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In de dagelijkse podcast van FC Afkicken bespreken Bart Obbink, Mart ten Have en Jean Paul Rison onder meer het kampioenschap van Liverpool, Ajax dat ondanks een blunderende Matheus toch nog een punt pakt tegen Sparta, Feyenoord dat ruim van PEC won, Utrecht dat Europa in gaat en GAE dat een puntje meeneemt vanuit Almere!(00:30) Koningsdag overleefd(02:50) Arne Slot flikt het(13:20) adidas: Wie support jou?(16:05) Kwetsbaar Ajax ontsnapt(28:30) Coach van het Jaar(30:10) Feyenoord kampioen volgend jaar?(37:50) Utrecht gaat Europa in(43:00) Katerwedstrijd van GAECoach van het JaarJe kan je nog steeds inschrijven voor onze subleague in Coach van het Jaar!Kijk op: https://www.coachvanhetjaar.nl/subleagues/33921/FC_AFKICKENDeze aflevering wordt gemaakt in samenwerking met adidas #yougotthisDe missie van adidas is om gelijkheid en inclusie te stimuleren door sport toegankelijk te maken voor iedereen, ook community's die er minder mee in aanraking komen. Kijk voor meer informatie op hun website: https://www.adidas.nl/go/campaign/impact/peopleZie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.
Send us a text Lauren Giannetti-Safaza, a genetic counselor from New Jersey, shares her journey transitioning from clinical practice to industry and discusses the evolution of genetic counseling roles. Throughout the conversation, she offers insights into balancing professional responsibilities and personal experience as a pregnant genetic counselor preparing for childbirth. • Clinical burnout as a catalyst for moving to industry positions • Shifting perceptions of industry roles from "the dark side" to valuable career paths • Potential for broader patient impact through industry versus direct clinical care • Balance between job security in public health versus higher compensation in industry • Implementing gender-inclusive care in genetic testing companies • Evolution of non-invasive prenatal testing (NIPT) and the rise of "gender reveal" culture • Point-of-care genetic testing models in cancer care • Need for genetic counselors to support clinician-ordered testing • Balancing ideal practices with practical realities in genetic healthcare delivery Support the show Demystifying Genetics is sponsored by TrakGene https://www.trakgene.com/
In haar eerste weken als parlementair journalist voor De Telegraaf brengt Veerle Contant het kabinet bijna tot val. Oppositie en coalitie schreeuwen moord en brand omdat asielminister Faber (PVV) weigert om COA- en vluchtelingenwerkers te onderscheiden met een lintje. In het Telegraafkwartier bespreekt Veerle met Michiel Kooiman hoe de lintjesrel in korte tijd dreigde te escaleren. Hoe kan de beschadigde PVV-minister het vertrouwen terugwinnen?See omnystudio.com/listener for privacy information.
Liz, a mama of two from Long Island, New York, joins us today sharing her experience with preeclampsia, an unexpected C-section, and her successful VBAC with her second. Liz had a perfect health history and never had any surgeries before her C-section. It was so frustrating to feel so out of control. In between her birth and her second pregnancy, Liz's mom unexpectedly passed away. She shares how she has been processing the intense grief from her mother's passing and from the positive birth experience she wasn't able to have. Liz made lots of changes going into her VBAC birth including diet, switching providers, and choosing to birth at home!Liz's DoulaCoterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan Hello, everybody. We have our friend, Liz, from New York with us today. She is a mom of two and almost two years old. Right? Your VBAC baby?Liz: Yes.Meagan Almost two years since your VBAC baby.And then an almost six-year-old. And yeah, like I said, she lives in New York, and she's going to be sharing her stories with you guys today. With her first birth, she actually had preeclampsia, so she's gonna talk more about that. And then with her second birth, she didn't have preeclampsia. I think this is an important thing to talk about because we know that having preeclampsia again is a possibility, and it might be slightly increased if you've had it, but it doesn't mean you will. So I'm hoping that we can talk a little bit more if you did do anything to try to avoid it. The second one, we'll talk more about that in a little bit. But knowing that it's still okay. If you have preeclampsia, you can still VBAC. Now, in her second one, she didn't have preeclampsia, but you can still VBAC if you have preeclampsia. So we're going to talk about that a little bit after your first birth too, because I want to know more. All right. We do have a Review of the Week today, and this is by jess2123. It says "Best Podcast for VBAC". It says, "I listened to the podcast after my son's birth. I learned so much that I knew I wanted a VBAC for my second birth. When I became pregnant again, I would listen to this podcast during my walks. Thanks to the wealth of knowledge that I gained, I had my unmedicated VBAC in 2023." Congratulations, Jess, on your VBAC, and thank you so much for your review. I know this year we're tossing it up between reviews and educational pieces, but I just do want to remind you really quickly that if you haven't left us a review yet, we would love it. You can push "pause" right now and listen or leave a review on Apple Podcasts or Spotify. You can go over to Google. Google "The VBAC Link", and leave us a review there. These reviews really do help us and bring us so much joy. So without further ado, I want to turn the time over to you.Liz: Thank you so much. I guess every VBAC story starts with the Cesarean story, or at least there's one in there. My pregnancy journey did start with a Cesarean as far as the first birth. As Meagan mentioned, I am a mom of two. With my first son, I fortunately have been reproductively very healthy and otherwise healthy my entire life. I was able to track everything. I had regular cycles and really no issues there, so I feel really, really blessed in that regard. I was able to get pregnant pretty easily. I believe I got pregnant in about February 2018 for the first time. I found out mid-March after I tested in my bathroom and just ran out with the test to my husband, nothing super special. I think I was just shocked. I remember I had gone to a St. Patrick's Day parade and felt so tired that I said to my friend, "I'm going to go home and nap in between that and another event." They were all like, "Why are you napping?" I was like, "I don't know, I'm just really tired." I took the pregnancy test to rule out pregnancy. It was immediately positive which was amazing. My EDD, my estimated due date, was supposed to be Thanksgiving that year, so it was November 22nd which was Thanksgiving 2018. That just made me laugh because I was like, wow, what a far cry from Thanksgiving Eve spent even a decade previous. But yeah, so my pregnancy started out pretty status quo, I would say. I definitely experienced that nausea. My morning sickness was definitely an all-day thing, so it was a little tough. I think it threw me for a loop because I didn't know what to expect. I had always wanted to eat healthier, especially being pregnant, but it was like my body would not allow me to eat what I wanted or what my brain wanted me to eat. It was a lot of carbs to start out. I know that's pretty common. I remember when I went for my first appointment, I had called an OB's office. I'm trying to think. I think I had gone for one well-woman visit before, but I had two friends, actually three friends who had delivered with this OB and had good experiences, so I figured I would give it a try. The funny thing is, pretty much from the jump, I could tell that we weren't very aligned. I didn't really see eye-to-eye with him, but he had this nurse practitioner who was wonderful, and I feel like she drew people in because she was just very nurturing and calming, and she just had that great energy. I knew, obviously, she wasn't going to be at my birth, but I still stayed there.Meagan Oh yeah. So can we talk about that a little bit? So you had one provider that you're like, "I don't know, our energy doesn't match." And then one that you're like, "Our energy totally matches." But then they wouldn't be birthing with you. So tell me a little bit more of what that provider was that wasn't matching your energy.Liz: Yeah. So I guess because I had always been so healthy, my experiences with medical professionals were very limited. I had just gone to doctors for routine checkups my entire life, and everything was always fine. I think because I wasn't very experienced in the medical world, I almost had this aversion to it. I just was like, they're there if there's an emergency, but it'll be fine. Everything will be fine. I'm trying to do this as naturally as possible. He seemed very old school. I don't know how to describe it, just very set in his ways. I remember, I'll circle back around, but towards the end of the pregnancy when I had finally gotten the gall to tell him that I really wanted to try and do this unmedicated because I was so nervous to say that, he was like, "Well, don't expect this baby to just fall out of you. You're a first-time mom."Meagan Wait, what?Liz: He literally said that to me. And I was like, "Okay, I didn't think that." Meagan: I wasn't saying that. Liz: Yeah, I wasn't saying that I didn't think I wouldn't have to work hard. That's not what I'm saying. So just comments like that. The bedside manner just didn't seem very nurturing. He was very by the book, quick appointments, and asking me his little checklists of items, and that was it, whereas I felt like his nurse practitioner was very warm, had great bedside manner, and really just cared about mothering the mother in that situation. It wasn't just about the baby and how I was going to give birth or how I preferred to give birth. It was the entire experience. I remember at one point, she even said, "Obviously, there is a need for testing certain things and for keeping an eye on everything, but I really just feel like if we left women more alone to go through their pregnancies, they might be better off because we're so hands-on in the United States, and it just causes sometimes more anxiety throughout a time that's supposed to be really beautiful."So she did mention that she reminded me of, I don't know, a woman who crouched down in the field and gave birth to her babies in the woods. That's who she reminded me of. I don't know if that's the truth for her. I never did ask anything about her birthing experiences, but that's who she reminded me of. Just super warm and nurturing. I think also I maybe just aligned more with a female provider. It could have been just that too.Meagan: Yeah, it could have been. But I mean, what you were saying, comments like that, if I'm being super straight, we've interviewed providers on here that have come across really great, and then the more I've interviewed them, I'm like, "Oh, I don't know if I like that. I don't know."That can just happen. I think that's where it comes with vetting your provider and going with who makes you feel warm and fuzzy. But at the same time you're in this place where you're like, well, we've got this medical. We'll see how it goes. I've got this to also like, I've got this warm, fuzzy, filling-my-cup over here. So it seems like it's an okay match, right?Liz: Yeah. And I also manipulated it to the point where I would only make appointments when she was available throughout my pregnancy where the office was like, "You have to see the OB. You have to. He is going be the one who's attending your birth." I'm just like, "But I don't want to. I don't want to do that."Meagan: Yeah.Liz: I just stuck with the practice, I think, because I was nervous. I was new to it and like you said, I was getting my warm and fuzzy cup filled by that nurse practitioner's presence. Things progressed. I finally outgrew that morning sickness. By the second trimester, it was week 12 or 13 and it let up, and I was feeling good. I was pretty energetic. I was doing yoga on a somewhat regular basis. Nutritionally, I do want to mention because I think this does play a role in how things may have gone with the preeclampsia. But nutritionally, I was actually coming off of a vegetarian diet. I had been a vegetarian for a few years. I had gotten really deep into yoga in the early 2010s, and I became a vegetarian when I was doing teacher training for that. So I was purely vegetarian for a few years, and then I started integrating poultry back into my diet. I ate very little because my husband also doesn't consume a lot of meat, so we just didn't eat a lot of meat. I feel like I'm already a picky eater even as an adult. I definitely was as a child, but even as an adult, I still have things that I just don't like, so I feel like my diet was pretty limited, and I perhaps was not getting the nutrients that I needed, especially when my body underwent this or got pregnant and was going through this stressful event.Meagan: Yeah. Growing a placenta and a baby. Yeah, it needed its nutrients.Liz: Yeah. So I feel like during my pregnancy, especially once I started to feel good again, I ate whatever I wanted. So that whole like, I'm just going to eat so healthy, I was just like, yeah, no. I'm eating for two. I totally knew that's not what you're supposed to do. Meagan: I did the same thing. Liz: Yeah. I was like, whatever. I'm feeling great. I'm going to eat it. It's there. I'm going to eat it. So I get to my 20-week anatomy scan. I'm not even sure if it was exactly at 20 weeks, and everything goes well. Fortunately, no complications with the baby. Oh, I had also gotten a NIPT to find out the sex of the baby, so I knew I was having a boy. The anatomy scan did validate that. But that week, I don't know if it was right before or right after my anatomy scan, I noticed that I was starting to swell just on my right side of my body. My right foot was swollen. My right ankle leg was a little swollen. I remember reaching out to my social media friends. I just put out a status like, "Hey, pregnant lady here. I don't really know what's going on. Is this normal? Is this something I should bring up to my provider? What do you guys think?" There were plenty of people who were like, "No, it's totally normal to be swollen at that point." I even said, "It's only on one side though. It's weird."Meagan: Yeah, yeah.Liz: So they were like, "Just elevate your feet. See what happens." It would always go down, but it was just odd that I happened to notice just the swelling on one side of the body. So definitely interesting. Yeah. So I keep going. I'm getting bouts of pretty much every pregnancy symptom, but it would always be very short-lived. I definitely had some reflux, short-lived. I got sciatic pain so bad one day that I couldn't get out of the car. I remember I was sitting in the passenger seat and I said to my husband, "I can't walk on my right leg right now because of my sciatic nerve." So I was doing all these exercises to try and get the baby off my nerve and all of that, and everything just waxed and waned. Nothing was long-lived by any means. So I get to 30 weeks. I think it was at my 30-week appointment, and I believe it was the medical assistant who come in and took my blood pressure and wait like they always do. I don't know if it was her or the nurse practitioner who said that I had my first high blood pressure reading. Like, "Oh, it's elevated a little bit." And I was like, "Oh, that's so strange. I've been a 120/80 girl this entire time, and my whole life, I've never had blood pressure issues." And they're like, "Okay, well it's something to keep an eye on. Let's see. We're going to let you lay on your side, and see if we can have it come down. We'll take it at the end of the appointment again." And it did. It would come down, but they definitely were like, "We're going to keep this in our back pocket, and we might have to have additional monitoring if this progresses." I didn't really know what high blood pressure and pregnancy could mean, so of course, I go to Dr. Google like a good pregnant lady does, right?Meagan: Yep. A lot of us, I'm guilty.Liz: Guilty. Yeah. I was like, okay, so it could be hypertension in pregnancy or it could turn into preeclampsia. I was reading all the things, how this could turn and what that all meant. So in the back of my head, I always thought like, okay. I'm aware of what could indicate preeclampsia, but that's not going to be me. I am a healthy person, right? I've always been healthy my entire life. There shouldn't be any issues while I'm pregnant. And that wasn't the case, unfortunately. But I did go in a few more times, and I did get elevated blood pressure readings. So I don't know what week I was, but I know it was the beginning of October. I saw this other nurse practitioner who was not warm and fuzzy. She was new to the practice and she saw me. She took my pressure, and you could see the alarm in her face, but she wasn't saying much. This stuck with me to this day. It's just so crazy. She handed me this paper. The hospital that I was delivering at is a small community hospital, but it's affiliated with this Catholic healthcare system where I live, so they have a few different hospitals that are also within that same system. She just gave me this paper that had a listing of all these numbers for these different departments at these hospitals, and she just said, "You need to call them and make an appointment." And I'm like, "I have literally no idea what this is about." She's like, "Your pressure is high. You need to go make an appointment with them," but that's all she said to me. Meagan: For what? Yeah. Liz: Yeah, what is happening right now? I remember even that day, she asked me about my face. She was just like, "Is your face swollen? Does your face normally look like that?" I was like, "I have a very round face. I have big cheeks. To me, my face doesn't look different." Yeah. So she handed me that paper, told me to call, and like the good patient I am, I was like, "Sure, I'll call." So I called. I found out it was maternal-fetal medicine, which for those of you out there that don't know what that is, that's a high-risk doctor, and I had no idea. So this is my first experience with that. I did call. I made an appointment, and my OB office had me do a 24-hour urine drop or urine drip, however you want to call that. Meagan: Urine catch? Urine catch, probably?Liz: Yeah, so for those of you who don't know what that is, they give you a jug from a lab, and you have to put your urine into that jug for an entire 24 hours. They test it, and they're checking to see if there's any protein that is spilling into your urine because that could indicate decreased kidney function. Meagan: Preeclampsia. Yeah.Liz: Yeah. That is a symptom of preeclampsia. So I did do that. I went and saw MFM, and in the office there, my pressures were labile. They even called them that-- labile. It had elevated a little bit, probably in the 130s over 90s, but then by the end of the appointment, it had come down. My labs for that urine catch did indicate that there was protein present, but it wasn't within a diagnosable threshold. It was below that lab threshold, so I basically wasn't diagnosable. But they were like, "Now we're going to watch you." Most people like to see their babies on ultrasounds. That's an exciting thing. I became so fed-up with having to go in. I was, at that point, a frequent flyer. I was going in weekly earlier than a pregnancy that wasn't having any sort of complications. I was getting not only an ultrasound, but an NST every time I went in, so I'd have to lay there for 45 minutes while they looked at the baby's heart tones and everything. Yeah, at that point, I was just really stressed out because I was like, is that what this is turning into? But I don't have preeclampsia. I think I also saw my OB within that timeframe and he mentioned, "If this progresses, we will be doing a 37-week induction." And I was like okay, so I'm going to keep that in mind. But again, this isn't going to progress to that because I'm healthy and we're going to make it past 37 weeks. I probably wouldn't get the type of delivery that I wanted. And that's probably something I should mention. If I was induced at 37 weeks, I was preparing to have an unmedicated birth, a vaginal birth, and I was even taking a HypnoBirthing class to try and labor as long as I could at home. My whole thing was that I didn't want to go to the hospital until I needed the hospital or until I felt I needed the hospital. So here I am thinking, okay. I want this unmedicated, low-intervention birth, but I'm having all these interventions right now because they need to monitor me. There's some sort of issue that might be brewing. Yeah. I already said I went to MFM and all of that. My symptoms, at that point, were mostly swelling. I was getting very swollen at this point. I had that pitting edema in my legs, so I could press my finger into my leg. Meagan: It stayed. Liz: It stayed, and then my feet were like little loaves of bread. My feet will never forget what they went through. My husband would just massage them every single night, trying to get the fluid to move out of my tissues. It was crazy. I had another experience with a different OB who was not my OB, but I was out at a family event at this restaurant, and this woman approached me, told me she was an OB, and asked me if I was okay because my legs and my feet did not look so great.Meagan: What?Liz: Yeah. I was just standing in the lobby minding my business, and she's like, "Are you okay?" as if I'm not being monitored, but do you think I'm just going through this free and unaware of what's happening? Yeah. So that was interesting. She said that she was an OB. Yeah. So I went for weekly NSTs, the ultrasounds, and everything looked great with the baby. He was never under any sort of distress. No concerns of intrauterine growth restriction, nothing like that, but my pressures just kept being labile. I actually borrowed a blood pressure cuff so I could monitor at home. There were some mornings where I'd lay down on the couch after I woke up, and my blood pressures were reaching into those like 140s over 90, 91 maybe. I just would cry. I was just hysterical. Like, why is this happening? I don't want to go to labor and delivery right now. I don't want to be monitored. I'm already being monitored so much. There were probably some weeks towards the end where it was more than once that I went into my OB's office for monitoring. So fortunately, we made it through that 37-week mark. We made it all the way to, essentially, the end. And we get to Thanksgiving Eve, right? So my due date is the next day. I'm at 39 and 6. This was one of those appointments where they said, "You have to see the OB." I know I just kicked and screamed, not really, but in my head like, "F"ine, I'll see him. So the medical assistant comes in, takes my pressure and my weight, doesn't say anything, and leaves the room. He comes in, takes my pressure in my weight, and he asks me to meet him in his office.Meagan: Really?Liz: Yes. So I get myself dressed out of the gown that they had given me, and I go meet him in this fancy office. And he's like, "Your pressure is very high today, very high. So you're going to be going to labor and delivery straight from here." He's like, "I have a few meetings that I have to attend to here, but I will meet you over there in a few hours." And I was like, obviously, on the verge of tears. I'm just like, "Can I please stop home and get my stuff? Like, I have bags, I have a dog."Meagan: If you can go to your meetings, I can go to my house.Liz: Right. And yeah, my OB's was maybe 12-13 minutes away from my house, and the hospital was about five minutes down the road. So I was just like, "Can I just go home and grab my stuff?" And he's like, "No, no, no. Go straight to the hospital." And he goes, "And you're probably going to have a Cesarean."Meagan: What?Liz: This is after I tell him my natural birth, or my unmedicated, definitely wanting a vaginal birth. I was like, what? Literally, that was when the tears of waterworks really started. I was just like, "there's no shot at me having a vaginal birth?" And he's just like, "Well, I'm going to be putting you on medication to prevent seizures, so you can either labor with that and have it cancel out my induction medication, or you can just be calm and go to a Cesarean." Like, go to the OR, essentially.Meagan: What were your pressures?Liz: 170/110 that day.Meagan: Okay. Okay.Liz: So, high. Meagan: Yeah. But he's like, "You can do this, but it's not going to work, or you could just calm down and do this."Liz: Yeah, yeah. It was like, those aren't options, so that's not really an option. Right? That's what you're telling me. Meagan: Yeah. Liz: Yeah. So I called my mom. I called my husband, frantic. I was just flipping out. I get out of the office, I'm crying in the parking lot telling everybody. They're telling me to go right to the hospital. So, of course, my husband rushes home from work. He was at work. It was a Wednesday, and he got my dog. He had to bring my dog to my mom's, grab our bags to the extent that they were packed, and he met me there. I was crying. I walked myself into the hospital. It was the most surreal thing. I checked myself in knowing that I was going to come out with a human being, which was bizarre. And when I finally got to labor and delivery, my nurse was so sweet, but I was crying so much that she was just like, "Are you going to be okay?" And I was like, "I really want a vaginal delivery." And she's just like, "Honey." She goes, "I understand. I do think he's making the right choice. I do think you're making the right choice," which again, I don't really feel like I had a choice in that.Meagan: Yeah, you're like, "I wasn't really given a choice."Liz: She was also trying to relate. She's like, "I've had three Cesareans. I promise you're going to be okay. You're going to be okay." I was just like, "I've never even had a tooth pulled. I don't know if I could do this."So my husband arrived again. I'm just crying. He's trying to cheer me up, trying to keep our eyes on the prize and the fact that we were going to hopefully have a healthy baby at the end of all this. I want to say between check-in and when my OB arrived and scrubbed himself in, it was probably about three hours. Yeah. And I walked into the OR, another bizarre experience. I just walked in.Meagan: Yeah. Yep.Liz: Okay, so everybody scrubs in. There's a whole host of people in there, including my nurse. I had never had surgery, so they're giving me all the instructions as to how I need to lean forward so that they can put a spinal block, I think, at that point, the anesthesiologist, and it was so bizarre. It felt like the most claustrophobic thing. If any of you have ever had Cesareans, hopefully you can relate to me, but feeling the numbness just go up your legs.Meagan: It is very strange. I walked in for my second one. With my first one I just had an epidural, but the second one I had a spinal.Liz: Yeah, yeah. So I mean, so bizarre. Then, like I had already mentioned I was so swollen, so they had to just take my very swollen-- I felt like a beached whale-- body parts and put them onto this operating table because I couldn't move once. Obviously, the spinal had activated. So that was bizarre. But my husband, I mean, this man is the calmest person and the nicest person I know. Thank God for him and his presence on that day. He kept me nice and calm. Everybody was really, really nice in the OR. The only thing I happened to notice at one point was they had my blood pressure cuff on. That's why I'm here, right? Because my blood pressures are so hig,h and it had slipped down to my wrist, so I had my arms out. I don't think my arms were strapped down. I don't remember that. I had them out, and I look over to the extent that I could to the anesthesiologist, like, "Hey, does somebody want to maybe put this cuff on? Because that's why I'm, here. That's why we're in this position right now." But yeah, my husband and I just chatted and laughed the entire surgery. Everything worked out really well with the spinal. I did not feel any pain. They did talk me through to an extent about what I would feel as far as tugging or pulling or pressure. My son was fortunately born really healthy, screaming, great Apgar score, the whole nine. He came, and oh my god, what a feeling. Obviously, I was so emotional because of how the birth had gone and what had led me there. But becoming a parent and seeing your child for the first time, you can't really describe that. It's amazing. I have really nice photos and video that the nurse took. They brought the baby over to me. They did not do skin-to-skin with me. Again, I had all of these birth plans, preferences, and, none of that came to fruition. None of that pertained to my or situation. I was so, so happy and also so sad. I don't know how to describe it. It was like the happiest and saddest day of my whole life up until that point. So recovery was interesting. I feel like I got maybe 5 hours of sleep in the hospital total. I was on a magnesium drip. People had told me that the side effects could be a little bit gnarly with that, but I fortunately didn't find anything abnormal. I think I had so much adrenaline. But I did try to get my son to latch, and he was having a really hard time latching. They had a lactation consultant from the hospital come in and see me, and I could not get him to latch. I happened to notice that his tongue was really tethered, super tethered. I could see the tie was really far forward, and he couldn't lift his tongue. So I kept telling them, I was like, "He can't lift his tongue up the way that I feel like he needs to." They just kept telling me how to hold my own body to try and breastfeed properly. I'm like, "I don't think that that's the problem though." So that was really challenging. They did want me to stay extra time for some monitoring. So the next day was Thanksgiving. I don't think my OB wanted to be there. It was a holiday, right? He took his sweet time coming in because they wouldn't even let me eat. That was the thing. I was on magnesium. They brought breakfast in at like 7:00, and he strolls in at like 10:30. I just watched my breakfast get cold in the corner. So that was interesting. But yeah, I think at that point, if you had had a Cesarean without complications, they were looking at about a 48-hour stay. But they asked me to stay an additional day because my pressures were still labile. They were still elevated. I did get put on-- I can't remember the name of medication, but it was blood pressure medication. I was taking Motrin for pain management, the hospital-grade Motrin for my Cesarean. I cannot even describe what it was like trying to get up and walk around that first time after surgery. It's insane. That was something I didn't expect. But yeah, I didn't get much sleep. The last day that I was there, my dog had gotten into a place in my mom's house that she couldn't get him. He had gotten into something, and she couldn't reach him, so she was flipping out. She called my husband. She didn't call me and just told him, "Listen, you have to come get the dog. I can't get him." So he did. I told him, "It's fine, it's fine, you can leave." While he was gone, I had friends come and visit me. They were still visitors pre-COVID. The covering physician came in. I had my son on Wednesday. Thursday was Thanksgiving and I saw my OB, and then there were covering physicians for Friday and Saturday. So we're at Friday now, Friday evening. He came in and saw me and he's like, "You know what? I might be able to discharge you tonight." I got so excited because I was like, this is my first experience having a newborn baby. My husband is trying to go deal with my dog. How awesome would it be if we could just go home tonight?So I got super excited. He said this right in front of my friends, too. He comes back in a short while later and was like, "I just looked at your chart. I looked at your pressures." He didn't clear out the room, nothing. And he's like, "You know what? I can't discharge you. Not with pressures like this. I can't do that." And he's like, "And the covering physician tomorrow won't be able to discharge you any sooner than late afternoon, early evening because that is when he will be here." I was like, okay. So here I am in my head thinking I could go home tonight, and now you're telling me I might be able to go home tomorrow afternoon or evening. I'm already very hormonal. I'm very emotional. My husband's not here.My friends wound up leaving, and I just sobbed. I just sobbed in my room like, oh my god. this is a nightmare. Why can't my body get it together? Why can't I just have normal blood pressures again?Meagan: Yeah.Liz: Yeah. We did wind up getting discharged the next day, but I remember that physician just being so the last straw for me in that experience. You didn't have to say anything at all, and then you also set it in front of all of my friends.Meagan: Uh-huh. Yeah. So you didn't stay with this provider, did you?Liz: I did not stay with this provider.Meagan: For your VBAC? Okay.Liz: No, absolutely not. Absolutely not. Yeah. I guess I should probably get into that story, right?Meagan: No, this has been great. This has been great. Yeah. Yeah. So you were done. You went home. You're like, last straw, no more, never again.Liz: Yeah. Yeah. And I did have my. My son assessed by a lactation consultant, and she said that was one of the most severe tongue ties that she had ever seen. She did recommend a release. I was four days postpartum at this point. I wound up supplementing with formula which was something I so didn't want to do, but I was just like, this kid is starving. He can't latch properly. I did. I went and saw a specialist, and I had his tongue and lip ties both revised, and it was severe. That was a severe tongue tie. I know people have mixed feelings about that, but he needed it. Even in my opinion, as a lay person.Meagan: Yeah. Yeah.Liz: But yeah, pretty much immediately I knew I wanted things to be different the following pregnancy and birth. I think I started thinking about my VBAC probably that day. It was probably the day I gave birth to my son. This cannot be how this goes every time.So it took me a really long time to even want to conceive again. Not only did I have all these complicated feelings about my birth because yes, I did have a healthy baby. Yes, I ultimately weaned off of blood pressure medication and my body came back to however you want to phrase normal, but I had had this experience that I was holding onto a lot of trauma from, and unfortunately, my son was four months old and my mom suddenly passed away. So yeah, it was unexpected. It was sudden. I still to the day am shocked that I didn't lose my milk supply, but I was able to pump in the hospital and get my son milk. That is a crazy, surreal experience losing a parent, but I don't think that there's much more cruel than losing someone that you care about so much. My mom and I were so close in a postpartum period that's already complicated by birth trauma. So now I had this grief for my mom. I had this grief for the birth experience I didn't have. I think that largely contributed to me waiting to conceive again. I also wanted to try and find out as much as I could about what causes preeclampsia. What exactly goes on in the body that would cause that to happen? Funny thing is the verdict is still out there. They're not exactly sure what causes it.Meagan: Yeah. And there are things that we can do to try to help avoid it, but there's nothing specifically that's like if you do this, you for sure won't have it.Liz: Yeah.Meagan: The same thing with gestational diabetes. It's within the placenta, but we don't know. It needs to be further studied.Liz: Yeah. I have heard that it has to do with the father. Have you heard that too?Meagan: I have heard that as well, that there's a connection. Yes.Liz: Yeah. So I wound up, I remember I saw a home birth my wife just for blood work between having my son and conceiving my daughter. She did mention, "Preeclampsia is largely a first-time pregnancy illness. Largely. It doesn't mean you can't have it a second time," but she was the one who mentioned to me you have a higher instance of getting it again if you have the same father for your child. And I'm like, "Well, I'm married."Meagan: Well, I am going to have the same father.Liz: Yeah. So that was always in the back of my head. It's like, okay well, subsequent pregnancy, less of a chance. But same father, more of a chance. So I was just wondering what my odds were. It definitely was there on my mind for a long time. I studied as much as I could about what could cause it. I've read Lily Nichols, Real Food for Pregnancy, cover to cover. Obsessed with her. Obsessed with everything she has to say. There it is right here.Meagan: And right here and right here. Real Food for Gestational Diabetes. Real Food for Pregnancy. Food is powerful, you guys. It's very powerful. But it's changed over the years.Liz: I know. I love how she presents the research because she's the one who really delves into it and presents it in such a digestible way. It was such an easy read. I was like, okay. Okay, here are some things that I can control. Can I control everything? No. But here are the things that I intend to do the next time.Meagan: Yeah.Liz: So my mom passed away in April 2019. It took, again, a few years, but by spring 2022, I was feeling ready. And my husband and I kind of discussed it. It was in little passing. "Hey, should we try and get pregnant again?" And it was one time. It's not lost on me how lucky I am in that sense that it took me one shot to get pregnant.Meagan: Which is awesome. Liz: Yeah. I found out my EDD for that pregnancy was going to be on Christmas Day.Meagan: Oh my gosh.Liz: Yeah. And I just said, "Wow, I can't avoid major winter holidays, apparently, with my pregnancies."Meagan: Yeah. Oh, my gosh.Liz: So we did not find out that we were having a girl, but she did wind up being a girl. Spoiler alert. But, yeah, I was really not feeling well that pregnancy. It was like aversions times 1000. I had this really bizarre one that I had never even heard anybody discussed before, but I had so much extra saliva in my mouth. I'm sorry. That might sound disgusting. It felt like when right before you're going to get sick, how your mouth fills up with saliva but all day.Meagan: Like your saliva glands were just excess all the time, giving you all the spit possible.Liz: Yeah, it was disgusting.Meagan: That is interesting. I don't think I've ever heard of that.Liz: Yeah, it was terrible. Fortunately, I was working from home. I was working full-time, but I was at home. I would just walk around with a spit cup. Like, how disgusting. It disgusts me to even talk about it. It's just like, what is happening? I was waiting for those aversions to let up because I couldn't stand the smell of coffee, which, I love coffee. Basically the sight of anything that wasn't pure oxygen was disgusting to me. The sight of opening up my refrigerator was like, ugh. Exactly. The gag reflex. That lasted my second pregnancy until 22 weeks. So it was rough. I joked that I was horizontal for 2022, and that's not even a joke. I really was lying down. I had so much guilt because my son was so energetic at this point. He was nearly four years old, and he had so much energy. He wanted to do things, and I could not muster up the energy most of the time. My husband was the default parent, and I never thought that that would be the case. That was really, really hard. That was probably the hardest part of the pregnancy. But yeah, so I started to really actively plan for that VBAC. I started to see a hospital-based group of midwives. I loved them. I had gone for well-woman visits between as well. But every provider that I saw was just amazing. I didn't have any bad things to say. I knew that I would be with them if I was in the hospital. But deep down in my heart, I really, really wanted to be at home. I had seen so many beautiful home birth videos when I did HypnoBirthing. And I also associated hospitals with sickness. I had been there because I developed preeclampsia.Meagan: Uh-huh.Liz: I had been there when my mom was sick and passing away. It was a sick place. I wanted to be at a place where I felt most safe. For me, that was home. I know people have a lot of feelings and opinions about that all over, but for me, that was what I wanted to do. I wanted to do all of the things to keep myself low-risk and able to birth at home if possible while still making plans for transfer and even surgery if it was needed again. So I wasn't ignorant to the fact that it could turn into that, but I was going to try all of the things.Where I live, there actually aren't a lot of home birth midwives who support HBACs, VBACs at home. But I found one and we clicked immediately. When I spoke to her on the phone, I was like, she is my girl. I need her. I need her energy at my birth. We met in person a few weeks later, and she was so, so gung-ho about it. She had mentioned that her mom actually had an HBAC, and she witnessed her mom having that HBAC. It was just ingrained into her. She really supported me with advice on diet. She helped me with supplementation. I was on a lot of supplements for this pregnancy. I'm not even going to front. I had so many alarms set for all my supplements daily. So yes, I was trying to support myself with diet, of course, but I was trying to also fill in any gaps that might be there with supplementation. I just know my diet's not perfect, and it certainly wasn't when I was feeling terrible.Meagan: Yeah, no one's is. No one's is. That's just the reality of it. We can be eating the best we can, and we still are often falling short. That's why supplements are really great.Liz: Yeah. Yeah. I was seeing a Webster-certified chiropractor the entire time to get myself into the best alignment to have that vaginal birth. The supplementation, I was doing reformer pilates. I had started it the year before, and I did it all the way until the very end of November 2022, so I was staying active. I was really trying. I basically said that I will do almost anything to keep myself at home. That was really my motto. Yeah, I really can't say I was totally worry-free. I was waiting for something to go wrong. I was. I was trying to keep this brave face as like, okay. I can do this. I can birth the way that I want to. I can have this complication-free birth and pregnancy experience. And in the back of my head I'm thinking, when is the next shoe go going to drop?Meagan: I mean, it's what you've experienced in the back story, the last story. And it's hard. Even if we've processed through things, there's still sometimes those little creeping thoughts that come in.Liz: Yeah. That is for sure. My midwife did recommend that I get a third-trimester ultrasound. That was more for her, but it was also for me. She never ever said, "You have to do this." Everything was really a conversation. The appointments, especially with a home birth midwife were an hour long or more sometimes. Just amazing. I loved going to see her. So I did get that third trimester ultrasound. It was more to check to make sure that the placenta wasn't compromised in any way and whether it was in a good position. There was no accreta. That was something that we really wanted to rule out to keep me low-risk and at home. I agreed with that. I am not anti-medicine by any means. I just want to put that out there just because I chose to have a home birth. I do respect medical professionals and their jobs and the need for surgery but I also wanted to keep myself in a place, again, that I felt safe, and that's really what it came down to. So in my head, I had mentally prepared to go to 41 weeks. I think that's where I prepared to go because I had learned that many, many women, especially first-time laboring women, because I did not labor with my son, I neglected to mention that I didn't labor at all. So first-time laboring women will go into labor typically, but somewhere between 40 and 41 weeks. Post-dates is very, very common. So in my head I prepared to go to 41 weeks and we got there. We got to Christmas. We through there. I was like, I'm going to go somewhere before New Year's Eve. No, nothing. So we got to New Year's Eve and here I am in my 41st week, and I'm just trying to keep myself calm. What am I going to do? I cannot go to 42 weeks. I can't do it. Mentally, I can't do it. Physically, I can't do it. I'm going to wind up at the hospital. Of course, all of these negative thoughts are swirling. I went for another adjustment with chiropractor. I went for an acupuncture session. I went for a few of them, but I did induction points with my acupuncturist. I was just trying to do all the things-- curb walking, I did the Miles circuit and all the things to try and help this baby engage. So we get to 41 and 1 for me, which is a Monday, and I was woken up with contractions that felt like period cramps. That's how I would describe them. Around 2:00 AM, I started timing them. They were 12 to 15 minutes apart at that point, but they weren't letting up. They were consistent. I woke up my husband getting all excited like, "Oh my gosh, this might be it. Here we are." And they weren't getting closer, but they weren't easing up. So they just continued like that for the rest of the day. I had gotten up from the couch at one point, and I felt like this small trickle. I went into the bathroom, and it didn't look like anything to me. It didn't look like much. There wasn't a huge gush of fluid, nothing. So I was like, oh, I think it's probably just discharge or maybe part of my mucus plug. I have no idea. I have literally no idea. But I was like, nothing seems off to me, and it wasn't enough fluid to be concerning. I did text my midwife to update her and she mentioned to me, "A lot of women will drop into more active labor when the sun goes down. Things get quiet. It starts to get calmer. I can almost guarantee that we're going to have a baby at some point in the next 24 hours." So I go to bed that night and thinking, I'm going to wake up Tuesday probably either be having a baby or have a baby already. I woke up Tuesday, and I was still pregnant. Here I was.Meagan: You're like, this is not what I was thinking.Liz: I remember I would wake up with a contraction, but again, they were 12 to 15 minutes apart. I would go to sleep between no issues and just wake up, breathe through the contraction, and go back to sleep. And that's how the whole night went. I just couldn't believe I was still pregnant. I really was starting to get a little down on myself. I was like, these aren't coming closer together. They're not intensifying. They're not letting up, but there's nothing really happening at this point. I texted my midwife again that morning, Tuesday morning, and she said she needed to come see me for the 41-week appointment anyway, so she said that she would come by that day. She was going to come to my house. And then we get to the mid-morning. It was probably around 10-10:30 and my contractions stopped, like literally up and left. Like, what is happening right now? I can't. I was in shock, literally in shock. Especially because labor had been going on for over 24 hours. It was absurd to me. But she's like, "Don't worry. I'm going to come see you for your appointment anyway." When she arrived later that day, I did ask her to do a cervical check because at this point I'm like, "Something has had to happen whether the baby moved down into a better station or I'm a little bit more dilated or just more engagement. Whatever it is, I just want to know at this point."Meagan:: Yeah.Liz: So she did. She said, "I'll go in there. I can do a cervical check and if I can get in there, would you like me to do a membrane sweep?" And I was like, "I would love that. Anything to get this going. Let's get the party started." I'm at my house. She does the cervical check. She's like, "I can do a membrane sweep." And as she basically finishes up, I feel this gush of fluid.Meagan:: Your water.Liz: Yeah. She stopped, and I said, "Was that fluid?" She's like, "I'm going to make sure it's amniotic fluid. I have the test strip," and of course, it lit up like a highlighter. She's like, "Yes." She goes, "So guess what? We're going to go after baby today. We're going to get this. We are going to get this party started." I had kept telling her, "I can't go to 42 weeks," and she kept saying, "Let's not go to 42 weeks. You'll be fine. We're going to get it moving." And here we are. She did mention, I was at that point, about 3-4 centimeters dilated, so pretty good. But she was like, "I can offer you, I have a Foley. I can offer you a Foley balloon just to put a little bit more pressure on the cervix and maybe we can get those contractions to start to start up again, and then hopefully come closer together." Yeah. So she did. She put that Foley in and she waited with me at my house, and we just chatted. It came out a short time after. It took very little. I didn't have discomfort with that, thankfully.Meagan: That's, good. I mean, your cervix was starting to come forward. Things were going.Liz: It was going. Yeah, yeah. So again, she stayed with me and once the Foley came out, she just advised me to put on some sort of protective underwear whether it was the adult diapers or a pad because now we knew that my fluid was at least leaking, but it wasn't coming out consistently anymore. I don't think it fully came out. It wasn't a big enough gush for it to be all of the fluid, if that makes sense.Meagan: Yeah, yeah, yeah.Liz: So she told me to do a few things. She's like, "I'm going to head out. You're going to call me when you need me," which, at that point, I was like, I have no idea what that means, but okay. And she's like, "Here are the things that you can do. Obviously nothing in there anymore, because we know that your amniotic sac is open.Meagan: It's broken. Liz: Yeah. Yeah, exactly. But she said, "You could do some pumping. You could use some clary sage essential oil." She gave me her TENS machine, and she's like, "You could try the TENS machine." I had never known that you could actually use that not for pain management. I only thought it was for pain management. So I was like, "That's so interesting." So she's like, "Do the pumping. Do that." So I did. I did one session, I think, before I put my son to bed for the last time as an only child. I did. I went and laid down with him and just knew that was probably going to be the last time that he would wake up or the last time he had woken up as an only child. And then I did it one more time, and not only did my contractions come back, I started timing them on the app, and I'm watching them get closer. They're going from 10 minutes to 8 minutes to 7 minutes to 5 minutes. I'm just watching them like, oh, my gosh. So we get to 11-11:30 at night, and it's just me and my husband there, and they are three minutes apart, and they're not easing up, and they are getting intense. So there it was. They came back.Meagan: And labor begins.Liz: Oh, it began. It began. I have so many interesting photos that my doula wound up taking. Thank God for her. Not only for the photos, but for everything that she did during the labor and delivery. It was intense. It gets intense, or in my experience, active labor when you get the breaks between the contractions and you are able to rest. I took every opportunity to rest. My doula was trying to guide me into different positions. She would help by putting a warm compress on my back at times. She would encourage even location changes in my house just to see if I could use the toilet. She told me to get into the shower at one point. I was like, "I'm too claustrophobic in here." I didn't like that, but she was trying to get me to try different things. But it was so intense. The craziest part for me was transition. That was truly an out-of-body experience. Everybody was doing these hands-on manipulations, my husband and my doula. But I could not do anything but just sway. I was standing, swaying back and forth in my living room, arms up. Why were my arms up? I have no idea, but they were up. I was doing that horse lips, breathing. Yep. It was just what my body did intuitively. I just, at that point, wasn't really getting a break. It was just insane. So that was intense. Out-of-body. I cannot replicate that level of pain in my head. There's just no doing that, but I knew that even if I needed to transfer, which I wasn't planning, but even if I needed to do that for pain management, I couldn't sit down in a car. I was at that point, so I thought to myself, the only way to this is through this. Like that is it. You've got to do it. We're just going to do it. So I knew that in my head. At no point did the pain concern me though. I mean, was it so intense and crazy? Yeah, but it was never like, there's something wrong.Meagan: Uh-huh. Yeah.Liz: So that was really good. I didn't think anything negative during that time except that I was in an intense amount of pain. But it was like pain with a purpose, if that makes sense.Meagan: Productive.Liz: Yes, yes. In the meantime, my doula had set up a birth pool because I definitely wanted to try to be in the pool when I gave birth, but I wasn't sure how I'd feel about the water since I didn't really like the shower experience. It took a while because the hose kept slipping off of our faucet or whatever, so they had to boil pots of water. I just remember my doula walking back and forth. In the meantime, they did call my midwife. Somebody did, and she showed up with her assistant. So there were like three or four adults trying to hold me in transition or do some sort of physical manipulations and then pour hot water into this birth pool.Meagan: Oh my.Liz: Yeah, it was very interesting. But yeah, my contractions, at that point, were 30 seconds apart and they were lasting a minute and a half. It was intense, yes. But the pool was finally filled at 6:45 in the morning on Wednesday, and the only reason why I know that is because we have pictures of me right before I got into the pool. When I got in, my body just relaxed. I didn't think I was going to be wanting to be in a supine position at all, beyond my bottom at all because I couldn't have even tried to sit on land. But once I got into the pool, everything relaxed and it was like, oh, this is what I needed. This is what I needed. I needed some relief. I also kept telling everybody how tired I was. Anybody who walked past me, I was like, "I'm so tired." They were like, "Yeah, no. We know. We know, but we're going to keep working."Meagan: Yeah.Liz: But yeah, I was in there for a really short time and I had heard of this before, but to actually experience it is next level. I had the fetal ejection reflex.Meagan: Oh yeah.Liz: So I did not even have another cervical check. Nothing. My body just started pushing that baby down and out. I couldn't have stopped it if I wanted to. I was making the most primal sounds. I have video of it, like low guttural sounds. It was probably going on for about 15 minutes. My son walked down, I heard his little pitter-patter of his feet, and he walked down. My stairs go right into my living room where I was. And the whole time the most nerve-wracking part of having a home birth for me was that I knew he was going to be home with us, and there really wasn't an adult aside from my husband and my birth support team who I wanted in my birthing space. So there was no other option of anybody to take care of him besides my husband if it came to that. I think in the back of my head, that was the most anxiety-inducing part of this.Meagan: Yeah.Liz: So down he walks. And of course, he's hiding. He sees these three other adults in our living room. I'm in the tub groaning.Meagan: Yeah.Liz: He's a little nervous. He's a little guy. Fortunately, I think it was either the birth assistant or my doula handed him his little digital camera that I had actually bought as a gift from the baby for him. Yeah. She encouraged him. She's like, "Why don't you take some pictures? Take some pictures of mommy and daddy." The minute that she said that and he started to do that, he calmed down and just wanted to be in it and part of it.Meagan: Yeah.Liz: Yeah. And I told him, "Mommy's making some interesting noises, but I'm okay. I'm safe. I'm okay." And he was just really good about it. I feel like all that anxiety went away, thankfully.Meagan: Yeah. Yeah. That's awesome.Liz: Yeah. I noticed my midwife was starting to gather her supplies and in my head, I actually probably said it out loud like, "Wait, we're doing this here?" And she was like, "Yeah." I was like, "I'm having a baby here in this room." She's like, "Yeah." I was like, "I don't need to go to the hospital?" She's like, "No, no, no. You're okay."And, yeah. My body just kept pushing the baby out. And it was an hour, not even an hour. It was less than an hour from when I first got into the pool until my daughter was out. My husband got to reach down and put his hands there. As she came out, he felt her really chubby cheeks. She has big cheeks like me and her ear, and brought her up to my chest. I was just in shock. I couldn't believe that I had done that. But then, of course, I look and I see that she's a girl. I just knew my mom had sent me her. That's how I felt.Meagan: Oh, that just gave me the chills.Liz: Thank you.Meagan: Oh my gosh. That is so beautiful. I love that your son was able to be involved, and you could feel your mom. Oh huge. Congrats. Liz: Thank you so much.Meagan: Yes. Liz: My mom's name was Faith, and so my daughter's middle name is Faye because everybody who loved my mom called her Faye. She was Aunt Faye to everybody, every cousin. So my daughter's name is Luna Faye. So she is her namesake, and she's amazing. And like you said, I can't believe she's almost two. I can't believe this was almost two years ago.Meagan: Two years ago. I know. We get so many submissions and sometimes we can't get to everybody, but it does take a while sometimes. I'm so glad that you were able to come and still record your beautiful stories and give us so much detail of each one and guidance, and the experience. Yeah. I'm just so happy for you.Thank you so much. I don't think I'll ever come down from that high, that birth high. Like, I think I'll be riding it out for the rest of my life. I'm not sure I'm going to have any more children. I think we're pretty much done, but I would love to give birth like that a thousand more times. It was the redemptive story that I needed. It helped so much with my previous birth trauma, and it made me feel so strong. I have never felt more strong and more powerful than that experience. I don't think I ever will.Meagan: Yeah, well, and there's so much that went into it-- time preparing, research, finding this team, and then even dealing with the prodromal. I mean, that could be defeating within itself. You're so tired, but then you just kept going.Liz: Yeah, I kept doing the things. I mean, that was one thing that my doula and my midwife both commented on. They were like, "You did everything that you could, and you tried to control everything that you can control, and look what happened. That's amazing."Meagan: Yeah. Thank you again so much.Liz: Thank you. I'm so happy to have been able to talk to you and share my story.Meagan: Me too. Do you have any final advice to any of our listeners?Liz: I think my ultimate advice for any birthing person is to find a provider that you align with. I think they can really make or break that experience. No matter where you choose to birth or where you wind up birthing, have that provider that you trust, that you feel like you could have open conversations with. If you say you want a natural birth, they're not going to scoff at that, and somebody who's going to have conversations with you instead of talking at you.Meagan: Yeah, I agree so much. I want to add to just vet them. If they're feeling good at first, okay, stay. And if something's happening, keep going. Keep asking the questions, and if something's not feeling right, don't hesitate to change.Liz: I know. And I not only hesitated, but I knew I had to change with my first provider, and I just didn't. I think at that point, I was so tired.Meagan: Yeah well, it's daunting. It's a daunting thing. I mean, I was there too, so no shame in it. It's just hard when you realize looking back, oh, I could have. I should have done something different. I didn't, but that's okay. We've learned, we've grown, and we've had healing experiences moving forward.Liz: Yeah. 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
Donderdagavond speelde AZ de heenwedstrijd van het tweeluik tegen Tottenham Hotspur in de achtste finale van de UEFA Europa League. De Alkmaarders speelden een goede wedstrijd tegen de Londenaren, waren in fases beter en wonnen uiteindeljk met 1-0 door een eigen goal van Lucas Bergvall uit een corner. Na afloop spraken we met de sterk verdedigende Wouter Goes. Presentatie: Robert Denneman
In de dagelijkse podcast van FC Afkicken bespreken Bart Obbink, Neal Petersen en Jean-Paul Rison onder meer de nederlaag van PSV in Turijn tegen Juventus, de eerste wedstrijd van Feyenoord onder Pascal Bosschaart tegen AC Milan in de Champions League, de overige Champions League-wedstrijden en het veld bij Union St. Gilloise - Ajax!(0:00) Intro(1:42) PSV doet het zichzelf aan tegen Juve(13:20) Spektakelstuk City - Real!(16:25) Dembélé blijft op dreef voor PSG(20:25) Bosschaart neemt het roer over bij Feyenoord(33:40) Union - Ajax in gevaar?Zie het privacybeleid op https://art19.com/privacy en de privacyverklaring van Californië op https://art19.com/privacy#do-not-sell-my-info.
Matt's on duty all weekend while Doree is off to ANOTHER tennis weekend. We get some updates from listeners about NIPT tests and how the podcast has made an impact, and another listener thanks Matt for his home improvement DIY skills.Support us on Patreon and get up to two bonus episodes per month, plus ad-free episodes! Sign up at patreon.com/eggcellent adventure.Call or text us at 413-461-BABY or email us at mattanddoree@gmail.com or doreeandmatt@gmail.com. We love getting your messages! Hosted on Acast. See acast.com/privacy for more information.
During pregnancy, lab tests play a crucial role in monitoring both maternal and fetal health, ensuring early detection of potential complications. Routine blood tests in early pregnancy include a complete blood count (CBC) to check for anemia or infections, blood type and Rh factor screening to prevent incompatibility issues, and tests for infectious diseases such as HIV, syphilis, and hepatitis B. Additionally, rubella immunity testing is done to assess whether the mother is protected against the virus, which can cause severe birth defects if contracted during pregnancy. Urinalysis is also standard to screen for infections, protein levels (which could indicate preeclampsia), and glucose levels, which may suggest gestational diabetes risk. Genetic screenings, such as non-invasive prenatal testing (NIPT) or carrier screening for conditions like cystic fibrosis and sickle cell disease, may also be recommended based on risk factors or family history. As pregnancy progresses, further lab tests are conducted to monitor emerging conditions and ensure fetal well-being. Between 24 and 28 weeks, the glucose challenge test (GCT) is typically performed to screen for gestational diabetes, a condition that can impact both mother and baby if left untreated. A repeat CBC may be ordered in the third trimester to reassess anemia, and Group B Streptococcus (GBS) testing is done around 36 weeks to determine whether antibiotics are needed during labor to prevent newborn infection. Additional testing, such as thyroid function tests, liver function tests, or expanded genetic screening, may be recommended based on the individual's health status and risk factors. These lab tests, combined with regular prenatal care, help guide clinical decisions, ensuring a safe pregnancy and a healthy birth outcome. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all.
Send us a textThis episode features a conversation with genetic counsellor Sarah Long, who shares her insights into non-invasive prenatal testing (NIPT) and its implications for expectant parents. We discuss the importance of positive predictive values, variations of unknown significance, and the ethical dilemmas faced by families navigating genetic testing.• Exploring the evolution and methodologies of NIPT • Clarifying the concept of positive predictive value in genetic testing • Highlighting the crucial role of pre-test and post-test counselling • Discussing the emotional impact of variants of unknown significance • Understanding parental perspectives on knowledge versus uncertainty in testing • Addressing the misinformation surrounding the MTHFR gene • Reflecting on the ethical considerations of genetic screening and disability Listen to the episode for an enriching exploration of genetics that concerns us all!Support the showDemystifying Genetics is sponsored by TrakGenehttps://www.trakgene.com/
On This Episode We Discuss: In this episode we explore genetic testing in low risk populations, both in direct-to-consumer and clinical settings. We interview authors on two recent JoGC papers related to topics of communication of health risks, understanding of genetic testing, and informed decision-making. You can find the Journal of Genetic Counseling webpage via onlinelibrary.wiley.com or via the National Society of Genetic Counselors website. Segment 1: An analysis of direct-to-consumer genetic testing portals and their communication of health risk and test limitations Nicole Lee is an associate professor of communication in the School of Social and Behavioral Sciences at Arizona State University. Her research examines the intersection of science communication, public relations, and digital media. This work has been applied to many contexts including climate change, biodiversity research, wellness products, and direct-to-consumer genetic testing. x: @lee_nicole linkedin: https://www.linkedin.com/in/nicoleleepr/ In this segment we discuss: - What motivated the exploration of how direct-to-consumer (DTC) genetic testing companies communicate health risks to consumers. - Potential impacts on consumers who may misinterpret relative risk when presented without adequate context. - Importance of genetic counselors in improving interpretation and communication of DTC genetic test results. - Suggestions for enhancing transparency and clarity in communicating health risks to consumers. Segment 2: Non-Invasive Prenatal Screening: Testing Motivations and Decision Making in the Low-Risk Population Meagan Choates, MS, CGC is the Assistant Program Director of the University of Texas Genetic Counseling Program and Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the McGovern Medical School at UTHealth Houston where she practices prenatal genetic counseling. She received a BS in Biochemistry and Genetics with a Minor in Psychology from Texas A&M University in 2014 and an MS in Genetic Counseling from the University of Texas Genetic Counseling Program in 2016. Meagan provides prenatal genetic counseling services at several Houston area clinics, and supervises genetic counseling students while on their prenatal rotation. In addition, she directs and teaches the genetic counseling program's Embryology course and Approaches to Genetic Counseling Research I & II. She co-directs and teaches in the program's Prenatal Genetic Counseling, Psychosocial Issues, and Psychosocial Practicum courses. She additionally oversees the genetic counseling students' Master of Science thesis research process. Her personal research interests include understanding how genetic screening and testing options are discussed, utilized, and interpreted in the clinical setting. ResearchGate profile: https://www.researchgate.net/profile/Meagan-Choates-2 In this segment we discuss: - The anecdotal observations that inspired the study, notably that low-risk and high-risk patients shared similar motivations for choosing NIPT. - That insurance coverage was the second most significant factor influencing the decision to undergo NIPT. - About 44% of participants were classified as making "uninformed decisions" despite receiving pre-test counseling from a genetic counselor. However, the term “uninformed” used by the MMIC tool can be misleading. - The challenge of balancing detailed knowledge expectations with patients' ability to make value-consistent and thoughtful decisions. Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”. For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others. Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com. DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Sydney Arlen.
Dr. Shameka Poetry Thomas is a medical sociologist with special interest in reproductive justice and genetics technology as well as the intersection of maternal healthcare with sickle cell disease. After receiving her Ph.D. from the University of Miami, she completed her two-year postdoctoral fellowship at the National Institutes of Health (NIH)/National Human Genomics Research Institutes (NHGRI).In this episode, Dr. Thomas centers the experiences of pregnant Black women with sickle cell disease, who, despite advances in medicine, genetics and reproductive technology, have been neglected by research communities due to intersecting marginalized identities despite high mortality during pregnancy and childbirth. Dr. Thomas walks us through what non-invasive prenatal testing (NIPT) is and how it relates to sickle cell disease specifically. Her work comes to life by illustrating the converging effects of colonialism, racism, bias and stigmatization through moving real-world stories. Her research sheds light on the lived experiences of patients who are left to integrate complex information from multiple specialists to interpret meanings for themselves, their families, their finances and their communities in the setting of collective and individual trauma. She describes the importance of using qualitative research methods to explore a range of experiences within groups rather than treating groups as a monolith. She also acknowledges the heaviness of this type of qualitative work and the importance of dissemination of findings to spark action.Dr. Thomas connected the long history of research abuses in the US to current-day research practices that continue to disrespect Black women. For example, recent sickle cell disease NIPT research was conducted without incorporating the unique lived experiences of the affected women to understand whether and how to incorporate these technologies into practice. She emphasized the urgent need for the development and implementation of more comprehensive ethical guidelines in the field of reproductive health. These guidelines should specifically address the ethical dimensions of research on sickle cell disease and the burgeoning field of genetic technology, ensuring that the rights, dignity, and well-being of those affected particularly within marginalized communities. Finally, Dr. Thomas called for more robust advocacy efforts aimed at amplifying the voices of Black women and other marginalized groups in the creation of healthcare policies and research priorities. Such advocacy must not only challenge existing inequities but also ensure that affected communities have the power and agency to influence decisions that impact their lives, fostering a healthcare system that is equitable, inclusive, and just.Read Dr. Thomas's work here:Thomas SP, Fletcher FE, Willard R, Ranson TM, Bonham VL. Patient Perceptions on the Advancement of Noninvasive Prenatal Testing for Sickle Cell Disease among Black Women in the United States. AJOB Empir Bioeth. 2024 Apr-Jun;15(2):154-163. doi: 10.1080/23294515.2024.2302996. Epub 2024 Feb 13. PMID: 38349128.Thomas SP. Trust Also Means Centering Black Women's Reproductive Health Narratives. Hastings Cent Rep. 2022 Mar;52 Suppl 1:S18-S21. doi: 10.1002/hast.1362. PMID: 35470876.Fletcher F, Thomas SP, Lapite FC, Ray K. Bioethics Must Exemplify a Clear Path toward Justice: A Call to Action. Am J Bioeth. 2022 Jan;22(1):14-16. doi: 10.1080/15265161.2021.2001113. PMID: 34962203; PMCID: PMC9302876.
In obstetrics and medicine, uncovering the right diagnosis or understanding a patient's medical history often involves piecing together subtle clues, much like solving a puzzle. While patients are typically reliable historians, there are moments when they may not recall specific events, procedures, or reasons for past medical decisions, especially during high-stress situations like childbirth or complex treatments. This can leave gaps in the story that require careful investigation and interpretation by the ob/gyn or midwife. In these moments, healthcare providers must rely on a combination of patient accounts, medical records, and clinical intuition to reconstruct the sequence of events. By asking targeted questions, reviewing past notes, or identifying patterns in a patient's symptoms, clinicians can often uncover the critical details needed to make informed decisions. This detective work is essential not only for understanding what happened in the past but also for shaping the best course of action for the future, ensuring safe and personalized care. In this episode, we'll explore compelling examples from our practice where connecting the dots and uncovering hidden clues led to key insights about a patient's past. These stories highlight the art of medical investigation and the critical thinking required to provide exceptional care. Amniocentesis, once a hallmark of prenatal diagnostics, has become a relic of an earlier era in reproductive healthcare. The procedure, which involves extracting amniotic fluid with a needle to screen for genetic conditions, was groundbreaking in its time. But advances in non-invasive prenatal testing (NIPT) have rendered it largely unnecessary. NIPT, which analyzes fetal DNA from a simple maternal blood draw, provides highly accurate results for common chromosomal abnormalities without the risks of miscarriage associated with amniocentesis. The shift away from invasive procedures reflects a broader trend in medicine: the prioritization of safer, less disruptive technologies that yield similar or superior outcomes. While amniocentesis may still have a role in certain rare cases, its decline underscores how innovation can relegate once-essential tools to the margins of clinical practice, reshaping the landscape of prenatal care. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all.
Amniocentesis, once a hallmark of prenatal diagnostics, has become a relic of an earlier era in reproductive healthcare. The procedure, which involves extracting amniotic fluid with a needle to screen for genetic conditions, was groundbreaking in its time. But advances in non-invasive prenatal testing (NIPT) have rendered it largely unnecessary. NIPT, which analyzes fetal DNA from a simple maternal blood draw, provides highly accurate results for common chromosomal abnormalities without the risks of miscarriage associated with amniocentesis. The shift away from invasive procedures reflects a broader trend in medicine: the prioritization of safer, less disruptive technologies that yield similar or superior outcomes. While amniocentesis may still have a role in certain rare cases, its decline underscores how innovation can relegate once-essential tools to the margins of clinical practice, reshaping the landscape of prenatal care. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all.
Join us for the 5th Annual JOWMA Conference: Transforming Healthcare Through Innovation & Research on January 5, 2025, from 8am to 5pm in NYC! Spend the day immersed in expert-led scientific sessions, hands-on surgical simulations, specialty roundtables, and a networking lunch tailored for healthcare professionals and students. PLUS, we're offering a full premed program with panels, roundtables, and networking dedicated to aspiring medical students.
We have made SIGNIFICANT progress in our ability to screen for fetal RH factor using cell free DNA from maternal blood. Cell-free DNA to determine the fetal RHD genotype from the maternal circulation was first described in 1993. We have come so far since them. In March 2024, the ACOG released a Practice Advisory stating, “the use of NIPT to prioritize use of RhIg and conserve RhIg supply is a reasonable consideration”. Two U.S. companies have introduced cell-free DNA assays for RHD as part of their noninvasive prenatal testing assays. These assays use next generation sequencing to determine the presence of fetal RHD DNA. These tests are NEAR perfect in accuracy (we will review the latest data here). So, how can it be possible to detect the RHD gene (when truly present), yet the fetus ultimately be found to have RH negative blood? In other words, how do we explain the occurrence of genotype/phenotype discrepancy? The science is clear. In this episode, we will review this unusual phenomenon and summarize a recent (November 2024) clinical validation study on the use of cell free DNA test testing to look for this “genomic variance”. This article was also on the Green Journal's “Spotlight on Fetal RHD” on 12/16/2024. Is this common? And which patient population is more likely to have this? Listen in for details.
Today Heidi interviewed Amy Lloyd. Here is a little more about Amy and this episode. In Amy's words: "I graduated nursing school in 2011 and started working in the NICU. I travel nursed and ended up in Denver, CO for 7 years. I mainly worked in the NICU but worked for Nurse Family Partnership for 4 years (an amazing nationwide program for 1st time moms that qualify based on income!) I got married and moved to Asheville, NC in 2021. We got pregnant on the first try! I did the NIPT and found out we were having a boy! At my first appointment they mentioned I had a bicornuate uterus. Since hearing I had a higher rate of a breech baby I was pretty convinced he would be breech and I would have a scheduled c-section. “Normal” pregnancy. I felt really good. Worked night shift in the NICU until 39 weeks. I got COVID at 26 weeks pregnant. The recommendation then was to have a growth ultrasound. I had one at 34 weeks where they discovered the left side of his heart and aorta were small. I was referred to MFM in Asheville and then onto MFM and cardiology in Charlotte. I was induced at 39.2 at Atrium. I had a good induction…foley bulb, pitocin, epidural, AROM, pushed for 45 minutes. My baby immediately went to the NICU. His echo showed he had coarctation of the aorta and he had surgery at 3 days old! We were in the hospital for 2 weeks before coming home to Asheville. We experienced lots of feeding difficulties. He came home with a NG tube, had reflux, and a weak suck. I was basically exclusively pumping from the start. I weaned off the pump at 9.5 months postpartum. At 3 weeks postpartum I had severe abdominal pain leading me to be readmitted for IV antibiotics. They believe I had endometritis. My baby just turned 1 8/29/22. He is doing great and will continue to be followed by cardiology for life but hopefully should not need any further interventions!" 3 Key takeaways from the podcast that listeners will learn today: Flexibility Advocating for your family 3 Keywords that people would want to search when looking for content that you would provide in this episode: Congenital heart defect Epidural induction Exclusive pumping Favorite baby product or new motherhood product? Boppy for baby. I usually buy my friends a nice pair of pajamas as everyone is usually focused on stuff for the baby! Summary of guest experience – Currently live in Asheville, NC. Graduated nursing school in 2011 and have worked in the NICU as a RN ever since. Also have my CLC. Please link your contact information for me to share in the episode. Instagram: Amy Lloyd 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 babies 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 parent 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 My Doula Heidi Website Birth Story Media™ Website
婷在懷第一胎時，有用podcast留下了孕期的紀錄， 自己回去聽，覺得當時有記錄下來真不錯， 不然很多事情真的是過了就忘記了。 這集就來紀錄第二胎孕期的心得吧！ --- 在這集節目中，我們會聊到以下內容： 子癲前症風險高 羊膜穿刺與NIPT 令人擔心的出血 孕期兩次驚魂跌倒 孕婦寫真驚嚇插曲 歡迎來到女人聊心室，讓我們陪妳聊心事！ --- 寫信給寧＆婷：ningandting@gmail.com 加入我們的FB：https://pse.is/TYTC8 追蹤我們的IG：https://pse.is/STXT8 婷的社群連結：https://pse.is/3l92kk 小額贊助鼓勵：https://pse.is/45fp85 --- Music: Peaceful by Luca Fraula Link: https://filmmusic.io/song/5169-peaceful License: http://creativecommons.org/licenses/by/4.0/ －－－－以下訊息由 SoundOn 動態廣告贊助商提供－－－－ 繼陽明第一廳口碑熱銷後，城揚建設集團全新奢綠鉅作，廳綠廳水_廳見正義站: https://bit.ly/3McdIxo 2024 全新公園新品，台鐵正義站綠鄰，東高雄首屈一指黃金地段!地點在 2 千坪正義公園前，陽明國中自由學區。精品廳院、飯店奢華，規劃健身房、双 KTV、閱覽室、交誼廳、運動 Bar、多功能教室，奢華貴氣 -- Hosting provided by SoundOn
Met een recordopkomst van 72,9 procent heeft de SPD nét gewonnen van de AfD in de Duitse deelstaat Brandenburg. Na de grote overwinning van de AfD in deelstaten Thüringen en Saksen is dat een opluchting voor de partij van Scholz. Maar of het ook echt een teken is van goedkeuring van de bondskanselier, is de vraag. Over hoe Brandenburg nu verder moet, is correspondent Guy Hoeks te gast. (14:09) Op visite bij de vrienden van de Spaanse dictator Franco In Spanje is nog steeds een stichting actief die het leven en werk van dictator Francisco Franco eert: de generaal die in 1936 een staatsgreep pleegde, een burgeroorlog ontketende en tot zijn dood in 1975 aan de macht bleef. De Spaanse regering wil echter een einde maken aan deze verering. Justitie is ingeschakeld om de stichting te sluiten. Verslaggever Edwin Koopman verdiepte zich in de wereld van de Franco-aanhangers. Presentatie: Tim de Wit
Any Questions? A Podcast About Conception, Pregnancy and Realistic Motherhood
Prenatal genetic testing (or, more accurately, prenatal genetic screening) is a controversial issue for some parents and a big decision for all pregnant people. After sharing a bit of a pregnancy update (2nd trimester, maybe not as fun as it should be!), I go into the different testing options available (like the SIPS, NIPT and NT), how we decided on the right tests for us, how you can make your decision and the roller coaster we've had with testing so far. PS: I mention a few times that I'm going to look into the nuchal translucency ultrasound. Unfortunately, after doing a bit more research after I recorded, it turns out you have to be between ~10-13 weeks pregnant for this test and I'm past that. Want to share your pregnancy or TTC journey? Have feedback for the podcast? Have an episode idea? Leave your feedback in this form: https://forms.gle/XyBgaf9JwgvcfH5p8 Disclosure: I'm in no way, shape or form an expert on anything. None of this is advice. Take it all with a grain of salt and consult your own healthcare provider or topic expert!
Mary dives into an exhilarating conversation with John and Nicole Vester. From the very beginning, John was ready to document much of the pregnancy on his blog. Initially expecting twins, to later finding out there was only one heartbeat, the emotional rollercoaster didn't end there. As if decoding the NIPT results weren't challenging enough, they found themselves navigating the confusion that arose from Nicole initially carrying twins. Despite these issues. the odds of their baby being born with Down syndrome were low. However, when their son was 5 days old, they received the news that their son, Finn, was born with Down syndrome. For many, this might have been a turning point, but for John and Nicole, it was simply part of their incredible journey. Down syndrome didn't change their love or commitment, but rather strengthened their bond and their new resolve to give Finn the best life possible. Their story is an inspiring testament to the power of love, patience and perseverance. The Vesters show us that no matter the challenges, with a heart full of love and a spirit of determination, anything is possible
It's the day we've been mentally preparing for... Sarah takes her NIPT test, with a little help from a Hypnotist! She also shares her week 12 experience and tells you everything you need to know at this stage of pregnancy including common symptoms, baby's development, tips for the week & a to-do list to help keep you on trackWant more from Sarah?Personal Instagram: @SarahMerrill_HallShare some Laughs: @bigkidproblemsCheck out the NEW Podcast IG @BottleServiceBKPShop Sarah's Pregnancy/ Postpartum Must Haves on AmazonFind more at www.BigKidProblems.com
in this episode Takara comes back on the podcast to share her second birth story. Takara found out early on through NIPT testing that she had anti-kell antibodies which is a condition where her maternal antibodies destroy newborn red blood cells. Takaras first birth story is EP 106 linked below! ____________________ takara's first birth story: https://open.spotify.com/episode/2zYdwZPklixxs18iRw88To?si=dc625ffc0e914c3c resource for Kell Antibodies: https://allohopefoundation.org If you enjoyed this episode please subscribe and share with your mama friends! wanna be on the podcast? https://www.whatthebumpclt.com/podcast connect with me on Instagram: https://www.instagram.com/whatthebumpclt our website / blog: www.whatthebumpclt.com --- Support this podcast: https://podcasters.spotify.com/pod/show/what-the-bump/support
UL, KUB, NIPT och andra förkortningar. Var är egentligen fosterdiagnostik och vilka frågor uppkommer när man får veta mer om sitt barn i magen? Nina Campioni funderar. Support till showen http://supporter.acast.com/vattnetgar. Hosted on Acast. See acast.com/privacy for more information.
Join Dr. Renda Knapp and Dr. Rachel Schultz as they review the routine prenatal tests that are offered in pregnancy. In this episode they specifically address NIPT, the screen for gestational diabetes and GBS testing and why these tests are important.
Vi går gjennom en første graviditetsoppdatering og snakker litt om første trimester og NIPT-testen! Vi er i uke 13 og 19, har vært på tidlig- og rutineultralyd og går gjennom formen og ukens frukt. Vi snakker også om prøving og hvordan vi fant ut at vi ble gravide.
In this episode we go into all of the details on Laura's gender reveal: how she found out, how she asked her baby for gender confirmation signs, her reaction, how she told Remi, how she told her family and everyone's reaction. She also goes into detail about the NIPT elective test, tips on how to navigate Natera's platform and find out the results sooner, if she has a name picked and her early 2nd trimester experience.She also answers a lot of doula questions in the Mom Friends Chat section including epidural concerns, how to avoid an induction if it is not medically necessary, energy tips for pregnancy and more!Products mentioned in this episode:Gender reveal poppersMatchaB12 code LAURARed light Send us a Text Message.Follow us on Instagram for more updates, bts and ask us episode questions @momfriendspodYou can also follow us on our personal accounts @rrayyme & @laura.gimbertAnd remember to subscribe so you don't miss any of our episodes, out every Tuesday!This podcast does not provide any medical advice. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen.
出生前検査（NIPT）を知っていますか？ 妊婦の血液から、おなかの赤ちゃんのダウン症などの可能性を調べる検査です。費用が安い認定外クリニックでのトラブルや、陽性が確定した人の9割が中絶を選んでいるという現実もあります。※2022年3月3日収録分の再配信です。 【朝ポキ、次のイベントは「親のモヤモヤ」です！】2024年5月26日（日）15時～、リアルとオンラインで。番組として後日の配信はしません！（登録すればアーカイブ視聴可）「その場限り」でしかできない、一歩踏み込んだやりとりをしましょう。※朝日新聞デジタル有料会員の方と紙面読者の方のみ、ご参加いただけます。https://ciy.digital.asahi.com/ciy/11013781 ↓↓↓↓↓【その朝デジ有料会員、今なら月額100円で！】始めるなら今、朝日新聞デジタル「春トク」キャンペーン！（2024/5/9まで）記事が読み放題のスタンダードコース（月額1,980円）が、2カ月間は月額100円で試せます。（初回限定）https://digital.asahi.com/pr/cp/2024/spr/?ref=cp2024spr_podcast 【関連記事】出生前検査 そもそも女性が「選択」できる社会になっているか https://www.asahi.com/articles/ASPCZ5VWTPCQULBJ001.html?iref=omny 出生前検査が身近な存在に 受ける？受けない？様々な視点から https://www.asahi.com/articles/ASPB262L3P9PDIFI006.html?iref=omny 「念のため」だった出生前検査 苦悩を経て気になったサポートの現状 https://www.asahi.com/articles/ASP994T7FP8TDIFI006.html?iref=omny 【出演・スタッフ】岡崎明子（デジタル企画報道部、元・朝日新聞アピタル編集長）水野梓（withnews編集長） 【朝ポキ情報】ご感想はおたよりフォーム → https://bit.ly/asapoki_otayori 番組カレンダー→ https://bit.ly/asapki_calendar 出演者名検索ツール→ https://bit.ly/asapoki_cast 最新情報はＸ（旧ツイッター）→ https://bit.ly/asapoki_twitter 交流はコミュニティ → https://bit.ly/asapoki_community テロップ付きはYouTube → https://bit.ly/asapoki_youtube_ こぼれ話はメルマガ → https://bit.ly/asapoki_newsletter 全話あります公式サイト → https://bit.ly/asapoki_lp 広告ご検討の企業様は → http://t.asahi.com/asapokiguide メールはこちら → podcast@asahi.com See omnystudio.com/listener for privacy information.
“Control what you can control.” Brooke's birth experiences have not been without challenges. She first had an extremely difficult miscarriage during COVID followed by intense bleeding due to massive subchorionic hemorrhages during her other two pregnancies. Her first delivery was a very traumatic C-section from not being completely anesthetized. After that, Brooke committed to doing everything in her power not to have that experience ever again and to do everything she could to avoid a C-section. Along with another subchorionic hemorrhage, her third pregnancy presented another challenge when she found out her baby had a bowel obstruction and would need surgery along with a NICU stay immediately after birth. Brooke was disheartened learning that she needed a medically necessary induction, but she was still committed to doing everything she could to achieve her VBAC. Her efforts to surround herself with a powerful team paid off. Everyone around her championed her VBAC. Brooke was able to go from the most traumatic birth imaginable to the most beautiful, empowering, and healing birth she literally dreamed about. Brooke's WebsiteInformed Pregnancy - code: vbaclink424Needed Website - code: vbac20How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details 04:36 Review of the Week07:19 Brooke's first pregnancy11:18 Miscarriage15:01 Brooke's dream17:20 Second pregnancy21:26 Going into labor and getting admitted28:06 An extremely traumatic C-section32:53 Third pregnancy38:17 Bleeding again43:09 Finding a bowel obstruction in baby46:57 Switching providers the day before her scheduled induction50:57 Progressing to complete dilation54:54 Getting an epidural and pushing for three hours59:40 15 tips for birth1:04:22 Control what you can controlMeagan: Good morning, good afternoon, good evening– whatever time it is that you are listening to this episode, I hope that you are doing great. We are excited to get into another VBAC story today from our friend. Okay, so I'm trying to think. Remind me. Are you in North Carolina now or are you in New York City now?Brooke: No, I'm in North Carolina now, but the story starts in New York City. Meagan: The story starts in New York City. She's in North Carolina now. Her name is Brooke. Tell me a little bit more. You are an educator. You are helping kids read, right? Is this what I'm getting from your website? Brooke: Yes. Meagan: Okay, so tell us more about what you do. Brooke: I worked in New York City public schools for 10 years. I was a teacher, a literacy coach, and an administrator so I have experience both in the classroom and in school leadership. After we welcomed my daughter and after the pandemic, we moved to be closer to family in the Raleigh, North Carolina area and here I'm an education consultant. Meagan: Education consultant. Awesome. We will make sure to have your website linked for anyone listening. What type of people would want to go to your website? Brooke: I offer a number of services. The first thing that I do is pretty classic consulting in elementary school. I provide literacy support. My expertise is in pre-K through 3rd grade so early reading foundational skills. I help schools with their reading programs. But additionally, there's a big home school community in the Raleigh area. Meagan: I saw that on your website. Brooke: Yeah, I've had a really wonderful experience so far working with families getting set up on their homeschooling journey and supporting parents and caregivers in taking on the teacher role at home. Meagan: Awesome. Awesome. I think home school, especially since COVID has really taken off. I know a lot of people, some of my best friends in fact here in Utah even homeschool. It's a great resource. In addition to all of the amazing, great things you do, you have a VBAC story to share with us after a Cesarean that was performed pretty early, right?Brooke: Yeah, it was a pretty preterm and traumatic C-section. All VBAC stories start with a C-section so that's part of my journey. I'm so, so, so, so grateful. Thank you so much for welcoming me onto the show today. Putting this story out there, being on this podcast, and sharing my VBAC was part of my birth plan. It was on my vision board. It was a goal that I had set so I am just so, so, so grateful to have this opportunity to share that. Meagan: I'm really excited that you're going to dive in today. We talk about this a lot of the time with this podcast. Without these stories, without women of strength just like you, we wouldn't even have a podcast. I mean, probably I could get some content for sure but I think these stories are what makes this podcast. I'm so excited to dive in in just a moment. 04:36 Review of the WeekMeagan: I do have a Review of the Week. This is a review that actually was just given this year in 2024, the current year that we are recording. It's from a Bailee Atkins. She actually emailed us in a review. If you guys didn't know, you can email in us a review. It makes our hearts smile so big when we open up our email in the morning and we get these amazing reviews letting us know that everything that we are doing right here is helping, is inspiring, and encouraging, and educating.This says, “I just want to start off by saying I am OBSESSED with this podcast. I'm a labor and delivery nurse of four years, currently 29 weeks pregnant with my second baby. I'm praying for a redemptive VBAC this April. I absolutely love this resource for evidence-based information. Being that I am at the bedside as a nurse, I have plenty of knowledge. However, I don't have the experience of home birth or a birth center birth, so it's great to get all of the insight. I can't escape negative birth situations and stories as a pregnant nurse so this podcast is often my escape and positive note for the day. I've been listening since 2022 and couldn't feel more empowered for this VBAC. It is my dream to be on the podcast one day, so be on the lookout.” Okay, I love that. This is being aired probably after her due date. I mean, I don't know when her due date was, sometime in April, but we are now in May, so Bailee Atkins, if you are still listening, if you haven't already, email us and let us know how it goes and we would love to have you on the podcast. 07:19 Brooke's first pregnancyMeagan: Okay, cute Brooke. I am so excited to hear your stories. You also have a miscarriage story, too. Is that where this all began? Brooke: This is where it all began. I'm glad you brought it up because I did want to just say at first that my story– I just want to put a note out there to any listeners who are kind of sensitive. My story does include loss and a lot of medical trauma so I just want to put that on the listeners' radar. Meagan: Yeah. I think that's important. I know some people don't feel like they need any trigger warnings, but when you've gone through loss or medical trauma or things like that and it hasn't completely been worked through or processed or anything like that, and even if it has, it can be really triggering so we just wanted to make sure to mention that. It also is your story and I think that's also really important to share. Brooke: Yeah, so thank you for that. It was actually four years ago this week at the time of this recording. This is a really lovely way to kind of just close that chapter. It just is all working out beautifully.I'll set the scene. It's December of 2019. The world is still turning. Things are great. I'm at a New Year's party in Brooklyn. I'm just thriving. I had just come back from a great backpacking trip with my husband for the summer across Asia. Life was– we were on a high. Meagan: Wow, super exciting things happening. Brooke: Yeah. It was great. It was a great time. We call it the great grand finale. We are at this New Year's party in Brooklyn and I go to pour myself some champagne and I think, “Maybe I shouldn't. I think I could be pregnant.” I'm like, “No, no, no. Whatever.” Anyway, I take it easy. We go home early. A couple of weeks later, I'm so ill. I am so sick. I have the worst cough and cold situation I've ever had in my life. My boss at the school was like, “You need to go to the doctor. This has been too long.” I go to the doctor and I'm at urgent care. It's a Saturday morning and they're like, “Oh, we need to do some x-rays. We think you might have pneumonia. Is there any chance you might be pregnant?” I was like, “Oh my gosh, yeah. I didn't drink at that New Year's party. That was two weeks ago. I can't take this x-ray.” I go to the store. I pick up a pregnancy test. I go home. I take it. It's positive. I'm over the moon. This is the happiest moment of my life up to this point. My husband gets home. We are jumping up and down. We are so excited. Everything is smooth sailing. Everything is great. I immediately start getting sick and I'm breaking out. I just feel awful. I was complaining. As this pregnancy is progressing, the world is really starting to get a little bit of that pre-COVID hysteria. It's just starting. Meagan: Yeah. Especially in New York. Brooke: Yeah, right? I'm in New York City at this time. I go to the doctor. My husband is still allowed to come with me and things like that. This is the time before. We see the baby. Everything is normal. We go back again. We see the baby. Everything is normal. My doctor offered the NIPT genetic testing and I was like, “Yeah, let's do it.” We took the blood sample. I think I was about 10 weeks at that point. We got the results 7-10 days later in that window and it was inconclusive. The doctor was like, “It says there's not enough fetal DNA. We might have just taken it too early. This happens sometimes. Nothing to worry about.” I was like, “Okay, nothing to worry about.” 11:18 MiscarriageBrooke: It was maybe week 11 and I had miraculously felt better. I was like, “Phew. I don't have any more symptoms.” I'm there at the end of the first trimester and everything is fine. I go in. It was March 9th. It was a Monday. I had my nuchal translucency 12-week scan then and I was going to be 13 weeks the following day on Tuesday. It's Monday. I wake up. I'm getting ready for work and I start bleeding. It's just spotting. I call my doctor. She's like, “Spotting can be normal. I wouldn't stress about it just yet. You have an appointment later today.” I was like, “Okay.” I tried not to worry about it, but as the day went on, the bleeding got really bad. Really bad. I got in a cab and I called my husband who was at his last day of work at the job he was at. I was like, “You need to leave right now and meet me at the doctor's appointment. I know it's not until 3:00 but I'm going now.” It was around 1:00. I showed up at the hospital early and went in for my scan. I was like, “I'm bleeding. I can't wait 3 hours. Can you just take me now?” I was so shaken. Meagan: Yeah, that's a lot. Brooke: I was so scared. This is March 9th. People are masked. Everybody is a little bit scared of the hospitals because in New York, things had been happening at this point but nothing was closed down yet. I went into the room. A doctor I had never seen before because this was my first MFM visit does the scan and she comes in. She's like, “The baby isn't growing.” My husband is there with me and he's immediately crying. I'm just not computing. I'm like, “Okay, so does that mean he's going to have delays? What does this mean?”She's like, “No, there's no heartbeat.” I was like, “Okay, so what can we do about that?” I was just not understanding what she was very delicately trying to explain to me. I was like, “What do you mean he's not going to grow anymore? What does that mean? Is he going to have defects?” She was like, “No. The baby stopped growing 3 weeks ago somewhere between 9 and 10 weeks. You are 13 weeks now. We need to do a D&C.”It was like I was in a whirlpool. I had no idea what was going on. I just became a complete zombie. I just moved through the next two days just absolutely devastated like catatonic. It was the worst grief I had ever known. It was just so surprising. She was like, “You had a missed miscarriage” which I had never heard of to that point. I was like, “What does that mean?” Meagan: What does missed miscarriage actually mean? Brooke: Another term for it is a silent miscarriage. It is when the baby's heart stops when you have a miscarriage, but your body continues to grow. Your body grows. You still have symptoms. Your body doesn't recognize that the baby is not growing anymore and isn't viable anymore and doesn't properly miscarry. It was several weeks later before I started to bleed. It was that day. I didn't know. In retrospect, it's like that's why the NIPT came back the way it did. That's why my symptoms stopped. Those things on their own, in my first pregnancy, I didn't understand. 15:01 Brooke's dreamBrooke: On the 11th, we had the D&C that Wednesday and on Friday, March 13th, New York City shut down. I came out of this procedure just so sad and then was basically locked in my house for a year. My husband and I were grieving in total isolation. It was just a really tough time. Typically, after a procedure like that, you would go in for a follow-up appointment several weeks later and the doctor would make sure everything was okay. But because it was only emergencies in the hospitals at that time, my doctor just emailed. She was like, “Let me know if you have these symptoms and then I'll see you, but otherwise it's safer for you not to come in and you can get pregnant now.” In retrospect, I think she meant you can, not necessarily that you should but I was like, “Okay. I can get pregnant again.” This is maybe a little too much for some people, but I was crying myself to sleep just so, so, so sad and I was like, “I want my baby. I just need to know that it's going to be okay.” I went to sleep and I had the strangest dream that I watched myself through a snowy window of a nurse handing me a baby girl in a pink blanket and then I didn't see her, myself in the hospital bed didn't see her, but through the window, I watched the nurse also take a baby boy and lay him next to me. He was asleep. Meagan: That just gave me the chills. Brooke: Yeah, I'm happy. I'm holding a baby girl. I woke up and I just felt okay. Two weeks later, I found out I was pregnant again. The whole time, I was like, “It's a girl. It's a girl. It's obviously a girl,” and it was. I just knew right from the outset that I was having a baby girl. 17:20 Second pregnancyBrooke: I tested positive at 4 weeks. At 5 weeks, I started bleeding and this time, I was angry. I was like, “What is wrong? Why am I miscarrying again?” I go to the doctor and my OB who is amazing, my New York City OB took such incredible care of me. She is just really an all-star doctor. She was like, “I don't know why you are bleeding so much, but the baby is fine. They are still in there.” I went back a week later. The bleeding never stopped. When I say bleeding, I mean I'm passing clots the size of golf balls. Meagan: Whoa. Brooke: At 7 weeks, I went in. At this point, my OB was like, “I don't know what's going on. I don't understand why you are bleeding so much, but the baby seems fine.” Meagan: There's no placental tear? Brooke: No. Meagan: Subchorionic? Nothing? Brooke: At this point, they didn't know what it was. They did find out. I got on the table and I was like, “I'm really bleeding a lot.” She was like, “Okay.” She put me on the table and she was like, “Oh my goodness. It literally looks like you've been shot. There's so much blood just everywhere.” I mean, I'm not a doctor obviously, but I was like, I don't know how I can go on with this much blood loss. It was really extreme. Then the psychological impact of all of that bleeding when I've just had loss. The world's not turning. I'm locked in my house other than going to the hospital. There are field hospitals everywhere. I can see them from the window. It is really just apocalyptic. We go through the next several weeks. I go to the MFM. They diagnose a very, very large subchorionic hemorrhage. It was three times the size of my daughter. They were like, “We don't know if she's going to be able to sustain this much blood loss and there's really nothing we can do to stop it.” They were like, “There's not a lot of research on this kind of thing. We don't know how it's going to go. We'll just keep seeing you once or twice a week, making sure you're not losing too much blood and make sure the baby is still okay.” The whole pregnancy, she was totally fine. I bled and I bled and I bled. I was on total bed rest because any walking I did at all just aggravated it and caused more bleeding. I was so scared of that. I was really, totally isolated. It was very tough emotionally and physically, but my doctor took excellent care of me, helped me find mental health resources, and helped me to get a prenatal nutritionist just to really give me well-rounded care throughout the pregnancy. Brooke: By 24 weeks, it went away. Prayers were answered and the hemorrhage went away. Meagan: Halfway through the pregnancy. Brooke: Yep, by 24 weeks, it was gone. I didn't have any new bleeding although I was still bleeding, but it wasn't the full hemorrhage bleeding that I had been experiencing up until that point.I took it easy until 36 weeks when I was like, “I need to start walking and moving. I've been in bed this whole pregnancy. I know that's not good.” I'm usually a very active person, so I was a little anxious about that. Around 36 weeks, we started taking the daily hot chocolate walk. We would walk to a different spot and we would get a hot chocolate. It's winter time now. It's December. It's Christmas. We were just relaxing and then on January 15th, it was snowing in New York City. I was 38 weeks and 6 days and I went into labor. 21:26 Going into labor and getting admittedBrooke: I woke up at 3:00 in the morning and I was like, “I'm in labor.” I was so excited. It was happening. I labored at home for 14 hours and then we went into the hospital. The traffic was so bad from the snow that I ended up walking down 5th Avenue for 10 blocks because we were in gridlock. I was like, “I'm in labor!” I was nowhere near ready to go to the hospital but I didn't know. I went to the hospital way too early. Classic C-section red flag right there, but I didn't know. I got there and my doctor happened to be on call. I was so excited because she was just incredible. We had such a good relationship after the care she had given me throughout both of these pregnancies and I was just so excited. But then she left. She had me in triage. I was only 2 centimeters. She was like, “I think you should go home.” Meagan: You're like, “I just walked blocks to get here.” Brooke: I was like, “I can't.”She was like, “It's probably going to be another 12 hours until you really need to be here.” I was like, “I can't come back at 3:00 in the morning tomorrow.” I was so anxious. My anxiety from what I had been through, I was like, “There's no way I'm going home.” She was like, “I'll push it. We'll admit you now.” She was catering to my emotional and mental needs to have this baby monitored. I was so scared. Brooke: I get admitted. By the time I get upstairs, my poor husband is not admitted at this point. He's outside in the snow just walking around Central Park. Not until I'm in my room is he allowed to join me because he had to be tested for COVID and all of that. This is January 2021. Now, mind you, two days before that, I think the 14th was one of the worst days of COVID that we'd had up to that point in New York City. That is what everybody is focused on in the medical world. They're not like, “This routine birth. This girl is in labor. She's 39 weeks tomorrow.” Nobody's stressed. I get the epidural. By that time, I'm 5 centimeters. Two hours later, my water broke. I was at 8 centimeters. It's 7:00 PM. I'm 8 centimeters. I'm like, “This is happening.” Everything is smooth. I go to sleep. I keep telling everybody that the epidural is not working. I can feel the epidural on the right side of my body. The nurses moved me around, trying to get the medicine to other places, they had me just lying this way, laying that way, but I got up. Never walked around. Didn't get in any other position other than my back or my side. I went to sleep. I woke up in the morning and was still 8 centimeters. I had stalled out and now, everybody is starting to worry. The doctor who was on call, my doctor, who left after I was in triage, was someone I had never met. I have lots of friends who she delivered their babies and they had great experiences with her, so I'm sure she is absolutely wonderful, but I didn't know her and I felt really unsafe. She seemed very busy every time she came in and I was very anxious at this point. I was like, “I thought I was going to have this baby yesterday. What is going on?” My angel of a nurse just was so reassuring that whole time, but I kept telling her, “I don't think this epidural is working.” She was like, “Well, this is the max that you can have. Let's give you more Pitocin to get those contractions to kick in so we can get you all the way.” More epidural, more Pitocin. More epidural, more Pitocin. The cascade of interventions. This is all for a labor that I went into spontaneously. It's 39 weeks now. I'm full-term. My nurse goes on lunch break. It's now Saturday the 16th. My nurse went on lunch break and another nurse came in, someone I didn't know which is a theme throughout my whole VBAC journey. I really liked to know my provider. Meagan: That's an important thing, by the way, to know. It doesn't happen as much anymore, but to know who is going to be with you is very common to want that. It was for me. Brooke: It was not something that I thought I would care about, but at the moment, it was something I really needed. So this nurse I didn't know came in and took my temperature and was like, “Oh no. You have a fever. This is bad. I'm going to get the doctor. She's going to operate.” I was like, “What are you talking about I have a fever. What?” The OB comes in. She's washing her hands. She's putting on the fresh gloves. She's doing it. She just came out of C-section. She was like, “You have a fever? You've been at 8 centimeters for how long? All right. We're going to the OR.” I just immediately start hysterically crying. I was terrified. My nurse is back and she was like, “It's okay. Look. Your baby is perfect. She's not in distress. Everything is okay. It's just taking too long. You have this fever. We don't want the baby to get sick. This is the best thing.” The OB was like, “Why are you crying? Everything is fine.” Meagan: Oh my gosh. Brooke: My husband was like, “You know, she's been through a lot with the loss and the hemorrhage. We are scared.” The doctor was like, “What hemorrhage? What are you talking about? This wasn't your first pregnancy?” I felt in that moment like she didn't know me like she didn't know my case and I felt really unsafe. She's a great doctor and she knew what she was doing, but I felt nothing. Meagan: She wasn't really talking to you. She was telling you what you were going to do, not talking. Brooke: Exactly. In retrospect, I can appreciate that they are in the middle of a pandemic and it was truly unprecedented. I understand now where she was, but it was not good for me. 28:06 An extremely traumatic C-sectionBrooke: I go back into the OR and I'm sure all of the listeners are familiar with this moment where you are being prepped for surgery and it's really overwhelming. I was like, “Oh my gosh. I hope my husband is not in here right now.” I couldn't see. You're just staring up at the lights. I was like, “I hope he's not in here right now seeing this.” They bring him in and I'm prepped for surgery and they are testing where they are about to perform this surgery. I was like, “That really hurts.” They were like, “No, no, no. It's just pressure.” I was like, “No, it's pressure on the left side of my body, but it's pain on the right. I am telling you as I have been telling you since I was 5 centimeters yesterday, that the epidural is not reaching the right half of my body.” They were like, “Okay. Here is some pain medication through your IV, but we've got to do what we've got to do.” Meagan: Oh my gosh. Brooke: I think it was extremely traumatic for my husband also because I was screaming through my whole C-section. I was in extreme agony. I'll liken it to when you watch a Civil War movie and you're watching an amputee. I was being operated on and was not fully anesthetized. It was the worst thing I have ever experienced or could really imagine physically. It was excruciating. My daughter was born and they said, “The baby is out.” That was maybe the longest moment of my life because she didn't cry. The first thing I ever said. The first words my daughter ever heard me say were, “Is she alive?” I was like, the baby is out but she's not crying. They were like, “Yeah.” She cried. They did the suction and she cried. 100% healthy, perfect APGAR scores, everything was fine, but all the while, I'm just screaming. After they checked her, they handed her to my husband and they made him leave. He was down the hall taking the baby to where I would ultimately meet them in postpartum, but he could hear me screaming all the way down. Meagan: Oh, so traumatic for both of you. Brooke: Yeah, it was horrible, to say the least. I hate saying that because it was my daughter's birth and so amazing for so many other reasons, but my experience was bad. Bad. I was thankfully able to nurse her really well and hold her and everything from then on was just totally smooth sailing. She was perfectly healthy, but I knew immediately that I never wanted to have another C-section. Brooke: The next morning, they were doing their rounds in recovery, and the anesthesiologist who was there, not my anesthesiologist, someone I hadn't seen before. My husband and I were like, “Will this happen again? If I were to have another baby, would this happen again? What's wrong with me?” He was like, “Well, I'm not sure, but you probably have a window in your spine and yeah, this would happen with any epidural so I wouldn't recommend it in the future. We'd have to go a different anesthesia route for a different C-section or you would have to give birth unmedicated.” That was the story in my head moving forward. After that, I was like, “I'm not having another C-section,” so in my head, it was like, “I'm going to have an unmedicated VBAC in the future.” That was day one. To process all of that trauma, I started listening to VBAC podcasts. I just was listening to VBAC stories because that was really the only place where I was hearing C-section stories. I had so many friends who had C-sections before me and I didn't understand how horrible that recovery can be for some people. Mind you, lots of my friends had great C-section experiences, but I did not and it really took a lot of work to process that. At my postpartum visit, I was back with my doctor and she was like, “You know if you do decide to get pregnant again, we will do an anesthesia consult and really explore that and make sure that that never happens to you again.” Life goes on. I'm raising my daughter. We're in New York. We decide to move to North Carolina to be with family and to try again for another baby. We're in our new house and I don't really know anybody here beyond some family. 32:53 Third pregnancyBrooke: I found out that I'm expecting again and we are so excited, but there is obviously a lot of anxiety after everything that I went through. I was like, “This time around, I need a doula.” I was like, “We're in a different time. It's not New York at the height of a pandemic. I need a team. I know now after 2 years of listening to VBAC stories what I need to do. I'm going to control every single thing I can control so that this will go how I want it to go.” I made a vision board about it. I looked at it on my desk all the time. I was like, “These are the things I need to be doing every day to hit this goal.” Sharing my successful VBAC on a podcast was on that, so I am really excited to be able to do this today. Brooke: The first thing that I did was hire a doula, but I didn't know any doulas and I knew that I wanted one who would really support a VBAC that had experience with the emotional elements of it. I interviewed several doulas with that in mind, but what I did that I would definitely urge listeners to do if they don't have a supportive provider is I asked every doula that I interviewed if they knew of or could recommend or had worked with in the past any VBAC-supportive OBs. I knew for me and my anxiety given the complications that I had with the hemorrhage and the loss that I wasn't going to go the midwife/birth center route. I knew that I would want an obstetrician. I was looking for a hospital provider that would be VBAC-supportive. Every doula I interviewed recommended the same practice and the same hospital. I was like, “That's where I need to go because if all of the doulas are recommending this practice, that's where I need to try and get in.” I was relieved to find out that they delivered at WakeMed Raleigh and I say that because it's important to note that it is one of the lowest C-section rates in the country, that hospital. That alone was really reassuring to me because I was like, “They are not going to do it just because it's taking too long.” It's really going to be based on that medical evidence. If I need to have one medically, then that's what we have to do, but I wanted to make sure that it wasn't the result of interventions or stalling. I don't know if I had done things differently if my C-section would have or wouldn't have happened, but I know that I didn't set myself up for success. This time around, I was really determined to do it. I got a doula. I got a supportive provider. Through my doula, I did childbirth education classes. They recommended Spinning Babies and yoga. I did that. They recommended a Webster-certified chiropractor and I did that. All things really stemmed from my doula and the doula group that she was with. I cannot recommend that enough. I know getting a doula can sometimes be cost-prohibitive, but there are so many doulas on Instagram that share a lot of this information on social media that just following those recommendations, I tried it all. I really did. I drank the tea. I ate the dates, but early in this pregnancy, I hadn't even hired a doula yet. 38:17 Bleeding againBrooke: 6 weeks, I started bleeding again. I was like, “You've got to be kidding me.” I wasn't as scared because I had just been through my daughter's pregnancy and I was like, “This just must be the way that I am.” So I go and I get an appointment with this practice because I knew right away that that was where I wanted to go. They took me even though I was a new patient. They took me right away even though I was 6 weeks because I was bleeding. I don't think all practices bend the rules that much. Their policy is, “Oh, don't come in until 9 weeks,” but they took me. I really appreciated that. I loved the staff. They were like, “Yeah, we don't know why you are bleeding.” I said, “Well, I do. I'm telling you right now that it's a subchorionic hemorrhage.” They were like, “We don't say anything.” I was like, “You will.” Pregnancy was pretty routine after that. The bleeding stopped. I didn't worry too much and then I took my daughter to a museum at 12 weeks, 5 days which if you recall is just about to the day and the time of my loss. It was 12 weeks and 6 weeks when I started bleeding. I had a huge bleed. I mean, bad. I was like, “How could it be that I am miscarrying on the same day?” I was like, “This is crazy.” We went to the ER because it was nighttime and I was like, “I just have to know if there is a heartbeat.” The ER checked and it was incredible too because I could feel that the doctors were nervous for me and then I felt their relief telling me that there was a heartbeat. They were like, “We don't often get to give good news in the ER and we are just so happy to tell you that your baby is fine and you have a subchorionic hemorrhage.” I was like, “Knew it.” I continued to bleed for a few days. They were like, “Do you want to do bloodwork and see if there's anything else?” I was like, “No. That's what's happening. I don't need to stay for bloodwork. This is what it is. I've just got to ride it out and take it easy,” which is tough with a toddler, but I did my best. The bleeding stopped and everything was fine. The rest of my pregnancy was great. I had that second-trimester glow and it's sunny North Carolina. I'm with my family. I've made some friends. Things are going smoothly. Then at my 24-week appointment, I said to one of the OBs there that I was feeling pretty anxious. I was like, “I'm a little bit nervous just because I did hemorrhage this pregnancy. I hemorrhaged all last pregnancy. I don't feel okay with this being my last ultrasound until delivery. Can we just put a growth scan on the chart?”She was like, “Of course. You need to feel comfortable.” I appreciated that. She didn't have a medical reason to do it, but she was like, “You're right. You've been high risk. Let's go ahead.” At 30 weeks, it was the night before my appointment and I had the strangest dream. I had a dream that I had the most amazing birth. My doula was there. I was standing up. I pulled my son from my own body. It was this redemptive, joyous dream. I felt this happiness. Then all of a sudden, it went dark and everything was dark. I was walking around an auditorium, a dimly lit auditorium with a bunch of empty bassinets. I was looking for my baby. I wasn't scared, but I was a little bit nervous walking around there, then all of a sudden, the nurse handed him to me and they were like, “Here he is.” I was like, “Where has he been all this time?” She was like, “Oh, he's been with us, but he's fine. You can go home.” I was like, “Okay.” Then I woke up. I went on with my day and I was like, “That was a weird dream.”I went to my 30-week scan and mind you, I had been put on there because of my advocating for myself. I looked at the ultrasound. It was just me and the tech in the room and I said, “What the F is that?” I had seen through weekly ultrasounds my entire pregnancy with my daughter. I'm not a tech, but I have a lot of experience as a mom looking at ultrasounds and I was like, “This is not normal.” His belly looked like sausage links. It was like nothing I'd ever seen before and the tech was like, “I need to go get the doctor.” 43:09 Finding a bowel obstruction in babyBrooke: She brought in another doctor at the practice. This is a big practice with lots of different OBs, all of whom were wonderful. This doctor who this was my first time meeting was just so sweet as she told me that my baby had a bowel obstruction and that he would need to have surgery and stay in the NICU for a while when he was born and that it was really likely that I was going to have to deliver him prematurely.I immediately became hysterical. She was so sweet. She asked if she could hug me. I was like, “Please.” It was just the most incredible practice of doctors. I felt just really supported by them. She sent me to the MFM where I had to get an ultrasound at least once a week. They did the antenatal screening there to check his intestines every few days because they wanted to make sure that they were balancing the risk of letting me go as close to term as possible while not risking his intestines bursting basically. Meagan: Right. Brooke: This was very scary again so I was like, “Oh my gosh. What is going on with me?” I go through with the rest of the pregnancy. I did have polyhydramnios because he is not passing fluid as he's supposed to be. It's all getting stuck where this obstruction is. But because it's a picture of a belly inside a belly and your intestines are so long, you can't see through ultrasound where the block is. There were five causes that they were going through. They weren't sure where this block was or if it was part of a larger disease or if this would cause lifelong issues. There were so many questions, but I just was like, “Listen. I had a dream with my daughter that I would have a baby girl in the snow and I did. I just have to trust that this baby is going to be fine too and I'm going to take it home too.” I'm going to have that VBAC and at every single appointment, once or twice a week, I ask, “Does this impact my ability to have a VBAC?” He was like, “No. It has nothing to do with pregnancy and delivery. That's going to be what it is. You make those choices based on your history. It's just that when the baby is born, you will have to have a huge team out there. The NICU team has to be there. Pediatric surgery needs to be there. You're going to have to give birth with 15-20 people in the room.” I was like, “There goes my unmedicated, serene vision with no epidural, no medical intervention, beautiful hospital birth in a dimly lit room with the candles. No.” All that planning is out the window. It's gone. I can't have that experience. So I'm like, “I have to control what I can control. The MFM is saying I can still do it. I'm still going for it.” So then at just before 37 weeks, they were like, “Okay, it's time. We need to get him out and get this surgery underway.” They were like, “He's doing well. You're doing well. Let's have an induction.” For a VBAC, being induced, I was like, “Oh no. This feels just like a death sentence to my VBAC plans, but this is what we have to do.” 46:57 Switching providers the day before her scheduled inductionBrooke: I'm meeting with one of the OBs and it's the day before my scheduled induction. This is on Monday. I like this OB a lot. We've worked together in the past. She's been great and supportive, nothing bad to say about her. But we were talking about my induction which was going to take place and I asked her a question about Pitocin. I just asked a question because I didn't know. Her response was along the lines of, “With all due respect, you need to let the nurses do their job. You're not trained in Pitocin and you need to let them do that.” Right then, I was like, “Mm-mm.” Medically, she's right. Would she have delivered my baby safely? Almost certainly, but I knew right then that was not the energy that I needed in the room. I felt immediately like I shouldn't have asked the question and I was like, “I can't feel like that this time.” I didn't ask any questions at my daughter's birth. I just went along with it. I was blind and this time, I need to be with a provider that I feel like I can ask anything and that I will get an answer. So I emailed the MFM and said, “Do you think it's safe if I push the induction a few days? I'm not comfortable with the plans we have right now. I want to give my baby and my body a few more days. What's the last possible day I can push this to?” He was like, “I'll let you go 72 more hours, but I really think we've got to get this moving.” I messaged the doctor I felt the most comfortable with in the practice and I was like, “Listen. I really want to have my baby with you. I just feel the most comfortable with you. You had mentioned you were going to be on-call that day.” I didn't do it because I wanted to do it sooner so I had scheduled it with a different doctor, but he was like, “Let me see what I can do. I have a full load that day, but let me call the hospital and see what I can do.” He called me back and he was like, “I pulled some strings and I got you in. I'm going to deliver your baby. We're going to do this induction. You're going to have your VBAC. I don't want you to stress at all. We're going to have your VBAC. Your baby is going to go to the NICU. He's going to be fine. You're going to come home happy.”I was like, “This is what I need.” I just felt like, “Ahh.” I was like, “Do you think it's safe to be induced? Is it safe for a VBAC?” He was like, “It is totally safe and I will let you know the moment things become unsafe and we will change the plan. But right now, this plan is safe and I will let you know when I don't think it is safe anymore and we need to do something different.” I was like, “Okay.” I went in for my induction and it all moved really fast from there. I had a Foley induction on the night before. I went in on Tuesday night and they gave me a Foley, but all that prep work paid off. I was already 2 centimeters dilated when I showed up at the hospital at 37 weeks for my induction. I was like, “Yes.” That baby was in a great position. I was in shape. I had done that Spinning Babies yoga. It was paying off. I had drank the red raspberry leaf tea. I ate the six dates a day and I will never eat one again.I was like, “Yes.” They put the Foley in. It fell out around 8:00 AM the following morning so this is on Wednesday now. Wednesday, September 27th. At 8:00 AM, they started Pitocin. By 10:00 AM, I was in back labor. It was mild. It was manageable. I was not stressed at all. My nurse was amazing and she helped me get into a lot of different positions. We got baby to move and back labor subsided. That made all the difference. 50:57 Progressing to complete dilationBrooke: By noon, just a few hours later, I was 100% effaced and I was 5 centimeters. I really wasn't feeling anything. I was totally fine. I was able to sleep and I was already 5 centimeters on Pitocin so I was feeling good. I was like, “Oh, I can do this. I do not need an epidural. This is happening.” My doctor came in and he was like, “I want to break your water. You have a bulging bag. Let's break this.” I was like, “Okay,” because I fully trusted him. He was so respectful of my birth plan. I had put on there that I wanted limited cervical checks because in my previous labor, I got the chorio infection and I was like, “I want to limit cervical checks because I don't want to have that infection again that caused my first C-section.” He was like, “I'm not going to check you unless I feel like we really need to and we can talk about it.” He was just so respectful of my wishes and how I wanted my birth to go. He was barely there. My contractions weren't intense, so at 2:00 PM, my nurse upped my Pitocin to a 10. I'm not really sure what that means as the other OB pointed out. I'm not trained in Pitocin. Meagan: It's starting to get into the higher does. Usually at 20 is when OBs will cap it off or try to get MFM involved to get more clearance or do an IUPC and stuff like that. 10 is low but still getting there and getting higher. Brooke: Okay. Okay. She put it to 10 and said, “It's time to get things going. I was just still coping fine and I was starting to get a little bit worried that I wasn't going to get past 8 centimeters because so far, it had been similar to my previous labor. It was taking a while, but I was feeling fine. I texted my doula. This was 2:00 PM. I texted my doula and she was like, “Go get on the toilet. Sit backward. I call it the dilation station. Just go sit there for a little while and I'll check back in with you at 3:00.” But at 2:10, so 10 minutes of doing that, I texted her that I was at 8 centimeters and I was in so much pain. I was like, “You need to come in right now.” 10 minutes. I was so sick. I thought I was going to throw up. I was screaming. I was not prepared for how bad this was going to hurt. I was not expecting that. It came out of nowhere. She got there at 2:35. I was pacing up and down the room yelling and I was screaming that I really wanted the epidural. My nurse gave me IV pain meds and I kept telling her I would get relief during the contractions but the contractions themselves really hurt. My doula was there applying counterpressure, helping to move me into different positions and she and my nurse were working together to get me from just one contraction at a time. One contraction at a time. I mean, I was just in labor land. I could not see beyond the moment that I was in. I was begging for an epidural. My husband didn't say anything because he was really supportive of just supporting my wishes, but I was like, “I really want an epidural.” My goal going into the birth was to have a good experience and not necessarily to have an unmedicated birth because the unmedicated part was because I was afraid that the epidural wouldn't work again. That's why I didn't want the epidural. It wasn't because I wanted the unmedicated birth. It just felt like that was my best option. 54:54 Getting an epidural and pushing for three hoursBrooke: I'm hysterical and I'm like, “I want the epidural. This is not a good experience. This is not on my birth plan.” My doula was like, “I think you're right.” My nurse checked me. She was like, “You're complete. You're complete. You can just push.” I was like, “I am not pushing without an epidural! This is not what I want!”An angel of an anesthesiologist came in and gave me that epidural. I was complete and I got that epidural and let me tell you, there is nothing wrong with me. There is nothing wrong with my spine. That was the most incredible relief that I have ever felt. I know now it was the right decision. My husband was so against it because he was so scared that I was just giving up and throwing in the towel at the final mile. But he didn't say anything at the time. The anesthesiologist was amazing. He kept coming in to check on me, making sure I was doing okay. That was around 3:30 that I got the epidural. I stayed on my hands and knees. My doula was giving me peppermint essential oil to help me cope with the nausea. She kept checking on me and I felt that relief around 4:15, then it was calm and joyous. I knew instantly that I had made the best choice for me. The nurse kept trying to get me to do practice pushes and my doula was like, “You don't really have to do that.” I was like, “I don't have to practice doing anything. My body is just pushing.” It was involuntary. It was just happening. I pushed for 3 hours. Yeah, 3 hours of pushing. Meagan: All right. All right. That's some time.Brooke: It was a long time. I started pushing around 4:15-4:30 and my baby was born at 7:28 PM. I had no tearing and it was exactly like my dream. His head was out and my doctor was like, “Reach down, Brooke. You can do it.” I reached down and pulled him from his shoulders up onto my chest and I got that completion of that circular motion. Pushing the baby out, completing the circle with putting him on my chest. He was crying and looking up at me. I had that skin-to-skin moment. Mind you, this is happening with 15-20 people in the room. The team rushed over. They took him. They checked him. They laid him back on my chest and they left. They were like, “He's perfect. We're good. We'll see you in an hour.” Meagan: Oh my gosh. Yay. Brooke: Yeah. Yeah. So I got to hold him on my chest and have that golden hour. It was just me, my husband, and my doula. It was the most incredible, healing moment of my life. I was pushing him out and I was like, “I could do this again! This is amazing!” It was just– at one point in pushing, I even asked my OB. I was like, “Oh my gosh. This is taking so long. Do I need to have a C-section?” My doctor was like, “Brooke, I'm touching his head. No. You're having a VBAC. It's here. It's done. You did it. This is it.” I was like, “Oh my god.” The baby was never in distress. He did great the whole time. They didn't feel any need to rush it because medically, he was monitored the whole time. I was monitored. We were both doing great. It just took a while. It was absolutely perfect and then they took him back to the NICU after that hour and he ultimately did need to have bowel surgery and stayed there for almost 6 weeks, but I'm happy to report that he is a 100% normal almost 6-month-old baby now and just absolutely perfect. It was the healing VBAC that I had pursued and I am just over the moon about it. It will remain one of the best experiences of my whole life in spite of all of those challenges that I had with another hemorrhage, an induction, and my baby with this obscure birth defect. Having that VBAC and that VBAC success really just completely changed my outlook on the whole situation. I could drive to and from the hospital to see him. I got to hold him for that hour. It was an amazing, amazing, amazing experience. 59:40 15 tips for birthMeagan: I am so happy for you and I'm so happy that you felt you were able to advocate for yourself. It is definitely something hard to do. It would be hard to email and be like, “Actually, I'm not going to go with this provider” or even say, “Yeah, okay. Great. I'm 10 centimeters, but this is not the experience that I'm wanting anymore and I'm going to do this.” I think that is something also they tell people a lot. You can't get an epidural after a certain number of centimeters. That's not necessarily true. Sometimes it can be heavy and harder to push, but a lot of the time, it is what a mom needs to push. You had 3 more hours. You knew what you needed. That was the most perfect decision that you could have made for you. Brooke: Exactly. Exactly. Meagan: You had that amazing full-circle moment of bringing your son up, feeling him, and holy cow, intuitive. Your dreams are on point. I'm just so, so happy for you and I do want to talk a little bit. There is something that you said a couple of times that stood out to me and it's something that I feel like I just in life in general, not even just in pregnancy and everything that I stick to. You can only control what you can control. That, in birth, is hard so what you did is what you could control. I want to give some of those tips. I've got 15 tips and I'm looking down here and I'm like, yeah. You did a lot of them. Learn the facts. Learn what the evidence says. A lot of providers are on the opposite side of your provider where they are like, “No. Pitocin is not safe. It is not acceptable. We cannot do this. You have to go into labor by tomorrow or we have to have a C-section.” Right?Brooke: Right, totally. Meagan: That's not what the evidence states. So you learned the facts. You found the provider. That's the next one. Find a supportive provider. Hire a VBAC doula if you can. I want to talk a little bit about doulas. Obviously, I am a doula and I have a whole doula program here at The VBAC Link so I advocate for doulas every single second of the day, but I know sometimes it's not possible and you mentioned that financially. There are avenues. You can go to Be Her Village or instead of a baby shower and getting a whole bunch of extra clothes, you can ask for support for doulas. There are ways around that but then I wanted to also talk about hiring a doula. Just like hiring a provider who is supportive of VBAC, you also want to try to find a doula who is supportive of VBAC as well. We had a story just a while ago that talked about how she had an amazing doula and it sounds like she was honestly amazing, but VBAC was something that made her uncomfortable. She didn't know that until she was in that space. Brooke: Yeah. I experienced that in my interviews. I did talk to a few doulas who were like, “Well, I've never done a VBAC but physiologically, it's the same as any other birth.” While that is definitely true, I knew that I needed somebody in my corner who understood the emotional impact and what this was going to do for my psyche. Physiologically, man. I have been listening to your podcast. I was like, “These women can do it. I can do it.” A very good friend of mine had a VBAC and the whole time through her pregnancy, I was cheering her on. It was in my head. I was like, “It has already happened. This is done. It's a done deal. You're going to have a VBAC.” Then it was my turn and I was like, I had that faith in my friend. I need to have that faith in myself. I can do this. I really can. I got that from listening to your podcast and hearing other women have this success. That was absolutely critical, but knowing that a doula who understood that and who had been there for other VBAC moms was critical for me. Actually, the doula that I ended up having with me that I hired and that was with me in my birth, she was the doula for her sister who had a VBAC so I was like, “She knows. It's personal to her.” It was perfect. It was perfect. Yeah. It's another part of your team that supports you and understands. Even if they haven't had a VBAC themselves, they are supportive of VBAC and really understand again those facts and the evidence surrounding VBAC. 1:04:22 Control what you can controlMeagan: Finding the birth location. You mentioned you knew that this other location may not have been the best idea and this is where you would feel more safe and you chose that. That is so important to choose where you feel comfortable and what resonates with you. Avoiding induction, however, we know induction happens. Here we are. An induction happened and an induction can happen. Avoid an induction that is not necessary, but also know that if induction comes your way, that doesn't mean that your birth dreams and your birth preferences and everything just go completely out of the window. It's still possible to VBAC if we didn't just prove it with this episode and many other episodes before with an induction. Processing past birth experiences, creating a birth plan. I love how you had a vision board and you were like, “This is my vision. I'm going to do these things. These are within my control.” Surround yourself with the people who support you even outside of your birth team. Going to the massage therapist, and chiropractor, doing Spinning Babies. All of these things are really, really going to help you have a better chance of a VBAC, but then also I feel like if a VBAC doesn't end up happening, you can go back and say, “I did everything I could do in my power and I controlled what I could control.” That message stuck out to me during your story. You said it just a couple of times, but that to me is very powerful. Control what you can control. Brooke: Yeah. I would want anybody listening to really hang on to that and to have faith in yourself. In my second pregnancy, I felt like I just needed to go along with what the doctor said. I had a high-risk pregnancy. I was bleeding like crazy. I didn't know what was going on. Everything felt really uncertain at that point in the pandemic and where I was living and it was just that I didn't take any control. I just did not own my birth at all. I will always wonder if I had done things differently. If I wasn't on bedrest and I was moving and if I drank the tea and if I had a doula which wasn't an option at that moment in time, but if I had done things differently, would I have had such a traumatic Cesarean birth? Would that experience have happened? I will never know, but I wanted to know going into this one that I did everything that felt right to me. My doula would make suggestions and I did the things that I was like, “Yeah. That's something I'm going to do.” Then there were suggestions that she made that I was like, “Mmm, that doesn't sound good to me,” so I just didn't do it. I followed my gut. I had faith in myself. I was like, “I'm going to do X, Y, and Z. I'm not going to do A, B, and C.” Doing what feels right to you and your body, my provider, and I had the mantras too. My provider was amazing, but I knew going into it that obstetrics is not as old as the wisdom of my body and I need to trust it first. My OB is one man. If there is something wrong, they are there to course correct but I just need to let my body do its thing. My provider was so supportive of that and I think that controlling that was huge. I mean, I literally changed doctors the day before my induction. That is something you can do. In my first birth, it was so obvious that I was just routine. I was in and out of the hospital, just another mom giving birth. Nameless. This is the biggest moment of your life and you have to do what you can do to make it the experience you want it to be. I knew that going in, my son needed an induction and that was the whole pregnancy, I was like, “I won't be induced. That's where I draw the line. I'll go for a repeat C-section before I get induced,” and it was time. They were like, “We need to induce.” I knew that was what I had to do to save my son. I was like, “We're going to go for it.” My provider made me feel really safe and I'm just really glad that up until that last minute, I was advocating for the birth that I wanted and that was when I got the birth I wanted, but I knew that if it ultimately ended in a C-section because that was what he needed or if something would occur that that was what I needed, that that is what was needed and not just, “Oh, time's up. Oh, you have an infection.” Control what you can control. Meagan: Yep. That's the message of the day. Control what you can control. VBAC is possible. You did it. I'm so happy for you and thank you so much for sharing your story with us today.Brooke: 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 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
In this episode, Shannon Whieloch, a genetic counselor and the founder of Stork Genetics, discusses the vital role of genetic counseling in fertility, preconception, and prenatal care. She debunks common misconceptions and highlights the importance of informed decision making. Shannon tailors her genetic counseling services to meet the unique needs and concerns of each individual couple, providing personalized guidance and support. She also emphasizes the significance of genetics in overall health and the various testing options available. Shannon shares her own journey into genetic counseling and her commitment to making genetics accessible and approachable. In this conversation, Shannon Wieloch, a genetic counselor, discusses the significance of carrier screening and non-invasive prenatal testing (NIPT) in genetic counseling. She explains that carrier screening can be done at home with a saliva sample or cheek swab and helps identify the risk of passing on genetic conditions. NIPT, on the other hand, is a blood test that can detect chromosomal abnormalities in the fetus. Shannon emphasizes the importance of informed decision-making and the role of genetic counselors in providing support and guidance throughout the genetic health journey. She also discusses the emotional impact of genetic testing and counseling and shares impactful moments from her experience.Instagram: storkgeneticsstorkgenetics.comFacebook: Stork GeneticsTik Tok: Stork Genetics
In this mailbag episode, Dr. Nathan Fox answers some of the top questions from our listeners. He addresses questions on the use of nitrous oxide in labor and delivery, non-invasive prenatal testing (NIPT), fallopian tube removal, how long you should wait to conceive following a C-section, and more.
In episode 463 Midwife Courtney shares with us her two pregnancy and birth experiences. Courtney lives in rural Victoria and chose to go through GP-shared care for her first pregnancy. Courtney admits that she found her midwifery knowledge contributed to her anxiety during both her pregnancies. Her first pregnancy was relatively smooth and she expected her second to be much the same. Despite several risk factors showing up in her second pregnancy with Maggie, it wasn't until Maggie was 5 days old that it was confirmed she has Down Syndrome. ------------------ Today's episode is brought to you by an Australian brand I really love, The Sleepybelly Pregnancy Pillow. Worried about rolling onto your back during the night? Or maybe you're tired from tossing and turning? Experience a deeper and more restful sleep for mum and bub with Sleepybelly. The Sleepybelly is a three piece, adjustable pregnancy pillow designed to encourage safe side sleeping.Made from a super soft, air layer outer material and premium latex internally provides great support for your belly and back. Sleepybelly is Australian owned, has free shipping and comes with a 30-night trial. Take $10 off using the Australian Birthing Stories exclusive promo code ABS10 You can purchase the Sleepybelly online today at sleepybelly.com.auSee omnystudio.com/listener for privacy information.
I början av din graviditet får du information och erbjudande om fosterdiagnostik. För att du och din medförälder/partner ska kunna fatta ett beslut om att tacka ja eller nej till erbjudna fosterdiagnostiska metoder behövs ju mycket information, och ibland är det inte helt lätt att greppa allt kring metoderna.Vi vill gärna hjälpa er med detta, och tillsammans med en av våra favoritgäster - förlossningsöverläkare Ylva Carlsson från Sahlgrenska Universitetssjukhuset - går vi igenom fosterdiagnostikens olika metoder. Ylva svarar på våra - och dina - frågor kring första-trimester-ultraljud, rutinultraljud, KUB, NIPT, moderkaksprov och fostervattenprov, tillväxtultraljud, flöde och riktad ultraljud.När används vad, och vad kan man undersöka? Vad kan man inte undersöka med metoderna? Hur träffsäkra är metoderna, och vad finns det för nackdelar med dem? Vad händer om det upptäcks något avvikande, och vad menas med sannolikhet vid KUB? Allt detta - och mer - i veckans avsnitt!Vill du veta mer? Läs gärna på SNIFs hemsida: Material | Svenskt nätverk för information kring fosterdiagnostikAvsnittet sponsras av MAM Hosted on Acast. See acast.com/privacy for more information.
Surprise - I'm pregnant! (As of recording and posting this, I haven't gotten my NIPT results back yet. You can check the pinned comment on my IG post today to find out the sex :)) I'm into my second trimester now and ready to tell all when it comes to: - how and why we decided to start trying - what I did to maximize our chances of conceiving quickly - all of the CRAZY symptoms of pregnancy that we don't talk enough about - how I told family & how I'm feeling now ... and more! Show Notes: Natural Cycles - use this link to sign up with 20% off your first year plus a free thermometer! My supplements: WeNatal for Her - use this link to get a free 30 day supply of the DHA+ supplement Seed DS-01 Daily Synbiotic - use code IPW15 to save BiOptimizers Magnesium Breakthrough - use code IPW to save --- Sign up for a Discovery Call! Join the Compass Method DIY Program Jump inside my Rock the Bloat Minicourse Get my Core-Gi Workout Program with the exclusive listener discount! Join my Brain Rewiring Masterclass You can learn more about me by following on IG @imperfectlypaigewellness or by checking out my blog, freebies, and offers on my website: https://imperfectlypaigewellness.com Please share with #PaigeTalksWellness to help get the word out about the show - and join the Imperfect Health Fam over on Facebook.
NIPT is a prenatal SCREENING method that involves analysis of cell-free fetal DNA (cfDNA) in maternal blood. Prenatal screening for sex chromosome aneuploidies (SCAs) has become readily available through expanded non-invasive prenatal testing (NIPT). NIPTs became commercially available in 2011 and has since been introduced in more than 60 countries around the world and is now part of mainstream obstetrical practice. Initially offered as a secondary screen for pregnancies with a high probability of a fetal chromosomal anomaly, NIPT is now often offered and recommended as a first-line screening test for the main chromosomal aneuploidies. Initially, NIPT was available to screen for fetal trisomies 21 (Down syndrome), 18 (Edwards syndrome) and 13 (Patau syndrome). This has expanded of course to include (separately) fetal sex chromosome aneuploidy (SCA) screening. However, there are some VERY important points we must remember when seeing an “atypical sex chromosome” NIPT result. What is the PPV of a SCA found on NIPT? In this episode we will highlight a recent NIPT atypical sex chromosome result from our practice and review what this may and may not actually mean, and review why NIPT screening for SCA is actually VERY controversial with some potential ETHICAL concerns, with some countries recommending AGAINST ordering it. Lots to cover here….so listen in.
Understanding the different types of genetic screening can be confusing. Blyss and Dr. Stu try to make sense of this important topic. We catch up on Dr. Stu's appearance on the Daily Show, and Blyss makes a rookie mistake.We also highlight the unpredictable nature of birth and the necessity of surrendering to the process. Sharing a birth experience, we underscore the importance of preparedness and letting go of the idea of being in control. A listener's letter sheds light on the need for more understanding and support for mothers during the postpartum period. We discuss women's expectations during childbirth and the dire need for improved care and support from the medical system. We address the importance of genetic testing for carrier screening and the potential ramifications of expanding government-run healthcare.Our conversation further delves into the importance of men's fertility in conception and healthy pregnancies, sharing insights from a listener's NIPT test. We stress the importance of women advocating for themselves and trusting their gut when it comes to their pregnancy and birth choices. Key highlights:Government Control of Home BirthsExpectations and Lessons from Birth ExperiencesHome Birth and Genetic Screening Carrier Screening for Genetic ConditionsFalse Positive Rates and NIPT TestingEpisode resources:Video: Michelle Wolf Unpacks the Business of Childbirth | The Daily ShowVideo: Dr. Stuart Fischbein - “Birthing Instincts” and Trusting Nature in Childbirth | The Daily ShowACOG Article: Carrier Screening for Genetic ConditionsThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com
Anne Price had an NIPT screening due to her age of 41. One week later, while their family was on vacation, her two older kids received a call while waiting for the Finding Nemo ride at Epcot. Her phone rang. Her OBGYN, who had a very somber tone of voice, delivered the news horribly, telling her the results were a sex chromosome abnormality and the mention of Klinefelter syndrome. He said, "The good news is that your child doesn't have Down syndrome." The call got disconnected, and Anne couldn't leave the line, so she started to cry uncontrollably during the ride.
Ultraljud, KUB, NIPT, moderkaks- och fostervattenprov. Alla är exempel på det som kallas för fosterdiagnostik, där man kan få reda på om avvikelser på fostret. Men hur ska man tolka och tänka kring resultatet? Lyssna på alla avsnitt i Sveriges Radio Play. – Det vi skulle kunna jobba på är från vårdens sida säga att det finns olika skäl till att göra fosterdiagnostik – det ena är att kunna avsluta graviditeten, det andra är att vara förberedd, säger Charlotta Ingvoldstad Malmgren, genetisk vägledare vid Karolinska universitetssjukhuset. Fosterdiagnostik kan också användas för att upptäcka skador på fostret som går att operera redan innan förlossning. Peter Lindgren jobbar med det. – Vi gör ungefär 150 sådana här operationer per år på Karolinska, säger Peter som är överläkare inom fostermedicin på Karolinska institutet. Medverkande: Charlotta Ingvoldstad Malmgren, genetisk vägledare vid Karolinska universitetssjukhuset, Peter Lindgren, före detta överläkare inom fostermedicin på Karolinska universitetssjukhuset och Nina Asplin, ultraljudsbarnmorska och doktor i medicinsk vetenskap med anknytning till Strömstad akademi.Programledare är Ulrika Hjalmarson NeidemanAlice Lööf är producentDetta program är direktsänt
You can listen to Rachel share her first birth and postpartum story in episode #51 where she details her daughter Mackenzie's terminal diagnosis of spinal muscular atrophy (SMA). Today she talks about Mackenzie's Mission and the genetic carrier screening that's now covered under Medicare for all couples planning a pregnancy. If you are planning to conceive soon, I highly recommend listening to Rachael's story and request the screening via your GP or Lumi Health. She also talks about her journey to conceiving her two boys, her decision to have an empowering maternal assisted caesarean and the grief and joy, anxiety and hope, love and gratitude of motherhood. Rachael is an incredible woman with a big heart. Her greatest hope is that we are all aware of genetic carrier screening so she has one request: tell everyone about it! Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. --------- Today's episode is proudly brought to you by Kin. If you haven't heard of Kin already, they're a revolutionary women's healthcare brand, devoted to helping you take control of your reproductive health.Whether you're trying to conceive, already pregnant or going through postpartum, Kin's got you covered with a range of products that are evidence-based and recommended by dietitians.Like The Essential Protein to help you meet your protein requirements during pregnancy, and The Postnatal Vitamin to replenish nutrients after giving birth, so you can feel like yourself again.Visit Kin today and use the code ABSKIN15 at the checkout for 15% off the entire fertility product range today.See omnystudio.com/listener for privacy information.
In today's episode, Julie shares her journey and all the beautiful lessons she's learnt along the way. At once ambivalent about motherhood, her first pregnancy ended in miscarriage and proved that she did have a yearning to have a baby. Two failed rounds of IVF followed and then she fell pregnant naturally at 42. The NIPT results showed high risk of Down Syndrome and Julie was advised to terminate the pregnancy. Together with her partner Tom, they opted to continue with the pregnancy and welcomed baby Woody via emergency caesarean. Only fifteen months later she birthed baby Alfie. Julie talks at length about mothering a child with Down Syndrome, the dreaded daycare germs, physical therapy and the precious bond between her two boys. Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. Download our many free pregnancy and labour tips guides here Today's episode is brought to you by iL Tutto. For Black Friday, starting from Tuesday 21st of November at 6pm until Wednesday 29th November, iL Tutto are offering HUGE savings across iltutto.com.au where you'll find their biggest range of Australian-designed Nursery Chairs and complementary Nursery furniture. Save up to 30% storewide including their range of Cots, Chests, CoZee Breeze Co-Sleeping Bassinets.See omnystudio.com/listener for privacy information.
Carolina is the first person from Brazil to share her story on our podcast. She was 35 when she was pregnant so her OBGYN was concerned due to her older age. She asked her to proceed with doing an NIPT. After the results came in, her doctor called her and said she was having a boy with XXY. The doctor also told her his life would be fine, and that he might have troubles with fertility. Her son is also a rainbow baby, which seems very common among our XXYcommunity.
Rebecca and her husband are newly married as of July 2022 and didn't plan to have children right away due to being in grad school. Her mind changed suddenly and they started trying to conceive. In December 2022 she learned that she was pregnant with her daughter, Hadley. Throughout the first trimester, every ultrasound and appointment went well. Rebecca also had NIPT testing and everything came back normal without any concerns. During the a diagnostic ultrasound, Rebecca saw that her daughter looked great and was moving around on the screen. When she sat down with the doctor, she immediately knew that something wasn't right. The doctor sat down and started talking about what they were looking at on the ultrasound and pointed out that there was increased fluid behind Hadley's neck which was a big concern. Following that ultrasound, she was given a few options which were to do nothing or to do the CVS procedure. Rebecca and her husband did the CVS procedure and found it to be a difficult procedure due to a tilted uterus which resulted in a smaller sample and a longer wait time for results. In the meantime, they saw an MFM doctor where they learned about other concerns. A month after having the CVS procedure, she finally heard the results an dit was confirmed that Hadley was missing a 13th chromosome. Learning about her daughters quality of life was difficult and led her to make the difficult decision to go through with a termination of pregnancy. At 18 weeks, Rebecca had a D&E procedure. She was given a copy of Hadley's footprints and had her cremated. A month following her D&E, Rebecca learned that she was pregnant for the second time which was a surprise. She is currently 18 weeks pregnant and did have a lot of testing and procedures to make sure that her second child was healthy. The Miscarriage Doula is an online service and resource for those walking through pregnancy loss and life after. Check out our website for 1:1 support and support groups (GROUPS STARTING IN AUGUST 2023) ---- THEMISCARRIAGEDOULA.CO --- Send in a voice message: https://podcasters.spotify.com/pod/show/arden-cartrette/message Support this podcast: https://podcasters.spotify.com/pod/show/arden-cartrette/support
Grace Hatton is the mother to four beautiful children. She received Non-invasive prenatal testing (NIPT) with her youngest son. After a personal phone call revealing the diagnosis from her doctor, they both were excited. She felt a sense of calm and comfort in her son's XXY diagnosis and knew she could handle it.
Surprise! It's a boy! It was a huge surprise and blessing when Allison discovered she was pregnant at 36. After spending much of her adult life not thinking she would have children naturally, she had all but thought that a child of her own would not be a part of her life journey. But then came Theodore, a beautiful and healthy baby boy born with a unique chromosomal variation, XXY. Allison, now 38, and Theodore, now 20 months, want to share their journey through NIPT testing, diagnosis, early hormone intervention, and meeting with a team of specialists to help other parents curious about what that first year of life can look like for parents of a child with XXY, and to ease some of the stress around the unknowns. “At the end of the day, Theo is just like any other kid, and it's up to me, as his parent, to set him up for success and to support him in his journey so he knows that no matter what challenges and obstacles he may face, he has a team of people behind him and cheering for him. I want him to grow up and be proud of who he is, and I wanted to share his story because I know that somewhere, someone needs to hear it and know that everything will be okay.” Allison's Instagram: @abpatrick
The routinization of non-invasive prenatal genetic testing (NIPT) raises urgent questions about disability rights and reproductive justice. Supporters defend NIPT on the grounds that genetic information about the fetus helps would-be parents make better family planning choices. Prenatal Genetic Testing, Abortion, and Disability Justice challenges that assessment by exploring how NIPT can actually constrain pregnant women's options. Prospective parents must balance a complicated array of factors, including the familial, social, and financial support they can reasonably expect to receive if they choose to carry a disabled fetus to term and raise after birth, causing many pregnant women to “choose” termination. Focusing on the US, the book explores the intent and effects of prenatal screening in connection to women's bodily autonomy and disability rights, addressing themes at the intersection of genetic medicine, policymaking, critical disabilities studies, and political theory. Knight and Miller shift debates about reprogenetics from bioethics to political practice, as well as thoroughly critiquing the neoliberal state and the eugenic technologies that support it. Providing concrete suggestions for reforming medical practice, welfare policy, and cultural norms surrounding disability, this book highlights sites of necessary reform to envision how prospective parents can make truly free choices about prenatal genetic testing and selection abortion. Amber Knight, Associate Professor of Political Science and Public Administration, University of North Carolina at Charlotte. Joshua Miller, Assistant Teaching Professor of Political Science and Public Administration, University of North Carolina at Charlotte. Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Miscarriage affects over 150,000 families each year in Australia yet it's still often silenced in the media and community. In this episode Isabelle Oderberg takes us through her multiple pregnancy losses, two births and her determination to discuss the silence and science of misscarriage in her new book, Hard to Bear. As well as detailing her heartache and frustration, she also brings to light some of the medical data around miscarriage, the deep silence of termination for medical reasons (TFMR) and the importance of a trusted and hopeful care provider. --------------------- Prepare for a positive birth experience with my new book .
We are thrilled to be launching our Patreon very soon. It might be on a genetics holiday, I'll let you figure that one out. In the meantime we would appreciate your insight on what you want from the Patreon. It's your last chance to fill out our survey so that we will offer the benefits you want. You can access the 60 second survey here. Maybe you really want DNA Today merch or would love to have one on one mentorship with me. Maybe you have your own idea! Whatever your thoughts are, get them in by April 21st, 2023! Thanks for helping to develop our Patreon. On this episode, genetic counselor and entrepreneur, Matt Tschirgi, shares insights he has learned from running his own company and a survey he sent out to fellow entrepreneurs in the field. My guest today is a fellow genetic counselor entrepreneur, Matt Tschirgi! Matt (he/him) performs contract work through his company, Genetix Consulting, LLC, in addition to being employed at a commercial lab. He has more than 15 years of combined experience in clinical and industry genetic counseling. Matt's professional interests include prenatal genetics; academic and industry partnerships; and professional issues such as continuing education, multi-state licensure, and incorporating genetic counseling assistants in both clinical and industry settings. He earned his BS degree from Washington State University, and his MS in genetic counseling from University of Texas Health Science Center at Houston. Last year, Matt put a call out on Twitter and LinkedIn to fellow genetic counselors who are entrepreneurs to share their experiences for a student lecture he was putting together. This call generated a lot of interest and tons of responses, many of which we'll be discussing in this episode!On this episode we discuss:The origin of LLC Genetix Consulting and the services they offerGenetic counseling skills that are transferable to being an entrepreneurCharging as an entrepreneur in genetics (fee ranges and payment models) Types of services that people provide (i.e., medical writing and editing, project management, variant curation, career/life/personality coaching, and more!)Challenges that people have facedWhat people love most about their businessesAdvice on getting your business started!If you're interested in learning more about entrepreneurship and consulting in genetic counseling, we highly encourage you to follow Matt on Twitter, and check out these slides.Stay tuned for the next new episode of DNA Today on April 21st, 2023 where we'll be discussing at-home non-invasive prenatal screening with JunoDx! New episodes are released every Friday. In the meantime, you can binge over 230 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. DNA Today is hosted and produced by Kira Dineen. Our social media lead is Corinne Merlino. Our video lead is Amanda Andreoli. Our Outreach Intern is Sanya Tinaikar. Our Social Media Intern is Kajal Patel. And our Graphic Designer Ashlyn Enokian.See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to info@DNAtoday.com. Want to become a genetic counselor? Looking for ways to engage with the field and boost your resume for grad school applications? Then you should check out Sarah Lawrence's “Why Genetic Counseling Wednesday Summer Series”! Every Wednesday this June (plus the last Wednesday in May) Sarah Lawrence is hosting a series where you can interact through Zoom with genetic counselors from different specialties. It kicks off on May 31st! You can sign up at SLC.edu/DNAtoday. Again visit SLC.edu/DNAtoday to register to level up your resume for applications in the fall. (Sponsored)As a listener of DNA Today, you probably heard me talk about NIPT, non-invasive prenatal screening, that looks for extra or missing chromosome conditions during pregnancy. But did you know there is one that can also screen for recessive disorders (like cystic fibrosis) and fetal antigens? BillionToOne offers UNITY Screen, which does all this from one blood draw from a pregnant person. Visit unityscreen.com for more info. Listen to DNA Today Episode #224 Single Gene NIPT and #225 Fetal Antigen NIPT. (Sponsored)As many of you know through podcasting I have become an entrepreneur including consulting for other podcasts. Since I don't have a business degree I have learned a lot through podcasts like Porch Talks. The inspiration to start this show was from the host Melissa Bradley who wanted to inform, instruct, and inspire fellow entrepreneurs, especially in people who identify as women, people of color, immigrants, veterans, people with disabilities, and folks in the LGBTQIA+ community (which drew me in initially). So if you are thinking about starting a business or just love hearing stories about how businesses grow, Porch Talks is for you. (Sponsored)
Modern Ways of Finding Out Your Baby's Gender: A Sneak Peek into the Womb Discovering the gender of your baby is an exciting milestone for expectant parents. With advances in technology, there are now several ways to determine the gender of your unborn child with remarkable accuracy. There are several ways not to determine the gender of your baby which differs much more than a few decades ago. Ultrasound Ultrasound is the most common and widely used method to find out a baby's gender. Typically performed between 18 and 22 weeks of pregnancy, this non-invasive procedure uses sound waves to produce images of the baby in the womb. A skilled sonographer can identify the baby's gender by analyzing the images. The accuracy of ultrasound in gender determination is quite high, ranging from 95% to 99%, depending on the position of the baby and the expertise of the sonographer. Non-Invasive Prenatal Testing (NIPT) Another popular method is Non-Invasive Prenatal Testing (NIPT). This advanced screening test is performed as early as 10 weeks into the pregnancy, and it uses a blood sample from the mother to analyze the baby's DNA. NIPT is primarily used to screen for genetic conditions such as Down syndrome, but it can also determine the baby's gender with over 99% accuracy. Although NIPT is highly accurate, it is not typically performed solely for gender determination due to the higher cost compared to ultrasound. At-Home Gender Prediction Kits For parents seeking a more affordable and convenient option, at-home gender prediction kits have gained popularity. These kits use a small sample of the mother's urine to predict the baby's gender based on hormone levels. While the accuracy of these kits varies, most claim to have an accuracy rate of about 80-90%. It's important to note that at-home kits are not as reliable as ultrasound or NIPT, and the results should be taken with a grain of salt. Gender Reveal Parties Once parents have discovered the gender of their baby, many choose to share the news with friends and family in a creative way. Gender reveal parties have become a popular trend, with couples using various methods to disclose the big news, such as cutting into a cake with colored filling, popping balloons filled with colored confetti, or setting off colored smoke bombs. These parties not only make for an exciting way to reveal the baby's gender but also create lasting memories for everyone involved. Our practice can be found at www.maternalresources.org Reach out to us at (201) 487-8600 As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeobYouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB https://www.truebirthpodcast.com
We have an exciting announcement, we are launching a Patreon! For those that are not familiar with Patreon, it's a platform that allows creators (like podcasters) to offer their followers more content, experiences, and even gifts. In order to provide what YOU want, please take 60 seconds to fill out our survey. By filling out the survey not only are you influencing what benefits we will offer, but you will be the first to know when we will launch! Can't thank you all enough for your listenership over the years, it's such a privilege to be able to launch a Patreon to engage with you all more. This week we're chatting about an emerging area of genetics, pharmacogenomics! Pharmacogenomics (PGx), one of the core elements of personalized medicine, is a field of research that studies how a person's genes affect how they respond to medications. Its long-term goal is to help doctors select the drugs and doses best suited for each person. Joining us for this conversation is Avni Santani PhD, FACMG, Chief Medical Officer of Veritas Genetics, a LetsGetChecked company, which delivers tailored at-home healthcare solutions to 300+ organizations. Dr. Santani holds a Master's degree in Medical Molecular Genetics from the University of Aberdeen and a PhD in Genetics from Texas A&M University. She holds specialty board certifications in Clinical Molecular Genetics and Clinical Cytogenetics from The Children's Hospital of Philadelphia (CHOP).On This Episode We Discuss:Pharmacogenomics and other similar termsThe state of genetic testing today and how it has changed in the last ten yearsWhy it is helpful to have pharmacogenomic testing information when figuring out the best drugs to prescribeSteps of drug metabolism that gene variants can affectHow gene variants can impact the drug response (drug reception, uptake, and breakdown)If testing can provide information on the dosage of drugs to prescribe and how this varies between peopleTypes of conditions/diseases where genetic testing results can be applied (behavioral health, cardiovascular health, and pain management) The role of testing in determining personal risk levels of becoming addicted to pain medicationsGenes that LetsGetChecked's myPGx test analyzesThe frequency at which gene variants found through this testing help narrow down which drug or dose to prescribeIf you want to learn more about pharmacogenomics, head over to the LetsGetChecked website. Be sure to follow our guest, Avni Santani, on Twitter; LetsGetChecked on Twitter, Facebook, LinkedIn, Instagram, YouTube; and VeritasGenetics on Twitter, Facebook, and Instagram.Stay tuned for the next new episode of DNA Today on March 31st, 2023, where we'll be diving deeper into pharmacogenomics (PGx) with James Fettig who will provide an overview of PGx for cancer! New episodes are released every Fridays. In the meantime, you can binge over 225 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. DNA Today is hosted and produced by Kira Dineen. Our social media lead is Corinne Merlino. Our video lead is Amanda Andreoli. Our outreach Intern is Sanya Tinaikar. Our Social Media Intern is Kajal Patel. And our Graphic Designer Ashlyn Enokian.See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to info@DNAtoday.com. Surely you have heard of whole genome sequencing, but what about rapid and ultra-rapid whole genome sequencing? This is an emerging method of diagnosing genetic conditions for quick management. PerkinElmer Genomics offers this incredibly valuable test, which can be life saving for ill babies and kids. Learn more in our full episode (#226) with PerkinElmer Genomics. You can visit perkinelmergenomics.com for more information. (Sponsored)As a listener of DNA Today, you probably heard me talk about NIPT, non-invasive prenatal screening, that looks for extra or missing chromosome conditions during pregnancy. But did you know there is one that can also screen for recessive disorders (like cystic fibrosis) and fetal antigens? BillionToOne offers UNITY Screen, which does all this from one blood draw from a pregnant person. Visit unityscreen.com for more info. Listen to DNA Today Episode #224 Single Gene NIPT and #225 Fetal Antigen NIPT. (Sponsored)Juno Diagnostics has developed the next generation of non-invasive prenatal tests so that all pregnant people can access a higher standard of care. Juno Diagnostics is the only genetic testing company on the market that performs NIPS for common aneuploidies on blood samples from a finger stick instead of a traditional venous blood draw. That means you collect your sample on your own time, at home, and still have NIPS at a CLIA laboratory! Juno's Hazel™ NIPS screens for common chromosome variations seen in pregnancy, such as Down syndrome or trisomy 21, trisomy 13, and trisomy 18 – in addition to testing for fetal sex. You can order this test yourself, or have your healthcare provider order for you. Head to JunoDx.com and use the code "DNATODAY” for 10% off! Keep your eye out for our full episode interview with experts from Juno Dx including fellow genetic counselor Katie Sagaser and Dr. Allison Rodgers. In the meantime, check out JunoDx.com to learn more about Hazel and their other test Birch (which tests just for the sex of your baby). (Sponsored)
Our guest today is Divya Ramachandra, who is a genetic counselor and program coordinator in Chicago, practicing primarily in prenatal, pediatric, and inpatient genetics. In this episode, she provides us with a comprehensive overview of trisomy 13 (T13) and trisomy 18 (T18) and genetic counseling for these patient populations.Divya presented at the National Society of Genetic Counselors' Annual Conference this past fall titled “From Lethal to Life-Limiting: Paradigm Shift in Caring for Patients with Trisomy 13 or 18” which we covered in our NSGC 2022 recap episode (#212). She published her thesis in the Journal of Genetic Counseling on transitional challenges novice genetic counselors face after graduation. She has a strong interest in bioethics and serves on the Pediatrics Ethics Committee as well as the Genetics Ethics Service Line at her institution.On This Episode We Discuss: Symptoms of T13/T18Signs on ultrasound that a pregnancy may have T13/T18Advice for healthcare providers and GCs on how to approach conversations with people who have a pregnancy with a high chance of T13/18Decision making parents should review with a healthcare provider (delivery plans, feeding options, etc.) Moral distress and how to process this with patientsWhy we should we shift our conversations from lethal to life-limitingThe term “quality of life”How the health and survival of people with T13/18 has changed over the yearsMost common causes of death for babies with T13/18Interventions that can alter a baby's survivalPostnatal care conferences and other resourcesThe chance to have another pregnancy with T13/18 Stay tuned for the next new episode of DNA Today on March 24th, 2023, where we'll be discussing pharmacogenomics with Dr. Avni Santani! New episodes are released every Fridays. In the meantime, you can binge over 225 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. DNA Today is hosted and produced by Kira Dineen. Our social media lead is Corinne Merlino. Our video lead is Amanda Andreoli. Our Outreach Intern is Sanya Tinaikar. Our Social Media Intern is Kajal Patel. And our Graphic Designer Ashlyn Enokian.See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to info@DNAtoday.com. Surely you have heard of whole genome sequencing, but what about rapid and ultra-rapid whole genome sequencing? This is an emerging method of diagnosing genetic conditions for quick management. PerkinElmer Genomics offers this incredibly valuable test, which can be life saving for ill babies and kids. Learn more in our full episode (#226) with PerkinElmer Genomics. You can visit perkinelmergenomics.com for more information. (Sponsored)As a listener of DNA Today, you probably heard me talk about NIPT, non-invasive prenatal screening, that looks for extra or missing chromosome conditions during pregnancy. But did you know there is one that can also screen for recessive disorders (like cystic fibrosis) and fetal antigens? BillionToOne offers UNITY Screen, which does all this from one blood draw from a pregnant person. Visit unityscreen.com for more info. Listen to DNA Today Episode #224 Single Gene NIPT and #225 Fetal Antigen NIPT. (Sponsored)
Last episode we learned about non-invasive prenatal testing (NIPT) for recessive conditions through BillionToOne's UNITY Screen. Jen Hoskovec, Senior Director of Medical Affairs at BillionToOne, is back for this episode where we are exploring NIPT for fetal antigen. Jen is BillionToOne's Senior Director of Medical Affairs.Jennifer Hoskovec, MS, CGC, joined BillionToOne as the Senior Director of Medical Affairs in July 2020. As a certified genetic counselor with over 17 years of clinical experience, Jen is committed to ensuring patients and providers are supported and educated about the options and utility of prenatal testing. Jen joined BillionToOne after 17 years as a prenatal genetic counselor at UTHealth where she led a team of genetic counselors providing patient care in MFM clinics across the city of Houston. Jen has extensive volunteer and leadership experience within national societies such as American College of Obstetrics and Gynecology and National Society of Genetic Counselors. She served as president of NSGC in 2014. Jen earned her MS in genetic counseling from the University of Texas Health Science Center in Houston and her Bachelor of Science in Biology with a minor in Chemistry from Truman State University.On This Episode We Discuss:AntigensWhich antigens are screened for in UNITYAlloimmunization and who is at riskWhy learning fetal antigens is useful during a pregnancyPrevalence of and risks associated with HDFNHemolytic Disease of the Fetus and Newborn Sensitivity and specificity of UNITY Screen's NIPT for fetal antigenThe minimum gestational week blood for this test can be collectedHow providers can order both the UNITY for recessive conditions and fetal antigenThe average turnaround time for these testsLearn more about UNITY Screen's novel fetal antigen NIPT and the genetic conditions and fetal antigens on UNITY Screen NIPT at these links.To stay up to date with the latest developments at BillionToOne, follow them on Twitter, facebook and LinkedIn. You can also connect with our guest, Jen Hoskovec on Twitter. Stay tuned for the next new episode of DNA Today on March 3rd, 2023! New episodes are released every Friday. In the meantime, you can binge over 224 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. DNA Today is hosted and produced by Kira Dineen. Our social media lead is Corinne Merlino. Our video lead is Amanda Andreoli. Our Outreach Intern is Sanya Tinaikar. Our Social Media Intern is Kajal Patel. And our Graphic Designer Ashlyn Enokian.See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, DNAToday.com. Questions/inquiries can be sent to info@DNAtoday.com. If you've been listening to DNA Today for a while, you probably know I am also a full time prenatal genetic counselor. Between that job, this podcast, and being a producer/host of other podcasts, I am pretty busy! To keep my energy up and stay productive I drink a decent amount of coffee. The new coffee I'm drinking is from Four Sigmatic. I'm really picky about my coffee, it's got to be bold, not watery. And I've been really happy with Four Sigmatic. Here's the difference from other coffees, it includes mushrooms, which I know sounds bizarre. I will admit I was hesitant, but you get health benefits and don't taste it. I like the immune system boost, as I often get sick in the winter months. So we teamed up with Four SIgmatic to get you 30% off using promo code “DNATODAY” redeem it at FourSigmatic.com, again that's FourSigmatic.com using code “DNATODAY” for 30% off! And let me know if you like it too! (Sponsored)Surely you have heard of whole genome sequencing, but what about rapid and ultra-rapid whole genome sequencing? This is an emerging method of diagnosing genetic conditions for quick management. PerkinElmer Genomics offers this incredibly valuable test, which can be life saving for ill babies and kids. Learn more in our full episode with PerkinElmer Genomics on here, DNA Today! You can visit perkinelmergenomics.com for more information, the link is also available in the show notes and on our website DNAtoday.com. (Sponsored)Which drug do you prescribe for your HER2+ cancer patients? For the first time in history TruGene Diagnostics (formerly Blueprint Diagnostics) informs you which of the 3 leading cancer drugs your patient is sensitive to and resistant to. TruGene Diagnostics knows the functional effect of EVERY mutation in the TK region of HER2 Gene. And knows the functional effect with and without the 3 most common drugs present. Thus allowing you to match the best drug to the patient. Unlock the best drug for your patients with HER2+ cancer using TruGene Diagnostics. Check it out at TruGeneDiagnostics.com. Stay tuned for our interview with them! (Sponsored)
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