and Meagan talk about blood pressure numbers, preeclampsia, the ARRIVE study, how epidurals can help or hinder progress, and navigating the emotions that come when birth unfolds differently than planned. Kari reminds us that birth can be beautiful and healing no matter what twists and turns come about!The VBAC Link Blog: VBAC With PreeclampsiaACOG Article: Preeclampsia and Blood Pressure During PregnancyNeeded Website: Code VBAC for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

“I want to be the light I wish I'd had in my darkest moments.” As we close out Pregnancy and Infant Loss Awareness Month, we are sharing Abbie's two birth stories and honoring the memory of her firstborn, Rowan. Rowan was born prematurely via emergency Cesarean at 29 weeks during the height of COVID and passed several weeks later in the NICU. Abbie shares what it was like to come home from the hospital without a baby, the weight of overwhelming grief, and how self-care has helped her find healing. Her second pregnancy was labeled advanced maternal age and considered high risk. With the support of her care team, Abbie went on to have a healthy and empowering VBAC birth at 41 weeks that was filled with joy and deep healing.Professionally, Abbie is a massage therapist. She shares her tips around things like herbal support, massage therapy, and acupuncture. Abbie wants Women of Strength to know that acknowledging fear doesn't mean we have to act on it. “Be afraid when you're afraid, but do it anyway— whatever it is. Different baby, different birth.” Needed Website: Code VBAC for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

About her VBA2C, Chloe says, “I've been dreaming of my VBAC for 8 years. When my HBAC turned into a scheduled CBAC, I wasn't even sure I'd get the option to have a VBA2C. It took a lot of planning & hard work & I knew as a first time labouring mom that it would be a longer labor but I completely underestimated just how long… Dreams came true New Years Eve as fireworks went off & my husband & I welcomed our daughter!”Chloe's first birth was a scheduled Cesarean due to a partial placenta previa. For her second, she was planning an HBAC, but after going overdue with no signs of labor, concerns about her baby's size, and a CPD diagnosis, she had another scheduled Cesarean. For her VBA2C baby, Chloe went all in. She connected with supportive providers, leaned into physical prep, and was so inspired from other women's stories on The VBAC Link Podcast.Chloe labored hard for almost 3 days and was progressing veryyy slowly. Though it wasn't what she thought she'd want at 3 cm, she got an epidural and AROM which ended up being incredibly helpful! Her midwife even said that she pushed as though she had delivered five babies. Take that, CPD!

What happens when you choose a normal birth with twins?In this episode, I speak with Nicole, a mother from South Africa now living in the U.S., who chose sovereignty in one of the most medicalized and “high-risk” experiences imaginable: an identical twin pregnancy. From the very beginning, she was met with fear-based narratives—warnings of stillbirth, premature labor, and twin-to-twin transfusion syndrome. But after enduring traumatic experiences in hospitals and with midwives, Nicole knew she would not birth her twins within the system.Instead, she underwent a profound process of deconditioning and committed to trusting her body. With the steady support of her husband, a Radical Birth Keeper graduate, and a community of women walking this same path, Nicole carried her twins to 40 weeks and welcomed them at home, in embodied sovereignty.Nicole shares the raw reality of holding responsibility for twins outside the system: the constant conversations about risk, the deep conviction it took to turn away completely, and the profound freedom of reclaiming birth on her own terms.Inside this episode:What Nicole witnessed in the hospital that made her vow never to returnHow she carried her twins to full term, trusting her body's wisdomThe support she found in a community of sovereign mothersWhat labor with twins looked like at homeThe double standard of blame when outcomes differ at home versus in the hospitalThe freedom and healing that come with birthing twins in sovereigntyTimestamps:[00:00] Introduction[02:59] Two miscarriages and lack of support and answers from the medical system[07:05] Receiving news of a third unviable pregnancy and deciding not to take the pill[09:02] Discovering that the medical system was wrong about her third pregnancy, and that her baby was alive and healthy in her womb[11:19] Birthing her first son in a birthing center with a midwife, forced interventions, a fourth degree tear, and newborn separation[21:36] Postpartum hospital trauma, overreactions and threats[25:15] Another miscarriage and humiliating hospital treatment[32:13] Finding out she was pregnant with twins, midwife refusing to provide care, and choosing freebirth[1:00:00] Freebirthing her twins at home with her husband and birth attendant presentIf you want to connect more with Nicole, follow her on Instagram.Find more from Emilee on Instagram, YouTube and the Free Birth Society website.Disclaimer: Free Birth Society, LLC of North Carolina shares personal and educational stories and experiences related to freebirth and holistic care. This content is not medical advice, and we are not a licensed midwifery practice. Testimonials reflect individual experiences; results may vary. For services or scheduling, contact info@freebirthsociety.com. See full disclaimer at freebirthsociety.com/youtubeterms.

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastAre you still breastfeeding and planning on having your next baby? How will thatwork? How does sleep look? Can you tandem nurse? Today Dianne and Abbyanswer these questions and more, getting you as ready as possible for babynumber 2.If you are a new listener, we would love to hear from you.  Please consider leavingus a review on iTunes or sending us an email with your suggestions and commentsto badassbreastfeedingpodcast@gmail.com. You can also add your email to ourlist and have episodes sent right to your inbox!Things we talked about:The email behind the episode [7:12]Milk supply with pregnancy [9:44]The chaos of having a new baby [12:15]What Abby did to manage [15:00]Do things you can plan for [20:47]Let the baby have the full breast [23:09]Newborns act like newborns; your toddler might be the challenge [25:00]Figure out what will work for you [26:32]What partners can do [29:13]What's the bottom line [36:10]Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/common-newborn-questions/https://badassbreastfeedingpodcast.com/episode/gassy-babies/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.comMusic we use:Music: Levels of Greatness from We Used to Paint Stars in the Sky (2012)courtesy of Scott Holmes at freemusicarchive.org/music/Scott_Holmes

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastDid you know that you could be at risk for depressive symptoms when you wean?Why does this happen and what can you do about it? Listen to this very importantepisode today and learn more about post weaning depression and how you cantake care of yourself if this happens.If you are a new listener, we would love to hear from you.  Please consider leavingus a review on iTunes or sending us an email with your suggestions and commentsto badassbreastfeedingpodcast@gmail.com. You can also add your email to ourlist and have episodes sent right to your inbox!Things we talked about:Different from post partum depression [7:40]Symptoms [8:41]Everyone weans for different reasons [10:59]Article from parents.com [15:00]Causes of post weaning depression [15:35]Tips for coping [20:37]Things to watch out for [28:47]Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/weaning-an-infant/https://badassbreastfeedingpodcast.com/episode/103-post-weaning-depression/https://www.talkiatry.com/blog/post-weaning-depressionSet up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.comMusic we use:Music: Levels of Greatness from We Used to Paint Stars in the Sky (2012)courtesy of Scott Holmes at freemusicarchive.org/music/Scott_Holmes