Podcasts about nicus

Send us a textIn this special anniversary edition of the Journal Club, Ben and Daphna celebrate four years of The Incubator Podcast while diving into a compelling lineup of neonatal studies. The episode kicks off with a review of a phase 2 multicenter trial on the safety of furosemide in preterm infants at risk for BPD. Despite widespread Lasix use in NICUs, data on dosing and safety have been lacking—this study finds no significant increase in serious adverse events but emphasizes the need for larger trials to better define its role. The team then explores a study from India comparing 7- vs. 14-day antibiotic courses in culture-proven neonatal sepsis, showing that shorter courses may be safe and effective in select populations.Additional discussions include a randomized trial from Australia evaluating “sigh breaths” during high-frequency oscillatory ventilation and their effects on lung volume and oxygenation, a study examining how kangaroo mother care boosts breast milk intake, and a large Japanese cohort study detailing neurodevelopmental outcomes of infants born at 22–31 weeks. Finally, a meta-analysis on prenatal cannabis exposure underscores risks of low birth weight and preterm birth. With depth, humor, and clarity, Ben and Daphna guide listeners through evidence that shapes neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

An event for Hoosiers to learn and celebrate Asian American and Pacific Islander cultures returns this weekend. The Trump administration terminates a federal grant funding teacher bonuses and literacy coaches in Perry Township Schools.  More babies are being admitted to neonatal intensive care units across the country. The ACLU of Indiana is suing Governor Mike Braun over changes to Indiana University's Board of Trustees. Want to go deeper on the stories you hear on WFYI News Now? Visit wfyi.org/news and follow us on social media to get comprehensive analysis and local news daily. Subscribe to WFYI News Now wherever you get your podcasts. WFYI News Now is produced by Drew Daudelin, Zach Bundy and Abriana Herron, with support from News Director Sarah Neal-Estes.

Send us a textIn this Tech Tuesday episode, Ben and Daphna welcome Xina Quan, co-founder and CEO of PyrAmes, to introduce a groundbreaking neonatal device: the Boppli. Developed from Stanford research, the Boppli is a non-invasive, wearable blood pressure monitor that provides continuous, real-time readings—without the need for cuffs or arterial catheters.FDA-cleared for babies under five kilograms, the Boppli uses a soft, adhesive-free band that wraps gently around an extremity. Backed by 3,400 hours of clinical validation, the Boppli has shown accuracy approaching that of invasive arterial lines according to the team at Pyrames.Ben and Daphna explore how this innovation could reshape blood pressure monitoring for hypotensive and unstable neonates. Quan shares her vision of the Boppli becoming as commonplace as pulse oximetry in NICUs—empowering care teams with precise, painless data they can finally trust.As she puts it, “Half the battle is having good data—this is a way to finally get it.” As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this special episode, Kristin, host of Ask the Doulas podcast and founder of Gold Coast Doulas,  gives tips on building your supportive birth team. Krisin and Meagan talk specifics on HOW to switch providers if you're feeling the push to do so.Once we have our dream team, we're good and don't have to do any more work, right? Nope! We keep educating and preparing ourselves. That's the way to truly get the most out of that dream team. Kristin's book ‘Supported: Your Guide to Birth and Baby' is a one-stop shop where you can get all of the education you need for pregnancy, birth, and postpartum. Her advice is so valuable for VBAC moms and birth workers, too!Supported: Your Guide to Birth and BabyAsk the Doulas PodcastNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. Hello. We have a special episode for you today. We have my friend, Kristin, who is actually the owner of Ask the Doulas Podcast on with us today. She is going to be talking about establishing our birth team and the importance of it. We're going to talk a little bit more about what to expect when we might not find a provider that's supportive and how to navigate it. She's going to talk more about her book and so many things. You guys, I'm really excited. Kristin is a woman who has always had a passion for supporting other women both personally and professionally. In college, Kristin served on the executive committee of her sorority and organized events on campus related to breast cancer and other women's issues. After the birth of her daughter in 2011, a new passion awoke within her. Kristin began reading and studying birth from all perspectives, philosophies, and medical approaches. She joined organizations like The Healthy Kent Breastfeeding Collation and used her event coordinating skills to build and promote the organization and create community awareness. You guys, she has done so many incredible things. Kristin's research has led her to learn more about doulas, and in 2012, she hired doulas herself for the support of her second birth. The level of compassionate care and comfort that she received from her doulas ignited a spark within her and led her down the path of becoming a doula herself. And man, can I connect to this because this is exactly what happened to me. When you guys have a doula who inspires you and touches you and motivates you the way it sounds like Kristin did and I did, even though my doula wasn't a hired doula, she was just a nurse that was a doula for the time being, it does something to you. She earned the certification and became teaching sacred pregnancy classes in 2013. But as you'll see, Kristin is a firm believer in achieving the highest level of education available when providing a service. Shortly after, she earned the following credentials-- you guys, are you ready for this? She's amazing. Oh my gosh. Certified Sacred Doula in 2014. She is a Certified Elite Labor through ProDoula. She is the Elite Postpartum and Infant Care Doula through ProDoula. She's trained in Spinning Babies, Newborn Specialist, Mother Ship, Certified Health Service Provider, certified in VBAC. She is certified in transformational birth and a birth coach for the Birth Coach Method. She is a certified pregnancy and infant loss advocate and certified gift registry expert through Be Her Village, who we will talk about. We both love them so much.She is also an author of a book which we will be sharing more about. It's called Supported: Your Guide to Birth and Baby. So without further ado, we are actually going to be skipping a review today and an educational topic because this is such a great episode to be educated and learn more about what Kristin is offering in her community. Okay, my love. Hello. Kristin: Hello.Meagan: We're officially getting going talking about this amazing topic. Tell me what you think about this. I think sometimes people want to assemble this dream team, but they let finances or even partners or other opinions get in the way.Kristin: Yes. Partner comfort level, especially with VBACs is key, or with clients of mine who want their dream is to have a home birth and their partner isn't supportive, so then they say, "Oh, it'll be with the next baby if everything goes well in the hospital." But then if they're a complication, they might risk out of the option of home. I think as consumers, we don't fully appreciate the ability to choose all of our birth and baby team. We can change providers. I switched providers with my first pregnancy early on because I didn't feel like that particular OB was on board with my plans to have an unmedicated hospital birth. I ended up switching to Certified Nurse Midwives and completely changed practices, completely changed hospitals in fact. It's a lot. Meagan: Yeah.Kristin: But it was worth it. And I had the time where it was easier to switch, but I've had clients switch very late in pregnancy. It was harder to find the right office to accept them, but with VBACs, it is crucial to have not just a VBAC-tolerant provider, but someone who is fully on board with your unique desires because we are all individuals.Meagan: Yes. I love that you said your unique desires. Everybody is different. I think it's really important to tell these providers what your desires are. We have a list of questions that we give people in our course and, of course, on the podcast. You can go down that list and check and be like, "Okay, this provider seems pretty supportive," but you guys have to tailor your questions and your provider. You have to tailor it to what your individual unique circumstances and desires are because everyone's is different. I would love to know. You said, I was realizing that this wasn't the right place. What kind of things were you hearing or being told or feeling when you were realizing that maybe your first provider wasn't going to be as supportive and in line with your unique decisions?Kristin: Just when I was talking about my wishes, I could tell that that particular provider liked structure and patience to get that epidural, and so once I started talking about movement, delivering in different positions and some of the things I had researched-- I hadn't yet taken a childbirth class because it was early in pregnancy, but I had done a fair bit of research before knowing what a doula was. I didn't hire doulas until my second. But I could just tell in that gut feeling which I rely on. Again, we're all unique. And yes, I do research, but I make decisions on am I comfortable spending my entire pregnancy with someone who can tolerate me and will say, "Okay"? But I could tell it didn't light her up. So once I found a practice where my nurse-midwife spent time with me, I had longer appointments, I could ask questions, and she was 100% on board with me, and then I was able to meet the other midwives and the OBs who oversaw them throughout the remainder of my pregnancy. I felt very cared for. And again, we are consumers. Whether your insurance pays for everything or you're paying for part of it, you don't get a do-over of your birth, and so it is so important, especially with that first birth to get the care team that aligns with you. That could be everything from a Webster-certified chiropractor, a physical therapist, a mental health therapist to deal with any anxieties that may come up with having a VBAC and getting a lot of fear-filled advice from friends and family members. I find that again, my clients are all unique individuals, and my students in Becoming a Mother Course, and now the readers in my book, have different goals, so I want them to choose the best plan for them. I love that you have worksheets and templates, but knowing that every situation is different whether it's a home birth, a trial of labor, or a hospital birth, that setting is different and the type of provider whether it's a nurse-midwife or an OB practice, how likely is the OB that is very VBAC-supportive going to be attending your birth? Are there 12 providers or are there only 4? And so there's just so many things to factor in when deciding what is important to you.Meagan: Yeah. That point that you just brought up, are there 12 providers? Are there only 4? Does your provider guarantee that they'll be there? These are things that I think a lot of people may not be aware of that because they found their provider. They're feeling good about their provider. They're jiving. They're having the feels, but then they may not be the ones to be there, so there are 11 other options. It feels overwhelming to be like, "Wait, wait. Do I interview all 11?" Yeah, guys. Yeah. You set up visits. It's okay. Go and see if you can meet with those. Make sure that that full team is aligned. It is a lot. That's a lot to take on, but it's okay to rotate and say, "Hey, I saw Dr. Jack last time. I'd like to see Dr. Joe this time," or whatever it may be. Really, really dive in, find out more about your provider's team if they have a team, and make sure that they align with your unique decisions and desires.Kristin: Absolutely. And that goes for doulas as well.Meagan: Oh, yeah.Kristin: So for VBAC clients, I, over the last couple of years, I do all of the matchmaking, I like to call it, between client and the birth doulas and postpartum doulas on my team, in fact. I like to find out what they're looking for. If they are attempting a VBAC, then many times, they're telling me they want a VBAC-certified doula. I have doulas that have gone through your program and are certified through you and other different VBAC trainings. They're not just wanting VBAC experience like in my early days of having Gold Coast Doulas. Now, they're wanting that certification because they know that information is being updated as things change. And there's more evidence for VBACs. They also want more than just, "Oh, I've attended four VBACs." They want the education behind it. So I think that is crucial. I'm not going to match, unless there's no one else available on my team, a client with someone who is not certified as a VBAC doula.Meagan: Yeah, I do the same thing with my group here where they're like, "This is really important to me. I want this specific type of doula." Some of my doulas have taken The VBAC Link course. And so I'm like, "Yep, this would be who I would suggest." But I also want to point out that even if you assemble your dream team doula, and they've got all the education and information on VBAC, and they're up to date, I want to just point out that it doesn't mean that you shouldn't inform yourself that you shouldn't get the information because sometimes I feel like it's easy to want to just hire your provider or your doula or your person and let them who know VBAC kind of help and guide you. But it is really important. You're doing yourself a disservice if you personally do not learn more about VBAC and your options as well and rely only on your provider or your doula.Kristin: 100%. The doula, I mean, unless you're paying her for it, will not be attending every one of your prenatal visits during pregnancy. The education that you have to make informed questions and decisions surrounding your birth plan or birth preference sheet, so those conversations are critical. The more information you have as a patient, the better. And as we all know, unless you're having a home birth, your visits are short even with a nurse-midwife. And so it's important to have those questions and to have time to really express concerns. Or if you're finding that that practice or that provider is not in line with your plans, then you can look at other options. And the hospital-- are VBACs even allowed at the hospital that you plan to deliver at? Are they going to induce? What are the Cesarean rates? And looking at all of the different options, and if you need to consider NICUs, that's always a factor in hospital selection as well.Meagan: Yeah, I'm going to kind of go back to where we were in the beginning where you realized based after your feelings and other things that this provider was not the right provider for you, you then changed to CNMs and had a much better experience. Can you discuss your process of that change? How did you change? Did you find the CNMs, have them request your information from the OB? Did you do a formal breakup with your OB? What suggestions would you give to someone who is wanting to do that? I know that sometimes, you were talking about it, in the end, it's a little harder to find, so that's why we stress so importantly to find your provider from the beginning. But we know that sometimes things change. So can you kind of talk about that process in then assembling that dream and getting the steps to get to that dream team?Kristin: Yes. So for me, I had asked friends about which providers they had worked with. So the original OB, a friend of mine, it was her doctor, and she had a great experience. I just wasn't feeling it. She had a student. We have teaching hospitals in my area, so there was a student in the room. I wasn't feeling like she was 100% on board. I could tell that she was very medically driven. I wanted essentially a home birth in a hospital. So I talked to more friends and did research online, and a friend of mine had used this particular practice. I ended up going with the midwife that delivered her three children, and it worked out beautifully because it was early in pregnancy. That practice had openings. It took me a while because I was changing hospitals and practices completely. My insurance, luckily, covered all of the options. But that's another thing to look into. Does your insurance cover the hospital where the provider you want to switch to delivers that if it is a hospital birth? Of course, you can VBAC at home in certain states. So just looking at all of the factors that would come into play. So for me, it was dealing with the paperwork of switching out of that practice, getting admitted, and going to that initial get-to-know-you visit with a nurse and doing my labs before I got to meet with the midwife that I had wanted to work with. And so it took a bit. I mean, no one likes to deal with the paperwork and the phone calls it takes, but your health is so important and especially again, for VBACs.Meagan: Yeah. So you essentially did all the paperwork and the transfer yourself.Kristin: Yes.Meagan: Okay.Kristin: I made all the phone calls, dealt with insurance and made sure that the initial visit was paid for along with the nurse visit, and then that insurance was comfortable with me.Meagan: Yeah. Awesome. Yeah, I did, when I switched, because I switched it 24 weeks, my midwife just faxed a request to my OB office. It took them a while to send it. We had to ask five times which I think probably would have been faster if I, like you, made the phone calls and did all the things, but I was like in this weird, vulnerable spot of like, I don't want to go back there.Kristin: Right. You don't want to deal with it.Meagan: Yeah, I don't want to deal with it.Kristin: Even just talking to the front desk.Meagan: Yeah, yeah. So we waited for it and they eventually got it. But I think that that's important to note. You guys can make the calls too. You can call and say, "Hey, I'd like to request my records to be printed out or to be sent to this place." Kristin: Yes, and that's what I did. Because otherwise it's six weeks oftentimes or you have to keep calling. They get lost. so I just handled it. But it can be challenging. And as doulas and certainly VBAC doulas, we know the providers who would be not only tolerant but supportive of VBAC. So we get those questions frequently from potential clients and clients of, am I at the right place? And of course, we support whoever our clients choose to have care from. But there's also, if asked, I will tell them about the practice and my own experience as a doula or the agency's experience. And again, in those large practices, there might be four who are so VBAC-supportive. They love it, but then there might be some physicians who are not as comfortable. They feel that a surgical birth might be the better route to go, ad so there's that. So what I like to do as a VBAC doula is to have my clients talk to their provider. Again, go over a birth plan or birth preference sheet and have them sign off on it. That way, if they don't attend the birth, then the other physicians know that this was approved. It's not just a birth plan that is thrown out there, but it has been discussed. It doesn't work all the time, but it has been helpful for my clients no matter if they're a VBAC client or this is their first baby, and again, they have certain goals that they want to achieve like potentially avoiding an induction unless medically necessary.Meagan: Oh my gosh. So I'm just going to re-touch on that, you guys, because that was really, really, really good advice and something I've actually never done or even thought about or suggested to my own doula practice clients. Get your birth preference sheet or birth plans everyone calls a difference. I call it a birth preference sheet, which is a list of all your preferences that you desire. Go over that with your provider, and have them physically sign it. Physically sign it and date it showing that your provider went over it. And like she said, every provider may not be willing to do that, but I will say, if a provider is willing to do that, that says something to me.Kristin: It does. Yes.Meagan: Yeah. Super powerful. Oh, my gosh. Okay, nugget. Grab it, put it in your pocket, everybody. Sign your birth preference sheet so you can have it and keep that in your bag, so if you do have that random on-call doctor who may not even know you or not be so supportive, be like, "This has already been discussed. We were aware of this. My doctor has signed off." Also, you could maybe ask if your provider could make a copy of that and put it in your chart.Kristin: Right. Because yes, it's not just the one that they have on file, but it's also for the ones that you have, that copy that you're bringing and showing the nurse so the nurse and everyone is on the same page. Meagan: Love that. Kristin: And again, with teaching hospitals, you might have residents in and out. There can be some difficult conversations with VBAC and residents who have never seen a VBAC. We're not fully trained yet to support VBAC, and so they might be making suggestions while the provider is not in that check-in. So every state, again, every area is different. I just happen to be in an area with multiple teaching hospitals.Meagan: Same here. We have seen it where I think, I don't want to say this badly. The VBAC world is a world that can have a lot of negativities in it, negative things and big words like uterine rupture. We've got residents who may be coming in and may be training under a provider who has seen a uterine rupture or has maybe molded an opinion on VBAC and is projecting their opinion to that student. Whether or not they're consciously doing it or not, they're saying their opinion, and those opinions might morph that resident's opinion into negative for VBAC. You never know. And so they might be doing things or be more hesitant in areas that they don't need to be, but they are.Kristin: Yeah, it's such a good point. And as you mentioned, I mean, we don't know the traumas that our nurses and medical team, even home birth midwives, have experienced, and they carry that with them. And how can they not? Even as doulas, we witness, but we don't have the liability and the medical training to make it, but we are witnesses of trauma and have our own healing to do to be able to better move on and support the next client. So certainly keeping that in mind that they may have seen something that alters the way they practice.Meagan: Yeah.Kristin: It's not just fear of lawsuits.Meagan: It's really not. It's not. There's a provider here in Utah who is literally so scared of vaginal birth herself. She scheduled all of her Cesareans, even the very first one from the get. She never had trial of labor or TOL. She just doesn't. So can you imagine what her Cesarean rate may be? And she kind of reminds me of the provider you're talking about. She really likes it just so controlled. Come in, start Pitocin, and get the epidural. She likes those things, which we know can sometimes lead to those Cesareans. And so really also discussing with your provider, how do you feel about birth? Have you had babies? And then we have another OB who's like, "I work in the hospital, and I love the hospital, and I trust the hospital system, but I actually gave birth at home with all three of my babies," and so really getting to know your provider, I think, is so good. Okay, let's keep going on this topic of assembling your dream team of experts when planning for birth and baby. What other things would you suggest to our Women of Strength?Kristin: Yes. So as we know, birth is as physical as it is mental, and just the opposite, as mental as it is physical. So preparing with a childbirth class, a comprehensive class, even if you took one before, use the lens of your goal of attempting a VBAC, a trial of labor. And so for us, we happen to teach HypnoBirth at Gold Coast Doulas and that mind/body connection that HypnoBirthing or a gentle birth offers where it's more of using the visualization the way an athlete would in preparing for a marathon or a triathlon, you are using things to reduce fear. You're understanding all of your options. It's very partner involved. I think taking a comprehensive childbirth class, whichever meets your individual goals, is great. That childbirth instructor is a great person to add to your birth and baby team. And then moving your body. So taking a fitness class that is appropriate for pregnancy. So prenatal yoga, there are Barre classes for pregnancy. There are prenatal belly dancing classes, whatever it is. Meagan: Aqua aerobics.Kristin: Yeah, water aerobics are amazing. And so thinking about baby's position and helping labor to go on its own or be quicker. There's acupuncture, acupressure, the Webster-certified chiro for positioning or body balancing experts, so many different options. But I am a big fan of educating yourself and preparing because as you mentioned earlier, Meagan, a doula is not your end all, be all. Just because we have the information and the training, we can't think for you. We don't want to think for you. The more informed you are, the more likely you're going to feel like birth didn't happen to you this time around and you were a direct participant, even if you end up having a surgical birth again.Meagan: Yeah, yeah. Yes. Oh my gosh. So talking about courses, you guys, we have our VBAC course. This VBAC course goes into VBAC, the stats about VBAC, the history of VBAC, the history of Cesarean, the stats of Cesarean, the questions, finding the provider, a little bit more of the mental prep, and physical prep. But when it comes to a childirth education course like with the course that she has, they're on different levels. I actually suggest them both.Kristin: Yes, me too. Absolutely.Meagan: But it's so important to know the information that is in your course. I know you go even past preparing for birth and then birth and then postpartum. You go into all of it. We're going to talk more about it. But you guys, we as doulas, love getting information and we love sharing information. But like she said, we don't want to be the only one that knows the information in a team. When our clients come in, at least here in my group, when our clients come in and they are fully educated and we're like, yes. And then we can come in with our education and our experience and knowledge, you guys, it is a powerhouse team. It is a powerhouse team. We have clients who, when they take child birth education classes like yours, they are able to advocate more for themselves. They feel stronger to stand up and say, "Hey, thank you so much, but no thanks" or "Maybe later," when our clients who haven't had that childbirth education or just any information other than maybe what we're providing, which is great, but not enough in the full length of pregnancy, it's a little harder. We have to try to encourage those clients a little bit more because it's harder for them because they don't know everything. We're there to help guide them and help advocate for them and educate them, but it is very different.Kristin: It is. It's so different. And I feel like, again, partners, especially male partners, want to fix things. They don't want their love to feel any pain, and so they may have the fear of a VBAC. So taking a VBAC class course, having a VBAC doula, giving information is just as helpful, if not more for the partner and their comfort level and to have them fully get on board because they may be resisting and just going along for the ride, but if you can get them to be an active participant in education, then they're going to be able to help you. And sometimes in labor, we get to a point in transition where we can't fully speak for ourselves. But if our partner understands, is educated and on board, and if there's time to talk through the risks and benefits and alternatives with your doula, then yes. But sometimes decisions have to be made quickly, and so for that partner to be informed and educated is crucial.Meagan: So crucial. It's so powerful. My husband-- he was not so on board. He was like, "Whatever. I don't care. You can go to the courses. You can do these things."Kristin: And that's very typical.Meagan: It's very typical. And I did. I did do those things. When I said, "Hey, I'm going to birth out-of-hospital," and he was like, "No," I was like, "Well, sorry. I've done the education. I know this is really where my heart is pulling." We touched on this in the beginning how partners really can influence decision making. And in no way, shape or form am I trying to say partners are terrible or don't listen to your partner or anything like that. That's not the goal of what we're saying is have an educated partner. Know that you can assemble a birth team, like a provider, a chiropractor, a massage therapist, a doula, a PT, or whatever it may be, but don't forget about your partner. Your partner is a huge part of your team, and if they're not educated and they're not able to help guide you through, or if they're not being supportive, find ways to help them be supportive by taking a course with them and helping them realize, oh, VBAC actually isn't that scary. Oh, that chance isn't really 50+%. Oh, okay. Hospital birth, out-of-hospital birth. Yeah. They're both reasonable, and really understanding that.Kristin: Absolutely. And sometimes I find that my students and clients may have not had success with breastfeeding the first time and potentially didn't take a class. So if their goal is to breastfeed or pump exclusively, then taking a breastfeeding class and having that IBCLC as a resource for their dream team in case it's needed because many times, you have the lactation consultant who's teaching the class, at least in my practice, and then they're also available for say, a home visit or a hospital visit, depending on where the class is taking place. And so I think that that's something. Even if it isn't your first baby and maybe you breastfed for a little bit or had supply issues or challenges after a surgical birth, that it is important to consider any education during pregnancy because it's much harder to get that education after you have your baby.Meagan: It really is. I love that you're touching on that, really getting into all the things and having your partner go with you. I remember I was like, I had a C-section, and I was swollen and tired, and I couldn't move very well. I was sore and all the things that sometimes come with C-sections. I'm trying to nurse, and I'm engorged.  I don't feel my letdown, and I'm just so engorged. I don't know. All I know is I have really big, swollen boobs. It's all I could tell. I couldn't latch. My husband was like, "That's it. We're going to the store. We're getting formula." Formula is fine. Not anything against formula.Kristin: He's trying to fix the problem and make you feel better.Meagan: Yep, yep, yep. Trying to fix that problem. But I was like, "No, I really want to breastfeed." At that point, I wasn't able to communicate. Like, I didn't get the birth I wanted. I already felt like a failure because I was actually told that your body failed. That's what I was told. So I was already dealing with this mindset that I failed. I had a C-section. I didn't want a C-section. And now the only thing I could try to do because I couldn't take that C-section back is breastfeed my baby. I wanted to breastfeed my baby. And again, we didn't take those childbirth education classes. He for sure didn't download any apps. I at least had an app trying to help me at that point, but he didn't understand. He didn't understand.And I'm like, no.I'm crying, and I'm like, "Please, just help me. I don't know what I need to help me." And he's like, "No, we're going to the store. Our baby's mad. You're crying." He was trying to fix that problem. But if we had already done that information education before and found that IBCLC before and him understanding how important that was to me, he could have been like, "I'm going to call her IBCLC. I'll get her over here right away."Kristin: Exactly. The last thing you want to do is go into the hospital to see a lactation consultant there if you can even get in.Meagan: Exactly. Yeah. So it just could have been so much smoother. Sometimes I feel like we were against each other at that point because he didn't have any education. With our first, I really didn't have much education. But with our third, it was like he really didn't have a lot of education. and I was over-the-top educated, so I was saying these things, and he was thinking I was demeaning him or saying he was stupid because it was just this weird thing. So if we can just come together with our partners and get all the education and get it all before really, find out a postpartum plan. Find out a breastfeeding plan. Right? Find out what you want. You guys, it just makes the pregnancy journey and the postpartum journey, so much better. It truly makes you feel like you're on that team because you are.Kristin: Yes. Absolutely. And certainly, I mean, you mentioned apps. Not everyone has the means or even lives in an area where they can take a comprehensive five, six, ten-week childbirth class. There are, obviously, online classes. There are some Zoom virtual ones where students are all over the place. But there are watching birth videos and YouTube and in my book, Supported: Your Guide to Birth and Baby, we talk about apps, so count the kicks. Especially for VBACs, doing the self-monitoring if there's fear of fetal movement and any sort of distress during the end of the pregnancy, then really understanding your own body and doing monitoring. It's not just when you're in your provider's office being monitored. You can make a difference yourself. So having some different apps and some education on your own, listening to podcasts like yours to get this information and reading books. So there's more than if you can't afford a childbirth class like HypnoBirthing, there are still ways that you can get educated and your partner can get educated. So yeah, take a look at all of your options and your budget.Meagan: Yeah, and we talk about this all the time because I love them, but Be Her Village is a really great resource where you can go fill out a registry and, hopefully, get some help for these things. Childbirth education classes, doulas, IBCLCS. But I want to dive a little bit more into your book, actually, while we're talking about different resources. We talked about the childbirth education, but can we talk about more about Supported: Your Guide to Birth and Baby and how this came into fruition and what all is included in this amazing book.Kristin: Okay, Meagan. So essentially the book came out of our online course. Becoming a Mother launched in the early pandemic when everything was shut down and our classes all had to go virtual. I was fortunate to be in a state where doulas who were certified were able to work thanks to our governor. So we were working, but there was still a lot of isolation even with our clients' prenatal visits. They wanted a connection, so we launched this course. We had talked about and did three live launches, got VBAC from our students, pulled people in from all the moms' groups before creating the first draft of the course. And then the course just led to the book. So the content in Becoming a Mother is what is in the book in a different format. So in Becoming a Mother, we have expert videos, so VBAC specialists and Webster-certified chiropractors talking about what that is. Pelvic floor physical therapists, car seat safety technicians, cord blood banking donation centers.Meagan: Awesome.Kristin: We have the experts speaking for themselves-- a pediatrician. And so in the book, anything that is medical and out of the scope of a doula, we had expert contributors, so I have a pediatrician friend of mine who contributed a newborn procedure section of the chapter and a prenatal yoga studio instructor, she's also a certified body balancer. She contributed to some of the fitness options in the book, and a mental health therapist who is PMA focused and certified contributed to the mental health chapter. We have an IBCLC that contributed to the feeding chapter, and so a lot of involvement, and then sharing client stories throughout the book and then our own wisdom. We have doula tips and wisdom at the end of every chapter. Meagan: Wow.Kristin: And so as clients were asking me for books over the years, I couldn't find anything that was positive. I felt like there were a lot of, this is your cry-it-out method for sleep because we have a whole chapter on sleep and it's very attachment-focused. It's like, one way for feeding, and we wanted our clients, with their unique choices for themselves, to have a book that supports people who want to plan surgical birth like that OB and that's their comfort level and a book for the same person who wants a home birth. You don't have to buy five different books. It's not always Ina May which is a great book but not for everyone. All of her different-- she's got Spiritual Midwifery and so many different books. It is great for grandparents to read and partners but is targeted to the mother or the mother-to-be and is great in preconception in that early planning. But also, we wanted to make it similar to the course and just as valuable for seasoned bombs as it is for new moms. And again, it's affirming. We tried not to have any fear-filled information in a simple, easy-to-read guide that you can pull out for reference and a lot of different, again, apps and podcasts and books to read and resources and evidence-based information about Black maternal health and where we're at in the country now and how the pandemic impacted birth especially, but also that postpartum time.Meagan: Wow. That book sounds amazing. So amazing. And you guys, you can get it in every form, even Audible. I'm a big listener. I like to listen to books. Kristin and Alyssa actually recorded it. She was telling me they had 10+-hour days recording this this book. You can get it, and we will make sure to have the links for that in the show notes. I found it at goldcoastdoulas.com/supportedyourguidetobirthandbaby.Kristin: It's there. You can find it off that website or it has its own page. It's supportedbook.com. Meagan: Supportedbook.com, okay. We'll make sure that's all in the show notes, so you guys can grab that. Okay, so you know a lot. Obviously, you wrote a whole book and a whole course and all this stuff. Is there anything else that you would like to share in regards to just our final assembling of that powerhouse birth team?Kristin: So don't forget, I know we're talking a lot about pregnancy and birth prep, but don't forget your recovery phase. And you had talked about your own personal struggles with breastfeeding engorgement, recovery after a surgical birth. If you have, well, you do have other children at home with VBACs, and so looking at childcare, postpartum doula support, or what kind of family support you're going to have after, it's more than just meal plans and prepping the nursery. We strongly believe that as part of your dream team, the postnatal team is crucial as well. So whether it's a lactation consultant, a pelvic floor physical therapist, if you want to get back to running marathons again or are leaking. I mean, we can all use pelvic floor physical therapy. It's not just the athletes who they support. Some people, again, with building a home or other life occurrences like a wedding or preparing for college, you look at your budget. You look at your main goals. For a wedding, it might be food. For postpartum, it might be sleep. So hiring a sleep consultant when baby's old enough or an overnight postpartum doula or a newborn care specialist. What are your priorities? And take the budget. What might be paid for by insurance or, a health savings flex spending plan that you need to run down? What might be gifted? Like you mentioned, Be Her Village. There are different ways you can budget. And in the book, we talk about all of that and looking at employer plans, how to navigate that, what questions to ask your HR department about other members, like a chiropractor, could that be covered? A therapist? Oftentimes, we don't know our own benefits and certainly, I don't know my husband's benefits fully, so to be able to investigate that early in pregnancy and figure out what might be fully or partially paid for.Meagan: Wow. That is incredible itself. I feel like that's a whole other conversation of, how to navigate how to do that. So definitely go get the book, you guys, because it sounds like there are just so many things in there that are honestly crucial to know. really, really important things to know. You are incredible. Kristin: So are you.Meagan: I just enjoy chatting with you so much. Anything else? Yeah, anything else you'd like to add?Kristin: And obviously, take taking trainings and courses. If I know you have doulas who listen. It's not just parents.Meagan: Yes.Kristin: As doulas go through The VBAC Link. Get certified as a VBAC doula. Keep up with information that is ever-changing. We all want to be the best doula for each of our clients, but I am a firm believer in continuing our own education and that more and more of our clients are choosing to attempt VBACs, and so the more information you can get as a professional, the better you're able to support. It's just not the number of VBACs you've attended anymore. It's clients wanting that knowledge so you can be busier and also a more effective doula by getting that training and then going through the certification process that you offer.Meagan: Yeah, have a directory actually with birth doulas where people can go and find it because when Julie and I created this company way back in the day, we knew that we were just two people here in Utah. We couldn't change the VBAC world. We could give as much information as we could. We could share the podcast. We could do those types of things. But when it comes to birth workers, we wanted to reach birth workers everywhere. It's so great that we have and we're still having more people come on because they're helping people so much. I mean, we know you have doulas that do it all the time. These doulas do help and there are actual stats on doulas that do it. But I agree. If you're a birth worker, stay up to date. Be in the know. Know what's going on because you will likely need to help guide your client through it. Kristin: Then you can charge more. So take that investment in a training like The VBAC Link, and then you're able to charge more because you're more experienced. You have more certifications. So don't look at like, oh, I don't have any money for continuing education. Look at how that's going to change your career.Meagan: Yeah, and I think sometimes too you can charge a little bit more, take less clients, and be more personal with those clients and dive into it. Especially because we do know that VBAC does take some extra stuff that goes on with VBAC. There's some extra work to be worked through. There are some extra things and so yeah, I love that.Kristin: Well, thank you so much for having me on Meagan, I loved our chat.Meagan: Thank you. You as well. As always, I loved our other chat as well. We have to keep going. I think I'm going to order your book today and get going on that. Even though I'm not a mom preparing, I think this would be such a great book to suggest to all of my clients. So thank you for sharing. Thank you.Kristin: Yeah. My secondary audience is certainly anyone who works with families in the birth and baby space, but it is targeted again, just similar to my podcast. It's like I have the listener of the pregnant individual and family, but also birth workers. The book is similar. Thank you for ordering.I appreciate it. Meagan: Yes. And can you also tell everybody where to find you not just in your book, but Instagram, podcast, and all of the social medias?Kristin: So my podcast is Ask the Doulas. You can find us on all the podcast players and you were a guest recently, so very fun. And certainly, we're at Gold Coast Doulas on everything from Pinterest to YouTube to Facebook to Instagram. I don't have separate social sites for my book because I honestly don't have time for that.Meagan: That's okay. Yeah, it's a package. It comes with everything, so you don't need to have another book page. Well, awesome. Well, thank you again so much.Kristin: Thank you. Have a great day.Meagan: You too.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

Send us a textIn this week's episode, Daphna hosts a powerful roundtable featuring Drs. Kerri Machut, Milenka Cuevas-Guaman, Emily Miller, Christine Bishop, and Christiane Dammann—leaders of a national effort to improve neonatology staffing. Together, they share insights from their recently developed recommendations, created through a Delphi consensus process and supported by a strategic grant from the AAP Section on Neonatal-Perinatal Medicine. These evidence-informed guidelines aim to promote safer, more sustainable, and more transparent staffing models in NICUs across the country. The team discusses key themes including defining clinical FTEs in hours per year, ensuring flexible scheduling, protecting time for scholarly and administrative work, and how to advocate for systemic change. Notably, these landmark recommendations have been accepted for publication in the journal Pediatrics and will be available online in May 2025. Listeners will also learn about an upcoming toolkit designed to help individuals and institutions apply these recommendations in practice. Whether you're a practicing neonatologist, a trainee, or in a leadership role, this conversation offers timely solutions to address burnout, support workforce well-being, and ultimately improve care for the smallest and sickest patients. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode of From The Heart, hosts Dr. Nim Goldshtrom and Dr. Adrianne Bischoff explore the latest research in neonatal cardiac care, focusing on congenital heart disease (CHD) and its impact on premature infants. They discuss a study analyzing survival trends in preterm infants with CHD, highlighting the “double jeopardy” these babies face due to both prematurity and congenital cardiac anomalies. Another study compares neurodevelopmental outcomes between preterm infants and those with CHD, revealing that term infants with CHD exhibit similar motor and cognitive challenges as preterm infants, yet receive less developmental support. The conversation then shifts to emerging research showing a decline in postoperative brain injuries in CHD patients, possibly due to improved surgical and perioperative care. Finally, they discuss a survey on neonatal cardiac care models, emphasizing the evolving role of neonatologists in managing CHD patients and the need for better integration between NICUs and CICUs. Nim and Adrianne reflect on the importance of specialized care teams, advocating for neonatologists to play a greater role in optimizing outcomes for this vulnerable population. Tune in for a compelling discussion on bridging the gaps in neonatal cardiac care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLCEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services. Episode Timeline: 00:00 Welcome to First Bite00:29 A Day in the Life of a Pediatric Feeding Specialist01:31 University of Tennessee Lecture Experience04:11 Encouragement for Clinical Supervisors05:59 Introducing Tiffany Elliott06:41 Tiffany's Journey and NICU Experience19:09 Hospital to Home Systems Change23:39 Challenges in Early Intervention26:53 Barriers and Solutions in Washington State36:21 Personal and Professional Reflections40:12 Navigating Academia and Authenticity41:39 Balancing Productivity and Care in the NICU44:21 Challenges in Early Intervention Systems45:29 Continuity of Care and Billing Codes49:21 Training and Support for Caregivers51:59 Emotional Wellbeing and Feeding01:00:16 Practical Strategies for Caregiver Support01:11:38 Final Thoughts and Resources About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children's Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center's NICU SLP program and worked at Mary Bridge Children's Hospital.Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJMMentioned in this episode:School of Speech is Back!!Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Send us a textIn this special episode of The Incubator Podcast, Ben and Daphna welcome Dr. Malathi Balasundaram and Morgan Kowalski, key members of the Family-Centered Care (FCC) Task Force, to discuss the growing movement towards integrating families as active partners in neonatal care.Dr. Balasundaram, a neonatologist and chair of the FCC Task Force, explains that family-centered care goes beyond simple parental involvement—it requires caregivers to be equal members of the NICU team, engaged in every stage from antenatal care to discharge and beyond. Despite decades of evidence proving its benefits, family-centered care is still inconsistently implemented in many NICUs. The FCC Task Force was created to bridge this gap, providing hospitals with the resources, mentorship, and support needed to build or strengthen their programs.Morgan Kowalski, a former NICU parent turned program manager, shares her powerful personal experiences that shaped her advocacy. She describes how her active participation in her son's care directly impacted his outcomes, underscoring the life-saving role of informed and engaged parents. She also highlights the Task Force's rapid global growth, now spanning over 1,400 members across 46 countries, and the impact of its webinars, mentorship programs, and policy initiatives.This episode sheds light on the urgent need for cultural and systemic change in neonatal care. As more hospitals recognize that parents are not visitors, but essential caregivers, the FCC Task Force continues to push for widespread adoption of family-centered policies that improve both infant and family outcomes.Tune in to learn how this movement is revolutionizing NICU care and how you can be part of the change!  As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textBem-vindos ao 50º episódio do Podcast A Incubadora!

Guest: Dr. Bob White Neonatologist Director of the Regional Newborn Program, Beacon Health System Adjunct Professor, University of Notre Dame   CEU objectives for this episode: Name two design elements that were the norm for NICUs 30 years ago. List two ways in which redesigned NICUs are helping improve outcomes of neonates. Explain how NICU design standards are developed. This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire. It is the sole responsibility of the individual to verify if this credit is valid and eligible for use in your State and/or for your discipline for licensure or certification renewal.  

Send us a textIn this week's Journal Club, Ben and Daphna discuss six impactful studies shaping neonatal care. The conversation opens with a retrospective study exploring the timeline and factors influencing liberation from respiratory support in infants with severe bronchopulmonary dysplasia (BPD), offering valuable insights for parental counseling and care planning. A survey on enteral nutrition practices in U.S. NICUs highlights variability in feeding protocols and fortification strategies, with an encouraging trend toward donor milk use.The hosts then delve into a study on anti-seizure medication protocols, showing how structured pathways can significantly reduce the number of infants discharged on these medications. A European survey on anemia of prematurity reveals wide variations in iron supplementation and erythropoietin use, emphasizing the need for standardized practices. They also review a commentary on the evolving design of NICUs, which warns against sensory deprivation and advocates for balancing protective and nurturing environments.Finally, the discussion turns to a Spanish study on bemiparin, a low molecular weight heparin for neonatal thrombosis. While safe, the treatment faces challenges in achieving full thrombus resolution, highlighting the complexities of managing neonatal clotting disorders. Packed with insights and updates, this episode is a must-listen for neonatal professionals. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textSupplemental Iron and Recombinant Erythropoietin for Anemia in Infants Born Very Preterm: A Survey of Clinical Practice in Europe.Reibel-Georgi NJ, Scrivens A, Heeger LE, Lopriore E, New HV, Deschmann E, Stanworth SJ, Carrascosa MA, Brække K, Cardona F, Cools F, Farrugia R, Ghirardello S, Krivec JL, Matasova K, Muehlbacher T, Sankilampi U, Soares H, Szabó M, Szczapa T, Zaharie G, Roehr CC, Fustolo-Gunnink S, Dame C; Neonatal Transfusion Network.J Pediatr. 2025 Jan;276:114302. doi: 10.1016/j.jpeds.2024.114302. Epub 2024 Sep 13.PMID: 39277077 Free article. Enteral nutritional practices in extremely preterm infants: a survey of U.S. NICUs.Romero-Lopez M, Naik M, Holzapfel LF, Tyson JE, Pedroza C, Ahmad KA, Rysavy MA, Carlo WA, Zhang Y, Tibe C, Salas AA.J Perinatol. 2024 Dec 9. doi: 10.1038/s41372-024-02198-6. Online ahead of print.PMID: 39653781 No abstract available.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textEnteral nutritional practices in extremely preterm infants: a survey of U.S. NICUs.Romero-Lopez M, Naik M, Holzapfel LF, Tyson JE, Pedroza C, Ahmad KA, Rysavy MA, Carlo WA, Zhang Y, Tibe C, Salas AA.J Perinatol. 2024 Dec 9. doi: 10.1038/s41372-024-02198-6. Online ahead of print.PMID: 39653781 No abstract available.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

We're thrilled to share a special episode drop from one of our producers, Kira Dineen, and her flagship podcast, DNA Today! As a multi award winning genetics podcast with over 12 years of groundbreaking episodes, DNA Today explores the latest in genetics and genomics through expert interviews and engaging discussions.    To celebrate the new year, this episode reflects back on the top genetics and genomics news stories during 2024. The top stories we chatted about are from the American Journal of Human Genetics' “Genomic medicine year in review: 2024” paper.    Joining Kira Dineen for this discussion are two leaders in genomics: Dr. Bruce Gelb and Dr. Eric Green. In this reflective conversation, Kira Dineen, Dr. Bruce Gelb, and Dr. Eric Green discusses the significant developments in genetics and genomics over the past year, including the recent American Society of Human Genetics (ASHG) conference. They explore themes such as variable expressivity, the integration of genomics in human genetics, and the importance of diversity in genomic research.    The discussion also highlights key publications in genomic medicine and the evolving landscape of genetic research, emphasizing the need for continued focus on prevention and the implications of polygenic risk scores. They converse about the evolving landscape of genomic medicine, highlighting key advancements in research, particularly in areas like hemochromatosis and CRISPR technology. They reflect on the rapid progress made in genomic sequencing, especially in newborns, and the transformative impact it has on healthcare, particularly in NICUs. The discussion emphasizes the importance of diverse studies and scalable solutions in genetic counseling, as well as the future potential of genomic medicine to save lives and improve health outcomes.    Top 2024 Genomic Medicine Advancements Testing and managing iron overload after genetic screening-identified hemochromatosis Actionable genotypes and their association with lifespan in Iceland Impact of digitally enhanced genetic results disclosure in diverse families Chronic disease polygenic risk scores for clinical implementation in diverse US populations Skeletal Muscle Ryanodine Receptor 1 Variants and Malignant Hyperthermia Treating inherited retinal disease with gene-editing Validation of a clinical breast cancer risk assessment tool for all ancestries Broader access to clinical genome sequencing benefits diverse individuals with rare diseases Benefits for children with suspected cancer from routine whole-genome sequencing Clinical signatures of genetic epilepsies precede diagnosis in electronic medical records   The Guests:    Bruce D. Gelb, M.D. is the Director and Gogel Family Professor of the Mindich Child Health and Development Institute at the Icahn School of Medicine at Mount Sinai. He is Professor of Pediatrics and of Genetics and Genomic Sciences. Dr. Gelb completed a pediatric residency and pediatric cardiology fellowship at Babies Hospital of Columbia-Presbyterian Medical Center and Texas Children's Hospital at the Baylor College of Medicine, respectively. He joined the faculty at Mount Sinai in 1991 after fellowship and has remained there since. He developed and now oversees an extensive program in genomics/gene discovery for congenital heart disease. Dr. Gelb has received the E. Mead Johnson Award from the Society for Pediatric Research and the Norman J. Siegel New Member Outstanding Science Award from the American Pediatric Society. He was elected to the American Society of Clinical Investigation and the National Academy of Medicine (formerly, the Institute of Medicine). Dr. Gelb is the President for the American Pediatric Society, Immediate Past President for the International Pediatric Research Foundation and Treasurer-Elect for the American Society of Human Genetics. In addition to his research, he co-directs the Cardiovascular Genetics Program at Mount Sinai.   Dr. Eric Green is the director of the National Human Genome Research Institute (NHGRI) at the U.S. National Institutes of Health (NIH). As NHGRI director, Dr. Green leads the Institute's research programs and other initiatives. He has played an instrumental leadership role in developing many high-profile efforts relevant to genomics. Dr. Green received his B.S. degree in bacteriology from the University of Wisconsin - Madison in 1981, and his M.D. and Ph.D. degrees from Washington University in 1987. Coincidentally, 1987 was the same year that the word “genomics” was coined. Dr. Green's relationship with the Institute began long before his appointment as director. He served as the Institute's scientific director (2002 - 2009), chief of the NHGRI Genome Technology Branch (1996 - 2009) and founding director of the NIH Intramural Sequencing Center (1997 - 2009). Prior to that, he played an integral role in the Human Genome Project. Dr. Green is a founding editor of the journal Genome Research (1995 - present) and a series editor of Genome Analysis: A Laboratory Manual (1994 - 1998), both published by Cold Spring Harbor Laboratory Press. He is also co-editor of Annual Review of Genomics and Human Genetics (since 2005). Throughout his career, he has authored and co-authored over 385 scientific publications.    Dr. Green is a recurring guest on DNA Today, and he might hold the title as the guest who has been on the show the most times! He was featured on Episode #182 when we chatted about the Human Genome Project and the recent completion of the human genome sequence -- from telomere to telomere. Dr. Green was a panelist on the PhenoTips Speaker Series installment that our host Kira Dineen moderated about population genomics in clinical practice, this was also released on the DNA Today podcast feed as Episode #260. He was also on the last couple years for our genetics wrapped 2022 (#214) and 2023 (#263).    Be sure to subscribe to DNA Today wherever you get your podcasts to explore hundreds of episodes on topics ranging from genetic counseling to cutting-edge research in genomics. New episodes are released every Friday. In the meantime, you can binge over 300 other episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Today”. Episodes since 2021 are also recorded with video which you can watch on our YouTube channel, this includes some episodes recorded at NBC Universal Stamford Studios.    DNA Today is hosted and produced by Kira Dineen. Our video lead is Amanda Andreoli. Our social media lead is Kajal Patel. Our Outreach Intern is Liv Davidson. And our logo Graphic Designer is Ashlyn Enokian, MS, CGC.    See what else we are up to on Instagram, X (Twitter), Threads, LinkedIn, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to info@DNAtoday.com. 

Send us a textIn this episode of Tech Tuesday on The Incubator Podcast, Dr. Daphna Yasova Barbeau sits down with Ben Moore, founder of VCreate, a multi-award-winning clinical video management platform. VCreate bridges the gap between families and neonatal care teams by enabling the creation and sharing of secure video updates, fostering family engagement during NICU stays. The conversation delves into the origins of VCreate, inspired by a father's request to stay connected with his baby through video, and its rapid adoption by over 150 hospitals globally.Ben highlights VCreate's innovative features, including personalized video diaries, milestone recordings, and its HIPAA-compliant, secure platform. Families receive positive updates like their baby's first bath or coming off a ventilator, easing anxiety and strengthening bonds with clinical teams. The episode also explores VCreate's multi-language translation capabilities and digital tools, like parent passports and therapy follow-ups, which further enhance communication and care.Dr. Yasova Barbeau emphasizes the transformative impact of VCreate in addressing the emotional and practical needs of families during stressful NICU journeys. To learn more or schedule a demo, listeners are encouraged to visit vcreate.tv. This episode sheds light on how technology is revolutionizing family-centered neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Today Heidi interviewed Mary Farrelly, also known as the NICU translator. Here is a little more about Mary Farrelly and this episode. In Mary's words: "Hi, I am Mary Farrelly - a certified NICU nurse, nurse educator, doula and the founder of The NICU Translator where I help to bring more joy and less trauma to a NICU experience through empowered education and individualized support. In today's episode we discuss all things NICU including the different levels of NICU care, ways to prepare prenatally for a known NICU admission, tips for empowered parenting in the NICU and ways to support friends and family who experience a NICU stay."   3 Key takeaways from the podcast that listeners will learn today: The different levels of NICUs and common NICU diagnoses Ways to prepare prenatally for a potential NICU stay How to support a family experiencing a NICU stay   3 Keywords that people would want to search when looking for content that you would provide in this episode: NICU  NICU baby or NICU mom Preemie  Here are the links to items I mentioned in the episode: I am a NICU Mom: Coloring Through the NICU Journey A therapeutic coloring book designed for NICU moms by a fellow NICU mom and NICU nurse, offering a creative outlet and moments of calm during a stressful time. The NICU Notebook A practical tool for parents to organize medical information, track progress, and record memories during their baby's NICU stay. Hello, Little Love: A Letter from a Parent to Their Baby in the NICU This picture book celebrates the milestones of a NICU baby, offering encouragement and love to both parents and children. Cradles of Courage A heartwarming story that honors the bravery of NICU babies and their families, reminding them of their strength and resilience. NICU Milestone Cards: a simple, easy way to remember the positives of the NICU experience and celebrate them through photos.   Mary Farrelly RN, BSN, RNC-NIC - I am a certified NICU nurse, nurse educator and trained doula who lives in Central Virginia.    Ways families can work with me:  Free Life After NICU Community: a private and safe space for NICU families to connect with each other while also having access to expert support and guidance. 1:1 Virtual Post-NICU Doula Support: book a free 30 minute call to learn more about ways we can work together to troubleshoot your concerns and build a unique plan to create a post-NICU environment where you and your baby can thrive together. Navigating the NICU for Doulas Course: live virtual training will prepare doulas to be able to better support families through their NICU experience and transition home.  Free NICU Birth Plan template: completely customizable birth plan template addendum that will help families be able to navigate the unexpected feeling more confident and empowered in their choices.    Website: www.thenicutranslator.com Instagram: @thenicutranslator Facebook Group: The NICU Translator ___________________________________________________________________ We have seats available in Birth Story Academy. Join today for $20 off with code BIRTHSTORYFRIEND at https://www.birthstory.com/online-course   Resources: Birth Story Academy Online Course Shop My Birthing Workbooks and Guides   I'm Heidi, a Certified Birth Doula, and I've supported the deliveries of over one thousand parents in my career. On the Birth Story Podcast, I'll take you on a journey through your pregnancy by providing you education through storytelling. I provide high-level childbirth education broken down to make it super digestible for you because I know you are a busy person on the go. Plus, because I am so passionate about birth outcomes, you will hear from many of the top experts in labor and delivery. Connect with Me! Instagram YouTube Birth Story Boutique Doula + Pregnancy Concierge Services in Charlotte, NC Birth Story Media™ Website Pinterest  

La Nit dels Misteris és un viatge pel món desconegut que ens envolta. Us convidem a participar i compartir els grans enigmes i misteris. Amb Josep Anton i Josep Mª comprovarem que hi ha altres mons, dimensions quàntiques que apareixen i desapareixen amagades en el fons de l'Univers i els seus il·limitats deserts àrids. podcast recorded with enacast.com

Réécoutez l'Happy Hour DJ de Nicus The Disrupt du lundi 25 novembre 2024

This is Derek Miller, Speaking on Business. Minky Couture has grown from a heartfelt mission into a beloved brand of comfort and luxury with six Utah locations and a thriving online store. At its core, Minky Couture is all about comfort and community. Owner and Founder Sandi Hendry joins us with more. Sandi Hendry: Minky Couture began with a desire to bring comfort to those in need. In 2009, when my daughter became ill and was hospitalized, I longed for a way to bring her comfort in her recovery. Unable to find the perfect blanket to bring her solace, I created one myself – giving rise to Minky Couture, best blanket ever. After 30 years as a teacher, I knew that I wanted Minky Couture to positively impact as many lives as possible. We employ mothers as seamstresses, allowing them to work from home providing for their families and strengthening our communities. Our “Heart of Minky” program is another way we give back, donating thousands of Mini Minky blankets to NICUs across the country. These blankets bring warmth and comfort to premature babies and to their families during very difficult times. As Minky Couture, every blanket is made with the highest quality fabric, ensuring both softness and luxury for years to come. Derek Miller: Minky Couture is dedicated to making a difference, one blanket at a time, blending warmth, comfort and community impact. Learn more at their website, minkycouture.com. I'm Derek Miller with the Salt Lake Chamber, Speaking on Business. Originally aired: 11/21/24

On this week's episode, we welcome HeHe from Tranquility by Hehe, a doula and content creator in the birth education space. In this episode, we tackle the nuance of birth education, including how we approach conversations around birth education that support empowerment and autonomy while also leaving room for the unexpected - this is a complicated and sometimes messy conversation but we really wanted to tackle it. On this episode, you will hear:- Understanding birth trauma- Navigating healthcare provider relationships- The role of inductions - Finding balance in birth choices- Empowering through birth education- The importance of support systems- Navigating social media and birth conversations- Ideal maternity care and birth choicesYou can follow HeHe on Instagram: @tranquilitybyheheGuest Bio:Haley "HeHe" Stewart is the founder of Tranquility by Hehe Maternity Concierge, a company that helps birthing people manage their birth experience. She has a Master's degree in Human Development and Family Studies. HeHe started Tranquility by Hehe in 2016. She has learned how to support families going through NICU stays, and how to prepare clients for them. She has also witnessed the compassion and abuse that can occur in NICUs.For more birth trauma content and a community full of love and support, head to my Instagram at @thebirthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.

Send us a textBen and Daphna are joined by Dr. Sarah Swenson, Lisa Boyars, and Elizabeth Fisher, who share insights on addressing perinatal mood and anxiety disorders (PMADs) in the NICU. They discuss their CHNC workshop, "Nuts and Bolts of Screening and Brief Intervention for PMADs," which guides NICUs in implementing effective screening and intervention programs. Learn about the essential role of mental health support for NICU families, how screening can be adapted to any NICU setting, and the resources available to assist parents navigating PMADs.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textBen and Daphna welcome Dr. Briana Bertoni to discuss the CIQI Fellowship, a unique program for advancing quality improvement in neonatal care. Dr. Bertoni explains how the fellowship equips participants with hands-on experience in project development and implementation across diverse NICUs. From defining project metrics to learning the intricacies of nationwide QI initiatives, Dr. Bertoni shares insights into the mentorship and collaboration that make this fellowship a standout experience. Listen to learn more about the critical role of CIQI in neonatal quality improvement and how fellows contribute to transformative care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna welcome the CHNC team—Anthony Piazza, Eugenia Pallotto, and Beverly Brozanski—to discuss quality improvement (QI) priorities in neonatal care. They delve into how QI initiatives at CHNC set project priorities and leverage data to support patient outcomes across diverse NICUs. From the challenges of Project Home, aimed at increasing breastfeeding at discharge, to exploring social determinants of health, this episode highlights the power of collaborative QI in addressing real-life challenges for NICU families and standardizing care practices nationwide.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Réécoutez FG Chic Mix avec DJ Nicus The Disrupt du dimanche 27 octobre 2024

Send us a textIn this heartwarming episode of Shine On Success, host Dionne Malush welcomes Brian Heilig, author of Breathe, Eat, Poop, and Grow: Your Micro Preemie Story. Brian opens up about his family's incredible journey through the birth of their micro-preemie son, Grayson, in Mexico, and how their unwavering faith, love, and community helped them navigate the challenges of preeclampsia, NICU life, and autism. Through moments of fear and hope, Brian and his wife, Diana, found the strength to persevere. Their story reminds us that even in the most uncertain times, resilience and courage can carry us through. All proceeds from Brian's book go toward helping Mexican hospitals equip their NICUs with life-saving incubators. Tune in to hear an inspiring tale of survival, faith, and the enduring human spirit.Connect with Brian here:Website: https://brianheilig.com/Instagram: https://www.instagram.com/briansheilig/Tiktok: https://www.tiktok.com/@micropreemiedadFacebook: https://www.facebook.com/p/Brian-Heilig-Writer-100071310040183/Get the book on Amazon: https://www.amazon.com/Breathe-Eat-Poop-Grow-Micro-Preemie/dp/B0CXTZSC1WConnect with Dionne Malush Instagram: @dionnerealtyonepgh LinkedIN: /in/dionnemalush Website: www.dionnemalush.com Facebook: /dmalush LinkTree: https://linktr.ee/dionnemalush

For every 10 babies born across the world one will be preterm and the fate of these tiny babies is often very uncertain. They are kept alive by science, care, and luck. Time in a neonatal unit can be a stressful and unpredictable time. We meet the people who are creating equipment and aids to create a kinder experience for both parents and babies alike to give them a better start in life. People like the founder of the Danish Octo Project, which kickstarted a movement across the world crocheting tiny Octopus toys to emulate the umbilical cord for premature babies, the engineer who kept her baby alive when the neonatal unit housing her son lost power in a devastating storm, leading to a remarkable invention. Finally, the foundation bringing purple butterflies to NICUs across the UK to help identify surviving children of multiple births.

We all are aware that multiple adverse obstetrical outcomes have been linked to maternal obesity, such as stillbirth, preterm birth, NICUs admission, and congenital anomalies. But once delivery and hospital discharge occurs uneventfully, a new cohort study is raising the alarm for another possible adverse event up until the child's first year of life: Sudden Unexpected Infant Death (SUID). SUID is devastating. In this episode we will review this new publication, which is making medical headlines. This was published on July 29th, 2024 in JAMA Pediatrics. We'll put this association between maternal obesity and SUID in perspective and summarize the key findings of this alarming data.

Have you ever wondered what it truly takes to support perinatal mental health in our communities? This week's episode goes into just that, featuring expert Kristina Ledlow, who emphasizes the power of community in addressing mental health needs for new mothers. Kristina and Dr. Lia explore the revolutionary risk assessment tool developed by Nancy Roberts, stressing the importance of concrete data in securing sustainable funding and resources. They discuss key strategies for overcoming perinatal mental health disparities, such as finding champions and building coalitions. Christina shares her vision of establishing a perinatal and infant mental health center, aiming to prioritize this crucial issue on both national and international levels. The conversation also explores the negative effects of healthcare silos and the transformative impact of interdisciplinary teamwork.Furthermore, they tackle pressing issues like social media pressures, mommy shaming, and the fear surrounding perinatal mental health medications. Christina provides invaluable insights into creating a postpartum plan, leveraging support systems, and the indispensable role of partners. From online support groups through Postpartum Support International (PSI) to dedicated resources in multiple languages, this episode is a comprehensive guide to improving perinatal mental health for all. [05:27 -14:30] The Importance of Community and Data Risk Assessment Tool: Discussion on Nancy Roberts' risk assessment tool, highlighting the significance of obtaining tangible numbers and statistics.Championing the Cause: Finding champions, leveraging clout, and building coalitions are essential for addressing perinatal mental health disparities.Sustainable Funding: Emphasizes the need for sustainable funding beyond grants.Communication and Collaboration: Impacts of interdisciplinary teamwork in healthcare, importance of breaking down silos.[14:31 - 23:38] The Role of Therapy and Medication Medication During Pregnancy: Concerns about medication during pregnancy and the benefits of therapy and medications in treatment.Postpartum Plan: Creating a postpartum plan prioritizing sleep, nutrition, and support from visitors.Online Support Groups: Availability of online support groups through PSI, offering spaces of unconditional acceptance and healing.Mental Health Hotline: Use of resources like PSI's consult lines and maternal mental health hotlines that support in various languages.[23:39 - 34:13] Addressing Disparities and Systemic RacismSystemic Racism's Impact: Impact of systemic racism, lack of healthcare access, and generational trauma.NICU Family Stress: Stress experienced by families of color in NICUs and the need for inclusive care.Healthcare Professional Support: Role of healthcare professionals in supporting parents and infants, involving families in decision-making.PSI Support Groups: Online support groups for partners, LGBTQ+ individuals, and Spanish-speaking groups for better inclusivity..[34:14 - 46:19] Building a Community-centric Postpartum ProgramLocal and National Aspirations: Sharing aspirations for establishing a local perinatal and infant mental health center and advocating on a larger scale.Postpartum Challenges: Common challenges for new parents: lack of sleep, postpartum expectations, and pressures from social media.Postpartum Planning: Encouragement to create a postpartum plan and make use of resources like the free postpartum planning class.Role of Partners: Discussing the critical role of dads and partners in supporting new mothers and...

Send us a Text Message.In this Tech Tuesday episode of the Incubator podcast, Ben and Daphna engage in an enlightening conversation with Dr. Shama Patel, a neonatologist and clinical informaticist at Nationwide Children's Hospital. Dr. Patel sheds light on the pressing issues surrounding electronic medical record (EMR) systems and documentation practices in neonatology. She addresses the problem of "note bloat," where progress notes become excessively long and filled with redundant information, contributing to physician burnout and potential errors in patient care. Dr. Patel shares her innovative work in creating a more efficient and relevant patient review screen in Epic, tailored explicitly for neonatology, and discusses the development of a new progress note template aimed at reducing documentation burden while improving accuracy.The conversation delves into the importance of having dedicated informaticists in each medical division to continuously improve EMR workflows. Dr. Patel envisions a future where all NICU progress notes follow a standardized format, enabling better communication and data analysis. She emphasizes that improving EMR systems is an ongoing process that requires cultural change within medical teams. The hosts and Dr. Patel explore the potential for standardized documentation practices across NICUs to enhance patient care and facilitate research, as well as the future possibilities for using AI in medical documentation. The episode concludes by highlighting the career opportunities in clinical informatics for young medical professionals and the potential for this work to significantly impact patient care, physician well-being, and medical research. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a Text Message.In this episode of the Incubator podcast, Ben interviews Bryan King, an experienced respiratory therapist and educator in neonatal and pediatric care. Bryan shares his journey into respiratory therapy, which began unexpectedly after initially pursuing x-ray technology. He discusses his passion for working in the NICU and the challenges of treating increasingly smaller premature infants.The conversation delves into the evolution of neonatal respiratory therapy, focusing on the impact of surfactant and antenatal steroids in improving infant lung compliance. Bryan emphasizes the importance of avoiding lung hyperexpansion in nano-premies and discusses various ventilation strategies, including volume-targeted ventilation, high-frequency ventilation, and pressure support.Bryan shares insights on selecting appropriate ventilation modes and settings, stressing the need to adapt strategies based on individual patient responses. He advocates for having a diverse set of tools and modalities available in Level 4 NICUs to provide comprehensive care and education.The interview also touches on the challenges of weaning patients from ventilators and the importance of considering long-term outcomes rather than focusing solely on immediate blood gas results. Bryan discusses his experience as a non-physician educator teaching physicians and emphasizes the value of lifelong learning in the medical field.Throughout the conversation, Bryan shares valuable tips for respiratory care, including the importance of encouraging spontaneous breathing, understanding ventilator feedback, and being open to trying different approaches when standard methods aren't effective. He also mentions his current project of writing a book about his experiences as an educator in the field of neonatal ventilation.The episode provides a wealth of knowledge for healthcare professionals working in neonatal and pediatric respiratory care, emphasizing the importance of adaptability, continuous learning, and patient-centered approaches in this rapidly evolving field. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Réécoutez l'Happy Hour DJ de Nicus TheDisrupt du lundi 17 juin 2024

Tirza Jova, the CEO and founder of Milk by Mom, shares her journey of discovering freeze-dried breast milk and how it inspired her to start her company. She discusses the nutritional benefits of freeze-dried breast milk and the convenience it offers to breastfeeding mothers. Tirza also talks about the challenges of parenthood, the importance of self-care, and the value of setting boundaries for children. She emphasizes the need for parents to stay true to themselves and find something that brings them joy and fulfillment. Milk by Mom is a company that offers breast milk freeze drying as a storage method for breastfeeding mothers. The process involves freeze drying the breast milk using low heat, which preserves the nutrients and antibodies. The freeze-dried breast milk is then turned into a powder form that can be reconstituted with water. Some common misconceptions about freeze-dried breast milk include confusing it with dehydration and thinking that there is not enough evidence to support its use. Milk by Mom ensures the safety and quality of the freeze drying process through stringent protocols and compliance with FDA guidelines. The nutritional benefits of freeze-dried breast milk include preserving the nutrients and antibodies without the decline in nutrition that occurs with freezing. Milk by Mom sets itself apart from other storage solutions by having a facility exclusively dedicated to processing breast milk and a commitment to supporting and educating mothers. They aim to grow their business and make freeze-dried breast milk more widely available, especially in NICUs. They also hope to overcome challenges such as the cost of shipping. Feedback from healthcare professionals has been mostly positive, with some skepticism that can be addressed through providing clinical evidence. Advice for mothers considering freeze-dried breast milk is to do their research and choose a reputable company. Milk by Mom is dedicated to supporting mothers and providing them with a valuable and convenient option for storing breast milk.@milkbymomMilk by Mom

My guest this week is retired neonatologist and author, Kaye Drew White. She shares her journey through the male-dominated medical field during a time when sexism and racism were rampant issues. Her memoir, Stress Test, is set to release on June 7th, provides an insightful look into the challenges she faced as a woman in medicine and offers advice for young women pursuing similar careers.Key Points from the Episode:The struggles of being a female doctor in a male-dominated environmentPersonal tragedies that occurred while learning to be a doctorInsights into daily life in the NICU (Neonatal Intensive Care Unit)Experiences dealing with sexism early in her careerHow societal changes have impacted women's roles and rights over timeThe importance of controlling one's reproductive health for career advancement Reflections on writing as therapy and energy revitalization post-retirement Kaye discusses how her personal experiences influenced her decision to specialize in neonatology, including childhood influences and guidance from mentors during residency. She also touches upon facing discrimination both due to gender within medical school settings as well as serving underprivileged communities.Listeners will gain an understanding of what it was like practicing medicine across different hospital environments - from large units at Holy Cross Hospital to smaller NICUs like Shady Grove Adventist Hospital - managing anywhere between 20 to 30 babies at any given time.The episode delves into serious topics such as coping with patient loss, malpractice fears, navigating emotional traumas alongside professional responsibilities, balancing work-life pressures especially amidst recent public setbacks regarding women's healthcare rights following Roe v Wade reversal implications.Kay is a good story teller and speaks with compassion about all that she was faced with, societal, personal, and professional.You can learn more about Kay and her writings here.

Send us a Text Message.In this exciting episode of The Incubator podcast, hosts Ben and Daphna Barbeau dive into the promising world of artificial intelligence (AI) in neonatology. They are joined by special guests Dr. James Barry, medical director of the University of Colorado Hospital NICU, and Dr. Ryan McAdams, professor and chief of the Division of Neonatology and Newborn Nursery at the University of Wisconsin. Both guests are co-chairs of the Steering Committee for NeoMind AI, a collaborative focused on advancing neonatal machine learning innovations, development, and artificial intelligence.The conversation explores the potential of AI to revolutionize neonatal care by leveraging the vast amounts of data generated in NICUs to improve outcomes, optimize care delivery, and enhance medical education. Dr. Barry and Dr. McAdams provide insights into the current state of AI in neonatology, the importance of collaboration in AI research, and the ethical considerations surrounding this technology.NeoMind AI is introduced as an inclusive learning collaborative that aims to break down silos between organizations, educate neonatologists about AI, and foster collaboration on common data platforms. The guests emphasize the importance of clinician involvement in AI development and application to ensure safe, effective, and unbiased implementation.This episode offers a fascinating look at the future of neonatology and the role AI will play in transforming the field. It serves as an invitation for listeners to join the NeoMind AI community and contribute to this exciting new frontier in neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Canadian journalist Nora Loreto reads the latest headlines for Thursday, April 18, 2024.TRNN has partnered with Loreto to syndicate and share her daily news digest with our audience. Tune in every morning to the TRNN podcast feed to hear the latest important news stories from Canada and around the world.Find more headlines from Nora at Sandy & Nora Talk Politics podcast feed.Help us continue producing radically independent news and in-depth analysis by following us and becoming a monthly sustainer.Sign up for our newsletterLike us on FacebookFollow us on TwitterDonate to support this podcastReferenced articles:Story 1 - 14 out of 15 drug poisoning deaths in Windsor-Essex were related to fentenyl.Story 2 - The Ontario Legislature's speaker MPP Ted Arnott bans Keffiyehs as being political symbols. Story 3 - Crisis in Alberta's NICUs spurns doctors to call for action; minister floats idea of airlifting infants in critical care to other provinces.Story 4 - Private citizen to be questioned over ArriveCan app by the House of Commons for the first time in 100 years after Kristian Firth was found in contempt. Story 5 - Pakistan blocked out social media just before and just after the elections, in a move meant to harm Imran Khan's chances. Story 6 - 1 in 5 Palestinians living in the occupied territories have been arrested, a rate that is doubled when only men are concerned. Yesterday marked Palestinian Prisoners' Day.

In this episode of the Incubator Podcast, Ben and Daphna discuss maternal mental health with Maureen Fiora, CEO of Mammha, a femtech startup aimed at revolutionizing maternal mental health care. Mammha focuses on addressing postpartum and perinatal depression by improving identification, diagnosis, referral, and treatment processes. Maureen shared her personal journey, highlighting the significant gaps in current healthcare systems regarding maternal mental health, emphasizing that less than 20% of physicians screen for these conditions. She detailed how Mammha streamlines screening with technology and ensures that women who screen positive receive comprehensive follow-up care, overcoming the usual fragmentation in care pathways.The conversation also touched on the importance of screening in NICUs due to the heightened vulnerability of parents there, with Mammha capturing significant data on both mothers and fathers experiencing mental health issues. Maureen explained how Mammha operates, starting with provider-initiated screening using QR codes and validated tools, to engaging care coordinators for immediate follow-up. The company's success stories include partnerships and awards for their innovative approach to closing care gaps, especially among underserved populations.Mammha's model has significantly increased engagement and follow-up care for screened parents, showcasing a promising pathway to better maternal mental health outcomes. Maureen's background in policy and advocacy, combined with personal experience, positions her uniquely to lead this initiative, aiming to make a tangible difference in the lives of parents navigating the challenges of mental health during the perinatal period. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Noche de previa con el regreso de la competición fetiche de nuestro equipo. Analizamos el duelo con el Leipzig y nos ponemos en precedentes de esta temporada para evaluar el potencial futbolístico de un bloque que no parece ceder ante las dificultades. Elenco familiar para hablar de fútbol en casa: @aYepes_93 @JJPurriM @alpr97 *Meritocracia Blanca no se hace responsable de las opiniones de sus colaboradores Nos podéis seguir en: Web: https://meritocraciablanca.com/ Twitter/Facebook: @MeritoRMCF Twitch: www.twitch.tv/meritocraciablanca

This week, journal club covers a wide variety of topics including: A trial on using sildenafil for brain injury in neonates with hypoxic-ischemic encephalopathy (HIE). The safety and feasibility of sildenafil as a restorative treatment are explored.The effectiveness of NIR-CIVIMAB for RSV prevention in infants. The focus is on reducing hospitalizations due to RSV-associated lower respiratory tract infections.The impact of antenatal corticosteroid treatment during late preterm periods on neonatal outcomes, especially in twin pregnancies.A study on energy drink intake before and during pregnancy and its association with adverse pregnancy outcomes.Jennifer Canvasser's meeting with the FDA regarding probiotic use in NICUs and the implications of recent FDA warnings.Research on early and exclusive enteral nutrition in preterm infants, the time taken to reach target cooling temperature in infants with HIE, and the potential role of blood transfusions in bronchopulmonary dysplasia.These topics are critically analyzed and discussed, providing insights into current neonatal care practices and research developments. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Special guests, Melissa House and Megan Legoski, will share their unique insights and experiences to shed light on this complex yet essential topic. We're taking a deep look at Perinatal Mood and Anxiety Disorders (PMAD) focus group and the concerted efforts to improve mental health care for parents in our NICUs. We'll be discussing their ambitious project to survey Level 4 referral centers to assess their mental health support and how validated screens are deployed to detect mood disorders and depression among parents. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

On this week's episode, we are joined by Nurse Tori BSN RNC-NIC. Tori is a NICU nurse who shares openly on social media. Tori went directly from graduation into a level 4 NICU and has worked in NICUs for 10 years. Things you will hear about on this episode:- Differences between NICU levels.- The importance of getting to know your team in the NICU.- Communication in the NICU.- Personalizing your space in the NICU to help make it feel more comfortable.- Good preemie clothing brands.- Journaling to your baby .- Coping with an intense work environment.- The importance of self-care as a NICU parent.Guest Bio: Nurse Tori Meskin is a Registered Nurse with over 8 years of nursing experience specializing in neonatal and pediatric critical care and has served as a specialty NICU & Pediatric Critical Care trained nurse serving patients in the Los Angles and Orange County areas providing direct patient care, leadership, consultation, education and patient care management expertise for the complex neonatal & pediatric patient populations. She has worked for Children's Hospitals and University Hospitals in Level IV NICU, Trauma I centers, and consulting centers. As a new nurse, she completed a 20-week RN Versant Residency Program. She is trained to work in specialized areas; Small Baby Unit, Body Cooling Team, & Surgical NICU (Cardiothoracic, Gastrointestinal, Neurosurgical, & Congenital anomalies etc.)Tori graduated from The University of Arizona (beardown) with a dual major in Nursing and Psychology. Currently, Tori is obtaining a Master's Degree in Nursing Leadership sharpening leadership skills, enhancing research expertise, driving evidence-based research forward, and becoming a true leader in this space.You can find Nurse Tori on Instagram: @nurse.tori_For more birth trauma content and a community full of love and support, head to my Instagram at @birthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.

The person that spends the most time with your child is likely a NICU nurse. NICU parent, former NICU nurse and current director of NICU nursing, Dr. Lisa Davenport, and I have an honest conversation about the highs and lows of nursing, what things have changed and how parents can have the best relationship possible with their baby's NICU nurse.   In this episode, we chat about:   Of all the professions, why nursing and why NICU nursing? What differentiates a NICU nurse from a pediatric or ICU nurse? What are some of the first things a family can expect from their NICU nurse? Can you explain a "primary nurse" and what that means to a family? Share a bit about the family's access to their NICU nurses. If a family has a difficult relationship with their NICU nurse, what should they do? What are some of the key things NICU nurses do to be more effective in the NICU environment? What's something that we're doing now in NICUs that we weren't when you first started? How has it changed the outcomes? Let's talk about this "golden hour" you championed. What's the best part about your job? Most challenging?   Dr. Lisa Davenport is a former NICU parent and the Director of Nursing for Texas Children's NICU in Houston, Tex. Lisa's experience as a NICU bedside nurse for 9 years fueled her passion for becoming a quality driven and people centric nursing leader. Additionally, Lisa serves as faculty for Texas Tech Health Science Center School of Nursing.   Connect with Dr. Davenport: LinkedIn: https://www.linkedin.com/in/lisa-davenport-dnp-rn-rnc-nic-5363b075   The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook: https://www.facebook.com/handtohold Instagram: https://www.instagram.com/handtohold/   Twitter: https://www.twitter.com/NICUHandtoHold YouTube: https://www.youtube.com/HandtoHold    The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license  

Katie Taylor, Co-founder and CEO, Child Life On Call Disclosure: The speaker in this interview is the owner and CEO of a company providing services to NICUs and families. This affiliation does not influence the presentation's educational content value or impact its CEU eligibility.   In this episode: Explain at least three ways that the role of a child life specialist differs from a nurse, and when to refer a parent for these services List two activities/strategies a child life specialist might employ with siblings of an infant in the NICU to help them better understand what is happening Describe one tool or strategy that a NICU professional might use to help diffuse a situation if child life is unavailable This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire.   Resources: https://childlifeoncall.com/comfort-positioning-guide/ https://childlifeoncall.com/parents/ Instagram: https://www.instagram.com/childlifeoncall Facebook: https://www.facebook.com/childlifeoncall Website: https://childlifeoncall.com/   The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook: https://www.facebook.com/handtohold Instagram: https://www.instagram.com/handtohold/   Twitter: https://www.twitter.com/NICUHandtoHold YouTube: https://www.youtube.com/HandtoHold    The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license  

In this episode, Dr. Mark Bergeron, Medical Director of Digital Health Transformation at Children's Minnesota, discusses their neonatal virtual care program. He explains how the program increases access to critical care patients in rural areas and its growth throughout the upper Midwest. Dr. Bergeron highlights the need for such services as hospitals struggle to recruit providers with neonatal experience. Additionally, he explores how the program streamlines transfers to Children's Minnesota's NICUs and its impact on expanding specialized care in rural and regional hospitals.

In this episode, Dr. Mark Bergeron, Medical Director of Digital Health Transformation at Children's Minnesota, discusses their neonatal virtual care program. He explains how the program increases access to critical care patients in rural areas and its growth throughout the upper Midwest. Dr. Bergeron highlights the need for such services as hospitals struggle to recruit providers with neonatal experience. Additionally, he explores how the program streamlines transfers to Children's Minnesota's NICUs and its impact on expanding specialized care in rural and regional hospitals.

In this episode, I am joined by Jaime Perez, she is the founder of Thriving Joy Pediatric Therapy, LLC in Tampa, FL offering mobile therapy services in homes and daycares. She is an ASHA certified Speech Language Pathologist, passionate feeding specialist, and mother of two crazy boys. She is also a Certified Neonatal Therapist, Certified Neonatal Massage Therapist, Certified Lactation Counselor in training, and has been treating medically complex infants and children in hospitals and NICUs for over 10 years.

Trigger warning: In this episode we talk about death and dying.   Sometimes, families leave the hospital without their NICU baby. Misti Staley shares about the beautiful life of her son and how the challenges they encountered during his care inspired her to honor his memory after his passing. That outgrowth of generosity is now blessing NICUs and their families around the world.   In this episode, we chat about: Freeman's birth. What devices/assistance came home with him and how did you adapt to those changes? What is the Freearm and how did the idea of it come about?  What were some of the challenges (design or otherwise) you encountered when designing and marketing it? How do you think this device can honor Freeman's memory? What's your best advice to a NICU mom who is stressed about the devices or assistance her baby is discharged with?   Misti Staley's son Freeman was born in 2015 after a healthy pregnancy, but after birth, Misti learned of his many medical complexities. Freeman spent 3.5 months in the NICU, was home for 5 weeks and then spent 5 long months in the PICU, before sadly losing his battle with pulmonary hypertension at 10 months old. After Freeman's passing, Misti built Freeman Playground in Helena, Arkansas; an ADA playground with ramps and a poured in place rubber surface. Through all that Misti learned through Freeman's tube feeding journey, Misti also created the FreeArm- a tube feeding device that holds gravity syringe feeds, pump feeds and infusions at the hospital home and on-the-go. Freeman's legacy of love continues through Freeman Playground and the FreeArm.   Connect with Misti: Facebook: www.facebook.com/freemanplayground/ Facebook:  www.facebook.com/FreeArm Instagram: www.instagram.com/freearm.tube.feeding.assistant/ LinkedIn: www.linkedin.com/company/staley-house-llc-creator-of-the-freearm/ LinkedIn: /www.linkedin.com/in/mististaley/   Learn more about FreeArm: https://freearmcare.com/    Find additional “fun” products to help your medically fragile child: https://freearmcare.com/friends    The NICU is hard. We're here to help.   Hand to Hold is a national nonprofit dedicated to providing neonatal intensive care unit (NICU) parents with personalized emotional support, educational resources and community before, during and after their baby's NICU stay. NICU support is available at no cost to NICU parents in English and Spanish.   Connect with Hand to Hold: Learn more or get support at handtohold.org   Follow Hand to Hold on social media: Facebook: https://www.facebook.com/handtohold Instagram: https://www.instagram.com/handtohold/   Twitter: https://www.twitter.com/NICUHandtoHold YouTube: https://www.youtube.com/HandtoHold    The following music was used for this media project: Music: Thriving Together [Full version] by MusicLFiles Free download: https://filmmusic.io/song/10332-thriving-together-full-version License (CC BY 4.0): https://filmmusic.io/standard-license   Music: Bright Colors Of Life by MusicLFiles Free download: https://filmmusic.io/song/7855-bright-colors-of-life License (CC BY 4.0): https://filmmusic.io/standard-license  

For the 49th episode on the Empowering NICU Parents' Podcast, we review necrotizing enterocolitis (NEC) which is a life-threatening newborn condition that involves ischemia and inflammation of the bowel. Necrotizing Enterocolitis is a complex disease that despite decades of research, is still not well understood. The evidence continues to support the concurrent presence of several factors that when combined with a trigger, may lead to a disruption of the normal intestinal bacterial flora followed by an altered inflammatory host response. On this episode, you will learn what factors place infants, especially premature infants, at an increased risk to develop NEC. The common clinical symptoms that infants present with once they develop NEC will be reviewed as well as when they are most likely to occur. Additionally, we touch on some of the subtle behavioral changes infants may display at the onset of the disease that are often most obvious to the parents. Next, the diagnostic tests and labs that are typically done once NEC is suspected will be reviewed followed by a description of the Bell staging system which is used to provide a more uniform clinical definition for NEC. The typical management for NEC will also be discussed, followed by a review of some of the common preventative measures that have been put into place in NICUs today to continue to decrease the incidence of NEC. We close out the episode discussing what the prognosis and mortality rate is for infants who have been diagnosed with NEC. The episode is a great overall review of NEC that will be beneficial for NICU parents and clinicians. Start listening now and get ready to be empowered! Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Newborn Holiday Cards: https://empoweringnicuparents.com/shop/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/shownotes/Episode 49 Show Notes: https://empoweringnicuparents.com/episode49Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

For our 47th podcast episode, I review some of the general benefits of maternal breast milk and why it is so important for all infants, but especially those who are critically ill and in the NICU, to receive maternal milk. Human milk, often referred to as liquid gold, is considered the gold standard feeding plan for all infants. Maternal human milk provides many nutritional advantages for infants, but it is also advantageous in non nutritional aspects as well. Unfortunately, NICU mothers face additional barriers that make it more difficult for them to effectively express their milk and ultimately breastfeed. Data has shown that for all NICU infants, whether preterm and/or critically ill, receive less than 20% of their own mother's milk at 6 months of age, most commonly due to insufficient maternal milk production. Mothers whose infants are admitted to the NICU are faced with both physical, emotional, mental, and social inhibiting circumstances that make it much more difficult for them to not only establish their milk supply, but also maintain it. There are also significant racial disparities that exist and human milk provision is lowest among non-Hispanic Black and American Indian/Alaska Native populations. It is the standard of care for most NICUs to utilize Donor Human Milk (DHM) as an alternative or to help bridge the gap for infants when the mother's breast milk is either not available or there is insufficient volume. Although donor breast milk is a great option that is beneficial, it does not have the same overall protective mechanisms and bioactivity as the mother's milk. In the episode, we review what some of the common barriers are for NICU mothers in their physical ability and desire to provide breast milk for their infant. I share recommendations on what we as NICU clinicians can do to educate, support, and guide all mothers in a culturally sensitive and supportive manner. By recognizing the common and individualized barriers for NICU mothers, we can share our knowledge in an empathetic and holistic manner. Therefore, mothers and their care partners are able to make an informed decision and one that has the potential to impact their infant while they are in the NICU and in the months and years that follow!Our NICU Roadmap: A Comprehensive NICU Journal:https://empoweringnicuparents.com/nicujournal/Finn + Emma: http://shrsl.com/2py7dNICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Newborn Holiday Cards: https://empoweringnicuparents.com/shop/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/shownotes/Episode 47 Show Notes: https://empoweringnicuparents.com/episode47Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

What does EVOO (Extra Virgin Olive Oil) specifically do for the skin? What makes a good EVOO? Why is EVOO so much more than a buzzy, celebrity-endorsed skincare ingredient? Kim Walls is a fourth-generation entrepreneur, beauty formula pioneer, and Co-founder and CEO of Furtuna Skin. Born into beauty as the daughter of a renowned natural skincare founder, Kim grew up learning how to create topical healing formulations in her father's labs. After graduating from the University of California Santa Barbara, Kim studied biochemistry, skincare, and nutrition for two decades, focusing on the link between bio-hacking, bodily changes, and wellness efforts. She went on to work directly with Doctors, NICUs, and estheticians to implement her knowledge into their practices. An advocate for a holistic approach to health and wellness, Kim's curriculum combined ethnomedical knowledge with innovative learnings around traditional physiological markers such as hydration, blood oxygenation, nutritional levels, telomere length, mobility, response to touch, and more to improve patient experiences and outcomes. During this time, she also launched multiple skincare companies, parlaying her experience as an educator, esthetician, and nutritionist and carrying on the family legacy as a founder of natural brands that garnered international recognition. She worked with physicians, nurses, and lab chemists to research and develop breakthrough products that propelled clean beauty into the mainstream. As Co-Founder and CEO of Furtuna Skin, Kim leverages her ethnomedical and ethnobotanical expertise to help create the Italian brand's award-winning, 5-star-rated regenerative skincare formulas. Leading the product development team on formulation, Kim ensures that Furtuna Skin continues to raise the bar for clean beauty efficacy by debuting powerful ingredient complexes like Splendore Anchusa® Complex, optimized delivery methods like Chronoutrition®, and innovative ingredient processes like Soundbath® Method to deliver groundbreaking, transformative results. Named Travel + Leisure's 2021 “Global Vision Award Winner” and New Hope Media's "9 Wonder Women of the Natural Industry," Kim works at institutional and political levels through her nonprofit efforts to shift the current approach to product formulation and healthcare to improve global wellness. Most recently, Kim served as leader of the Retail Advisory Committee for the Environmental Working Group (EWG). An undisputed pioneer of the clean beauty movement, Kim has been featured on podcasts including Gloss Angeles, American Made Beauty, and Support is Sexy, appeared on TV including the CBS Early Show and Good Morning America, and been interviewed for major publications like Vogue, Allure, and WWD. An animated speaker, today Kim's passion is to inspire and educate others to move the clean beauty conversation forward and embrace Regenerative Beauty to reverse climate change, nurture biodiversity, improve wellness and nutrition, revitalize local economies, and create more potent and higher-performing products. To date, she's educated and entertained audiences at Create & Cultivate, Girl Cult Festival by Galore and Albright. As a member of the Female Founders Collective, CEW, and Hey Mama, she continues to mentor women in growing their wellness businesses. Kim resides in Los Angeles, California, with her family.

“I hope I give you some hope.”All around, Lauren's stories are different. Her birthing journey includes Asherman's syndrome, infertility for over 10 years, two rounds of IVF treatments (each with only one viable embryo), a miscarriage, placenta accreta, and significant hemorrhaging after her first Cesarean delivery. Lauren miraculously got pregnant naturally with her second son. She was committed to having a VBAC even with her complicated medical history. When her water broke at 32 weeks, Lauren made her desires known loud and clear to every person who entered her birthing space that a Cesarean was not an option. Sure enough, Lauren was able to successfully VBAC with no signs of placenta accreta or hemorrhaging. After years of so much heartache and holding onto hope, Lauren was finally able to see one miracle unfold after another.Additional linksThe VBAC Link Community on FacebookHow to VBAC: The Ultimate Prep Course for ParentsFull transcriptNote: All transcripts are edited to correct grammar, false starts, and filler words. Meagan: Good morning, good afternoon, or good evening, whatever time it is where you are at, welcome. You are listening to The VBAC Link podcast. This is Meagan and we have our friend, Lauren, today. You guys, she is currently in Vietnam and it is 4:10 a.m. where she is recording. I cannot believe that she is up and ready to record an episode. We are so grateful for her for being with us today. She has a lot of great things in her story, a lot of great things that sometimes we don't talk about or know of. There's a certain thing in her story where I hadn't even ever heard the word before until I saw it in her story. So I can't wait to dive into her story and have her tell more about all of the things about her story.Review of the WeekMeagan: Of course, we have a Review of the Week so I will read that and we will dive right in. This is from saraalbinger and she says, “One month ago, I had a successful VBAC induction just 18 months after a Cesarean section. I almost called to schedule a repeat on my due date because I was so scared. Then I found your podcast and listened to it for two days straight. It gave me the courage to go through with the induction and I am so glad I did. I hope more people find this as a resource.”She actually emailed us, which is awesome. Congratulations, Sara, on your VBAC. So happy for you. Like I said, she emailed. You can email us your reviews if you would like or if you have a moment, maybe push “pause” really quickly and jump onto your podcast whether it be Apple or Google Play, and leave us a review. We would really appreciate it and again, we always read one on the episodes, so your review might be next. Lauren's storyMeagan: Okay. Lauren, I'm so excited to have you. Seriously, I cannot believe that you are up. I don't know if I could get my tushy out of bed at 4:00 a.m. to record a podcast. I'm so grateful. Lauren: It is early. Meagan: Yes, it is so early. Oh my gosh. We just talked about it. You just had a baby not long ago, so you're not only up at 4:00 a.m. but probably sleep-deprived within those few hours that you did get to sleep. So seriously, thank you so much for being with us today.  Lauren: No problem, I'm excited to share my story. Meagan: Well, I'm excited to hear it. I would love to turn the time over to you. Share all of the amazing things. You have had such a journey that has led you here today. Lauren: Yeah. Well, thank you so much for having me. This is a wonderful opportunity for me to go back and remember what has happened to me over the last couple of years. My story started, I feel like, way back when. I was a Montessori teacher and at that point, I knew exactly what I wanted out of my birth at the age of 18 or 19 years old. I wanted a water birth. I wanted all-natural and I wanted to have all my kids by the time I was 25. Anyways, that didn't happen. I got married. I got married when I had just turned 23. Kids did not happen right away. My 25th birthday was the most depressing birthday I've ever had. It turns out I was struggling with some infertility there. At that time, I had sought some, I don't know. I will tell you that I pondered on it and it just didn't feel right. The time to take care of our infertility didn't feel right, so we ended up moving our family abroad. My husband and I taught English abroad, then we came back to America. We just so happened to live in Boston. We had some contacts there, but we felt, I don't know the right word, we felt very inspired to move to Boston. We didn't start working on the family thing right away because you have to have insurance for that but on the east coast, they pay for infertility treatment. If you have insurance, it's covered. I didn't know that at the time. Meagan: That's amazing. For real?Lauren: Yes, for real.  Meagan: I need to tell my sister who just moved to Boston and is having fertility issues. Lauren: Oh my goodness. Yes, the insurance coverage is amazing. So then I started finding out about other people who had moved there just to get the insurance just to seek infertility treatment. Meagan: Wow, cool. Lauren: Yeah, it was amazing. Exactly. I feel like the right people were put in our path at the right time. They shared the doctors and I was like, “Okay, let me go to your doctor. Okay.” So then pieces started to fall into place to figure out, “What the heck is wrong with me?” I think it had been thirteen years at that point in time of not stopping from having children. Everything was the way it is. So I go and they do this huge check-up on me. My doctors just couldn't believe the long list of all the crap that was wrong with me especially because I was in my thirties.I ended up having what was called Asherman syndrome. It's adhesive. It's scar tissue and they can exist in the cervix or in the uterus. Mine was everywhere. I was 100% scarred over through my cervix and my uterus. It took multiple surgeries to try to remove it. It's called hysteroscopies. Here's the miracle here. Asherman syndrome is not well known. It's still, “Oh, hush-hush.” A lot of women hear the word “adhesive” and that's exactly what it is. It's the scar tissue that's in the uterus and it usually happens after D&C or if you've had a miscarriage, there's a percentage of women who scar over. There are specific doctors out there that will take care of it. One is in Boston and the other one lives in California. I got to see that very specialized doctor and that was just a huge miracle. I felt like I was being taken care of. So we went there and my scar tissue was just so severe. I'm pretty sure I still have it. It's something that doesn't really go away, but it was blocking my tubes. That, and we had a diminished ovarian reserve, so my eggs were like I was a 44-year-old woman. I think I was 32 at this time and going through all this. I'm like, “My eggs are old. I'm old.”Then they did a biopsy of my uterus. It showed that it was inactive.Meagan: What?Lauren: It was menopausal. I was like, “So I've gone through menopause and here I am.” It turns out that if you don't have a period for over a year, you're considered in menopause. I didn't realize that because I hadn't had one in seven years at this point. Meagan: Wow. I didn't even know that either. I mean, I didn't have a period but I have an IUD, so I'm guessing that's a little different, right? Lauren: Mhmm, yeah. Meagan: I didn't know that. Lauren: Yeah, I had no idea. I was learning so much so quickly. There were a lot of emotions. I cried and cried because I felt like my journey of having children was completely over. I had a very slim chance of having a baby and so I was like, “Okay. We're doing this. I'm jumping head-in.” So I jumped and with IVF, I had only one good embryo out of my first round. It ended up in a miscarriage. It was nonviable and it ended up that it had something wrong with the chromosomes in it. They did some testing. This is where I feel like, “Oh, I had this journey.” Here it comes now. With IVF, they watch you and so after my two-week wait, I had a positive test. Okay. Then, they watch it grow. Mine wasn't growing, so then I had my ultrasound. They were like, “Oh, this isn't right. There is no heartbeat. This doesn't even look right. Whatever.” I'm bawling my eyes out because it's really hard.They waited an extra week until I was seven weeks when I went in for my D&E. The doctor told me it was because of my Asherman's that it was going to cause a huge, big problem. So he goes in. He scoops it out. That's the way I like to think of it. He just scoops it out and he's done. Lo and behold, my HCG levels were still the same, if not going up. I was still feeling very sick. The next two or three days later, I'm like, “Something is really wrong. Something is really wrong.” I went back and they drew my blood. Come to find out, my levels are still going up. I'm like, “Something is wrong.” I went back to my Asherman syndrome doctor. They did an ultrasound and then they did an in-office, I was wide awake, hysteroscopy. They took little scissors and they tried to go in and take out what they could see. Meagan: What?! This is giving me chills right now thinking about going through that. Lauren: Uh-uh. It was so painful. Meagan: Oh my goodness.Lauren: It was so bad. I'm just bawling my eyes out on this table and they were like, “This is too much.” I was like, “Yeah. This is too much.” I was scheduled for surgery the next day and that's when I was told about my accreta. That teeny, tiny little sac had grown into my lining. Again, my Asherman's syndrome was worse than the first time I went, which is saying something. I had a few more surgeries after that one just to clean it up. It took a long time, a lot of hormone therapy, and a ton of estrogen to try to get my uterus back up and running. They called it “jump starting” because I was still not having periods. They were forcing them through medication. Anyway, it was just a crazy time of my life. The second round of IVF was maybe six to nine months later. Again, I only had one little embryo. It turned out to be my son. At the time, we didn't know the sex of our child until he was born, so it was a really fun surprise. I was so excited. Well, and surely hesitant because you are like, “Oh my goodness, is this going to stick? What's going to happen?” He stuck and he continued to grow. His percentile growths every ultrasound were still 13% and 15%, so I had a small baby. It always worried me. We got flagged for genetic testing. We got flagged and we got called. It was like, “You've got to come in right now. We've got to do this ultrasound.” The worry that comes over your face is like, “Oh my gosh.” You just start breaking down and immediately crying. We drove straight to the hospital to do a two-hour-long ultrasound of just laying on the table. They don't talk to you, by the way, in this clinic. They just look. They look. They look. They look, and then at the very end, they may say something or you have to go to your doctor and your doctor will tell you but the ultrasound tech does not say anything to you.So it's just nerve-wracking. We ended up seeing a genetic counselor right after who then gave us the results of, “Oh, it's not anything. You're fine.” You had a little bit of leakage that could have caused this. It's not Down syndrome. You're okay. I was like, “Whew.” So other than that, my pregnancy was pretty normal. We got a doula right away, super grateful for her, and then my baby just wouldn't turn. He wanted to be feet down. I don't know how to explain it. He just wanted to be breech. We were doing our birthing classes. I just remember the doula who was doing them was like, “Well,” I don't know I was probably at 30 weeks. She was like, “Oh, he should really be head down.” I'm like, “Really? At this point, he should really be?” She was like, “Yeah. You really need to get on it more.” I was like, “Okay, I need to get on it.” At that point, I was like, “Okay.” So my doula and I worked on Spinning Babies. I spent so much time upside down every day. I was on an ironing board. I was doing all of these things for Spinning Babies. You buy the stuff. All of the stuff, I bought it. It wasn't working, so then someone was like, “Okay, you should go to the acupuncturist and do this epoxy–”. I was like, “Okay.” So then I'm burning this thing on the outside of my pinky toe on my right foot for 20 minutes. Meagan: Mhmm. Bladder 06.Lauren: Yeah, but I'm very pregnant, so to bend over for 20 minutes to do one toe and to do 20 minutes on the other toe was excruciating. I did it every morning and every night. I was like, “Okay. This is a lot. I am very dedicated to spinning this baby.” That didn't work, so I started chiropractic. I started seeing a chiropractor during my last month of pregnancy. I saw her every other day, and then I started seeing her every day. Again, nothing, and then I just got this gut feeling. It was, “Your baby's going to be born the way he needs to be born. You just need to accept that and you need to go with it.” When that happened, it just clicked in my brain. I was like, “Okay. I can still have a birth plan for a Cesarean. I can still do this and that's okay.” But that switch when you have planned something and you believe in something so hard– to make that switch in your brain, it's so difficult. I still was holding hope that somehow this baby is going to flip. They wanted to try an inversion at 37 weeks. I was like, “No,” because they were like, “If you spin the baby in the hospital and it works, then you are having a baby. If it doesn't work, you are still having a baby.” I was like, “Oh, then I'm waiting.” I'm very grateful. So we went in on my scheduled day with my big, long list of everything I wanted for my Cesarean which was wonderful. My doctor was very supportive and she made sure everything on my list got crossed off. I got to completely watch my baby being born, the surgery, and everything which was really unique for me. I didn't realize I was going to get emotional about my little Oden. Anyway, I just remember laying there and having my surgery. My husband was right beside me and my doula was also in the room with her essential oils. He comes out and it was announced that he was a little boy. He gets cleaned up. My husband goes over. My husband gets to do skin-to-skin with him. It was such a beautiful birth. It's like, I don't regret it at all. I'm just like, “I did everything I could.” Once you see that little baby, he was just, oh wow. He was on my husband's chest and he was rooting and making rooting noises. My doctor and everyone in the room just stopped. They were like, “We've never seen this before.” We've never seen a baby come out Cesarean and literally be banging his head on a chest wanting the breast. I knew right away. I was like, “That's my baby. He's hungry. He knows where it's at.” My doula was really excited. So anyways, I remember at this point that my doctor mentioned something about blood. “Oh, there's a lot of blood,” but I was dismissive because I had this cute baby over here rooting. It wasn't even until after I was in recovery and I started breastfeeding that my doctor came in and told me that I had hemorrhaged. I had an MFM who specialized in accreta and percreta and all of these things because I was just so worried that if I had a seven-week sac that stuck to my uterus, then what is it going to look like at full-term? I had done all of this research and I was prepared to lose my uterus with this birth. It didn't happen. I just felt so blessed. I felt so blessed that I got to keep it and that my child was born at full term. I just remember, “I can't wait for baby number two.” Anyway, I enjoyed this birth so much and him so much. The hemorrhage only added to my list. I had forgotten about it until baby number two and then it starts adding on, right?Okay, miscarriage, baby number one, baby number two comes and I really wanted my VBAC. I don't necessarily– my pregnancy was baby number two. I had accepted a job that paid for my insurance and I was going to go back to my doctors, but I ended up getting pregnant before. I mentioned before that I stopped having periods sometime in my twenties and went through menopause. I had gotten the COVID vaccine and gotten both shots. After my second shot, 17 days later, I started the first period I had in years and years and years and years and years and years. I was so shocked. I had no idea what was happening to my body. I was like, “This can't be happening to me. This is so weird and so foreign to me.” I remember just calling my doctor like “What is going on?” She was like, “You are not the only woman to report this. It's okay, just go with it. Track it. Let's see if we can have a natural pregnancy. Let's see if you can get pregnant naturally.” I'm like, “Wow. This is insane.” So, in the third month, I was pregnant. I just couldn't believe it. Meagan: Wow. Lauren: I'm like, “But my eggs are crap.”Meagan: Wow, wow. Lauren: Yeah! I'm like, “My eggs are crap. Everything is crap, right?” She's like, “Lauren, we are just going to go with it.” I'm just like, “Okay. Just going with it.” So yeah. Third month, boom, and I was pregnant. And yeah, wow. But it started off–Meagan: I'm sure. Yeah. Lauren: You just don't believe it. After you've been through everything, you don't believe it. So I just couldn't believe it. I started having a lot of pain and this is where I was like, “I'm going to lose this baby.” I just had this gut feeling like something was really wrong. I ended up going to the emergency room the day I took a pregnancy test. I was going. I was like, “It had better not be ectopic. I need to make sure this is in the right place. There's something going on.” They're like, “You're not pregnant.” That's what they told me. I was like, “Okay.” This little, dinky hospital. They did a urine test and they told me I wasn't pregnant. I literally had to tell them, “Listen. I've been through infertility treatment and I know that you could do a blood test to tell me if I'm pregnant or not. Come on.” And so then they do a blood test but in the meantime, it's been an hour and I'm a mess. I am crying. I am just an emotional, crazy mess. They come back and they're like, “Oh yeah, your levels are 100, so most likely, you're going to lose this baby. It's very early.” They already put this on me. So then they gave me a doctor because I am new to this facility because, sorry. I had moved from Boston to Connecticut to work and buy a house during the pandemic. So I am in little Podunkville with Podunk doctors. There's nothing wrong with Podunk doctors, sorry! But it's just different when you go from downtown Boston, top-notch to country, okay?So we were there and he kept telling me that my levels weren't rising. They weren't doubling. They are supposed to double and they weren't. Baby wasn't growing and nothing was happening for two weeks. So they did an ultrasound, but no heartbeat, nothing. There was something there, but they were like, “Lauren, we will give you another week before we do something.” I'm just a mess. I'm a complete mess. They drew my blood again and my progesterone levels were decent, but my pregnancy hormone was just not growing.And so a week or two weeks went by, I can't remember. I had a heartbeat. I just remember feeling so relieved. I looked at the doctor. I was like, “I'm never going to see you again. I'm so sorry, but I'm never going to see you again. I'm going to go to the best of the best.” So I jumped right back to my MFM up in Boston. The first thing out of my mouth was, “Okay, I'm pregnant. Will you support me with a VBAC?” And she said, “Yes.” She said, “Yes, 100%.” This was the kicker. She was like, “But Lauren, you have to know that because of all your issues, we are aiming for a vaginal birth. You can't sit there and go, ‘I want it to be unmedicated.'” She was like, “What we are aiming for is a vaginal birth.”I was like, “Okay.” And then I go home, I'm like, “I want an unmedicated birth!” I'm like, “I don't care.”Meagan: You're like, “Joke's on you guys, I'm going to do that anyway.”Lauren: Yes, exactly. So my pregnancy is progressing. Baby is head down the whole entire time. I'm super excited. I remember at 28 weeks, I had this very distinct feeling come over me that I was going to have this baby early. I didn't know what that meant. So I was like, “Okay.” So around week 30, I started prepping my house. I bought all of the baby things, got baby things out, just little things like that. In the meantime, I'm teaching kindergarten, I'm still working full time. I still have a toddler now and I'm just resuming life.This is when I really started hitting hard on The VBAC Link. I was listening to every podcast every chance I got. I was listening on my lunch break just to prepare myself. I did a class with you guys. There was an OB that was there. I had a ton of questions that I got answered, so that was really wonderful. I just really appreciate this podcast being there. I feel like that's why I really want to share because it was just so helpful, but no one had anything like what I had gone through. I'm like, “Maybe that means something.” I'm like, “Am I crazy? Can I do this?” sort of a thing. Anyway, so I didn't feel very prepared. My 32-week doctor's appointment was on a Friday. I drove to Boston which was an hour and a half away from where I live. It was a devastating doctor's visit. My sweet little baby boy was not growing. I had what is called, I have it in here because I'm like, “What? I forget everything.” It was fetal growth restriction.Meagan: Was it IUGR? Intrauterine growth restriction?Lauren: Yeah, but they called it FGR here. It was like fetal growth restriction, yes. Meagan: FGR, fetal growth restriction, yeah. Lauren: Thank you for that. I forget all of the things. And so then I was like, “Okay. Tell me exactly what that means.” My baby was measuring in the 1st percentile. So then she goes back and she was like, “Well, he's barely been over a 10th percentile this whole time. He's always been very, very small.” He was in the 10th and the 13th. I was like, “Where do we need to be to get out of this?” She was like, “You have to be at 10% to not have this label.” I was like, “That's not going to happen, is it?” She was like, “No, I'm sorry.” And I'm like, “Oh man.”So at this point in time, I was like, “Okay.” I was visiting her every week. I had her visit plus I had a blood draw, plus I had an ultrasound, so now it was moving up to three visits a week and I was having to drive an hour and a half. I'm like, “This is not going to be sustainable. I cannot work full time and do this.” I had made all of my appointments for that next week. I go home that Friday and then Saturday morning at 3:00, my toddler wakes up and I go in to tend to him. A big thing about FGR was that I had to count my movements. I wasn't feeling my baby move because he was so small that there were times that I didn't feel pregnant. I was like, “This is really weird.” It was one of those times when I was up at 3:00 a.m. and I noticed that there were zero movements. I'm like, “Okay, maybe he's asleep.” So I spent time with my toddler, put him back to bed, go back to my room and I'm starting to feel him move. So then I start kick counting, kick counting, kick counting, and then my toddler gets up again. I'm like, “Oh my goodness, you've got to be kidding me.” He comes into my room. He wants to snuggle, so I let him in my bed and he's holding me. I'm holding him and my husband gets out of bed. He doesn't do that. Anyway, next thing I know, I just feel this gush between my legs and I'm like, “What the heck? I am not prepared for this. This is not okay.” We have Google in my home, so I was like, “Okay, Google. Broadcast.” I'm screaming at the top of my lungs, “My water just broke! You have to come right now!” My husband runs in and he's freaking out. I don't know. It was a really wacky picture in my mind. He has his arms and legs sprawled out like, “What's going on?” I'm like, “Take our son. Take our son and get me a cup because this is gushing out and I don't know what to do.” It was crazy. I started contracting, but they weren't painful at all. They were like Braxton Hicks. My belly was tightening and then it was just gushes of water. I was like, “This is so crazy.”So I immediately called my doctor. This was the part that made me nervous because here I am preparing for a VBAC and the doctor immediately said, “You need to get to the hospital right now. You will have a repeat Cesarean and we will get this baby out. Something is wrong.” Meagan: Whoa. Lauren: I immediately started crying. Yes. Meagan: Scary. So scary. Lauren: Oh, 100%. The good thing is that I had 40 minutes for someone to drive to be with my son to ponder, sit down, and try to process this. Meanwhile, I'm walking around the house with a cup between my legs trying to catch all the water that is coming out of me. My husband and I were talking back and forth like, “This is not anything I had ever ever ever thought of.” I'm like, “Okay. I'm going to go in. I'm going to have a VBAC.” And so we both agreed that we were going to be open to what the doctors were saying. “This a bunch of learning. We are on a learning curve now. This is not on our terms. It's on this baby's terms. We are now open-minded and learning.” It took us an hour and nine minutes to get to the hospital. We passed five policemen. One actually passed us. We were way speeding. We were easily doing 90-100 the whole way. No one pulled us over, thank goodness. It turned out to not be that much of an emergency. We got there and the first thing that they did was they took me back to confirm that I broke my water. I was like, “You guys can't see the stuff gushing out of me?” I'm like, “Is this not water?” They're like, “Well, it could be urine.” I was like, “No, no, no, no, no.” I know what urine is. This is not urine. They were laughing because I was like, “This is not pee, or else I have been continually peeing on myself for two and a half hours now.”And so anyway, I'm like, “Okay, whatever.” And then they were like, “Yes. Okay. This is the fluid.” They came to my room and they talked to me about everything. PPROM is what it's called. It's a premature rupture of membranes. Now, I was a PPROM. Meagan: Yeah. PROM is just premature rupture of membranes but PPROM is premature meaning that the baby is before 37 weeks. Lauren: Exactly. Meagan: Premature premature rupture of membranes. Lauren: It was happening way too early. And because I was 32 weeks, they weren't going to stop it, so I did not receive any magnesium or anything like that to stop it which I was kind of grateful for because after I read, I was like, “Oh, I don't want that in my body.” It burns like fire. But they did start me on penicillin and steroids and all of these things because they wanted the steroids for the baby's lungs. The penicillin was because the risk of infection goes significantly higher when you have PPROMd or when you have PROM'd early because now I'm just sitting there with open stuff and it's easier to get an infection.They refused to check me, which was nice. They would not check my cervix to see how dilated I was or anything like that, but I do remember at the very beginning, she guesstimated that I was about a 1, so it was nothing. And so I sat there. They were like, “You're being admitted to the hospital. You will be here until you have your baby. Since you are 32 weeks, we will induce you. If you get to 34 weeks, you will be induced and you will have your baby.” The reality was that they go through my chart and this is where my past kicked me in the butt. They were like, “Okay, you have a chance of accreta. You have hemorrhaged with your previous Cesarean. You have to put in your mind that most likely you are going to have another Cesarean.” I was like, “No, I'm not.” This whole entire time, I was like, “No, I'm not.” I was like, “No, I'm not. I'm having a VBAC and that's it.” I kept telling every doctor that came into my room. I was like, “Listen, I'm having a VBAC.” I was like, “I'm having a VBAC. It's happening, so I don't even want to discuss another Cesarean unless it really gets to that point. I don't want to discuss it.” I was like, “I want to discuss how I can have this baby vaginally. That's what I want.” They were very supportive. I'm just so grateful and they were just like, “Yeah. Okay. This is awesome. This woman has opinions.” And so every new resident– I was at Brigham and Women's Hospital. Sorry, I don't know if I'm allowed to say that.Meagan: You can totally share. You can totally share. Lauren: Okay. Okay, so it's a learning hospital. You have a lot of residents and interns. I don't know exactly what you call them all. Every morning, there were ten doctors that would visit my room a few times a day. It was a lot of doctors. Anyway, so Wednesday comes and before that, they were like, “Okay, listen. You're either going to have this baby within 48 hours or it's going to be a week or two. It's either one or the other. We don't really have people in the middle.”Guess what? I was in the middle, so whatever. Meagan: Way to be different.Lauren: Right? All around, I'm different. The thing that really worried me is that I was like, “Okay, I want a VBAC,” but at the same time, I had these NICU doctors who were right there on my case like, “Okay. Here are the chances of this. Here are the chances of this. Your baby might be dealing with all of these different things.” Anyway, they were updating me every day on where my baby's development was for that day and what could be possibly wrong with him when he was born. “Oh, by the way, our NICU is full. We don't have any beds. So if you go into labor, we will be transferring you to a different hospital with your child,” or however it works. I'm like, “What? Are you serious?” They're like, “Yep. We're full and so is the hospital next to us, so it will be the hospital down the street.” I'm like, “Oh wow. This is incredible.” Anyway, so right then and there, I started praying, “Okay. Listen to me. If I'm going to go into labor, it better be the day that someone gets sent home.” It's got to work out. It's got to work out. It did, by the way. It worked out. On Wednesday, I started to have more pain. It was like, “Okay. I'm still contracting by the way. I keep having what I call Braxton Hicks contractions because they were not painful. It was just that my whole belly would tighten and my water would continue to spew out. That's the best way I can say it. I remember distinctly that I woke up at 1:00 in the morning on Wednesday and I started having pain. I called my nurse right away and I was like “Listen, they shifted. My contractions have shifted now, but they are still 10-14 minutes apart.” We just kept an eye on it. In the meantime, every time I have a contraction, my baby's heart disappears. They can't find him. I'm like, “Okay. Baby, cut this out.” So when that happens, guess what they start talking about? They talk about a Cesarean. They're like, “Oh, Lauren. His heart rate is really dipping really low. We are going to end up. You need to prepare.” I'm like, “Nope. I'm not preparing.” And so I finally get up out of my bed. I've been in a bed this whole entire time. A friend came and visited me. It was 1:00 in the afternoon at this point. I was standing up during the whole visit which was the most I had stood in two or three days. I'm starting to have regular contractions. They were easy, 4-6 minutes apart, somewhere around there. They started being really painful and I had to breathe through them. I'm this way. I'm like, “Listen. I'm not going to call my nurse in here because she's just going to prepare me for a Cesarean.” So I go for an hour with my friend and my friend is like, “Lauren, you really need to call your nurse.” I'm like, “Fine. You leave. I'll call my nurse.” So I called my nurse and, sorry I'm laughing. She's freaking out because she is like, “Why didn't you call me?” I was like, “Listen, I didn't call you because I don't want to have a Cesarean.” They called the doctor. He guesstimates and he says I'm about a 1 or a 2. I haven't changed much. Now, they have increased and they're back to back. I could not. I was like, “What? A natural birth? I wanted that? That's crazy.” They wouldn't let me out of my bed because of the heart rate and everything that was going on with the baby, so I was stuck and confined to my bed. I was just holding the railing and turned to my side. Every contraction was worsened by a million because my nurse was like, “Listen, if you don't want a Cesarean, I have to find the heart rate of this baby.” And so she is literally, in the middle of my contractions, I'm screaming and she has got that monitor and she is searching for the baby's heart rate to prove that he is okay. This continues and she calls the doctor back in here because my contractions were literally on top of each other for 2-3 minutes. It was so intense. I really didn't feel like I had time to breathe. I was like, “Listen. I am having this baby. I am going to have this baby.” My doctor– he's not really my doctor. He's the resident of my doctor. He walks back in and he basically tells me to suck it up and that lots of moms go through this. I'm not having this baby. He will check me for real this time. So he goes in and I'm about 3 centimeters dilated, but I'm 90% effaced. He was like, “Oh. Hmm. This could change. We're going to send you to labor and delivery, but don't put it in your mind that you're having a baby today because this could stall.” He was like, “I've seen this stall so many times.” I was like, “How would this stall? I'm in so much pain.” He was like, “No. This could still stall.” I'm like, “Okay, whatever. I've PPROMd. I have no idea what I'm talking about. This is all new to me. Okay, fine. This can stall. This labor can stall, sure. Okay.”I am put in labor and delivery and my labor nurse looks at me. She was like, “You're going to be having this baby in a couple of hours. I don't know what your doctor is talking about.” She is bad-mouthing him so hard. She's like, “I don't know what he's talking about. This is insane.” She was like, “Listen, I know. I don't want you to be infected,” but she was like, “I am going to check you right now. There is no way that with the amount of pain you are in and your contractions are on top of each other.” She was like, “I'm going to check you. I'm going to call the anesthesiologist. We're going to get him in here. We're going to get you an epidural,” because I was in so much pain. Anyway, I can't believe it. This is where I'm like, “I wanted a natural birth?” So my anesthesiologist comes in right after my doctor had come in again to check me. He was like, “It's only been 30 minutes. Stop paging me.” Those were his exact words. “Stop paging me. It's only been 30 minutes.” And now, I've progressed to a 5. His eyes got really wide because before that, he yelled at my anesthesiologist, “You're not needed here. You need to leave. This is not happening,” like that. My nurse was like, “What?!”And then he checked me and he was like, “Umm, this is happening. I'm so sorry. Anesthesiologist, please come back in the room.” He's yelling, “Please come back into the room. Help her! This is happening and it's happening very, very fast.” They were like, “Where's your husband?” I was like, “Oh my gosh, my husband's not with me.” At this point, I'm panicking. He's not even with me.Meagan: Oh no!Lauren: Yeah and I'm like, “Oh my gosh, I've got to call him right now.” They were like, “Call him.” So I call him. I was like, “Listen, I know I called you an hour ago and things were progressing slowly, but you have to be here now.” He was like, “Lauren, I've got an hour and a half.” I was like, “Permission to speed. Permission to put your cute little sports car to work. Go fast.” He was there in 45 minutes. He showed up. They were like, “Hold the baby.” There are the funniest things that you remember. It's like, “Okay.” My epidural half-worked. I was still having pain, but it was this weird floating area of, “I can feel pain on my left side, but not on my right side,” and so it was this weird state of where I was. I'm actually kind of grateful for it because I still got that natural birth feeling that I wanted. I still very much felt the ring of fire and the birth and at the same time, I feel like the hard contractions were taken away.So it was a nice in-between that I felt. But as soon as my husband got there, my labor nurse was like, “Listen, Lauren. I just need to tell you that because of your long list,” here it comes again, “because of this long list, you might end up with a Cesarean. I want you to know that they are preparing for it.” This time now, I'm uncontrollably crying because this is not what I wanted. She was like, “I need to also tell you something else.” I was like, “What?” She was like, “There are going to be probably 12-15 people in this room as you give birth.” I was like, “What? How many people?”Meagan: Why? Why so many people?Lauren: Exactly, because it was a learning hospital. Meagan: Oh, okay. Lauren: My doctor had his two doctors and my labor nurse had three assistants, and then I had the NICU team for the baby, and that's what it was. So I had the NICU doctor plus his three assistants or residents, and then they brought people in to watch me have this VBAC after accreta and after hemorrhaging. I wanted to be fully present for this birth. I told the nurse, “I want to grab my baby and I want to pull my baby out. That's what I want. I want to pull him out. I want him out on my chest.” They were like, “Lauren, the realization of that happening– if he cries, sure. If he doesn't cry, we are so sorry. We have to take him. We have to.” I'm praying. Long story short, the baby comes straight out. I mean, he's 4 pounds. They estimated him to be 3 pounds, but he was 4 pounds. He comes out. I got to watch the whole thing with the mirror. I had one of those resident people taking pictures the whole time, so I got really good pictures of my birth and here he is. He's screaming, so he has healthy lungs. I was just so happy that he had healthy lungs. I was like, “Okay. We're good.” Anyway, I got to hold him for about one minute while we did delayed cord clamping, and then I had to hand him over. I didn't get to see him again for hours and hours which was really hard, but I had done it. I had done it and I had my VBAC. It was successful. I'm just so grateful through my whole entire story that it had gone the way I really wanted it to go. I feel like I was prepared for so many things. Right after he was born, they were like, “Okay, the placenta is not stuck, Lauren. There's no accreta. Check. Lauren, you're not hemorrhaging. Check. Now, we just have to stitch you up.” I remember him taking way too long to stitch me up, but I just remember what I always wanted. I was able to jump out of my bed. The epidural got turned off and I was able to get up and start walking within an hour and a half. That's the whole reason for me. I want this vaginal birth, but I want to be present whereas, for my Cesarean, it took me almost a full 12-24 hours before I could really get out of my bed. It's just very different and I'm very grateful. I'm very grateful for the information that I received through this podcast to help me get the birth story that I wanted. I'm hoping that my story can help some of you out there that are listening that maybe struggle with infertility and any of the same things I did. I hope I give you some hope. Meagan: Yes. Oh my gosh. So many miracles in your story. So many miracles.Lauren: So many. Meagan: From moving to Boston and finding the doctor that you did find because that in itself, there are so few doctors out there who even know much about this, and then to go through all that you did to get pregnant and then trusting that, “Okay. This baby is just wanting to be this way and this is the journey.” And then again, not getting pregnant and what a crazy thing that all of a sudden, you are pregnant after months and then years!Lauren: Mhmm. They did a pathology. They did testing on my placenta to see why this all happened and why I PPROMd. It was because, I don't even know what they are called, but the placenta has the phalanges that attach to the uterus and it pumps the vitamins and nutrients in. Mine were scarred over and adhesive. They had adhesives and they were swollen. He wasn't getting the proper nutrition that he needed, which was why he came early. I can't help but think, “Oh, maybe that's my Asherman's.” They tell me it's because of COVID because I had COVID.Meagan: That's another question I was going to ask. Have you had COVID? From what I have heard, even the vaccine, which is interesting how yours is linked to the opposite with starting your period. They are saying that COVID vaccines are related to changing cycles and things like that. But sometimes, if they get the vaccine, then they go into premature labor. We've been seeing a lot of people get COVID and then their placentas are just like, “Hey, I'm done,” and they send the message to the body that they need to have a baby. I'm curious. Maybe it's a little bit of all of it. I don't know. COVID stuff is all a mystery. It's all very a fascinating thing.Lauren: Well, I'll tell you that the NICUs are definitely full. The doctors are definitely telling people that it's because of COVID that so many of these women are having early, premature births. Meagan: So interesting. How long before did you have COVID?Lauren: I had COVID at Christmas and I PPROM'd in late February. He was born on February 23rd. Meagan: Crazy, so a couple of months. Lauren: A month and a half-ish. Meagan: Yeah. Interesting. So interesting. Well, I am so grateful for you for getting up at not even dawn, for getting up in the middle of the night to share your beautiful stories with us. We are so happy for you and grateful for you. I will promise you this. You are going to touch someone out there. I know you will. Lauren: Thanks. I really appreciate that and again, thank you so much for having me. 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 Julie and Meagan's bios, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy