Podcasts about epidural

Hey Mama! Ever caught yourself making a birth choice out of straight-up fear? Yeah, me too - with my first baby, needles had me running unmedicated without a clue. But here's the real talk: it's not about the pain or the meds; it's about owning your power. In this episode, we dive into the big question - epidural or unmedicated? - and how to choose without regret. I share my stories from 16 years as a high-risk labor nurse and mama of six, plus three game-changing questions to guide you to a birth where YOU call the shots.Join the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!Key Takeaways:Regret Isn't About the Choice - It's About the Why: I've seen mamas rock both paths and also, regret both. The difference? Feeling informed, involved, and empowered, not rushed or pressured.The pros & trade-offs of choosing the epidural or going unmedicated.Prepping for what YOU want:No winging it, girl! Tools, knowledge, and advocacy are key, whether you're team epidural or going natural.You can pivot without panic: Birth is wild - plans change. Stay flexible and informed, and you'll walk away feeling like the boss you are.No perfect births here, just empowered ones where you say, "I understood, I decided, I owned it." If fear's been your driver, let's flip that script with education and confidence.Share this with a mama who's wrestling with the decision, hit subscribe, drop a review (it means the world!), and remember: you're capable, you're seen, and I've got your back.

We're Backkkk! Hospital birth vs birth center birth, what actually changes everything? In this intimate, emotional episode, Melania shares the full birth story of baby Luke, her unmedicated, birth-center delivery that completely rewired what she believed about pain, trust, and her own power. After a first birth during COVID that included invasive exams, feeling pressured toward interventions, and a stressful NICU experience, Melania went into this pregnancy with one goal: do it differently. With preparation, support, and a team that never disconnected her from her baby, she experienced what so many moms don't realize is possible: a calm, empowering birth that still felt raw, primal, and absolutely unforgettable. Ally was there for every moment, timing contractions, coaching Taras through the intensity, and witnessing the exact second Melania shifted into that animal-instinct “Lion King on the rock” energy. From potholes and combs to a champagne toast and candlelit postpartum bliss, this episode is a love letter to birth choices, support, and the wild strength that lives inside mothers. If you've ever wondered if you could do it… this story is for you. Key Highlights: • Melania's first birth during COVID — and how it shaped fear + anxiety postpartum • The “rookie mistake” in the hospital that made everything feel invasive • Why birth center care feels like a conversation, not a transaction • The exact moment Melania shifted into transition: “There it is.” • How dad reacted to the intensity — and what helped him stay grounded • “Lion King energy” + the ring of fire — the primal power of pushing • The difference when baby is never taken from mom (skin-to-skin + bonding) • Stitches with local anesthetic: what people don't understand about birth centers • Why preparation matters more than “second births are just faster” • The mindset shift: changing the inner dialogue from fear to trust About the Reclaiming Birth Conference This powerful in-person gathering brings together voices from around the world who are reclaiming birth, autonomy, and truth. Designed for parents, birth workers, and change makers, the conference is about honouring physiology, challenging the status quo, and reclaiming your birthright.

Panty liner-gate continues... Then it's time for another birth story! This time it's the day I was birthed from Linda. 

In this episode we're hearing from Eleanor about her first pregnancy and birth during lockdown. Having learned lots about birth from her midwife sister and planning for a homebirth, her estimated due date came and went with no sign of labour starting. At nearly 42 weeks she accepted an induction and was able to return home to wait for things to begin. When her contractions became regular, Eleanor and her husband went to the midwife-led unit where she laboured in the pool until concerns were raised about meconium in her waters. After an epidural, a period of rest and infection concerns for both mum and baby, a caesarean was recommended. Eleanor shares the challenges their family faced in the weeks that followed, including being separated from her baby after the birth, navigating visiting hours, pumping and breastfeeding in the NICU and Enid's recovery at home on oxygen. This is a fascinating and really valuable episode about navigating the unexpected and staying strong and positive through it all.   Eleanor's IG: https://www.instagram.com/elebusing/  My website: www.serenalouth.com My IG: https://www.instagram.com/serenalouth/

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

Sponsor: Use code BIRTHHOUR for 20% off your first order and up to 40% off monthly plans at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon!

In this enlightening episode of Orgasmic Birth: The Podcast, Debra meets Thabata Devecchi, a prenatal educator and founder of Feeling Moms, who shares her powerful home birth story and how pleasure practices helped her turn pain into power. Thabata reveals how self-pleasure, embodied movement, sound, and safety transformed her birth experience. She describes using a vibrator during labor to soften the peak of contractions — calling it her "natural epidural" — and shares how deep preparation, somatic awareness, and tantra shaped her pregnancy, birth, and sense of empowerment. Together, Debra and Thabata explore how pleasure, intuition, and body awareness can transform not just birth, but motherhood and self-connection. Key Takeaways: How pleasure and stimulation can ease the intensity of contractions The science of oxytocin and why it's the "hormone of love, pleasure, and birth" Simple daily practices to connect with your body and intuition Why micro-moments of connection matter more than perfection How to rebuild trust between mind and body for a more intuitive birth Mentioned in this Episode: Orgasmic Birth: The Documentary The Business of Being Born Feeling Moms: Thabata's 5-Day Micro Moments of Connection Challenge Pleasure Vibe Thin by Dame Connect with Thabata: Instagram:  @feelingmoms Free 5-Day Challenge: Micro Moments of Connection (link in bio)     Purchase the PleasureVibe Buy Now and Access BONUS Resources http://orgasmicbirth.com/fin-pleasure...   Review and follow the show—we'd love to hear how this episode inspired you!   Connect with Debra! Website: https://www.orgasmicbirth.com  Instagram:   / orgasmicbirth   X:   / orgasmicbirth    YouTube    / orgasmicbirth1    Tik Tok   / orgasmicbirth    LinkedIn:   / debra-pascali-bonaro-1093471    ----  

Kenza har hört om en studie där födande kvinnor onanerar under sin förlossning och förbereder därför sin förlossningspartner Ines på att vibratorn kanske måste med. De går även igenom vad som kan vara en 35-årskris, vad tjejerna vill göra innan de dör, samt vilka influencers som ska få den stora äran att dela deras kontor!Produceras av More Than Words Hosted on Acast. See acast.com/privacy for more information.

Use our code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/LAPLATICA10 Sponsored by SeatGeek. *Restrictions apply. Max $20 discount It's another beautiful Monday, LP fam! Thank you for starting your week with us. On today's episode, Josh and Sebastian go over some of your comments from the last episode, discuss the origin stories behind their phobias, and get into...epidurals?

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

En 1921, el médico militar español Fidel Pagés realizó 43 operaciones utilizando un innovador método que hoy conocemos como anestesia epidural. Su estudio, publicado bajo el nombre de “anestesia metamérica”, detallaba con precisión la técnica, dosis y complicaciones, y marcó un antes y un después en la historia de la medicina. A pesar de su trascendencia, su descubrimiento quedó en el olvido durante décadas, en parte por su prematura muerte en un accidente de tráfico en 1923. No fue hasta años más tarde que se le reconoció como el verdadero pionero de una técnica que ha transformado la cirugía y el parto en todo el mundo. Y descubre más historias curiosas en el canal National Geographic y en Disney +. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

Feliz día de Nochebuena! Hoy te presento a Maria Alejandra, venezolana que vive en Frankfurt (Alemania) y que me cuenta el relato de parto de su hijo William. Maria Alejandra habla de sus migrañas y antojos durante el embarazo, su preparación al parto y las ganas que tenía de tener una experiencia lo más natural y respetada posible. Tras un expulsivo largo en el que su bebé no tenía la mejor posición para colocarse en el canal de parto, le recomendaron una cesárea. Maria Alejandra habla de lo importante que es una buena preparación, y a su vez estar abierta a no tener control sobre el resultado final. Clica PLAY y empezamos!

How do you do, fellow kids? We try to appeal to the youth this week and so does Jeopardy!, as their older fans predictably fume about them twisting a very regular wordplay category to make a meme joke. But we love it, and we love this final week of Second Chance as some dynamite players return to the Alex Trebek Stage and we get some truly wonderful gameplay. We also discuss small town Canada hotels, Emily's Christmas gift, and we dive deep (plunge deep?) on the history of epidurals. If you want more of this show, there's never been a better time because Baby Geniuses is BACK, baby! That's right, Emily and Lisa Hanawalt reunite for their first Baby Gs episode in almost two years, and it's ONLY on our Patreon! You can also have a bunch of bonus episodes about Jeopardy! as a treat. Plus, access to our Discord and other fun stuff. Join today at patreon.com/jeopardypodcast. SOURCE: National Library of Medicine: "Overcoming Obstacles: The Legacy of Fidel Pagés, Founder of the Epidural, 100 Years After His Passing" by Gregory Chinn, et al. Special thank you as always to the J-Archive and The Jeopardy! Fan. This episode was produced by Producer Dan. Music by Nate Heller. Art by Max Wittert.

This is the first episode of the new OA Pain Procedure Series! Dr. Alexa Lean describes the cervical epidural anatomy relevant to this procedure, shows the technique step by step, reviews imaging tips, highlights potential complications, and compares alternative techniques, all while emphasizing patient safety.

Morse code transcription: vvv vvv Pam Duncan Glancy Labour MSP to quit Holyrood over links to sex offender More than 800 migrants cross English Channel in December record US reportedly pursuing third oil tanker linked to Venezuela In pictures Druids descend on Stonehenge to mark winter solstice Epidural kit shortage could last until March, regulator says Kings Foundation chair and nominee peer admits misleading doctorate claim Puppy farm and trail hunt ban promised in animal welfare strategy A memorial ends but Bondi tragedy has left Australia reeling, again At least 13 photos removed from Justice Department released Epstein files Israel approves 19 new settlements in occupied West Bank

Carly from Saskatoon shares the story of her daughter, Nora. Carly took courses, planned for a home birth, and was excited for birth. At 40+3, labour began spontaneously and continued over the next few days. After a long labour and limited support, Carly and her husband agreed to go to the hospital to receive an epidural and begin pitocin. In labour, Carly developed an infection which she received antibiotics for and all was well. Her daughter was born vaginally and they experienced a few challenges immediately postpartum. Ali and Carly conclude with a conversation about a few things she wished she had done differently during the planning process of birth. Find us on Instagram: @moonybirthstoriespodcast @alivitrihShop 15% off with code DOULAALI at Everydae Health prenatal & postnatal supplement: https://www.everydaehealth.com/DOULAALISupport the show

Morse code transcription: vvv vvv At least 13 photos removed from Justice Department released Epstein files A memorial ends but Bondi tragedy has left Australia reeling, again Pam Duncan Glancy Labour MSP to quit Holyrood over links to sex offender Puppy farm and trail hunt ban promised in animal welfare strategy Israel approves 19 new settlements in occupied West Bank More than 800 migrants cross English Channel in December record Epidural kit shortage could last until March, regulator says US reportedly pursuing third oil tanker linked to Venezuela In pictures Druids descend on Stonehenge to mark winter solstice Kings Foundation chair and nominee peer admits misleading doctorate claim

Morse code transcription: vvv vvv US reportedly pursuing third oil tanker linked to Venezuela At least 13 photos removed from Justice Department released Epstein files Israel approves 19 new settlements in occupied West Bank Pam Duncan Glancy Labour MSP to quit Holyrood over links to sex offender More than 800 migrants cross English Channel in December record Puppy farm and trail hunt ban promised in animal welfare strategy A memorial ends but Bondi tragedy has left Australia reeling, again In pictures Druids descend on Stonehenge to mark winter solstice Epidural kit shortage could last until March, regulator says Kings Foundation chair and nominee peer admits misleading doctorate claim

Morse code transcription: vvv vvv Kings Foundation chair and nominee peer admits misleading doctorate claim US reportedly pursuing third oil tanker linked to Venezuela At least 13 photos removed from Justice Department released Epstein files Epidural kit shortage could last until March, regulator says Israel approves 19 new settlements in occupied West Bank In pictures Druids descend on Stonehenge to mark winter solstice More than 800 migrants cross English Channel in December record Puppy farm and trail hunt ban promised in animal welfare strategy Pam Duncan Glancy Labour MSP to quit Holyrood over links to sex offender A memorial ends but Bondi tragedy has left Australia reeling, again

On this episode of Moony Birth Stories, Ali sits down to chat with Brittani from St.Walburg, Sk. Brittani was under the care of an OB in North Battleford, Sk as her original plan was to deliver there. She had a pretty uneventful pregnancy until 30 weeks when she experienced preterm prelabour rupture of membranes (PPROM). Brittani was transferred to JPCH in Saskatoon where she was admitted to await the arrival of her baby. Labour began spontaneously where she goes on to have a vaginal delivery with an epidural. As her son was premature, they spent 28 days in the NICU. Brittani was delighted when they brought their son home. Find us on Instagram: @moonybirthstoriespodcast @alivitrihShop 15% off with code DOULAALI at Everydae Health prenatal & postnatal supplement: https://www.everydaehealth.com/DOULAALISupport the show

Links: Today's episode is sponsored by Motif Medical. See how you can get Motif's Luna or Aura Glow breast pumps covered through insurance at motifmedical.com/birthhour.  Know Your Options Online Childbirth Course (use code 100OFF for $100 off) Beyond the First Latch Course (comes free with KYO course) Get more episodes and extra perks via Patreon! 

IT FEELS SO GOOD TO BE BACK!!! In this week's episode, Gabie finally shares her (unexpected!!!) birth story and how she ended up at 9.5 cm dilated...COMPLETELY UNMEDICATED!

After more than 80 hours of labor, Erica Wright found herself exhausted, emotional, and determined to keep trusting her body. With the steady support of her doulas (including EBB Instructor Tara Thompson), she discovered that birth doesn't have to go "according to plan" to be powerful.   In this episode, Dr. Rebecca Dekker talks with Erica and Tara about how preparation, advocacy, and teamwork carried them through a marathon labor filled with unexpected turns. From switching hospitals late in pregnancy to finding strength through challenges, their story exemplifies flexibility, informed choice, and the power of doula support.   (05:55) Tara's updates from Atlanta and her path to becoming an IBCLC (09:17) Erica's lightbulb moments from the EBB Childbirth Class (11:22) Switching hospitals at 35 weeks and advocating for the right fit (16:18) Labor begins: prodromal labor, GBS, and waiting for spontaneous birth (24:30) Hospital admission, challenges with staff, and early interventions (32:17) The Pitocin battle and advocating for movement and monitoring choices (35:40) Finding a supportive nurse and regaining freedom during labor (39:53) Tara's night shift: rest, affirmations, and encouragement (44:20) Deciding on the epidural and reframing "failure" as flexibility (49:18) The final stage: rest, relief, and meeting baby (55:12) Postpartum recovery and breastfeeding challenges (01:00:25) Tara's advice for navigating long labors (01:02:43) Erica's reflections on flexibility, intuition, and informed choice   Resources Get in touch with Tara: tarasbirthservices.com | @taras.birthservices Connect with Tara's teammate, Brittany: @wellpreparednest Listen to EBB 146 - How Doula and EBB Instructor Tara Thompson Supports Families in Atlanta Listen to EBB 357 – Making Decisions about Elective Induction of Labor with Dr. Ann Peralta & Kari Radoff, CNM, from Partner to Decide The Evidence on: GBS (Group B Strep): evidencebasedbirth.com/groupbstrep/ The Evidence on: Pitocin During the Third Stage of Labor: evidencebasedbirth.com/evidence-on-pitocin-during-the-third-stage-of-labor/ Epidural during Labor for Pain Management: evidencebasedbirth.com/epidural-during-labor-pain-management/ Learn more about the Evidence Based Birth Childbirth Class: evidencebasedbirth.com/childbirthclass   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.

Caudal Epidural Steroid Injection with PRP Case Reports and a Testimonial! Upcoming Training Courses and Services Regional Anesthesia and IV Vascular Access Courses: New York and Detroit locations scheduled Pain Management Board Preparation   Private Coaching Services: Ultrasound guidance Preceptorship Board preparation coaching Contact available via email Info@NRAPpain.org for interested physicians PRP Caudal Epidural Research Review Study Overview: Randomized double-blind controlled pilot study comparing leukocyte-rich PRP versus corticosteroids in caudal epidural space 50 patients randomly assigned to two groups Treatment options: triamcinolone 60mg or leukocyte-rich PRP from 60ml autologous blood Follow-up assessments at 1, 3, and 6 months using VAS and SF-36 surveys Key Findings: Both treatments showed significant pain reduction compared to baseline Steroid group had lower VAS scores at one month PRP group demonstrated superior results at 3 and 6 months PRP group showed significant improvement across all SF-36 domains at 6 months No complications or adverse effects in either group during 6-month follow-up Personal Treatment Experience Dr. Rosenblum received transforaminal PRP injection 9-10 weeks ago Gradual improvement noted from weeks 4-8, with more noticeable benefits from weeks 8-10 Current status: minimal pain (0.5/10) only during weather changes Clinical Practice Philosophy Treatment Approach: Minimalist philosophy focusing on turmeric, PRP, and Pilates Medication Strategy: Low-dose naltrexone as go-to medication, avoiding long-term drugs with side effects Surgical Avoidance: Prioritizing conservative treatments over unnecessary surgical interventions Emergency Department PRP Implementation Case Study Results: Ultrasound-guided caudal epidural steroid injection in ER setting 100% pain resolution achieved Patient discharged directly from ER Cost savings: reduced from $33,000 to $4,800 (approximately $28,000 savings) Training Opportunities: Private training sessions available for ER physicians interested in ultrasound-guided procedures Patient Testimonial Highlights Case Background: Nurse with herniated disc from March, previously considering $30,000 surgery Treatment Outcome: PRP injection completed two months ago with nearly complete pain relief Reduced from multiple pain medications to one Advil daily Eliminated antalgic posture and muscle spasms Returned to full 12-hour hospital shifts without difficulty Overall quality of life restored to normal levels David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.    Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Irvan J. Bubic, Jessica Oswald, Ultrasound-Guided Caudal Epidural Steroid Injection for Back Pain: A Case Report of Successful Emergency Department Management of Radicular Low Back Pain Symptoms, The Journal of Emergency Medicine,Volume 61, Issue 3,2021,Pages 293-297,ISSN 0736-4679 Ruiz‐Lopez, Ricardo, and Yu‐Chuan Tsai. "A randomized double‐blind controlled pilot study comparing leucocyte‐rich platelet‐rich plasma and corticosteroid in caudal epidural injection for complex chronic degenerative spinal pain." Pain Practice 20.6 (2020): 639-646. #prppain #paincme #sciatia #ultrasoundmsk #ultrasoundprp #epidural #nypaindoctor #prppainwindsor

This week, the Krewe is joined by Loretta Scott (aka KemushiChan on YouTube Channel) for a personal, insightful, and often funny look at what it's like raising kids in Japan as an American parent. We dig into birth experiences, cultural differences from the U.S., unexpected parenting moments, and tips for families living in or visiting Japan. Curious about family life abroad or considering a trip to Japan with the munchkins? This episode is packed with helpful insight just for you!------ About the Krewe ------The Krewe of Japan Podcast is a weekly episodic podcast sponsored by the Japan Society of New Orleans. Check them out every Friday afternoon around noon CST on Apple, Google, Spotify, Amazon, Stitcher, or wherever you get your podcasts.  Want to share your experiences with the Krewe? Or perhaps you have ideas for episodes, feedback, comments, or questions? Let the Krewe know by e-mail at kreweofjapanpodcast@gmail.com or on social media (Twitter: @kreweofjapan, Instagram: @kreweofjapanpodcast, Facebook: Krewe of Japan Podcast Page, TikTok: @kreweofjapanpodcast, LinkedIn: Krewe of Japan LinkedIn Page, Blue Sky Social: @kreweofjapan.bsky.social, & the Krewe of Japan Youtube Channel). Until next time, enjoy!------ Support the Krewe! Offer Links for Affiliates ------Use the referral links below!Zencastr Offer Link - Use my special link to save 30% off your 1st month of any Zencastr paid plan! ------ Links for Tobias Harris ------Loretta on InstagramKemushiChan YouTube Channel------ Past Language Learning Episodes ------Inside Japanese Language Schools ft. Langston Hill (S6E3)Japanese Self-Study Strategies ft. Walden Perry (S5E4)Learn the Kansai Dialect ft. Tyson of Nihongo Hongo (S4E14)Heisig Method ft. Dr. James Heisig (S4E5)Prepping for the JLPT ft. Loretta of KemushiCan (S3E16)Language Through Video Games ft. Matt of Game Gengo (S3E4)Pitch Accent (Part 2) ft. Dogen (S2E15)Pitch Accent (Part 1) ft. Dogen (S2E14)Language through Literature ft. Daniel Morales (S2E8)Immersion Learning ft. MattvsJapan (S1E10)Japanese Language Journeys ft. Saeko-Sensei (S1E4)------ JSNO Upcoming Events ------JSNO Event CalendarJoin JSNO Today!

Caudal Epidural Steroid Injection with PRP Case Reports and a Testimonial! Upcoming Training Courses and Services Regional Anesthesia and IV Vascular Access Courses: New York and Detroit locations scheduled Pain Management Board Preparation   Private Coaching Services: Ultrasound guidance Preceptorship Board preparation coaching Contact available via email Info@NRAPpain.org for interested physicians PRP Caudal Epidural Research Review Study Overview: Randomized double-blind controlled pilot study comparing leukocyte-rich PRP versus corticosteroids in caudal epidural space 50 patients randomly assigned to two groups Treatment options: triamcinolone 60mg or leukocyte-rich PRP from 60ml autologous blood Follow-up assessments at 1, 3, and 6 months using VAS and SF-36 surveys Key Findings: Both treatments showed significant pain reduction compared to baseline Steroid group had lower VAS scores at one month PRP group demonstrated superior results at 3 and 6 months PRP group showed significant improvement across all SF-36 domains at 6 months No complications or adverse effects in either group during 6-month follow-up Personal Treatment Experience Dr. Rosenblum received transforaminal PRP injection 9-10 weeks ago Gradual improvement noted from weeks 4-8, with more noticeable benefits from weeks 8-10 Current status: minimal pain (0.5/10) only during weather changes Clinical Practice Philosophy Treatment Approach: Minimalist philosophy focusing on turmeric, PRP, and Pilates Medication Strategy: Low-dose naltrexone as go-to medication, avoiding long-term drugs with side effects Surgical Avoidance: Prioritizing conservative treatments over unnecessary surgical interventions Emergency Department PRP Implementation Case Study Results: Ultrasound-guided caudal epidural steroid injection in ER setting 100% pain resolution achieved Patient discharged directly from ER Cost savings: reduced from $33,000 to $4,800 (approximately $28,000 savings) Training Opportunities: Private training sessions available for ER physicians interested in ultrasound-guided procedures Patient Testimonial Highlights Case Background: Nurse with herniated disc from March, previously considering $30,000 surgery Treatment Outcome: PRP injection completed two months ago with nearly complete pain relief Reduced from multiple pain medications to one Advil daily Eliminated antalgic posture and muscle spasms Returned to full 12-hour hospital shifts without difficulty Overall quality of life restored to normal levels David Rosenblum, MD, currently serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care.  As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn, NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures.   Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023   Dr. Rosenblum written several book chapters on Peripheral Neuromodulation, Radiofrequency Ablation, and Pharmacology.  He has published numerous noteworthy articles and most recently is developing the ASIPP Guidelines for Peripheral Neuromodulation in the treatment of chronic pain. He has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is lecturing on a national and international level and has partnered with the American Society of Interventional Pain Physicians (ASIPP), American Society of Pain and Neuroscience (ASPN), IASP Mexican Chapter, Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, as well as various other organizations, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures.  He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more!   Doctor Rosenblum created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy  and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques.    Dr. Rosenblum is persistent when it comes to eliminating pain and has gained a reputation among his patients for thinking "outside the box" and implements ultrasound guidance to deposit medications, biologics (PRP, Bone Marrow Aspirate, etc.) and Peripheral Nerve Stimulators near pain generators. He is currently treating patients in his great neck and Brooklyn office.  For an appointment go to AABPpain.com or call Brooklyn     718 436 7246 Reference Irvan J. Bubic, Jessica Oswald, Ultrasound-Guided Caudal Epidural Steroid Injection for Back Pain: A Case Report of Successful Emergency Department Management of Radicular Low Back Pain Symptoms, The Journal of Emergency Medicine,Volume 61, Issue 3,2021,Pages 293-297,ISSN 0736-4679 Ruiz‐Lopez, Ricardo, and Yu‐Chuan Tsai. "A randomized double‐blind controlled pilot study comparing leucocyte‐rich platelet‐rich plasma and corticosteroid in caudal epidural injection for complex chronic degenerative spinal pain." Pain Practice 20.6 (2020): 639-646. #prppain #paincme #sciatia #ultrasoundmsk #ultrasoundprp #epidural #nypaindoctor #prppainwindsor

Oxytocin is a hormone whose effects on the body are hugely celebrated yet largely unknown. Dr Sarah Buckley's work on Oxytocin has extensive insights into how it affects women in pregnancy and birth.Focus pointsThe Oxytocin, Pregnancy and Due DatesHormones and the essence of Pain in childbirth Oxytocin and InductionImpact of interventions on Labor such as Epidural and CsecBirth Bliss and the experience of unmedicated , undisturbed birthsOxytocin along Breastfeeding and PostpartumDr. Sarah Buckley is a GP, researcher, and mother of four, best known for her bestselling book Gentle Birth, Gentle Mothering and her influential research on oxytocin and the hormones of labour.For more than 20 years, Dr Sarah has written, taught, and spoken around the world for various elite newspapers, midwifery journals , tv and news to help families make informed, intuitive choices. She has been featured in documentaries like Orgasmic Birth, Birth Time, and Born at Homehttps://sarahbuckley.com/Support the showSign up for Childbirth Preparation Programs! visit https://birthagni.com/services#childbirth-preparation-programs https://birthagni.com/copy-of-services#breastfeeding-preparation-program This episode is supported and made possible by podcast recording and hosting tool Zencastr, it is impeccably made! Use my link : https://zen.ai/vxmuJUgYKKGTF3JuTuFQ0g to sign up and record flawless remote podcast , USE my code : BIRTHAGNI Support the show:https://birthagni.com/birthagnipodcast#donate If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Instagram and tag us @divyakapoorvox ...

Neus quería un parto natural y lo tuvo :-). Su mejor herramienta: la respiración. Espero que disfrutes este episodio tanto como yo, clica PLAY y empezamos. ************** ¿Te encanta Planeta Parto y te emociona cada historia que escuchas? He creado un grupo de WhatsApp para las oyentas más motivadas donde podamos estar un pelín más conectadas, y donde te iré compartiendo reflexiones, recomendaciones o recursos que no salen en el podcast.

Send us a textIn this episode, I talk with Tenae, a mum of three, who opens up about her powerful VBAC birth story — from an unexpected emergency caesarean to two empowering vaginal births after caesarean. Her story is honest, emotional, and full of insights for anyone navigating pregnancy, birth choices, and recovery.In this episode, we discuss:Tenae's experience of her first emergency caesarean just before the pandemicHow feelings of failure and isolation led her to seek an empowered VBACThe decision-making process behind choosing a VBAC — and the importance of informed consentOvercoming hospital pressure and learning to trust her instinctsThe difference between her two VBAC births — one induced, one spontaneousNavigating fear, medical intervention, and unexpected challenges during labourPostnatal recovery: managing prolapse symptoms and rebuilding strengthHow gentle, physio-led exercises through FitNest Mama supported her healing journeyWhy every woman deserves to feel informed, supported, and confident — no matter how she gives birthConnect with Tenae: @tenaeadamcicLINKS: Preparing for birth Pelvic health checklist Free 7 Day Trial Pregnancy Workouts Free 7 Day Trial Postnatal Workouts FitNest Mama Website Instagram @kathbaquie.physio 1:1 Consultation with Physio Kath at Hatched House ** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition.

Hoy te presento a Paula Santillana, oyenta del podcast que esta semana comparte con nosotras su relato de parto. Espero q lo disfrutes tanto como yo! Clica PLAY y empezamos.

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

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Epidural Hematoma⁠⁠⁠⁠⁠ from the Neurology section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

On this episode of Moony Birth Stories, Ali sits down to chat with Taylor as she recounts the birth of her daughter, Vienna. Taylor had an uneventful pregnancy with an iron transfusion near the end. She had a few trips to the hospital where she was sent home at 2cm. She was then admitted, received an epidural, and laboured throughout the day. She ultimately had forceps for delivery and had a third degree tear. Taylor opens up about her experience during the postpartum period, including recovery from a third degree tear, postpartum anxiety, and about her feeding journey. Find us on Instagram @moonybirthstoriespodcastShare your story: https://docs.google.com/forms/d/e/1FAIpQLSfHO2h71MgbFL8X3gniQTm5lo60tBpKIfo9p9VgZFBH3-frpw/viewform?usp=headerShop 15% off Everydae Health prenatal & postnatal supplement: https://www.everydaehealth.com/DOULAALISupport the show

Send us a textEmily shares two unforgettable and very different birth stories: an unmedicated hospital induction with Pitocin, and an unplanned free birth at home. In her first birth, she transferred late in pregnancy under New Hampshire's “two high readings” rule for blood pressure. With a Foley balloon, Cervidil, and the lowest possible Pitocin drip, she labored quietly on all fours, declined unnecessary interventions, and delivered under the fetal ejection reflex—so calmly that all the nurses and doctors from around the maternity ward gathered to witness a rare physiologic Pitocin birth without an epidural.Her second birth brought the perfect contrast: a planned home birth that stalled, restarted after midnight, and ended an hour later with three strong pushes before the midwife could arrive.In this episode, we explore how to choose hospitals based on cesarean rates, what to know about induction protocols (low and slow, and when to stop Pitocin), gestational hypertension vs. preeclampsia, recognizing white-coat hypertension, and why mental training may be the most powerful tool in birth.**********Check out all our sponsor offers here: Needed

Jessica Sanders is a family nurse practitioner with Vitruvian Health - Interventional Pain in Dalton, Ringgold, and Calhoun, Georgia.For more information about Vitruvian Health - Interventional Pain, call 706-529-7124 or visit HamiltonHealth.com/pain.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Bethany from Saskatoon shares her story about her mental health during her pregnancy. She shares the details of her quick hospital delivery and her postpartum experience. Throughout the episode, Bethany offers valuable resources and insights for anyone navigating their own perinatal mental health journey.Resources Mother May I: https://www.mothermayi.ca/Reclaim MBK: https://reclaimsaskatoon.ca/Birth blessings: https://www.birthblessings.ca/Motherhood YXE: https://www.facebook.com/p/Motherhood-YXE-100065324806493/Find us on Instagram @moonybirthstoriespodcastShare your story: https://docs.google.com/forms/d/e/1FAIpQLSfHO2h71MgbFL8X3gniQTm5lo60tBpKIfo9p9VgZFBH3-frpw/viewform?usp=header

Contributor: Alec Coston, MD Case Report Summary: A 17-year-old female involved in a motor vehicle collision presented to a rural emergency facility via personally operated vehicle. During workup and initial CT scan, the patient began rapidly decompensating with CT revealing a 1.5cm epidural hematoma with 7mm of midline shift. The patient went from being able to walk and talk to being obtunded with a blown left pupil and unresponsive. Following intubation, the patient was being prepared for transport but potential delays required immediate emergency evacuation of the hematoma via a Burr Hole. A traditional Burr Drill was not immediately available at the facility, so an improvised Burr Drill using an Intraosseous (IO) drill was used. 35mL of blood was removed from the hematoma and the patient immediately improved from a GCS of 3 to GCS of 8. The patient was transferred to a higher level of care facility, extubated the following day, and made a full neurological recovery.  Educational Pearls: What is an epidural hematoma? An epidural hematoma is a collection of blood between the dura mater (outermost layer of the meninges) and the skull, whereas a subdural hematoma is a collection of blood between the dura mater and arachnoid mater. Both can be life threatening depending on location and size. Epidural hematomas tend to be arterial, and are typically secondary to trauma and can rapidly expand, but with timely recognition and evacuation of the bleed, favorable outcomes are often possible. What are typical intracranial pressures and at what levels do they become pathologic? Typical intracranial pressure (ICP) varies by age, but past infancy and early childhood, adolescents and adults have a value typically between 8-15mmHg. Values exceeding 20mmHg become pathologic and rise exponentially with increased volume. Initial symptoms may include headache, nausea, and vomiting, but with increased pressures may progress to more life threatening symptoms such as loss of consciousness, cranial nerve palsies, pupillary constriction or dilation (sign of herniation), and respiratory irregularities. What is the takeaway in timing of epidural hematomas? Older studies show that evacuation of a hematoma with lateralizing features before the two hour mark of coma symptom onset is correlated with decreased mortality (ranging from 15-17%), but beyond 2 hours the mortality increases to well over 50%. Though mortality statistics have grown more variable, early targeted evacuation of epidural hematomas still remains critical for improved patient outcomes. In austere conditions with limited resources, improvisation with interosseous drills and needles can improve patient outcomes and achieve the target therapy for epidural hematomas. References Haselsberger K, Pucher R, Auer LM. Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien). 1988;90(3-4):111-116. doi:10.1007/BF01560563 Hawryluk GWJ, Nielson JL, Huie JR, et al. Analysis of Normal High-Frequency Intracranial Pressure Values and Treatment Threshold in Neurocritical Care Patients: Insights into Normal Values and a Potential Treatment Threshold. JAMA Neurol. 2020;77(9):1150-1158. doi:10.1001/jamaneurol.2020.1310 Pisică D, Volovici V, Yue JK, et al. Clinical and Imaging Characteristics, Care Pathways, and Outcomes of Traumatic Epidural Hematomas: A Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury Study. Neurosurgery. 2024;95(5):986-999. doi:10.1227/neu.0000000000002982 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

We're joined by Ashley from Saskatoon as she shares the story of her daughter, Isabella. Ashley opens up about her year-long journey to conception, her positive pregnancy experience, and the emotions she felt leading up to labour. She also reflects on the challenges she faced during birth and in the early days of postpartum.Through her own recovery and growth, Ashley found a new calling: supporting other parents. Her postpartum experience inspired her to become a postpartum doula, and she now looks forward to offering families in Saskatoon the care and guidance she once needed herself.Find Ashley on Instagram @lovepostpartum Find us on Instagram @moonybirthstoriespodcastShare your story: https://docs.google.com/forms/d/e/1FAIpQLSfHO2h71MgbFL8X3gniQTm5lo60tBpKIfo9p9VgZFBH3-frpw/viewform?usp=header

What does it really take to have a good birth in a hospital?In this episode, I'm joined by Care Messer, Founder of the Birth Education Center in San Diego. She's a certified hypnobirthing instructor, a DONA-certified doula, and a childbirth educator who also trains doulas. Care teaches engaging, partner-friendly online classes that have helped many families prepare for birth with more clarity and confidence.We get into what it means to prepare early, why most women don't realize how much choice they actually have, and what it looks like to create a safe, grounded birth experience inside a hospital system. From power dynamics with providers to the small, practical things that shift your sense of safety, this conversation breaks down what women and their partners need to know before walking through those hospital doors.You'll Learn:Why choosing the right hospital and provider early changes everythingWhat it feels like to enter a system where you're treated as room number instead of a person giving birthWhy staying home longer in early labor can dramatically shift your hospital experienceThe surprising link between hospital C-section rates and NICU levelsHow eye masks, dim lights, and warm blankets keep your body in labor modeWhen partners step into the role of protector and advocate in the birth roomThe quiet damage of being a passive participant versus owning your birth decisionsWhy hospital classes often train you to be a “good patient” instead of giving you real optionsHow listening to birth stories helps you recognize and avoid common intervention cascadesTimestamps:[00:00] Introduction[03:00] How preparation and safety shape the hospital birth experience[09:22] Rethinking what safety really means in birth[13:01] Choosing the right hospital, provider, and birth team[20:20] The partner's role in protecting space and shifting power dynamics[36:37] Practical ways to protect labor hormones in a hospital birth[50:15] Arming with education and optimizing the hospital environment for laborResources Mentioned:Episode 65: All About VBAC pt.1: Perspectives from an OB, Midwife, and Doula with Care Messer | Spotify or AppleBirth Education Center | WebsiteBucky Eye Mask | AmazonThe Body Keeps the Score by Bessel van der Kolk M.D. | Book or AudiobookMen, Love & Birth by Mark Harris | Book or AudiobookLabor Like A Goddess by Alexandria Moran and Lauren Mahana | BookBirth Psychology | WebsiteMorgan's First Birth | VideoLearn more about the Birth Education Care by visiting their website, YouTube channel, and Facebook page.Follow Care on Instagram, LinkedIn and listen to her Podcast on Apple or Spotify.Find more from Leah:Leah Gordon | InstagramLeah Gordon | WebsiteLeah Gordon | WebsiteFind more from Morgan:Morgan MacDermott | InstagramMorgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHER

Seth and Sean discuss the emphasis on back injuries this week with Matt Stafford, and react to JJ Watt on the Pat McAfee Show recalling the time his week 4 or 5 epidural pushed him through the season.

Thank goodness for William Morton and Horace Wells- pioneers in anesthesia. Anesthesia has come a long way since them and there is even a professional medical society for OB anesthesia called SOAP. Today, August 07, 2025, there is a new Clinical Expert Series which was just released in the Green Journal. That publication (which is ahead of print) is titled, Key Management Considerations in Obstetric Anesthesiology, is our episode focus. Can you safely have an epidural placed if the patient has platelets under 100K? Can labor epidurals cause pyrexia alone? Do labor epidurals slow labor? Listen in for details. 1. Clinical Expert Series, Key Management Considerations in Obstetric Anesthesiology. Obstet Gynecol; ePub 08/07/2025. 2. ACOG PB 2017; 20193. Adams AK. Tarnished Idol: William Thomas Green Morton and the Introduction of Surgical Anesthesia. J R Soc Med. 2002 May;95(5):266–7. PMCID: PMC1279690.4. Hegvik, Tor-Arne et al. Labor epidural analgesia and subsequent risk of offspring autism spectrum disorder and attention-deficit/hyperactivity disorder: a cross-national cohort study of 4.5 million individuals and their siblings.American Journal of Obstetrics & Gynecology, Volume 228(2): 233.e1 - 233.e125. https://med.stanford.edu/news/all-news/2021/04/Epidural-use-at-birth-not-linked-to-autism-risk-study-finds.html

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

This week on The Mother Daze, we're joined by two powerhouse women redefining what birth support can look like, Anastasia Stone, mother of five and deeply intuitive doula, and Dr. Melissa Drake, soulful OB-GYN. Together they co-founded ‘The Collective' in Santa Barbara, California. As a team, they're flipping the traditional model of care on its head, blending house calls, continuity, and deep, respectful presence to rewrite the birth experience. We dive into the story of Sarah's birth with baby Ocean, including the moment a shoulder dystocia changed the energy of the room and how this team navigated it with calm, trust, and connection. From home to hospital, they held Sarah through the intensity, honoring her choices and helping her stay rooted in her joy even amidst big unknowns. This episode is all about intuitive birth work, integrated care, how they came to be such a dynamic duo and what's possible when women are surrounded by providers who trust the process as deeply as they trust the birthing person. Follo​w Sarah Wright Olsen: IG: @swrightolsen Follow Teresa Palmer: IG: @teresapalmer  FB: https://www.facebook.com/teresamarypalmer/ DISCOUNT CODES: • Go to www.baeo.com and get 20% when using the code MOTHERDAZE20 • Go to www.lovewell.earth and get 20% when using the code MOTHERDAZE20 More about the show! • Watch this episode on YouTube here • Co-founders of @yourzenmama yourzenmama.com • Read and buy our book! "The Zen Mama Guide To Finding Your Rhythm In Pregnancy, Birth, and Beyond"  Learn more about your ad choices. Visit podcastchoices.com/adchoices Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

IV Narcotics, Nitrous Oxide, and More One of the most common questions I get during hospital shifts? “What other pain meds can I get if I don't want (or can't have) an epidural?” While epidurals are the go-to for many, they're definitely not the only option! In this episode of The Mommy Labor Nurse Podcast, I'm diving into: IV narcotics: what they are, how they work, and what to expect Nitrous oxide (aka laughing gas!): how it's used for labor pain relief Pros and cons of each option Plus a few non-medical pain relief ideas to consider too! Whether you're planning for an unmedicated birth or just want to know your options, this episode will help you feel more educated, empowered, and in control.

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

Sponsor: Use code BIRTHHOUR for up to 40% off your first order (including their already discounted plans and subscriptions) at thisisneeded.com. The Birth Hour Links: Know Your Options Online Childbirth Course (code 100OFF for $100 OFF!) Beyond the First Latch Course (comes free with KYO course) Access archived episodes and a private Facebook group via Patreon! 

Links: Airdoctorpro.com code BIRTHHOUR for up to $400 off! Know Your Options Online Childbirth Course - use code 100OFF for $100 off. Beyond the First Latch Course (comes free with KYO course)  Support The Birth Hour via Patreon! You can now gift memberships to Patreon here! Carolyn's first birth story can be found here.