Podcasts about midwives

hospitals midwives kyo kettering hospital birth unmedicated

Play Episode Listen Later Apr 8, 2025 33:51

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!

S23 E8: Life and Death

Something Was Wrong

Play Episode Listen Later Apr 3, 2025 46:47

*Content warning: infant loss, death, birth trauma, medical trauma and neglect, fraud, scams. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsMarkeda, 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://linktr.ee/momsadvocatingformoms Please sign the survivors petition below to improve midwifery education and regulation in Texas: https://tinyurl.com/SWWS23 *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Balance billing: Independent Dispute Resolutionhttps://www.tdi.texas.gov/medical-billing/index.html#:~:text=Texas%20and%20federal%20laws%20prohibit,with%20a%20surprise%20medical%20bill. CMS, The No Surprises Act's Prohibitions on Balancing Billinghttps://www.cms.gov/files/document/a274577-1a-training-1-balancing-billingfinal508.pdf Do Certified Professional Midwives Need Medical Malpractice Insurance? Understanding the Legal Requirementshttps://www.rcins.com/do-certified-professional-midwives-need-medical-malpractice-insurance-understanding-the-legal-requirements/#:~:text=Texas%3A%20In%20contrast%2C%20Texas%20does,to%20carry%20medical%20malpractice%20insurance. How Expanding the Role of Midwives in U.S. Health Care Could Help Address the Maternal Health Crisishttps://www.commonwealthfund.org/publications/issue-briefs/2023/may/expanding-role-midwives-address-maternal-health-crisis#:~:text=Midwives%20are%20licensed%20health%20care,women%20at%20double%20the%20rate. Implementation of 2015 Sunset Recommendationshttps://www.sunset.texas.gov/public/uploads/files/reports/Implementation%20of%202015%20Sunset%20Recommendations.pdf The Legislative Process in Texashttps://tlc.texas.gov/docs/legref/legislativeprocess.pdf National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Practicing Medicine Without a Licensehttps://www.criminaldefenselawyer.com/resources/practicing-medicine-without-a-license.htm#:~:text=Many%20states%20make%20it%20a,fine%20of%20up%20to%20%2410%2C000. Regulation of Birth Attendants in Texashttps://texashomebirth.com/regulation-2/ Texas Board of Nursing https://www.bon.texas.gov/ Texas Department of Insurance https://www.tdi.texas.gov/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ TDLR, Midwives Penalties and Sanctionshttps://www.tdlr.texas.gov/enforcement/midsanctions.htm Texas Health and Human Serviceshttps://www.hhs.texas.gov/ Texas Medical Board (TMB)https://www.tmb.state.tx.us/ State investigating Dallas birth center and midwives, following multiple complaints from patients, by Morgan Young for WFAA (March 29, 2024) https://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef What Do OB/GYN Nurse Practitioners Do?https://nursa.com/specialty-post/what-do-ob-gyn-nurse-practitoners-do#:~:text=OB/GYN%20nurse%20practitioners%20are,not%20licensed%20to%20deliver%20babies. What Is the Texas Medical Malpractice Statute of Limitations?https://www.nolo.com/legal-encyclopedia/what-the-texas-statute-limitations-medical-malpractice-lawsuits.html#:~:text=Like%20a%20lot%20of%20states,and%20Remedies%20Code%20section%2074.251. Which states have the highest maternal mortality rates?https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/ Why Won't an Attorney Take My Texas Medical Malpractice Case?https://www.hastingsfirm.com/your-case-and-texas-law/#:~:text=Texas%20law%20has%20made%20medical,and%20many%20hours%20of%20deposition. Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Hear more from Emily Wolfe:On Spotify // On Apple Music // https://www.emilywolfemusic.com/ // instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Taking Your Questions: Purple Pushing and Birth Work While Pregnant

United Reformed Church of Nampa

Play Episode Listen Later Apr 2, 2025 35:09

In today's episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about pushing during labor and practicing birth work while pregnant. The conversation begins with a deep exploration of various techniques for pushing during labor, focusing on whether to hold one's breath ("purple pushing") or to breathe through contractions. They go on to unpack their personal experiences as midwives and mothers, sharing firsthand insights from the intersection of their profession and their maternal lives. Tune in for a warm, humorous, and informative talk that supports and educates expectant mothers through the journey of childbirth. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

The Midwives Feared God

Play Episode Listen Later Mar 30, 2025 40:11

feared midwives

Post-natal care bill 'very odd', midwives say

RNZ: Saturday Morning

Play Episode Listen Later Mar 28, 2025 10:04

A new bill extending post-natal care at hospital, from two days to three, is being labelled as "very odd" by the professional body of midwives. Meanwhile, an organisation supporting families with anxiety and depression due to pregnancy, says it's "a drop in the ocean".

care midwives postnatal

Families Of The Disappeared - Speaking Rights Row - Sheep Attacks - Community Midwives Of Yore

RTÉ - Liveline

Play Episode Listen Later Mar 24, 2025 67:27

Dympna Kerr is the sister of Columba McVeigh, one of the four Disappeared still to be found. As the Dáil prepares to reconvene, callers discuss the ongoing arguments over TD's speaking rights. Dessie is a sheep farmer and his flock has experienced attacks from dogs. Marian and Eileen remember the handywomen from their families.

community speaking families rights sheep attacks td disappeared midwives yore dessie

Vivienne Parry, Alice Tuff-Lacey, Dalia Kasperaviciute and Kerry Leeson Bevers: What can we learn from the Generation Study?

The G Word

Play Episode Listen Later Mar 19, 2025 34:03

As of February 2025, the Generation Study has recruited over 3,000 participants. In this episode of Behind the Genes, we explore what we have learnt so far from running the study and how it continues to evolve in response to emerging challenges. The conversation delves into key lessons from early recruitment, the challenges of ensuring diverse representation, and the ethical considerations surrounding the storage of genomic data. Our guests discuss how ongoing dialogue with communities is helping to refine recruitment strategies, improve equity in access, and enhance the diversity of genomic data. Our host Vivienne Parry, Head of Public Engagement at Genomics England, is joined by Alice Tuff-Lacey, Program Director for the Generation Study; Dalia Kasperaviciute, Scientific Director for Human Genomics at Genomics England; and Kerry Leeson Bevers, CEO of Alström Syndrome UK. For more information on the study, visit the Generation Study website, or see below for some of our top blogs and podcasts on the topic: Podcast: What do parents want to know about the Generation Study? Podcast: How has design research shaped the Generation Study? Blog: What is the Generation Study? "We always have to remember, don't we, that if people say no to these things, it's not a failure to on our part, or a failure on their part. It's just something they've thought about and they don't want to do, and for all sorts of different reasons. And the other reflection I have about different communities is the ‘different' bit, is that what approach works for one community may not work for another, and I think that that's something that's going to have to evolve over length of the study, is finding the things that are the right way, the most helpful way to approach people." You can download the transcript, or read it below. Vivienne: Hello and welcome to Behind the Genes. Alice: “And this is quite an exciting shift in how we use whole genome sequencing, because what we are talking about is using it in a much more preventative way. Traditionally, where we've been using it is diagnostically where we know someone is sick and they've got symptoms of a rare condition, and we're looking to see what they might have. What we're actually talking about is screening babies from birth using their genome, to see if they are at risk of a particular condition, and what this means is this raising quite a lot of complex ethical, operational, and scientific and clinical questions.” Vivienne: My name's Vivienne Parry, and I'm Head of Public Engagement here at Genomics England, and I'm your host on this episode of Behind the Genes. Now, if you are a fan of this podcast, and of course you're a fan of this podcast, you may have already heard us talking about the Generation Study, the very exciting Genomics England research project which aims to screen 100,000 newborn babies for over 200 genetic conditions using whole genome sequencing. Well, we've got more on the study for you now. What we're doing to make it both accessible and equitable for all parents-to-be, and our plans to ensure that we continue to listen to parents, and perhaps in future, the babies as they grow up. We'll chat, too, about emerging challenges and how we might deal with them. I'm joined in our studio by Alice Tuff-Lacey, the Programme Director for the Generation Study, and Dalia Kasperaviciute, Scientific Director for Human Genomics, both from Genomics England, and we're delighted to welcome Kerry Leeson-Bevers, Chief Executive of Alström Syndrome UK. And I'm just going to quickly ask Kerry, just tell us about Alström Syndrome and how you're involved. Kerry: Yes, so Alström Syndrome is an ultra-rare genetic condition. My son has the condition and that's how I got involved. So, the charity has been around now since 1998, so quite a well-established charity, but as part of our work we developed Breaking Down Barriers, which is a network of organisations working to improving engagement and involvement from diverse, marginalised and under-served communities as well. Vivienne: And you wear another hat as well? Kerry: I do. So, I'm also a member of the research team working on the process and impact evaluation for the Generation Study. So, I'm Chair of the Patient and Public Involvement and Engagement Advisory Group there. Vivienne: Well, the multiply hatted Kerry, we're delighted to welcome you. Thank you so much for being with us. So, first of all, let's just have a sense from Alice Tuff-Lacey about this project. In a nutshell, what's it all about, Alice? Alice: Thanks Viv. So, I think in the last few years we've seen some really big advances in the diagnoses of rare diseases through things the Genomic Medicine Service. But we know it takes about 5 years often to diagnose most of these rare conditions. What we also know is that there are several hundred of them that are treatable, and actually there can be massive benefits to the child's health from diagnosing and treating them earlier. I think a really good example of this which is often talked about is spinal muscular atrophy, which is a particular condition where there is a genetic treatment available and there is a really big difference in families from those babies where the condition was identified later on, versus their brothers and sisters where they were identified early because they knew there was a sibling that had it and they were given that treatment. What we think there is a huge potential opportunity to identify these children from their genome before they get ill, and this is quite an exciting shift in how we use whole genome sequencing, because what we are talking about is using it in a much more preventative way. But this is a really different approach to how we've been using it so far, because traditionally where we have been using it is diagnostically where we know someone is sick and they've got symptoms of a rare condition and we are looking to see what they might have, what we are actually talking about is screening babies from birth using their genome to see if they are at risk of a particular condition. And what this means is, this raises quite a lot of complex ethical, operational and scientific and clinical questions. So the aim of the Generation Study is really to understand if we can and should use whole genome sequencing in this way to screen for rare conditions in newborn babies. We've been funded by the Department of Health and Social Care to do this over the following years, and the way we'll be doing this is by a national study across a network of trusts in England where we are aiming to recruit about 100,000 babies and screen them for rare treatable conditions that we know present in childhood. And really the aim of this is to understand if this will work and how it will work, and to generate the evidence to allow the NHS and the National Screening Committee to decide if this could become a clinical service, and that's very much the primary goal of the study. Beyond that, however, there are some other aims of the study, and we also consent mothers to ask permission to retain their genomic data and to link it to the baby's clinical data over their childhood, and we'll be providing access to this to researchers in the de-identified way in our trusted research environment. And this is to really understand if that data can also be used to further generate information around other discovery research, but also critically understand that the motivations for parents involved will be very different, and we need to think very carefully about how we engage and work with the parents of the babies going forward about how we use their data. Vivienne: And the super exciting thing is we've started recruiting. How many mothers have we recruited? Alice: So, we've recruited over 3,000 to date, and it's building every day and every week really. And it's really exciting because we see more and more trusts coming online and the study building and really starting to learn from the experience. And every week and every month, we're learning much more about how this process works, what the impact it's having, and kind of what we need to do over the coming few months and years to deliver it. Vivienne: And we did a huge about of work at Genomics England before the study even started, to try and find out what people wanted. So, we found out, for instance, that people didn't want to know about late onset conditions, they did want to know about conditions where there was a treatment, and they wanted things that could be done for their babies in childhood. So, we had a really clear steer from the public about this project before we even started. So, how are we continuing to learn from the people who are involved in the study and the public? I mean Kerry, you've been involved in this aspect. We need to listen, don't we, to find out what's going on? Kerry: We do, we do, and I think it's really encouraging to see the public dialogue and the amount of engagement work that was done there to kind of identify what some of those areas were, but it's really important that we don't stop that engagement there. It's really important to continue that, and I know that we've got quite a diverse group for our Patient and Public Involvement Advisory Group and the Evaluation Team, and one of the things they're really interested in is how we're going out there to speak with communities. You know, we can't just be reliant on the media, and press releases about the study. We need to actually go to communities and have these conversations so that people can have a conversation within an environment that they feel safe and confident with the people that they feel supported by as well. So I think it's really key that we continue to ask those questions but also learning from the evaluation and, as we go through the process, of speaking to the patient organisations as well who support families that suffer from some conditions that we plan to identify through this study, and learn what some of their challenges are as well. You know, do they feel equipped to be able to support parents that are getting a diagnosis? As well as obviously their participants and the general public, to make sure that we're aware of attitudes and perceptions as the study goes along. Vivienne: Because there's always a danger with this kind of study that it's people who are health literate who end up being involved. Whereas some of the people on whom the burden of rare disease is greatest may not either feel that they can access, or would want to access, this study. So, what are we doing there? How are we listening to people? Kerry: When we are looking at recruitment as well, like you say, you know this is a research study and when we look at history and when we look at participants in research studies, we very rarely do you get a diverse representation of people in these types of studies. So, it's really important that those extra efforts are made really in terms of recruitment to get the right sample of people involved. And I know at Genomics England, that they have invested their time and money in terms of interpreters and translating materials and things, but actually it's the sites and recruiting people that need to be well resourced in order to use recruitment strategies, because if we're just looking at posters in waiting rooms, for instance, you're going to get a particular demographic of people that will respond to those kind of posters, such as people who don't speak English as a first language, it would be really difficult sometimes to read those kinds of posters and then to ask questions about that. We need skilled people within sites that are recruiting who have got cultural competence who can have those conversations, address some of those areas, some of those concerns so that we can get that diverse representation. Vivienne: So, there's a whole piece about equity of access for everybody and Dalia, perhaps you can explain why this is so important, scientifically as well as ethically? There's another piece about making sure that we get a full diversity represented. Dalia: We know that some of the conditions are more common in certain populations or certain communities. We also know that some of the conditions are caused by certain variants in one population but not in the others. And these genetic causes even of the same condition can vary between different communities and different genetic ancestors. On the other hand, our knowledge about the conditions and the genes, and the variants which cause them, come a lot from what we've seen before. Where we've seen those variants in the patients with the disease, and importantly where we've seen those variants in control populations where these individuals which don't have conditions. Therefore, if we lack the diversity in our datasets, we would not know about all the diverse reasons of why conditions can be caused, or how it progresses, or what it might mean for individuals. And we would not be able to have equitable testing, or we wouldn't know whether the test works for everyone. If that happened, we might be in the territory where we can't detect or don't detect as well all the conditions across different individuals. But also, we may be having more false positive results and create more anxiety for families as well as burden for healthcare system. Vivienne: So, are you saying, Dalia, that actually sometimes we might get a false positive, or indeed a false negative, simply because in that person, the condition which we think is usually caused by a particular change, they've got a slightly different change and so therefore we're not picking it up. Dalia: Indeed, but it's one of the possibilities. If, let's say, all our knowledge about certain genes came from a limited number of individuals, seeing a new variant in another individual might seem that it's something really rare and never seen before and it's potentially changes how the gene functions, we would say; “oh that's maybe something which causes the disease,” when actually it can be that it is a benign variant, just a normal variation which is very common in another part of the world, it's just that we don't have enough data to know about it. So, we need to be aware of those risks and take it into account when we interpret the variants. And, we also need to be transparent when operating in the environment. There was historical and investment in the diversity in research and our data sets still are not as diverse as we would like to be. It's shifting, the balance is definitely shifting in the last few years. A lot of effort is being done but the only way to shift the balance forever and make that genomic medicine work for everyone is to really actively engage those individuals and involve them in the research, and taking all the effort that Kerry was talking about. Advert: The Genomics England Research Summit is fast approaching and registration is now open! Join us for this one day in-person event on Tuesday 17 June 2025. This year's agenda dives into rare condition diagnosis, cancer genomics, pharmacogenomics, therapeutic trials, and the impact of emerging technologies. Hear from leading experts and inspirational speakers as we explore the present and future of genomics and the latest research and technology from the Genomics England research community. Keep an eye on the website, genomicsresearchsummit.co.uk for all the details and to secure your spot. Spaces are limited, so don't miss out. We'll see you at the summit! Vivienne: Alice, that goes back to this thing about holding the genomic data, because you need to hold the genomic data because the thing about genomics as always, you need to know what happens next. So, for instance, if somebody had a negative result and then later developed a condition, you need to be able to go back that data in order to find out what the problem was. Kerry: That's right. You know, as Dalia talked about, we know that there is a risk within the study and we try and be clear about that in our participant information that there are some babies where they may have a genetic condition that we will need not find it, and others where we might find something that doesn't go on to be the actual condition. And we need to kind of monitor those in different ways. So in particular in the cases where, if we've returned a result where we don't think we suspect a condition and a baby goes on to develop a condition, it's quite complex how we monitor that, and we're trying to go for a multi-track approach, and I think a lot of the benefits is some of the infrastructure that Genomic England already has that we can utilise. So, some of the foundational things we've put into the study to help support the approach are things like the ability to contact parents regularly so we can actually work with them to find out over time if their babies develop conditions. As you say, ability and consent to access the clinical data about the baby so that we can then access national data sets, and then we can then potentially monitor to see if babies seem to be showing signs of developing a condition. And also, really continuing to work with a network of clinical specialists where we've work quite hard over the last couple of years to build that kind of network and engage with them about the study, because they'll be the ones who the babies will come to if they develop those conditions. So, they are a really good route to us finding out, whether or not there are babies who have been part of the study who then go on to develop a condition. And I think the reality is that this is a really complex process and it's something that even traditional screening programmes really struggle with, and that's why this multi-pronged approach is really important, and why also we see that this approach will evolve over time, and at the moment, the important thing is we've worked hard to put the right foundations in to allow us to do this type of monitoring, and to really evolve that approach as things develop and as more things come along potentially where we can invest in. Vivienne: So, it's interesting, isn't it, because I guess that some parents would think that if you get a false positive or false negative, that it means that the test is at fault. And actually the accuracy of the test is good, but what we may have an issue with is that there is something else causing the problem that we don't yet know about. So, a big part of this project is giving much, much more information about the causes of conditions. Alice: Yes, and I think that's also why the discovery research aspect is really important, the fact that we consent for that ability to hold the baby's data. So not only will we want to use it for the evaluation, but as I mentioned at the beginning, we have asked for parents to be able to allow us to link it to clinical data which then allows us to track over time and find out more information, because it's always the quality of the information we know that will help us in the future to identify these conditions, so the more we can generate potential information, you know, the more we will learn as a society. And so it's actually quite an altruistic thing we're asking of parents, and that's something we recognise and that's why it's also important we think about, how we continue to engage with the parents and the baby over their lifetime to remind them that we're holding this data, but also to understand what their concerns and feelings are about us holding that data and how we're using it for that broader research. Vivienne: And that's very much what you're involved in, isn't it Kerry? Kerry: Yes, and I think sometimes in some ways that may offer some reassurance to parents as well, to know that's there as a reference point if things do develop over time, but I know that one of the things we're looking at as part of the evaluation, and the PPI Group we're involved in, is looking at the experiences of patients through this journey because actually it will create quite a lot of uncertainty. As a parent of a child with a genetic condition, that uncertainty really is one of the hardest things to learn to live with. So at that early stage, one of the things we're looking at is that experience, how much support people have received, whether that has an impact on the parent and their child and their on bonding and their experiences and things like that, and I think it is important that we do that, but I think also having those references, where you're able to go back and ask those questions, that's really important that the support is in place, and that pathway really for parents to know where to go to. Because sometimes, although we may arrange to have calls at regular intervals and things, sometimes the questions of parents don't necessarily come at the time when they are having a telephone call. They come really late at night when there's nobody to pick up the phone, so having as much information as we can available, and those support structures in place, is really key. Vivienne: We all start off these projects thinking that they are going to go in a particular way, but actually there's a lot of flexibility in this study, isn't there, Alice? For instance, we will be looking at all those false positives, false negatives because we need to learn from that. We will be, perhaps, changing our approach as we go on if there is something that isn't working out. Is that what we're doing? Alice: Yes, I think what we have recognise is it is a study and therefore that involves learning by it's very nature, and that's why partly we're working with external evaluation partners that Kerry's involved with, but also why we invest in a lot of things internally. Like we do a lot of user research with our midwives and our participants, and also potential participants. Because, actually we don't know the answer to this. No one's done this before, and so this is about all of us really learning, and learning in the right way and continuing to do that throughout the study, but also more importantly capturing that information and making sure that at the end of it, we then have some understanding of if we were to see that it's right to deliver this as a clinical service, what that might actually involve. But also, even if we get to that point, I think beyond that we will still continue to learn over time and that's again why that long enduring consent is quite important, because we can then continue to maintain that long term evaluation and continue to maintain that long term potential to help further further research. And so that's the thing where actually we'll be learning for the next 10-15 years, really what the Generational Study has learnt, and actually what we have achieved through it. Vivienne: I just want to move back to something that you mentioned, Kerry, about conditions that we're looking for, and there were a lot of very specific things. I've said that what parents wanted, but there's also some scientific things, and Dalia might want to come in here, that these are conditions that we pretty sure that if you've got the particular genetic change, that you will get the condition – something called penetrance. So, you know, we're not leaving people with a lot of uncertainty. But, how will we go about assessing new conditions as part of this study, or are we just on the ones that we're on at the moment? Dalia: So, we started from the things we understand the best and we know how to detect them and we know how to confirm them because the tests that we are doing in Genomics England is a screening test, it will not be a definitive answer whether you have or you don't have a condition. Anyone which will get a positive result will be referred to an NHS specialist clinician for further assessment. And some of those positive results turn out not to have the conditions and some of them will have, and they will have their treatment pathways. So, we're started to very cautiously, and that's what came from public dialogue, everyone was saying that; “you need to be really cautious, we need to see that it works for the conditions that we understand well”. But as a starting point, as we learn more, we're learning of how could we expand that list. What would be acceptable for public. Maybe some conditions will have an experimental treatment, which currently would not be included in screening but as treatments evolve, at some stages maybe there will be opportunities to include some conditions in the future. As our science evolves, we keep assessing the new conditions and seeing can we include them, would it be acceptable to parents, would it be acceptable to the healthcare system, and one of the things about screening it's really important not to cause harm. There are a lot of benefits in screening but if we didn't do it cautiously, it also has some risks, and we need to be very careful about it. Vivienne: Now Kerry, there are lots of parent groups who will come along to us and say; “oh you must include this condition,” but perhaps there isn't yet a treatment, or there isn't a pathway in the NHS that will help people get what they need. And I guess if we try to include too many conditions, we would actually undermine trust. Kerry: So, the patient organisation, our condition, Alström Syndrome, isn't included in the list. For our condition, there is no specific treatment although we do have a highly specialised service, and it is very important to get early diagnosis because children can develop heart failure and there are symptom-specific treatments available there. But I get the reasoning why there needs to be a specific treatment and the need to include just a smaller group at the beginning, but our hope as with I'm sure a lot of other patient organisations, is that our condition will be added at a later time if it is found that this is something that would be acceptable in routine care. Advert: If you're enjoying what you've heard today and you'd like to hear some more great tales from the genomics coalface, why don't you join us on the Road to Genome podcast, where our host, Helen Bethell, chats to the professionals, experts and patients involved in genomics today. In our new series, Helen talks to a fantastic array of guests including the rapping consultant, clinical geneticist Professor Julian Barwell about Fragile X Syndrome, cancer genomics and the holistic approach to his practice. A genuine mic-drop of an interview. The Road to Genome is available wherever you get your podcasts. Vivienne: Let me move on to another aspect of this study. These are babies, and we are holding their genomic information but at 16, they will be able to decide whether they want us to continue holding their genomic information. Alice, is that very much part of this programme to think about what we're going to say and how we're going to engage those 16-year-olds? Alice: Yes, it very much is. What I always say, because I get asked this question a lot, is that I don't think we can pre-judge what that looks like. Because I look at my children, and certainly their lives are very different from my childhood, and I don't think we can imagine exactly what our babies will look in 16 years and what that world looks like. I think the important thing is many of things we are trying to do is that we lay the right foundations in place, and part of that is ensuring that we continue to think about how we engage with young people as the study evolves and over time, so that we understand what the world is looking like from their perspective. But also, how do we equip the parents to talk about the fact that these babies are part of the study to them? What does that look like? How can we support them? And that's very much something we want to be looking at in the next year, really working with parents from the Generation Study to understand how best we can do that so that they can have some of that conversation for themselves as well. I think we can't pre-judge exactly how we need to talk about them and also not think it's just one thing. We need to evolve and work with the children as they grow up, and work with their parents to equip them because, as I said, we don't really know how they're going to access information in the future. You know certainly TikTok didn't exist when I was a child, and so that's what we've got to think about is what's the best avenues or forums to really engage properly with them as they grow. Vivienne: Kerry, what other concerns to parents have that we're learning now? Kerry: I think the concern is that when treatments are being developed, that they are not necessarily being developed for the whole population. They're often being developed for sub-sets of population because we don't have a complete dataset. And when you think about people being involved in research, people feel that they are being left behind because their data is not necessarily represented within there, it doesn't reflect their community, and it's not being discussed within communities, the different research opportunities and things have been available, I think it's the fact that we're not investing enough in community engagement and dialogue to explain more about genetics. I think technology has advanced at pace. As a parent of a child with a genetic condition, that is very encouraging to see that, but I think sometimes the support and the information is not necessarily keeping up, so we're not having those open conversations really about genetics and genomics, and I think that's one of the things I hope that this study will really lead to, that it will now become much more part of everyday conversation. Because often, when you have a child with a genetic condition, you first hear about a condition, the way you take in that information and ask questions is very different than having a conversation with the general public about genetics. When you're concerned that your child may have a condition or you may have a condition yourself, you're in a completely different mindset. So, the hope is that that dialogue will open so that people will be able to ask questions to learn more about the projects and things that are out there and available so that people are included and can take part in research if they want to. But it's important to remember that not everybody will want to. It's about being given informed choices and to do that we need to make sure that the support and the information is appropriate, inclusive and accessible. Vivienne: We always have to remember, don't we, that if people say no to these things, it's not a failure to on our part, or a failure on their part. It's just something they've thought about and they don't want to do, and for all sorts of different reasons. And the other reflection I have about different communities is the ‘different' bit, is that what approach works for one community may not work for another, and I think that that's something that's going to have to evolve over length of the study, is finding the things that are the right way, the most helpful way to approach people. Kerry: I completely agree. I think it's like you say, if people say no, that is completely their right to do so as long as they're saying no when they've been given the information to be able to really take that on board, think through, consider it and then make an informed decision. I think often people say no because they've not been given the right information to be able to understand what is expected, so they've not necessarily been given the opportunity. And I think we all want good outcomes for everybody. That doesn't mean delivering the services in the same way. Sometimes we need to deliver services in different ways because often services aren't very accessible for some communities to be able to access. So sometimes we need to make changes, adapt, to make sure that everybody has the same opportunities to the same outcomes. Vivienne: We are constantly re-evaluating, rethinking, re-engaging to try and make it the best we can. Whether it's with different communities and different approaches. Whether it's with constantly assessing people who've had false positives, false negatives and finding out why that is the case. And in the future, I think this will have some really major effect. Dalia, you're the scientist amongst us today. Tell us what you're hoping for from this study in science terms. Dalia: So, first of all, we want to find the babies which we can treat before we develop symptoms, before we get ill, so that we can have more fulfilling lives. That's the bottom line. But we're doing that, we also will learn about the conditions. We'll learn a lot about the natural history of the conditions. What happens when you detect it before baby gets ill, then you start treatment, and how does it work in the diverse communities and diverse populations that we've talked about. Are there are any differences based on people's ancestry, but not just ancestry, about their lifestyle, about anything else which can affect how disease develops, or how the care or treatment goes. So, that's kind of the bottom line. The top line and now our ultimate aim, probably many years from now, would be that we can detect variants of genes or conditions before they develop, and we can create treatments for them before our children get their conditions. That's something that the science community is very excited about. I think we're quite a few years from that, but that's where we hope all this will be heading in the future. Vivienne: It's really becoming a possibility, but the science is only the first part of it. It's the human interaction. It's the how it lands with people. It's how they feel about it. It's how they trust it. And these are all the things that we're really working on at Genomics England to make this study not just a scientific success, not just a success for the NHS, but also something that is really meaningful and important and valuable and trusted for people having babies. Would you agree? Alice: Yes, 100%. I think, just to come in there, Viv, I think we've talked a bit about the importance of public trust and being the foundations of what we do, and I think that's something that Genomics England's always held true to itself, but I think for the purpose of the Generation Study, it's been one of kind of the foundational principles from the beginning, and I think Kerry and you have touched upon some really important themes today about how it's not a ‘one size fits all' approach. And I think very much that piece that we touched on a bit about, kind of, how do we make this accessible to everybody, we see it very much as not a ‘one size fits all', and so we've been trying lots of different things to really tackle that, and evolving the approaches which, as you said, that's where the flexibility comes in. My hope for the next 12 months is that we can really, now that we've got the study up and running, work a lot with the some of the regional networks, the Genomic Medicine Service alliances who are working at the regional level, and the recruiting trusts, to really explore different approaches and work out how we can support them to engage with the communities in their areas, because they're the ones who will understand who they are, and our role is to really try and provide, as Kerry highlighted, the tools of support to allow them to do that, and to try and make sure that we can make this as equitable as possible in terms of people being able to at least understand the studies here, get the information in the appropriate way, and then as we have also talked about, making their own minds up about whether this is the right thing for them to be part of. Vivienne: So, the final question for you all is if I'm a mother-to-be, where can I find out more information. Let's start with you, Kerry. Kerry: Well, from the Generation Study website, there's information there. Midwives, GP practices, obviously they're often going to be your first port of call, so I'm hoping that they feel equipped to be able to answer those questions and to signpost people to one of the trusts that are involved. Vivienne: And we've also got a Genomics 101 episode where we answer some of the frequently asked questions, and I think there are at least 2 or if not 3 separate episodes from Behind the Genes, which people can look for which look at different aspects of the project. Anything else, Alice, that we need to know? Alice: So, Kerry highlighted it, the Generation Study website is a really good starting point, but that's a good place to also find out what trusts are involved because it's also important to know that this is not available in all trusts in England at the moment. We have a network and it's growing, and it is all around England, but the first place to start is, kind of, is it in your local trust? And then from there, it's then engaging with your trust and hospitals where there will be information, and the midwives are prepared to kind of talk to people. So those are, kind of, the good first places to start. Vivienne: Well, we're going to wrap up there. It's been so good talking to you all. So, thank you to our guests Alice Tuff-Lacey, Kerry Leeson-Bevers, and Dalia Kasperaviciute for joining me as we talked through how the Generation Study is continuing to evolve as it responds to emerging challenges. Now, if you would like to hear more about this, then please subscribe to Behind the Genes on your favourite podcast app and, of course, we hope that you would like to rate this. Because, if you rate it, it allows more people to see it and more people to get enthused about Behind the Genes, which we love. It's available through your normal podcast apps. I've been your host, Vivienne Parry. The podcast was edited by Bill Griffin at Ventoux Digital, and produced by Naimah Callachand at Genomics England. Thank you so much for listening. Bye for now.

Episode 78: B.C. premier's power grab, nurse DISCIPLINED for speech & hate charges in TO

Not Reserving Judgment

Play Episode Listen Later Mar 19, 2025 55:22

On Episode 78, we discuss the B.C. premier's apparent power grab (Bill 7); we explain why it was wrong to discipline B.C. nurse Amy Hamm for her off-duty speech about sex; and we tell you about hate crime charges in Toronto. Plus, our thoughts on Mahmoud Khalil's deportation.Stories and cases discussed in this week's episode:CCF to Premier Eby: Reconsider Bill 7's Brazen Power GrabAmy Hamm: I spoke the truth about women's rights. That isn't professional misconduct (National Post)B.C. College of Nurses and Midwives v Amy Eileen Hamm (BCCNM)Man Charged with Advocating Genocide and 28 other charges in Hate Crime Investigation (Toronto Police)Man faces rare charge of advocating genocide against Jewish community, Toronto police say (CBC News)In Re George Edwin Gray, 1918 CanLII 533 (SCC), 57 SCR 150 (CanLii)The B.C. government's Bill 7 is an indefensible power grab (Globe and Mail)Mahmoud Khalil Is an Easy Call (Reason)Not Reserving Judgment is a podcast about Canadian constitutional law hosted by Josh Dehaas, Joanna Baron, and Christine Van Geyn.The show is brought to you by the Canadian Constitution Foundation, a non-partisan legal charity dedicated to defending rights and freedoms. To support our work, visit theccf.ca/donate.

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Taking Your Questions: HBAC and Giving Birth with PTSD

Like Minded Friends with Tom Allen & Suzi Ruffell

Play Episode Listen Later Mar 18, 2025 38:16

This podcast episode contains potentially triggering content related to sexual trauma, including discussions of abuse, assault, and recovery. Listener discretion is advised. In this episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about home birth after cesarean (HBAC) and trauma-informed care in birth. They unpack the risks, safety considerations, and holistic midwifery support for those planning a VBAC in a home setting, as well as compassionate strategies for birthing with PTSD, vaginismus, or a history of sexual trauma. Learn how individualized midwifery care fosters empowerment, informed choice, and a deeply supportive birth experience. Whether you're exploring out-of-hospital birth, postpartum healing, or holistic prenatal care, this episode is filled with insight and encouragement for your journey. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Midwives in Space

Play Episode Listen Later Mar 12, 2025 38:44

Comedians and dearest pals Tom Allen and Suzi Ruffell chat friendship, love, life and culture....sometimes.... Get in touch with all your problems or if you want to give your Like Minded Friend a shout out: hello@likemindedfriendspod.com We'll be out and in your ears wherever you get your podcasts every Wednesday morning, and if you like what you hear why not leave us a review on Apple Podcasts or wherever it is you listen... Thanks - Tom & Suzi xx A 'Keep It Light Media' Production Sales, advertising, and general enquiries: HELLO@KEEPITLIGHTMEDIA.COM Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Bestselling author Chris Bohjalian publishes his 25th book

Vermont Edition

Play Episode Listen Later Mar 12, 2025 49:49

A wounded Union captain from Vermont and the resilient wife of a Confederate soldier cross paths — and fates — in Chris Bohjalian's new novel.Bohjalian is the New York Times bestselling author of 25 books, a playwright and a longtime Weybridge resident. His work has been translated into 35 languages and become three movies and an Emmy-winning TV series (The Flight Attendant on Max). His novel Midwives was an Oprah's Book Club selection. He was a weekly columnist for The Burlington Free Press from 1992 through 2015.This show was recorded on Mar. 9 at a live event, when Bohjalian sat down with Mikaela Lefrak in front of a packed house at the Town Hall Theater in Middlebury. The event was produced in partnership with the Middlebury Book Shop.Then, we get a preview of the Green Mountain Film Festival in Montpelier when Mikaela speaks with festival programmer Sam Kann.Broadcast live on Wednesday, March 12, 2025, at noon; rebroadcast at 7 p.m.

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"It cannot just be rainbows & sunshine" | Let's Talk about Hemorrhage

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Play Episode Listen Later Mar 12, 2025 6:57

We're still on a break from the Midwifery Wisdom Podcast but will be back with new episodes in just a few weeks!In the meantime, enjoy these clips from the Q&A section of our latest Teachable e-course, Preventing and Treating Hemorrhage.This in-depth course is perfect for anyone looking to refresh their knowledge and stay up to date on the latest hemorrhage management protocols in the community birth setting.Resources:Preventing and Treating Hemorrhage E-CourseBoundaries for Birthworkers E-Course

Empowering Midwives: The Key to Saving Lives

Optimistic Voices

Play Episode Listen Later Mar 9, 2025 49:27 Transcription Available

Send us a textWelcome to a transformative episode that dives deep into saving lives through improved maternal health in Sierra Leone. We share inspiring stories from a recent training conference in Kenema, focusing on the critical role midwives play in reducing maternal and infant mortality rates. You'll hear from Matron Mary Augusta Fuller, Chief Nursing and Midwifery Officer, who shares insights on the vital need for comprehensive training programs for midwives, addressing both essential newborn care and postpartum hemorrhage management. In our conversation, we explore the significance of mental health awareness among healthcare providers, highlighting how integrated training can create better support systems for mothers and their newborns. Additionally, we tackle cultural barriers women face in rural settings, often inhibiting their access to crucial medical care. The episode emphasizes the importance of empowering midwives with both knowledge and practical training to advance community health outcomes. Through dialogue about new initiatives and the ambitious strategic plans laid out by the Ministry of Health and Sanitation, we present a hopeful vision for the future of maternal health in Sierra Leone. Join us in understanding how these efforts can pave the way for a healthier tomorrow for mothers and their children. Stay tuned as we inspire meaningful change in local healthcare communities. Help spread the mission of maternal health advocacy by subscribing, sharing our episode, and leaving a review!A new documentary on orphanage response - the right way! Travel on International Mission with Helping Children Worldwide to Sierra Leone, meet the local leadership and work alongside them. Exchange knowledge, learn from one another and be open to personal transformation. You can step into a 25 year long story of change for children in some of the poorest regions on Earth.https://www.helpingchildrenworldwide.org/mission-trips.htmlSupport the showHelpingchildrenworldwide.org

Rerun: Birth Like a Badass with Flor Cruz

Play Episode Listen Later Mar 5, 2025 67:02

This week, we're bringing back one of our top episodes featuring the one and only Flor Cruz, aka Badass Mother Birther!

Postpartum Realness: Part Two

The VBAC Homebirth Stories Podcast

Play Episode Listen Later Mar 4, 2025 39:26

Welcome to Part 2 of our 'Postpartum Realness' series! In this episode, we dive into the raw and transformative postpartum experience, sharing real stories from our listeners about what surprised them most after birth. From sleep deprivation and breastfeeding struggles to postpartum mental health and the emotional duality of new parenthood, we explore the highs and lows with honesty and compassion. As midwives, we also discuss how the holistic midwifery model supports parents through these challenges, offering insights into newborn bonding, maternal recovery, and the importance of community care. Whether you're planning a home birth, seeking postpartum support, or simply curious about midwifery care, this episode is for you! If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

EP154: No midwives. No hospitals. Just pure trust. Victoria's powerful unassisted home birth in rural Broome will leave you in awe!

Play Episode Listen Later Mar 4, 2025 95:53

In this episode, we hear from Victoria, a determined and inspiring mum who birthed on her own terms after a Caesarean. Living in Broome rural Western Australia, Victoria planned for a healing and autonomous birth, engaging deeply in birth education, self-care, and intuitive preparation.Her journey started with a planned Homebirth and the support of a birthkeeper who was set to fly in from Perth. The birthkeeper was meant to stay with Victoria in the week leading up to her due date—offering support, massage, and even filling her postpartum freezer with nourishing meals. But when the time came, fate had other plans. The birthkeeper was attending another labour and couldn't make it. Victoria suddenly had to pivot, embracing the reality of a freebirth—trusting herself completely.At around 40 weeks, labour began. Victoria moved instinctively through her contractions, spending time walking her large property, connecting with nature on the beach, and holding onto the balustrade of her balcony. She rested on bean bags outside and eventually moved inside, finding relief on the toilet.Throughout labour, her mind presented challenges—waves of self-doubt and fleeting thoughts of transferring to the hospital. But with deep awareness, she continually redirected her mindset, embracing the power of birth and her body's innate wisdom.In the end, Victoria's birth unfolded beautifully. She emerged from the experience feeling strong, empowered, and deeply grateful for the way it all transpired.In This Episode, Victoria Shares:How she navigated her VBAC journey after a long, hospital birth ending in a c-section. The challenges of planning a rural homebirth with limited birth support.How she prepared mentally and physically—including birth books, podcasts, and breathwork.The unexpected turn of events when her birthkeeper couldn't attend.The inner mindset battle of self-doubt vs. trust during labour.The power of birthing in tune with her body, instincts, and environment.

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Clare Women Featured In National Museum Project On Community Midwives

Clare FM - Podcasts

Play Episode Listen Later Feb 27, 2025 11:47

People in Co. Clare are being invited to contribute stories and memories about community midwives in the 19th and 20th century as part of a project led by the National Museum of Ireland. The lives and contributions of some Clare nurses and midwives have already been incorporated into an ongoing exhibition and events programme exploring the history of rural midwifery at the National Museum in Turlough Park, Co. Mayo. To discuss this further, Alan Morrissey was joined in studio by Deirdre Ruane and Fiona Whelan. Photo (C): Clare FM

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Rerun: How To Chart Fetal Heart Tones with Augustine Colebrook, Ilka Fanni, Alana Diamos and Michelle Borok

First Congregational Church of Western Springs

Play Episode Listen Later Feb 26, 2025 63:20

Today's episode is a rerun—a timeless favorite from our archives. Three experienced midwives join Augustine Colebrook for an insightful discussion on charting fetal heart tones.✨ Topics Covered:How often should you chart?How do you determine if a baseline has changed?Most importantly, what data is essential for defensible documentation in case of a bad outcome?Like we said—an oldie, but a goodie!

February 23, 2025 - Sermon

Play Episode Listen Later Feb 24, 2025 14:48

This Sunday, at the 10am service, our Chancel Choir will sing We Walk by Faith and Not by Sight. And at both services, John Otto will play the clarinet accompanied by Kathy Christian. Our Mission & Outreach ministry brings us a video from our mission partner, Midwives for Haiti.Rev. Dr. Rich Kirchherr's sermon will reflect on the idea of the challenge and blessing in loving God and country in his sermon.Link to Livestream:⁠ https://www.youtube.com/watch?v=z4VtCq6rqOgLink to Start of Sermon: https://www.youtube.com/watch?v=z4VtCq6rqOg&t=2360sIf you are new to our faith community and are interested in learning more, please go to⁠⁠⁠⁠⁠⁠⁠Welcome to First Congo Online - First Congregational Church of Western Springs

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#277 - The Lost Rockefeller Heir, Sickening Elite Rituals & USAID | Mark Gagnon

TRENDIFIER with Julian Dorey

Play Episode Listen Later Feb 21, 2025 176:30

SPONSORS: 1) Get 15% off with code JULIAN at oneskin.co 2) Rocket Money: Go to www.rocketmoney.com/julian to start saving today! (***TIMESTAMPS in description below) ~ Mark Gagnon is the co-host of OfficialFlagrant & Host of CampGagnon . FOLLOW JULIAN DOREY INSTAGRAM (Podcast): https://www.instagram.com/juliandoreypodcast/ INSTAGRAM (Personal): https://www.instagram.com/julianddorey/ X: https://twitter.com/julianddorey GUEST LINKS - Camp Gagnon YouTube: https://www.youtube.com/channel/UC_8fyOXzrZjcnUBFbhbms7Q - Flagrant YouTube: https://www.youtube.com/@OfficialFlagrant/videos ****TIMESTAMPS**** 00:00 - Julian Going on Mark's Show, Fatherhood, Getting Married Since High School 12:29 - Doing Dip 1st Time, Moscow Trip (Whippets Story) 21:20 - Having Kid at Home, Midwives & Hasidic Jews 34:14 - Jalen Hurts & His Rise to Champion 37:21 - USAID Issue, Guatemala Syphilis Experiment 56:13 - Judging History (Errors/Mistakes) 01:05:24 - Rockefeller Story (Amazon) 01:14:21 - Crossing Borders Story, Cartel Crossing 01:22:17 - Bob Hamer FBI P3dophile Hunter & Chinese Gangster Tracker, Epstein Case 01:36:11 - P@rnHub Ban 01:42:45 - Mark's Obsession with Religion 01:58:11 - Mormons 02:07:36 - What Trump Was Like (Flagrant Podcast), Michael Jackson Pepsi Commerical 02:17:01- The Fall of Kanye, RFK Jr. Behind Camera & Politics Today 02:34:05 - Bringing Political Candidates on the Show, 50 Cent CREDITS: - Host & Producer: Julian Dorey - Producer & Editor: Alessi Allaman - https://www.youtube.com/@UCyLKzv5fKxGmVQg3cMJJzyQ Julian Dorey Podcast Episode 277 - Mark Gagnon Music by Artlist.io Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Should more men train to be midwives?

Africa Daily

Play Episode Listen Later Feb 19, 2025 18:00

Midwife or mid-husband? That's a common question on social media posts highlighting the work of the very few men who help women to deliver babies. Midwifery is a profession that has traditionally been dominated by women. Less than 1% of people registered as midwives globally are men. According to research conducted by the University of Northampton in the UK, 19 countries have no men registered as midwives and five countries legally prohibit men from being midwives.In today's Africa Daily podcast, Alan Kasujja speaks to 63-year-old Robert Aule, a man who has helped to deliver more than 500 babies over the last four decades in one of the most remote regions in Kenya. Could the recruitment of men help to deal with the shortage of midwives?

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Rerun: Born in Zion? With Roxanne Anderson

Play Episode Listen Later Feb 19, 2025 69:48

Trigger Warning: This episode discusses sensitive topics, including fetal and maternal loss.Welcome back to the Midwifery Wisdom Podcast! While we take a short break between seasons, enjoy this rerun of one of our most popular episodes. We'll be back with brand-new episodes in just a couple of weeks!In this episode, Augustine Colebrook sits down with Roxanne Anderson, a seasoned Texas midwife, for a powerful conversation about faith, birth, and the challenges of midwifery.Roxanne shares personal stories from her early years, reflecting on her journey as a Christian midwife within the Born in Zion movement. Together, she and Augustine explore the intersections of faith, fear, societal influence, and the role of religion in birth.Tune in for an insightful and thought-provoking discussion!

Postpartum Realness: Part One

diet labor pregnancy holistic fertility postpartum breastfeeding midwife birth stories midwives realness homebirth midwifery natural birth lactation consultants tongue tie vaginal birth episiotomy stay connected with us

Play Episode Listen Later Feb 18, 2025 40:47

In today's episode, midwives Sarah and Charli dive into the raw, real, and often surprising realities of the postpartum experience. From physical challenges like constipation and breastfeeding difficulties to emotional hurdles like isolation, sleep deprivation, and relationship stress, this candid conversation normalizes the highs and lows of life after birth. With insights from our Instagram community and practical advice rooted in holistic midwifery care, Sarah and Charli offer warmth, wisdom, and reassurance for new parents navigating the fourth trimester. Tune in to feel seen, supported, and connected in your postpartum journey—whether you're planning a home birth, exploring holistic birthing practices, or already in the thick of newborn life. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Study shows time it takes to repay uni fees for teachers, nurses, social workers and midwives

RNZ: Morning Report

Play Episode Listen Later Feb 16, 2025 3:51

A new study shows it can take decades for teachers, nurses, social workers, and midwives to recover the costs of university fees and unpaid placements. Lead author of the study, University of Canterbury senior lecturer Dr Leighton Watson, spoke to Ingrid Hipkiss.

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Episode 138 - Preventing pre-eclampsia (part 1)

The Great Birth Rebellion

Play Episode Listen Later Feb 16, 2025 50:08

In this episode Mel finally talks about pre-eclampsia (she can avoid it no longer!). Mel explains what pre-eclampsia is, how to diagnose it, how it develops and some strategies on how to prevent it. In this episode (part 1) you also learn about who is more likely to get pre-eclampsia so that preventative strategies can be better targeted. The episode was sponsored by The convergence of rebellious midwives conference, tickets available for the 2025 event NOW. Get your ticket now - it's not just for Midwives! Get more from the Great Birth Rebellion Podcast Join the podcast mailing list to access the resource folder from each episode at www.melaniethemidwife.com Join the rebellion and show your support! Grab your Great Birth Rebellion merchandise now at www.thegreatbirthrebellion.com Follow us on social media @thegreatbirthrebellion and @melaniethemidwife or watch this podcast on Youtube here If this podcast has improved your knowledge or pregnancy, birth or postpartum journey please consider thanking us financially by donating to support the ongoing work of this podcast. Disclaimer The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with its application intended for discussion between yourself and your care provider and/or workplace if you are a health professional. The Great Birth Rebellion podcast reserves the right to supplement, edit, change, or delete any information at any time. Whilst we have tried to maintain the accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content. This podcast is not a replacement for midwifery or medical clinical care. The below transcript was created with AI and may contain errors.

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Episode 378 Episode 378 Susan's Empowering CBA3C + The Benefits of Laboring

The VBAC Link

Play Episode Listen Later Feb 12, 2025 38:48

Join Susan on our podcast today as she shares her journey to a beautifully empowering CBA3C! Susan had three C-sections that didn't have anything to do with her body. They just happened to be circumstantial. All three of her births had been traumatic emotionally and did not go how she wanted at all. As far as making decisions for herself and doing what she really wanted to do, that was not present. But with her fourth baby, Susan had a lot of firsts. It was the first time that she was really able to voice what she wanted. She was able to make decisions out of peace and being educated instead of making decisions out of fear and being told what to do. That was the first truly empowering step in her process.Our mission at The VBAC Link is to make all births after difficult Cesareans better, and Susan's episode shows exactly that. Coterie Diaper Products, Code VBAC20 for 20% Discount How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. It is Megan, and I am joining you with my friend Susan. Hello, Susan. How are you?Susan: Hi Meagan. I'm doing great. How are you doing?Meagan: I am so great. You are from South Carolina, and at the time we're recording, even though this is now going to be in February, South Carolina has had crazy weather. How has everything been with you guys?Susan: Everything has been great. We're actually extremely blessed with the area that we are in. Initially, I thought it was something to talk about because I had a tree fall in the back of my house, but once I saw everything else going on in the area and just seeing the devastation that people had gone through, we are incredibly blessed with, the minimal damage with it just being a tree.Meagan: And this was Hurricane Helene?Susan: Hurricane Helene. Yeah. So all of our neighbors are pretty rough right now, so keep them in your prayers and help out where you can.Meagan: Seriously? Oh, we will be. We're actually recording right now in October, and today is the day that Florida is scheduled to be hit with another really crazy hurricane. So, yes.Susan: I've been thinking of Florida non-stop too.Meagan: Seriously, if you guys are listening, even though this is in February, oh my goodness, I hope all is well and everybody is okay.We do have our Review of the Week, so I definitely want to get into that before you share your four CBAC stories. We have people question, "Why is it called The VBAC Link, but then you share CBAC stories?" But I think the solid straight answer is because not every birth ends in a vaginal birth, and not everything always goes as planned. And you know what? Also, sometimes VBAC isn't desired, and CBAC is something that we don't want to forget about. In fact, if you didn't know, we have a CBAC Link Community. We have The VBAC Link Community on Facebook, and we also have a CBAC Link Community which is just the most amazing group as well. It's actually run by Paige, our transcriber, who I absolutely adore and just had her fourth Cesarean, which was a Maternal Assisted Cesarean. I still can't even believe all of those things happened. It's so amazing. But you guys, if you are looking for a CBAC support group, go to The CBAC Link Community on Facebook, and we'll make sure you get in. We have a review. It is by Jamie Poor. It says, "The absolute best." Thank you. That is so sweet. It says, "After having a scheduled C-section in 2016 for my son being breech, he flipped between 38 and 39 weeks, so he came as quite as a shock. I knew I wanted to VBAC for my next birth. Fast forward to 2019, my second pregnancy with our daughter, I found your podcast and obsessively listened to every single episode. It motivated me and educated me leading up to my due date. It even made me look forward to my long commutes to work. I hired a doula. I drank red raspberry leaf tea, ate the dates, did the Spinning Babies and really did all the things. And guess what? With the help and the education and advice provided on this podcast, I got my VBAC. I learned how to ask for what I wanted and advocate for myself with my doctor and when my body cooperated and went into labor, I felt prepared. My daughter was born in January 25, 2020, and I have to say her labor, delivery, and birth was the most healing, empowering experience of my life. Thank you, ladies, for providing this podcast for all women preparing for birth." Thank you so much, Jamie Poor, for your review, and congratulations on your amazing, empowering birth experience.Women of Strength, no matter how you birth, we want you to have a better experience. That is our goal here at The VBAC link to make birth after Cesarean better. A lot of first Cesareans are unexpected, undesired, unplanned, and do sometimes bring trauma. That doesn't mean even future Cesareans have to have trauma or be unplanned or be unprepared for. We want to learn all the ways we can make birth after Cesarean better no matter how that ends. Okay Susan, ending that review, we were just talking about no matter how birth ends. When you filled out your form, there was something that you said that things sometimes don't go as planned, but learning how to advocate for yourself and know that every birth is different is going to leave you feeling better. So I'm excited for you to share your four stories with us today, and I am excited to hear how you learned and grew and had better experiences with each one.Susan: Okay, so the first birth, I was 19. I was really young, and I didn't know a whole lot about birthing in general. I just did what I was told. I went to the hospital. I did what the white-coat man told me to do, and I didn't question anything. I was just a good patient all the way around. I had an amazing birth. I walked 8 miles before my induction date because I was a week over just trying to get things going and nothing was going. But you know how they are at the hospital. You know, as soon as you hit that 40-week mark, they want something to happen as soon as possible. So around, 41 weeks, I went "overdue" according to the medical standards. I went into the hospital and was super excited. They started the Pitocin drip, and my baby did not respond to that well at all. I was actually watching It's Always Sunny in Philadelphia, and I was laughing so hard while the Pitocin was going that his heart rate actually dropped to zero, his fetal heart rate. I remember all of the nurses came rushing in. They were freaking out, and they were pulling on stuff and readjusting me. It was really scary. They stopped the Pitocin and then they restarted it, and then it happened again. So his fetal heart rate dropped scarily low two times. The doctor came back in and he said, "You have two options. You can probably go home and labor for days and days and days, or don't know how long it's going to be."Meagan: He made it sound hard though.Susan: Yeah. He made that sound not appealing at all. And then he said, "Or we can just go to the back and get a C-section and get this baby out." And I was like, "Let's do the C-section. Let's get him out asap," because I was just scared, and I was young, and I just wanted him to be okay. So we went back for the C-section, and it was a perfect recovery. I didn't really think much of it. I was just glad that I had a healthy baby.The second birth came along, and I was actually in a pretty tough situation at the time. I was faced with a choice of what am I going to do with my pregnancy? A choice that many women face. Whenever you're not in the most ideal spot to have a child at the time, no decision is easy. The decision that I chose for myself at that time was to do an adoption. I chose to go the adoption route. Whenever they had asked me about what I would want to do as far as the birth goes, I was just thinking of the adoptive parents and what would be best for them. It was a completely sacrificial thing that I did. I didn't think about myself at all or what would be best for my body or my health or anything like that. I just wanted to make sure that his adoptive parents would be there. To assure that, I just elected to have a repeat C-section. Fast forward a little bit later. I'm starting to learn a little bit more about natural birth and what that can mean in a woman's body and the benefits of it. I don't know too much, but I went to my provider on my third birth, and I mentioned, I said, "How would you feel about me trying to have a natural birth?" He just looked at me with disgust, and he was like, "Absolutely not. We're not gonna do that." I just really didn't know too much, and I just felt so defeated and like that really was the only option, and I wanted to do the right thing. I really didn't fight for myself. I think I may have mentioned it to one other person just briefly, and then I just dropped it. That was the third C-section. So at this point, I've had three C-sections that really didn't have anything to do with me or my body not progressing or anything like that. It just happened to be circumstantial. It really wasn't empowering. So far, all three of my births had been traumatic emotionally and did not go how I really wanted at all. I mean, thank God the three babies were healthy, of course, but as far as me making decisions for myself and doing what I really would want to do, that was not present. So, fourth baby. So the fourth baby, I had a lot of firsts. So it was my first baby with the marriage that I'm in now. It was my first girl, and it was the first time that I was really able to think clearly and be able to voice what I wanted and be able to make decisions out of peace and being educated instead of making decisions out of fear and being told what to do. That was the first step that was super empowering in this process.Meagan: Yeah. I think when you start feeling empowered, that's where it begins, the second you start that. Yeah.Susan: Yep. So I went to my first appointment just to have the pregnancy confirmed. They were just pushing. The only thing they were really doing was making sure I got vaccinated. "Oh, your blood pressure's high, so you're probably at risk for preeclampsia." They're already putting me in all of these little boxes on my first visit. They're telling me to take aspirin because I had high blood pressure. I had high blood pressure, a lot of it due to white-coat syndrome just due to the trauma of being in the hospital. I was completely not at peace. I hated being there. I did not want to be at that doctor's office. And so I got in the car and I immediately am talking to my husband. We call his cousin because he comes from a family where it's really common to have home births and to use midwives and to use alternative ways. I was so blocked off that I really just couldn't see, but we started talking to his cousin and she was telling me, "No, this is actually totally possible. I know some midwives who are able to do it." I'm still clenching up with fear, but I want to let it go. I'm on Google and I'm like, "vaginal births after C-sections three times", and your podcast was actually the first one to pop up. I went on there, and I specifically looked up a story that had to do with a woman having a vaginal birth after three C-sections. I just started to listen and my heart started to open and the fear started to dissipate. I was like, "I can do this. I can at least make a huge attempt to do it." And so I started to call different midwives and see what their availability was like. A good portion of the midwives don't want to work with you if you've had over three C-sections because they're contracted with the hospitals and are contracted with the state in some way to where they can't legally do that. It was really hard because I called around and called around, and either they weren't available or they just couldn't do it. But I finally found a midwife that was willing to work with me. Me and my husband met with her, and we sat down and talked. It was the first time I had ever had a conversation with "providers" where they actually believed in me, and they believed in my body, and they believed in my ability to give birth. It just meant so much to me to be looked at as a human and as a woman that can do this and not just as a patient who you want to push through and make money on and just get the C-section and be done and not have any risk involved. But there is risk involved having a C-section after three C-sections. There's risk doing it any way, and it's just like, what risk do you want to take?Meagan: Yeah. It's interesting, but what you were saying, "I just wanted someone to sit me down and talk to me like I'm human and have this feeling." I mean, I interviewed multiple providers, and it took me a long time to find that, too. That is what breaks my heart about this community. We have to go into these situations where we're searching for support that feels like a diamond in the rough.Susan: Yeah. And I want to just point out that even though this did end a Cesarean, and we all know that. There's no suspense there. There are so many points along the journey where I did have that healing. I did have that empowerment. It doesn't have to lead to a Cesarean in order to have that healing is what I really want my story to say. You can still make decisions and advocate yourself for yourself in a way where it doesn't necessarily have the VBAC.Meagan: Yes, yes, yes.Susan: Because I'm in the Facebook Community, and I see stories of women being so defeated and so sad when it doesn't end in the VBAC. I just want to inspire people that it doesn't have to be that. The empowerment can come in so many different forms. I was just completely elated after I spoke with her, and I just felt like it was meant to be. I loved her. I loved her energy. She had been a midwife for over 26 years. She had over 1100 home births and not a single maternal death.Meagan: Wow.Susan: Yeah. I just felt totally confident in her, so I went ahead and hired her to be my midwife. Just being able to go to her house and have the prenatal visits was so nice. That was another huge thing that was just amazing and not having to go to the hospital and fight every time. We did all of our prenatals there.She didn't beat around the bush. If there is an issue and I needed to address it, I would address it. I had a little bit of issues with my blood pressure, so I tweaked my diet and I was able to monitor that that way. Towards the end of my pregnancy, I had issues with my hemoglobin being low. I tried everything in the book, by the way, and the thing that helped me, just in case anyone's having issues with their hemoglobin, is I actually froze raw beef liver. I froze it, and then we cut it up into little tablets. I took this raw beef liver every morning because it gives you energy. Don't take it at night before you go to bed because you'll have trouble sleeping. But I took it in the morning and my hemoglobin went from like 9 to 11 within a week which was amazing because nothing else was working.Meagan: Yes.Susan: Yeah.Meagan: And I was going to say that frozen wheatgrass shots is another thing that can help with that. Yeah.Susan: Oh, I did not try that. I said I tried everything, but not that. Meagan: Liver and wheatgrass. Make a delicious smoothie.Susan: The things we do to stay healthy. So, yeah, sometimes people will try to make you feel like you're being irresponsible by not doing it the way that they've been programmed to do it. I'm just saying, it was totally responsible. If not, it was even more responsible because she may have picked up on things and was able to give me advice from a nutritional standpoint which is usually always the issue. It's something to do with your nutrition in your diet that someone in the hospital wouldn't tell me because all they wanted to tell me was to take an aspirin. Yeah.I went over. I was 42 weeks and 4 days, I think.Meagan: 42 weeks and 4 days?Susan: Yes.Meagan: Okay.Susan: So another thing I want to tell people, if you're planning on doing a home birth or doing a natural birth, even if you're planning on going to the hospital, I would recommend saying your due date is actually a month after it actually is to people just so you're not hounded at that like 39, 40-week mark because that was really hard mentally. Especially if you're planning to do a natural birth, it can be such a mental battle especially right there at the end and to have to deal with people know, being like, "Is she here yet? Did you have the baby?" It's just another thing to have to deal with. I would recommend saying it's a month after your actual due date. Yeah. I did absolutely everything you can think of to be the perfect student as far as home birth goes. I read every single book I can think of to prepare you for a natural home birth. I went into HypnoBirthing. I practiced the meditations and the exercises. I had the birth ball. I did all the exercises on the birth ball with my pelvis. I took all the right supplements. I did the pre-birth tincture. I was doing it beyond. People would try to talk to me being like, "You could die. You could bleed out," and I would cut them off. "I'm not having fear-based conversations. I'm not entertaining this. Yes, I'm going to do this because I want to do this. I'm not committed to this to the point of death for me and my child. If something goes awry I have no problem going to the hospital but this is what I'm doing. Leave me alone."Meagan: Good for you.Susan: Yeah. Yeah. So I was really proud of myself because they say it's like preparing for a marathon giving birth. So I really prepared. I had my mucus plug come out around maybe 42 weeks exactly. I was like, "oh my goodness, something's happening," because previously, I haven't experienced any signs of labor. I don't know anything. I've never had a contraction before.Meagan: Right.Susan: Even though this is my fourth child, I have no idea what any of this feels like. So I'm really excited. I'm like, "Wow, this is exciting." Actually, my water broke really shortly after that. I was sitting down on the couch, and I just started having gushes of water and gushes of water. I was talking to my midwife the whole time being like, "This is what's happening. There's so much fluid. There's so much." I had never had my water break before, so that was all new. I was scared. I was excited. She just reassured me. She goes, "No, this is just your water breaking." And she had told me that she's going to treat me like a first-time mom because I never have actually had a baby come through my birth canal. So a lot of times you can expect a long, strenuous labor when it's your first.Meagan: Yeah.Susan: So she said, "Your water has broken. That could either mean that it's going to speed things up and the baby will be here soon, or it could mean there's still a long road ahead." My midwife was really good about keeping my expectations very low as far as when the baby would be here.Meagan: Hey, I think there's something to that. We know that labor sometimes can be slower.Susan: She just didn't want me to stress out about it not happening sooner than later. She was just so good, so calm, so peaceful, and confident. I love her. She's the best midwife ever. I recommend her anytime I hear about people in the area wanting to have a home birth.I was starting to have contractions and then it would be like, go, go, go, and then everything would just stop. Because my water had broken, the chance of meconium was there. I had some meconium in my fluid, but it was yellow. It wasn't a high-alert type of meconium. It was just like, "Okay, we kind of need to get things going." So we talked and we decided to drink some castor oil. So I drank a tincture, the Midwives' Brew if you look it up on Google. I did that.Meagan: A lot of midwives will suggest that.Susan: Yes. So I did that, and it did throw me into really intense labor. We just got things going. I had my contraction timer going, and I had my sister and husband here. I really didn't want many people there at all at my birth. It's just such a private and intimate thing. That was just what I felt comfortable with. It would just be that. It would be a series of contraction after contraction, and then things would die down a little bit. I did every type of position you can think of. I went to the bath. I took baths. There was so much stuff I would do. I even found if I put my feet in really hot water, it would help take away from the pain of the contraction because I hate my feet being hot.Meagan: Oh, okay. Yeah.Susan: It would help me think more about my feet being hot. I would just do anything and everything I could to just help the process and help my body relax. As much HypnoBirthing as you do and as much meditation you do, every birth is different. At that point, I was like, "All of that is BS. All of that is crap." Hey, if it works for some people, great. I really tried to do it, but I had a lot of pain happening no matter what meditations or affirmations I was giving myself. I was talking to my midwife about that too. That's another thing I want to point out is that we all might have this vision of this really peaceful birth where the baby just slides out into your hand and you catch it and yay, everything is great.But also, I just want to everyone to give themselves permission to have a chaotic birth. If that's what your body needs to do, if you need to scream, if you need to shout, if you need to look like a hot mess, if your hair needs to be frazzled, let yourself do that. Sometimes just allowing yourself to let go a little bit can really help. I was laboring for three days.Meagan: Oh wow.Susan: I got to 7 centimeters dilated. I was so happy because my cervix was folded under.Meagan: Folded under?Susan: Yeah. So it was like a posterior cervix.Meagan: Oh, it was posterior.Susan: Yeah, yeah, yeah, yeah.Meagan: Oh yeah. It starts posterior and through the labor process, it comes anterior and aligns well with the birth canal and opens and dilates and all that. Yeah.Susan: Yes. So, by the time I got to 7 centimeters, that had finally come forward.So we checked myself, and I was 7 centimeters. My cervix had come forward, and I was so happy and I cried for joy. I was like, "This is it. I'm at 7 centimeters. It's go time." And typically, that's when they have-- what do you call it when there's that shift?Meagan: Well, active labor. When active labor kicks in, is that what you were thinking?Susan: Well, I had already been in active labor. But the shift when you're at the final stage, almost? Because you know how labor will get to one stage, and your body will adapt to that, and then it'll get to another stage and another stage?Meagan: So from 6 centimeters on is statistically like that active labor stage.Susan: Okay.Meagan: I'm trying to think of what other word you're meaning, but it turns into active. Transition? is that what you're thinking?Susan: Just the most intense part. Yeah. Maybe.Meagan: Yeah, so you transition into that stage. Susan: Yeah. Okay. So, I did not go into that transition. I stayed at 7 centimeters. And even though I was having extremely hard contractions, they were not productive contractions. There was a point where I was on my toilet because that was my most comfortable place to be. I felt the safest on my toilet because I was scared of pooping. That was a fear of mine, and I wanted to be on the toilet just in case.Meagan: Were you having back and butt labor at all?Susan: I was having some back labor. I mean, it was the most pain, and it was such a journey because you're in so much pain, and you're like, "Wow, this is the worst thing ever. How am I gonna do this?" And then the contraction goes away, and you're like, "Wow, I'm so grateful. I'm so grateful to be here. I'm so grateful my baby's almost here." And it's just an emotional roller coaster.Meagan: It is. Yeah.Susan: So nothing was really happening as far as the progressing. My midwife comes to me while I'm on the toilet, and she goes, "All right, Ms. Madam. Let's get your pretty dress on, and let's go for a walk." I looked at her like, "Are you crazy?" But I did it. I got my dress on, and I went for a walk through my neighborhood. I walked probably 2 miles, contracting throughout my neighborhood trying to get something going.Meagan: Wow. Susan: Yeah. And then I come back in the house, and there was two midwives there. One of them said, "If I could do my labor over, I probably would have just walked and walked and walked until the baby got there and would have tried my best not to be scared of the pain or let the pain stop me from really pushing into the contraction." So that's what I did. I started walking circles around my house, and I was telling myself, "No pain is too great to bear for my baby to be here." And I was even talking to my baby like, "Let's do this. Let's go to the next phase." I got to a point where I looked at my midwife, and I just said, "I'm exhausted. I have to lay down." I lay down, and I woke up, and my sister was lying with me. I started to just feel shivery, like really shivery. I started to get chills. It was just like I felt like I had nothing left in me. As soon as the shivers and the chills started, I knew I probably had a fever. I was looking at my sister and I just said, "I really don't feel like I can keep doing this." She said, "Well, is there something else on your mind?" I said, "Yeah, I need to go to the hospital." I'm about to start tearing up. The midwife came in and I just told her. I was like, "I need to go to the hospital. I feel like that the next step is that I just need to get in the car, and if on the way there I change my mind and I want to come back home, I'm going to give myself permission to do that."She goes, "Well, let me just check you, and let's see what's going on." It was 12 hours since my last check. It was 12 hours, and I was still at 7 centimeters. I hadn't progressed at all. I immediately just got out of my bed. I put my dress on. I don't think my husband was quite ready to go, but my midwife was, so I just started walking to her car. I'm like, "I'm going to the hospital now." I just had made up my mind, and that's what we were going to do. It was a very peaceful ride to the hospital. I had my little Depends on. She put a little pad under me. I remember asking her, "So has anyone ever peed in your front seat before?" Everything was just starting to get a little haywire. I just couldn't hold it in at all.Meagan: Yeah, yeah.Susan: We were just having a fun conversation on the way there. We got to the hospital. Well, the farther we got to the hospital, the more at peace I felt. The thought of going home was terrifying to me. As soon as we got there, I saw the nurses in the ER, and it was like beams of light were beaming through their heads. I knew I was at the right place. I got there, and they were just so sweet and so supportive. I still wanted to entertain the idea of having a vaginal birth if possible. It was just that I had to get an epidural because there was nothing left in me. I had nothing else to give in my body.Meagan: Yeah.Susan: I wanted to entertain that. And they go, "Well, yeah." They were like, "Were you hoping to have a VBAC?" And I go, "Yeah, actually I was hoping to have that," but I wasn't so committed to it to where I wouldn't have had a C-section. I already knew that I'm just going to do what's best for whatever the situation is after they assess me.But they were actually willing to let me have an epidural and have a VBAC. They were like, "Yeah, that's totally fine if that's what you want to do." And I was like, "Really?" And this was a separate group of providers that I had never experienced before. So yeah. It was absolutely amazing being talked to and being actually asked what I wanted to do.Meagan: Yeah.Susan: So they were doing all of my vitals. And as soon as I got to the hospital, that's when everything went berserk. My blood pressure skyrocketed. My heart rate went up. I was preeclamptic, and I was septic from meconium being in my uterus for that long. As soon as she was checking me, my daughter, Carrington, actually had scooted her head up a little bit to kind of show us what was going on, and the meconium was green. So as soon as I saw that there was green meconium, I was like, "Take me back for a C-section right now," because we all know that's infection. They were so relieved when I was totally fine with having a C-section. They gave me the spinal, and I just remember that being like the best feeling ever having no pain after being in such turmoil and in pain for so long.As soon as they pulled her out of me, she took another massive poop. So if I would have waited any longer, she would have been in that as well, and her chances for aspirating on it would have been really, really high. So yeah, that was it.I felt really great about the C-section. It was empowering because even up until that moment, I still was making decisions for myself and making decisions for my daughter. The decision that I made at the end was to save myself and her. To know that I made that decision and wasn't so committed to an outcome that I was able to make the right decision was like, "Wow. Yeah. I did that." Even though this is something that I wanted more than anything, I was able to let that go and save myself and her.Meagan: I love that you pointed that out of like, I had this empowering healing experience because I was really able to make the decisions along the way. You made the decision to get in that car. You made the decision to continue laboring. Then things changed. You made the decision to call it. And I think that is where a lot of the healing and growing comes from, is when we are able to make the decisions. The trauma, the fear, the hurt is when providers are coming at us and telling us what we are doing. "You are going to do this. I will only allow you to do this. You can if..." and then they give their restrictions. I think that you just nailed it on the head. You were able to make your decisions and be in control of your birth. And no, it wasn't the original outcome that you wanted. You wanted that vaginal birth. You were going for that vaginal birth. Things were really looking great, and when they weren't, you changed your mind. I just think, Women of Strength, take this with you today and know that you are in charge of your birth. Yes, babies and births can throw twists and curves and hurdles and all the things along the way, but you are the one who can make the decision for you. You do not have to be told what you do and do not have to do. Now, we also know that there are true emergent situations. There are true, true, true emergent situations where we maybe don't have a lot of time to sit and think and ponder and wonder what we should do and then follow that. It's just we have to say yes or no right then because it's an emergency situation. Susan: And being able to trust yourself that you are going to know if you need to call it and when to call it.Meagan: Yes.Susan: And that your intuition and your ability to just be in tune with your body and your baby is there.Meagan: Yeah. Absolutely.Susan: Yeah. And you'll know.Meagan: You will know. We talk about the intuition all the time. I mean, I don't know. I would say if not every podcast, probably every other or every couple other, we talk about this intuition. It is so real. I mean, Susan had this intuition. She felt it. She really did. Everybody listened to her. It's so important to be heard and to trust that intuition. So I applaud you, Susan. I'm so grateful that you were able to follow your intuition and be heard and call the shots of your own birth because you did deserve it. I am so happy for you. I know everybody else in the world cannot see your sweet baby, but I can and she's beautiful. I'm just so happy for you that you're able to have these experiences, and you have grown through each one.Susan: Mhmm, mhmm. And just the preparation of having a natural birth and what goes into it physically and mentally is worth it in itself to just give it a try if that's what you're wanting to do. And then allowing yourself to go into labor so all of your body's hormones are released in active labor, even if you do end up having a C-section, that's super valuable for your health and your baby's health.Meagan: Yeah, I was actually going to ask you that question. Yes, it ended in a Cesarean, but would you still have gone for the VBAC?Susan: Yes. I wouldn't have traded any of it for anything. I 100% would have done it again even if I knew what the outcome was going to be.Meagan: Yeah.Susan: Yeah.Meagan: Well, thank you so much for sharing your stories today.Susan: Thank you for having me here and thank you for doing this podcast and being in the business of releasing fear among women because it's like a pandemic of the mind almost.Meagan: Seriously though, we are being told that we have to be scared day in and day out. I mean, we hear these stories. I recorded a story earlier today and it was just like constant fearmongering every single time she was there. That stuff gets really tiring and it's hard to stand up to. But again, it comes down to education, learning these stories, learning your options, and then again following that intuition. So yeah, Women of Strength, you are amazing.Susan: Thank you. You're amazing too, Meagan.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

What It Means to Be a Birth Rebel – Season 5 Finale with Melanie Jackson!

kansas midwife midwives strong and courageous degrado

Play Episode Listen Later Feb 12, 2025 57:28

What It Means to Be a Birth Rebel – Season 5 Finale!

Lifecycle: Steps to a Healthy Pregnancy

Talk With A Doc

Play Episode Listen Later Feb 11, 2025 49:13

Dr. Emily Norland dives into the essential steps for a healthy pregnancy, covering everything from visiting an OB/GYN, taking prenatal vitamins, proper nutrition, and monitoring key milestones. She also shares valuable tips on selecting an obstetric care provider, the importance of prenatal visits, and managing common pregnancy symptoms like nausea, heartburn, and constipation. Dr. Norland emphasizes the need for personalized care and addresses both emotional and physical challenges during pregnancy.Join host Jennifer Semenza as she kicks off the first two episodes of the "Talk With A Doc: Lifecycle: Health For A Better World" series with guest Dr. Emily Norland, an obstetrician-gynecologist, and chief of the OB/GYN Department at Swedish Medical Center in Seattle. Do you want to know more?The Justice Unity Support Trust, or JUST Birth Network was created to empower and improve the birthing experience of Black, African American, African, Native American, Alaska Native, Native Hawaiian and Pacific Islander birthing women and people from across the sex and gender identity spectrum.The network includes dedicated birth and postpartum doulas, childbirth educators and inpatient cultural navigators, who provide patients and their families with expert care and guidance throughout their pregnancy and birthing experience.If you would like to know more about the role of doulas and midwives, please check out these Wellness Briefs:Doulas (set to publish on February 18)Midwives (set to publish on February 25) Just a few of the related articles from the Providence blog:How to navigate your pregnancy and newborn-related health care expensesTrouble breastfeeding? Lactation consultants can helpWhat you need to know: All the feelings during the postpartum periodYour Culture and Your Pregnancy: 5 Tips for Advocating For Your Ideal ExperienceMoving Past Healthy Mom Healthy Baby for Black MothersCheck out the Providence blog for more information on good prenatal care and all other health related topics. To learn more about our mission programs and services, go to Providence.org.Follow us on social media to get continued information on other important health care topics. You can connect with us on LinkedIn, Facebook, TikTok, Instagram and X.For all your healthcare information on the go, download the Providence app. Whether you're tracking symptoms, scheduling appointments, or connecting with your healthcare providers, the Providence app has your back.To learn more about the app, check out the Wellness Brief podcast episode. Wellness Brief: Simplifying Care-There's an App for That.Connect with Us: Share Your Thoughts!We value your insights and would love to hear your thoughts on our recent discussions. You can reach us at FutureOfHealthPodcasts@providence.org. Let's shape the future of health together!

Sermon: Come Alive | Week 4: Alive to the World // Leah Benn Miller

Ten Minutes Or Less

Play Episode Listen Later Feb 9, 2025 33:25

DateFebruary 9, 2025SynopsisIn this sermon, we explore what it means to be fully alive to God's world through the lens of Howard Thurman's teachings and the courageous story of two Hebrew midwives. We discover that transformative change often begins with small acts of faithful resistance, whether it's a stranger's $2 gift or midwives choosing life over empire. The core message is radically hopeful: we each have a unique role in God's restoration of the world, and our calling isn't to do everything, but to do what makes us come alive. When we root ourselves in divine love and step into our authentic purpose, we join a larger story of liberation and justice.ReferencesScripture: Exodus 1:8–22About The Local ChurchFor more information about The Local Church, visit our website. Feedback? Questions? Comments? We'd love to hear it. Email Brent at brent@thelocalchurchpbo.org.To invest in what God's doing through The Local Church and help support these podcasting efforts and this movement of God's love, give online here.

Ep. 48 Be Strong and Courageous, a Midwives Journey with Deidre DeGrado

Healing Trauma Mamas

Play Episode Listen Later Feb 7, 2025 63:34

Join me as I talk with Deidre DeGrado. A wife, mother of 6, and Midwife in Kansas. Deidre shares her traumas, grief, and many joys throughout her life and career. http://www.wichitabirths.com/deidre-degrado-cpm.html Are you a Midwife? Schedule a consultation with Deidre today: https://midwiferybusinessconsultation.com/home-birth-services/ Books Mentioned: Living Fearless by Jamie Winship God On Mute by Pete Greig

Supporting Babies with Craniosacral Therapy with Meghan Beames

Play Episode Listen Later Feb 5, 2025 48:30

We're thrilled to welcome Meaghan Beames, a passionate advocate for infant wellness and the founder of Beames CST Training Centre.As a Registered Massage Therapist and dedicated Infant Craniosacral Therapist, Meaghan has made it her mission to help babies and families heal. Through her hands-on work and training programs, she's empowering practitioners to support infants with gentle, effective techniques.In this episode, we explore the incredible world of Craniosacral Therapy—how it can ease birth trauma, support feeding challenges, and promote overall infant well-being using just 5 grams of pressure or simply by witnessing fascia. It's a fascinating approach, and the science is only just beginning to catch up.Whether you're a birth professional, a parent, or simply curious about CST, this conversation is filled with insights and practical takeaways you won't want to miss.Resources from this episode:Meghan Beames' Website - www.beamescst.comThe Most Underrated Referral for Your Clients

960| American Giving Birth in France PROM and Unmedicated Birth Story at Hospital with Midwives - Rachel Truman

american france hospitals prom truman birth stories midwives giving birth kyo unmedicated

Play Episode Listen Later Feb 4, 2025 67:50

Sponsor: Use code BIRTHHOUR for 20% 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!

Tabitha's Triumphant Homebirth with Hearth & Home Midwifery

Play Episode Listen Later Feb 4, 2025 46:11

In today's episode, midwife Sarah interviews Tabitha and KD, a couple who had their baby with Hearth & Home Midwifery. Tabitha became pregnant with their baby after an arduous fertility journey and was in her 40's when she gave birth at home with our practice. The episode highlights the emotional and physical aspects of home birth, challenges faced during labor, and the deep impact of the experience on their family. We hope you enjoy this joyful and triumphant birth story, emphasizing the role of midwifery in providing personalized, compassionate care. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

959| Fast Hospital Births with Midwives, Miscarriage and Power of Educating Yourself - Sarah Moyer [rebroadcast]

hospitals educating miscarriage midwives births moyer kyo

Play Episode Listen Later Jan 30, 2025 54:42

Know Your Options Online Childbirth Course Code 100OFF for $100 off! Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon!

A Midwife and a Nurse talk Carnivore Lifestyle

Play Episode Listen Later Jan 29, 2025 59:27

In this episode, Augustine and Lucy share their journeys after 100 days and 1 year on the Carnivore diet, discussing what led them to make the switch and the remarkable changes they've experienced in their health.Lucy, a UK nurse and Carnivore lifestyle advocate, shares how her work in healthcare exposed her to the consequences of poor nutrition and why she believes a species-appropriate diet is key to a strong, functional body. She and Augustine dive into the addictive nature of ultra-processed foods, the benefits of eliminating them entirely, and how fatty red meat provides the essential nutrients for optimal health.Whether you're exploring the Carnivore lifestyle or looking to rethink your approach to nutrition, this conversation offers real-world insights into breaking free from food industry myths and eating for true wellness. (Not medical advice, just personal experience.)Resources:That Carnivore Nurse on Instagram: @thatcarnivorenurseDr. Eric Berg: Dr. Berg on the Carnivore DietDr. Paul Saladino: CarnivoreMD WebsiteDr. Shawn Baker: Revero Health (formerly MeatRx)Professor Bart Kay: Bart Kay YouTube Channel

478. Empowering Secrets For Living An Optimal Life

Be It Till You See It

Play Episode Listen Later Jan 28, 2025 37:00

Board-Certified Nurse Midwife Kristin Mallon joins Lesley Logan to illuminate how to bridge the gap between “normal” lab results and genuine wellness by harnessing hormone insights, gut health strategies, longevity medicine, and integrative care. From understanding the nuanced roles of midwives and doulas to exploring advanced testing for a deeper picture of health, Kristin reveals how following your intuition and seeking daily excitement can fuel a truly fulfilling life at any age.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:The difference between midwives, doulas, and OB GYNs.Turning to personal intuition when seeking healthcare solutions.Why standard labs often miss suboptimal hormone levels.How deeper gut testing supports lasting energy and vitality.Using advanced integrative approaches for longevity medicine.Episode References/Links:FemGevity - https://beitpod.com/femgevityFemGevity on Facebook - https://www.facebook.com/FemGevity/FemGevity on Instagram - https://www.instagram.com/femgevity/FemGevity on Tiktok - https://www.tiktok.com/@femgevityFemGevity on X - https://x.com/FemGevityFemGevity on LinkedIn - https://www.linkedin.com/company/femgevityhealth/FemGevity on YouTube - https://www.youtube.com/@femgevityGuest Bio:Kristin Mallon is a health tech entrepreneur with over 15 years of experience in the industry. As the co-founder and CEO of FemGevity, she is passionate about improving women's health through innovative solutions. Under her leadership, FemGevity has grown into a successful company that provides essential support to women who need it most.Prior to founding FemGevity, Kristin launched Vibrant Beginning, a high-end supplement line of prenatal vitamins. She is committed to making a significant impact in the healthcare industry and enhancing the lives of women around the world. Kristin advocates for transforming the healthcare narrative from solely providing "sickcare" to developing and offering platforms that support optimal health planning. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. DEALS! DEALS! DEALS! DEALS!Check out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox Be in the know with all the workshops at OPCBe It Till You See It Podcast SurveyBe a part of Lesley's Pilates MentorshipFREE Ditching Busy Webinar Resources:Watch the Be It Till You See It podcast on YouTube!Lesley Logan websiteBe It Till You See It PodcastOnline Pilates Classes by Lesley LoganOnline Pilates Classes by Lesley Logan on YouTubeProfitable Pilates Follow Us on Social Media:InstagramThe Be It Till You See It Podcast YouTube channelFacebookLinkedInThe OPC YouTube Channel Episode Transcript:Kristin Mallon 0:00 There's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled. You know, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. Lesley Logan 0:19 Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 1:03 All right, Be It babe, I have a great human for you to hear from today. So I have been on a mission to help educate women on how to be it till they see it and part of that is you feeling like you have the health and the body and the strength and the stamina and the hormones that take you to where you want to go. And so today's guest is Kristin Mallon. She is part of the FemGevity team. You definitely have to listen to Michele Wispelwey's episode from last year, if you haven't, because the two combined are just absolutely wonderful. I have never had so much hope about women's health since I met them, and now I just feel educated, informed, supported. And so the first part of this episode is gonna feel medical-heavy, ladies, you gotta listen. Those of you, no matter where you are, what's going on, it's really good information. You can share it with a friend. And then, we have a really great, she blew my mind. I'm not kidding. What I expected her to answer and what she answered, wouldn't have guessed it in a multiple choice. And now that I know her, I would always, her tips and some of these things that she does for her life, have me wanting to reevaluate what I want to do in my year and what I want to call in more of. So this is just a chock-full episode. Thank you, Kristin Mallon from FemGevity for being here. And y'all make sure you let us know how this episode helped you. Share this with a friend. Here's the thing, we all have to educate each other and ourselves and support each other and to the few good men listening. Thank you so much. You should know this about women's health. Send it to your friend, your sister or your cousin, because this is how we all get stronger together. Lesley Logan 2:36 All right, Be It babe, this is going to be just so much fun. I have been sharing the reels that this woman has been putting out on Instagram multiple times. I'm like, I'm gonna share this one. I'm gonna share this one. We have Kristin Mallon in the house. She's a co-founder of FemGevity, and I love her. Love Michele. If you listened to the podcast I had with Michele Wispelwey, you know what they are. If you follow me at all, you know I'm obsessed with them and all that they're doing. So Kristin, can you tell everyone who you tell everyone who you are and what you rock at? Kristin Mallon 3:04 Yeah, I'm Kristin Mallon. I'm a certified nurse midwife, and I've been doing women's health for over 20 years, and really focusing on, obviously, being a midwife, the blend of medicine, but also ancient wisdom. Lesley Logan 3:17 Okay, I have a couple of things I wanna just chat with. Is like, first of all, I think midwives feel like, to me, they're becoming more and more popular and more and more accessible. Is that true? And then for the people who don't know what a midwife is, can you kind of break that down? Kristin Mallon 3:30 So, yes and no. I think there's pockets of the country where they're becoming popular and pockets of the country where they're becoming unpopular. There's a big, I think, problem in general, with the, you know, or challenge, I don't always like to say problem with, a big challenge with reimbursements across the board for all people that practice any type of Obstetrics and Gynecology, and so we're not really educating and training enough midwives. I think the desire is there and the demand is there, but then the burnout is high, and there's the business aspect, because most midwives are really altruistic, and they really kind of go into this type of work, because it's their passion. So that needs a little bit more support and needs a little bit more, you know, kind of hand-holding. Midwives are confusing, because people think midwives are doulas, people think midwives are doctors, and then kind of everything in between. So I am a board certified nurse midwife. So that's kind of like the highest level of midwifery training and education that you can get. I have a nursing degree. I have a master's degree in nursing and then I took a board certification that I maintain. You know, every year, there's a certain level of requirement that I have to attain. I deliver all of my births in a hospital, and I do assist on surgeries, and I do minor gynecological surgeries, and I really do everything that an obstetrician does, not really a gynecologist. So someone who's delivering babies working with babies, that's what I do. There's other types of midwives, so there's certified midwives who are midwives that are not nurses. There's lay midwives, which are midwives that are trained in a variety of different ways, usually kind of more culturally-trained. And then there's professional midwives, and their certification is a little bit different. And then all states have different governing boards about how they allow them to practice and not practice. But pretty much, if you're going to have a home birth, you're having a midwife. I know like one OB GYN in my whole career, and I know thousands of people in the birth space that he is a physician that does home births, but 96-ish, 95% of midwives are doing their births in a hospital setting so it's kind of confusing. They really are a nurse and an OB GYN had a baby and that's a midwife.Lesley Logan 5:41 Okay, I love that. Thank you for explaining it, because I think I definitely was one of the oh, it's like a doula. And I have a friend who's a doula, so I know clearly my friend is now finding out I didn't know what she did. Okay.Kristin Mallon 5:53 Well, and doulas are really, I always like to make this distinction and like the opportunity to educate people, because doulas have no medical training, no medical background, no medical certification, no licensing, they have to maintain and they can't perform any medical procedures. Whereas a midwife can do pretty much everything an obstetrician can do, except they can't be a primary surgeon on a surgical case.Lesley Logan 6:13 Yeah, yeah, that makes sense. Okay, so then you have been, so my other thing with what you've been rocking at is that you've been in, like, women's health medical field for 20 years, and I wonder, what have you seen change for the better, and what still needs changing that we can, you know, make sure we're aware of. I'm 42. This is coming out when I'm 42. I love that people are like, wow, you don't look 42. That's great. I would love to stay looking young as long as possible. That's wonderful. But I don't want to feel, I would like to feel young, too. So I'm just really excited about what you do and what you know about women's health.Kristin Mallon 6:49 Yeah, so we've come so far. So in the last 20 years, I think we've made remarkable strides in miscarriage care, in contraception and fertility care, in reproductive care, in breast health, just kind of an awareness, a lot of mental health awareness, a lot of cancer awareness, cardiovascular awareness. I think the areas where we need to improve on is definitely access. Not all women have access to the types of care they want. There's just not enough OB GYNs. And, unfortunately, there's not enough OB GYNs, there's not enough midwives. We're not graduating enough to replace the ones that are leaving the workforce on a year-to-year basis. It's kind of a big problem. And then, of course, which is what FemGevity is all about, is I know everybody can relate so well to this. You go to the doctor, you don't feel right, and they tell you, your labs are normal, but something's still wrong. And that's really where FemGevity was born, or birthed, so to speak, is from that sensation, because I dealt with that for 20 years. I was like, something's still, like, labs are normal, something's still wrong. Okay, let me look, let me dig, let me keep going. Let me pull from functional medicine. Let me pull from integrative medicine. Let me pull from longevity medicine. And let's figure that out. And a lot of that has to do with how women change decade to decade. So men kind of have this big change at puberty, and then they kind of peak, and then they kind of slowly evolve and change really gradually. And women are so different decade to decade. And once I kind of really started to unravel that and pull that back, it was easy to apply that to all the different things, including menopause care and endometriosis care, PCOS care, fertility care, reproductive care, women's health in general, from head to toe. And you know, a big thing that we do at FemGevity is a lot of gut health, like the gut is such a big overlooked thing. People think oh, I'm tired. I need to check for anemia, I need to check my thyroid. But we're like, no, you need to check your gut. We need to check micronutrient levels. We need to look deeper. So that's where I think we still have a long way to go and a long way to come, and that's what we're doing at FemGevity.Lesley Logan 8:50 Yeah, I think every woman listening is nodding their head when you're like, I went to the doctor and like, everything is normal. I actually had a female doctor in the, I forget what department it was, but it was like in these extreme diseases. And the woman, I got sent to her and she's like, do you feel supported by your doctor? And I'm, no, why am I here? This is the scariest place I could be. I am now very scared. Do I have AIDS? What is going on? And she's like, okay, I think we need to find, it was like a gut doctor who sent me there and because he couldn't figure what's going on, because I kept insisting, I'm not right, something's not right, and so I just got passed off. And, you know, a lot of people have, like, experienced a lot of family or in the holidays or birthdays, and you hear someone going, oh, it's what I ate yesterday. It's what I ate yesterday. I'm like, is it though, or is it something from a week ago? Or is it something? Because the gut is such a complicated, to me, it's complicated, place like it's not necessarily what you ate in the last meal. It could be from another meal that you don't remember.Kristin Mallon 8:51 Yeah, absolutely. And I think what you're talking about is it's really not doctors' faults, because the way that the healthcare system is set up, at least in the United States, is it's really crisis care, sick care, catastrophic care, cancer care, you know, the big C's of care. And if you don't have a chronic condition, you're really going to your doctor and you're saying do I have a chronic condition? And your doctor is telling you truthfully, no, you don't have something like diabetes or high blood pressure or cardiac disease, liver disease, kidney disease, etc. And so there's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. That's where my passion lies. That's what I'm really just I want for myself, I want for my family, I want for my friends. And I'm just like, so excited to let other women know, and men too, that there's an option. There's someone that can help you. There is a medically trained, licensed professional that can help navigate you through that. Well, everything's fine here, but you still don't feel right.Lesley Logan 10:58 Yeah, thank you for explaining that, because it is true that if you're not one of those big C's, you kind of feel like you're in this abyss. And it is amazing that FemGevity's kind of hope is like trying to fill that gap, which is really great. But I think I wonder, I obviously worry, if you don't get someone like you, eventually you end up in a few C's. The thing that's been bothering you that they haven't figured out, because it's not glaringly obvious, it's going to lead you that way. So let's just say most of the women here are over 40. What are some of the things that they need to make sure that they're checking as they're planning their annuals for this year and things like that, I guess, preventative wise, and then also just so that they're aware and they could be watching things as their body changes.Kristin Mallon 11:34 Well, one of the things that I really noticed working with women for so long is that women are really intuitive, and they tend, you know, some women are born and blessed with this great sense of intuition at the age of six, but most women grow and evolve into their intuition. And so there's so many different things women can focus on in their 40s. And I think a lot of times they know, they know, like, should I be focusing on hormone health? Should I be focusing on gut health? Should I be focusing on exercise, diet, nutrition, sleep? You know, the list goes on. And so what I like to do is, I like to, whenever I meet with a woman, is I kind of like to tease that out of her and try to get a sense from what she's already thinking herself, and really encourage her to go along that path and that trajectory like, you know, well, I've been thinking I should work on my sleep. And I've been thinking I should get a sleep tracker. And I'm like, yes, let's do that. What are your symptoms? Okay, I encourage her and say, I can see how that could be related to sleep, or I can see how that could be related to gut, or that could be related to diet. So I think in your 40s, it's really like you already know, and it's just kind of giving yourself the confidence to be like, okay, I know I need to find someone that's an expert in X that can help me unravel what could this possibly be, and then heading down that path. Lesley Logan 12:49 That's really beautiful. How nice Kristin, we could just listen to the intuition instead of like, sometimes people are trying to get you not to listen to it. It's like, focus on this over here. Focus on this over here. I think that's really wonderful and supportive. Kristin Mallon 13:03 Yeah, I mean, I think if you don't know where to start, sometimes, I think women can also have periods of less intuition, which I think is sometimes, like a leveling up, sometimes a stock will go down before it shoots up. And so maybe if you're caught in that place where you're like, you know, I don't know where to start, my mom says this. My sister says this. My friend said this. Usually it's hormones and gut just start with hormones. Get those checked by someone like myself, who's a hormone expert, who can read between the lines of what a normal lab, because a normal lab is saying, okay, you don't have Addison's disease, you don't have Cushing's disease, you don't have diabetes, you don't have hypothyroidism, but yeah, do you have subclinical fatigue related, a low T3? Do you have not enough conversion of the hormone T3 to T4 which any normal endocrinologist is going to be like, that doesn't matter. You don't have Hashimoto's, you don't have autoimmune disease, but you do have something that's affecting you. So hormones is a really good place to start. And then gut health. I mean, we do so many gut tests every day, and we rarely find someone that has like, a perfectly optimal, normal functioning gut. You know, I would say like, 99% of the time there's room for improvement in the gut.Lesley Logan 14:06 That is so funny. As we are recording this, I'm awaiting like, an update on a gut test, because y'all found a parasite the first time. And I was like, oh, well, that.Kristin Mallon 14:15 Oh, fun. Lesley Logan 14:16 I know. I was like, well, that's, you know, and people are like, oh, which country do you think you got it? I'm like you can get it from sushi, guys. It's not like I have to leave the country for this. Who knows? So I'm excited to see if it's gone. And also I had some dysbiosis, and I am excited, because I can tell when my gut health is strong. I have so much more energy. I feel like a more confident person. I feel more unstoppable. My sleep is absolutely amazing. It's not a surprise to me that, like, I had a little gut situation while I was traveling, and my sleep is off. I'm like, something's maybe something's going on there. So I really love that. If they're not working with you at FemGevity, what are they asking for? Because I know when I try to ask my female general practitioner for a hormone test, she specifically said, oh, you can't test those. They change all the time. And I was just like, I'm paying for this. I don't really know what you're worried about. So what should they be asking for or looking at when it comes to getting those things tested?Kristin Mallon 15:10 Yeah, so hormone health. So really, you kind of just want to get all your sex steroid hormones, which include sex hormone binding globulin, estradiol. If you really want to go deeper, you can get your estrone level done and your estriol level done, which you know maybe might not necessarily be necessary, progesterone, testosterone, free and total thyroid, insulin, cortisol. We do a lot of also functional medicine testing within that so usually, like hemoglobin A1C, homocysteine, CBC, looking at lipid panels, chemistry, liver function, kidney function. That's the general census of like, where you kind of want to go down. Prolactin levels are there too. I can even give you a list, because I'm rattling these off the top of my head, if you want to include it in your show notes, of the hormones I recommend getting. Lesley Logan 15:58 Yeah, we love that. Also, we'll transcribe this guys, so you can just go to the show notes and just take a screenshot. Kristin says.Kristin Mallon 16:05 Yeah, and I want to make sure I didn't forget any there too. Lesley Logan 16:07 Yeah, yeah, we'll love that. Kristin Mallon 16:08 For gut health, so there's really two companies that do, I think, so, you know, my business partner, Michele Wispelwey, her whole background was in the diagnostic lab space, so she is like a lab guru and knows everything. And also myself, like working with women and working with labs gone through so many renditions of labs over time, and labs that closed, and labs that were new and startup labs and labs that merged. And so I think there's a pretty standard gut test called a GI-MAP test, and there's another standard gut test called GI Effects. So GI-MAP is by Diagnostic Solutions, and GI Effects is by Genova Diagnostics. And so you can ask for a GI-MAP that's pretty, most really with it, longevity, functional medicine, integrative medicine, doctors are going to know what a GI-MAP test is, and that's kind of your standard gut test. I always caution women about, this is, like, a really classic thing that I saw with the advent so we do a lot of genomics, and we do a lot of genetic testing too. And so 23andMe came on the scene, and everybody was getting this direct to consumer test, and they were giving it to me, and I'm like, oh my gosh, this is so basic compared to what you can get from a licensed physician. And the same thing is true with like, over the counter gut tests. You can get an over the counter gut test that's probably going to cost you a similar amount of money when you go to a licensed medical provider, and it's just not going to tell you anywhere near as much like GI-MAP does, like 88 different pathogens and microbes. You're looking at yeast, parasites, you're looking for H. pylori, you're looking for dysbiosis, commensal bacteria. So good gut bacteria, bad gut bacteria, so many different things. You're getting virulence levels. So you're getting the actual amount. They're what are called PCR tests, which is like the kind of highest standard of care. So this was, like a big thing in COVID, was your COVID test, RNA, or DNA or PCR testing, and the PCR tests were the best tests. So you're just getting so much more when you go with those two companies. Lesley Logan 18:01 Yeah. So how often should we be doing this? We're getting our hormone test every year. Should we be doing a gut test annually? Is this something you have to do more often? How much is too much?Kristin Mallon 18:12 So I think once a year is probably the minimum, because you will be able to track yourself over time and be able to have data on yourself to look back at and say, okay, when I was 36 or when I was 46 or 56 my hormone levels were this and I felt this way. Some people check them every day. There's a, I just said don't do over the counter. But there is an over the counter test called Miracare, which is kind of like a fertility tracking device, where you can pee on a stick, and it will tell you what your daily progesterone and estrogen levels are. It tells you LH and FSH too, but that's not as important to the overall daily hormone picture. So you can do kind of anything but, once a year. The other thing about hormone testing is that it's important to know, like women get so much confusing information, do I need hormone testing? Do I not need hormone testing? Someone's giving me birth control without hormones or giving HRT without having my hormones tested. Like, why do I need it? Or why do I not need it? And so the gold standard hasn't been set yet. We haven't really come to a consensus as a medical community about how often should this be done. You know, we know in diabetes testing that someone should get a hemoglobin A1C like, every three to six months. We know in when someone's being put on a thyroid medication for the first time, we should check their thyroid every four to six weeks until it's managed and at a normal level. So this hasn't been set, which is why you have so many different clinicians with so many different conflicting views, including you don't need it or you do need it. The way we really use labs at FemGevity is once you've been looking at labs like I have for 20 years, you start to notice patterns. And even though these patterns aren't written down in a protocol by the American College of Obstetrician and Gynecologists, I'm just observationally matching it up with women have been telling me x and here's what the lab data is showing me. And so I'm using my clinical judgment. To kind of make those decisions. Also, it is true that your hormones can change so much, so when we look at an estrogen level, let's say you could be 33 in one blood draw and then in another blood draw with just a couple months apart, you could be like 133 but the main thing is is you're not zero, or you're not almost close to zero, and you're not 400 so you're kind of looking at it like a range versus an exact number. We do a lot of hormone balancing, and we do prescribe HRT and hormone replacement therapy. And so women will start on a hormone and their levels will actually go down. And so they're really confused. Well, I'm taking this extra hormone, but my levels are going down. And so it could just be exactly to what you said, like where we caught them in their cycle when we tested the first time, and then where we're catching them in their cycle and we test the second time. And if they don't have a menstrual cycle and are having a period anymore, they're still having ebbs and flows. Hormones are pulsatile. They pulse even like any hormone, like thyroid or insulin, insulin is a hormone, too. You can think about it, it just pulses into the bloodstream. And so are you catching it up on a trop or on a bow? And that's why we need to know. You know, let's say we give someone testosterone, for example, are you coming back with a male level in your bloodstream? Okay, that's too high. We need to cut down. So we're not waiting for symptoms to come up, symptoms of too much testosterone. We're checking the labs to make sure that we're in a ballpark. It's not so specific, and I think that can help women to interpret their labs and also to understand the big discrepancy. Well, this practitioner says this, and this practitioner says this, and neither of them are probably wrong.Lesley Logan 21:34 Yeah, first of all, I love that you have so much experience. As a Pilates instructor, right, when I was a new teacher, I'm like, okay, I don't know what that is. And then, as I've been teaching for almost 20 years, it's okay most people, when I see that, they have a hard time with this. So let's do this exercise over here, because you start to understand the patterns that are happening, and it makes an art to the science, I think. And also I appreciate you explaining that there isn't a gold standard yet, and that's unfortunate, because they just haven't been testing enough. There just hasn't been we lost a lot of time back when they thought HRT was the worst thing that could happen. I feel like we've we're trying to catch up with I feel like they're in the maybe it's just because now I'm 42 and that's what my algorithm shows. But I do feel like there's a lot more people researching this and coming up and testing things out, so we can have more people explore, and then we can learn more things. So that makes me happy. Okay, you and Michele started this amazing company together. Obviously, you're an incredible doctor. You know so much. What has been the funnest thing about starting a business, and what is the hardest thing that you're that you're like you are trying to because here's why I'm coming at this. I feel like I'm looking at, oh, my God, she is a doctor. She probably has her sleep under control, her hormones under control, all these things. Has it been easy to keep a balance in your own life doing this business and what's been the funnest part about what you guys do?Kristin Mallon 23:00 Yeah, so I would say that the funnest part is really getting to work together. Like, we really like each other, and we really get along, and we really have a lot of fun together. And so when we get to work together, it's like you get to work with your best friend. Like every day. It's really a really fun thing. I think, from the challenge perspective, I personally am a really big believer in like vibration attracts like vibration. And so as long as I'm kind of keeping my vibration in check and keeping my self clean, and I'm looking to reflect that reality outside of me, then everything kind of usually everything works out for me, and everything kind of falls into place. It's just kind of been my experience in life. So the challenge is, is that when things get off track, I usually have to remember to look in the mirror and be like, okay, what is it about me that is like, what thoughts or what influences am I allowing to come into my sphere and my energetic field that aren't in alignment with me, because that's being reflected in my outside world. So that's probably the big challenge, I would say. Lesley Logan 24:08 I so understand that, I really do, because it's not at the plate, and ladies, it's not, oh, everything is our fault. It's the, hold on, what did I bring to this energy that is causing this? Because, you know, there are people who just have force of natures, but I find that if I'm feeling a little nervous, if I'm feeling a little frenetic, if I'm feeling like I don't have control over things, and then I go into the business, the way that I ask for something comes from frenetic, non-controlled, not necessarily a specific place, and then it's a domino effect of the communication is off, and it's hold on, you know? So we do have to kind of take a step back and ask ourselves that, and that's the hardest thing to do in the moment. It's so hard in the moment to go. Hold on. Let me take a pause. How's my vibration? What am I bringing to this? Kristin Mallon 24:52 Yeah, it's hard if you say it's hard (inaudible). I always use a quote that I drilled into my mind, which is, like circumstances don't matter. Only state of being matters. And it's the state of being that makes your circumstances. It's not what happens, it's what I do with what happens. And I can usually, almost always have anything that happens be to my benefit and be to my good. It's kind of like going with the flow and being in the river versus trying to, like, paddle in a specific pattern. You don't know where all the rocks are, and you don't know where all the bumps are, and so if you kind of let the river take you, you usually can, you know, it doesn't look straight, and it always you're like, Hmm, I don't know if I would like go all the way over to the right, but then you realize that, oh, there was dead current in the middle of the river, and you needed to get to the side to get to the fast current. So I kind of try to think of that as much as possible. You know, it's not, I don't always win, but I'm winning most of the time, I hope. Lesley Logan 25:48 Kristin, that is so cool. That is amazing. We're clipping that and I'm gonna put that on my wall, because it is, I, especially, most of the women listening to this, they are caring for young children. They have older parents or family members in their life. They have. Kristin Mallon 26:08 Yeah, they're the in betweens. Lesley Logan 26:09 Yes, they have and they have jobs that they have to do. And then it can feel like the circumstances around you are just hard. And so what you just gave us, is such an amazing gift. Is like the state of being, like, how can I focus on that? So do you have tools? Or is it like a mantra that you say, is it that just that the mantra helps or like?Kristin Mallon 26:30 Oh my favorite mantra, I can give you my favorite mantra that works so well. Two words. So what? So what? Whatever it is like, so what? I mean, it works for 99.9% of things. If you're like this, that I'm going to be late, I didn't put the sandwich in the lunch bag, and I didn't do the permission slip, and I forgot to put these slides in a presentation. So what, you know? And I think that's something that's always really helped me to kind of see the forest through the trees. Lesley Logan 27:03 Yeah, I can see that because I am someone who's like, we're going to be late. And unless it's the plane, probably going to be most things are fine, (inaudible) catches the flight (inaudible).Kristin Mallon 27:16 Even if it is the plane being late might have your benefit, might be to your highest good, because maybe you met someone that now you're sitting on a different flight, or you ended up being able to not miss a phone call that was coming through. So, as long as I allow that type of vibration into my field, I usually end up having those results. The other thing that I think is super helpful, that I also kind of like encourage people to do, is, if you just do it a little bit, it kind of becomes second nature, which is to watch your definitions, watch how you define things. Because even like saying, oh, it's hard to do X, yeah, if you say, I'm working on doing X, or I'm getting better at doing X, or I'm improving my X, it's a much different definition than it's hard. And it's so fun for me. Like, when I first started doing this practice a couple years ago, it was so fun to change the definitions of things and just be like, oh, this happened. Well, that happened because it was so funny. My bra was showing or, I don't know, something happened where I didn't get the job I wanted to get, or I didn't get the client I wanted to get. And instead of it being like a failure, it was a learning experience, or instead of it being a mess up, it was an opportunity for growth or development or internal reflection, or for me to get this thing that I'm talking to you about right now, which is that I can choose how I define things. Lesley Logan 28:38 I really like that, because I do think it's fun. I'm going to keep working on catching myself. But one of the ones that sticks with me, because I was raised in a household that doesn't have a lot of money, and so they'd always say we don't have any money. There's no money for that. No you can't have it. There's no money for that. Kristin Mallon 28:50 I was, too.Lesley Logan 28:51 And I was, so was my husband, and we have been really conscious. I can always tell when one of us is in a bad state, because the words we'll say we can't afford that, which is like a not, like a non-sentence in this house, because the better phrase is, we are choosing not to invest in that right now. Oh, you know what? That's great. I'm not investing in that right now. Or that's actually not something we're spending money on today. So it's not that you don't have the money, it's not that you can't afford it. It's just not a priority in this moment. Kristin Mallon 29:20 That's a perfect example of the definitions. That sentiment. So, do you know the book by Napoleon Hill, Think and Grow Rich?Lesley Logan 29:27 Yes, I love it. I listened to the old tape or whatever. I maybe I should do that again as the year starts.Kristin Mallon 29:33 Yeah. Well, that's the epitome of what you just said. That's one of the big lessons that he talks about in that book. And that book influenced The Secret. So that's (inaudible).Lesley Logan 29:42 And everyone you can go to the original source, it's still out there. Do you remember the part? Because you're, I don't know if you maybe it didn't stick with you, but he mentioned the woman who would always put her hand on her left breast and go oh, I'm gonna get cancer. I just know I'm gonna die from cancer. And she'd always say that, and then she died of breast cancer. She like, literally, she kept putting her hand on herself saying she's gonna get it. It's like not saying that anyone who gets cancer did that to themselves. That's not it at all. But it's just like we, our words, have so much power, and we really do. I love that redefining. You guys, how are you going, like, I wonder you guys have to send in to the Be It Pod and to FemGevity which words you're redefining. I think that'd be really fun for us all to see as an experiment. Kristin, what are you most excited about right now? This is out in 2025. What are you excited that's coming up, that you guys are doing? What's going on? Kristin Mallon 30:30 I'm really excited that this concept of, so I think over the years, we've kind of defined it as functional medicine, and then we defined it as integrative medicine, and now we're defining it as longevity medicine, and I'm just so excited to be a part of that ecosystem and the effects that it has. I mean, I work with women primarily, so the effects that it has on women and the aha moments they have, and that feeling that, I think, that liberation that they've been looking for for so long that they're not just like, going down, down, down, down, down, but that they're actually going up, up, up and getting better is like, so rewarding and so fun that I'm just like, so passionate and excited about sharing that with women as much as possible. Anybody who wants to hear me talk about it, I'm like, do you want to hear me talk about optimization of health? Like, I'm totally down.Lesley Logan 31:20 I also like that it's changed to longevity medicine because the other ones were a bit vague and hard for I feel like this is what people want. It's not when you're like, oh yeah, I want a functional medicine. I guess that makes sense, but it doesn't sound sexy. I want a long life where I have longevity. I don't want to just be old. I want to have be strong and energized when I'm older, you know, I want all those things. So I think that's really cool. Since you love to talk about optimal health, is there anything else about optimizing our health that we didn't talk about that we should know about, that we should check on? Kristin Mallon 31:51 I always say don't give up on yourself, because I think women, so many times have been told no, or they go to the wrong doctor, or they hit dead ends and they think there's no hope. And if you don't give up on yourself, and you hear a podcast like this, and you're like, okay, I need to find a longevity medicine doctor. I need to find a hormone balancing expert. Or they can come over to FemGevity if they're in the United States, we can usually work with them in some way. There is a path to not just feeling better, but feeling like fantastic and great and energized. And I know there's people listening that are like, yeah, this girl's crazy. There's no way I'm so chronically fatigued. My kids are little, my parents are dying or sick. There is, there really, really, really, is just keep going on yourself and don't give up until you find the right person and the right practitioner to help you. It's worth it. So worth it.Lesley Logan 32:41 Oh, I love that. Thank you for that gift. That's a good one. We're gonna take a brief break, and then we're gonna find out where people can find you, follow you, work with you and your Be It Action Items. Lesley Logan 32:51 All right, Kristin, where can people find you? I'm gonna give you the link right now. You can go to beitpod.com/femgevity, because you guys can go and get a call and see how they can help you. But where else on the internet are y'all at?Kristin Mallon 33:04 So our website, femgevityhealth.com and all social media channels @femgevity. So we're on TikTok, Instagram, YouTube, Facebook, LinkedIn.Lesley Logan 33:15 It's probably really fun to be doctors and researchers that have to then learn social media and all the hacks. And I also love that I've got my captions to actually spell FemGevity out correctly. They can't spell my name, they can't spell my dog's name, but they can spell FemGevity. So that's the way to go, ladies. Yeah, okay, you've given us a lot of great stuff already, but for our action takers who are listening, bold, executable, intrinsic or targeted, steps people can take to be it till they see it. What do you have for us?Kristin Mallon 33:48 So my best advice is, whenever in doubt, follow your highest excitement in any given situation. It's a breadcrumb trail that kind of leads you to your biggest and best self. So follow your highest excitement to the best of your ability with no insistence or assumption on the outcome, and it always leads you to the best location, place, time for you.Lesley Logan 34:09 Oh my gosh, you're so cool. Kristin Mallon 34:14 Yeah, you too.Lesley Logan 34:15 Well, thank you, but, yeah, like, what a great tip. That's so fun, because most people say, like, follow your gut. And I've got these people going my gut's off something's wrong. But highest excitement, oh. Kristin Mallon 34:28 It's easy to do, because even if you think about it, you're like, and as soon as we get off this call, right, there's going to be a whole bunch of things you could do. You could check your email, you could take your dog for a walk, you could stretch, you could do Pilates. But if you just tune into like, which one is most exciting, more than any of the others. It'll lead you down a really thrilling and rewarding path.Lesley Logan 34:47 Oh yes, yes, it will, oh yeah, the doctor has ordered that I have to follow my highest excitement. I'm going to do that as soon as I hang up. Y'all please, if you, if this at all has you intrigued, contact FemGevity. It's really nice to have doctors who actually want to look at things and look at patterns, and, you know, don't want to just tell you, it's all good, yep, that problem. I don't know. It's really nice if someone listened to you, and I will just shout out, I was traveling for almost a month, and I got an email from your team going okay, you have to do your call. And I'm like, oh, my God, a doctor that wants me to come for my appointment. They not that other doctors don't. I'm sure I have doctors listening, but you can wait in the waiting room for 45 minutes. You guys make sure. Made sure I made my call, and I'm so glad I did, because I needed that call, and it's just really nice to have someone to look out for my optimal health. So thank you so much for all you do at FemGevity. Lesley Logan 35:40 You guys, how are you going to use these tips in your life? Make sure you tag FemGevity. Tag the Be It Pod. And share this with a girlfriend who, like is frustrated with their health and they're feeling stuck and feeling going in circles. You know, it's kind of nice to be reminded to not give up on yourself. So thank you, Kristin, for that. And until next time everyone, Be It Till You See It. Lesley Logan 35:59 That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 36:41 It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 36:46 It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 36:51 Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 36:58 Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 37:01 Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Taking Your Questions: Shoulder Dystocia

diet labor pregnancy holistic fertility breastfeeding nicu midwife birth stories midwives homebirth midwifery natural birth lactation consultants tongue tie vaginal birth episiotomy shoulder dystocia stay connected with us

Play Episode Listen Later Jan 21, 2025 31:43

On Today's episode, Sarah and Charli answer a listener's question about shoulder dystocia and her baby's NICU admission during a previous birth. Now pregnant again, she wonders if she should expect another shoulder dystocia and what steps she can take to prepare. This episode explores factors contributing to shoulder dystocia, the likelihood of recurrence, and how personalized care, maternal positioning, and midwifery support can empower families and lead to a positive birth experience. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ep. 312: Breaking Barriers in Maternity Care (pt.1 ) with Dr. Darrell Martin, OBGYN on Patient-Centric Healthcare

The Tranquility Tribe Podcast

Play Episode Listen Later Jan 17, 2025 63:57

In this episode of The Birth Lounge podcast, HeHe has an engaging discussion with Dr. Darrell Martin, a retired Obstetrician-Gynecologist, who strongly advocates for the midwifery model of care. Dr. Martin shares his journey in obstetrics, emphasizing patient autonomy and providing insights from working with midwives. The conversation covers Dr. Martin's career, the importance of trust and informed decision-making in prenatal care, and the evolution of maternity care in the U.S. Dr. Martin also discusses his book 'In Good Hands,' reflecting on his experiences and the systemic challenges and politics within the healthcare system. The dialogue highlights the profound impact of collaborative care and explores practical advice for navigating birth choices. This episode is a treasure trove of information for expecting parents, offering a blend of personal stories, professional insights, and evidence-based practices to support a confident and informed birth experience. Dr. Darrell's Journey into Obstetrics Challenges and Changes in Obstetrics Midwifery and Collaborative Care Legal and Professional Battles Success in Atlanta Advice for Expecting Parents The Objectivity of Practice Employees Questions to Ask About Your Provider Hospital Policies and Inductions The Role of Midwives in Birth Financial Incentives in Birth Practices The Shift to Epidural Use Collaborative Care Between Provider and Patient The Importance of Trust in Prenatal Care Challenges in Large Practices Promoting Partner Involvement Guest Bio: Dr. Darrell Martin, MD, FACOG, is an esteemed gynecologist, gynecological surgeon, and beacon of healthcare advocacy with a distinguished career spanning over forty years in women's health. His unwavering dedication to patient choice and care has led him to the forefront of legislative change, testifying before Congress in staunch support of Certified Nurse Midwives (CNMs) and the rights of patients to choose their healthcare providers. Notably, his passionate advocacy for nurse-midwifery in Tennessee, has cemented his reputation as a pivotal figure in the advancement of the profession. INSTAGRAM: Connect with HeHe on IG Connect with HeHe on YouTube 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! Grab the Pitocin Guide here! LINKS MENTIONED: https://www.darrellmartinbooks.com/

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Lessons from Mexican Midwifery: Rituals to Transform Childbirth with Alejandra Lozano Part 1

Orgasmic Birth

Play Episode Listen Later Jan 15, 2025 31:00

Ep 130 Description: “Rituals are related to pleasure.” —Alejandra Lozano Rituals have the power to transform the childbirth experience, unlocking deeper layers of intimacy, pleasure, and connection. The journey from pregnancy to postpartum can become a profound rite of passage by honoring ancestral wisdom and incorporating sacred practices. In this episode, we explore how these time-honored traditions can reshape the way we approach one of life's most transformative events. Alejandra Lozano is a dedicated Mexican midwife with over 11 years of experience walking the sacred path of supporting women through pregnancy, birth, and beyond. Her own transformative home water birth ignited a deep calling to immerse herself in the richness of traditional Mexican midwifery practices. Tune in as Debra and Alejandra discuss the integration of ancestral rituals in childbirth and postpartum care, exploring the power of practices like Sobada, Herbal Baths, and Rebozo to foster intimacy, connection, and a holistic approach to this life-changing experience. Connect with Debra! Website: https://www.orgasmicbirth.com Instagram: https://www.instagram.com/orgasmicbirth X: https://twitter.com/OrgasmicBirth YouTube https://www.youtube.com/c/OrgasmicBirth1 Tik Tok https://www.tiktok.com/@orgasmicbirth Linkedin: https://www.linkedin.com/in/debra-pascali-bonaro-1093471 Episode Highlights: 04:15 Alejandra's Birth Experiences 11:12 Post-Birth Transformation 15:04 Connecting with Midwives 18:02 Integrating Rituals into Prenatal Care and Birth 24:44 Supporting Women in Labor with Sobada 28:42 The Role of Touch in Midwifery

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Episode 368 Gesa's HBAC with PROM + Differences Between OBGYN & Home Birth Midwifery Care

The VBAC Link

Play Episode Listen Later Jan 8, 2025 45:52

What are the typical differences between hospital OB care and home birth midwifery care? Throughout her VBAC prep, Gesa was able to directly compare the two side by side. She was planning a home birth with a midwife but continued to see her OB at the hospital for the insurance benefits. Some differences she noted: Her OB used ultrasound to determine baby's position. Her midwife palpated her belly.Her midwife ran a blood test to check iron levels, and then suggested an iron supplement. Her OB did not track iron.OB visits were typically a few minutes long. Visits with her midwife were an hour or longer in her home. The hospital required cervical checks, laboring in a mask, continuous monitoring, and only allowed one support person. The way Gesa navigated her care is so inspiring. Her midwife was hands-on during pregnancy in all of the best ways and just as hands-off during birth to let the physiological process take over. Gesa's story is exactly why we love HBAC so much!Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Julie: Good morning, Women of Strength. I am really excited to be back here with you. This is Julie, and it is my first official episode back doing regular episodes. Just like we talked about a couple of weeks ago, I'm going to be doing– or was it last week? I can't remember what week it is. But we are going to be doing every other episode alternating between me and Meagan for the most part. I'm really excited to be back here. We have a really special guest with us today. But before we get into that, I want to say that I just got back from South Korea two weeks ago. No, two days ago. If you haven't listened to Paige's episode for her maternal assisted C-section, go listen to the episode that launched on December 2nd. I do believe it was maybe episode 357. Me and Paige are talking and sharing her story. I am literally so jet-lagged right now. It is going to be a morning for me for sure. If I'm a little clunkier than usual or my brain doesn't work just right, just be a little patient with me, please, because the jet lag is absolutely real. Before we do get started though and introduce our guest, I want to read a review. Meagan sent me a review this morning, and I think it's really interesting because she sent me this review this morning. It's a 1-star review, and you might be curious as to why I'm choosing to read a 1-star review, but I'll tell you a little bit more afterward why I picked that. This one is on Apple Podcasts. This person said, “Listened to 10 episodes, and found that the stories they choose to share are usually always the same with a twist. Didn't find any episodes that said ‘A C-section saved me and my baby's life' so lots of bias and fear-mongering from people who are selling female empowerment. Maybe I'm missing the episode where the hosts say that sometimes it's okay to have a C-section. With all of these birth stories, you would think I could relate with one, but I find that the anecdotes shared in this podcast are a really easy way to avoid talking about women who are actually statistical outliers.” I think that episode is really interesting. First of all, I appreciate everybody's views and perspectives. But also, I think that review is a little bit interesting because she said she has listened to 10 episodes. I'm just assuming it's a she. Maybe that's not the right way to do that. She said she has only listened to 10 episodes. It's interesting because I wonder what 10 she picked. I feel like, isn't it maybe a sign that all of the stories are similar because our healthcare system needs a lot of work? Clearly, if so many women are having trauma and unnecessary C-sections, isn't that a sign that something needs to change? I know that a lot of us have struggled with unnecessary C-sections and really traumatic treatment in the hospital systems, so I don't know. I wanted to bring that up because first of all, we do have many, many episodes where C-sections were necessary. We've talked a lot about that how C-sections are lifesaving procedures when they are necessary. I feel like we do a pretty good job leaving space for all of the stories, but let me know what you think. Go to the Instagram post today about this episode, and let me know. What do you think? Do you think we do a pretty good job? Do you think we need to have a little bit more talking about C-sections that are actually necessary and lifesaving? Do you think it's unequally represented? Let me know. I want to start a discussion about this. Go ahead and leave a comment. Let's talk about it. But I do know that me and Meagan have been very intentional with sharing a wide variety of stories and outcomes and necessary and unnecessary C-sections. Hopefully, you feel well represented no matter what side of the view you are on. Anyway, we are going to go ahead and get started now. Today, I have a really awesome guest. Her name is Gesa, and she lives in Charleston, South Carolina. She is a mom of two boys. She had a C-section with her first baby. The C-section was because of a breech presentation after she tried everything to turn him. Knowing that she absolutely did not want to have a C-section for her second baby, she navigated the difficult search for a truly supportive provider and ended up having a successful HBAC, or home birth after Cesarean, after having some challenges to get labor started. We are super excited to hear her story. We are going to talk more at the end about how to find the right provider for your birth and your birth after a Cesarean after she goes ahead and shares her story with us. All right, Gesa. Are you there?Gesa: I'm here. Julie: Yay. I'm so excited to have you with me today. Thank you so much for joining me, and again, for being patient with all of my technical issues this morning. Gesa: Of course. Julie: But I will go ahead and would like to turn it over to you. You can share your story with us, and yeah. I'm excited to hear it. Gesa: Thank you so much. I'm so excited to be here and share my story. Okay, let's start with my first birth which was my C-section. Everything was going well at the beginning of the pregnancy. I was feeling a little bit nauseous, but overall, feeling well. Then at the anatomy scan, I found out that my baby was breech. I was like, “Wait, what does that mean? What does that mean for birth? What's going on with that?” We had so much time left. The provider was not worried at all. It was around 20 weeks so we thought we had plenty of time at that point. Babies are little. They flip-flop around. I was not concerned at all. As time progressed, he continued to stay breech, so he did not flip on his own. During one of my OB appointments, I was basically told, “Well, if your baby does not turn head down, we're just going to have to have a C-section.” There were really no other options given. At that point, I was actually planning a natural birth at a hospital, so that was not really what I had in mind. We had also taken a Hypnobirthing class which was awesome. We learned so much about birth and pregnancy that I had no idea about. Hearing that I was going to need a C-section if he wasn't going to turn head down was really not what I wanted. I started looking into things I could do to help him turn. I started doing Spinning Babies exercises. I started seeing a chiropractor. I did acupuncture. I even did moxibustion at some point which is really fun. It was a Chinese herb that you burn by your toe, and that's supposed to create fetal movement and help the baby flip which unfortunately did not help. I was out in the pool doing handstands and backflips about every day. I was lying on my ironing board at some point with a bag of frozen peas on my belly. I really tried everything possible to get this baby to flip. Nothing worked. I ended up trying to have the ECV at about 37 weeks. That's the version where they try to manually flip the baby from the outside. She gave it a good try to attempt, and he would not move. It was that his head felt stuck under my ribs. It was very uncomfortable. He was very comfortable where he was at. They had me schedule the C-section which I was really unhappy about, but at that point, I didn't really see any other option. It was about my 37-38 week appointment, and the OB wanted to talk a little bit more about the details of the C-section which made me really emotional because that was not what I wanted. I started crying during the appointment, then the nurse comes in and says, “Hey, we actually forgot to check your blood pressure. Let's do that really quick.” I was like, “I'm sure that's going to be great now that I'm all emotional and crying here.” Of course, the blood pressure was higher than it was supposed to be. The OB started joking, “Oh, maybe we'll have a baby today. Maybe we're just going to do an emergency C-section,” which was not what I wanted to hear at all. It made me even more emotional. I remember sitting in the office crying. Now, I had this high blood pressure. My husband handed me this magazine of puppies or kittens. He said, “Sit here. Chill out and just relax. Look at the kittens. They'll retake your blood pressure, and I'm sure it's going to be fine.” I was like, “Oh my god. Nothing is fine right now.” It ended up coming down a little bit. They still sent me to the hospital for some additional monitoring. It was all good, and we ended up being sent home. But I just felt so unsupported and so unheard in that moment. When I was thinking about the C-section, I was even considering at some point what happens if I just don't show up for my C-section appointment and just waited to see if I'd go into labor? But then I thought, “Maybe an emergency C-section would not be any better than a planned.” I had a friend who had an emergency C-section, and she said that the recovery was really difficult so that's also not really what I wanted. I went ahead and showed up to the hospital for my scheduled C-section at 39 weeks and 1 day. But I was so emotional. I was crying on the way to the hospital. I was crying at the hospital. Everybody was really nice at the hospital, but it was just not what I wanted. The idea of them cutting my body open and removing the baby was just so far away from what I had envisioned. The C-section went well. I really did not have any major issues. But recovery was pretty rough. He was pretty big. He was 9.5 pounds and 21 inches long. Recovery was a little rough. He had also a really difficult time with breastfeeding. He had a really weak suck. I just kept thinking, “What if he was not done cooking? What if they got him too early? He wasn't ready to be born yet.” We found out later that he had a tongue and a lip tie that the hospital failed to diagnose which just made things even more difficult. I, overall, hated my stay at the hospital. I felt like I was not getting any rest at all the whole time I was there. My son didn't like sleeping in the bassinet because why would he? I felt like there were people coming in all of the time and interrupting the little bit of rest that I was trying to get. They were checking on me, checking on the baby, taking temperatures, the photographer, the cleaning people. It was just like people were coming and going. The only person who did not show up who I hoped would show up was the lactation consultant. She did not show up for almost two days which was really, really disappointing. The first few months were pretty hard. I would say they were pretty rough emotionally and physically. When people ask me about my birth, a lot of times, I got comments like, “Well, at least he's healthy” or “Oh, your baby's really big, so it was probably good that you had that C-section.” That really upset me because I understand that it's important for my baby to be healthy. Yes, that is the most important thing. But at the same time, my feelings are valid about it, and my emotions. I felt really robbed of that experience to birth my own child. The fact that I had never felt even a single contraction really was upsetting to me. I felt that my body had really failed me. Yeah. I knew that if I ever were to get pregnant again, I would not want to have another C-section. So let's fast forward to my second pregnancy.I got pregnant again when my son was a little over a year and a half. Like I said, I knew exactly what I didn't want, and that was to have another C-section. When I found out I was pregnant, I pretty much immediately jumped on Facebook group and mom groups trying to do my research and find a truly supportive provider. I did call a birth center here in Charleston, and they told me right away, “We don't do VBACs. Sorry. You can't come here,” which was pretty upsetting because they basically see a VBAC or having had a C-section before is a high-risk pregnancy for your next which really does not make a lot of sense because every pregnancy is different. Just because you had a C-section, there can be so many different reasons. You should not be considered high-risk for your next pregnancy. I found a provider who I thought was VBAC-supportive. It seemed like that was my only option, so I started seeing her. As I was seeing my OB further into my pregnancy, I started asking some questions about birth. I really didn't like some of the answers she had for me. I asked about intermittent monitoring. She said, “No, we can't do that. Hospital policy is that you have to have continuous monitoring.” I didn't love the idea of being strapped to the bed. I wanted to move around freely. That was not going to be an option. I asked about eating. I got the answer, “No, we don't really allow eating while you are in labor. You can have clear fluids.” I was just thinking, “I don't want to eat ice chips while I'm in labor. If I'm hungry, I want to be able to eat.” I asked if I could labor in the bathtub because they did have tubs at the hospital. She said, “No, because of the continuous monitoring, you're not going to be able to get in the tub.” Hearing all of that made me really uncomfortable. Whenever I did ask questions, it almost felt like she didn't really want to talk about it. She didn't really want to talk about my birth plan which was really important to me. Now, at the same time, it was also COVID. I got pregnant with my second literally the week before people started quarantining for COVID. On top of all of these things that I didn't like about the hospital, there were also the COVID restrictions. I had to show up to my appointments in a mask which was totally fine, but the idea of having to labor in a mask made me a little uncomfortable. I was thinking about hiring a doula, and because they were only allowing one support person at the time, that was also not going to be an option. I knew my son wasn't going to be able to see me at the hospital which was something I was really looking forward to. I kept thinking, “Maybe there has to be another option. This can't be my only option here.” I started looking at places farther away. I was like, “Maybe I can travel to another place further away.” I was looking into birth centers around the area and all over South Carolina, really. At some point, I did come across a website that said they were offering VBAC support. I didn't really know what that meant, but I filled out a form. I said, “Hey, I need some help with a provider. I'm seeing an OB, but I'm not feeling super comfortable.” I submitted that form. I want to say that maybe a couple of days or a couple of weeks later, a midwife called me. She was like, “Hey, I'm not in your area, but I actually know a lot of people all over the state. Let me send an email to my network, and we'll see if we can find somebody who can help you.” One day, I got a call from a home birth midwife here in Charleston. She was like, “Hey, I got your message. Tell me how I can help you.” We talked a little bit about home birth. At that point, I was like, “Do I really want a home birth?” It was not something I had really considered.” During that HypnoBirthing class when I was pregnant with my first son, we watched a lot of videos of water births and home births. I always thought it was really cool, and I would love to have that experience, but at that moment, when she asked me, “Hey, would you consider a home birth?” I was like, “I need to think about that for a second.” I talked about it with my husband. I did a lot of research on home birth. I ended up sending her all of my medical records from my first pregnancy. We continued talking and checking. I continued to see my OB, and that was really for a variety of reasons. First of all, I had really good health insurance. All of my visits were covered, so all of the DNA tests, and things like the anatomy scan were covered by my health insurance, and it was just easy to coordinate those things with my OB. I also wanted to continue my care just in case there was something that would pop up that would prevent me from having a home birth and those plans would fall through. I'm a big planner, so I like having not just the plan, but also a plan B and a plan C. Yeah. I also like that established relationship just in case I needed a home birth transfer to the hospital. I've heard stories where moms were treated very differently when they arrived at a hospital with a home birth transfer, and in the case that I would have needed that, I could have just shown up to the hospital and said, “Hey, I'm a patient. I'm here. I'm in labor,” without them knowing that it was really a home birth transfer. I did not tell my OB that I was actually planning a home birth. I think she would have been pretty upset. Maybe she would have fired me. I don't know. But the difference in care that I received from the OB and from the midwife was really, really interesting. It seemed like at my OB appointments, there was a lot of focus on different tests and procedures like my weight. Further down, they wanted to do lots of cervical checks which I all declined. At the same time, when I talked to my midwife, the focus was a lot more on nutrition and on exercise. She was asking, “What do you do to prepare for your VBAC?” Lots of education on birth. There were lots of books that she suggested for me to read. I also started seeing a chiropractor pretty early in the pregnancy. I was doing my homework. I was doing my Spinning Babies exercises. I was so focused on doing everything I could to have the birth that I had envisioned. At some point, my midwife had me do some extra blood draws. She wanted to make sure that my iron levels were okay for the home birth, and they were actually slightly lower than they were supposed to be, so she put me on an iron supplement for a couple of weeks. That was an example of something that the OB never asked about or really cared about. At some point, I was a little bit nervous about the position of my baby. It almost felt like he was lying sideways, and I couldn't really tell. I brought it up to the OB. She was like, “Yeah. Let's get in the ultrasound machine. Let's take a look.” She was trying to feel, but she couldn't really tell. Everything was good. He was head down. Well, I didn't know he was a he because we did not find out the gender. Baby was head down. Everything was okay. I brought up the same thing to the midwife, and it was so funny because she did not need an ultrasound. She just felt. She felt really good. She was like, “Yeah. I know. I feel all of the different body parts. You're head down. You're good.” Of course, she was right. It was just so interesting to see how different things were approached by the two providers. I also hired a doula, and I made sure she was VBAC Link certified. It was really exciting. She was familiar with the podcast that I was, of course, listening to at the time to prepare for my VBAC. At some point, I had a situation with my OB that made me pretty uncomfortable. It was time for the GBS testing, and I had done my research. I made an informed decision. I let her know that I was declining the test. She was not happy to hear it. She kept saying, “Well, if your baby dies–”, and she kept saying that multiple times. It was like, “If your baby dies–”, and I was like, “This is so unprofessional to say it like that.” I totally understand that they need to–Julie: Oh my gosh. I can't even believe that. Gesa: Yeah. Isn't that horrible?Julie: That's horrible. Gesa: I understand she needs to educate me on the risks that come with declining certain tests, but that was just not a proper way to communicate that. Julie: Yeah. Find another way. Find another way. Gesa: Yeah. Right. That situation really confirmed for me home birth was the way to go. I did not want anything to do with this hospital or this OB anymore at that point. I was fully committed to the home birth. I was planning on it. I continued my OB visits more just to check a box. At 37 weeks, my midwife brought over the birthing pool and some supplies. I gathered everything that I needed. She had sent me a list of all of the different supplies that we needed to buy and gather, so I started getting all of that. I created a beautiful birthing space for myself in our bedroom. I had my affirmations up. They were taped to my mirror in the bathroom as daily reminders. I had them hung up in the bedroom with some twinkle lights. I had the picture of the opening flower, and everything was ready. I had my Spotify playlist ready, and I was so excited for baby to come here. Then, at 39 weeks and 1 day, it was early in the morning, like maybe at 6:30 AM. I was lying in bed, and our toddler had climbed into bed with me. I felt a little pop, and I was like, “Hmm, that was weird,” but I didn't really think much of it because pregnancy is weird, and our bodies do all kinds of weird things that we can't explain when we are pregnant. I didn't think much of it. I went back to sleep. An hour later, I got up to go to the bathroom. I sit down on the toilet, and water is gushing out. I was like, “Shoot. What is going on? I'm not peeing. What's happening?” I just realized, “No, my water broke.” I wasn't expecting it at that point because you hear about a lot of women going into 40-41 weeks, 42 weeks, especially with their first pregnancy that they are going into natural labor, so I was so surprised that it happened at 39 weeks and a day. I was feeling a tiny bit of cramping, but definitely did not have any contractions. I texted my husband, “Oh my gosh. My water broke.” He was out for a workout, so he rushed home. I also texted my doula and my midwife just to let them know what was going on, but then the whole day was really uneventful. I was ready and waiting for labor to start. It just didn't. I went on a lot of walks. I tried some curb walking. I bounced on the yoga ball. I ended up getting a last-minute appointment with my chiropractor for a quick adjustment. I really spent all day just trying to get labor started. I took some naps. I also tried using the breast pump for some stimulation to get things going. I got some tiny little contractions. At that time, I thought they were contractions, but now that I know what contractions actually feel like, I realize that was not actually the case. I got some tiny contractions going, but then they fizzled out again. My midwife stopped by a few times to check on me and baby. She had me take my temperature every 4 hours and text it to her just to make sure I wasn't running a fever. Baby was moving normally. She wasn't overly concerned. She assured me that my body was probably just waiting until nighttime when my toddler was in bed and I was relaxed for things to start then. It was weird because I was leaking amniotic fluid all day, so I tried to stay super hydrated and replenish all of that water I was losing. I went to bed and thought, “Okay. This is it. We're going to have a baby maybe early in the morning. Labor is going to start.” Nothing happened. I woke up really early and really disappointed that nothing had happened. My midwife had sent me some information on PROM, so premature rupture of membranes, just to make sure I was making an informed decision. She always gave me the option to go to the hospital. She said that I could go in the evening of when my water broke. She said I could wait until the next day and do whatever I felt comfortable with, but she wanted me to be aware of the dangers with having a long time of broken waters. She also had sent me a recipe to the midwives' brew. That was something we talked about to get labor started. She said, “Something to consider for the next day if you don't have your baby overnight.” My husband went out. He bought the ingredients just in case. It was castor oil, almond butter, apricot nectar, and champagne. It was absolutely disgusting. It actually ruined almond butter for me for at least 2-3 years. I could not have it anymore. It was so gross. Julie: Oh my gosh. That is so funny. That is funny. Gesa: I took it around 10:00 AM in the morning. At that point, my water had been broken for over 24 hours. I layed down for a nap, and maybe 2 hours later, I started feeling some contractions. They were coming in. I was just laying in bed breathing through them and listening to my HypnoBirthing affirmations and some relaxing music. My husband was actually taking a nap at that time with our son. At some point, things were getting pretty intense. I texted my doula and my midwife. I was trying to time contractions but it was also difficult. They both came over around 2:00 PM and realized pretty quickly that labor was going. They needed to fill that pool because that actually takes a while which was not something I was even thinking about.They quickly got the birthing pool filled. Once I got in the water, it was such a difference. At that point, I had some really, really heavy contractions and I think I got in there around 3:00 PM. It was such a night and day difference. My doula was awesome. She was rubbing my back. She was giving me cold washcloths on my neck. Yeah. She was super helpful. I was laboring in the tub. At some point, I needed to get out to go to the bathroom. As soon as I got out, I instantly regretted that decision because it was so horrible and the contractions were feelings so much stronger when I was not in the water. My husband was still sleeping at that point. I was like, “Okay, is somebody going to wake him up before baby comes?” But I also lost track of time of how long I even was in the pool. They did wake him up at some point. It was really funny because when he lay down for a nap, it was just me laboring in bed by myself. They woke up from the nap, and I was in full, active labor in the birthing pool with the doula and the midwife there, full action going on. He was just like, “Whoa, what's happening?” Yeah. He jumped right into action and helping me out and massaging and all of that good stuff. It was really sweet because my son kept bringing toys. He was a little over 2. He was 2 years and 3 months at that point. He kept bringing over toys. He was playing right next to the pool. He was checking on me. It was just really sweet and really special to have him there. Our dog was also walking around the pool and was really interesting in what was going on. I really lost track of time and of how long I really was in the pool. At some point, I felt some really, really intense pressure. It was almost like my body was pushing on its own without me really actively doing anything. I had heard of the fetal ejection reflex, but I didn't realize that that was what was going on. I didn't realize that baby was already coming. My midwife just looked at me. She was like, “Feeling a little pushy, huh?” I was like, “Yeah, I guess that's what's going on.” It all happened really quickly. My husband got our son situated downstairs because we wanted him to be there, but we didn't want him to be there right as baby was born. We thought that may have been a little bit too much for him, so we got him situated downstairs. Yeah, things happened really quickly. All of a sudden, his head was out. It was really fun because we got to feel his hair, and I did not have another contraction for a minute which was weird because his head was out. It was underwater, and it felt like a really, really long time between contractions. But then he was out with the next one, and my midwife caught him. He came right to my chest. My husband got to announce that he was a boy which I knew all along. We didn't find out his gender, but I just knew he was going to be a boy. My pregnancy was just so similar that I was like, “There's no way he's not a boy.” But yeah. He was born a little after 4:00 PM, so really just 6 hours from when I had the midwives' brew, so that really worked for me. Of course, I cried tears of joy. The amount of emotions I was feeling was just absolutely incredible. The rush of endorphins, I felt so empowered and so strong in that moment, like literally the strongest person in the world. It was awesome. We brought my son up and he got to meet his baby brother within minutes of his birth which was so special and such an amazing experience. Once we got settled a bit, I got to take a shower. I got to eat pasta in my bed, and then also safely cosleep with my baby in my own bed and in my own home which was just the complete opposite of that hospital C-section experience. Yeah, the home birth experience was really healing for me in a way. It gave me closure from my C-section experience. I think because I had the C-section, I just knew what I absolutely did not want, and I think that really helped me fight and prepare for my home birth experience. I still had to call my OB and cancel my 40-week appointment which was probably one of the weirdest phone calls I've ever had to made because I was like, “Yeah, I need to cancel my appointment because my baby is actually here.” They were like, “Wait, where was your baby born? We have no records of this.” I was like, “Yeah, he was born at home.” They were like, “You need to get him checked out immediately.”Julie: You're like, “Yeah, accident.” Gesa: I was like, “No, we had a professional there. It's all good. Don't worry about it. Let's not talk about it anymore.”Julie: I love that so much. Okay, I want to talk about a couple of things or maybe just comment. When you were talking about your C-section and how you felt guilty about how maybe he was having trouble nursing or whatever and you were feeling guilty that maybe he had been taken too early or he wasn't ready to be born yet and stuff, I felt that so hard with my C-section baby. I just wanted to validate that because I feel like that is not an uncommon thing. I feel like a lot of us have that concern when we have either a scheduled C-section or an induction that results in a C-section or maybe even an induction that results in a vaginal birth. You can look back at it and feel like, “Oh, maybe I made the wrong choice,” or “Maybe he was taken too early,” or things like that. I just wanted to validate that. Know that I see you, and I hear you, and I feel you. And everybody, not just you, but everybody. Try not to be too hard on yourself. I'm not speaking just to you, but everybody. Try not to be too hard on yourself because you were making the best decisions that you could with the information that you had available to you at the time. So give yourself some grace. Give yourself some love. I think that's really important is that we navigate our pregnancies and birth after having an unwanted C-section or an unwanted birth experience. Giving ourselves that grace is a really, really important part of it. I did want to talk about the difference in care. You highlighted a few things in your episode about the difference in care between a hospital OB and having a midwife or especially a home birth midwife. In the hospital, you're still going to see a little bit of similarities between midwifery and OBs, although midwifery care in a hospital is a lot more hands-on and a lot more personal and a lot more trusting, generally speaking, of the birth process. I just was thinking this morning about a post. There was a post in not even a VBAC group. It was just a local mom's group in my community. This woman was talking about how it was her first baby. She hasn't had an ultrasound or seen the baby since 10 weeks. She had a 10-week scan, and she hadn't seen the baby since then. She wasn't 20 weeks pregnant yet, but she was almost. She was just like, “I'm just wondering if this is normal. Every time I have an appointment with my OB, I only see him for 2 minutes. I don't feel like this is normal. I have some concerns, but I'm not being able to ask questions,” and things like that. It made me sad. It made me sad for this parent not being cared for in the way that she needs to be. It also made me sad because her experience is not that uncommon. I wanted to say that unfortunately, this is normal. You're not going to usually see your OB for more than a couple of minutes per visit. You're not going to have time to ask a lot of questions and get a lot of answers because hospitals are busy and OBs are busy. Most of them don't have the time or intentionally make the time to give you that kind of attention. It's just how it is. Now, I say most of the time because there are some OBs. I saw briefly an OB for my third pregnancy, and I love her. She was always 45 minutes late. Our appointments were always 45 minutes late. My appointment would be at 1:45, and I wouldn't get in there until 2:00 because she was giving everybody the attention that they needed. A lot of people get frustrated because she was an hour late for the visits, but I wasn't frustrated because I knew that she was giving other people the same attention that she gave to me. That is so, so rare in a hospital setting. I love that you highlighted that. I love that you talked about how your midwife took time to address your concerns, how she monitored your iron levels and gave your iron supplements and your OB didn't. It wasn't even on his or her radar. I don't know if your OB was a boy or girl. I can't remember. Their radar, right? And how your OB needed an ultrasound to confirm baby's position, but your midwife just palpated your belly because midwives are more hands-on. They are more intimately connected to the female body, to the baby, and to the physiologic birth process. Gesa: Yeah. She was more hands-on during the pregnancy, but then during the actual birth, she was very hands-off. She let me do my own thing. Julie: Yeah! Yeah. Gesa: She wasn't constantly in my space and interrupting my labor. Julie: Right. Gesa: She would come in very quietly and very softly. She would check on the baby and check on me, and if everything was good, she was back out the door. She let me labor in my own space and at my own pace which was awesome. Julie: Right. I was going to talk about that next actually. I've been keeping notes while you have been talking because during your labor, you said you felt that fetal ejection reflex, and your midwife was like, “Oh, feeling pushy are we?” I know exactly what that looks like. I'm not a midwife, but I'm a doula. I've been a doula and a birth photographer, and I know what it looks like when a woman's body is progressing. But in a hospital setting, what do we do? We connect you to monitors. We put an IV in you. We sit at a nurse's station and watch the monitor. That's how we know how you are doing. We use ultrasounds to determine baby's position. We use data and numbers. We look at data to decide how the parent and the baby are doing. But in midwifery care, especially out-of-hospital midwifery care, you use a completely set of tools. We use observation. We are watching. We are listening. We are seeing. We are noticing the movements that are shifting and the sounds as they evolve and change. We are seeing the belly moved. We are seeing all of the different things, and it's a completely different approach. I know exactly what an unmedicated parent looks like as they are getting close to transition. I know the noises that change, what sounds are made, what different subtleties there are. You just learn these things when you actually just watch a laboring person, and notice what is happening. But they don't do that in a hospital. An OB and nurses– probably nurses because they are in the room a little bit more, but your OB won't show up until you start pushing. They don't know what the signs are. All they have is the data on the machine to see if you are doing. I know what approach I approve. Let's just say that. It's no secret that I'm a big fan of home births, especially for VBAC, when the parent feels comfortable there. I just really loved that. My appointments when I had my three VBACs at home, every time I saw my midwife, we would chat for an hour. She did talk about nutrition. I had preeclampsia for my first. My blood pressure was high. I was like, “I don't want high blood pressure,” so she gave me all of these nutritional things to do to help take care of my heart and help make sure that my blood pressure wasn't high. But then what would happen in the hospital? They wait until your blood pressure is high, then they treat it. They don't work on preventing it or making you healthier or things like that. I just feel like there is such a big difference in care. It's not for everybody. That's not where everybody feels safe, but I wanted people to know that home-birth midwives are very skilled. They are very hands-on throughout the pregnancy and oftentimes hands-off during the delivery because we trust these bodies to do what they need to do. Sometimes they do need help, but also observing and watching can help us know when a little bit of extra help is needed. It's such a fun little dance that can be done throughout pregnancy and labor. It's kind of like an art form as much as it is a medical side of things. Midwives are not chicken-dancing hippies that run around your room with incense and pray for a safe delivery. They are skilled medical professionals that have high levels of training and care and can practice in very similar ways that you see in a hospital setting just without all of the extra crap and interventions that are there. Obviously, they can't do surgery, and depending on your state and where you live, there are different restrictions about what out-of-hospital midwives can and cannot do. But a lot of people are surprised to find out how much training and knowledge and skills and procedures that out-of-hospital midwives have access to, so I wanted to talk about that. Yeah. Anyway, Gesa, do you want to give one piece of advice to anybody preparing for a VBAC right now? What would you tell anybody?Gesa: I think a lot of people, when they go to the doctor, they see their OB and they heavily rely on what they are telling them. They almost glorify the OB's advice in a way. We have got to remember that these doctors work for us. We don't work for them, so if we don't feel comfortable with what they are saying, we have the option to go somewhere else, and to take our business somewhere else. The doctors work for us. We don't work for them. It is never too late to switch your provider. I was going back and forth whenever I was pregnant with my first, and I was very late into my pregnancy. I kept thinking, “What if I just find a provider who does breech births?” In a way, I wish I had, but then you never know what actually would have happened, so it's hard to say how that would have changed my experience. I could have still ended up with a C-section, but I could have. I could have changed my provider at 38 weeks if I had contacted somebody, but I was just so overwhelmed by the whole situation that I didn't. But I was so glad that when I wasn't feeling comfortable with my OB during my second pregnancy and with what she was saying, that I took the step to find somebody who was truly supportive and who was able to help me with the birth that I had envisioned. Julie: Yes. I absolutely love that. I think that's great advice. You make a very good point. It's never too late to switch providers. I think that the single most important thing that you can do to affect your birth outcome is to choose a provider who operates in the way that you want to birth just naturally. It's just what they do anyway. I feel like if you do that, then that's half the battle. Gesa: Yeah. 100%. I know some people feel very comfortable at the hospital, and a lot of people are not good candidates for a home birth. Julie: Yeah, and that's where they should be. Gesa: When I told people that I was planning a home birth, I got a lot of people saying, “Are you sure? That's so scary.” If that's scary to you, then you shouldn't do it. If you feel safer in a hospital, go ahead. There's nothing wrong with that. Go to the hospital. Have your baby there if that's where you feel comfortable. For me, just the thought of having to fight for certain things while I'm in labor and very vulnerable wasn't something I wanted to do. I wanted to focus on laboring and birthing and just having that experience. I did not want to get into fights with OBs and nurses over whatever I could or could not do while at the hospital. That just did not sound like a good idea to me. Julie: Yep. Absolutely. I agree, 100%. All right, well thank you so much for joining me today. Thanks for sharing your story with us. I'm super proud of you. You said that after your baby was born, you felt like the strongest woman ever. I agree. You are the strongest woman ever along with all of the women listening right now. We are truly Women of Strength, and no matter how your birth outcome ends, you are strong. You are powerful. I'm very grateful to each of you.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

955| Birth Nurse's Births with Midwives - Long Induction and Emotional Spontaneous Labor - Katy Markon