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More From Tongue Tie Experts:
Dilkiran Kular (Dilly) from Daily Healthcare explores histamine intolerance, also known as histamine overload, a common yet often overlooked condition. If you've ever experienced unexplained digestive issues, skin flare-ups, headaches or reactions to certain foods, histamine could be a hidden culprit. Dilly breaks down what histamine overload is, why these reactions occur, and how to manage them naturally and effectively. We also dive into Helicobacter pylori, a bacterial infection that contributes to acid reflux, ulcers and histamine issues - and explore natural strategies for addressing it. For more information and the show notes, head to the CNM podcast website. Stay updated by following CNM on:Website: https://www.cnmpodcast.com Instagram: https://www.instagram.com/collegeofnaturopathicmedicine/Facebook: https://www.facebook.com/CNM.UK/
Paul Hoppe, with cohosts Drs Michael Flynn, Gene Shively and their guest Dr Brende Lott, DNP, CNM (certified nurse-midwife) discuss Midwifery plus the effects of the draconian women's health laws in the State ok Kentucky.
In today's episode, Dr. Karen DeCocker, PMHNP, DNP, CNM, joins the podcast to discuss the use of ketamine to treat depression and various other mental health issues. Dr. DeCocker is the Director of Advanced Practice Providers and Vice President of Clinical Services at Stella Mental Health. Here, she's on a mission to reframe the mental health care paradigm – emphasizing the need to treat brain health with the same level of importance as physical health… Dr. DeCocker provides individualized treatment recommendations across a wide range of advanced protocols, including dual sympathetic reset, ketamine infusions, integration therapy, and more. With more than 13 years of experience as a clinical professional and 30 years of experience in the non-profit and healthcare administration sectors, she has a proven track record of delivering results and fostering a culture of excellence and humanity. Tune in to learn about: ● The importance of understanding what's at the core of our physical body symptoms. ● A history of ketamine in the mental health sector. ● The types of patients that ketamine treatment can work well for. ● How ketamine is typically administered. You can follow along with Dr. DeCocker and her work by visiting the Stella Mental Health website!
JKS 59 BARNACLES! Welcome back faithful listeners!It's still June which is our PODCASTIVERARY month! 8 YEARS!We share the results of our testing experience with Shameless Care at home STI testing and dig deeper into my bout with Molluscum contagiosum.I also make Mrs.Sting laugh more than I have ever heard in our 38 year marriage!We talk more about STIs (big surprise) and getting tested.Mentioned in the episode...https://www.ashasexualhealth.org/molluscum-contagiosum/tellyourpartner.orgshamelesscare.comSee below for links to testing & STI information. Please reach out if you have something to say about this.We hope you enjoy the show!Thank You for listening, and "Just Keep Swinging"!You can reach Mr.Sting at @JKSwingingPod on Twitter or @justkeepswinging.bsky.socialemail at JustKeepSwingingPod@gmail.comIf you like our show and the perspective we provide, PLEASE give us a positive review on iTunes. If you don't like us, say nothing and just move along .WE HIGHLY RESPECT THE FOLLOWING LIST OF CREATORS/ORGS(FYI-we do not generate any form of compensation from our show. We do it for love & caring for ourselves and others. The following are people we believe in.)We encourage you to visit OPEN The Organization for Polyamory and Ethical Non Monogamy https://www.open-love.org/follow @openloveorg Libertine Events Lifestyle vacations,https://libertineevents.com/ follow @PaloozaPodcast on social media or visit https://podcast-a-palooza.comwww.openingus.comhttps://beyondourbedroom.com/https://www.expansiveconnection.com/Average Swingers podcastSapphic Swingers podcastTwo or more to Tango podcastSwinger University podcastCasual Swinger podcast Shameless Care podcastMy Favorite app for building sex positive community & education is called Plura. you can find out more here...https://heyplura.com/faqFascinated about swinging, polyamory and other kinds of open or sex positive relationships? Go listen to our friends at Normalizing Non Monogamy podcast. Join their community. https://www.normalizingnonmonogamy.com/ and Bawdy Storytelling podcast https://bawdystorytelling.com/podcastHave you or a loved one contracted Herpes or another STI and are looking for resources on coping with your diagnosis? Search IG for Courtney Brame from the Podcast & Non-Profit "Something Positive for Positive People". A resource for fighting stigma and shame, while finding community & emotional healing for people living with Herpes & other STIs.visit https://www.spfpp.org/Other resources to consider...American Sexual Health association- ASHAsexualhealth.org @infoASHAThe- nationalcoalitionforsexualhealth.org @NCSH_stdcheck.com @STDcheck Shameless Care STI testing and meds www.shamelesscare.com
« Mon utopie ce serait que les artistes soient les actionnaires majoritaires de l'industrie de la musique »
Dr Chris Chlebowski, author of The Virus and the Host, shares a thought-provoking look at how viruses influence the body and why individual responses to infection vary. We explore how factors like diet, toxins and inflammation shape immune resilience, and the role of the body's internal terrain. You'll also discover practical, naturopathic tools to help support long-term health and immunity. For more information and the show notes, head to the CNM podcast website. Stay updated by following CNM on:Website: https://www.cnmpodcast.com Instagram: https://www.instagram.com/collegeofnaturopathicmedicine/Facebook: https://www.facebook.com/CNM.UK/
In this episode of The Pulling Curls Podcast, Hilary welcomes certified nurse midwife Juli Pyle to dive into the topic of informed consent in labor and delivery. Together, they break down what informed consent really means, the key components every patient should know, and how it plays out during childbirth. Juli and Hilary share personal stories from both sides—provider and patient—highlighting why these conversations matter and how they can empower you to make the best choices for your birth experience. Whether you're planning your first delivery or looking to better understand your options, this episode provides practical tips for having more effective, respectful discussions with your care team. Big thanks to our sponsor The Online Prenatal Class for Couples -- if you want to learn to communicate better, it is the class for you! Today's guest is Today's guest is Juli Pyle (she/her) a certified nurse midwife who practices at a community hospital in rural Pennsylvania. Juli was a stay at mom for many years to five children before deciding to return to school to pursue a degree in nursing. She graduated from Colorado Mesa University with a bachelors of science in nursing degree in 2016 and then began her nursing career as a labor and delivery nurse. She quickly discovered that this was her true passion (as she had suspected since having her own children) and quickly gained a reputation for professionalism, compassion and expertise among colleagues and patients. She then returned to Frontier Nursing University to complete a Master's degree in Nursing with an emphasis in midwifery. In 2020, she graduated and began as a certified nurse-midwife at a small community hospital in central Pennsylvania where she has been since that time. Her focus as a CNM is to provide evidence-based education to all birthing families, give true autonomy and informed consent throughout their time with her and to share love, understanding, empathy and true shared-decision making. When not immersed in the birthing world, she enjoys spending time refinishing furniture, gardening, raising and breeding different types of chickens, hiking and vacationing with her family. Links for you: Julie's previous Episodes: The Best Providers for Your Baby's Arrival: A Deep Dive with CNM Juli Pyle -- Episode 204 What Your Providers Think When You're in Labor with CNM Juli Pyle – Episode 189 Timestamps: 00:00 "Informed Consent Importance in Medicine" 04:20 Balancing Patient Communication and Time 09:24 Respectful Informed Consent Dynamic 10:29 Patient Choice in Labor Induction 14:06 Informed Consent for Episiotomy Decisions 18:17 Informed Consent for Induction 22:31 Labor Induction and Position Choices 25:56 Documenting Risk in Patient Decisions 29:16 Holistic Prenatal Care Approach 32:33 Nurses' Role in Informed Consent 35:45 Patient Communication with Providers 37:21 Importance of Informed Consent Keypoints: Informed consent in labor and delivery is a crucial and often misunderstood part of medical care, emphasizing the patient's right to understand and make decisions about what happens to their body. There are five main components of informed consent: patient understanding, absence of coercion, full disclosure of risks/benefits/alternatives, the right to decline, and documentation of the discussion. Time pressure, provider biases, and regional/cultural differences often affect how effectively informed consent is communicated in hospitals. Patients are encouraged to ask, at any point, for the risks, benefits, and alternatives to a procedure—it's their right, even for routine interventions. Some medical staff may overwhelm patients with information, while others may inadvertently minimize discussion; finding the right balance to suit each patient is key. Regional culture, age, language, and personal preference play huge roles in how much information patients want or are comfortable with during labor and delivery. Informed consent isn't just for major decisions like C-sections or epidurals—it can and should apply to things like cervical exams and labor positions, even in less formal, conversational ways. Declining a recommended intervention (e.g., breaking water, episiotomy, induction) is absolutely an option for patients, and the birth experience should support their decision, barring emergency situations. The benefits of midwifery care are highlighted, including a more holistic and consistent approach to informed consent and labor support, but ultimately provider style matters more than title. Good communication and shared decision-making between providers and patients help prevent birth trauma and litigation, reinforcing the importance of patients feeling informed and respected during their birth experience. Producer: Drew Erickson Keywords: informed consent, labor and delivery, childbirth, induction, epidural, c-section, certified nurse midwife, obstetrician, patient rights, shared decision making, medical risks, medical benefits, alternatives to treatment, refusal of treatment, documentation, birth trauma, labor nurse, pregnancy, patient-provider communication, cervical exam, water breaking, episiotomy, pain management, delivery positions, hospital protocols, regional differences in care, language barriers, birth plan, stillbirth risk, maternal fetal medicine
Andie Wyrick, DNM, CNM, and Kristen Bowers, LM, will tell us about Shire Midwifery Birthing Center and Home Birth Practice, who provide comprehensive midwifery services for families choosing an out-of-hospital birth. They partner from the very first prenatal consultation … Continue reading →
All of this week's episodes of It Could Happen Here put together in one large file. Reportback from the West Bank The LA Anti-ICE Protests Migrant Detention in Libya On The Ground In LA Executive Disorder: White House Weekly #20 You can now listen to all Cool Zone Media shows, 100% ad-free through the Cooler Zone Media subscription, available exclusively on Apple Podcasts. So, open your Apple Podcasts app, search for “Cooler Zone Media” and subscribe today! http://apple.co/coolerzone Sources/Links: The LA Anti-ICE Protests https://www.theguardian.com/us-news/2025/jun/09/democrats-california-new-york-detention-facilities https://www.cbsnews.com/news/immigrants-at-ice-check-ins-detained-and-held-in-basement-of-federal-building-in-los-angeles/?ftag=CNM-00-10aab7e&linkId=828415694 https://www.cbsnews.com/news/california-los-angeles-immigration-protests-trump/ https://www.nbcnews.com/news/us-news/live-blog/paramount-california-home-depot-protest-rcna211650 https://www.bbc.com/news/articles/c1kv1lgdpkjo Migrant Detention in Libya https://missingmigrants.iom.int/region/mediterranean https://www.infomigrants.net/en/post/61570/libyas-coast-guard-has-intercepted-and-returned-nearly-21000-migrants-in-2024 https://apnews.com/article/italy-libya-ossama-almasri-icc-arrest-hague-305b5eed193ef7774e6591d4f0a256fc European Commission Financial Transparency System Andrea Beck, 2024 Italian and EU Funding of the Libyan Coast Guard: How Italian External Border Immigration Policies Have Created Crimes Against Humanity, Public Ignorance, and Legal Accountability Issues Ronald Bruce. Libya: From Colony to Revolution Ship of Humanity: Witness to Rescue in the Mediterranean by Judith Sunderland Capitivity, Migration and Power in Libya. Nadia Al-Dayel, Aaron Anfinson & Graeme Anfinson 2021. Tilley: War Making and State Making as organized crime Executive Disorder: White House Weekly #20See omnystudio.com/listener for privacy information.
In this episode of the Tongue Tie Experts Podcast, host Lisa Paladino, CNM, IBCLC, speaks directly to dentists — whether you're already performing frenotomies or considering a laser purchase. Drawing on over a decade of experience supporting families and collaborating with dentists, Lisa outlines six essential considerations for best practices in tongue tie release.Key Takeaways:
In this first brand new episode of the newly rebranded What Heals, I'm joined by Philly J Lay. If you already know Philly, you'll know what to expect. If you don't, be prepared for a ride. Her story covers everything from medical trauma to ley lines, from sound therapy to censorship, and the long road back to truth.After a near-death spinal operation left her with PTSD, addiction and chronic illness, Philly turned her back on the system and went all in on energy medicine, nature and truth.She is now the host of The Wellness Way podcast, founder of The Wellness Way Festival, and MC of the upcoming event I'm co-organising, Illuminate & Elevate.In this conversation we explore:How a medical near-death experience opened the door to energy medicineThe emotional roots of illness and the cost of unprocessed griefEFT, breathwork, and what happened when she spoke truth onlineTartaria, ley lines, and why old buildings might not be what we think they areWhat happens when you start healing outside the systemHow Philly built a life beyond allopathic medicine, one radical step at a timeAnd the moment Philly shared why she might be TartarianThis isn't a five-step guide to wellness. It's a real story of someone who has walked through hell, come back with her voice intact, and is now building something better for all of us. If you've ever felt like the system isn't built for you, or that healing means unlearning everything you've been taught, this one is worth your time.Events mentionedThe Wellness Way Festival 8–10 August 2025 - get tickets hereEnter the competition here to win 2 VIP tickets here (closes 19th June) The Health Hub at CNM 5 August 2025 - get tickets here Illuminate & Elevate 13-14 September 2025 - get tickets here Find Philly onlineInstagramWebsitePS....And if you've never heard of Tartaria stay tuned for the next episode where I re-release one from the archives that might just change how you see everything...Send us a textConnect with Lisa Strbac:
Joe Alton, MD is an actively-licensed physician, medical preparedness advocate, and retired Fellow of the American College of Surgeons and Life fellow of the American College of OB/GYN. Amy Alton, ARNP, CNM is an actively-licensed advanced practice nurse practitioner and certified nurse midwife. Together, they are the NY Times/Amazon bestselling authors of various books, including the Book Excellence Award winners: The Survival Medicine Handbook: The Essential Guide For When Help Is NOT On The Way, Alton's Antibiotics and Infectious Disease, and other books. They have also been contributors to magazines in the survival, homesteading, and preparedness genre. Their website at … Continue reading →
In this episode of The Current Podcast, we're joined by Rob Bradley, SVP of digital revenue, strategy and operations at CNN International Commercial. He shares how CNN has evolved far beyond its broadcast roots — and how it's now helping brands tell more impactful stories across everything from connected TV (CTV) and free ad-supported television (FAST) channels to TikTok and LinkedIn. Episode TranscriptPlease note, this transcript may contain minor inconsistencies compared to the episode audio.Damian Fowler (00:00):I'm Damian Fowler.Ilyse Liffreing (00:01):And I'm Ilyse Liffreing.Damian Fowler (00:02):And welcome to this edition of The Current Podcast.Ilyse Liffreing (00:09):This week we're thrilled to be joined by Rob Bradley, the senior vice rresident of Digital Revenue Strategy and Operations at CNN International Commercial.Damian Fowler (00:18):Now, Rob has played a key role in CNN's evolution over the last 10 years from a broadcast powerhouse into a cutting edge digital platformIlyse Liffreing (00:26):That includes launchpad, CNN's AI powered advertising tool that's been driving smarter, more targeted campaigns for nearly a decadeDamian Fowler (00:35):From global banks to tech giants like Samsung and even government launchpad has helped brands show up on CNN's platform in ways that are both innovative and effective.Ilyse Liffreing (00:45):So in this episode we'll explore that journey, how launchpad got its start, what it's become today, and how CNN is helping advertisers navigate a complex digital world using deep audience insights and data at scale.Damian Fowler (01:00):So let's get into it. So Rob, let's start by talking about Launchpad. Not everyone's familiar with it, but it's been designed to help brands market themselves to CNN's audience. So I know it's eight years old. Can you talk about the tool and how it's evolved to this point?Rob Bradley (01:19):Yeah, I mean, to take a step, media companies and news brands today need to be so much more than just a platform where someone can serve a traditional ad to reach an audience. Of course we do that and embrace that, but our audience exists in a multitude of different environments. Now, of course, o and O, which can be TV to digital assets, websites, but of course Fast and CTV now. And of course they're all across social, which means that when we're working with brands today, we need to have tools that enable us to reach audiences in all of those environments. Essentially our clients expect that from us. So we have to innovate to be in those places. And also of course, by utilizing areas our audiences exist in today such as social, it means we get a broader reach. So we try and of course a lot of brands are nervous about social, and of course we do compete somewhat, but I like to flip it on its head and think about how can we use audiences on off platform environments to our advantage?(02:16):So launchpad essentially is a good example of that. It's an in-house social media agency, essentially utilizes latest talent. I would say. I think people do come first that really understand the latest technology to help us understand our audiences both on and off platform. That did launch really just reaching audiences in places like Facebook, but now it's across all the meta platforms, YouTube, LinkedIn, TikTok, and more. And over the years that team, through utilizing technology, have automated processes. We understand sentiment of what people are consuming, how they feel against our content that we distribute both on and off platform. And then we use those insights to indeed empower the next piece of creative, let's say. And it feeds into our brand studio, which is called CNN Create, which actually touches about 70% of our campaigns now. So it's all about the way we go to market is really about selling stories and content and then utilizing the impressions and volume of scale we have around that in a smart way.Ilyse Liffreing (03:15):And today, CNN Parent Company, Warner Brothers Discovery has only massively grown since the launch of launchpad and has so many touchpoint and audience insights. You have the entirety of the Harry Potter world and DC comments to seen in news. How do you make sense then of all that data and how does it come together to benefit a launchpad campaign?Rob Bradley (03:41):So first of all, I'd say there's still a job to do and an opportunity of gathering all that together because there's so many touch points that both can power the marketing of movies that say as well as the targeting of campaigns. And those targeting of campaigns can of course be owned and operated environment. So again, we can push audience insights into social platforms to target through tools like launchpad, but ultimately by understanding who our audiences are means that we can do three things. We launched a product called WBD AIM basically, which was actually born out of CNN, used to be CNN aim, and it stands for Audience Insight Measurement. And really it means that of course we talk about targeting quite a lot, that's where the rubber meets the road. But really as a severe successful media company today, you need to go to market with insight led sales.(04:29):So use that data to inform sales to the clients, proving upfront why you've got the right audience and why they should trust you. And then of course there's the targeting the audience piece, and then there's the measurement of proving what you have done has worked. And so that aim piece all comes together as one kind of data play. And where we have had success of bringing that together so far internationally is CNN Eurosport D plus in the UK and TNT Sport in the UK now exists in one platform. And also of course that's really good for programmatic as well. We can push those audience insights, put them into the marketplace and enable brands to buy programmatically against that. So very much in the programmatic space, we're aiming at the more premium PG programmatic direct marketplace.Damian Fowler (05:16):Can I just ask you off the back of that, do you see news as part of that whole package or it's not a sort of siloed separate piece of what you are offering?Rob Bradley (05:27):Yeah, that's a really good question. I think if you are a brand that wants an engaged audience and you want to be part of a conversation that's happening today or drive a conversation, news obviously makes sense. But of course I wonder if this is where you're going. News environments are challenged at the moment in some respect. There is a prevalence of I think, unfair news avoidance in the industry, particularly with very blunt keyword block lists that are being used, which is pretty well covered in the press and that is a major challenge. However, sports has a similar issue, right? Because words like shoot and shot and attack are used all the time just as though are news. So actually sometimes if people think of news straightaway, but there's a broader issue with that. And the reason why I mention that because actually news and sports is both live, it's what's happening today, it's audiences certainly where we sell it can be sports enthusiasts across both platforms at the broader end, it can be business decision makers, it can be C-suites, it can be high net worths bringing those audiences and ultimately linking it to what WBD has an abundance of is very premium, very trusted, very brand suitable environments you could say.(06:39):And that marketplace of WBD and WBD Connect is the programmatic marketplace will keep growing.Ilyse Liffreing (06:47):Now you talked about how your bridging basically social to programmatic. Have you seen one success in that so far and interest from the brands you've been working with?Rob Bradley (07:00):I think it's basically it was quite an early adopter of programmatic in the belief that it enables the human led work media owners to grow. And that has been proven in embrace technology to do what it does well, highly scaled targeted impressions that started on the website that say ever increasing on CTV and FAST for us, joining all that together, putting our own data into those environments, trying to work at the premium end of it so that we get the yield up and really embracing the technology to do that married with what only we can do best, which is linking directly with a brand, understanding a brand on their agency. In many markets we go brand direct though really understanding what their challenges are and what stories they've got to tell. And then coming up with this multi-platform strategy that can include programmatic maybe at the mid funnel or the performance end, but also linking it to a full multi-platform strategy, which may include CTV, fast Web and tv. And actually 80% of our direct campaigns include all of those platforms and include that social piece. And I think the reason why I've sort of spoken about social in is I think people often wonder about how we can utilize it to make money, but actually it's a really important part of our business where we're kind of using the best of what programmatic can offer, the best of what social can offer and then the best of storytelling.Ilyse Liffreing (08:27):Yeah, perhaps I would love to hear about a brand that perhaps you guys have been working with and how you are really measuring that success. I'm curious if any platform or audience perhaps outperformed your expectations.Rob Bradley (08:43):Sure. Well, I spoke about linking CNN storytelling that could have social impact in some way or drive conversations or change opinions. And that is when we have a really strong partnership with the brand, that's what we do for them. Really it's about how can we change perhaps a view or input a view into someone's mind that they may not have had about a brand based on facts or something that brand is really genuinely doing to try and make the world a better place beyond just perhaps selling a product. So CNN Embarks on a really bold program with Samsung recently, it was exactly a campaign that I said truly multi-platform include tv, digital, social, so use launchpad for off platform distribution and it really highlighted how Samsung technologies are being used to make the world a better place. Everything from the way they t trawl the ocean to dig up fishing nets and some of those fishing net parts are used in their mobile phones to a great story around how their TVs add access for the heart of hearing where we had a gentleman that was on stage with Beyonce who was doing sign language while she was performing, who went viral because he's an incredible character that really can literally make you hear the song using his hands.(09:54):It's amazing with hisIlyse Liffreing (09:55):MovementsRob Bradley (09:55):And he uses a Samsung TV at home, he feels it gives him what he needs considering that his hard of hearing challenges. So all those stories, it does involve a product, but really it's about a person, a human led story. We know that human led stories cut through a cluttered internet more particularly if they have some sort of emotional response that they offer, I can make you sad, happy, and ultimately the goal was to shift opinions about that brand. So looking at the data that we have, but 81% agreed that seeing the branded content that Samsung made made them think they were a more socially responsible company. 86% agreed that the branded content salt told them something about Samsung they didn't know before. And 84% agreed that branded content showed the value of Samsung as being more attention grabbing. So there's those hearts and minds movements that these campaigns at the brand's level kind of goals that they have. And that's really what we did with this campaign.Damian Fowler (10:53):That was great. Yeah, that's an interesting convergence of values and emotion and storytelling, but if we could sort of maybe look at some of the takeaways from the Launch Bank campaign and then get bigger from there. How did you measure success? I know you just mentioned some metrics right there for Samsung specifically, but did any platform or audience outperform your expectations?Rob Bradley (11:19):Yeah, I think we try to be platform agnostic somewhat when it comes to what the campaign goals are. So take within social, if the campaign of course is reaching consumers, we're more likely to use meta talk environments, YouTube, however of course if the campaign is more skew towards as a business audience, LinkedIn is more increasingly used. So it's not necessarily that one platform surprises because we'd set up the campaign at the start to meet those specific goals of that campaign. And within Samsung of course this was a consumer campaign, so those consumer platforms to reach and actually for that, TikTok did provide, and I think it was one of the first times that they'd ever worked with TikTok with a media owner and they trusted us because of the relationship that we have to deliver that campaign on TikTok. So that did have for one of the first times we've used it, a really important play within our overall multi-platform strategy.Damian Fowler (12:15):You mentioned insight-led sales, that means you have a good view of audience segments. Could you talk a little bit more about that and how you think about audience and how you break it down? And then the second part of that I guess is was there any unexpected reaction or behavior response from campaigns from these different areas of viewership?Rob Bradley (12:39):Yeah, I think we've had to get really sophisticated with understanding audiences and I'm linking who our audiences with our content. It touches on something I was talking about previously when it comes to the changes around news and news avoidance and brand safety and brand suitability. But that doesn't mean that all politics content should be blocked, for example. So I suppose there's the traditional side that we have of understanding our audiences of, okay, this is someone that's interested in reading a lot of business articles around finance. And then we can layer in personal identifying data where we have it and define and target that audience. But now we also add a layer in, we built a tool called sam, which is a sentiment analysis moderator, which also now kicks out a positive and negative sentiment score on our articles. So we know that if an article is about a scientific breakthrough, for example, that's a cure for a disease that may have innovation, technology may be very positive, but actually the word disease might have been blocked if you're using a more blunt keyword list. So with our clients, they trust us to use SAM to use more positive and negative targets. So we layer the kind of contextual element as well as the data element, and that runs on pretty much every single one of our direct campaigns.Ilyse Liffreing (13:56):Very cool. It sounds like a use of AI right there, if I'm not mistaken.Rob Bradley (14:00):It's an interesting one because we've had it for about five years and it is AI is machine learning and the reason we built it is because it ultimately unlocks more impressions than perhaps some of the off the shelf tools do.Ilyse Liffreing (14:11):Very true. Because also you're not just selling content to, you're selling a sustainable digital business. Would you say is your North Star when balancing that audience trust with monetization being CNN is such as a storied publication and company with multiple digital touch points?Rob Bradley (14:38):Yeah, good question. I mean, first of all, CNN's a global brand that's built on trust. We have some of the world's greatest journalists here and in a world that's growing in myth and disinformation is vital for society that they can rely on a trusted voice and reputable news organizations like CN. So I suppose our North Star is to of course lead with that trust but then make sure that we're essential for customers every day. So there's this sort of trust, but then there's also a premium environment and experience and that kind of goes hand in hand with advertisers going back to that storytelling piece or even putting an ad in an environment that has news. Brands want to be in a trusted place, so we really need to make sure that we're premium and that we're trusted first and foremost. But then also we need to embrace new ways of driving revenue.(15:29):We can't just rely on advertising, which is why we're embracing this direct-to-consumer business model to succeed over long-term. Linear in TV is still really, really important as of course is web, but exploring new digital monetization models that complement all those revenue streams are really important. So look fast is one of them, and CTV audio is one of them. We have CNN underscored in the us, which is kind of product recommendations and review sites, so e-commerce and of course as mentioned, the subs business, this direct to consumer business we're building. So we have to kind disrupt ourselves and embrace that to build a sustainable future.Damian Fowler (16:10):Rob, your role is you work for CNN International. So you look at the big picture obviously, and this is about a big picture question here, it's global, but it's also personal. So how do you think about that interaction, building digital products and content that both may be relevant at scale but also have to have local impact?Rob Bradley (16:31):I'll give you a kind of recent example. We announced plans to launch some CNM weather as our first standalone digital lifestyle product very recently, the upfront over in the us. So it is about expanding our content beyond news. As I mentioned, we already have travel, business style and tech and all of these different areas, but essentially builds on what we're good at, which is best in class live coverage of what's happening. Immense resources dedicated on the ground locally in this instance can of course be weather reporting and visual storytelling around weather. It's a way for CNN to bring these major weather events. So it may happen locally, so relevant information locally, but also huge interest globally. Think about the LA fires as a mass audience around the world, but also allows just simultaneously up to date weather forecast to help consumers get up to speed of what's going on there each day. And that's just a good example of something we've launched recently that has that both local, national and global relevance.Damian Fowler (17:29):I think it's always been a staple of good local news. Talking about right here in the US right now, there's some challenges to public broadcasting and one of the things that they have are these local stations that inform people about local weather events and that's crucial, especially in the tornado belt for instance. So I think weather obviously is key. And it's interesting to hear you say that obviously this is a fast moving space, the digital commercial space. As you look ahead, what are the biggest opportunities you see for CNN to lead here in this space? I guess AI is one of those things, immersive content. What else are you thinking about?Rob Bradley (18:10):Well, the CNN synonymous with video led journalism. Ultimately we're a video company that started on cable and is now in all these platforms that are ever expanding. But really we obviously want to continue and focus on that legacy if you like. So expanding our current subscription offering in the fall, as you guys say over there, autumn, as we say across the pond in the uk, essentially the launch of a new streaming product that's due ultimately in the US then but will soon be rolled out internationally as well. Providing a individual one stop place where audiences can access our journalism, our original programming, they can choose from live channels, catch up on features, a video on demand, and it'll be on all platforms from mobile apps, CTV and the.com websites. And it's going to be part of a new subscription, which is called CNN's All Access subscription.(19:01):So an example of embracing streaming video led alongside the other channels. And of course embracing the fact that our audience exists on mobile vertical video has been a huge investment for us. It's what consumers want, we understand their behavioral patterns. So we've basically grown our vertical video capabilities across our platforms and will be a key pillar as we continue. I also think it's about fostering direct relationships with audience, which is something that social does really well. Actually. We've already established some of these areas. Take Anderson Cooper's All there is podcast, which is fantastic, it's around grief, but literally has led to thousands of voice notes and interactions. Ranson himself so much that he built. And we built an online grief community, which essentially is where you can hear voices and other stories of people respond to comments and stories of their own grief and there's a really engaged community around that. And then of course podcasts and audio exists in audio, but more and more they're being recorded. And actually if you look at all areas podcast as well as the assignment of Cornish and Chasing Life of Doug, Sanjay Gupta, they're all video now as well and available there. So I think you're going to see news brands like seeing and leaning into this kind of personality led kind of opportunities as well.Ilyse Liffreing (20:18):Yeah, that's really exciting. The streaming space has exploded, obviously. And I'm curious how CNN All Access is going to differentiate itself enough or stand on its own in order to get those subscribers.Rob Bradley (20:38):Yeah, it's not necessarily a part I manage directly to be honest, to be honest with you, but I say CNN, it goes into another something we spoke about previously, which is around the history of the brand, the legacy of the brand, the power of a brand, right? No one can deny that CNN is a brand that doesn't touch all corners of the world and it's still highly, highly relevant. And it's funny, when you look at sometimes when you use the word a legacy brand or traditional media, it's almost used in some sort of negative connotation. Stay with me. You asked me a question, I'm going in a different direction. But sometimes it's used in this kind of negative connotation. But if you look at other areas like Luxury UMES or Rolex Legacy has a value. Auto Rolls Royce technology, I would say even like IBM or Apple, even their legacy is important because that brand stands for something as it does for CNN.(21:42):So those brands also innovate and make sure they're relevant for today. And I'd say streaming is just an example as well as podcasts as well as what we're doing. Launching the weather app is an example of CNN disrupting itself, making sure it's relevant today, but as well, not giving up on that legacy of who we are because that brand stands for something. So how are we going to stand out is having some of the best journalists in the world having one of the biggest brands in the world and making sure that what we do is authentic, fact-driven and trust base.Damian Fowler (22:15):That's great. So we've got a few quick questions here to hit you with to close this out. So alright. First off, what brand or publisher is doing something unexpected that you admire?Rob Bradley (22:30):Arnold Schwarzenegger's Pump Club. What love that You should have seen my comms team face when I said I was going to say that he's a yes. Firstly, I know this is an audio recording or a video recording, I'm not, if you can see me, I'm not someone that is a bodybuilder, but I do really, oh, I dunno. I do really like Arnold Sch and actually his pump club. I use it for the emailers, but there is a podcast as well. He is got an emailer, he's utilizing an ever-growing medium, let's say, from sending out email news. He uses his personal brand to form a relationship with an audience, his heritage in fitness, the rise of emails, as I said. And he shares really valuable information to a defined audience. It's really fact driven, it's really science driven today, which proves we do read it. He was reading, basically sharing a study on potassium and the benefits of increasing your potassium intake and how it can have on the heart. So he's got lots of links to real studies. The commercial model does mean he's trying to sell you a few things along the way as well. But I find it interesting and I think it's a great use of someone using all these tools that are available today to connect with an audience.Ilyse Liffreing (23:52):Yeah, that's a fun one. I like that.Rob Bradley (23:54):I love that there's oneDamian Fowler (23:54):Guy who knows how to connect to an audience. It's Arnie.Rob Bradley (23:57):Yeah. And do you know what? I saw him in New York last time I was there and he was sitting two meters away from me for at least two hours. And I didn't have the guts to say hello, but I was happy just being in Arnie's presence.Ilyse Liffreing (24:10):Yeah, amazing. If you could fast forward five years, what would you want CNN's digital presence to feel like to a 25-year-old?Rob Bradley (24:23):I mean, look super relevant, both from a personal point of view to also giving that individual information they need to know or should know about what's happening in the world. I think you don't want it too personal so that people are in their record chambers that say it should be video led. And of course it should be accessible on the platforms that that person wants. It should be ubiquitous, but it also should be predominantly on owned and operated platforms. It's important that we continue to invest in the core. And I know we spoke about social work, important to invest in the course, it should be owned and operated platforms that CNN has predominantly.Damian Fowler (24:59):And finally, late night breaking news alerts or morning deep dive newsletters. What's your personal preference or should we say news ritual?Rob Bradley (25:10):It sounds like a question as a news kind of person I should think about all the time, but I've realized, I go so deep in the mornings. I'm like within 15 minutes I've checked obviously CNN, but I've probably checked BBC, the Guardian New York Times. I check Fox News to see how they're approaching a story and then I'll go into podcasts on the way to work and then I'll probably check things like The Economist and things like that to go deeper as I've got more time. So I kind of utilize everything and I go pretty deep, but it probably tails off towards the end of the day. I think I've had enough by the evening, and that's more when I want to chill out of a glass of wine and watch a movie. I have some nice food.Damian Fowler (25:52):So, what was your what take, what was your big impression from that conversation with Rob?Ilyse Liffreing (25:59):Yeah, my big impression was really how, and this isn't surprising from CNN, but how they lead with storytelling when it comes to their managed brand campaigns. I love the example that he gave was Samsung who found when they managed their campaign across multiple digital touchpoints, they found that the audience 86% agreed that branded content told them something new about Samsung that they didn't know before. And that's really powerful when you're a brand like Samsung.Damian Fowler (26:34):Yeah, I thought that was very telling and I think even more the idea that CNN is really looking at and audience reaction, not just in terms of its own content, but in terms of the branded content. I thought that was also very interesting when we asked him about campaigns that have kind of caught them by surprise. And that idea that CNN International had launched a campaign that was targeted specifically a young affluent demographic in the city of London. But actually when they looked at the backend and looked at the measurement, it was hitting beyond London, outside of London to empty nesters whose kids had already left home, which was a surprising insight, but also allowed him to pivot the campaign to target that group. So I think the idea of audience strategy, being nimble with audience strategy and the fact that the digital frame allows a brand like CN International to be much more nimble right now. I guess that's an interesting takeaway for me.Ilyse Liffreing (27:39):Also, it helps that you have the breadth of data that a company like Warner Brothers Discovery does have across its multiple properties.Damian Fowler (27:51):And that's it for this edition of The Current Podcast.Ilyse Liffreing (27:54):This series is produced by Molten Hart. The Current Podcast theme is by Love and caliber. The Current team includes Kat Vesce and Sydney Cairns.Damian Fowler (28:03):And remember,Rob Bradley (28:03):If you look at other areas like Luxury UMES or Rolex Legacy has a value Auto Rolls-Royce technology. I would say even like IBM or Apple, even their legacy is important because that brand stands for something as it does for CNN.Damian Fowler (28:21):I'm DamianIlyse Liffreing (28:21):And I'm Ilyse, and we'll see you next time.
In this episode, Lisa Paladino, CNM, IBCLC, speaks with Patricia Berg, IBCLC and craniosacral therapist, about the power of combining bodywork and lactation care. They explore how craniosacral therapy supports breastfeeding, the importance of addressing birth trauma, and how collaboration and evidence-based practice enhance infant outcomes.Key takeaways:Craniosacral therapy is gentle, holistic, and non-invasive.Addressing birth trauma can support breastfeeding success.Peer support and interdisciplinary teamwork matter.Evidence-informed care enhances confidence and results.Patricia Berg can be found here: 800lactate.comResources & Links:
In this podcast episode, Sara A. Hurvitz, MD, FACP, La-Urshalar B. Brock, FNP-BC, CNM, and Jordan Hill, PharmD, BCOP, discuss the important role of the multidisciplinary team in achieving comprehensive and individualized care of patients with HR-positive/HER2-negative metastatic breast cancer and preexisting comorbidities, including:Key Comorbidities in Patients with HR+/HER2- MBCImpact of PolypharmacyRole of APPs in Comprehensive CareRole of CDK4/6 Inhibitors and Other Treatments for HR+/HER2- MBCUtility of RWE dataCommunicating Treatment Options With Patients and CaregiversUnderstanding Patient Goals and Coordinating With the Multidisciplinary Team to Individualize Treatment and Maximize Quality of LifeLink to full program:https://bit.ly/4jCQe38
In this episode of The Birth Lounge podcast, host HeHe is joined by guest Marisa Huebsch to discuss the topic of shoulder dystocia, a rare but serious obstetrical emergency. HeHe and Marisa, a certified nurse midwife, explain what shoulder dystocia is, its causes, and how it can be resolved through various maneuvers. She emphasizes the importance of patient autonomy and informed decision-making during childbirth, particularly in high-stress situations like shoulder dystocia. They also delve into the risks of shoulder dystocia for both mothers and babies, including potential injuries and the importance of postpartum debriefing. The episode aims to demystify this complication, providing listeners with practical advice on staying in control and advocating for themselves during labor and delivery. 00:00 Introduction and Hospital Choices 01:38 Understanding Shoulder Dystocia 03:26 Preventing and Managing Shoulder Dystocia 03:42 Guest Introduction: Marisa Huebsch 06:21 Personal Experiences with Shoulder Dystocia 08:57 Detailed Maneuvers for Shoulder Dystocia 20:15 Induction and Shoulder Dystocia 25:48 Patient Autonomy and Birth Choices 42:46 Addressing Provider Self-Reflection and Bias 44:55 Handling Trauma and Patient Care 47:46 Navigating Patient Autonomy and Informed Consent 49:18 The Role of Providers in Birth Experiences 01:02:55 Managing Shoulder Dystocia Risks and Outcomes 01:15:15 Empowering Patients Through Education and Support 01:18:32 Final Thoughts and Resources From Marisa: I was a Labor and delivery nurse for 6 years, worked in 3 different facilities including high risk units and low risk units. I was also a nurse home visitor with Nurse Family Partnership where I worked with low income first time moms and babies throughout pregnancy and through the child's first 2 years. I am now a hospital based CNM in a high volume practice who collaboratively cares for low and high risk patients with a robust midwife team. My practice philosophy is all about empowering patients to be informed about their care, normalizing physiologic birth, and providing the midwifery care model to high risk patients. I have two children, one born in a hospital and one born at home (unusually LONG multip labor , educated by The Birth Lounge) SOCIAL MEDIA: Connect with HeHe on IG Connect with HeHe on YouTube Connect with Marisa on IG 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!
Nutritionist Hannah Braye from Invivo Healthcare joins us to unpack the powerful role gut health plays in overall wellbeing. From digestion and hormones to mood and immunity, she explains how the microbiome impacts multiple body systems. We cover the gut-brain connection, signs of imbalance and how stool testing can offer valuable insights. Hannah also shares practical tips on gut-friendly foods, key nutrients for the microbiome and the benefits of probiotics and prebiotics. Whether you're struggling with gut issues or simply want to optimise your health, this episode is packed with tips you can start using right away. For more information and the show notes, head to the CNM podcast website. Stay updated by following CNM on:Website: https://www.cnmpodcast.com Instagram: https://www.instagram.com/collegeofnaturopathicmedicine/Facebook: https://www.facebook.com/CNM.UK/
Every pregnant person deserves the information—and support—they need to make truly informed decisions about labor induction. In this episode, Dr. Rebecca Dekker talks with Dr. Ann Peralta and Kari Radoff, CNM, co-creators of Partner to Decide, a nonprofit initiative improving decision-making in perinatal care. They discuss the creation of their free, multilingual decision aid that supports families in understanding their options around routine induction of labor—and empowers them to advocate for their values, preferences, and autonomy. Ann shares how her own birth experience, shaped by access to education and privilege, sparked the creation of the tool. Kari offers insight into how the decision aid has changed conversations in clinical settings—bringing clarity, reducing bias, and fostering truly shared decision-making. Together, they illuminate how access to balanced information can reduce anxiety, improve trust, and shift the culture of perinatal care. (03:02) What Is a Decision Aid and Why It Matters (07:12) Ann's Birth Story and the Origins of Partner to Decide (11:09) Gaps in Shared Decision-Making from a Provider's Perspective (14:24) Personal Values, Intuition, and Cultural Differences (18:19) Designing the Decision Aid with Equity and Accessibility (23:49) The Power of Absolute vs. Relative Risk in Birth Conversations (25:01) Surprising Patient Feedback: From Access to Empowerment (30:31) Provider Reflections and Challenging Bias (36:11) Why “Routine” Induction Language Matters (43:59) How to Respond to Pressure or Coercion Around Induction (46:16) How to Access the Free Decision Aid and Support New Tools Resources Access the free Induction of Labor Decision Aid in seven languages: www.inductiondecisionaid.org Learn more about the nonprofit: www.partnertodecide.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.
Joshua Sparkes is a grower whose innovative, soil-centered approach blends regenerative principles with a deep reverence for the natural world. We dig into his unique style of farming, how it's shaped by observation and experimentation, and why it offers a glimpse into what must be the future of sustainable food production. Links The Collective at Woolsery Joshua Sparkes on Instagram Other episodes if you liked this one: If you liked this week's episode with Joshua Sparkes you might also enjoy this one from the archives: Episode 328: Soil, Health & Nutrition Guest: Sam Hamrebtan Link: Roots and All Nutritional therapist and sustainable cooking expert Sam Hamrebtan explores the vital connection between soil and the nutrients in our food. As the founder of the Life Larder newsletter and Course Director at CNM's Natural Chef School, Sam brings a wealth of knowledge on how growing practices impact the quality of what we eat. Episode 306: The Soil Habitat Guest: Eddie Bailey Link: Roots and All Eddie Bailey, a geologist, organic no-dig gardener, and soil food web specialist who runs Rhizophyllia, discusses the soil food web, what inhabits the soil habitat, why soil health impacts plant health and ultimately our health, and what you can do to get the best out of your garden. Please support the podcast on Patreon
In this episode, we sit down with Dr. Elyse Martin, CNM, to explore the world of holistic health and wellness. From gut health and functional medicine to women's health and longevity, Dr. Martin sheds light on how a holistic approach can transform your well-being. We also dive into topics like the gut microbiome, dietary supplements, birth plans, and the role of midwives in modern healthcare. Don't miss this insightful conversation packed with actionable tips for a healthier, more balanced life!Find out more about us and what we do at https://otgfitness.com/Find out more about Elise and what she does at https://www.hivewomenswellness.com/
In this episode, Melissa Hasler, APRN, CNM, Director of Certified Nurse Midwifery at Fairview Health Services, discusses how Fairview is tackling the Black maternal health crisis by eliminating race-based screenings, rethinking care maps, and centering equity in prenatal and delivery care.
In this episode, Melissa Hasler, APRN, CNM, Director of Certified Nurse Midwifery at Fairview Health Services, discusses how Fairview is tackling the Black maternal health crisis by eliminating race-based screenings, rethinking care maps, and centering equity in prenatal and delivery care.
In this episode, Elle and Vee go deep with Adam Darrow, the author of Seek the Risk: One Man's Journey Into Non-Monogamy. Described as a "firsthand recounting of a wide-open relationship, told with unflinching candor from the male perspective", Elle and Vee were struck by the relatability of Adam's ENM story in Seek the Risk, from the overthinking and jealousy to the adventurous sex and deep connection in his relationship. His firsthand account of how he worked through the challenging emotional moments of his relationship with "the wrong girl" is FULL of nuggets, many of which are mentioned in this deep, candid, vulnerable conversation. Grab a pen and dig in :) What does Seek the Risk mean? "Experience hunting" rather than "trophy bagging". (2:52)Applying the Seek the Risk philosophy to CNM (consensual non monogamy). (6:49)Misalignment and shame: when one partner is the one who is pushing, and one is being pushed. Being mindful and careful about not shaming the “slower” partner. (9:23)The treasure you seek: when do you know it's growth vs. self-flagellation? (15:13)Tool #1: Creating a container to hear stories about your partner's sexual activities so you aren't blindsided by them. Asking for consent to share information. (18:30)Tool #2: Check-ins/debriefs. (23:37)Being triggered at a sex party and how to work through it. (25:36)Tool #3: “Take the cigarette break.” aka Not reacting in the moment. Notice your own growth! (31:22)Tool #4: Self-hypnosis aka “magical reframing”. (36:01)Tool #5: “Exist in the grey.” Don't act on emotions when spiraling out: sit with uncomfortable feelings. “Negative outcome fantasy.” (38:50)Imposter syndrome: how our childhood traumas show up in our adult relationships. (43:37)IFS: internal family systems and Aspecting (from ISTA). (49:52)Masculinity: Societal hypocrisies and submissive associations with pegging and anal play. (52:58)Final Nugget! (1:00:34)Where to find us, and how you can support us:Instagram: @girlsgonedeeppod Merch: girlsgonedeep.com/shop Woo More Play Affiliate Link: Support us while you shop! WHOREible Life: Get 10% off your deck with code GONEDEEP at whoreiblelife.com Instagram: @wlthegameContact: girlsgonedeep@gmail.com
JKS 58 Celebate Swingers 2, The SequelWelcome back faithful listeners!April is STI awareness month so we wanted to get this episode out there.This episode, we do a little discussion about how things have been going and go back to last october and november before Mrs. Sting's breakup with her boyfriend, to disclose the most recent issue that has forced us to be Celebate again.We talk about STIs (big surprise) and getting tested.Mentioned in the episode...tellyourpartner.orgshamelesscare.comSee below for links to testing & STI information. Please reach out if you have something to say about this.We hope you enjoy the show!Thank You for listening, and "Just Keep Swinging"!You can reach Mr.Sting at @JKSwingingPod on Twitter or @justkeepswinging.bsky.socialemail at JustKeepSwingingPod@gmail.comIf you like our show and the perspective we provide, PLEASE give us a positive review on iTunes. If you don't like us, say nothing and just move along .WE HIGHLY RESPECT THE FOLLOWING LIST OF CREATORS/ORGS(FYI-we do not generate any form of compensation from our show. We do it for love & caring for ourselves and others. The following are people we believe in.)We encourage you to visit OPEN The Organization for Polyamory and Ethical Non Monogamy https://www.open-love.org/follow @openloveorg Libertine Events Lifestyle vacations,https://libertineevents.com/ follow @PaloozaPodcast on social media or visit https://podcast-a-palooza.comwww.openingus.comhttps://beyondourbedroom.com/https://www.expansiveconnection.com/Average Swingers podcastSapphic Swingers podcastTwo or more to Tango podcastSwinger University podcastCasual Swinger podcast My Favorite app for building sex positive community & education is called Plura. you can find out more here...https://heyplura.com/faqFascinated about swinging and other kinds of open or sex positive relationships? Go listen to our friends at Normalizing Non Monogamy podcast. Join their community. https://www.normalizingnonmonogamy.com/ and Bawdy Storytelling podcast https://bawdystorytelling.com/podcastHave you or a loved one contracted Herpes or another STI and are looking for resources on coping with your diagnosis? Search IG for Courtney Brame from the Podcast & Non-Profit "Something Positive for Positive People". A resource for fighting stigma and shame, while finding community & emotional healing for people living with Herpes & other STIs.visit https://www.spfpp.org/Other resources to consider...American Sexual Health association- ASHAsexualhealth.org @infoASHAThe- nationalcoalitionforsexualhealth.org @NCSH_stdcheck.com @STDcheck Shameless Care STI testing and meds www.shamelesscare.comOther notes: We recommend watching Embarrassing Bodies & Big Mouth on Netflix for relaxing the grip of stigma, fear and poor sexual & relationship education.
In this episode, Lisa Paladino, CNM, IBCLC, explores the complex—and often controversial—challenges that lactation consultants face when assessing and managing tongue tie in infants. From inconsistent training and ambiguous assessments to provider disagreements and family pressures, Lisa breaks down the barriers to effective care and offers actionable strategies to overcome them.Key Topics Covered:Inconsistent Training & Guidelines: Education on tongue tie varies widely, leaving many professionals with limited or conflicting knowledge. Lisa stresses the need for specialized, evidence-based continuing education and peer collaboration to build confidence and competence.Challenges in Assessment: Accurate diagnosis requires more than a visual check—functional assessment is key. Lisa highlights the importance of understanding oral mechanics and using supportive and proven assessment tools. Interprofessional Disagreements: Differing views among health care providers can confuse families and complicate care. Lisa advocates for respectful, evidence-informed communication and building a trusted referral network.Parental Pressure for Immediate Answers: Families often seek quick fixes amidst feeding struggles. Lisa emphasizes the value of compassionate education, managing expectations, and offering follow-up support.Limited Access to Qualified Providers: A shortage of experienced tongue tie professionals can hinder timely treatment. Lisa encourages exploring virtual consults, maintaining referral lists, and advocating for increased local training.Takeaway: Navigating tongue tie assessment and treatment is both controversial and challenging—but with the right tools, education, and collaboration, lactation consultants can support families more effectively and confidently.Resources & Links Mentioned:
*Content warning: medical trauma and neglect, threat of life, mature and stressful themes, pregnancy and infant loss. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ ACOG, Fetal Heart Rate Monitoring During Laborhttps://www.acog.org/womens-health/faqs/fetal-heart-rate-monitoring-during-labor Amniotomyhttps://www.ncbi.nlm.nih.gov/books/NBK470167/#:~:text=Amniotomy%2C%20also%20known%20as%20artificial,commonly%20performed%20during%20labor%20management. March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ The Second Trimesterhttps://www.hopkinsmedicine.org/health/wellness-and-prevention/the-second-trimester#:~:text=The%20second%20trimester%20is%20the,grow%20in%20length%20and%20weight. Stages of labor and birthhttps://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/stages-of-labor/art-20046545 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ What to Know About Cervical Dilationhttps://www.healthline.com/health/pregnancy/cervix-dilation-chart Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooThe Webby Awards (2025)Exciting news! Something Was Wrong is nominated for Best Crime & Justice Podcast at the 2025 Webby Awards. We'd love and appreciate your support—cast your vote today!https://vote.webbyawards.com/PublicVoting#/2025/podcasts/shows/crime-justice*Please note: the first airing of this episode stated that Rachel was a CNM, she is a CPM and LM so we corrected this error within an hour of release. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Homeopath Atiq Ahmad Bhatti joins us to share his expert advice on using homeopathy to support children's health and immunity. From colds and ear infections to teething, digestive upsets and skin complaints, Atiq explains how homeopathic remedies can gently ease symptoms and support the body's natural healing. Whether you're a parent searching for safe, natural options or simply curious about how homeopathy works, this episode offers practical guidance and insight. For more information and the show notes, head to the CNM podcast website. Stay updated by following CNM on:Website: https://www.cnmpodcast.com Instagram: https://www.instagram.com/collegeofnaturopathicmedicine/Facebook: https://www.facebook.com/CNM.UK/
Interview with Jackie Grigg, CNM, and Andie Wyrick, CNM, DNP, MSN. Also, joining us are Samantha Ranck, RN, SNM, and JacQue, Holistic Doula, Student Midwife and Student Herbalist. They will tell us about maternal and infant mortality in the … Continue reading →
Join me and Marianne Stroud, CNM for a discussion on the basics of giving birth at the Holy Family Birth Center.
Nutritional therapist and sustainable cooking expert Sam Hamrebtan explores the vital connection between soil and the nutrients in our food. As the founder of the Life Larder newsletter and Course Director at CNM's Natural Chef School, Sam brings a wealth of knowledge on how growing practices impact the quality of what we eat. Sam talks about nourishing both the land and ourselves. Links The Life Larder On Instagram Other episodes if you liked this one: If you liked this week's episode with Sam Hamrebtan you might also enjoy this one from the archives: 257: Taste Your Garden This episode, my guest is qualified herbalist Meghan Rhodes. Meghan discusses how we can tap into our gardens for better health, why herbs are good for dealing with conditions that are manifestations of multiple problems, such as stomach issues, the 7 keys tastes you find in herbs and how you can get started on your own journey using herbs for wellbeing. 246: Urban Smallholding My guest this episode is urban smallholder Sara Ward. Sara runs Hen Corner, a backyard smallholding in London. Her website Hen Corner has a wealth of information on growing and making food, she runs courses, sells products from her bakery and has just published a book ‘Living the Good Life in the City'. I began by asking Sara what prompted her to follow in the wellie-prints of Barbara Good. Please support the podcast on Patreon
In today's episode, Dr. Karen DeCocker, PMHNP, DNP, CNM, joins the podcast to discuss the use of ketamine to treat depression and various other mental health issues. Dr. DeCocker is the Director of Advanced Practice Providers and Vice President of Clinical Services at Stella Mental Health. Here, she's on a mission to reframe the mental health care paradigm – emphasizing the need to treat brain health with the same level of importance as physical health… Dr. DeCocker provides individualized treatment recommendations across a wide range of advanced protocols, including dual sympathetic reset, ketamine infusions, integration therapy, and more. With more than 13 years of experience as a clinical professional and 30 years of experience in the non-profit and healthcare administration sectors, she has a proven track record of delivering results and fostering a culture of excellence and humanity. Tune in to learn about: The importance of understanding what's at the core of our physical body symptoms. A history of ketamine in the mental health sector. The types of patients that ketamine treatment can work well for. How ketamine is typically administered. You can follow along with Dr. DeCocker and her work by visiting the Stella Mental Health website! Episode also available on Apple Podcasts: http://apple.co/30PvU9 Upgrade Your Wallet Game with Ekster! Get the sleek, smart wallet you deserve—and save while you're at it! Use coupon code FINDINGGENIUS at checkout or shop now with this exclusive link: ekster.com?sca_ref=4822922.DtoeXHFUmQ5 Smarter, slimmer, better. Don't miss out!
Dr. Lonnie Morris, ND, CNM, is a midwifery trailblazer who has dedicated her career to advocating for women, advancing maternal health, and empowering families. She attended 7,000 births across her 45 year career. Join us as we dive into her inspiring path, the lessons she's learned, and the wisdom she has to share with midwives everywhere.Connect with Lonnie instagram: @lmcnmRecommended in the show: Nobody Told Me That by Ginger Breedlove
Naturopathic Doctor Lara Briden unpacks metabolic dysfunction and shares insights from her latest book, Metabolism Repair for Women. We explore why so many women struggle with metabolic health, how to support it naturally, and the key role hormones play. Lara debunks common myths and offers practical strategies to restore metabolic balance. Plus, we discuss how metabolic health changes over time and how women can adapt during perimenopause and menopause. For more information and the show notes, head to the CNM podcast website. Stay updated by following CNM on:Website: https://www.cnmpodcast.com Instagram: https://www.instagram.com/collegeofnaturopathicmedicine/Facebook: https://www.facebook.com/CNM.UK/
The Two Bobs episode 276 for Monday, March 3, 2025: What are The Bobs drinking? Rob enjoyed a Junk and Rubbish from Shorts. https://untp.beer/0e979182c9 Robert nursed a Big Hearted IPA from Bells. https://untp.beer/1wjQQ Follow us on Untapped at @RobFromTTB and @lowercaserobert or we'll plant a python in your house. A show about Florida Man® wants all of your craziest Florida Man® stories. https://www.miaminewtimes.com/arts/florida-man-show-wants-your-craziest-sunshine-state-stories-22548528 This week's CRAZY NEWS just got into an Oval Office altercation with the President while J. Vance licked the bottom his shoes. California wants to make Bigfoot its official mythical creature—because nothing says “state pride” like honoring a giant, hairy beast that spends its life dodging cameras like a drunk celebrity on a bender. https://www.abc10.com/article/news/local/california/california-bigfoot-state-mythical-creature/103-f323a5f5-f07f-47ae-a6e0-fa9119802e60 An Essex prankster turned special delivery into special diarrhea—right through the neighbor's letterbox. https://www.thesun.co.uk/news/33451283/neighbour-from-hell-poo-letterbox/ A couple's flight to Venice came with an unexpected upgrade—four hours next to a corpse. We'd take that over a screaming child any day. https://www.nbcnews.com/news/world/couple-forced-sit-dead-body-plane-4-hours-woman-dies-flight-rcna193617 A Georgia man went from toxic ex to full-blown supervillain, bombing a woman's home and plotting a python attack—because therapy was just too mainstream. https://www.cbsnews.com/news/stephen-glosser-sentenced-bombing-woman-home-plotting-python-attack-georgia/?ftag=CNM-00-10aac3a A forgetful man's free trial habit is catching up to him—much like all those auto-renew charges sneaking up to bite him in the anus. https://theonion.com/forgetful-man-playing-fast-and-loose-with-free-trials/ Please share the show with your friends, and don't forget to subscribe! Visit www.thetwobobs.com for our contact information. Thanks for listening! Leave us a message or text us at 530-882-BOBS (530-882-2627) Join us on all the social things: Follow us on Blue Sky Follow us on Twitter Check out our Instagram Find us on YouTube Follow Rob on Untappd Follow Robert on Untappd The Two Bobs Podcast is © The Two Bobs. For more information, see our Who are The Two Bobs? page, or check our Contact page. Words, views, and opinions are our own and do not represent those of our friends, family, or our employers unless otherwise noted. Music for The Two Bobs was provided by JewelBeat.
Guest: Jenna Clark, MSN, CNM, WHMP (Intermountain Health St. James Hospital)Working in partnership with Megan Bristol (Ep. 05), Jenna offers midwifery care at St. James Hospital. Learn what makes midwifery different from an OB approach, and how Jenna made her professional transition. https://doctors.intermountainhealth.org/provider/jenevieve-l-clark/2197973Connect with Healthy Mothers, Healthy Babies Website Facebook Instagram For statewide resources to support Montana families in the 0-3 years of parenting, please visit LIFTS ( Linking Infants and Families to Supports) athttps://hmhb-lifts.org/
EPISODE 262: Interview with Aasha T. Aasha T. is the Author of “The Empath is the Narcissist,” and an emotional and energetic intelligence expert. She has gone through her own experience with push/pull dynamic as both the avoidant and the anxiously attached to realize this is all about one thing: SOUL Vibes. This is where you become magnetic fast, and align to your desires (whatever those may be). If you get value out of the Loving Without Boundaries podcast, then consider becoming one of our patrons! Not only will you enjoy exclusive content made just for you, your support will also help us continue creating educational content while helping more people have a deeper understanding of consensual non-monogamy and healthy, sex positive relationships in general. https://www.patreon.com/lovingwithoutboundaries
In view of the numerous health problems Americans have that are related to sexual issues, I need to take a respectful and scholarly approach to discuss: sex, orgasms, and improving whole health through healthier sexual relations. Many of the topics today are taboo for some because of social beliefs or absolute embarrassment, but again, I'm sharing some insights and some of my reading research to help people understand what lies under so many health issues from weight loss to movement constrictions to mental health and more--and it's about sex--or the absence of it altogether. Take what works for you; discard what does not apply...and take care of yourself too. Here are the books I recommended at the end of the show:"Ending Female Pain: A Woman's Manual; The Ultimate Self-Help Guide for Women Suffering from Chronic Pelvic and Sexual Pain" by Isa Herrera, MSPT, CSCS (2009)"Women's Anatomy of Arousal" by Sheri Winston, CNM, RN, BSN, LMT (2017)"Tantric Intimacy" by Katrina Bos (2017)"Sandstone Seduction: Rivers and Lovers, Canyons and Friends" by Katie Lee (2004)"Maps to Ecstasy: teachings of an urban shaman" by Gabrielle Roth (1989)*"Sensual Orchids" photo by Ron Jones
In this episode of The Wellness Way, I sit down with Nikki Roy, a mature student at the College of Naturopathic Medicine in London, who shares her extraordinary journey of self-healing. If you're thinking of studying naturopathy. Now is the time. And as a little bonus from me: Use the link on my website phillyjlay.com (in the ‘Shop Philly' section) and mention Philly J Lay your CNM ambassador to get a whopping £250 discount off your student fees! Through her journey, Nikki discovered the transformative power of Chinese medicine and acupuncture, leading her back to study these ancient healing arts. She now shares the incredible wisdom of Traditional Chinese Medicine (TCM) and how it can support skin health, emotional wellbeing, and overall vitality. This episode is packed with inspiration for anyone looking to take control of their health and explore natural alternatives for healing. Find Nikki here: INSTAGRAM: @nixiroy Find College of Naturopathic Medicine here: https://www.naturopathy-uk.com/ambassador/?ambassadorid=C347286&utm_medium=link&utm_source=Ambassador&utm_campaign=250Voucher&utm_content=C347286
Will Consensual Non Monogamy (CNM) ever replace traditional monogamy and marriage? I explore the concept of open relationships and polyamory, discussing its implications, challenges, and the reasons why traditional marriage remains prevalent. These are five different reasons CNM will never replace traditional marriage/relationships based on stats, research, and personal experience. I emphasize the emotional complexities involved in sexual relationships and the societal perceptions surrounding non-traditional arrangements. _____________________________ What Is Marriage Isn't Dead? Marriage Isn't Dead is an organization focusing on practical self-improvement advice for marriage, dating, career, work/life balance, entrepreneurship, parenting, and a healthy lifestyle. Check out “Marriage Isn't Dead” on all podcast platforms! YouTube: https://www.youtube.com/@MarriageIsntDead?sub_confirmation=1 Instagram: https://www.instagram.com/marriageisntdead/ Facebook: https://www.facebook.com/profile.php?id=61555370507017 Email: scott@marriageisntdead.com Chapters 00:00 Understanding Consensual Non-Monogamy (CNM) 02:29 #5: CNM Favors Women 04:50 #4: CNM Adds Complexity 07:26 #3: Flawed Family Dynamics 09:20 #2: Social Stigma of CNM 10:20 #1: Sex Is Complicated 12:45 Summary and My Thoughts
Today's Sponsor: 100 Daily Affirmations For Positivity & Confidencehttps://amzn.to/40vDvXRToday's Rundown:Trump Signs Executive Order to Release More JFK, RFK, and MLK Assassination Fileshttps://www.cbsnews.com/news/trump-announces-jfk-rfk-mlk-assassination-files-to-be-released/?ftag=CNM-00-10aag9b Judge Blocks Trump's ‘Blatantly Unconstitutional' Executive Order Aiming to End Birthright Citizenshiphttps://us.cnn.com/2025/01/23/politics/birthright-citizenship-lawsuit-hearing-seattle/index.html RFK Jr. Reveals Up to $1.2M in Credit Card Debt Despite $30M Net Worthhttps://abcnews.go.com/Politics/rfk-jr-reports-12m-credit-card-debt-30m/story?id=117995699 Hegseth Admits Paying $50,000 to Woman Who Accused Him of 2017 Assaulthttps://apnews.com/article/hegseth-sex-assault-payment-trump-6674cc8cfee654c374725948e01ff666 CNN Announces Layoffs Amid Schedule Revamp and Digital Strategy Shifthttps://www.cnn.com/2025/01/23/business/cnn-layoffs-digital-strategy/index.html Las Vegas Hotel Workers Union Ends Decades-Long Strike with New Casino Dealhttps://apnews.com/article/las-vegas-casino-strike-culinary-union-3c70eb64acf95c74fefeee9072734263 Kevin Costner's Horizon Chapter 2 Sets U.S. Premiere After 2024 Delayhttps://www.cbr.com/kevin-costner-horizon-chapter-2-us-premiere/ Emilia Pérez Leads 2025 Oscars with 13 Nominations, Wicked and The Brutalist Close Behindhttps://variety.com/2025/film/news/oscar-nominations-emilia-perez-wicked-the-brutalist-1236282041/ Website: http://thisistheconversationproject.com Facebook: http://facebook.com/thisistheconversationproject Twitter: http://twitter.com/th_conversation TikTok: http://tiktok.com/@theconversationproject YouTube: http://thisistheconversationproject.com/youtube Podcast: http://thisistheconversationproject.com/podcasts Become a supporter of this podcast: https://www.spreaker.com/podcast/things-you-might-not-have-heard--2318856/support.
EPISODE 260: Interview with Dean Robertson. Dean Robertson is a retired evangelical minister. He has spent his entire adult life in Christian ministry in various capacities, including Senior Pastor, Church Planter, Mission Director, Evangelist, Denominational Superintendent and keynote Convention Speaker. He is also a studious Biblical scholar. He has a Master's Degree in Intercultural Studies, and his International Ministry has taken him to many areas of the world. His is the author of “Sex Was God's Idea: An Honest Look at Biblical Sexuality and the Rightful Role of Women.” If you get value out of the Loving Without Boundaries podcast, then consider becoming one of our patrons! Not only will you enjoy exclusive content made just for you, your support will also help us continue creating educational content while helping more people have a deeper understanding of consensual non-monogamy and healthy, sex positive relationships in general. https://www.patreon.com/lovingwithoutboundaries
Alex, Jesse and Mike continue CORNERFEST 2025! Video Link - https://youtu.be/4c6lMMcPxh8 MERCH - http://www.theyetee.com/collections/chilluminati Acorns - http://www.acorns.com/chill All you lovely people at Patreon! HTTP://PATREON.COM/CHILLUMINATIPOD Jesse Cox - http://www.youtube.com/jessecox Alex Faciane - http://www.youtube.com/user/superbeardbros Editor - DeanCutty http://www.twitter.com/deancutty Show art by - https://twitter.com/JetpackBraggin http://www.instagram.com/studio_melectro CORNERFEST 25 EPISODE B SHOW NOTES DMT LASER EXPERIMENT Danny Jones Podcast: https://www.youtube.com/watch?v=NJp2rASRKMc Danny Goler: The Discovery https://www.youtube.com/watch?v=8bSbmn9ghQc The Passport by Chase Hughes https://www.goodreads.com/book/show/9243098-the-passport The Black Course: https://web.archive.org/web/20230207222835/https://training.chasehughes.com/black-2022 S James Gates on the Codes of Reality at Teilhard: https://teilhard.com/2013/06/21/superstring-theoretical-physicist-on-the-codes-of-reality/ S James Gates on Supersymmetry and Adinkra Symbols https://www.aaas.org/taxonomy/term/4/jim-gates-and-symmetry-space-and-time#:~:text=During%20the%20past%2020%20years,are%20kind%20of%20like%20genes. 1MARK, INC Wilson-Davis Memo: https://www.documentcloud.org/documents/6185702-Eric-Davis-meeting-with-Adm-Wilson/ 1MARK Reddit Post: https://www.reddit.com/r/UFOs/comments/1g8ywff/the_eric_davis_memo_mentions_a_company_called_1/?share_id=4wqxRqGTHMSUsyxKijJ3M&utm_content=2&utm_medium=ios_app&utm_name=ioscss&utm_source=share&utm_term=1 LTT by Bob Beckwith PDF: https://stealthskater.com/Documents/Beckwith_02.pdf Beckwith's Obituary: https://beckwithelectric.com/news/beckwith-electric-founder-robert-bob-beckwith-passes-a-tribute/ 1Mark, Inc Site: https://www.1-mark.com/aboutus.shtml Pokeland in Ventura: https://gopokeland.com/menu/ STICKER STAR The Deceased Soldier Sprite: https://static.wikia.nocookie.net/metroid/images/2/21/Super_Metroid_Kraid_Armor_Soldier.png/revision/latest?cb=20230618232126 Hell Valley Sky Trees: https://static.wikia.nocookie.net/gaming-urban-legends/images/d/d4/HellValleySkyTree.jpg/revision/latest?cb=20171209193845 WarioWare Get It Together Trailer at 36sec: https://www.youtube.com/watch?v=kD3myHu2XeA&t=36s Sticker Star Reddit Post: https://www.reddit.com/r/papermario/comments/189iy0w/i_cant_stop_thinking_about_this/?share_id=bky1zLD6PkH893295joD6&utm_content=1&utm_medium=ios_app&utm_name=ioscss&utm_source=share&utm_term=1&sort=new Sticker Star Longplay: https://youtu.be/PXNOCFAqsQ4?si=fLbdjkNwZz3PepAE&t=36038 Shy Guy Jungle Wiki Page with Scrap Table: https://www.mariowiki.com/Shy_Guy_Jungle AI REPORTER Link to Skeet: https://bsky.app/profile/indyfromspace.bsky.social/post/3lbvsriwtys2s Eliot on 60 Minutes: https://www.paramountplus.com/shows/video/63zx_Q4wugAEVTs1eFbtg4okb_tLTj9H/?ftag=CNM-00-10abb6c&nocache=1732685929354 Example Article: https://www.forbes.com/sites/lanceeliot/2023/11/26/about-that-mysterious-ai-breakthrough-known-as-q-by-openai-that-allegedly-attains-true-ai-or-is-on-the-path-toward-artificial-general-intelligence-agi/ Thanksgiving Article: https://www.forbes.com/sites/lanceeliot/2024/11/26/holiday-pro-tip-rely-on-chatgpt-ai-at-your-thanksgiving-table-to-ease-polarizing-arguments-and-achieve-a-peaceful-celebration/ WALKER AND RODAS Coop's Video: https://www.youtube.com/watch?v=S5moWsA92rI Godlike Productions Forum Post: https://www.godlikeproductions.com/forum1/message2425072/pg1 The Interim Article: https://theinterim.com/issues/population/former-population-control-official-affirms-philippine-vaccine-scandal/ SOUTH 32 Post Starmen.net: https://forum.starmen.net/forum/General/Discussion/Mystery-of-south32 Elder's Vault video: https://www.youtube.com/watch?app=desktop&v=2UWRfFZOvUQ&t=305s Swanaenae video: https://youtu.be/Lfqvni2gkgM South32 imdb: https://www.imdb.com/title/tt4544614/ Wired Article: https://www.wired.com/2003/02/xupiter-mongers-deal-spam-scams/ Buzzfeed News Article: https://www.buzzfeednews.com/article/craigsilverman/daniel-yomtobian-built-an-empire-on-dubious-online Luigi's YouTube Channel: https://www.youtube.com/@luigibian2903/videos
EPISODE 259: Interview with Kathy Labriola. Kathy Labriola is a nurse, counselor, and hypnotherapist in Berkeley, California. She has provided affordable mental health services to alternative communities for over 30 years. Kathy is author of four books on consensual nonmonogamy: “Love in Abundance: A Counselor's Advice on Open Relationships”, “The Jealousy Workbook”, “The Polyamory Break-up Book: Causes and Survival”, and “Polyamorous Elders: Aging in Open Relationships”. She has been a card-carrying bisexual and polyamorist for over 50 years. She is extra crunchy, rides a bike, lives in a housing cooperative, grows organic vegetables and raises chickens. If you get value out of the Loving Without Boundaries podcast, then consider becoming one of our patrons! Not only will you enjoy exclusive content made just for you, your support will also help us continue creating educational content while helping more people have a deeper understanding of consensual non-monogamy and healthy, sex positive relationships in general. https://www.patreon.com/lovingwithoutboundaries
Today's Sponsor: Hostage Tapehttps://thisistheconversationproject.com/hostagetape Today's Rundown:Former Sen. Kyrsten Sinema Faces Accusations of Misusing Campaign Funds for Luxury Travelhttps://www.yahoo.com/news/kyrsten-sinema-accused-misusing-campaign-092842762.html Judge Blocks Release of Special Counsel Jack Smith's Report in Trump Documents Casehttps://www.cbsnews.com/news/trump-report-jack-smith-aileen-cannon/?ftag=CNM-00-10aag9b Nexus Mods Removes Marvel Rivals Mods Featuring Trump and Biden Replacing Captain Americahttps://www.yahoo.com/tech/nexus-mods-removes-marvel-rivals-215812421.html Rare Ski Patroller Strike at U.S.'s Largest Resort Causes Long Lines and Terrain Closureshttps://apnews.com/article/park-city-ski-patrol-strike-vail-resorts-2a5c8641f47af2654ed8b35d4c3e9114 Two Found Dead in JetBlue Landing Gear Compartment After Flight Landshttps://abcnews.go.com/US/dead-jetblue-landing-gear-compartment-florida/story?id=117410409 Sheel Seidler, wife of late Padres owner, sues in-laws for control of the teamhttps://us.cnn.com/2025/01/06/sport/san-diego-padres-seidler-ownership-lawsuit-spt/index.html Verizon Customers Feel Cheated by Payouts from $100M Settlementhttps://finance.yahoo.com/news/verizon-settlement-payments-customers-measly-191411160.html Jennifer Lopez and Ben Affleck Finalize Divorce, Ending Their Marriagehttps://us.cnn.com/2025/01/07/entertainment/jennifer-lopez-ben-affleck-settle-divorce/index.html Website: http://thisistheconversationproject.com Facebook: http://facebook.com/thisistheconversationproject Twitter: http://twitter.com/th_conversation TikTok: http://tiktok.com/@theconversationproject YouTube: http://thisistheconversationproject.com/youtube Podcast: http://thisistheconversationproject.com/podcasts Become a supporter of this podcast: https://www.spreaker.com/podcast/things-you-might-not-have-heard--2318856/support.
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. 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Deborah is a midwife, mother of 6, and grandmother who describes herself as "a birth junkie from birth!" Her journey to midwifery started as a young child who was magnestized to helping mothers and babies, then was refined across decades of supporting friends and family through their own pregnancies, births, and postpartum events. She is passionate about home birth, informed consent, and having authentic relationships with her clients and families that extend to friendships well after the babies are born. Her story traverses across the US and back a number of times as she completed midwifery training and found her place to put roots down for her own home birth practice in Southern Utah - Aravah Midwifery. Join us for another heartwarming hour of laughter, storytelling, wisdom, and of course, a journey to midwifery. Mentioned in this episode:- Birth with Insight | https://www.birthwithinsight.com/index.html | Marcy Kuntz, LDEM- Midwife to Be training | https://midwifetobe.com/- Three Rivers Midwifery | Cindy Wylie, CNM | https://www.threeriversmidwifery.com/- Mercy in Action Midwifery School | https://www.mercycollegeofmidwifery.edu/- Book: Anti-D Explained by Sarah Wickham | https://www.sarawickham.com/anti-d/sara w book- Aravah MIdwifery | https://www.aravahmidwifery.com/
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
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