Podcasts about perinatologist

Welcome to True Birth, where we provide raw, honest insights into pregnancy, childbirth, and the postpartum period. Dr. Yaakov Abdelhak, a Perinatologist, and Certified Nurse Midwife Kristin Mallon are here to share their professional perspectives straight from the trenches of the labor floor. Episode Overview: In this special episode, we delve into the sensitive topic of coping with perinatal loss. We recognize the profound impact that pregnancy loss can have on individuals and families, and our goal is to offer compassionate guidance and support. Discussion Points: Understanding Perinatal Loss: Dr. Abdelhak and Kristin provide insights into what perinatal loss entails, discussing its various forms and the emotional toll it can take on parents. Navigating Grief and Emotions: Coping with the loss of a pregnancy can evoke a range of emotions. Our hosts offer advice on how to navigate grief and provide support for individuals and couples experiencing loss. Honoring the Experience: We emphasize the importance of validating the grieving process and honoring the memory of the baby lost. Our hosts discuss various ways individuals and families can commemorate their loss and find healing. Seeking Support: Dr. Abdelhak and Kristin highlight the significance of seeking support from loved ones, support groups, and mental health professionals during this challenging time. They provide resources and strategies for finding the support needed. No path forward is really the wrong path. All feelins are valid We want to express our deepest empathy for anyone who has experienced perinatal loss. Remember, you are not alone, and it's okay to seek support as you navigate this difficult time. Stay tuned for more honest discussions and support on True Birth. Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all.

On this episode my guest is Georg Macharey - a perinatologist working in the delivery ward of Naistenklinikka. Georg has written his PhD on the topic of breech presentation and is one of the experts in this field in Finland. In today's episode Georg explains the different breech positions that exist and their implications for the birth as well as how the position is discovered. We spoke about what makes vaginal breech birth different from cephalic and what are some criteria that the hospital follows when advising for vaginal vs. cesarean birth for a breech baby. We then also spoke a bit about twin births to understand how the birth experience could be different and what are some important things to know regarding the positions of the babies. Thank you for being here to listen to this episode. Just before we get started, I want to invite you to our month Positive Birth Helsinki meetup which will take place on Saturday April 15th 2023. So if you're listening to this episode as it airs you can use the link in the show notes to sign up. This month's topic is "my birth room" where we'll explore together in an intimate group setting what you can expect to find in a birth room in Finnish hospitals as well as the kind of environment that you might want to encourage to support the physiology of birth. Don't forget to sign up and I'm looking forward to having you there. Let's get started on this week's episode with my guest Georg Macharey. Topics: The different kinds of breech positions and how common they are. Frank, complete, and incomplete. How these positions are established, based on hips and knees position How is the presentation and position of baby discovered once we know it is breech? Criteria advised for vaginal breech birth vs. cesarean Twin birth and ideal position for babies Links: Sign up for the Positive Birth Helsinki meetup https://mailchi.mp/648e302327d5/positivebirth Episode with Chloe on baby's position https://open.spotify.com/episode/5RkCN9L4R3zOBC4lEb7v9y?si=3ymbHfIsTw6ZPtAWC8Cbrg Georg's PhD https://helda.helsinki.fi/bitstream/handle/10138/231197/BREECHPR.pdf?sequence=1 All of Georg's research https://researchportal.helsinki.fi/fi/persons/georg-w-macharey/publications/

What is the difference between midwives, OB/GYNs, and high risk MFM specilaits? What about douals. and labor coaches?  Is a midwive like an OB/GYN?  Isn't a midwife just a doula? What are the differences between each?    According the the American College of Midwives the definition of midwifery is: "Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include the independent provision of primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods; admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. These services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers."   The definition of an OB/GYN from the American College of Obstetricians and Gynecologist is: "Ob-gyns are doctors who have special training and education in women's health care. They are dedicated to the medical and surgical care of women's health throughout the lifespan. Ob-gyns who are members of ACOG are called Fellows or Junior Fellows. ACOG Fellows are ob-gyns who are board certified in obstetrics, gynecology, or both. They are identified by the initials FACOG after their name. ACOG Junior Fellows are ob-gyn residents or recent graduates of an approved residency program and not yet board certified. Some ob-gyns have extra training in a focused area of women's health care. These areas include: Female pelvic medicine and reconstructive surgery (focused on pelvic floor disorders, including pelvic organ prolapse, incontinence, and pelvic pain) Gynecologic oncology (focused on cancers of the cervix, ovaries, uterus, vagina, and vulva) Maternal-fetal medicine (focused on high-risk pregnancies) Reproductive endocrinology and infertility (focused on the hormones of the reproductive system and helping women who have problems getting pregnant)"   The defintion of a doula or a labor coach from the Doulas of North America is: "A [doula] is a trained professional who provides continuous physical, emotional and informationl support to a mother before, during and shortly after childbirth to help her ahieve the healtiest, most satifying expericne possible."   An MFM (Maternal Fetal Medicine) specilaist is:  "Maternal-Fetal Medicine (MFM) physicians are high-risk pregnancy experts, specializing in the un-routine. For moms-to-be with chronic health problems, we work with other specialists in an office or hospital setting to keep mom healthy as her body changes and her baby grows. We also care for moms who face unexpected problems that develop during pregnancy, such as early labor, bleeding, or high blood pressure. We're the go-to for moms who arrive in the hospital while they are pregnant for any reason, whether after an accident or at the onset of a kidney infection. In other cases, it's the baby who faces the un-routine. If we find birth defects or growth problems, we can start treatment before birth, providing monitoring, blood transfusions and surgery to support babies with the best possible care until they are ready to arrive in the world. Training A maternal-fetal medicine sub-specialist is an obstetrician/gynecologist who has completed 4 years of Ob/Gyn training followed by 2-3 years of additional education and clinical experience to develop specialized skills to help both the mom and baby before and during an un-routine pregnancy. Our training includes both medical treatment and complex procedures for moms and babies. We are high-risk pregnancy experts. Our extra training enables us to conduct and interpret research on new approaches for pregnancy problems. Through educational courses, development of clinical protocols, and research, we share our knowledge of optimal care for complicated pregnancies with others. Our overarching goal is to improve outcomes for moms and babies. Maternal-Fetal Medicine physicians partner with multiple caregivers to consult, co-manage or care directly for complicated situations, both before, during and after pregnancy. We know it takes a team --starting with the mother and her family--to navigate the un-routine and achieve the best possible outcome. When should I see an MFM Specialist? MFM specialists treat two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced un-routine pregnancies in the past, mothers with chronic health conditions, and women who develop unexpected problems during their pregnancy. Learn More"   We hope you enjoyed our podcast about how each of these important aspects of childbirth and birthing medicine are uniquley beneficial in the field of reporduction.  As alwasys we'd love to get your feedback. Please email us at info@maternalresoures.org or visit our podcast website to leave a comment or feedback regarding this or any episode.    One final comment, Kristin mentions incluidng the Muni Train information fo anyone who wants to check out what part of the San Francisoc train system looks like. You can find it here     Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts.  Please consider leaving us a review.  Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB      

What's the cause of fetal growth restriction? How can you prevent it? In this episode of True Birth, we will talk about fetal growth restriction/FGR previously termed IUGR or Inner Uterine Growth Restriction.       What is FGR? [1:36] It is when the baby falls below the 10th percentile for weight. 10% of babies will be below the 10th percentile, by definition. Hence, 10% of babies will be classified as fetal growth restricted. It's important for you to know that because 10% of babies are not in a pathological situation. They're not in a bad situation. They're not in a situation where they're not growing.    [2:35] It's important to consider each woman and her partner uniquely in pregnancy.  A women that is  5'9 with women and a woman that is 5 feet tall will have different size expectations and patterns when it comes to pregnancy.    Possible reasons that the baby is small [4:17] The number one reason that a baby could be on the smaller side is that the mother is small and the father of the baby is maybe not the tallest guy. We use the term FGR/Fetal Growth Restriction when they're in utero, but once they're delivered, we call them SGA/Small for Gestational Age.    [5:06] When you find the baby's not growing well, this will generally be after 20 weeks Babies are generally the same size until 20 weeks.    [6:08] Another reason the baby is small is that it's supposed to be small and there's nothing wrong. The number two reason is placental perfusion. It has a problem with the baby getting enough blood flow and nutrients. It is just not getting enough of what it needs to grow well. And there are many reasons why the placenta won't function. So when you see a small baby, especially in the third trimester after 27 weeks, 30 weeks, start thinking, "Oh, how are her blood pressures? She's spilling protein. Is there something going on with this patient that's pointing me towards preeclampsia?"   [8:07] TORCH is an acronym that stands for toxoplasmosis, rubella cytomegalovirus, herpes simplex, and HIV. Cytomegalovirus is a virus that's very common in the population. Most people have been exposed to cytomegalovirus. T  Ultrasound tools [12:09] To understand Dopplers without getting into the physics of what the Doppler effect is, you can take your transducer, you could put it over the cord, and you can turn on the Doppler and you could see the blood flow through the cord.   [13:48] When you look at a Doppler, and you see the blood flowing the way it should, before the next heartbeat, you measure how fast it's going right before the next heartbeat.   [15:14] When you talk about fetal growth restriction, you can't just talk about the baby's size because there's only one piece of it. The other piece is what is the placenta telling you? What are the Dopplers telling you?    [15:34] Biometry is when you measure the femur and the abdomen and measure the head to get the size and weight of the baby and estimated fetal weight.    Guidelines about how to approach Fetal Growth Restriction [18:12] If you're below the third percentile, even if everything else is okay, that's the baby you got to deliver at 37 weeks. You can't just sit around and look at that baby for 37 weeks get the baby out. If your baby is above the third percentile and the Dopplers are elevated but not absent, get the baby up. And if there's no flow, the blood stops, that's even more concerning. If you see the reverse flow, you're dealing with a much more ominous situation and you don't want to go past 32 weeks. If you don't think the baby's doing well, you might have to come out even earlier.   Biophysical profile [22:09] One of the things that some patients might have to consider in other practices is that they would need to start having biophysical profiles done. A biophysical profile is when you're checking for a series of four different things and looking to ensure that the baby is reassuring overall. What is the baby's movement? What is fetal breathing, which is an exercise the baby does to inhale and exhale fluid? What is his tone? Is the baby flex or the floppy? Or if you feel the baby's not moving, these are things that you have to consider.   [23:51] One of the things you're looking for when talking about growth restriction is you want to see how the baby is handling the uterine environment? How's the baby doing on the inside? These tests will wish to you to identify a baby that's not doing well or not getting enough blood flow. You need to know if you can wait on it and let the baby stay inside, or is it time to get the baby out? Because then the baby will do better outside of the womb.    Recommendations [24:20] The recommendation is that if you recognize growth restriction, you should at least be monitoring weekly, that might be nonstress tests, or that might be a biophysical every week. And if you have a severe growth that restricts a baby under the third percentile or abnormal Dopplers or accident, then twice a week. If you have reversed outside flow, put those patients in the hospital because they need to be monitored around the clock and you got to pull the baby out before it's too late.     [29:08] The most reliable and consistent way to assess blood flow to the baby is the umbilical artery. Look at the ductus phimosis. When the umbilical cord hits the baby's belly button, a big part of the vein goes up into the heart carrying the birth at heart, and you can see if there's resistance, or even at the umbilical vein.   Here is the photo that we have permission to share.    Visit https://www.truebirthpodcast.com/ to listen more episodes! Maternal Resources Social Facebook: https://www.facebook.com/maternalresourceshackensack |nstagram: @maternalresources Subscribe to the podcast on Apple Podcasts, Spotify, Google Podcasts, & Stitcher and leave a review!          

Interviewees:Daphne Ramirez, Que Madre Kobe Sanders, CVHS Alum, UCLADr. Brenda Ross, Perinatologist, UCR Health Reporter:Vianey Alguin, Que Madre

Despite Dr. Karkowsky's extraordinary knowledge and expertise in the highly specialized and complex area of high risk obstetrics, she infuses her care with a high level of compassion and empathy, remaining cognizant of the complexity of her patients' lives outside of the medical sphere. These patients are often unexpectedly thrust into this world, having to learn a new language and sometimes needing to make very difficult decisions, neither choice being ideal. She is a master storywriter and captivating story teller. We talk about the barriers of a complicated healthcare system, the pitfalls of having too much compassion, her experiences of working as a doctor in Israel and how Rabbinical and medical authorities can clash and merge when it comes to the extraordinary lifecycle event of reproduction.   Dr. Karkowsky completed medical school at Mount Sinai, her residency at Harvard University Hospitals, followed by a fellowship in Maternal-Fetal Medicine (MFM). She now works as a high risk obstetrics specialist in New York City.     Chavi also lived in Tel Aviv with her family for several years, and worked at an ultra-Orthodox hospital in Northern Israel, experiences she loves to talk about.    Chavi has written for the Atlantic, Slate, the Washington Post, and other publications. "High Risk: Stories of Pregnancy, Birth, and the Unexpected" (Liveright/Norton 2020) is her first book, and is available everywhere that books are sold.    Chavi lives in NYC with her wonderful partner, Josh, and their four stir-crazy kids. She can be reached via her website, www.chavikar.com.   To continue the conversation, and learn more about similar topics, check out the Yoledet Academy Instagram community.   Check out the Yoledet Picks Amazon Storefront to find any of the products mentioned in this episode, and discover Chanie's other favorites.   If you like what you hear and want to help more people discover this show, here's what you can do to help us grow: 1. Rate and review the podcast on Apple Podcasts. 2. Subscribe to this show on whichever podcast app you listen. Ex: hit the button "follow" right under the cover art on Spotify. Plus - you'll never miss another episode. 3. Be a good friend and spread the wealth of knowledge! You never know how this will improve someone's life.  Did you know that you can listen on your web browser too? Just hit this link and share it with your friends - no special apps needed.

Dr. Robin is an academic Neonatal-Perinatologist. We talked about the types of patients, communicating with parents, what a normal day look like, and much more!

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Ultrasounds are one of the many tools available to help you have a healthy pregnancy. They can be used to monitor fetal growth, estimate risks for genetic disorders, discover the gender of your baby, and much more. Dr. Julia Cormano discusses the different types of ultrasounds that may be done during your pregnancy and how this technology can provide a unique view of your baby's development. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 34773]

Dr. Brad Bootstaylor is an award-winning double board certified OB/GYN and perinatologist of See Baby practice in Atlanta. With C-section rates skyrocketing and a higher focus on reducing maternal mortality, Dr. Bootstaylor has been a beacon of hope for mothers and families who want a better birth experience. He gives great advice on advocating for yourself as a mother and owning your own power as someone bringing life to the world. He has been life-changing for me as he supported the birth of my second child. See Baby Medical Practice Instagram | Facebook | Twitter Dr. Bootstaylor Ranked Top Doctor in Atlanta for the 9th Year in a Row Questions to Ask Your Birth Provider; http://seebaby.org/provider-checklist/ Does your Provider believe your pregnancy is normal, despite any co-existing medical problems that can i managed expectantly & safely? Does your Provider believe you can go into spontaneous labor after the EDD (estimated date of delivery) while monitoring your pregnancy safely? Does your Provider listen to you? Does your Provider discuss your concerns with you like an adult? Does your Provider encourage a "patient centered" approach to labor support (e.g. Doula, Childbirth Education, Breastfeeding)? Does your Provider support "Birth Options", despite some not being available at the facility of choice? Does your Provider support and encourage VBAC, which is consistent with ACOG recommendations? Do you feel comfortable and well informed after speaking with your Provider? Does your family, friends, or acquaintances support your Birth Options? At or near term, do you sense a "change" in your Provider's temperament towards you? Each "yes" answer = 10% and the probability of having a safe, empowering, and life-enhancing vaginal birth. Only a Provider with a score of 100% = the birth you envision, and not a delivery that they may expect. If you think this message could be useful lo someone else, please share it grandly. I'd love to hear your thoughts on this episode as well, so please consider leaving a positive review. I read every word! Otherwise, happy to hear from you. You can reach me by email, Instagram, or Facebook. Thanks for listening and I'll see you next week!

Perinatologist, professor and author Dr. Vern Katz and Genetic Counselor Kathryn Murray, sit down with us and talk about their long standing careers in the field of Maternal and Fetal Medicine. Both of them have worked closely along side sonographers in clinical practice and we hear from their perspective how the world of perinatal medicine has evolved over the years and what the future of maternal-fetal medicine might look like.

Sarah Troutman grew up in the church. But after her third miscarriage, she was angry; she was done. "Nobody talks about losing babies. Nobody talks about how painful it is." This is her story. 

Over 80% of women can expect to give birth normally, given the right support - continuity of care that is founded on the understanding that birth is usually a normal process. Midwifery group practices in local hospitals are one way to give that support. We hear two women's stories from the Byron Community Birthing Service in Byron Bay Australia.Thank you to Candice and Tiffany for sharing your stories.Speakers: * Mothers, Candice and Tiffany, * the late Dr Marsden Wagner, Perinatologist and World Health Organisation’s Director of Women's and Children's Health for 15 years* Dr Alec Welsh is a Professor of Maternal-Fetal Medicine, at the Royal Hospital for Women in Sydney* Sally Tracy, Professor of Midwifery at the University of Sydney and the Royal Hospital for WomenReferences:* “Models of maternity care: evidence for midwifery continuity of care”, Homer, CSE MJA 205 (8) j 17 October 2016* The late Dr Marsden Wagner speaking with Diana Paul about normal birth https://www.youtube.com/watch?v=Cm8ErQxTFyo* Australian Institute of Health and Welfare. Australia’s mothers and babies 2013* “The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage” World Health Organisation 2010* ACOG Jan. 2017 recommendations re. cont. of care: http://www.medpagetoday.com/OBGYN/Pregnancy/62745* “Caseload midwifery compared to standard or private obstetric care for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes”, Tracy et al, Biomed Central Pregnancy and Birth* Cochrane review: (Hodnett, et al, "Continuous support for women during childbirth” https://www.ncbi.nlm.nih.gov/pubmed/23857334)* Health services globally are headed towards bankruptcy by 2030: STEFAN ELBE, Professor of International Relations, University of Sussex and Director of Centre for Global Health Policy* Maternity Choices Australia: www.maternitychoices.org.auAired on 99.9 BayFM Byron Bay on 30 January 2017.Photo credit: Byron Community Birthing Service Midwives by Humans of Byron BayProduced and presented by Sally Cusack.Copyright PBB Media and Sally Cusack 2017.www.pbbmedia.org

Over 80% of women can expect to give birth normally, given the right support - continuity of care that is founded on the understanding that birth is usually a normal process. Midwifery group practices in local hospitals are one way to give that support. We hear two women's stories from the Byron Community Birthing Service in Byron Bay Australia.Thank you to Candice and Tiffany for sharing your stories.Speakers: * Mothers, Candice and Tiffany, * the late Dr Marsden Wagner, Perinatologist and World Health Organisation’s Director of Women's and Children's Health for 15 years* Dr Alec Welsh is a Professor of Maternal-Fetal Medicine, at the Royal Hospital for Women in Sydney* Sally Tracy, Professor of Midwifery at the University of Sydney and the Royal Hospital for WomenReferences:* “Models of maternity care: evidence for midwifery continuity of care”, Homer, CSE MJA 205 (8) j 17 October 2016* The late Dr Marsden Wagner speaking with Diana Paul about normal birth https://www.youtube.com/watch?v=Cm8ErQxTFyo* Australian Institute of Health and Welfare. Australia’s mothers and babies 2013* “The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year: Overuse as a Barrier to Universal Coverage” World Health Organisation 2010* ACOG Jan. 2017 recommendations re. cont. of care: http://www.medpagetoday.com/OBGYN/Pregnancy/62745* “Caseload midwifery compared to standard or private obstetric care for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes”, Tracy et al, Biomed Central Pregnancy and Birth* Cochrane review: (Hodnett, et al, "Continuous support for women during childbirth” https://www.ncbi.nlm.nih.gov/pubmed/23857334)* Health services globally are headed towards bankruptcy by 2030: STEFAN ELBE, Professor of International Relations, University of Sussex and Director of Centre for Global Health Policy* Maternity Choices Australia: www.maternitychoices.org.auAired on 99.9 BayFM Byron Bay on 30 January 2017.Photo credit: Byron Community Birthing Service Midwives by Humans of Byron BayProduced and presented by Sally Cusack.Copyright PBB Media and Sally Cusack 2017.www.pbbmedia.org

What delivery options do you have when pregnant with twins? Is a home birth an option? What's the possibility of needing an emergency c-section? Who and what is needed to effectively deliver multiples? Are there differences with anesthesia? What is the recovery process? Are postpartum issues increased with multiples? Dr. Sean Daneshmand, a Perinatologist at Sharp Mary Birch Hospital for Women and Newborns, is this week's expert.

Every pregnancy is different, but it can be VERY different for women carrying multiples. Weʼll explore some of these differences including the changes that will be happening to your body and how to manage those changes. What is the difference between Monozygotic and Dizygotic? What are some signals of preterm labor? What are the risks associated with having twins, and what's the importance of an Amniocentesis? Dr. Sean Daneshmand, Perinatologist at Sharp Mary Birch is this week's expert.

Michele Larsen (Portland, OR), State Communications Director with March of Dimes, Oregon Chapter, Joanne Rogovoy, State Director of Program Services, and Dr. Richard Lowensolhn, retired Perinatologist and current Program Services Committee Chairman, discuss the leading nonprofit organization's mission to improve the health of babies by preventing birth defects, premature birth and infant mortality. For additional information, please visit www.marchofdimes.com. Second guest, Andy Ferguson (Baker, Nevada), Superintendant of Great Basin National Park, discusses the Great Basin which extends from the Sierra Nevada Range in California to the Wasatch Range in Utah, and from southern Oregon to southern Nevada. Far from a wasteland, Great Basin National Park is a diverse region which includes Nevada's second tallest mountain, Wheeler Peak, and the states only glacier, Wheeler Peak Glacier. For additional information, please visit www.nps.gov/grba.

Aren't twins so fascinating? Today we have Dr. Nathan (Nate) Fox here to tell us all about them! He's a maternal fetal medicine specialist, also known as a high-risk pregnancy doctor or a perinatologist, which is an OB/GYN that works with more complex pregnancies. The truth is a lot of doctors don't have much training or experience with twins and as a result, you might not get the level of care you need or have all the birth options open to you. You want doctors on your team who know which screenings/tests to do, how often you should be seen, and what your nutrition should be like (it's different for twins). You also want doctors who feel confident offering vaginal birth instead of just going straight to cesarean, which happens more than it should. Whether you are pregnant with twins or just want to learn more about twins, this episode is a must listen.In this Episode, You'll Learn About:-What it means to be a maternal fetal medicine specialist-How common it is to have twins-What some of the risk factors are for having twins-What distinguishes different kinds of twins from each other-How the prenatal care for single babies and twins differ-What the models of care are for twins-Why you should consider seeing a specialist-How a high-risk doctor works with other perinatal care providers-What additional risks come with twin pregnancy-How perinatologists approach (the almost inevitable) early term twin birth-How much more important Dr. Fox says weight gain is in twin vs. singleton pregnancy --Full website notes: drnicolerankins.com/episode201Check out The Birth Preparation CourseRegister for the class How to Create a Birth Plan the Right Way Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy