Podcasts about obstetricians

David Waldman catches us up on the multiple disasters since Friday. Greg Dworkin catches us up on the multiple disasters since Thursday. Boooo! Trump was booooooooed at the US Open. If they don't want to hear boos, they shouldn't invite Trump. Or Winsome Earle-Sears. Tiny hands, deep throat, Donald K. Trump was an FBI Snitch according to Mike Johnson, the last guy anyone would trust to keep a secret. The Miami Herald and New York Times seek to unseal records on Jeffrey Epstein's estate, while we all know that Jeffrey Epstein and everyone on the Epstein list has been brought to you by capitalism.  Zohran Mamdanimentum continues as Americans are beginning to see capitalism about as badly as they do Trump. LG Energy specialists squeezed into 90+ day rotations to set up a Hyundai battery plant in Georgia were caught in violation of that “+” part, were belly-chained and hauled out of the country. The plant they were setting up won't be hiring Americans any time soon, thanks to Karen-Republican Mar-a-Lago wannabe Tori Branum. Don't expect to hear more from Branum but do expect a lot more plants to be shut down. The Department of War begins its Midway Blitz, which is not a war, it is simply a police action. Why do so many Republicans think Trump is more liberal than he is? If people die in Florida because of lack of vaccines, it will be a surprise to Florida Surgeon General Ladapo. RFK Jr. will have seen it all coming, as he always does a year or so later. The American College of Obstetricians and Gynecologists will save lives in the future by ignoring the CDC today. Ironically, the owner of one of the most punchable faces in politics, Scott Bessent, keeps wanting to punch others in their faces. This time it was the quite punchable Bill Pulte and for the same reason as Scott picked ever punchable Elon Musk. Scott heard both were bad mouthing him to Donald. Scott almost took Bill out, back there on the cement slab they have over the White House septic tank. E. Jean Carroll won her judgement against Trump again.

You're listening to Burnt Toast! Today, my guest is Mara Gordon, MD.Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly.Dr. Mara is back today with Part 2 of our conversation about weight, health, perimenopause and menopause! As we discussed last time, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest.This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these:Episode 209 TranscriptVirginiaSo today we're going to move away from the weight stuff a little bit, into some of the other the wide constellation of things that can happen in menopause and perimenopause. Before we get into some nitty gritty stuff, I want to do Laurie's question about hormone replacement therapy, since that is still one of those topics that people are like, Is it good? Is it bad? I don't know.So Laurie asked: Is there a reason why a doctor would not want to prescribe hormone replacement therapy? My doctor seems more willing to treat individual symptoms instead of using HRT. Is that maybe because I'm still getting my period?MaraI love this question. Now my professor hat can nerd out about interpretation of scientific research! So first, I'll just briefly say, Laurie, no big deal that you said HRT. But just so everyone's aware, the preferred term is menopausal hormone therapy, MHT, or just hormone therapy, and it's not a huge deal. But I think the North American Menopause Society now uses “menopausal hormone therapy.” The thinking is, hormones don't necessarily need to be replaced. It comes back to that idea of, menopause is a natural part of life, and so the idea that they would need to be replaced is not totally accurate. VirginiaWe're not trying to get you out of menopause, right? The goal isn't to push you back into some pre-menopausal hormonal state. MaraBut again, not a big deal. You'll see HRT still used, and a lot of doctors still use that term. So I graduated from medical school in 2015 and I remember one of the first times that a patient asked me about using menopausal hormone therapy, I was terrified. And I was still in training, so luckily, I had a mentor who guided me through it. But I had absorbed this very clear message from medical school, which is that menopausal hormone therapy will cause heart disease, cause pulmonary emboli, which are blood clots in the lungs, and cause breast cancer.And I was like, “Ahhh! I'm gonna cause harm to my patients. This is scary.” I had also learned that hot flashes–they weren't life threatening. So a patient could just use a fan and she'd be fine, right? She didn't need medicine for it.VirginiaCool.MaraI think the dismissal of symptoms here is just straight up misogyny. That message of, oh, you should just live with this You're tough, you're a woman, you can do it. This is just the next stage of it. Is just misogyny, right?But the fear of using menopausal hormone therapy has a specific historical context. There was a major study called the Women's Health Initiative, and it was a randomized control trial, which is the gold standard in medical research. People were given estrogen and progestin to treat menopausal symptoms or they were given a placebo, and they didn't know which pill they took. But WHI was actually halted early because they found an increased risk of breast cancer. This was on the front page of The New York Times. It was a really, really big deal. That was 2002 or 2003. So even 15 years later, when I was starting out as a doctor, I was still absorbing its message. And I think a lot of doctors who are still in practice have just deeply absorbed this message.But there's a lot to consider here. The first issue is in the way that information about the Women's Health Initiative was communicated. Nerd out with me for a second here: There is a big difference between absolute risk and relative risk. And this is a really subtle issue that's often communicated poorly in the media.So I looked it up in the initial paper that came out of the Women's Health Initiative. There was a relative risk of 26 percent of invasive breast cancer, right? So that meant that the people who got the estrogen and progestin, as opposed to a placebo, had a relative increased risk of 26 percent compared to the placebo arm.VirginiaWhich sounds scary,MaraSounds terrifying, right? But the absolute risk is the risk in comparison to one another. And they found that if you're a patient taking the estrogen/progestin, your absolute risk was 8 people out of 10,000 women a year would get invasive breast cancer. So it's very, very small.And this is an issue I see in medical journalism all the time. We talk about relative risk, like your risk compared to another group, but the absolute risk remains extremely low.And just to round it out: I looked all this up about cardiovascular events too. Things like a heart attack, a stroke. So the absolute risk was 19. So there were 19 cases of a cardiovascular event out of 10,000 women in a year. People just freaked out about this because of the way that it was covered in the media. VirginiaI was fresh out of college, doing women's health journalism at the time. So I fully own having been part of that problem. We definitely reported on the relative risk, not the absolute risk. And I don't understand why. I look back and I'm like, what were we all doing? We ended up taking this medication away from millions of women who could really benefit from it.MaraI found a paper that showed between 2002 and 2009 prescriptions for menopausal hormone therapy declined by more than 60 percent. VirginiaI'm not surprised. MaraAnd then even up until the time I started my training, right in 2015, we're just seeing a huge decline in hormone therapy prescriptions.One other thing that's also super important to acknowledge about the Women's Health Initiative is that they enrolled women over 60, which is not really representative of women who want or need hormone therapy. So the average age of menopause is 51 and the vast majority of women who are experiencing symptoms that would respond well to hormone therapy are much younger. We're talking here mostly about hot flashes. Which we call vasomotor symptoms of menopause, but it's basically hot flashes. Women dealing with this are much younger, right? So they're approaching menopause, late 40s, and right after the menopausal transition, early 50s, and then they don't necessarily need it anymore, after their symptoms have improved.VirginiaAnd it will also be true that with women in their 60s, you're going to see more incidence of cancer and heart disease in that age group than in women in their 40s anyway, right? MaraRightVirginiaSo even the 19 cases, the eight cases—they were looking at a higher risk population in general. MaraYeah. And so there have been all these subsequent analyses, which is why now we're seeing menopausal hormone therapy sort of on the upswing. There's a lot of increased interest in it. The American College of Obstetricians and Gynecologists recommends it, the North American Menopause Society, the British Menopause Society; here's a full run-down. It's not that everybody needs it, and we'll get to that in a second, but it is a totally safe and appropriate treatment for—specifically and most importantly—for vasomotor symptoms of menopause. Like hot flashes. There's been all these further analyses of the Women's Health Initiative data and and then from other studies, too. And basically, it shows that when the hormone therapy is initiated before age 60, or within 10 years of menopause, there's a reduced risk of heart disease and reduced mortality.VirginiaWow! MaraSo the timing matters. Isn't that so interesting? The timing matters.Also, the route of administration matters. So what that means in English is that an estrogen patch seems to have a lower risk of blood clots. So one of those fears of the, you know, initial Women's Health Initiative data was that you might have an increased risk of blood clots. But it's something about the way that the estrogen is metabolized. It's not metabolized through the liver when it's absorbed through the skin, and something about that process seems to decrease the risk of blood clots.So that's why your doctor, if you're interested in menopausal hormone therapy, might recommend an estrogen patch rather than a pill.VirginiaGot it. MaraThere's a lot of ambiguity in all of this data, because, you know, we're talking about just huge numbers of people, and it's hard to sort of isolate variables when you're studying just like massive cohorts of people and trying to understand what you know, what factors affect your risk for which diseases. It's not clear that taking hormones prevents heart disease. And that's one of the big claims I see with menopause influencers, that every single person needs this.The data don't support it at this point in time, and the major menopause organizations do not recommend it as a universal preventative treatment for everybody. But it seems like there might be some sort of association that may become clearer as research continues. That said, now it seems like the pendulum is swinging in the opposite direction. I learned, “be afraid of menopausal hormone treatment.” And now all these menopause influencers are saying everyone should be on hormone therapy.I don't know the answer. And so the way that I try to parse through all of this noise is, you know, go to trusted sources, right? So I stick to society guidelines, like the North American menopause society, the British menopause society, they're run by world experts in menopause.VirginiaOkay, so we don't need to be terrified of hormone therapy, and you can be on it if you're still getting your period right? Just to finish Laurie's question.MaraIf you're still getting a period regularly, you're more in perimenopause than past the menopausal transition. And we will often use contraception to help and that you can have a lot of the same benefits from using contraception in that stage. It's also useful just because unintended pregnancy still can be totally a thing in your 40s. But yes, you can absolutely use traditional regimens of menopausal hormone therapy while you're still getting a period too. Just know it won't prevent pregnancy. VirginiaSince we talked a little bit about hot flashes, I'm gonna jump to Judy's question so we can kind of round that piece out: One of the things I am really struggling with is the way I have lost all ability to regulate temperature. I am boiling hot almost all the time, and the slightest thing makes me break out into a full sweat, which makes me not want to move at all.My doctor has not been super helpful in navigating this. What can I do to mitigate this issue? If anything, it is so very hard for me not to blame the size of my body for this, since the correlation seems so clear, smaller body less sweating, larger body sweating all the dang time.MaraJudy, I empathize first of all. Just one caveat I can't really give medical advice to Judy. There are a lot of things that could be going on, and it's really important that you see a doctor and get a full history and physical exam. But I will say that this is one of the things that menopausal hormone therapy is extremely helpful for, is hot flashes.VirginiaThat was my first thought! MaraThere are a lot of influencers who really overstate the benefits of hormone therapy, right? Hormone therapy is not really going to cause significant weight loss or prevent weight gain. It's not totally clear that it helps with mood symptoms or even sleep is a little more ambiguous. But the one thing it really works for is hot flashes. So that would be my thought: Start there. VirginiaAnd on the feeling like you want to blame your body for it: I don't know if Judy identifies as fat, but as someone who identifies as fat, I often feel like I'm sweatier now than when I was thinner. I run warmer. All my skinny friends will be bundled up in coats, and I still won't be wearing one in October. I do notice that. And I think that this is a situation where that is, even if those two things correlate— you're larger and you're sweatier—is that worth putting yourself through the hell of weight loss? You may decide yes, it is, if hormone therapy doesn't work for you.But that's one of those times where I bring it back to “What would actually make my daily life miserable?” I can drink water, I can be in AC, I'm gonna find a link to this nighttime cooling bed thing that my friend Claire Zulkey really loves. MaraI've heard of those!VirginiaI think there are options to mitigate your suffering with this. Medicine is definitely an option. Before you go to “okay, my body size has to be the thing that changes.”MaraI totally agree. I just deal with this all the time where people tell me in my clinic that they want to lose weight. And when I sort of gently ask, what are you hoping to achieve? What are your goals? They're often things that can be achieved through other means. Like, people say my clothes don't fit, right? And most of my patients are low-income, right? I'm not trying to be flippant about the idea that everyone can just go and purchase a new, you know, multi $1,000 wardrobe at the drop of a hat. But it is possible to get new clothes in affordable ways. Don't torture yourself with clothes that don't fit because you feel like weight gain is a moral failing. And I think that there are things that we can do to help keep us at a comfortable temperature, right wear clothes that feel, you know, that feel good. Air conditioning is an amazing modern invention. And, you know, cool beverages, ice cream. VirginiaPopsicle O'Clock is very important in my summer right now, very important. MaraWait, what's a popsicle clock?VirginiaOh, Popsicle O'Clock. It's just the time of day where you eat popsicles. It could be 9am it could be 4pm just whenever I feel like we need to add popsicles to a situation.MaraI think we all need more popsicles in our life, that is absolutely for sure.So I think what I'm hearing from Judy's question is once again, shame about body size, and also this myopic zooming in on weight loss as the only possible solution. Which I blame doctors for in many ways! Some people do benefit from weight loss, right? I'm not opposed to the idea that anybody would ever want to lose weight. I don't think that that's a betrayal of fat solidarity, necessarily. But that there are other things you can do just to make your life feel better in the meantime, or even if you choose to never pursue weight loss. There are things you can do to feel better, and we shouldn't deprive ourselves of those things.VirginiaAnd you don't know that it is the weight gain. It could be age and hormones, and those coincided with the weight gain for you personally. But there are lots of thin women getting hot flashes all the time too.Okay, this next question is from Michaela: I am super curious about the connection between perimenopause, menopause and mental health symptoms, specifically, an uptick in anxiety and depression. Is this a thing?We also got many questions about whether perimenopause and menopause exacerbate ADHD symptoms. MaraSo this is a question I get a lot from my patients, and I've seen a lot of discourse about online. And the short answer is: There is probably a connection between the hormonal changes of perimenopause and the menopausal transition and mental health. Do we understand it? No. So I mean, with ADHD specifically, I will say: This is really not my area of expertise. It's a very complex mental health condition, and our medical understanding of it is really rapidly evolving. I have many patients who have a diagnosis of ADHD but I'm typically not the one who diagnoses them. That being said: Estrogen affects neurotransmitters. Neurotransmitters are implicated in ADHD. Declining estrogen does seem to affect dopamine, in particular, which is implicated in ADHD. And anecdotally, I've had many of my patients say that they feel like their ability to focus and sustain attention decreases. And they experience brain fog as they enter perimenopause and menopause. So it's there's probably something going on, and a lot of researchers are really actively studying it, but we don't know yet.VirginiaDo we know if this is something that hormone therapy can help with?MaraSo I think the answer is, I don't know.VirginiaWhat about anxiety and depression?MaraI don't think the data are there, right? Hormone therapy is usually not considered a first line treatment for the mental health conditions that are often associated with the menopausal transition. But we have great medicines for those conditions. We have good treatments for ADHD, we have good treatments for anxiety and depression. And sometimes during the menopausal transition, patients might need an increase of those treatments. And that could mean going back into therapy, if you've been out of therapy, increasing your medications or restarting a med that you may have stopped years ago. Those are all totally valid approaches during this phase.And I guess what I'd say, is that it's okay to trust your body. And if you notice changes in your mental health associated with perimenopause or menopause itself, ask about it. Don't be afraid to advocate for yourself. And while hormone therapy doesn't look like it is an effective treatment specifically for those symptoms, there are other treatments, and you should feel empowered to ask about them.VirginiaThe next question goes back to some of the diet and exercise stuff we've touched on. This person writes: Since recently reaching menopause, my cholesterol has become high. I understand there is a proven link between menopause and increased cholesterol, and that weight is part of the picture. I'm trying to lower my cholesterol with focus on nutrition and exercise. But it is f*****g with my head because it feels like a very restrictive diet. I'd love any thoughts on the menopause cholesterol connection and keeping cholesterol low with nutrition and exercise without falling into the abyss of obsessing about how many almonds I've eaten.MaraOh, that is such a good question!VirginiaThe almond of it all. MaraAlmonds are really good in some scenarios, but also just like, kind of a sad snack. I always think about President Obama eating those, like, eight almonds, or whatever.VirginiaIt turns out that was a joke and he wasn't doing that. But just the fact that everybody assumed he would says a lot! MaraThat is hilarious, and I didn't know! And it just shows how with information online, the initial story sticks. Like to this day, 10 years later, I still thought that Barack Obama ate eight almonds as his indulgent midnight snack every single night. I hope the man is eating some ice cream and living his best life. Okay, so there is absolutely a link between menopause and elevated risk of cardiovascular disease. But even within the term cholesterol, there are different types. I wouldn't really say to a patient, “Your cholesterol is high.” One thing you might hear is “your LDL cholesterol is high,” which is known popularly as, the “bad” cholesterol. Which, again, moral language alert. But LDL cholesterol is a proxy for risk of cardiovascular disease. I will say it's not a great one; it's kind of a blunt instrument. We measure and we treat it, because we don't have other great ways of predicting cardiovascular risk. But it is not the full portrait, although it's certainly a risk factor for developing cardiovascular disease. And the transition of menopause seems to impact LDL, cholesterol, other biomarkers of cardiovascular disease, and increases your risk for cardiovascular disease.And what's interesting–I think we talked about this a little bit already, is that this happens, this this risk happens independent of normal aging.So, for example, women who go through menopause early start developing this increased risk earlier than women who go through menopause slightly later. And overall, we see that women develop cardiovascular disease, at rates lower than men, and at later in life than men. And there's a hypothesis that this has to do with menopause, right? That there's a protective effect of estrogen, but then when your estrogen starts to decline in menopause, it puts women at an increased risk compared to where they were pre-menopause.There's also some data to suggest that the severity of menopause symptoms—particularly vasomotor symptoms like hot flashes or sleep disturbances—may indicate risk for developing cardiovascular disease. So this is not to scare everyone, but it's good to have knowledge. If you're having really severe hot flashes, it may indicate that you are at slightly higher risk for developing cardiovascular disease than somebody who is not. The intention of having this knowledge is not to make you feel shame, and not to berate you for your belly fat or whatever. It's to have knowledge so that you can help mitigate risk factors in ways that feel aligned with your values and ways that feel aligned with the way that you want to pursue health in your life.And so I would approach this reader's or this listener's question with smy same approach to all of my patients questions. “I have hypertension, does that mean I need to lose weight?” “I have diabetes, does that mean I need to lose weight?” The answer is that we have many treatments that can help you address these concerns independent of weight loss. But this is not to say that you cannot pursue weight loss too, right? And if using a GLP-1 agonist to reduce your visceral adiposity is aligned with your values, and you can tolerate the side effects, and you feel good about it, and it's covered by your insurance….that's totally a reasonable approach. But it's not the only one. So I think what I'm hearing from this patient is the menopause flavor of what I do every single day in my work as a size inclusive doctor. Which is: How can we disentangle weight stigma and body shame from these questions of how to lead a healthy life? And the idea of giving you more information, I hope, is not to shame you or make you feel guilt for the relationship between body size and risk of cardiovascular disease, but instead, to give you information that might help you take proactive care of your body, right?And proactive care might mean committing to an exercise routine. Proactive care might mean taking a statin. A statin is a very common cholesterol medicine like Lipitor. It might mean getting your blood pressure under control and taking an antihypertensive.VirginiaI also want to say on cholesterol, specifically, I did a piece that I'll link to digging into the connection between nutrition and cholesterol. And the data is not as strong as I think a lot of doctors are telling folks.And I think the benefit of making dietary changes—the amount it could lower cholesterol—was not huge. It was like three points or six points or something in one of the studies we looked at. So if it's making you crazy to count almonds, it's possible that medication might be a more health promoting strategy for you. Because it will be less stressful and it will have a bigger benefit on your cholesterol than just trying to control it through diet and exercise.MaraYeah, I totally agree. I think there's a really strong genetic component that we haven't fully understood and medication is a totally reasonable approach and very safe approach. Honestly, statins are pretty benign medications. They're pretty inexpensive, pretty minimal side effects, which is not to say– nobody's paying me from the statin companies, I swear to God!–but yeah, like they're, they're pretty benign as medications go. And I think it's a totally reasonable way to approach this issue.VirginiaI just think it's one of those times where this is shame coming in, where it's like, “You should be able to fix this with how you eat and exercise, and so you don't get the medication unless you fail at that!” This is a framing that I've encountered from doctors. But what if we gave the medication, what if we also consider diet and exercise, but don't make that a pass/fail situation in order to earn the medication? MaraYeah, that's really interesting.And even the language you're using Virginia is what we use in the medical record, and I've tried to stop it. But the way we're taught to describe patients, is “patient failed XYZ treatment,” right? And I feel like we're both at once, overly invested in pharmaceutical treatments, right and underinvested. They're a very useful tool. And we moralize it, both pro and con? Sometimes, like, we moralize in favor of it. So if your BMI is 26 or above, you need to be on a GLP one agonist, which is just false, right?But on the other hand, I think we often underutilize medications because there's this sense that you're getting at —that you have to exhaust all of your like willpower options first, and it's somehow failing to use a med. And that is really false too. They're really useful tools. Science is really useful, and we shouldn't feel ashamed to use it.VirginiaAll right. And our last question, I like because it just will give us a chance to kind of sum up some key points: As a post menopausal woman, I feel like I'm swimming in information, and I'm overwhelmed by it all. What are Dr Gordon's top three pieces of advice out of all of the WHO meaning, if women at this time only did these three things, it would make the biggest difference, and then they just had it. You know, is, does it need to be different for perimenopause versus post menopause? Or maybe not.So what are your top three? Top three tips for surviving this life stage?MaraOh, my God, if only I knew! I'm flattered that you're asking, and I will do my best to answer, but I don't think there's a right answer at all.So I've thought about a couple things. I will say that, you know, longevity and wellness and health span is extremely complicated, but it's also kind of simple, right?So sometimes the advice that we've just heard over and over again is actually really, really good, right? So, sleep. Are we sleeping enough?Staying engaged with social relationships, that seems to be extremely important for longevity. And it's kind of amazing, actually. When they do these long-term studies on people who are thriving into old age, like they have really strong relationships. And that is so important.Moving our bodies and it does not need to be punishing. Workouts can be gardening. I know Virginia, I love receiving your gardening content online. Gardening is an amazing form of exercise, and can be very life affirming, and does not need to feel like punishment. Just getting up, moving our bodies, sleeping enough, maintaining relationships, cultivating a sense of purpose and meaning in our lives. It's actually been really studied right, that people who have a sense of meaning and have a sense of purpose in their lives tend to live longer and live longer, healthier lives.So all of this is to say that like it's complicated, but sometimes it's not. And there are a million people on the Internet who want to sell you a miracle drug, a miracle supplement, a miracle weighted vest, whatever. But sometimes simple, Simple is good. Easier said than done, right?VirginiaYeah, but start simple. That's wonderful.MaraCan I ask? Virginia, what would your advice be? VirginiaI love the three areas you hit on: Sleep, social relations and exercise or moving your body. None of those are about weight loss or dieting. I think that's really helpful for us to keep in mind that the things that might protect our health the most can also be very joyful as well. The idea that doing things that makes you happy and reduce your stress can be health-promoting is great. And I think that's something especially in midlife. We are all incredibly busy. We're holding a lot of things together. A lot of us are caregivers, maybe sandwich generation caregivers. So prioritizing your own joy in that feels really wonderful.ButterVirginiaAll right, so speaking of joy, let's do some Butter! Dr. Mara, what do you have forus?MaraI have a Philadelphia-specific one, but hopefully it can be extrapolated to our listeners in different locations. So I have recently been really craving soft serve ice cream. And so I googled best soft serve in Philadelphia, and I found this Vietnamese coffee shop called Càphê Roasters, which is in North Philly. In a neighborhood called Kensington. And it has condensed milk soft serve ice cream. So good.And so I recently, I had to give a lecture at a medical school in the north part of the city early in the morning. It was like, 8am and I was like, “Oh, I'm never up in this neighborhood. I gotta get over there.” And I went after I gave my lecture, and I bought myself ice cream at 10:30 in the morning. And I ate it in my car, and it was so good. Condensed milk. So good. But soft serve in general, is my Butter. But for those of you in Philly, go to Càphê Roasters in Kensington and get the condensed milk. It is chef's kiss, delicious.VirginiaAmazing. I'm gonna double your Butter and say ice cream in general is my Butter right now. We have a spare fridge freezer that I have just been loading up with all of the popsicles to get us through summer. But also: Ice cream dates. Something that comes up a lot for me as a co-parent is figuring out how to have one on one time with my kids. Since we have joint custody, they move as a package. So I get kid-free time, which is wonderful, but when they're with me, it's just me. So one thing I've been figuring out is pockets of time when I can take one kid out for ice cream. It's usually when a sibling is at another activity, and so we have an hour to kill, and often we would just like, wait for the activity, or go home and come back, and then you're just driving.And now I'm like, No, that will be our ice cream break!MaraI love that.VirginiaSo one kid's at the library doing her book trivia team stuff, and the other kid and I are getting ice cream while we wait for her. And it's great one on one time with kids. Obviously, the ice cream is delicious. The other thing I've realized, especially if you have younger kids who are still building restaurant skills, ice cream is a great practice run at being a person in a restaurant, which is really hard for kids understandably. It is one food thing that they're excited to go do. And you do have to sit and practice eating it somewhat neatly. There's a high mess potential. My pro-move for that is, always have wipes in your car, bring a pack of wipes in. MaraI love that, and it's so intentional about sort of creating traditions with kids. That feels really special. But I will say I had my ice cream solo, and that was also really good solo ice cream too.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y

Obstetrician-gynecologist Dr. Sarita Sonalkar provides an insightful review of the Penn Pregnancy Early Access Center, or PEACE Program, an integrated family planning and urgent pregnancy care center. In her engaging discussion, Dr. Sonalkar highlights the various benefits and services of the Program, including shared decision-making, timely appointments, contraception, counseling, ultrasound and surgical services, and much more.

An Honest Account of Abortion - "Since Before Roe v. Wade: An Abortion Provider's Memoir" by Steven H. Eisinger, MD, FACOGSince Before Roe v. Wade was written with clarity, humor, and passion. This memoir presents an accurate picture of abortion to the public, including the medical and psychological realities for patients and providers, and fearlessly addresses the complex issues surrounding abortion. Numerous patient stories are presented to illustrate the many facets of abortion. Other aspects of pregnancy and childbirth, contraception, and gynecologic conditions and how they relate to abortion are discussed as well. These accounts explain technical issues to the public with the aid of vivid illustrations. Dr. Eisinger envisions his work becoming a useful source of information. In our current overheated national discussion about abortion, we need an accurate, compassionate, honest account of abortion-this is it!Steven H. Eisinger, MD, FACOG attended college at the University of Chicago, medical school at the University of Michigan, and residency in Ob Gyn at the University of Wisconsin. He then served as a Major in the Army for two years, delivering babies and doing abortions! Then, Dr. Eisinger accepted a position as an Assistant Professor at the University of Rochester (NY) Medical School in 1977, teaching Ob Gyn to resident physicians.Dr. Eisinger remained in Rochester for his entire career teaching, practicing, and conducting research, eventually retiring as Professor Emeritus in 2022. Throughout his career, Dr. Eisinger has dedicated himself to three main pursuits: providing obstetric and gynecologic care for underserved women, educating young doctors, and championing reproductive freedom, including abortion. Dr. Eisinger has performed abortions all his professional life, beginning in 1971, Since Before Roe v. Wade.Dr. Eisinger spoke at the 2024 NOW rally in Rochester, NY, to advocate for the continued availability of mifepristone, the abortion pill. He was an author of and was responsible for designing safety protocols for a nationwide scientific study on mifepristone. The study persuaded the FDA to approve mifepristone in 2000. Dr. Eisinger has since prescribed mifepristone for thousands of women. The abortion pill is safe and effective-he should know!He is a lifetime Fellow of the American College of Obstetricians and Gynecologists (FACOG). His hobbies include hiking, trail maintenance, golf, mountain climbing, and dealing in rare coins. Married with two adult children, he and his wife Sue celebrated their fifty-fifth anniversary in 2024. This book is dedicated to Sue.AMAZONwww.KingPagesPress.com  https://www.facebook.com/profile.php?id=61578414656989http://www.bluefunkbroadcasting.com/root/twia/82825kpp1.mp3        

As women enter perimenopause and menopause, hormonal shifts—declining estrogen, progesterone, and testosterone—can ripple through nearly every system in the body, impacting bone density, cardiovascular health, metabolism, brain function, and sexual wellbeing. Misinterpretation of past research left millions fearful of hormone therapy, yet newer evidence shows that bioidentical hormones, started within a specific “window of opportunity,” can protect the heart, brain, bones, and quality of life. Supporting this transition in a woman's life also means addressing nutrition, gut health, stress, sleep, and strength training—powerful tools that work alongside hormones to restore vitality. With the right knowledge and care, this phase of life can be transformational, leading to renewal, resilience, and long-term health protection. In this episode, I explore, along with Dr. Mary Claire Haver and Dr. Cindy Geyer, how we can shift our thinking of peri-menopause and menopause to one of renewed health and vitality. Mary Claire Haver, MD, FACOG, CMP, is a board-certified Obstetrician and Gynecologist, Certified Culinary Medicine Specialist, and Menopause Society Certified Menopause Practitioner. A graduate of Louisiana State University Medical Center with residency at the University of Texas Medical Branch, she is the founder of Mary Claire Wellness, a clinic dedicated to comprehensive menopause care. In 2023, she launched ThePauseLife.com, a global resource for menopausal women, and became a #1 New York Times bestselling author with The New Menopause. Her first book, The Galveston Diet (2023), reflects her passion for evidence-based lifestyle strategies to support women's health. With over 4 million social media followers, Dr. Haver is a leading voice in “demystifying menopause,” empowering women to self-advocate and thrive through every stage of midlife. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here: Your Guide to Menopause: What to Expect and How to Thrive Menopause Relief: Hormone Tips Every Woman Needs To Know Is Hormone Replacement Therapy in Menopause Helpful or Harmful

Aug. 21, 2025- Dr. Rachel Flink-Bochacki, a board certified OBGYN and legislative chair of the American College of Obstetricians & Gynecologists District II, shares concerns with legislation requiring health care providers to share information about IUDs, including pain associated with insertion, when discussing birth control with patients.

In this episode, I'm joined by Ash Anderson, mother of three and recent graduate of The MatriBirth Mentor Institute. After a traumatic induction with her first baby, Ash was certain she was done having children. But what she came to realize was that it wasn't birth she was finished with—it was the hospital.We unpack what it took for Ash to walk away from the industrial model of care, how she and her husband navigated the residual fear from her first birth, and why healing her relationship with motherhood was a necessary precursor to welcoming another baby.From being coerced into interventions to catching her third baby alone in a moment of pure presence, Ash offers a grounded and powerful testimony to the transformation that becomes possible when a woman chooses trust, sovereignty, and self-responsibility.You'll Learn:Why “just in case” inductions increase trauma and strip women of autonomyHow hospital birth plans are powerless against coercive systemsWhat subtle manipulation in late pregnancy says about industrial birth prioritiesWhy even “holistic” midwives still operate within controlling paradigmsHow freebirth dissolves fear and restores deep body-trustWhy preparing for postpartum is a radical act of self-respectHow birth witnessed by children shapes the future of womanhoodWhat it means to birth alone and discover your strength, resilience, and sovereigntyThis episode is a reminder that birth doesn't have to be micromanaged, feared, or medicalized. It can be simple. It can be sacred. It can be yours if you choose it.Timestamps:[00:00] Introduction[02:11] Realizing the hospital birth system wasn't aligned with her values[14:16] Traumatic induction and vow to never birth that way again[19:39] Perspective shift on motherhood and discovering freebirth[32:52] Her first transformative experiencing freebirthing at home[50:04] Unexpected second freebirth completely alone[58:10] Breaking birth narratives and giving her children a new storyIf you want to connect more with Ash, follow her on Instagram and check out her website.Find more from Emilee on Instagram, YouTube and the Free Birth Society website.Disclaimer: Free Birth Society, LLC of North Carolina shares personal and educational stories and experiences related to freebirth and holistic care. This content is not medical advice, and we are not a licensed midwifery practice. Testimonials reflect individual experiences; results may vary. For services or scheduling, contact info@freebirthsociety.com. See full disclaimer at freebirthsociety.com/youtubeterms.

What Is Virg*nity? | Dr. Gorakh Mandrupkar & Mukta Chaitanya | Khuspus with Omkar #amuktamukअमुकतमुक ला subscribe करण्यासाठी click करा: https://youtube.com/@amuktamuk?si=LCVcdLVB9KMPVHrkVirg*nity म्हणजे काय? Hymen Break होणं म्हणजे काय? Menstrual cups वापरल्या नंतर Virg*nity Break होते का? पुरुषांना Virg*nity विचारली जात नाही का? Virg*nity ला स्त्रीच्या पावित्र्याशी जोडणं योग्य आहे का? अजूनही लग्न करतांना या गोष्टीचा विचार केला जातो का? पालक म्हणून मुलांना याबाबत कश्या पद्धतीने शिक्षण दिलं पाहिजे?या विषयावर आपण डॉ.गोरख मंद्रुपकर (MBBS, DGO, FCPS,FICOG,स्त्री रोग आणि IVF तज्ञ,मंद्रूपकर क्लिनिक, इस्लामपूर) आणि मुक्ता चैतन्य (Writer, Journalist) यांच्यासोबत खुसपुस केली आहे पूर्ण एपिसोड नक्की बघा.What is virg*nity? What does the breaking of the hymen mean? Does using a menstrual cup result in the loss of virg*nity? Why is virg*nity not questioned for men? Is it appropriate to associate a woman's virg*nity with her purity? Is this still considered when getting married? As parents, how should we educate our children about this topic?We had an insightful conversation on this subject with Dr. Gorakh Mandrupkar (MBBS, DGO, FCPS, FICOG, Obstetrician & IVF Specialist, Mandrupkar Clinic, Islampur) and Mukti Chaitanya (Writer & Journalist). Watch the full episode for the complete discussion.आणि मित्रांनो आपलं Merch घेण्यासाठी लगेच click करा! Amuktamuk.swiftindi.comDisclaimer: व्हिडिओमध्ये किंवा आमच्या कोणत्याही चॅनेलवर पॅनलिस्ट/अतिथी/होस्टद्वारे सांगण्यात आलेली कोणतीही माहिती केवळ general information साठी आहे. पॉडकास्ट दरम्यान किंवा त्यासंबंधात व्यक्त केलेली कोणतीही मते निर्माते/कंपनी/चॅनल किंवा त्यांच्या कोणत्याही कर्मचाऱ्यांची मते/अभिव्यक्ती/विचार दर्शवत नाहीत.अतिथींनी केलेली विधाने सद्भावनेने आणि चांगल्या हेतूने केलेली आहेत ती विश्वास ठेवण्याजोगी आहेत किंवा ती सत्य आणि वस्तुस्थितीनुसार सत्य मानण्याचे कारण आहे. चॅनलने सादर केलेला सध्याचा व्हिडिओ केवळ माहिती आणि मनोरंजनाच्या उद्देशाने आहे आणि चॅनल त्याची अचूकता आणि वैधता यासाठी कोणतीही जबाबदारी घेत नाही.अतिथींनी किंवा पॉडकास्ट दरम्यान व्यक्त केलेली कोणतीही माहिती किंवा विचार व्यक्ती/कास्ट/समुदाय/वंश/धर्म यांच्या भावना दुखावण्याचा किंवा कोणत्याही संस्था/राजकीय पक्ष/राजकारणी/नेत्याचा, जिवंत किंवा मृत यांचा अपमान करण्याचा हेतू नाही.. Guests: Dr. Gorakh Mandrupkar (MBBS, DGO, FCPS, FICOG, Obstetrician & IVF Specialist, Mandrupkar Clinic, Islampur), Mukta Chaitanya, Writer and Journalist.Host: Omkar Jadhav.Creative Producer: Shardul Kadam.Editor: Rohit Landge.Edit Assistant: Rameshwar Garkal.Content Manager: Sohan Mane.Social Media Manager: Sonali Gokhale.Legal Advisor: Savani Vaze.Business Development Executive: Sai Kher.Intern: Mrunal Arve.About The Host Omkar Jadhav.Co-founder – Amuk Tamuk Podcast NetworkPodcast Host | Writer | Director | Actor | YouTube & Podcast ConsultantWith 8+ years in digital content, former Content & Programming Head at BhaDiPa & Vishay Khol.Directed 100+ sketches, 3 web series & non-fiction shows including Aai & Me, Jhoom, 9 to 5, Oddvata.Creative Producer – BErojgaar | Asst. Director – The Kerala StoryHost of Khuspus – a podcast on taboo and uncomfortable topics.Visiting Faculty – Ranade Institute, Pune University.Connect with us: Twitter: https://twitter.com/amuk_tamukInstagram: https://www.instagram.com/amuktamuk/Facebook: https://www.facebook.com/amuktamukpodcastsSpotify: Khuspus #AmukTamuk #marathipodcasts

Is public or private maternity health care the best option for you?Congratulations you have found out you are pregnant, what is next? You might be wondering if you should book into a public hospital or if spending the money for a private obstetrician is worth it. This week on the Expert Guide to Parenthood podcast we break down the differences between public and private maternity health care systems so you can make the right choice for you.We welcome back our Obstetrician and Gynaecologist Expert Dr Peter Jurcevic who brings over 30 years of obstetrics and gynaecological experience working in both health care systems to share his expertise.We discuss:- How the public health system works- What it costs to go public or private- What continuity of care means- Private maternity care and what is involved if you choose this- Pros and cons of both systems- Can you choose to go private if you don't have health insurance?- How to choose which form of care is best for you.Never forget Parents You've Got This.The Expert Guide To Parenthood Podcast is proudly supported by Mustela natural origin skincare, by parents' side since 1950.

Trump has been in office for 200 days. In those 200 days, important institutions core to democracy have been dismantled. The rule of law has been challenged in countless ways—increasingly violent ICE raids and disappearances, dismantling of important agencies, canceling of funding for public broadcasts, significant rollbacks of Diversity, Equity and Inclusion (DEI)  initiatives, draconian cuts to healthcare and social services, executive orders singling out queer and trans people, and much more.But we've also seen a coordinated effort to resist him, with millions across the country taking to the streets again and again to protest on behalf of the rights of their neighbors, their families, and themselves. Attorneys and advocates are also stepping up, demanding courts to defend our rights. Two hundred days in, what have we learned—and what's  the playbook for the next four years?Helping us to sort out these questions and set the record straight is our very special guest, Skye Perryman: Skye L. Perryman is President and CEO of Democracy Forward, a nonpartisan, national legal organization that promotes democracy and progress through litigation, regulatory engagement, policy education, and research. She previously served as Chief Legal Officer and General Counsel of the American College of Obstetricians and Gynecologists. Check out this episode's landing page at MsMagazine.com for a full transcript, links to articles referenced in this episode, further reading and ways to take action.Support the show

Aubrey Masango chats to Matlhogonolo Malebane, Obstetrician, Gynaecologist and Life Coach as they explore the neuroscience of making decisions. They touch on some of the biological factors contributing to decision making outside of how the situation requires one to respond.Tags: 702, The Aubrey Masango Show, Aubrey Masango, Weird and Wonderful, Neuroscience, Brain, Decision making, Biology, Nature The Aubrey Masango Show is presented by late night radio broadcaster Aubrey Masango. Aubrey hosts in-depth interviews on controversial political issues and chats to experts offering life advice and guidance in areas of psychology, personal finance and more. All Aubrey’s interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from The Aubrey Masango Show. Listen live on weekdays between 20:00 and 24:00 (SA Time) to The Aubrey Masango Show broadcast on 702 https://buff.ly/gk3y0Kj and on CapeTalk between 20:00 and 21:00 (SA Time) https://buff.ly/NnFM3Nk Find out more about the show here https://buff.ly/lzyKCv0 and get all the catch-up podcasts https://buff.ly/rT6znsn Subscribe to the 702 and CapeTalk Daily and Weekly Newsletters https://buff.ly/v5mfet Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Recently, the American College of Obstetricians and Gynecologists rejected federal funding in response to the current US administration's polices. We talk about what this means.See omnystudio.com/listener for privacy information.

The American College of Obstetricians and Gynecologists released new clinical guidance on April 17, 2025 that recommends, as they see it, reimagining prenatal care in the U.S. Instead of the traditional 12–14 in‑person visits, ACOG now advocates for individualized prenatal care schedules—especially for average‑ and low‑risk patients—tailored based on medical, social, and structural determinants of health as well as patient preferences The guidance encourages early needs assessments (ideally before 10 weeks), shared decision‑making, coordination of social support resources, telemedicine, and group care modalities to reduce barriers and drive equity  Drawing on the PATH framework developed with the University of Michigan, ACOG presents sample visit schedules and monitoring strategies reflecting evidence that fewer visits—with flexible modalities—can maintain quality while improving access and patient experience As clinicans who have been offering unparalleled care for decades, find out what Dr. Abdelhak and his team at Maternal Resources think of groundbreaking this new update.    YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

What are the stages of birth and what actually happens when you go into labour? We go to Med School to find out what a decidual cast is and what happens when it falls out of your uterus. And in our Quick Consult, could your menstrual cup be causing UTIs? In this episode, we talk to Obstetrician & Advanced Gynaecological Surgeon Dr Nargis Noori and Clinical Midwifery Specialist Betty Holland who discuss home versus hospital birth, vaginal versus caesarean and what happens if you have an induction. They also talk about pain relief, what’s involved in an episiotomy, breastfeeding and baby brain. Plus, how to advocate for yourself in the delivery room. And, what if your baby doesn’t get the memo about your birth plan? THE END BITS For information on breastfeeding: Australian Breastfeeding Association If you're pregnant or want to learn more about pregnancy, check out Mamamia's pregnancy podcast: Hello Bump. GET IN TOUCH Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. All your health information is in the Well Hub. Support independent women’s media by becoming a Mamamia subscriberCREDITS Hosts: Claire Murphy and Dr Mariam Guests: Dr Nargis Noori & Midwife Betty Holland Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Video Producer: Julian Rosario Mamamia studios are styled with furniture from Fenton and Fenton. Visit fentonandfenton.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Every Wednesday afternoon, we'll be talking Making Babies.Andrea will be joined by Obstetrician and Clinical Director at the Rotunda, Vicky O'Dwyer to cover every area of trying to have a baby. From the very start of knowing how to prepare, right up to pregnancy – and all the bumps in the road in between.This week, Vicky joins Andrea to talk about bonding with your baby.

The Wisconsin Supreme Court rules that a 176-year-old state law doesn't prohibit abortion. But, even if legal, access to abortion services in Wisconsin is far from easy. Obstetrician, gynecologist and head of the U.W.'s Collaborative for Reproductive Equity Jenny Higgins joins us once again to explain. The post Abortion Legal in Wisconsin, but Access Still Difficult appeared first on WORT-FM 89.9.

When is your fertile window and how much does stress play a role in infertility? What could a crease in your earlobe tell you about your heart? And could your anxiety, teeth and nails point to a problem with your gut? In this episode, Obstetrician and fertility specialist Dr. Justin Tucker talks about how long it usually takes to conceive and whether wearing polyester pants actually impacts your fertility. He also discusses age and egg quality, egg freezing, IVF and genetic screening. Plus, we also talk about the risks of the oral contraceptive pill and why you should never tell a woman trying to fall pregnant to “just relax”. You can also see Mariam's Mother's Day post here THE END BITS Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. All your health information is in the Well Hub. Support independent women’s media by becoming a Mamamia subscriberCREDITS Hosts: Claire Murphy and Dr Mariam Guest: Dr Justin Tucker Senior Producers: Claire Murphy and Sasha Tannock Audio Producers: Scott Stronach and Jacob Round Mamamia studios are styled with furniture from Fenton and Fenton. Visit fentonandfenton.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

The image of the Chancellor, Rachel Reeves, crying in Parliament yesterday was picked up by various media. After PMQs, Ms Reeves' spokesperson said she had been dealing with a "personal matter" and Sir Keir insisted her tears had had "nothing to do with politics". Kylie Pentelow is joined by Times columnist Katy Balls and Kitty Donaldson, chief political commentator for the i Paper to discuss why her tears caused such a stir. Was it concern over political weakness and worries about political instability? Ms Reeves' very senior role in government? Or because she's a woman and maybe people still don't understand that women cry for different reasons and in different circumstances to men?The government's long-awaited NHS 10-year health plan is launched today. To make the NHS in England fit for the future, the plan will focus on three big shifts: moving care from hospitals to communities, making better use of technology, and preventing sickness - not just treating it. How should the NHS prioritise women's health to achieve better results? Kylie is joined by Ranee Thakar, President of the Royal College of Obstetricians and Gynaecologists, Danielle Jefferies, Senior Analyst at The King's Fund, and Lara Lewington, a technology journalist and author of a new book, Hacking Humanity.Esther Freud's ninth novel, My Sister and Other Lovers, revisits characters from her very first book Hideous Kinky, which was made into a film starring Kate Winslet. In My Sisters and Other Lovers, the sisters come of age and try to come to terms with their past. Esther joins Kylie to talk about her writing and how despite having such famous men in her life – her father was the painter Lucien Freud and her great-grandfather was the founder of psychoanalysis, Sigmund Freud - it's the women in her family who inspire her work.Amy Powney is the fashion designer best known for being the Creative Director at Mother of Pearl for 10 years until she left to set up her own label, Akyn, earlier this year. Amy's mission to create a sustainable clothing line was explored in the documentary Fashion Reimagined which saw her trace clothes from field to runway and cemented her as an authority on this within the wider industry. Amy joins Kylie in the Woman's Hour studio.Presenter: Kylie Pentelow Producer: Rebecca Myatt

Send us a textWelcome to another inspiring episode of the Stories to Create Podcast, where we share journeys of resilience, purpose, and real-world impact. I'm your host, Cornell Bunting, and today I have the privilege of sitting down with Dr. Eeka Marshall—a renowned Obstetrician and Gynecologist who has devoted her career to advancing women's health and empowering communities.In this episode, Dr. Marshall opens up about her path to medicine, the obstacles she's overcome, and her unwavering commitment to supporting the health and well-being of women, especially those in underserved areas. Her story is a powerful example of perseverance and service, and it beautifully reflects the mission of EHAS Inc.—my nonprofit organization dedicated to uplifting youth and transforming lives through storytelling.Together, we'll explore the roots of Dr. Marshall's passion for healthcare and the moments that inspired her to pursue obstetrics and gynecology. We'll talk about the challenges she faced on her journey to becoming a doctor, and how her resilience can motivate young listeners—especially those from underprivileged backgrounds.We'll also dive into crucial topics around health education and awareness:What should young women and men understand about reproductive health?What myths and misconceptions exist around women's health, and how can we address them?How can parents and educators better support teens as they learn about their bodies and make important health choices?Dr. Marshall will also help us shine a light on healthcare disparities in underserved communities, offering insight into what can be done to close those gaps. We'll discuss the role nonprofits and community leaders, like those of us at EHAS Inc., can play in collaborating with medical professionals to bring about meaningful change.Mental and emotional health are also on the table, as Dr. Marshall shares how she supports mothers and young women holistically in her practice.Finally, for our young listeners who dream of careers in medicine, Dr. Marshall will share practical advice and encouragement, along with her hopes for the future of women's health in the coming decade.If you're inspired by this conversation and want to support our work uplifting underprivileged youth in Southwest Florida, please visit www.ehasinc.org.Let's dive in and discover how every story has the power to uplift and transform! Support the showThank you for tuning in with EHAS CLUB - Stories to Create Podcast

Send us a textPlanning your birth and wondering whether to aim for a vaginal birth or opt for a caesarean? In today's episode, we're unpacking the many layers of this decision—without judgement, just clarity.I'm joined by Melbourne-based obstetrician and gynaecologist Dr Amber Moore, who has supported thousands of women across both public and private healthcare systems. Together, we explore the practical, emotional, and medical considerations when it comes to choosing your birth plan.Whether you're early in pregnancy, nearing your due date, or feeling unsure about your delivery options, this episode offers expert insights to help you feel empowered and informed.Dr Amber Moore's website Dr Amber Moore's InstagramPrenatal workouts: https://www.fitnestmama.com/program/pregnancy-exercise-program-online/Postnatal workouts: https://www.fitnestmama.com/program/postpartum-exercise-program-online/LINKS: Preparing for birth Pelvic health checklist Free 7 Day Trial Pregnancy Workouts Free 7 Day Trial Postnatal Workouts FitNest Mama Website Instagram @kathbaquie.physio 1:1 Consultation with Physio Kath ** This podcast has general information only. Always seek the guidance of your doctor or other qualified health professional with any questions or concerns you may have regarding your health or medical condition.

Send us a textPerimenopause is one of the most misunderstood—and under-discussed—phases in a woman's life. In this episode, I sit down with Dr. Colette White, a leading voice in women's health, to unpack the physical, emotional, and hormonal shifts that come with this transition.We talk about: ✨ What perimenopause really is (and how it differs from menopause)

Clement Manyathela speaks to Dr Kasturi Moodley who is an Obstetrician and Gynaecologist about hormonal imbalances in women and how women can deal with hormonal challenges The Clement Manyathela Show is broadcast on 702, a Johannesburg based talk radio station, weekdays from 09:00 to 12:00 (SA Time). Clement Manyathela starts his show each weekday on 702 at 9 am taking your calls and voice notes on his Open Line. In the second hour of his show, he unpacks, explains, and makes sense of the news of the day. Clement has several features in his third hour from 11 am that provide you with information to help and guide you through your daily life. As your morning friend, he tackles the serious as well as the light-hearted, on your behalf. Thank you for listening to a podcast from The Clement Manyathela Show. Listen live on Primedia+ weekdays from 09:00 and 12:00 (SA Time) to The Clement Manyathela Show broadcast on 702 https://buff.ly/gk3y0Kj For more from the show go to https://buff.ly/XijPLtJ or find all the catch-up podcasts here https://buff.ly/p0gWuPE Subscribe to the 702 Daily and Weekly Newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook https://www.facebook.com/TalkRadio702 702 on TikTok https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 See omnystudio.com/listener for privacy information.

Join us for an insightful episode of the Baby Tribe podcast as we welcome Professor Jennifer Donnelly, a renowned consultant Obstetrician and Maternal Fetal Medicine Specialist. With an impressive career trajectory that includes her recent role as Clinical Director at the Rotunda Hospital, Jennifer shares her journey of balancing clinical duties with leadership responsibilities. She opens up about the transformative changes she implemented during her directorship and the newfound free time she anticipates will enrich her future roles. Listen in as Jennifer reflects on her experiences in maternal fetal medicine and the evolution of healthcare services at the Rotunda Hospital. Explore the critical topics of postpartum haemorrhage, thromboembolism, and infection as we highlight the increased risks faced by pregnant women and the importance of systematic risk assessments. We underscore the necessity of continually reviewing and improving risk scores to incorporate new data and enhance patient care. The conversation also sheds light on advancements in managing comorbid conditions during pregnancy and the positive impact of new treatments on pregnancy outcomes. Discover the rewarding aspects of maternal medicine through Jennifer's perspective, as she shares the emotional journey of guiding individuals through their pregnancies. We touch upon the significance of investing in high-quality maternity care and the dedication of multidisciplinary teams in specialized maternity hospitals. The conversation also addresses advancements in cardiac care for pregnant women with congenital and acquired heart disease, offering hope and insight into the future of maternal and cardiac care. With heartfelt stories and a focus on comprehensive care, this episode promises to enlighten and inspire listeners about the intricacies of maternal health. Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

What Every Patient and Clinician Should Know About the 2025 Guidelines for IUD Insertion Pain ManagementFor years, patients have reported severe pain during IUD insertions—only to be told it's "just a pinch." Now, the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC) have issued updated guidance that changes everything.This episode breaks down what's in the new guidelines, why it matters, and what's still standing in the way of better care.What We Cover in This EpisodeWhat ACOG and CDC now recommend for IUD pain reliefWhy misoprostol is no longer a routine optionHow reimbursement challenges affect what happens in the exam roomWhat to do if your provider isn't aware of the new guidelinesThe role of trauma-informed and shared decision-making modelsWhy this shift is critical for women's health equity and trustRelated ResourcesACOG Clinical Consensus on Pain Management (May 2025)CDC U.S. SPR Update (Aug 2024)Resources and episodes on Pelvic Health Recommended Books on Hormones and Menstrual Health **Top 50 Health Podcast of 2024** Want men to better understand how to you during your menopause journey! Tell us what you want them to know.If you're passionate about advancing women's health, there are many ways you can support and stay in touch with Fempower Health. Here's how:Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on Apple Podcast, Spotify or your favorite podcast platform. Your regular listenership is invaluable!Leave a Review: Help us grow by leaving a review on Apple, Spotify or your favorite podcast platform. Your feedback not only supports us but also helps others discover our podcast.Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!Engage in Discussions: Join the Fempower Health Women's Health Community. Learn more here. Find Us on Social: Follow us on LinkedIn, Instagram and TikTok, YouTube, for the latest updates and engaging content. Stay Informed: Sign up for our...

*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, homicide, maternal loss, mature and stressful themes, sexual assault, disordered eating. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Sources: American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Authorities explain lack of charges in Fort Mill birthing center deathhttps://www.charlotteobserver.com/news/local/crime/article23277849.html Births in the United States, 2022https://www.cdc.gov/nchs/products/databriefs/db477.htm A brain-dead woman's pregnancy raises questions about Georgia's abortion lawhttps://www.npr.org/2025/05/21/nx-s1-5405542/a-brain-dead-womans-pregnancy-raises-questions-about-georgias-abortion-law A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Constructing the Modern American Midwife: White Supremacy and White Feminism Collidehttps://nursingclio.org/2020/10/22/constructing-the-modern-american-midwife-white-supremacy-and-white-feminism-collide/ The Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ Direct Entry Midwives Across the Nationhttps://www.networkforphl.org/wp-content/uploads/2023/05/Direct-Entry-Midwives-50-State-Survey.pdf FDA raids Miami birth center; Placentas, medical records confiscatedhttps://mommyblawg.blogspot.com/2009/01/fda-raids-miami-birth-center-placentas.html Fort Mill birthing center closes following third child deathhttps://www.wbtv.com/story/28083972/fort-mill-birthing-center-closes-following-third-child-death/ Exhibit Recognizes African American Midwiveshttps://infocus.nlm.nih.gov/2010/02/05/exhibit_recognizes_african_ame/ Health E-Stat 100: Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023.htm#:~:text=In2023%2C669womendied,rateof22.3in2022 Hemolytic disease of the newbornhttps://medlineplus.gov/ency/article/001298.htm The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwives Home Births in the U.S. Increase to Highest Level in 30 Yearshttps://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20221117.htm Honest Midwife Bloghttps://honestmidwife.com/ International School Of Midwiferyhttps://www.mapquest.com/us/florida/international-school-of-midwifery-531273160 March of Dimeshttps://www.marchofdimes.org/peristats/about-us March of Dimes, Delivery Method https://www.marchofdimes.org/peristats/data?dv=ms&lev=1&obj=9®=99&slev=1&stop=86&top=8& March of Dimes, Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=InthefirstfullyearofTexas%27sstateabortionban,15 Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortality Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery Necrotizing Fasciitishttps://my.clevelandclinic.org/health/diseases/23103-necrotizing-fasciitisNew Pregnancy Justice Report Shows High Number of Pregnancy-Related Prosecutions in the Year After Dobbshttps://www.pregnancyjusticeus.org/press/new-pregnancy-justice-report-shows-high-number-of-pregnancy-related-prosecutions-in-the-year-after-dobbs/#:~:text=Thereportdocumentsthati,%2Cpregnancyloss%2Corbirth. North American Registry of Midwives (NARM)https://narm.org/ Physician Suicidehttps://www.acep.org/life-as-a-physician/wellness/wellness/wellness-week-articles/physician-suicide Preeclampsiahttps://my.clevelandclinic.org/health/diseases/17952-preeclampsia Preeclampsia: Signs & Symptomshttps://www.preeclampsia.org/signs-and-symptomsRace Maternal Mortality in the U.S.: A History of Midwiferyhttps://wmberks.pages.wm.edu/2023/04/30/race-maternal-mortality-in-the-u-s-a-history-of-midwifery/ The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reasons Obstetricians Are At High Risk For Claims Of Medical Malpracticehttps://www.gilmanbedigian.com/reasons-obstetricians-are-at-high-risk-for-claims-of-medical-malpractice/#:~:text=Overall%2Cabout85%25ofOB,about95%25ofthetime. The Regulation of Professional Midwifery in the United Stateshttps://midwife.org/wp-content/uploads/2024/09/Jefferson-2021-Regulation-Professional-Midwifery.pdf She said she had a miscarriage — then got arrested under an abortion lawhttps://www.washingtonpost.com/investigations/interactive/2024/abortion-law-nevada-arrest-miscarriage/ She was accused of murder after losing her pregnancy. SC woman now tells her storyhttps://www.cnn.com/2024/09/23/health/south-carolina-abortion-kff-health-news-partner South Carolina Department of Public Health, Midwifery Licensinghttps://dph.sc.gov/professionals/healthcare-quality/licensed-facilities-professionals/midwifery-licensing#:~:text=DPHlicensesmidwivesinaccordancewithRegulation,inadditiontootherprescribedrequirementson State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Reproductive Health in the United Stateshttps://thegepi.org/state-of-reproductive-health-united-states/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Maternal Mortality and Morbidity Review Committee and Department of State Health Services Joint Biennial Report 2024https://www.dshs.texas.gov/sites/default/files/legislative/2024-Reports/MMMRC-DSHS-Joint-Biennial-Report-2024.pdf Uses of Misoprostol in Obstetrics and Gynecologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC2760893/ Vicarious trauma: signs and strategies for copinghttps://www.bma.org.uk/advice-and-support/your-wellbeing/vicarious-trauma/vicarious-trauma-signs-and-strategies-for-coping Vital Signs: Maternity Care Experiences — United States, April 2023https://www.cdc.gov/mmwr/volumes/72/wr/mm7235e1.htm#:~:text=Discussion,%2CHispanic%2Candmultiracialmothers. 2022 Direct Entry Midwives Fact Sheethttps://www.dshs.texas.gov/sites/default/files/chs/hprc/publications/2022/DirectEntryMidwife2022FactSheetA.pdf *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:https://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Organizations like the CDC and the American College of Obstetricians and Gynecologists play a significant role in shaping the recommendations your doctor or midwife gives you during pregnancy. When the CDC updates its guidance, it influences clinical care, insurance coverage, and how providers counsel patients. In this episode, we explore the recent decision to no longer recommend the COVID-19 vaccine for children and pregnant women. Learn what this means for your prenatal care and how you can navigate this update with your provider.     Thank you to our sponsor   Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. The Zahler Prenatal +DHA is my #1 recommendation for a high-quality prenatal vitamin. In May 2025, you can save 40% off the Zahler Prenatal +DHA on Amazon with the code PREPOD40. Plus, if you email your order number to vanessa@pregnancypodcast.com you will get a free copy of the Your Birth Plan book. You can always see the details and the current promo code for the Zahler prenatal vitamin by clicking here.     Read the full article and resources that accompany this episode.     Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more.     Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners.     For more evidence-based information, visit the Pregnancy Podcast website.

Obstetrician and gynaecologist, Dr Adam Urato, explains why he is concerned about the huge increase in medications now taken by pregnant women. A figure that has surged in the last few decades. Across the world, women are taking more drugs than ever before while pregnant. In the US, around 90% of women expecting a baby will now take some kind of medication during pregnancy Adam argues the notion a drug is safe until proved otherwise goes completely against the precautionary principle and common sense. He was one of the first doctors to highlight the risks of a synthetic hormone called Makena, which was supposed to reduce the risk of preterm birth. It was on the market for two decades, even when the evidence showed it didn't work, it took a further four years to get it withdrawn. Today Adam is particularly concerned about the number of women taking selective serotonin reuptake inhibitors - or SSRIs for short -  in pregnancy and doesn't believe they are usually fully informed about the risk. Yet studies have shown that the medications can increase the likelihood of miscarriage, birth defects, an early birth, a low birth weight and postpartum haemorrhage. In some cases, there also appears to be a potential impact on the baby after birth. Dr Adam Urato is a board certified obstetrician and gynaecologist, who trained at Harvard Medical School and  who practices in Massachusetts in the US. He has a particular interest in the risks and benefits of medications during pregnancy and has written a number of peer-reviewed papers on the topic. The host of the podcast, Liz Tucker is an award winning medical journalist and former BBC producer and director.  You can follow Liz on Twitter at https://twitter.com/lizctucker and read her Substack newsletter about the podcast at https://liztucker.substack.com If you would like to support this podcast you can do so via Patreon at https://www.patreon.com/WhatYourGPDoesntTellYou or via PayPal at https://www.whatyourgpdoesnttellyou.com/support/ What Your GP Doesn't Tell You has been selected by Feedspot as one of the top 15 UK Medical Podcasts https://blog.feedspot.com/uk_medical_podcasts/

*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, maternal loss, mature and stressful themes.*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Center for Black Maternal Health & Reproductive Justice:https://blackmaternalhealth.tufts.edu/Center for Black Maternal Health & Reproductive Justice Instagram:https://www.instagram.com/cbmhrj_tufts/Center for Black Maternal Health & Reproductive Justice Facebook:https://www.facebook.com/CBMHRJTufts/Center for Black Maternal Health & Reproductive Justice LinkedIn:https://www.linkedin.com/company/cbmhrjtufts/Sources: Addressing Transportation Barriers to Improve Healthcare Access in Arizonahttps://repository.arizona.edu/handle/10150/674794 Advancing Health Equity and Value-Based Care: A Mobile Approachhttps://info.primarycare.hms.harvard.edu/perspectives/articles/mobile-clinics-in-the-us-health-system#:~:text=Mobileclinicsareaproven,thecriticalweeksafterbirth American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Birth Centers in Massachusettshttps://baystatebirth.org/birth-centers A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Clinical outcomes improve when patient's and surgeon's ethnicity match, study showshttps://www.uclahealth.org/news/article/clinical-outcomes-patients-surgeons-concordanceThe Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ 'Father Of Gynecology,' Who Experimented On Slaves, No Longer On Pedestal In NYChttps://www.npr.org/sections/thetwo-way/2018/04/17/603163394/-father-of-gynecology-who-experimented-on-slaves-no-longer-on-pedestal-in-nyc Governor Healey Signs Maternal Health Bill, Expanding Access to Midwifery, Birth Centers and Doulas in Massachusettshttps://www.mass.gov/news/governor-healey-signs-maternal-health-bill-expanding-access-to-midwifery-birth-centers-and-doulas-in-massachusetts#:~:text=GovernorHealeySignsMaternalHealthBillCExpanding,ExecutiveOfficeofHealthandHumanServices Governor Murphy Signs Bill Establishing Maternal and Infant Health Innovation Centerhttps://www.nj.gov/governor/news/news/562023/approved/20230717a.shtml Helping Mothers and Children Thrive: Rethinking CMS's Transforming Maternal Health (TMaH) Modelhttps://www.milbank.org/quarterly/opinions/helping-mothers-and-children-thrive-rethinking-cmss-transforming-maternal-health-tmah-model/#:~:text=TheTransformingMaternalHealth(TMaH)Model&text=TheTMaHModelfocuseson,midwiferyservicesanddoulacare The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwivesInfant Health and Mortality and Black/African Americanhttps://minorityhealth.hhs.gov/infant-health-and-mortality-and-blackafrican-americans#:~:text=In2022%2Ctheinfantmortality,Figure2 Legislature Passes Comprehensive Maternal Health Billhttps://malegislature.gov/PressRoom/Detail?pressReleaseId=136Life Story: Anarcha, Betsy, and Lucyhttps://wams.nyhistory.org/a-nation-divided/antebellum/anarcha-betsy-lucy/Management of Postpartum Hemorrhage in Low- and Middle-Income Countries: Emergency Need for Updated Approach Due to Specific Circumstances, Resources, and Availabilitieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC11643001/#:~:text=EtiologyandRiskFactorsof,insufficienttreatment%E2%80%9D%5B50%5D March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal deaths and mortality rates by state, 2018-2022https://www.cdc.gov/nchs/maternal-mortality/mmr-2018-2022-state-data.pdf Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=In2023%2CTexas'smaternalmortality,suffermaternaldeathin2023 Maternal Mortality in the U.S Declined, though Disparities in the Black Population Persisthttps://policycentermmh.org/maternal-mortality-in-the-u-s-a-declining-trend-with-persistent-racial-disparities-in-the-black-population/Maternal Mortality Is on the Rise: 8 Things To Knowhttps://www.yalemedicine.org/news/maternal-mortality-on-the-rise Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortalityMaternal Mortality Rates in the United States, 2021https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm#:~:text=In2021%2C1%2C205womendied,20.1in2019(Table) Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery National Counsel of State Boards of Nursinghttps://www.ncsbn.org/North American Registry of Midwives (NARM)https://narm.org/ Outcome of subsequent pregnancies in women with complete uterine rupture: A population-based case–control studyhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.14338#:~:text=outcomesarerare.-,1INTRODUCTION,experienceacompleteuterinerupture.&text=Completeuterineruptureisdefined,completeruptureofthemyometrium Pregnancy-Related Deaths: Data From Maternal Mortality Review Committees in 36 U.S. States, 2017–2019https://www.cdc.gov/maternal-mortality/php/data-research/mmrc-2017-2019.html Preterm Birthhttps://www.cdc.gov/maternal-infant-health/preterm-birth/index.html#:~:text=Pretermbirthrates&text=In2022%2Cpretermbirthamong,orHispanicwomen(10.1%25) Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Themhttps://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reducing Disparities in Severe Maternal Morbidity and Mortalityhttps://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/#:~:text=Severemorbidityposesanenormous,ofseverematernalmorbidityevents State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Telehealth Before and After the COVID-19 Pandemichttps://pmc.ncbi.nlm.nih.gov/articles/PMC9035352/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ U.S. maternal death rate increasing at an alarming ratehttps://news.northwestern.edu/stories/2024/03/u-s-maternal-death-rate-increasing-at-an-alarming-rate/Which states have the highest maternal mortality rates?https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/ Why Equitable Access to Vaginal Birth Requires Abolition of Race-Based Medicinehttps://journalofethics.ama-assn.org/article/why-equitable-access-vaginal-birth-requires-abolition-race-based-medicine/2022-03 Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: pregnancy and birth trauma, medical trauma and negligence. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. Markeda's Instagram:https://www.instagram.com/markedasimone/Moms Advocating for Moms Alliance:https://www.instagram.com/momsadvocatingformomsalliance/Dr. Shannon Clark's websitehttps://www.babiesafter35.com/Dr. Shannon Clark on TikTokhttps://www.tiktok.com/@babies_after_35Dr. Shannon Clark on Instagramhttps://www.instagram.com/babiesafter35/*Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ ACOG's Texas Levels of Maternal Care Verification Program: Quality Through Partnershiphttps://www.acog.org/news/news-articles/2018/09/texas-lomc-verification-program-quality-through-partnership A Comprehensive Case Report Emphasizing the Role of Caesarean Section, Antibiotic Prophylaxis, and Post-operative Care in Meconium-Stained Fetal Distress Syndromehttps://pmc.ncbi.nlm.nih.gov/articles/PMC11370710/#:~:text=Meconium%2Dstainedamnioticfluid(MSAF)oftenleadstomore,andneonatalmortality%5B3%5D The Difference Between Health Equity and Equalityhttps://www.hopkinsacg.org/health-equity-equality-and-disparities/ EMTALA – Transfer Policyhttps://hcahealthcare.com/util/forms/ethics/policies/legal/emtala-facility-sample-policies/generic-emtala-transfer-policy-a.pdf How cuts at the National Institutes of Health could impact Americans' healthhttps://www.cbsnews.com/news/nih-layoffs-budget-cuts-medical-research-60-minutes/ Individualized, supportive care key to positive childbirth experience, says WHOhttps://www.who.int/news/item/15-02-2018-individualized-supportive-care-key-to-positive-childbirth-experience-says-who Is a HIPAA Violation Grounds for Termination?https://www.hipaajournal.com/hipaa-violation-grounds-for-termination/#:~:text=AHIPAAviolationcanbe,sanctionspolicyoftheemployer March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal Safety Series: Joint Commission Case Review Requirementshttps://www.greeley.com/insights/maternal-safety-series-joint-commission-case-review-requirements Meconiumhttps://my.clevelandclinic.org/health/body/24102-meconium Meconium Aspiration Syndromehttps://my.clevelandclinic.org/health/diseases/24620-meconium-aspiration-syndrome Meconium Aspiration Syndrome, Hypoxic-Ischemic Encephalopathy and Therapeutic Hypothermia-A Recipe for Severe Pulmonary Hypertension?https://pubmed.ncbi.nlm.nih.gov/38929252/#:~:text=Infantsbornthroughmeconium%2Dstained,ofthenewborn(PPHN) Medical Auditing Frequently Asked Questionshttps://www.aapc.com/resources/medical-auditing-frequently-asked-questions?srsltid=AfmBOooNLHrxkJi3hp2CO-3OkVj1heZAqWFVu7B-M8njnrJs8R78BBoM Midwifery continuity of care: A scoping review of where, how, by whom and for whom?https://pmc.ncbi.nlm.nih.gov/articles/PMC10021789/#:~:text=Midwife%2Dledcontinuitymodelsin,plausiblehypothesesrequirefurtherinvestigation National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Outcome of subsequent pregnancies in women with complete uterine rupture: A population-based case-control studyhttps://pubmed.ncbi.nlm.nih.gov/35233771/ Physiology, Pregnancyhttps://www.ncbi.nlm.nih.gov/books/NBK559304/ Pregnant women are less and less able to access maternity carehttps://www.nbcnews.com/health/health-news/pregnant-women-cant-find-doctors-growing-maternity-care-deserts-rcna169609 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Occupations Code, Chapter 203. Midwives https://statutes.capitol.texas.gov/Docs/OC/htm/OC.203.htmTypes of Health Care Quality Measureshttps://www.ahrq.gov/talkingquality/measures/types.html#:~:text=Outcomemeasuresmayseemto,informationabouthealthcarequality The US has the highest rate of maternal deaths among high-income nations. Norway has zerohttps://amp.cnn.com/cnn/2024/06/04/health/maternal-deaths-high-income-nations U.S. maternal deaths doubled during COVID-19 pandemic, among other findings in new studyhttps://www.brown.edu/news/2025-04-28/maternal-mortality#:~:text=Maternalmortalityratesdeclinedagainin2022,dieeachyearintheUnitedStates What is ‘physiological birth'? A scoping review of the perspectives of women and care providershttps://www.sciencedirect.com/science/article/pii/S0266613824000482 World Health Organization, Maternal mortalityhttps://www.who.int/news-room/fact-sheets/detail/maternal-mortality Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to the Sustainable Clinical Medicine Podcast! In this compelling episode, Dr. Sarah Smith sits down with Dr. La Toya Luces-Sampson—known as Dr. Toya—to discuss her transformative journey through medicine, from her beginnings in Trinidad and Tobago to her training as an OB/GYN in the US, and ultimately her bold decision to step away from clinical practice. Dr. Toya candidly opens up about her experiences with burnout in residency and corporate medicine, the toll it took on her personal well-being, and the moments that sparked real change in her career and life. She shares how a leap into entrepreneurship during the COVID-19 pandemic rekindled her confidence and purpose beyond clinical work, eventually inspiring her to become a coach for physician moms navigating medicine and motherhood. Dr. Toya reveals practical tools she used for efficiency, like templates and support systems, and emphasizes the importance of advocacy, boundaries, and accepting support—whether at work or at home. Tune in for an honest, inspiring conversation about resilience, redefining success in medicine, and the power of community and self-compassion in building a sustainable clinical career. Here are 3 key takeaways from this episode: Support Matters at Work and Home: Whether advocating for yourself in a tough clinical environment or building a support system at home, allowing yourself to be supported is crucial. As Dr. La Toya shared, “We have worked so hard to get where we are. Allow yourself to be supported.” Efficiency and Boundaries Fight Burnout: La Toya emphasized the power of systems, templates, and boundaries, both in patient care and personal life. Tackling the inbox right away, leveraging dictation and templates, and having clear work/home boundaries helped her stay efficient—and sane. Burnout Isn't the End—It's a Call to Innovate:Experiencing burnout multiple times gave Dr. La Toya new perspectives and fueled her pivot into entrepreneurship and coaching. She now empowers physician moms to carve their own pathways—inside or outside medicine: “They can stay in medicine if that's what they want. They can leave medicine if that's what they want. They can find their balance.” Dr. La Toya Luces-Sampson Bio: Dr. La Toya Luces-Sampson aka Dr. Toya, is a wife, mother, board-certified Obstetrician and Gynecologist, perinatal mental health specialist, and Coach. She helps Physician Moms thrive in medicine and motherhood without complete self-sacrifice. With over a decade of experience in women's health, Dr. Toya empowers physician moms through private and group coaching and her podcast, ✨Stethoscopes and Strollers✨ a space where physician moms can feel a little more seen and a lot less alone. -------------- Would you like to view a transcript of this episode? Click here Learn more about our guest: Website: https://drtoyacoaching.com Podcast: https://www.drtoyacoaching.com/podcast Facebook: https://www.facebook.com/latoya.luces.5/ Instagram: https://www.instagram.com/drtoyacoaching LinkedIn: linkedin.com/in/latoyalucessampson YouTube: https://www.youtube.com/channel/UCFusqULGoxtWl0IOyJPBZ-w **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

This is the 11th episode in my Pharmacist Podcasters Series. My guests and I talk about podcasting to inspire you to start your own podcast, be a podcast guest, or use your voice in general. If you're interested in podcasting, pod-guesting or public speaking, you need to listen to this episode. My guest today is Dr. Danielle Plummer, host of the MaternalRx Podcast on the Pharmacy Podcast Network.    Pharmacists can play a crucial role in maternal health. Advocacy and education are critical in improving maternal care. Listen and learn from Dr. Plummer on the MaternalRx Podcast!    Click to read the FULL show notes: https://www.thepharmacistsvoice.com/podcast (select episode 329)   Bio - Danielle Plummer, PharmD (May 2025) Danielle Plummer, PharmD, is a third-generation pharmacist and host of the MaternalRx podcast on the Pharmacy Podcast Network. She earned her PharmD from Creighton University in 2016 and has since had a broad pharmacy career spanning retail, hospital, consulting, and medical affairs.   Combining clinical expertise with lived experience, Danielle specializes in supporting pregnant patients, particularly those suffering from Hyperemesis Gravidarum (HG). After studying treatments for other diseases of malnutrition in pharmacy school, she became certified in pharmacogenetics and as an antepartum doula. This, along with a community of pharmacy entrepreneurs, inspired her to launch HG Pharmacist©, a blog to share information about HG, which later grew into Obstet-Rx©, a consulting company offering personalized medication management and patient advocacy to women worldwide.   Her subject matter expertise has led to board member appointments, speaking engagements, and media contributions for international magazines. In her work as an MSL, she has supported diagnostics for preeclampsia (sFlt-1/PlGF) and procalcitonin, as well as therapies for iron deficiency anemia and small cell lung cancer.   Through her podcast, Danielle shows how pharmacists play a key role in improving maternal outcomes. (End bio)    Backstory Danielle and I met at Medipreneurs several years ago and have kept in touch. I enjoyed getting to know her better during this interview. She has transformed her career since we first met, and I'm proud of her for starting a podcast.    The Pharmacy Podcast Network is an important part of Danielle's story. They produce and distribute the MaternalRx Podcast on their network. If you'd like to start a podcast on the Pharmacy Podcast Network, please reach out to Todd Eury via email: publisher@pharmacypodcast.com.   Share this episode! If you know someone who might like the MaternalRx Podcast, please share this episode with them. If you would like to be a guest on the MaternalRx Podcast or nominate a guest for the MaternalRx Podcast, please contact Dr. Danielle Plummer through LinkedIn or her other social media channels. She is also open to pod-guesting on other podcasts and speaking at events. Reach out to Dr. Plummer directly through LinkedIn or her other social media channels.   Subscribe to or follow The Pharmacist's Voice ® Podcast on your favorite podcast player and YouTube to get each new episode right when it comes out.   Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Thank you for listening today. Happy Mother's Day if you're a Mom or a Mom-to-Be!   If you need help starting your podcast, I can help. Get my FREE eBook or audiobook version on kimnewlove.com/podcasting or Amazon https://amzn.to/4iAKNBs. I also teach a self-paced, online course and work with clients by-the-hour. Listen to my episodes about podcasting in my back catalog on thepharmacistsvoice.com/podcast.    Links from this episode  Danielle's Blog: https://pregnancyvomiting.com/  Danielle's consulting website: https://hgpharmacist.com/ Facebook Group: Extreme Pregnancy Vomiting Education https://www.facebook.com/groups/hgsolutions MaternalRx Podcast https://maternityrx.podbean.com/  Pharmacy Podcast Network https://pharmacypodcast.com/shows/  Todd Eury's email publisher@PharmacyPodcast.com  Danielle Plummer, PharmD on LinkedIn: https://www.linkedin.com/in/daniellerplummer Connect with Danielle on Instagram @obstet_rx https://www.instagram.com/obstet_rx/  Connect on Facebook https://www.facebook.com/HGClinicalSolutions  Subscribe to Danielle's YouTube Channel https://www.youtube.com/@hgpharmacist  Follow Danielle on Twitter (X) https://x.com/Obstet_Rx  Follow Danielle on Pinterest https://www.pinterest.com/hgpharmacist/    Resources Mentioned HER Foundation https://hyperemesis.org  Preeclampsia Foundation https://www.preeclampsia.org/  Pregnancy Sickness Support (UK) https://pregnancysicknesssupport.org.uk/  PharmGKB (Pharmacogenomics Knowledge Base) https://www.pharmgkb.org/  CPIC (Clinical Pharmacogenetics Implementation Consortium) https://cpicpgx.org/  ACOG (American College of Obstetricians and Gynecologists) https://www.acog.org/  UpToDate (Resource, Retail Pharmacists) https://www.wolterskluwer.com/en/solutions/uptodate/industries/retail-pharmacy  Lexicomp is now Lexidrug  Micromedex https://www.micromedexsolutions.com/home/dispatch  Medscape https://www.medscape.com/  A Dose of Support Podcast on Spotify (April 2021 with Vanessa Kasper DNP, Host) featuring guest Dr. Danielle Plummer, PharmD https://open.spotify.com/episode/5qSIGIQ7lw6yO9rKNwi8Jg?si=9e97101b886f4f26     Kim's websites and social media links: ✅ Guest Application Form (The Pharmacist's Voice Podcast) https://bit.ly/41iGogX  ✅ Monthly email newsletter sign-up link https://bit.ly/3AHJIaF  ✅ LinkedIn Newsletter https://bit.ly/40VmV5B ✅ Business website https://www.thepharmacistsvoice.com ✅ The Pharmacist's Voice ® Podcast https://www.thepharmacistsvoice.com/podcast ✅ Pronounce Drug Names Like a Pro © Online Course https://www.kimnewlove.com  ✅ FREE Podcasting eBook/audiobook combo https://www.kimnewlove.com/podcasting  ✅ Podcasting Online Course https://www.kimnewlove.com/podcasting  ✅ Private Podcasting Coaching or Consulting https://www.kimnewlove.com/private-coaching  ✅ LinkedIn https://www.linkedin.com/in/kimnewlove ✅ Facebook https://www.facebook.com/kim.newlove.96 ✅ Twitter https://twitter.com/KimNewloveVO ✅ Instagram https://www.instagram.com/kimnewlovevo/ ✅ YouTube https://www.youtube.com/channel/UCA3UyhNBi9CCqIMP8t1wRZQ ✅ ACX (Audiobook Narrator Profile) https://www.acx.com/narrator?p=A10FSORRTANJ4Z ✅ Start a podcast with the same coach who helped me get started (Dave Jackson from The School of Podcasting)! **Affiliate Link - NEW 9-8-23**      Thank you for listening to episode 329 of The Pharmacist's Voice ® Podcast.  If you know someone who would like this episode, please share it with them!   Pharmacist Podcasters Series Part 1 with Ola Latala, PharmD (The Pharmacist's Voice Podcast Episode 248) Part 2 with Deeb Eid, PharmD (The Pharmacist's Voice Podcast Episode 253) Part 3 with Justin Cole, PharmD (The Pharmacist's Voice Podcast Episode 257) Part 4 with Christina Fontana, PharmD The Pharmacist's Voice Podcast Episode 262 Part 5 with Tony Dao, PharmD The Pharmacist's Voice Podcast Episode 266 Part 6 with Dr. H (Hussam Hamoush, PharmD) The Pharmacist's Voice Podcast Episode 275 Part 7 with Julie Doan, PharmD The Pharmacist's Voice Podcast Episode 297 Part 8 with Tim Ulbrich, PharmD The Pharmacist's Voice Podcast Episode 306  Part 9 with Zain Syed, PharmD The Pharmacist's Voice Podcast Episode 310 Part 10 with Rachel Gainsbrugh, PharmD The Pharmacist's Voice Podcast Episode 323  Part 11 with Danielle Plummer, PharmD (TODAY!) 

*Content warning: infant loss, miscarriage, birth trauma, medical trauma, medical neglect, body image abuse, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Blood clots and pregnancyhttps://www.marchofdimes.org/find-support/topics/pregnancy/blood-clots-and-pregnancy#:~:text=Although%20birthing%20people%20with%20blood,both%20you%20and%20your%20baby.Chorioamnionitishttps://www.stanfordchildrens.org/en/topic/default?id=chorioamnionitis-90-P02441#:~:text=Chorioamnionitis%20is%20an%20infection%20of,smell%20from%20the%20amniotic%20fluid. Cross border reproductive care (CBRC): a growing global phenomenon with multidimensional implications (a systematic and critical review)https://pmc.ncbi.nlm.nih.gov/articles/PMC6063838/#:~:text=In%20vitro%20fertilization%20and%20intracytoplasmic,Belgium%20%5B37%E2%80%9344%5D. Detection of Proteinuria in Pregnancy: Comparison of Qualitative Tests for Proteins and Dipsticks with Urinary Protein Creatinine Indexhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3809617/#:~:text=Background%20and%20Objectives%3A%20Excretion%20of,the%20patient%20or%20her%20pregnancy. Egg Donation and IVF in Czech Republichttps://www.eggdonationfriends.com/ivf-egg-donation-country-czech-republic/#:~:text=in%20Czech%20Republic-,IVF%20cost%20in%20Czech%20Republic,much%20from%20the%20European%20average.&text=It%20also%20needs%20to%20be,frozen%20embryo%20transfer Fundal Heighthttps://my.clevelandclinic.org/health/diagnostics/22294-fundal-height HELLP Syndromehttps://my.clevelandclinic.org/health/diseases/21637-hellp-syndrome High Blood Pressure–Understanding the Silent Killerhttps://www.fda.gov/drugs/special-features/high-blood-pressure-understanding-silent-killer#:~:text=Normal%20pressure%20is%20120/80,manage%20your%20high%20blood%20pressure? In vitro fertilization (IVF)https://www.mayoclinic.org/tests-procedures/in-vitro-fertilization/about/pac-20384716#:~:text=Research%20suggests%20that%20IVF%20slightly,or%20ovarian%20cancer%20after%20IVF%20. Magnesium - Uses, Side Effects, and Morehttps://www.webmd.com/vitamins/ai/ingredientmono-998/magnesium March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Placental Abruptionhttps://my.clevelandclinic.org/health/diseases/9435-placental-abruption Placenta and Heart Researchhttps://www.ohsu.edu/knight-cardiovascular-institute/placenta-and-heart-research#:~:text=By%20the%20end%20of%20pregnancy,area%20for%20uptake%20of%20nutrients. Postpartum Hemorrhagehttps://my.clevelandclinic.org/health/diseases/22228-postpartum-hemorrhage Preeclampsiahttps://my.clevelandclinic.org/health/diseases/17952-preeclampsia Preeclampsia - Signs & Symptoms https://www.preeclampsia.org/signs-and-symptoms#:~:text=Weight%20gain%20of%20more%20than,the%20kidneys%20to%20be%20excreted.&text=Do%20not%20try%20to%20lose%20weight%20during%20pregnancy%20by%20restricting%20your%20diet.Pregnancy weight gain: What's healthy?https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/pregnancy-weight-gain/art-20044360 Prothrombin Gene Mutationhttps://my.clevelandclinic.org/health/diseases/21810-prothrombin-gene-mutation Prothrombin 20210 Mutation (Factor II Mutation)https://www.ahajournals.org/doi/10.1161/01.cir.0000135582.53444.87#:~:text=There%20are%20also%20implications%20of,a%20baby%20of%20small%20size. The Risks of Prothrombin Gene Mutation in Pregnancyhttps://www.healthline.com/health/pregnancy/prothrombin-gene-mutation#What-Are-the-Risks-of-Prothrombin-Mutation-in-Pregnancy State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Health, Week by Week https://www.texashealth.org/baby-care/Week-by-Week Texas Occupations Code, Chapter 203. Midwives https://statutes.capitol.texas.gov/Docs/OC/htm/OC.203.htmWhat are high blood pressure numbers?https://www.lancastergeneralhealth.org/health-hub-home/2023/february/what-are-high-blood-pressure-numbers#:~:text=Normal:%20Less%20than%20120/80,Avoid%20secondhand%20smoke. White Coat Syndromehttps://my.clevelandclinic.org/health/diseases/23989-white-coat-syndrome Why Won't an Attorney Take My Texas Medical Malpractice Case?https://www.hastingsfirm.com/your-case-and-texas-law/ Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications 24-Hour Urine Collectionhttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/24hour-urine-collection#:~:text=A%2024%2Dhour%20urine%20collection%20is%20a%20simple%20lab%20test,is%20returned%20to%20the%20lab. 40 years later, why is IVF still not covered by insurance? Economics, ignorance and sexismhttps://www.cnn.com/2018/07/25/health/ivf-insurance-parenting-strauss/index.html *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Colorado and Oklahoma are two states debating the place of religion in public schools. A new study finds the risks of taking the abortion pill are drastically greater than we've been told. And new research debunks the supposed perils of marrying early.   Recommendations IFS: Marry Early And Flourish Together The Austin Institute: The Economics of Sex How to Think Like Socrates by Donald J. Robertson Socrates Meets Jesus by Peter Kreeft The Colson Fellows Program Segment 1 - Public Education and Religion FOX: Colorado parents unload on liberal lawmakers, prompting changes to controversial gender bill Oklahoma Statewide Charter School Board v. Drummond Oral Argument Clergy in the Classroom by David Noebel, J.F. Baldwin, and Kevin Bywater Segment 2 - Bombshell Abortion Pill Study The Abortion Pill Harms Women: Insurance Data Reveals One in Ten Patients Experiences a Serious Adverse Event Breakpoint: New Report: The Abortion Pill Harms Women What Would You Say?: Is the ‘Abortion Pill' as Safe as Tylenol? Segment 3 - The Benefits of Marrying Early IFS: Marry Early And Flourish Together The Metropolitan Review: Would You Rather Have Married Young? The Colson Fellows Program Segment 4 - Listener Questions Send in a question for Breakpoint at Breakpoint.org American Association of Pro-life Obstetricians and Gynecologists  Christian Dental Association The Center for Bioethics & Human Dignity National Review: HHS Report Exposes the Risks of Gender Experimentation on Children __________ Get access to the FREE course Hope Always: How to Be a Force for Life in a Culture of Suicide at colsoneducators.org. Join the Colson Center as a Cornerstone Monthly Partner at colsoncenter.org/monthly.

*Content warning: birth trauma, medical trauma, medical neglect, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:ACTH Treatment of Infantile Spasmshttps://pmc.ncbi.nlm.nih.gov/articles/PMC3092432/ American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Hypothermia Therapy (Neonatal Cooling)https://hiehelpcenter.org/treatment/hypothermia-therapy/#:~:text=Hypothermiatherapyinvolvescoolingthe,degreesFahrenheit Hypoxic-Ischemic Encephalopathy (HIE)https://my.clevelandclinic.org/health/diseases/hypoxic-ischemic-encephalopathy-hie Ina May's Guide to Childbirthhttps://birthworks.org/product/ina-mays-guide-to-childbirth/March of Dimeshttps://www.marchofdimes.org/peristats/about-us Meconium Aspiration Syndromehttps://www.hopkinsmedicine.org/health/conditions-and-diseases/meconium-aspiration-syndrome National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery NICU Levelshttps://www.childrenscolorado.org/doctors-and-departments/departments/neonatal-intensive-care-unit/nicu-family-resources/nicu-levels/#:~:text=WhatisaLevelIV,theirgestationalageatbirth. North American Registry of Midwives (NARM)https://narm.org/ Office for Civil Rightshttps://www.hhs.gov/ocr/index.htmlPhenobarbitalhttps://www.ncbi.nlm.nih.gov/books/NBK532277/#:~:text=Phenobarbitalsapotentcytochrome,possibleinteractionbetweenthemedications. State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Administrative Code Rule §115.117https://texas-sos.appianportalsgov.com/rules-and-meetings?interface=LANDING_PAGE Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Applying for a new License with TDLR:https://www.tdlr.texas.gov/midwives/apply.htmTexas Health and Human Services Birthing Centershttps://www.hhs.texas.gov/providers/health-care-facilities-regulation/birthing-centersTotal body cooling: Saving babies' lives after emergency deliveryhttps://utswmed.org/medblog/total-body-cooling-saving-babies-lives-after-emergency-delivery/ What is ACTH Therapy (Corticotropin/ACTHAR Gel) for Infantile Spasms?https://www.med.umich.edu/1libr/Pharmacy/ACTHInjections.pdf When Do Babies Start Crawling?https://www.pampers.com/en-us/baby/development/article/when-do-babies-crawl Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: descriptions of medical trauma, death, infant loss, birthing trauma, medical trauma, medical neglect, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Birth Settings in America: Outcomes, Quality, Access, and Choice, Maternal and Newborn Care in the United Stateshttps://www.ncbi.nlm.nih.gov/books/NBK555484/#:~:text=Federal%20law%20requires%20that%20most%20insurance%20companies,if%20they%20and%20their%20babies%20are%20healthy.&text=Midwives7%20provide%20care%20throughout%20the%20prenatal%20period%20for%20families%20planning%20a%20home%20birth. Cooling Therapy Treatment for HIEhttps://birthinjurycenter.org/hypoxic-ischemic-encephalopathy-hie/cooling-treatment-for-hie/#:~:text=Clinical%20trials%20have%20shown%20that,of%20death%20or%20brain%20damage. March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Postpartum Hemorrhagehttps://my.clevelandclinic.org/health/diseases/22228-postpartum-hemorrhage Raynaud's diseasehttps://www.mayoclinic.org/diseases-conditions/raynauds-disease/symptoms-causes/syc-20363571 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hollis was diagnosed with type 1 diabetes at the age of two, leading to a lifetime of doctor visits and deeply ingrained messages that her body was chronically broken. Because of this history and diagnosis, when she found out she was pregnant, her first response was tears—she knew she would be fighting an uphill battle for the natural birth she desired. Even though her condition was well managed, no midwife in town would take her as a client, leaving her with only two options: receive no care at all, or be treated by a high-risk obstetrician. This is where her battle began. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

*Content warning: medical trauma and neglect, threat of life, mature and stressful themes, pregnancy and infant loss. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ ACOG, Fetal Heart Rate Monitoring During Laborhttps://www.acog.org/womens-health/faqs/fetal-heart-rate-monitoring-during-labor Amniotomyhttps://www.ncbi.nlm.nih.gov/books/NBK470167/#:~:text=Amniotomy%2C%20also%20known%20as%20artificial,commonly%20performed%20during%20labor%20management. March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ The Second Trimesterhttps://www.hopkinsmedicine.org/health/wellness-and-prevention/the-second-trimester#:~:text=The%20second%20trimester%20is%20the,grow%20in%20length%20and%20weight. Stages of labor and birthhttps://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/stages-of-labor/art-20046545 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ What to Know About Cervical Dilationhttps://www.healthline.com/health/pregnancy/cervix-dilation-chart Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooThe Webby Awards (2025)Exciting news! Something Was Wrong is nominated for Best Crime & Justice Podcast at the 2025 Webby Awards. We'd love and appreciate your support—cast your vote today!https://vote.webbyawards.com/PublicVoting#/2025/podcasts/shows/crime-justice*Please note: the first airing of this episode stated that Rachel was a CNM, she is a CPM and LM so we corrected this error within an hour of release. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: Pregnancy loss, miscarriage, death of a child, infant loss, death, birth trauma, medical trauma, medical neglect, racism, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ A Midwife's Approach to Getting Labor Startedhttps://avivaromm.com/labor-induction-low-natural-approaches-midwife-md/ Bathing Your Babyhttps://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Bathing-Your-Newborn.aspx Fetal presentation before birthhttps://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/fetal-positions/art-20546850 Health Insurance Portability and Accountability Act of 1996 (HIPAA)https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html#:~:text=The%20Health%20Insurance%20Portability%20and,from%20disclosure%20without%20patient's%20consent. March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Office for Civil Rightshttps://www.hhs.gov/ocr/index.html State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Administrative Code Title 26, Chapter 503 - Birthing Centershttps://regulations.justia.com/states/texas/title-26/part-1/chapter-503/subchapter-d/section-503-34/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Health and Human Services Birthing Centershttps://www.hhs.texas.gov/providers/health-care-facilities-regulation/birthing-centersWhat Happens at Appointments Once My Baby is Born?https://www.communitycaremidwives.com/faq.html#:~:text=Midwives%20provide%20care%20for%20both,six%20weeks%20after%20the%20birth.&text=breastfeeding%20support.,their%20family%20doctor%20for%20care. Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What role do prenatal vitamins play in fertility and pregnancy? When should you start taking them to support a healthy pregnancy? And how do you choose the best prenatal vitamin with the right nutrients? In this episode of Brave & Curious, Dr. Shahine explores the essential role of prenatal vitamins in supporting both fertility and pregnancy. She explains the importance of these supplements, when to start taking them, the difference between folic acid and folate, and what key nutrients to look for. She also discusses recommended daily intakes and how different vitamins—like folic acid, iron, calcium, and DHA—contribute to the health of both mother and baby. Listeners will learn how to evaluate the quality of prenatal supplements and ensure they meet expert guidelines, including recommendations from the American College of Obstetricians and Gynecologists. Whether you're trying to conceive or already pregnant, this episode is full of the knowledge to make informed choices about prenatal nutrition. In this episode you'll hear: [1:09] Why prenatal vitamins are essential [2:43] When should you start taking a prenatal vitamin? [3:32] Key nutrients in prenatal vitamins Folic acid vs folate Iron Calcium Vitamin D Others [15:21] Choosing the right prenatal vitamin brand [15:55] Making an informed choice    Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books  

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

*Content warning: death of an infant, infant loss, death, birth trauma, medical trauma, medical neglect, racism, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Electronic Records and Audit Trailshttps://www.millerweisbrod.com/docs/max/Electronic_Records_and_Audit_Trails.pdf?utm_source=chatgpt.com Intravenous nutrient therapy: the "Myers' cocktail"https://pubmed.ncbi.nlm.nih.gov/12410623/ It's dangerous for Black women to give birth in Texas, and it could be about to get worsehttps://www.theguardian.com/global-development/2023/mar/17/texas-black-women-maternal-healthcare-crisis-medicaid March of Dimeshttps://www.marchofdimes.org/peristats/about-us Meconiumhttps://my.clevelandclinic.org/health/body/24102-meconium Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Oxytocin: The love hormonehttps://www.health.harvard.edu/mind-and-mood/oxytocin-the-love-hormone Racism in the health care system is killing Black pregnant Texanshttps://www.texasstandard.org/stories/racism-in-the-health-care-system-is-killing-black-pregnant-texans/ Racism, Sexism, and the Crisis of Black Women's Healthhttps://www.bu.edu/articles/2023/racism-sexism-and-the-crisis-of-black-womens-health/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist and OB/GYN, joins Dr. Rebecca Dekker to discuss the role of integrative obstetrics in pregnancy and birth. Dr. Babbar shares her journey into maternal-fetal medicine, how she became interested in yoga and breathing techniques, and the growing body of research on prenatal yoga. They discuss how breathwork can support pregnant individuals, the physiological effects of deep breathing, and how birth workers can incorporate these techniques into prenatal care. Dr. Babbar also shares her experience using alternate nostril breathing to manage blood pressure during pregnancy and her vision for making integrative therapies a standard part of obstetric care.   (01:41) Dr. Babbar's Journey into Maternal-Fetal Medicine (04:16) How Yoga and Prenatal Yoga Research Began (09:37) Studying the Effects of Prenatal Yoga on Pregnancy (12:46) Yoga's Impact on Labor Duration (14:33) The Role of Breathwork in Pregnancy (17:48) How Dr. Babbar Used Breathing Techniques for Her Own Pregnancy (22:30) The Science Behind Alternate Nostril Breathing (28:52) Guided Demonstration of Deep Breathing Techniques (35:10) Applying Breathwork During Pregnancy and Labor (39:08) The Future of Integrative Obstetric Care   Resources Learn more about Dr. Shilpa Babbar's work at drshilpababbar.com Follow the Integrative Obstetric Care Conference on Instagram: @IOBCare   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

*Content warning: death, infant loss, pregnancy and birth trauma, medical trauma, medical neglect, racism*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources ABC's new show, Familicide: https://www.familicide.net/Melissa Espey-Mueller's North Dallas Doula Associates:Website: https://www.northdallasdoulas.com/ Instagram: https://www.instagram.com/northdallasdoulas/ Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texas:https://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:Best Doulahttps://bestdoulatraining.com/ CAPPAhttps://cappa.net/training-certification/ DONA Internationalhttps://www.dona.org/ Madriellahttps://madriella.org/ ProDoulahttps://www.prodoula.com/ American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america CDC, Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023.htm CDC, Working Together to Reduce Black Maternal Mortalityhttps://www.cdc.gov/womens-health/features/maternal-mortality.html Geospatial distribution of relative cesarean section rates within the USAhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9284873/ In Mexico, Midwives Offer Care Rooted In Ancestral Traditionhttps://www.pih.org/article/mexico-midwives-offer-care-rooted-ancestral-tradition Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison?utm_source=chatgpt.com March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countrieshttps://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity-care-us-compared-10-countries National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Womenhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9713108/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ US Has Highest Infant, Maternal Mortality Rates Despite the Most Health Care Spendinghttps://www.ajmc.com/view/us-has-highest-infant-maternal-mortality-rates-despite-the-most-health-care-spending What is a freebirth?https://www.pregnancybirthbaby.org.au/what-is-freebirth *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: death of an infant, infant loss, death, birth trauma, medical trauma, medical neglect, racism, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Birth Centers Offer Potential to Transform Maternity Care Through Community-Led Approaches that Focus on Families of Colorhttps://ccf.georgetown.edu/2024/08/19/birth-centers-offer-potential-to-transform-maternity-care-through-community-led-approaches-that-focus-on-families-of-color/ CDC, Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023CDC, Working Together to Reduce Black Maternal Mortalityhttps://www.cdc.gov/womens-health/features/maternal-mortality.html Center for Black Maternal Health and Reproductive Justice: https://blackmaternalhealth.tufts.edu/Comparative Analysis of Therapeutic Showers and Bathtubs for Pain Management and Labor Outcomes—A Retrospective Cohort Studyhttps://pmc.ncbi.nlm.nih.gov/articles/Fetal Heart Monitoringhttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/fetal-heart-monitoring Fundal Heighthttps://my.clevelandclinic.org/health/diagnostics/22294-fundal-height Health Equity Among Black Women in the United Stateshttps://pmc.ncbi.nlm.nih.gov/articles/PMC8020496/ Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison March of Dimeshttps://www.marchofdimes.org/peristats/about-us March of Dimes, Data: Heath Insurance/Incomehttps://www.marchofdimes.org/peristats/data?reg=99&top=11&stop=653&lev=1&slev=4&obj=1&sreg=48https://www.marchofdimes.org/peristats/data?reg=99&top=11&stop=154&lev=1&slev=4&obj=1&sreg=48Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ Monitoring Baby's Heart Rate During Laborhttps://familydoctor.org/monitoring-babys-heart-rate-labor/ Mucus Plughttps://my.clevelandclinic.org/health/symptoms/21606-mucus-plugNasal Cannulahttps://my.clevelandclinic.org/health/treatments/25187-nasal-cannula National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery CDC, National Vital Statistics Reportshttps://www.cdc.gov/nchs/data/nvsr/nvsr73/nvsr73-05.pdf North American Registry of Midwives (NARM)https://narm.org/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Water breaking: Understand this sign of laborhttps://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/water-breaking/art-20044142Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications*SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: birth trauma, medical trauma, medical neglect, death, mature and stressful themes. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ CDC, Health E-Stats, Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/Estat-maternal-mortality.pdfCDC, Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023CDC, Working Together to Reduce Black Maternal Mortalityhttps://www.cdc.gov/womens-health/features/maternal-mortality.html Center for Black Maternal Health and Reproductive Justice: https://blackmaternalhealth.tufts.edu/Comparative Analysis of Therapeutic Showers and Bathtubs for Pain Management and Labor Outcomes—A Retrospective Cohort Studyhttps://pmc.ncbi.nlm.nih.gov/articles/Fetal Heart Monitoringhttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/fetal-heart-monitoring Fundal Heighthttps://my.clevelandclinic.org/health/diagnostics/22294-fundal-height Health Equity Among Black Women in the United Stateshttps://pmc.ncbi.nlm.nih.gov/articles/PMC8020496/ Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison March of Dimeshttps://www.marchofdimes.org/peristats/about-us Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ Monitoring Baby's Heart Rate During Laborhttps://familydoctor.org/monitoring-babys-heart-rate-labor/ Mucus Plughttps://my.clevelandclinic.org/health/symptoms/21606-mucus-plugNasal Cannulahttps://my.clevelandclinic.org/health/treatments/25187-nasal-cannula National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery CDC, National Vital Statistics Reportshttps://www.cdc.gov/nchs/data/nvsr/nvsr73/nvsr73-05.pdf North American Registry of Midwives (NARM)https://narm.org/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Water breaking: Understand this sign of laborhttps://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/water-breaking/art-20044142Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications*SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: pregnancy, birth, infant & pregnancy loss, medical negligence, medical trauma. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Amy Giles' Birth Center & Bio:Allen Midwifery & Family Wellness: https://allenmidwifery.com/ Amy's Bio: https://nursing.baylor.edu/person/l-amy-giles-dnp-cnm-cne-facnm *Sources:After a C-section, women who want a vaginal birth may struggle to find carehttps://www.pbs.org/newshour/health/c-section-vbac-vaginal-maternal-health American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Cardiac conditions in pregnancy and the role of midwives: A discussion paperhttps://pmc.ncbi.nlm.nih.gov/articlesC-Section Rates By Hospitalhttps://www.leapfroggroup.org/sites/default/files/Files/C-Section-Graphic-final.pdf March of Dimeshttps://www.marchofdimes.org/peristats/about-us Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Postpartum Hemorrhagehttps://www.chop.edu/conditions-diseases/postpartum-hemorrhage Postpartum Hemorrhagehttps://my.clevelandclinic.org/health/diseases/22228-postpartum-hemorrhage Practice profile of members of the American College of Nurse-Midwives. https://pubmed.ncbi.nlm.nih.gov/9277066/ Salary and Workload of Midwives Across Birth Center Practice Types and State Regulatory Structureshttps://pubmed.ncbi.nlm.nih.gov/35191600/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Administrative Codehttps://texreg.sos.state.tx.us/publicTexas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Thyroid Disease & Pregnancyhttps://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: birth trauma, medical trauma and neglect, death, infant loss, pregnancy loss, SIDS, postpartum depression. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ APGAR Scorehttps://medlineplus.gov/ency/article/003402.htm Birth Traumahttps://my.clevelandclinic.org/health/diseases/birth-trauma Breech Babyhttps://my.clevelandclinic.org/health/diseases/21848-breech-baby Intravenous nutrient therapy: the "Myers' cocktail"https://pubmed.ncbi.nlm.nih.gov/12410623/ March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal placental abnormality and the risk of sudden infant death syndromehttps://pubmed.ncbi.nlm.nih.gov/10192307/ Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Preeclampsiahttps://www.mayoclinic.org/diseases-conditions/preeclampsia/symptoms-causes/syc-20355745 Pseudocholinesterase deficiencyhttps://www.mayoclinic.org/diseases-conditions/pseudocholinesterase-deficiency/symptoms-causes/syc-20354543 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Succinylcholine injectionhttps://my.clevelandclinic.org/health/drugs/20755-succinylcholine-injection Sudden infant death syndrome (SIDS)https://www.mayoclinic.org/diseases-conditions/sudden-infant-death-syndrome/symptoms-causes/syc-20352800 Tawagi, George. "Compound Presentations." Oxorn-Foote Human Labor & Birth, 6e Eds. Glenn D. Posner, et al. McGraw-Hill Medical, 2014, https://obgyn.mhmedical.com/content.aspx?bookid=1247§ionid=75163840. Umbilical Cord Prolapsehttps://my.clevelandclinic.org/health/diseases/12345-umbilical-cord-prolapse Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookieboo See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: infant loss, birth trauma, medical trauma and neglect, death, pregnancy loss, mature content. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Gestational diabeteshttps://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/syc-20355339 Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal Mortality, A National Institutes of Health Pathways to Prevention Panel Reporthttps://pmc.ncbi.nlm.nih.gov/articles/PMC10863655/ Maternal Mortality Rates in the United States, 2022https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2022/maternal-mortality-rates-2022.pdf Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery Neonatal mortality is more than tripled at planned out-of-hospital births attended by direct-entry midwives. Grunebaum, Amos et al. American Journal of Obstetrics & Gynecology, Volume 222, Issue 1, S45. https://www.ajog.org/article/S0002-9378(19)31440-1/fulltext North American Registry of Midwives (NARM)https://narm.org/ Placental abruptionhttps://www.mayoclinic.org/diseases-conditions/placental-abruption/symptoms-causes/syc-20376458 Preeclampsiahttps://www.mayoclinic.org/diseases-conditions/preeclampsia/symptoms-causes/syc-20355745 Severe Maternal Morbidity and Mortality Among Indigenous Women in the United Stateshttps://pmc.ncbi.nlm.nih.gov/articles/PMC7012336/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ *SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookieboo See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.