Process in which an embryo and later fetus develops during gestation
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Certified nurse-midwife and labor nurse Roxanne explains what a TENS unit (transcutaneous electronic nerve stimulation) is, how it may reduce pain via gate control theory and endogenous opioid release, and why starting it earlier in labor may help more. She reviews evidence showing TENS can substantially reduce reported labor pain, allow mobility, and may shorten labor compared with epidurals, while avoiding common IV pain medication side effects like nausea and drowsiness. She also covers use in pregnancy for musculoskeletal pain (avoid abdomen and neck), and postpartum use including on the belly for uterine cramps and for C-section recovery (pads above/below incision associated with lower pain scores, faster bowel function return, and improved recovery). The video demonstrates pad placement, intensity “boost” during contractions, water safety cautions, and what to look for when buying (battery power, adjustable intensity, four leads, one-hand control), comparing budget Amazon units with Babycare OB TENS, L TENS+, and L TENS 2 features.BabyCare TENS: 10MAMASTEFIT For 10% offhttp://babycaretens.com/?afmc=6s
My twin girls, Evy and Nola, are some of the most delightful humans I know, and they join me on the show to chat all things Double Delights (the baking book they wrote with me).We talk about how much we learned in the process of writing this book, how it came to be in the first place, and which recipes we love the most.I know you'll love hearing from Evy and Nola as much as I loved having them on the show!Double Delights is available for preorder now and officially launches on October 6!Sponsor Info:Voetberg Music AcademyVoetberg Music Academy provides online, at-home, shareable lessons so that your kids can pursue their musical passions without stress or hassle.Use Code: MISFORMAMA25 at checkout for 25% off each month that you're enrolled!GlowBodyPTGlowBodyPT's 12 Week Post Pregnancy Plan helps moms rebuild core strength and heal diastasis recti through safe, efficient workouts designed specifically for postpartum recovery. Created by a certified Prenatal and Postnatal Exercise Specialist and mom of five, this plan makes it possible to regain strength and function without spending hours working out.Use Code: MISFORMAMA20 for $20 off the 12-Week Post Pregnancy Plan!Bible References:Zechariah 4:10Links:Double DelightsThe Gentleness ChallengePenny Reward SystemPaint & ProseM Is for Mama
Gina (perinatal fitness trainer/birth doula) and Roxanne (certified nurse midwife) share their experiences being pregnant while active duty Army - noting it's been about 10 years and policies may have changed! They explain their Army roles—Gina as an MP officer and cultural support team leader attached to all-male special operations units (plus airborne/jump master), and Roxanne as an Army nurse who moved into labor and delivery—then discuss how job demands affect when it's realistic to plan pregnancy, how pregnancy can pull soldiers from key/physical roles, and how dual-military parenting adds major logistics and career pressure. They cover benefits like GI Bill, TRICARE, pensions, and improved parental leave (now 18 weeks for the birthing person and 12 weeks parental leave), plus practical issues like pumping, bottle refusal, and advocating for lactation spaces. They emphasize intentional pregnancy/postpartum fitness to support recovery and readiness, and point listeners to MamasteFit programs and a military discount.Birth Stories with Active Duty Service Members:Danielle's Birth Story: Unmedicated Hospital Birth/Home Birth → Scheduled C-Section for Placenta Previa: https://open.spotify.com/episode/3g79heXnt3TnI52HaAuaiV?si=8E41bjdVSbWJhanYl8AzOgAshley's Birth Story: Pandemic Challenges + Unexpected Precipitous Labor: https://open.spotify.com/episode/2YCe4UiCsjPjILQ4Rnxzdm?si=YW7UO4PxT8uyP2vVfSYS4QAlyssa's Birth Story: Unmedicated Hospital Induction & Postpartum Complications: https://mamastefit.com/alyssas-birth-story-unmedicated-hospital-induction-postpartum-complications/00:00 Welcome and Disclaimer00:46 Meet the Hosts04:07 Gina Army Officer Role09:03 West Point Mixups12:38 Back to Army Pregnancy Timing13:12 Cultural Support Team Missions20:40 Airborne Jumpmaster Stories25:08 Roxanne Army Nurse Life28:31 Labor and Delivery Specialty30:02 Leave and Garrison Differences32:24 Planning Life Events34:19 Pregnancy Work Profiles38:18 Career Timing Reality45:01 Dual Military Challenges50:40 Military Benefits Breakdown55:20 Leave Policies Explained01:00:40 Breastfeeding Logistics01:05:01 PT Tests and P3T01:08:51 Fitness and Readiness01:12:59 Wrap Up and Programs————
Certified nurse midwife Roxanne explains that increased watery, slippery vaginal discharge in pregnancy (leukorrhea) is usually normal, driven by estrogen and progesterone, and helps protect against infection and form the mucus plug. She outlines red flags and common end-of-pregnancy confusion: discharge is typically clear-to-milky with little odor, while amniotic fluid is often clear/pink-tinged, has a distinct sweet/musty smell, and can soak a pad; providers can confirm with tests (ferning, nitrazine, protein testing). She reviews yeast (thick, white “cottage cheese,” irritation, painful sex, possible cramping) treated with antifungal cream, and bacterial vaginosis (thin/gray, fishy odor, linked with preterm labor) often treated with antibiotics. She also covers STI-related discharge (e.g., frothy yellow-green trichomonas) and prevention tips like probiotics/fermented foods, hydration, stable blood sugars, breathable cotton underwear, avoiding scented soaps and douching, and discussing other remedies with a provider.————
LIVE From EnviroMed 2026, Medical Speech Victory, Autism Diagnoses Triple, Prenatal Metal Exposure, 8th Grader Fentanyl, mRNA Flu Shot Approved, AAP Corruption Investigated, Science is Never Settled, Conspiracy Theory Study, and MORE! https://robertscottbell.com/live-from-enviromed-2026-medical-speech-victory-autism-diagnoses-triple-prenatal-metal-exposure-fentanyl-risk-awareness-fda-mrna-flu-approval-pediatric-doctor-vaccine-investigation-science-is-n/ Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.
TN Breastfeeding Hotline 1-855-4BF-MOMS (1-855-423-6667)@drsarahbetheriksen on instagram, facebook and Youtube@flow.breastfeeding on instagram and facebookKey TakeawaysBreastfeeding medicine is now a formal, board-certified medical specialty requiring a two-year fellowship, distinct from lactation consulting and offering diagnostic and prescriptive capabilities.Normal milk supply (25-30 ounces daily) rarely includes large surplus; families should be reassured that "having just enough" is the most common and appropriate production level.A comprehensive diagnostic approach to breastfeeding challenges requires examining maternal medical history, medications, birth circumstances, and physical findings alongside infant assessment.Prenatal breastfeeding education and establishing a support plan before challenges arise significantly reduces stress and improves outcomes when difficulties occur postpartum.Partner support is the strongest predictor of breastfeeding success; including partners in clinical visits and ensuring their understanding of the feeding plan is essential.The mental health and overall well-being of the parent must take priority; feeding method should support rather than undermine the parent's ability to enjoy and connect with their baby.Quotable Moments"A normal milk supply is normal. And that is between about 25 and 30 ounces per day for a term baby or one week old.""The most important thing a baby needs is a mentally and physically healthy parent who can provide a safe and nurturing relationship with them.""Partner support is the strongest predictor of meeting breastfeeding goals.""We have so many tools now that are just right at our disposal. We really have access to that information very quickly.""It's one of the most important things families can do because it gives us an opportunity to prepare them proactively for challenges that they may face."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
In this episode, Dr Elle Wadsworth talks to Dr Louise Marryat, a senior research fellow at the University of Glasgow, Scotland. The interview covers Louise's systematic review on prenatal opioid exposure, and health, social and educational outcomes for school-aged children.The motivation behind Louise's systematic review [00:50]The current evidence surrounding prenatal opioid exposure and early outcomes [02:13]What Louise defined as prenatal opioid exposure in her review [03:08] The limitation of small sample sizes in the included studies [04:08]The methods of the review [04:55]The key findings of the review [08:20]The implications of the findings on Scottish health policy [12:38]The take home messages for researchers and clinicians [15:48]About Elle Wadsworth: Elle is an academic fellow with the Society for the Study of Addiction. She is based at the University of Bath with the Addiction and Mental Health Group and her research interests include drug policy, cannabis legalisation, and public health. Elle holds a voluntary role at The Loop, a non-profit service provider of drug checking in the UK. About Louise Marryat: Louise is a UK Research and Innovation (UKRI) Future Leaders Fellow and Senior Research Fellow at the University of Glasgow. A sociologist by training, she holds a PhD in Psychological Medicine and has dedicated her career to understanding the social, environmental, and psychological factors that shape health and wellbeing across the life course. She currently leads the UK Opioids in Pregnancy Study (https://opioidsinpregnancy.gla.ac.uk/), exploring the impacts of opioid use and treatment during pregnancy on mothers and children. Her research focuses on reducing health inequalities and improving outcomes for children, families, and communities experiencing disadvantage through evidence-based policy and practice.Declarations of interest: None Original article: Prenatal opioid exposure, and health, social and educational outcomes for school-aged children: A systematic review https://doi.org/10.1111/add.70510 The opinions expressed in this podcast reflect the views of the host and interviewees and do not necessarily represent the opinions or official positions of the SSA or Addiction journal.The SSA does not endorse or guarantee the accuracy of the information in external sources or links and accepts no responsibility or liability for any consequences arising from the use of such information. Hosted on Acast. See acast.com/privacy for more information.
Send us Fan MailIn this episode of the Aligned Birth Podcast, hosts Dr. Shannon and doula Rachael delve into the Webster technique, a specialized chiropractic approach for prenatal care. They discuss common misconceptions about chiropractic care during pregnancy, emphasizing its importance beyond just addressing breech presentations. The conversation highlights the role of the pelvis and sacrum in fetal positioning, the gentle nature of chiropractic adjustments, and the significance of individualized care for pregnant women. They also explore the connection between nervous system function and overall health during pregnancy, advocating for a holistic approach to maternal care.The Webster technique is often misunderstood and is not just for breech babies.Prenatal chiropractic care is essential for overall maternal health.The pelvis and sacrum play a crucial role in fetal positioning.Gentle adjustments are key in chiropractic care for pregnant women.Finding a certified chiropractor is important for effective care.Chiropractic care should be individualized based on each mother's needs.The relationship between the mother and baby is dynamic and important.Nervous system function is critical for a healthy pregnancy.Holistic benefits of chiropractic care extend beyond physical adjustments.Regular chiropractic care can reveal underlying issues that may not be immediately apparent.Support the showWant to show your support? Want to help us continue doing this important and impactful work: Support the Show (we greatly appreciate it!)Don't miss new episodes: Join the Aligned Birth CommunityInstagram: Aligned Birth Email: alignedbirthpodcast@gmail.com Find us online:Sunrise Chiropractic and Wellness North Atlanta Birth Services Editing: Godfrey SoundMusic: "Freedom” by RoaDisclaimer: The information shared, obtained, and discussed in this podcast is not intended as medical advice and should not be relied upon as a substitute for professional consultation with a qualified healthcare provider familiar with your individual medical needs. By listening to this podcast you agree not to use this podcast as medical advice to treat any medical condition in either yourself or others. Consult your own physician for any medical issues that you may be having. This disclaimer includes all guests or contributors to the podcast.
Roxanne (certified nurse midwife) interviews one of their childbirth educators, Farrah (a nurse and doula), about two very different births after years of infertility, PCOS, and thyroid issues. Her first pregnancy was a surprise during COVID; ending in delivering an OP baby after extended labor, internal maneuvers, a deep second-degree tear, and bleeding linked to an overfull bladder. Her second birth was a rapid, intense labor with Miles Circuit attempts, shower transition, 911 call, and an unplanned home bathroom delivery on all fours before EMS transport!00:00 Welcome to MamasteFit00:21 Meet the Hosts01:09 Introducing Farrah01:48 Infertility and PCOS Journey03:59 Surprise Pregnancy Discovery06:49 Finding Perinatal Fitness Passion08:26 Pregnancy Prep and CrossFit09:25 Husband Away for Fellowship10:24 Labor Begins at Home15:35 Active Labor Water and Vomiting18:18 Hospital Arrival at Seven Centimeters20:27 Long OP Labor and Maneuvers28:48 Birth Hemorrhage and Recovery31:57 Tear Repair Explained34:35 Tongue Tie and Feeding Struggles38:29 Transition to Baby Two Story38:59 Prenatal Struggles39:47 Finding the Right Doula42:12 Early Labor Signs46:01 Miles Circuit Chaos48:50 Shower Spiral Calls51:25 Dad Steps In55:02 911 and Bathroom Birth01:00:01 Placenta Wait Hospital Transfer01:03:36 Feeding and Allergy Journey01:06:44 Baby Three Plans Wrap Up01:08:39 Podcast Outro and Offers————
IVF is responsible for about 2% of all births in the United States each year. The revolutionary technology has not only reshaped society's beliefs about fertility, but enabled geneticists and expectant parents to screen for certain genetic conditions and to select and implant the healthiest possible embryos. Prenatal genetic testing has been championed as a scientific marvel, allowing parents to spare their offspring from certain debilitating, untreatable, and sometimes fatal genetic conditions. But some critics warn that the selecting for genetic characteristics bears a resemblance to eugenics – a discriminatory pseudoscience popularized in the early twentieth century, focused on maximising particular characteristics in the human population. Geneticist Adam Rutherford from University College London joins us to consider the ethical complexities of genetic screening. Producer: Xandra Ellin Executive producers: Bridget Harney and James Shield Mix: Travis Evans Digital producer: Matt Pintus Studio manager: Mike Regaard Senior news editor: China CollinsPhoto: File photo dated 19/05/08 of a woman looking through a microscope. Credit: David Davies/PA Wire
Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) define “unmedicated birth” for this episode as giving birth without an epidural, and explain why some people choose it. They cover potential benefits like easier position changes, fewer issues if an epidural doesn't work as expected, and physiologic/hormonal effects. They address concerns about epidural medications (including fentanyl use in some hospitals) and emphasize there's no morality in epidural vs. no epidural. Practical tips include choosing a supportive birth setting/team, touring hospitals, asking about monitoring options, tubs/showers, nitrous, and using comfort tools and mental skills—especially in transition—while remembering it's always okay to change your mind!Our video on hypnobirthing: https://youtu.be/QuCa5xRQCX0Our Relaxation sequence: https://youtube.com/shorts/gDOt2rkmmds?feature=share00:00 Welcome and Episode Focus01:08 Defining Unmedicated Birth02:09 Why Skip the Epidural02:53 Personal Birth Stories09:31 Movement and Comfort Benefits14:54 Hormones and Baby Transition18:01 Epidural Medication Concerns20:33 Setting Up for Success21:36 Choosing Place and Provider24:09 Transition or Truly Done32:58 When Coping Breaks Down36:51 Resetting Environment and Support37:57 Toilet And Transition38:33 Comfort Tools Practice41:31 Hospital Support Clues45:33 Tours And Staff Culture49:46 Doulas And Backup Plans53:05 Environment Shapes Pain57:59 Mental Skills For Labor01:02:25 Labor Cave Setup01:07:09 Epidural Without Shame01:09:37 Wrap Up And Resources————
Dr. Panicos Shangaris is from King's College London, where he is a senior clinical lecturer and consultant in maternal and fetal medicine. He discusses the treatment options for sickle cell disease, an inherited blood condition, and his work on the Pericles project, which aims to treat it before birth. In-utero gene therapy offers a third option for parents of an affected fetus alongside postnatal treatment or pregnancy termination. Panicos emphasizes key advantages of fetal therapy within the first 16 weeks of gestation, the need to address ethical concerns, and ensuring the safety of both the mother and fetus during the procedure. Panicos explains, "So sickle cell disease is an inherited condition that affects the blood and the molecule in the red cell, which is basically the red blood cell that carries oxygen. So what happens is the red cell has a biconcave shape, and for people who have sickle cell disease, that biconcave shape is lost, and the erythrocyte red cells are sickle-shaped. So because of that, the sickle-shaped red cells have difficulty going through small capillaries and small vessels. They can cause strokes, they can cause pain because they block the blood flow to the small capillaries." "Yes, so the cause is because of an abnormal gene, which basically makes the hemoglobin, the molecule that carries oxygen around the different organs and around the body, instead of there being a problem in the genetic code, if I can put it like that. And that's why the erythrocyte, the red cells, have an abnormal shape. Very well-known what's causing it: a genetic problem." "So Pericles stands for prenatal therapy for Sickle Cell Disease. And what we are trying to achieve is to offer a third option to people who might carry a fetus affected by sickle cell disease. At the moment, the two options are stopping the pregnancy, termination of pregnancy, or having an affected fetus and an unaffected baby and sick postnatal care. So our aim is to offer a third option, which is correcting the disease inside the womb so that the parents have a healthy baby. So correct the gene while the baby is inside the womb. And this is the main aim of the project." #KingsCollegeLondon #KCLResearch #GeneTherapy #PrenatalCare #Hematology #Genomics #EmpoweredPatient #PERICLES #SickleCellDisease #SickleCellAwareness #PreconceptionCare #BeforePregnancy #PregnancyPlanning #CarrierScreening #GeneticCounselling #ReproductiveChoices #PrenatalDiagnosis #PrenatalTherapy #InUteroTherapy #GeneEditing #StemCellTherapy #FetalMedicine #MaternalFetalMedicine #HighRiskPregnancy #IVFJourney #PGTM #PatientVoice #PatientEmpowerment #SharedDecisionMaking #HealthEquity #PrecisionMedicine #PersonalisedMedicine #FutureOfMedicine kcl.ac.uk Listen to the podcast here
Dr. Panicos Shangaris is from King's College London, where he is a senior clinical lecturer and consultant in maternal and fetal medicine. He discusses the treatment options for sickle cell disease, an inherited blood condition, and his work on the Pericles project, which aims to treat it before birth. In-utero gene therapy offers a third option for parents of an affected fetus alongside postnatal treatment or pregnancy termination. Panicos emphasizes key advantages of fetal therapy within the first 16 weeks of gestation, the need to address ethical concerns, and ensuring the safety of both the mother and fetus during the procedure. Panicos explains, "So sickle cell disease is an inherited condition that affects the blood and the molecule in the red cell, which is basically the red blood cell that carries oxygen. So what happens is the red cell has a biconcave shape, and for people who have sickle cell disease, that biconcave shape is lost, and the erythrocyte red cells are sickle-shaped. So because of that, the sickle-shaped red cells have difficulty going through small capillaries and small vessels. They can cause strokes, they can cause pain because they block the blood flow to the small capillaries." "Yes, so the cause is because of an abnormal gene, which basically makes the hemoglobin, the molecule that carries oxygen around the different organs and around the body, instead of there being a problem in the genetic code, if I can put it like that. And that's why the erythrocyte, the red cells, have an abnormal shape. Very well-known what's causing it: a genetic problem." "So Pericles stands for prenatal therapy for Sickle Cell Disease. And what we are trying to achieve is to offer a third option to people who might carry a fetus affected by sickle cell disease. At the moment, the two options are stopping the pregnancy, termination of pregnancy, or having an affected fetus and an unaffected baby and sick postnatal care. So our aim is to offer a third option, which is correcting the disease inside the womb so that the parents have a healthy baby. So correct the gene while the baby is inside the womb. And this is the main aim of the project." #KingsCollegeLondon #KCLResearch #GeneTherapy #PrenatalCare #Hematology #Genomics #EmpoweredPatient #PERICLES #SickleCellDisease #SickleCellAwareness #PreconceptionCare #BeforePregnancy #PregnancyPlanning #CarrierScreening #GeneticCounselling #ReproductiveChoices #PrenatalDiagnosis #PrenatalTherapy #InUteroTherapy #GeneEditing #StemCellTherapy #FetalMedicine #MaternalFetalMedicine #HighRiskPregnancy #IVFJourney #PGTM #PatientVoice #PatientEmpowerment #SharedDecisionMaking #HealthEquity #PrecisionMedicine #PersonalisedMedicine #FutureOfMedicine kcl.ac.uk Download the transcript here
Juexiao Sherry Wang, C J Battey, Kyle Trettin, Ravi Patel, Anu Srinivasan, Janani Saikumar, Divya Kushnoor, Ben F Habermeyer, Sangita Ganesh, Nafei Xu, Nathaniel Friedrich, Summer Pierson, Helen Wan, Heather LaBreche, Genevieve M Gould, Dale Muzzey. Simultaneous Prenatal cfDNA Screening of Aneuploidy, Recessive Single-Gene Conditions, and Fetomaternal Blood Compatibility. Clinical Chemistry, Volume 72, Issue 6, June 2026, Pages 679–691. https://doi.org/10.1093/clinchem/hvag005
This week Crystal and Tom dig into Peloton's growing pre and postnatal fitness lineup, starting with Selena Samuela's new pre and postpartum fitness certification and Anna Greenberg's fresh prenatal Pilates class. They also cover Tread Pace Targets going live, breathwork content finally landing on Android, and Peloton podcasts showing up on the Entertainment portal. There's talk of whether multiple lists might finally be coming, a look at Peloton's open Senior Product Manager role, and a fun rundown of Robin Arzon's PSL residency and Alex Toussaint's upcoming Meet & Greet. Plus, Katie Wang's new title as a Bustle Beauty Icon, the Ne-Yo artist series, a 90-minute Global Goals scenic ride, and this week's listener-recommended TCO Top 5. New episodes every Friday wherever you listen to podcasts. Plus! Tonal coach Joe Rodonis breaks down his Ironman strength training strategy: how he's structuring periodization phases and fueling for race day. (Interview timecode is 45:00)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Roxanne, a certified nurse midwife, breaks down pregnancy (and postpartum) constipation—aka a “traffic jam” of poop that gets harder the longer it sits because your body absorbs the water (think Play-Doh left out overnight). She explains common causes: progesterone slowing GI motility, the growing uterus and posture changes creating compression, supplements (especially iron), and often-overlooked pelvic floor tension—particularly in the posterior pelvic floor near the rectum. Key tips include: don't strain (hello hemorrhoids and fissures), use better toilet positioning (Squatty Potty/feet elevated, hips
This is The Energy to Heal, your resource for all things Splankna, the faith-based inner healing modality that will help you achieve emotional freedom. In this episode, Laura Milliken welcomes Miya Martin, a Master's Certified Splankna Practitioner, to share her remarkable journey from personal brokenness to emotional freedom through Christ-centered inner healing. Together, Laura and Miya explore one of the most fascinating areas of emotional health: womb work and prenatal experiences. They discuss how experiences before birth and during early childhood can influence our emotional patterns later in life, and how God can bring restoration to places we don't consciously remember. Miya also shares her own story of walking through postpartum depression, discovering Splankna, and watching the Lord use her greatest struggles to shape her calling. Throughout the conversation, she explains how creativity, neuroplasticity, and faith work together to help renew the mind and support emotional freedom. In this episode, they discuss: What womb work is and why it matters Prenatal and early childhood experiences through a Splankna lens Miya's journey through postpartum depression The role of creativity in renewing neural pathway Practical encouragement for parents wanting to help their children thrive How the Lord uses our greatest weaknesses to reveal His strength Whether you're a parent, practitioner, or someone seeking greater emotional freedom, this episode offers hope that God can restore even the earliest places of hurt.
Welcome to season 6 of the Runner's Round Table. This is the Beyond Pace season and features stories that capture each guest's favorite running memory. In this episode Stephanie speaks with Liz Hernandez (@horizon.running) about pregnancy and postpartum running, running bucket lists, and the coaching memory that was a reminder that you can experience the awe of running beyond your own act of running.Please support this podcast with a rating, review, or a share. Until next time, don't forget to run happy, run strong, and run true to you.To watch on YouTube: https://youtu.be/jmUSyS5CqYAAbout Stephanie Diaz:Stephanie is an RRCA (Road Runner's Club of America) and McMillan Running certified running coach with over 10 years of running experience. Additionally, Stephanie is a yoga teacher with advanced certifications in yoga for athletes, Yoga For All, and Empowered Wisdom Yoga Nidra. Stephanie believes that to be a runner is to believe in your possibility as a human through movement. Her favorite running distance is the half marathon (13.1 miles/21 kilometers).https://instagram.com/thecookierunner/https://thecookierunner.netAbout Liz Hernandez:Liz Hernandez is an RRCA-certified run coach with additional training in Prenatal and Postpartum Athleticism. She is a mom of two, currently pregnant with her third, and an Army wife who understands the reality of fitting running into a full, often chaotic season of life. Liz hopes to inspire runners—especially postpartum and busy moms—to find joy in running at every stage, from early return to sport to stroller miles and everything in between. To learn more about Elizabeth and her coaching, follow her on Instagram @horizon.runninghttps://instagram.com/horizon.running
GET YOUR APRICOT SEEDS at the life-saving Richardson Nutritional Center HERE: https://rncstore.com/r?id=bg8qc1 Use code JOSH to save money! GET HEIRLOOM SEEDS & NON GMO SURVIVAL FOOD HERE: https://heavensharvest.com/wam USE Code WAM to save 25% plus free shipping! USE Code WAM50 for 50% off on select items like the #10 cans & MRE packs! Pledge here! Just a dollar a month can help keep us alive! https://www.patreon.com/user?u=2652072&ty=h&u=2652072 EXCLUSIVE replays of hour plus long live shows are available here at $5 a month or more! GET 10% OFF ON SHILAJIT FROM DR. KAUFMAN WHEN YOU USE CODE WAM10 HERE: https://medauthentica.com/discount/WAM10?redirect=/products/authentica-shilajit%3Fsca_ref=10867124.wrNV3jkYSaMg9 HELP SUPPORT US AS WE DOCUMENT HISTORY HERE: https://gogetfunding.com/help-keep-wam-alive/# Josh Sigurdson reports on the growing studies regarding childhood vaccines and prenatal vaccines and how it affects children in birth and growing up. Studies are showing specifically Covid vaccines in early pregnancy leads to several major birth defects including AVSD and cleft palates. This is according to a new Iranian study which included 303 women who were not vaccinated during pregnancy, 262 women who got at least 1 dose between conception and 11 weeks, 6 days of gestation and 787 women vaccinated after the first trimester. We have also found based on the largest vaxxed vs. unvaxxed cohert study in history that 57% of vaccinated kids (with the regular vaccine schedule) face chronic illness with irreversible neurological, autoimmune and allergic diseases in their lifetime where only 17% of unvaccinated children face similar issues. Considering a margin of error as well as obvious other factors including processed foods, poisonous water and pollutants, this is an enormous disparity. We continue to see more and more studies proving the dangers of vaccines, yet it's still scoffed at and the so-called "MAHA" movement continues to push for Measles vaccines, wearable devices and legal immunity for vaccine manufacturers. The new Trump nominee for CDC director Dr. Erica Schwartz claims she believes mRNA vaccines are "safe and effective" despite the countless studies proving the dangers, especially for children in development. The FDA is fast-tracking self amplifying RNA. They're also pushing for mRNA to be sprayed on crops as a herbicide. The MAHA movement was meant to keep people sitting on their hands. In other news, a woman is facing prison for murdering her twin babies who were just 18 months. However, the defense says they were brought to the hospital multiple times for a vaccine injury after getting injections just 8 days before their deaths. This included their lips going blue and them apparently craving oxygen. The hospital that administered the shots has acknowledged they were indeed injured by the vaccines. The prosecutors claim the woman suffocated the babies in their sleep. The mother is approving independent investigations into this case which is not usually something a guilty person would do. This of course is a tragic story all around. Meanwhile, a massive chronic diarrhea outbreak is occurring due to lettuce. But is it really just due to parasitic lettuce? Or is there more to the story. We break down this and much more in this long form report. Stay tuned for more from WAM! BUY GOLD HERE: https://firstnationalbullion.com/schedule-consult/ Avoid CBDCs! GET YOUR WAV WATCH HERE: https://buy.wavwatch.com/WAM Use Code WAM to save $100 and purchase amazing healing frequency technology! Get Your SUPER-SUPPLIMENTS HERE: https://vni.life/wam Use Code WAM15 & Save 15%! Life changing formulas you can't find anywhere else! Get local, healthy, pasture raised meat delivered to your door here: https://wildpastures.com/promos/save-20-for-life/bonus15?oid=6&affid=321 USE THE LINK & get 20% off for life and $15 off your first box! DITCH YOUR DOCTOR! https://www.livelongerformula.com/wam Get a natural health practitioner and work with Christian Yordanov! Mention WAM and get a FREE masterclass! You will ALSO get a FREE metabolic function assessment! PayPal: ancientwonderstelevision@gmail.com FIND OUR CoinTree page here: https://cointr.ee/joshsigurdson PURCHASE MERECHANDISE HERE: https://world-alternative-media.creator-spring.com/ JOIN US on SubscribeStar here: https://www.subscribestar.com/world-alternative-media For subscriber only content! BITCOIN ADDRESS: 18d1WEnYYhBRgZVbeyLr6UfiJhrQygcgNU World Alternative Media 2026
Only in this past year did it come on my radar that some therapy clinics are offering prenatal therapy. While I can personally relate to the desire to have a therapist guide you through such a complex stage of health, I thought that because it isn't offered widely, the evidence base would probably be weak.I couldn't have been more wrong. The evidence for prenatal prevention therapy is robust for improving:Pelvic health. Pelvic floor muscle training during pregnancy reduces urinary incontinence by 28% and cuts the risk of severe perineal tears in half (Zhang et al., 2024).Pregnancy outcomes. Prenatal exercise programs lower the risk of gestational diabetes by 25%, hypertensive disorders by 33%, and cesarean delivery by 14% (Xiang et al., 2026).Mental health. Mind-body interventions like yoga, mindfulness, and cognitive behavioral therapy significantly reduce prenatal anxiety, depression, and stress — while also improving pain management and self-efficacy (Miao et al., 2026).Maternal role and quality of life. OT-specific prenatal interventions improve maternal quality of life, emotional regulation, and coping — with benefits that persist into the postpartum period (Karakus & Akyurek, 2026).Despite this evidence, prenatal therapy remains vastly underutilized. The gap between what the research supports and what is actually available to pregnant individuals represents one of the biggest opportunities in our profession right now.In this course, we'll welcome Marissa Ruhl from Thrive OT, who is paving the way in offering these services and will share what she has learned about helping to build a thriving practice around this massive need.See full course details here:https://otpotential.com/continuing-education/course/prenatal-therapy See all OT CEU courses here:https://otpotential.com/ceu-podcast-coursesCheck our our live webinar schedule here:https://otpotential.com/live-ot-ceu-webinarsSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show
What classes should first-time parents actually take before the baby arrives?In this episode, Chelsea breaks down the most common options, including hospital childbirth classes, Lamaze, HypnoBirthing, the Bradley Method, infant CPR, breastfeeding education, lactation support, and newborn-care classes.You'll hear how to decide which classes are worth your time, what hospital-based classes may leave out, and why finding a lactation professional before birth can make those early feeding days much easier.Chelsea also names the class most couples never think to take: preparation for the relationship transition.Because couples can spend hours learning how to swaddle a baby and almost no time learning how to handle the 3 a.m. disagreement about whose turn it is.This episode will help expecting parents prepare not only for birth and newborn care, but also for communication, mental load, stress, roles, and becoming parents as a team.Topics include:• Best classes for first-time parents• Hospital birth classes vs. independent birth education• Lamaze, HypnoBirthing, and the Bradley Method• Infant CPR and newborn-care classes• Prenatal breastfeeding and lactation support• Preparing your relationship before baby• Dividing responsibilities after birth• Communication and mental load for new parentsPrep for Us helps expecting couples prepare for the relationship transition into parenthood so they can communicate clearly, share the load, and stay connected after the baby arrives.Prep for Us: How to Prepare Your Relationship for a Baby | Postpartum Together
Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) recap Roxanne's first postpartum 10K at 4–5 months postpartum in Asheville—advertised as flat but full of hills! Roxanne explains the run/walk method and how she managed mild pelvic floor heaviness later that day, but felt fine the next day, with no leaking or other prolapse symptoms! They discuss run/walk/run method coined by Jeff Galloway) as a way to make racing more accessible, plus running-form strategies to reduce pelvic floor symptoms. They outline upcoming races and Gina's planned 100-miler, then share practical training tips for busy parents.00:00 Podcast Kickoff01:17 Roxanne's First 10K02:07 Course Surprises03:38 Race Strategy Recap05:25 Run Walk Run Explained09:11 Pelvic Floor Check In14:32 Form Tips for Prolapse16:58 Recovery and Next Races19:53 Strength Training for Runners23:32 Gina's Racing Comeback27:30 Dopey and Beyond Plans28:59 100 Mile Ultra Dream31:25 Training Time Reality31:39 Parent Training Reality32:59 Gym Access and Childcare34:13 Home Gym Essentials37:18 Treadmill Running Setup40:13 Outdoor Running Safety44:34 Healthspan Motivation46:17 Scheduling Workouts53:21 Short Workouts and Kids56:09 Follow a Workout Plan01:03:17 Wrap Up and Next Steps————
In this episode of the Twiniversity Podcast, Natalie talks with Laurie Donohue, a twin mom of boy-girl twins, about how often standard pregnancy education leaves twin parents out. When Laurie learned she was having twins, she went looking for real data and practical guidance. Instead, most pregnancy books gave twins little more than a passing mention. She eventually found a multiples-specific resource, leaned on family support, and asked her medical team detailed questions to advocate for the birth experience she wanted. Natalie shares how that same information gap helped inspire Twiniversity. Even professional childbirth and lactation training often treats multiples as an afterthought, leaving parents and educators without the support they need. The conversation also covers the fear that comes with the “high-risk” label, the challenge of finding trustworthy twin resources online, and why real support from local twin clubs and other multiples parents matters so much. Most importantly, this episode reminds new twin parents that they do not have to do everything perfectly. Some days, success simply means everyone is fed, safe, and making it to bedtime. You can do this. A QUICK SHOUTOUT
Send us Fan MailDr. Elazar Sonnenschein, Founder and CEO of Pulsenmore Ltd. (Nasdaq and Tel Aviv: PLSM), joins host Tim Gerdeman and WTR equity research analyst James Kisner on this episode of the WTR Small-Cap Spotlight Podcast. Pulsenmore has built the first FDA De Novo–authorized, prescription home-use prenatal ultrasound, allowing expectant mothers to capture images on a handheld device for remote physician review.Sonnenschein walks through the company's journey from concept to creating an entirely new regulatory category, what it takes to deliver a home scan clinicians can trust, and how years of real-world use shaped the platform. The conversation explores Pulsenmore's U.S. commercial launch, its proving ground in Israel, and a broader women's health strategy that now extends into fertility and IVF monitoring. He also shares his perspective on scaling the business and what investors should be watching over the year ahead.
Have you ever felt like something wasn't quite right with your health, your fertility journey, your pregnancy, or your baby's development—even though you were told everything was "normal"? In this episode, I explore the important questions that often go unasked in prenatal care and early childhood health. From oral health and breathing to nervous system regulation and feeding challenges, we're looking at the connections that deserve more attention. I'll share both the research and my own personal journey through infertility and pregnancy loss, along with the questions I wish someone had asked me sooner. If you've ever felt unheard by the healthcare system or wondered if there was more to your story, this episode will encourage you to trust your instincts, ask better questions, and discover how seemingly small details can have a lasting impact on both you and your child. If this episode helped you think differently about your health, pregnancy, or your child's development, I'd be so grateful if you would follow the podcast, leave a rating and review, and share this episode with someone who needs to hear it. Your support helps more families find these conversations and start asking the questions that truly matter. Thank you so much for listening, and I'll see you in the next episode! Check out The Mind Mouth Body SHIFT Method -- https://shereewertz.com/academy Book a consultation today: I am always here to help answer any question and schedule a 15 minute call with me. If I can not help, I can get you to a provider that can. https://shereewertz.com/15-min
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For many of us, reading to a child feels like a cherished bedtime ritual. But what if the benefits begin long before birth? In this fascinating episode of Discover Lafayette, we visit with Dr. Joe Abraham, physician, research biologist, award-winning author, former president of the Lafayette Parish Library Foundation, and president of the Acadiana Educational Endowment, about the life-changing impact of reading with children beginning in the prenatal period. The Acadiana Educational Endowment, founded in 1989 to support public education across Acadiana, has invested more than $650,000 in educational initiatives over the years. Today, its primary focus is Reading With Kids, an initiative encouraging parents to read to children from pregnancy through the preschool years because, as Dr. Abraham believes, “children are the most precious thing in life.” Dr. Abraham’s passion for the project grew from decades practicing emergency medicine. After observing thousands of children, he began noticing a pattern. “I kept coming back to the ones who are cooperative. The ones who are inquisitive. The ones who are engaged, are read to.” He says he can often recognize these children before they can even speak. “I got to the point that I can spot a child at six months of age or earlier. The child is tracking. They’re listening.” “There’s this idea of fetal education. It’s well known in China and Korea. There’s recent research that if you read and talk to your child in the womb, particularly in the third trimester, they can show when they’re born that their brains are advanced. I will meet children who are just spooky smart at two, and they’ve been read to in the womb. Socioeconomic level is totally irrelevant.” That observation led him to explore decades of research connecting early language exposure with lifelong educational and social outcomes. Dr. Abraham explains that research indicates “60% of kids who are not prepared to read by the first grade will end up in jail or on welfare.” While many people have heard that reading proficiency by third grade predicts later success, Dr. Abraham argues that the foundation is laid much earlier, even before birth. He points to emerging research showing that babies exposed to language during pregnancy, particularly in the third trimester, demonstrate measurable neurological differences after birth. “They can show when they’re born that their brains are advanced.” One French study cited on the Reading With Kids website found that newborns whose mothers regularly read and spoke to them during pregnancy exhibited more advanced neural centers for language acquisition. Another ultrasound study observed babies moving their mouths in response to familiar spoken sounds spoken by the mother before birth. Yet Dr. Abraham repeatedly emphasizes that the science is only part of the story. “The child is not interested in the book. The child is interested in the warm body, the human that will protect them.” He believes reading creates a powerful emotional bond. “The bond between parent and child extends to the book.” This relationship, he explains, becomes what ultimately motivates children to learn. “Changing the world one child at a time“ Throughout our conversation, Dr. Abraham returns to one central theme: reading is about much more than literacy. When children are read to, they begin developing empathy, imagination, curiosity, and the ability to understand perspectives different from their own. “When you read, you slowly come to understand other people’s perspectives.” Reading, he says, becomes “the laboratory of the mind.” That perspective also shapes his concerns about modern society. “We live in a time in which people can’t talk anymore.” Dr. Abraham believes that reading helps people hold thoughtful conversations because it teaches them that disagreement does not necessarily mean someone is wrong; it often simply reflects a different perspective. Our conversation also explored what Dr. Abraham calls “book deserts.” In some communities, he says, there may be only one book available for every 300 children living there. To address that problem, Reading With Kids has collected more than 15,000 books that are distributed throughout Acadiana. Volunteers hand out books at community events, stock Little Libraries, and work with organizations including Kiwanis of Acadiana to place free books where families naturally gather, including laundromats, where children often spend hours waiting with parents. One story perfectly illustrates the demand. After bringing 800 children’s books to an Upper Lafayette event, volunteers didn’t even reach the first stoplight before every single book had been claimed. “The kids just grabbed the books.” The organization is also working with physicians and hospitals to make reading part of routine prenatal and pediatric care. Dr. Abraham hopes electronic medical records will soon prompt physicians and nurses to ask every expectant mother and every parent of a child under five a simple question: “Are you reading to your child?” If the answer is no, providers could immediately share research demonstrating that reading improves school readiness, lifetime earnings, and overall success. As Dr. Abraham notes, physicians are often among the most trusted voices families encounter. “If we show interest in them, and their children, it’s been my experience they grab at it.” Perhaps the most moving portion of our discussion centered on his advice for expectant parents. Rather than waiting until a baby arrives, he encourages parents to begin reading as soon as they begin thinking about starting a family. “We recommend prenatal reading when you start thinking about being pregnant.” He offers several reasons: Reading helps strengthen the emotional bond between parent and child. It encourages calmness and emotional well-being during pregnancy. Most practically, it establishes a habit before, as he laughingly puts it, “all hell breaks loose” after the baby arrives. Then he offered one of the most beautiful thoughts of our conversation. As Reading With Kids says on its website: “It is possible your child is already waiting for you. If so, it is never too early to reach out and begin connecting by reading.” Our discussion eventually broadened into education itself. Dr. Abraham worries that schools sometimes diminish children’s natural curiosity instead of nurturing it. “Every child starts off curious… We kill it.” He argues that reading helps preserve the questioning mindset that fuels creativity and innovation. His upcoming book, On Being Einstein, explores that very idea. “What makes for an Einstein? Somebody with a tremendous memory… or somebody who’s willing to ask questions the rest of us won’t?” Throughout our conversation, one message remained constant: reading is one of the simplest, least expensive, and most powerful investments any parent, grandparent, caregiver, or community member can make. Whether reading begins during pregnancy, while rocking a newborn, or sharing stories with a curious preschooler, those moments become far more than story time. They become opportunities to build language, strengthen relationships, foster imagination, encourage empathy, and perhaps even change the trajectory of a child’s life. To learn more, volunteer, donate books, or support the initiative, visit ReadingWithKids.org, the public outreach program of the Acadiana Educational Endowment. In closing, just a few statistics from Reading With Kid’s website: https://www.readingwithkids.org/research/ 75% of US adults read below the 6th grade level.47% struggle to read basic sentences.20% are functionally illiterate.Magnet ABA Therapy. US Literacy Statistics. The State of Literacy in America: A Comprehensive Overview. February 28, 2025. Link.The National Literacy Institute. Link. In poor neighborhoods, there can be as few as 1 book for every 300 children.(Book Deserts.) Neuman, Susan B. Changing the Odds for Children at Risk. 2008, Bloomsbury Publishing USA. Link.
Adani chats with Cynthia Osborne, Professor at Vanderbilt University and Executive Director of the Prenatal-to-3 Policy Impact Center. Prof. Osborne's work focuses on translating developmental science into effective, evidence-based policies for families and young children in the U.S. We discuss what the field of Early Childhood Policy entails, the ongoing work that Prof. Osborne and the Impact Center conduct, and why the first three years of childhood are so critical. Prof. Osborne also tells us about her path into her current work, how she built the Impact Center's wonderful team, and what advice she would pass on to students seeking to bridge research and policy!Cynthia Osborne's page: https://peabody.vanderbilt.edu/bio/cynthia-osborne/ Cynthia Osborne's publications: https://scholar.google.com/citations?user=tRc8EmMAAAAJ Prenatal-to-3 Policy Impact Center: https://pn3policy.org/Policy Impact Calculator: https://pn3policy.org/policy-impact-calculator/Prenatal-to-3 State Policy Roadmap: https://pn3policy.org/pn-3-state-policy-roadmap-2025/ Adani's website: https://stanford.edu/~aabutto/Adani's Bluesky @adaniPodcast Twitter @StanfordPsyPodPodcast Substack https://stanfordpsypod.substack.com/Let us know what you thought of this episode, or of the podcast! :) stanfordpsychpodcast@gmail.com
Certified Nurse Midwife Roxanne explains the third stage of labor—the time from baby's birth to placenta delivery. How long does it last for most people, and why it matters for postpartum hemorrhage and potentially breastfeeding. Roxanne describes how oxytocin-driven uterine contractions help the placenta separate and the signs of separation and compares expectant/physiologic management (waiting and monitoring) with active management (Pitocin IM/IV and sometimes gentle cord traction) to reduce hemorrhage risk. As always, the emphasis is on individualized, informed, risk-based decision-making! ————
Dr Pat and Brigid talk about what to do once you have done a home pregnancy test and it is positive. This episode covers when to see a doctor, what happens at this first appointment, what all the blood tests are for, what estimated due dates mean, what an unsighted pregnancy is, what beta hCG is and what medical history needs to be discussed with your doctor. Plus loads more. If you have a question you want answered, please leave your message on speakpipe to be chosen for Dr Pat to answer during a Q&A: LINKS Join our pregnancy and birth course Join our pregnancy course Instagram @thekickpregnancypodcast Facebook @thekickpregnancypodcast Just pregnant? Download our checklist to take to your first appointment. Website: https://www.growmybaby.com.au/Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.
As healthcare professionals, we should all seek and encourage scientific and medical discovery and new therapies. That's one big goal of the scientific process: to bring new therapies to otherwise lethal condition. For example, back in the 80s and 90s, HIV uniformly led to AIDS, which was a death sentence. But now, HIV is 100% manageable with appropriate medical care and medical therapy. That's a win! On the Prenatal side, lack of amniotic fluid (anhydramnios) under 22 weeks has uniformly been regarded as a fatal/lethal condition. This is because of the direct association with previable lack of amniotic fluid and lung hypoplasia. But now, serial amniocentesis for this condition is making headlines. While the headlines are catchy and serve as appropriate “click bait”, there's more to this story. This may be a perfect example of “Robbing Peter, to Pay Paul”. Listen in for details.1. Neonatal Survival After Serial Amnioinfusions for Anhydramnios Due to Fetal Kidney Failure: The RAFT Clinical Trial. JAMA Netwoek, July 1, 20262. Medpage July 7, 2026: Amnioinfusions Mitigate Lethal Lung Hypoplasia From Fetal Kidney Failure
Controlan fuga de gas en Ecatepec Arranca la Feria del Amaranto 2026Cristo Redentor honra a víctimas de VenezuelaMás información en nuestro podcast#grc
On the MamasteFit Podcast, perinatal fitness trainer and doula Gina and certified nurse midwife Roxanne interview Brooke about the birth of her second child, Scarlet. After a 48-hour first labor that included Pitocin and an epidural, Brooke (a physical therapist) prepared intensely for an unmedicated hospital birth: reading Ina May's Guide to Childbirth, listening to MamasteFit, taking our childbirth course, and trying multiple comfort tools. Past her due date, labor ramped up quickly and she discovered the hypnobirthing tools she had thought would save the day just weren't her thing! Thanks to preparing a variety of comfort measure, Brooke discovered low moans/vocalization, swaying, and asymmetrical positions helped most! She arrived fully dilated, and experienced a birth that left her feeling super empowered! Her key advice: prepare, educate, and bring backup coping methods.00:00 Welcome 01:04 Brooke Joins the Show01:22 First Birth Lessons03:17 Planning Unmedicated Birth04:45 Books and Coping Tools06:25 Courses and Hypnobirthing08:28 Late Pregnancy Labor Prep09:45 Early Labor Begins15:51 Active Labor at Home21:52 Vocalization Breakthrough23:03 Hospital Arrival and Triage25:54 Fully Dilated Surprise30:11 Pushing Positions and Water Break32:58 Crowning and Shoulder Delivery35:21 Birth and Immediate Afterglow38:59 Postpartum Recovery and Two Kids41:07 Advice to Prepare and Adapt44:06 Wrap Up and Listener Takeaways————
Dr. Deb Muth 00:03What if bloating, back pain, and low energy aren’t separate problems, but clues from the same root cause? What if your posture and the way your fascia moves are changing how your digestion works and how you feel every day? Today, we’re unpacking why symptoms like bloating, fatigue, and persistent pain often come from deeper, whole body issues, and how a multimodal, root cause approach speeds real recovery. You guys can, put our advertisement in here for Venari before we do the intro.Welcome back to Let’s Talk Wellness Now, the show where we uncover the root causes of chronic illness, explore cutting-edge regenerative and integrative care, and empower you with practical tools to heal.I’m Dr. Deb, your medical detective, and today we’re talking about whole body recovery, how movement, fascia, gut health, and personalized medicine come together to restore function, energy, and confidence in your body. If you or someone you love struggles with bloating, pain that won’t quit. Slow recovery after surgery or postpartum, or chronic low energy, this episode is for you.So get comfortable, grab a warm drink, And let’s get into it.So today, I’m joined by Dr. Shalini Bhat, founder of the Movement Boutique in Toronto. She is a chiropractor and double-certified functional medicine practitioner who builds care around root causes, lady after my own heart. And rather than just treating the symptoms, as we all know, and you guys have heard me talk about before, that is how we get to the other side of things. So, what I love about your work is you blend the clinical expertise and that lived experience, and just before we started recording, we were talking about the difference of fascia.and chiropractic, and even when you’re looking at bringing in acupuncture and Pilates and functional medicine, having all those modalities together is so amazing. So, before we dive into all of this stuff. Tell us a little bit about your own story. Shalinibhat 02:49Yeah, well, my own story is that I grew up very steeped in Western medicine. My father’s a surgeon, and I had, you know, access to all the allopathic care that was out there, but I kind of had all that, what I call, gray area symptoms. That doesn’t make it into, you know, an allopathic answer, so to speak. And so, having access to all of… you know, the best… this specialist and that specialist didn’t really give my IBS you know, some type of help, and it didn’t really give my chronic back pain some type of help. And I kept, like, tearing my meniscus. I was a dancer, and I just kept, like, thinking, I’m doing all the same things as all these other girls in my class. Why am I the one who keeps tearing my meniscus? Like, what is up with… they… like, we all have the exact same tissues. Why is my tissue resilience so low? that this keeps happening to me. And I seem to be the only one in, you know. from dancing from 3 till I was… when I was 3 till when I was 18, and experiencing this, and I’m looking at everybody, like, what’s the deal? And I sort of felt different, but I couldn’t really pinpoint what was going on, and probably similar to your story. all the things that were coming at me were just labels and diagnoses, and like, you know, same with my meniscus, they were like, the first time, they were like, alright, we do surgery. I was like, okay, sounds good, like, went and did the surgery. The second time it, tore, I was like, that obviously didn’t, do it, because they took out 30% the first time, and then, you know, some of the 70%, you know, tore. And I said, there has to be… there has to be some reason why my My tissue resilience is low, and why that shear force is going through on my left knee every single time, like that same mechanical strain is happening, and fast forward to today, I realized that fascia is this fabric that runs all over the body in huge swaths, and in very large, sort of movement patterns, which we’ll get into, but basically, the way that I was, like, standing, the way that I was… my tissue resilience was less, that’s what was setting the stage for me to re-tear that meniscus, but nobody was asking those questions. My IBS, like the stealth infections I had, the leaky gut I had, all of those things creating excessive inflammation just in my body in general was decreasing my tissue resilience and making me re-injure that same area. So instead of, oh, I’ll just keep getting it, you know, shaved down or taken out, like, why was that same mechanistic injury and strain happening? on that knee, and I started asking different questions, which led me to, instead of going to medical school, say, oh, wait, chiropractors can actually, like, you know.Actually move the body, understand what’s going on, spend the time with patients to properly diagnose, and then actually use our hands, because I’ve always been a very tactile person. Being a dancer, you know you’re always using your body, I understand my body, so when I started my kinesiology degree. I… kinesiology was a no-brainer. I’m like, I have a body, I want to use it, I want to learn… you know, when I’m learning about the muscles and the hands and the… like, I have that, so it’s… I’ve always been a touch kind of person, and that makes sense to me, learning about the body. And, that’s why I ended up studying in such, let’s say, asking alternative questions, so to speak, and that’s why even when I finished my kinesiology degree, and even when I finished my chiropractic training, I still went to school to learn acupuncture training, because I still had more questions, and thenI… and concurrently, I was teaching Pilates as well, and Pilates always resonated with me because I thought, yeah, if you have this really strong powerhouse and this really strong core, that always helped my back. And it always helped my knee. And so, translating kind of all four of these modalities, the chiropractic, the fascial release, the acupuncture, and the Pilates, became sort of my… my own little method that I created on how to help people. I probably… a lot of people listening to this, think of chiropractic as, like, you go somewhere and you get crack, crack, crack top to bottom. That actually is not how I’ve ever practiced, either, because even when I was chronically inflamed with all these issues, even an adjustment would send me into more inflammation, and I would be, in… having aches and pains, so that was not even… I needed it so much gentler, and that’s why I started working with fascia and thinking, like, what else is here? And, like, if someone’s so inflamed, maybe an adjustment is too aggressive for, somebody in the moment. And there’s a time and a place for everything, don’t get me wrong, but that wasn’t my personal, you know, go-to, so to speak, and so that’s why I started working more gently around fascia, and that’s why I used acupuncture needles, and pilates training, and rehabilitation, and looking at people’s movement patterns, and seeing, okay, where are things going off here, and what’s the actual… I hate the word root cause, but that’s where we all come from, it’s just gotten so crazy. But really, truly, if you have back pain, why are we just looking at the back.Like, if your entire pelvis is off, if your entire, like, body is leaning to one side, and you’re putting way more weight on one foot than another, like, why are we… why are we just treating the back? Why are we just adjusting the back? Why are we just, you know, putting ice on the back, or put… or putting painkillers, or rubbing things on the back? We gotta look at the entire body as one whole system when it comes to injury, and that’s my very long backstory to tell you how I… sort of amassed these different things that I do, And in my training. Sorry, I forgot one piece in there, and that’s… with my gut thing and my IBS, I went back to school and did functional medicine training to figure out what that was about, because, and even when my uncle mentioned it, I think, oh gosh, early 2000s, he said, leaky gut, and I thought, well, people probably think these days, like, wait, there’s holes in my stomach? You know, like, what isAnd at that time, you know, way back in the day, the first test was, like, that, flakulose mannitol, like, that really. Dr. Deb Mut 08:53Boom. Shalinibhat 08:53You can get tests. Yeah. Now, obviously, we’ve come a long way. So yeah, that’s how I ended up with all these five random modalities that are sort of enmeshed into one, and that’s what we do in my practice. My clinical practice is literally all of those modalities, and we really meet people where they are. So we invite anyone to come to us with, whether they have an MSK issue, and that’s the primary thing they want to work on, we can do it by starting Pilates. We can do it by starting fascial training. We can do it by starting acupuncture. We can do it by running labs and seeing where you are functionally if you want to lower that inflammation, or those stealth infections, or whatever it is that you have going on. So we invite anyone to come in and sort of pick their service menu, because I feel we… we should help everyone, but not everyone feels… like, not everyone’s like, wow, I want to run a school test with you first. They may have the capacity to be like, okay, I’ll try a workout, or I’ll try a Pilates class, you know? And then once they’re in our space, they’re like, oh wait, what else do you offer here? This is really different than where I’ve been. So that’s sort of what my practice is all about. Dr. Deb Muth 09:58I love that. I love that blending of all of the different things, and I think, you know, some of the best practitioners are those who’ve been through things, and it doesn’t have to be that way, but we kind of explore all the different things that could be causing our issues, which allows us to have a little bit bigger reach, across modalities, because there’s never the one thing that fixes everything. It’s kind of like in the conventional medicine world, we’re looking for the one pill that fixes everything, and there just isn’t that. And so, when you’re looking at blending all of these things, eventually you will find the right thing for each person, because it could be very different. You know, what works for me might not work for you, or it might be a different combination, and I think looking at each person as an individual is really important these days. Shalinibhat 10:44Totally, yeah, and I can’t… like, I just have to emphasize what you said again, because everyone is looking for it to be… you have patients like this, I have patients like this who come and they’re like, I’m just looking for that one guru, that one person who’s gonna finally tell me what it is that I have. Finally, I’m looking for that one answer, I’m looking for that one supplement, and like, if I can just reiterate exactly what you said, like. there will be 10 different kind of things that could be bothering you, and 10 different kind of solutions that will be the best for any given person, and if we just change our mindset around that, like, just say, oh, there won’t be one exact thing, and one exact solution, and I should be bucketing myself into 10 different things, and like, just… even just the sheer change of mindset and expectation, I think would help like, everybody, including practitioners, right? Because people will come to us and say, what is the one thing? What is the one, like, what is the one supplement, right? Dr. Deb Muth 11:38Yeah. Shalinibhat 11:39it’s too much pressure, right? Dr. Deb Muth 11:41It is, yeah. Shalinibhat 11:42Yeah. Dr. Deb Muth 11:44Yeah. Yeah, when they come and say, you’re my last hope, and you’re like, oh boy. I hope not, but that’s how we get sometimes. We’re looking for that person with that final answer, and and there is… there’s not just one answer, and I think that’s the important takeaway. So, let’s dive into, fascia. It’s a word that a lot of people might have heard, but don’t really understand what that is. Tell us about fascia and how it fits into the influence of movement and pain, and how can we change that for people? Shalinibhat 12:19Yeah, I love this question, because even one of my own patients who I manually treated for, you know, 14, 13 years, she said to me, Charlie, you know what’s becoming so hot? There’s the word fascia. I’m hearing it all of a sudden. I was like, what? So, yes, even people receiving fascial care, sometimes don’t even put two and two together. Fascia is basically when you cut open a chain chicken breast. When you cut open a steak, there’s that sort of film that’s on, you know, the chicken, or there’s that kind of film around a steak, and those white kind of areas, that we sort of cut off. That is fascia, and if you picture it in a chicken breast, it’s really that… it’s really that thin layer that comes off of that chicken. And what’s really cool about fascia is it’s highly resilient when it’s stretched, so if you actually were to picture stretching that chicken, you know, piece, if you actually, like, you know, hit it with your finger, it would be pretty tensile.But if you kind of let it go and be, relaxed, it’s very flexible. So you could actually take your finger and almost put your finger through that piece of that film, and it would almost make it all the way. So fascia is very flexible, but it’s also extremely resilient. And that is… those two qualities of that fabric are what will give us more tissue resilience.The other thing that we need… sorry, I should also back up. Fascia, by the way, is just a fabric that encases everything in your body. So, it’s a support structure, it holds our organs up in the places where they’re meant to be, otherwise gravity would pull them all down into our pelvis. It surrounds every, you know, blood vessel and nerve and, lymph, area, and then let alone all your muscles and your bones. So, even when we’re talking about something like bone health and bone strength, you know, often people are talking just about this calcium conversation when we’re talking about bone, for example, and fascia is encasing that bone, right? So I just talked about the resilience of that type of, what’s on a chicken breast. I’ll actually change analogies here just to… for people to understand a little more. If you take women’s nylons, of those thin nylons, same thing, right? If you pull them really tight, and you were just holding them in your hand, and someone were to flick it, it’s very strong, right? But again, if you held it single layer and kind of put your finger through, it’s very flexible. So, in… as we age.If that tissue’s getting really tight and dehydrated and, you know, it’s not flexible as bone moves, right? That fabric is what’s holding that bone and creating that sort of shock absorption if we’re doing anything. It’s that women’s nylon that’s kind of shock absorbing that bone when it’s coming down you know, jumping, landing, whatever, running, whatever it is that we’re doing. So that’s why one of the big things of, you know, strength training or keeping your body moving as you age is because it continues to make that fabric that’s actually around the bone. So yes, we talk about things in such isolation. Oh, we need bone health, we need bone strength. Okay, that’s great, but what’s actually intertwined right around that bone, creatingthat integrity is fascia. And one of the ways to keep it, again, flexible and tensile and strong, which are the two qualities we wanted it, is to keep it very hydrated. And there’s, you know, another kind of way to think about hydrated and not hydrated fascia. If you think of beef jerky, but you think of steak, you can… a raw steak, sorry guys, if anyone’s vegan. The beef jerky spirit, you can tear it super easily. Right? But you can’t take a piece of raw steak and tear it with your bare hands, right? You can’t. It’s so strong. So the same thing goes for that type of hydration. You want to keep that tissue really hydrated, and that’s why in a lot of scenarios with chronic aches or pains.The tissue is really dehydrated, and so that’s why, when someone goes for a massage, or they go for fascial release, or they have direct stimulation to that tissue, that’s actually breaking those adhesions and kind of, almost like a sponge, it’s compressing and releasing, which is actually bringing more moisture into that gel-like matrix that is fascia which allows those fibers to move again, so again, we’re bringing that flexibility and that tensile strength back, which gives you more of that raw steak texture versus that beef jerky, right? That beef jerky’s so vulnerable. You go to do a workout on beef jerky, you’re ripping your muscle. I’m so sore, I can’t get up and, you know, people who are so unusually sore the next day, for example, versus those people who have nice, hydrated fascia that they… that they’re great, they’re working on a raw steak texture, they’re not going to rip something or have that feeling of being so vulnerable. So that’s basically, yeah, to answer your question about where fascia fits into, everything. And again, just to reiterate fascia it actually… when you look at… I don’t know if you know any of the work of Tom Myers, that’s who I studied way back in the day, like.In the early 2000s he, you know, wrote this book called Anatomy Trains, and what it, illustrates is how long the connections of fascia are. So, the exact same sheath might start from our forehead and our scalp and go all the way down the back of the skull, all the way down the spine, through the pelvis, down the back, down the hamstrings, down the calves, right into the plantar fascia. So, I… I say plantar fascia because that’s the one area I think people have heard the word fascia before. So, although they’ve heard plantar fasciitis probably more. Dr. Deb Muth 18:06But no. Shalinibhat 18:07you know, it’s from the plantar fascia. And the plantar fascia is a continuous sheath of fascia all the way up to our head. So, you know, at any point along that entire chain, there might be a dysfunction. So you might be having… you might be experiencing plantar fasciitis, but you’re… that… you could address that person’s fascia anywhere along that entire line. To be able to truly again, within quotation marks, root cause, address that plantar fasciitis, because someone might have plantar fasciitis, it hurts when they step out of bed in the morning, they have that exact classical pain, they’ve been to the GP, GP says, yep, you got plantar fasciitis, they go, okay, and now they’re, you know. no better off, they might give them, like, a few things to do, but really, if they actually address that entire channel of fascia, they would give themselves more space, and consequently decrease a lot of that inflammation in that one area that’s, again, getting… just like my knee injury at the beginning, why is that one area taking so much brunt? there’s an issue along the chain. And I’m giving you one train, but there are many different trains that work in long sheets throughout the whole body. And another way I, like, sort of. I like analogies because I’m a visual person. Again, back to that dance mindset. I think another way people can really get on board with, like, fascia being in long sheaths is picturing a woman in a one-piece bathing suit. If you pull up the shoulder straps of that one-piece bathing suit, can you give her a wedgie? Like, she can pick that wedgie all day long. Dr. Deb Muth 19:42Right. Shalinibhat 19:43actually the shoulder straps that you need to release to get rid of it completely. So that’s kind of, like, the easiest example I can give to someone to relate, like, because they might have that wedgie-type experience or symptom, and they go to their doctor, I’m having a wedgie, I’m having a wedgie, and they’re like. Dr. Deb Muth 19:58No. Shalinibhat 19:59let’s pick it, let’s glue the bathing suit down, let’s do this, let’s do that. Really, someone’s up here franking those shoulder straps way up. You’re never going to get rid of that wedgie unless you actually see where it’s getting, pulled. And really. rings true for the gut as well, which is what I’ve learned. And… like I mentioned, fascia’s encasing our entire organ and organ systems as well, so if people are, you know, messed up and torqued in their spiral line, for example, and if they also are having tightness in different areas of their, you know, whatever, stomach, small intestine, large, like, anywhere along the actual gut, that that does make a big difference for bowel habits, gas, you know, trapped gas, IPS, all that kind of stuff as well. So the musculoskeletal component. And this fascial tangling, for example, also does make a big difference with IBS and stomach aches and all that kind of stuff as well. Dr. Deb Muth 21:02Yeah, and I think, too, one of the biggest things that we disregard, or maybe just don’t think of when it comes to GI issues, is the psoas muscle. Like, when people are constipated, and you start pushing around on that psoas muscle, they’re not gonna like you very much. But even for, like, that low back, that pelvic pain, if we start adjusting that and start doing movements, or yoga, or just massage of that psoas muscle and do a release on the psoas muscle. it can make a huge difference in somebody’s lower back pain. Do you want to speak a little bit to that? Shalinibhat 21:39Yeah, I mean, so there’s… yes, and, I mean, the psoas also right there, fascially, is, on the same train as the diaphragm. So, right under there, how that rib cage is sitting. And how the diaphragm tightness related to exactly what you’re saying, let’s say the top of the psoas fascia, for example, that’s going to change our breathing mechanics, which is also going to change the pressure, you know, kind of pressing down through the gut and everything which we need. It’s also going to change how we’re breathing. So, you know, you and I know taking lower, slower belly breaths and full breaths Better than shallow, breathing up through the neck, which people can relate to by, you know, people always are like, oh, are you sure breathwork’s gonna help? I’m like, if I gave you a paper bag right now and told you to hyperventilate for a scene of a movie like you were an actor, would you actually induce a panic attack on yourself? Potentially. even go the other way, that yes, maybe, you know, sitting down and proper breathing could actually, yes, bring you into this relaxed state, which we, of course, know that, but sometimes people are like, breathing, whatever, that can’t make a difference, right? And you’re like, oh, let’s do the hyperventilation one, let’s give you the bag and start just going, right? See how you feel. Dr. Deb Muth 22:54Yeah, exactly. Shalinibhat 22:56that breathwork and changing someone’s breathing mechanics, and I mean this in a gross, sense of actually, because I’ve done a ton of hands-on work for the last 16 years, when you actually release… a lot of people have tight diaphragms, they don’t even realize, and when you actually get in there and can release that fascia. Not only are a lot of those peoplethose tight, psoaszy people that you just mentioned. But it can dramatically, change how the gut is moving and how they’re feeling in that area as well, right? Again, that pressure change, moving gas, all of that. And then. Going down, how the psoas goes from right under the rib cage to the front of the hip, and I know this is a podcast, so I’m trying to speak it out for people who don’t… who can’t, visualize it, but it comes off the front wall of the lower spine, and then goes all the way down to the hips. And when this muscle can feel tight, to your point, this could feel like appendicitis on one side, you know? At some point, this can be very uncomfortable. I had a patient, actually, very similar story recently. had, like, almost a psoas spasm with a torque through her spine, and diaphragm tight, that’s exactly what I was telling you about. Went to the hospital, thought she had appendicitis, had every, like, ran every single test, was in agony, came to see me, we did all this fascial release of all that exact area. She was like, my pain’s gone. And, like, that’s not something they would ever evaluate there. Dr. Deb Muth 24:21No, they don’t even think about it. Shalinibhat 24:24No, it wouldn’t even cross their mind. So, Yes, there are definitely postural consequences. to not only people who are having tummy aches, gut issues, stomach pain, but it will affect breathing mechanics, and to your point, releasing… I find releasing anywhere in that mid-area, so diaphragm, top of the psoas, like, getting in the obliques, like, anywhere that people can start to relieve in that area is fantastic, and if people need, like, a kind of at-home way to do that, you can take… you can, like, roll up a washcloth and even just put it under where your ribs kind of connect at the front, and just lie on it and let your rib cage kind of fall over it. If you have, we have a little cork ball here, that’s a thing you can sort of put in that area, like, kind of just, under the rib cage. And on either side of the midline is sort of where you would start. If anything felt completely uncomfortable, anyone listening, absolutely adjust it, and start with something less. But that can be such a big, tool, just opening up the front wall of that deeper fascia, for sure. Dr. Deb Muth 25:36That’s awesome. How do you use Pilates? Pilates is well known for so many things, right? But when you’re using Pilates, how do you use it to retrain the movement patterns to reduce pain long-term? Shalinibhat 25:50Okay, so that’s such a good question. So I did training in Pilates 20 years ago. so I would say it’s Pilates-informed, but it’s certainly not directly Joseph Pilates work that I, use by any means, if people are picturing his sequence or anything like that. But that basically informed my… understanding of the core, and I was teaching for 20 years, you know, like, just watching movement patterns, movement patterns, and what I noticed, which is so fascinating, the number of, men, actually, who have diastasis, who, you know, they maybe reach midlife and just Like, suddenly got that belly fat or something, and, like, they’re… they have a diastasis, and, like, they maybe play hockey, or they’re playing, you know, they’re weekend warrioring, kind of, their workouts, and suddenly get really bad back pain, and they have the tightest hips because they’re not really doing any type of cross-training, but they’re… They’re working… they’re doing so much hockey. And they have this back pain, and they’re like, I have no idea what’s going on. And again, they go to the… practitioner that myopically is like, it’s back pain, let’s do an image, oh, it’s a disc bulge here, and like, okay, you know, let’s do these XYZ. And I’m like, dude, these people… this is a diastasis, like, you have literally separated your. Dr. Deb Muth 27:06Nope. Shalinibhat 27:06You are not using your deep core at all. It’s completely, un, what’s the word? It’s unconnected. Like, they actually training as if they had a baby. So it’s really… it’s a population that I think is, like, not, because sometimes when we’re in school, you and me both, we learn these very textbook things that we know when a woman’s had a baby to evaluate her abdomen, you know, to look for diastasis. Dr. Deb Muth 27:33Right. Shalinibhat 27:33Or retraining, that’s a time in a woman’s life during school that we were very much, you know, that’s a… that’s where diastasis, that’s where you hear that word, right? Listening, sorry, diastasis is when your abdominal wall separates in the front from a quick or fast, abdominal expansion, which is why we think of it with, Prenatal, postpartum-type, situations. But we’re… we’re completely omitting this, this… you know, just evaluating people in general. I just saw, a young lady yesterday in her 20s, and she does Pilates every single day. Every single day she does Pilates, and she’s like, I can’t feel my obliques. And I was like, come in here, come in here, let me check this out. And her superficial, her, rectus abdominis, which is her most superficial abdominal layer, it was compensating For her obliques. And that shouldn’t be the case when you’re 20, and I had to undo a whole bunch of different kind of fascial torques that were happening, because When somebody… like, if you picture… if you picture blocks standing on each other and they’re not, sort of, perfectly aligned. then they’re gonna topple, right? And I’m just saying that for the people listening, like, that’s when I say fascial torque, it means that the structure isn’t, isn’t optimal in how it’s going to fire, and how the muscles are going to signal to contract. And so what I had to do, I had to say, wow, it’s actually so cool how your superficial rectus abdominis has compensated for your obliques in this way, and it was, like, really fascinating to watch it, actually, and how she would get around doing it. But we had to completely undo those torques, and then she was able to use her obliques afterwards. So I think there’s a huge miss in abdominal evaluation when it comes to chronic low back pain, or back pain, or, yeah, when you’re talking about, like, where does Pilates fit in, I think Pilates is great when you have somebody who’s really good at teaching it, and I use, principles from it to evaluate people’s core. I mean, so hard to say, because I’ve been doing it for so long now, where I’ve pulled the tools from, but yes, it’s definitely Pilates-informed of how I get their core firing back again, and I would be… you would be absolutely shocked, at the number of people who do work out tons, or do Pilates tons, or… and I own a Pilates studio, okay? I’m very openly admitting that, a ton of people are doing these things that are quote-unquote good for their course. Sit-ups, going to the gym, doing this.Thing, and they actually aren’t three-dimensionally training that area due to, again, these huge, long fascial chains that are just… they’re just not trained how they should be, and what I mean by that is we are so sedentary as a population, this, like, in 2026, like, we’ve never, ever, ever been more sedentary in our whole. like, lives, and we… these fascial chains, we are meant to be up and out, and, like, walking tons, and hanging off trees, and picking things up, and, like, we’re meant to be doing huge movements, and we don’t. We sit in chairs, and then we stand up, and we’re like, I’m gonna go to the gym, and we get on a bike, and we do this much range of motion, and then we do some bicep curls, and do this tiny bit of range of motion. We don’t do huge ranges of notion. things that we should be doing with… to keep that, again, those long swaths of fascia really healthy. And so that’s what ends up happening, because when we do those huge ranges of motions in all those different ranges of motion, like, we have many that we can access.And when we miss a lot of those, those huge swaths don’t get trained, and that’s why the core ends up so weak. And to your point about the psoas earlier, the psoas gets, you know, tight in the wrong ways, and we get weak as a result. But yeah, if I could just say back to… Pilates is not synonymous with a good core, and I think every single person listening should have a good, proper core evaluation, and that’s actually one of the things I’m working on, is for people to be able to self-evaluate properly their core, and their breathing mechanics on how to undo this for themselves, because I’ve done it now with so many people, and it’s been so changing, and it seems so easy to me, it’s almost like it’s like my side gig, because I do, like, oh, I’ll run your labs, and your gut health, and this, but this… it makes… You know, it makes such a huge difference that people… we should all be, you know, educated in looking at this. Dr. Deb Muth 32:14Yeah, so since we’re talking about core, let’s kind of talk about gut health. That seems to be something that you’ve dealt with before. So when we’re talking about people who have bloating and brain fog and low energy, which is half the population, if not more these days, right? What are you seeing as the most common underlying patterns from a physical standpoint, if not a, you know, an infectious standpoint as well? Shalinibhat 32:42I mean, from physicality alone, I would say, again, this… prescriptive, chronic, like, diagnosis of sedentation. Like, I… I can’t… I cannot say enough, like, if you go to work from 9 to 5, and then you go on your spin bike for half an hour in the day, and then sit and watch Netflix, I know… like, and I mean this from the nicest place, I know the person’s intention is correct, like, I know that they really are, like, yep, tick mark, did my workout today. I love that for you. Also, like, that is not an active person. Like, that’s not. Like, you know, 10,000 steps or, like, aiming to be mobile, like, moving as much as humanly possible in a day, like, really, that’s the goal. How much can you possibly move in a day? Because that is where a huge piece… bloating, brain fog, and low energy, let’s just cut to the chase. Hydration and lack of circulation, that’s just, like.Basically, here we go. So that’s… that’s one and two, right? So let’s just talk about move as much as humanly possible, because A, you’re going to move that gas, so trapped gas is going to move, you’re going to actually help digestion and peristalsis, you’re going to help your blood sugar. Then, when we’re talking about brain fog, you need, you know, circular… and again, you and I know there could be many issues, but let’s… let’s stay very high level, because you asked physicality. Moving tons is going to help that, too. Oxygenating those tissues, right? Again, breathing, right? So those breathing mechanics we talked about, our breathing mechanics are going to be better when we’re standing up than if we’re just sitting… like, collapsed, right? So, again, moving more is the ultimate prescription that I would give for every single thing that you just mentioned, energy included, because almost like, you know when you nap in the afternoon and you wake up, you feel less energy? That’s sort of where I think of, like, you know, non-moving, right? And you gotta… yes, there’s gonna be a point to everyone listening who’s like, I can’t even move that much, my weather sucks, or like, whatever.Just walk around your office, like, you know, make a… you’ve got to put the timer. Unfortunately, in the world we live in, we have to use timers, right? Because we’re just going to be, you know, not able to do that. The second thing I would say is even just in that sense of physicality is meet, which I’m sure you know about non-exercise activity time, right? Which is just standing more. So, even just setting your your phone timer for every 20 minutes, because every 20 minutes is when you know, your body’s going to… or every 15-20 minutes, A, it’s when your fascia just goes, oh, okay, you’re kind of not moving, so I’m just gonna, like, I’m just gonna sort of relax here, and that’s where it loses resilience. So that’s something called tissue creep. So that’s why, if you sat all day long, you were kind of semi-stretching it and, like, in a seated position, and that’s why when you then are at home showering, you go to reach for your razor, and you’re like. My god, I just, like, put my back out. It wasn’t that you went to go pick up a razor, it was that all day. Dr. Deb Muth 35:41long. Shalinibhat 35:41That tissue was semi-stretched in this one, you know, sedentary range of motion, for example, and that’s something called tissue creep. And when we have tissue creep, we are so prone to injury in that. So when you stand up every 15-20 minutes, you bring that recoil back to that fascia. So, like I said, we have that flexibility to it, and we have that tensile strength to it, and actually just standing up and sitting back down. will bring both of those qualities back to it, because it will hydrate it. So that’s another thing that, I think people could incorporate more in their day, is that non-exercise activity time called MEAT. That would be my answer for your physicality questions. Dr. Deb Muth 36:19I love that. I remember when I learned about the atomic habits, and I was reading that book, and one of the things that he had talked about was moving more, right? And how do we create these habits? And one of the things that he did was, every time he went to the bathroom, he would do 3 wall push-ups, 3 squats. And so, as you got up every day, you know, multiple times you get up to go, by the end of the day, you had a complete workout in, and you didn’t really even have to overexert yourself, you were just moving your body more, and I think we think of workout as, I have to go to the gym, I have to spend a half hour, 45 minutes there, I have to sweat, it has to be all at one time, and it really doesn’t have to be that way. It can be these small movements throughout the whole day, and by the end of the day, you’ve had your whole workout in. And for those people who are listening to us going, I don’t have time for a workout. I just gave you the time for the workout. Shalinibhat 37:15Yeah, exactly. And just one thing to add to that, only because you said squats and push-ups, I love that, but squats and push-ups are in the exact same range of motion as, cycling and running. So I think that… I think we actually spend too much time in that plane of motion, so if everyone thinks of sitting, standing, cycling, running, squatting, push-ups, they’re all in the same range of motion. We actually all need way more Twisting, like, huge twisting ranges of motion. Dr. Deb Muth 37:43And… Shalinibhat 37:44Need side bending. So if we can include, you know, jumping jacks, that’d be the side bending kind of thing, or side stretching, kind of think on that plane of motion, and big, huge twisting motions, those are two categories of planes of motion that we’re missing, so I would, like, just if someone thinks of, like, what do I do all day? Oh yeah, I do bicep curls, and I do push-ups, and I do squats, and I do lunges, and I… cycling, you are literally working on a range of motion, and, you know, again, back to that, how do we create fashion resilience? Dr. Deb Muth 38:18One Shalinibhat 38:19I’m twisting and side bending as well, those types of movements in our day, big time. Dr. Deb Muth 38:24I love that. That is… that is so great. I love that. So, when we put all of this together, you’re… you’re doing some acupuncture, you’re doing some chiropractic, some Pilates, some fascial release, and… and obviously functional medicine together, too. What does a coordinated, week-to-week look like for somebody who’s taking on all of these modalities to fix their chronic pain, or just to make their body move better? Shalinibhat 38:52Kind of what I said at the top of the call, meet yourself where you’re at, and look for results in what moves the needle for you. So let’s say you did go to a Pilates class, and you’re like, wait, I’m, like, actually feeling so much more energized in my, you know, from the twisting I did in this class, my digestion’s feeling a little bit better. Awesome, double down, go again.If you went for a treatment, and you were like, you know what? That fascial release made my back finally feel open, and I’m feeling great, and that’s made my mood lighter, and my sleep got better, amazing, go again. If you went to acupuncture and, you know, you felt that the needles, like, gave you this sense of calm and a nervous system reset, and that helped your digestion and your sleep, awesome, go back to it. Whatever, like, you can get those huge bucket you know, wins in any type of modality you’re going to… to start, you just gotta start it and notice whether there was a shift for you. If you went to a practitioner and you were like, then that’s not the person for you, and that’s not… and I should say the person, maybe, because maybe that modality is for you, but it was just the person. But do more stuff that makes you feel good. So, and I say that because I’ve had patients that are like, oh, I went to this person for 10 years, yeah, I felt okay, it was fine, they told me to come back. I don’t know, they told me to do this. Like, seek results, because, like, I’m a results-oriented person. When you come to see me.like, if I haven’t changed… if I haven’t made a huge difference in one session with you, like, please don’t come back. Like, you know, be like, that didn’t work for me, right? Dr. Deb Muth 40:26Number 7. Shalinibhat 40:26Reason it was complicated, and I explained to you why… like, if someone’s in major acute pain, and you can explain, this isn’t going to be the one-shot thing right now. Right. You know, and there are, like, listen to your practitioner like that, but you want to find a personal fit, first of all. It’s really important when we’re talking about these types of modalities, whether it’s acupuncture or hands-on care, fascial release, Pilates, you need to find someone who’s the right fit for you, because it has to be motivating and exciting, and you want to be able to want to go back. So, if you’re like, I don’t know, my friend kind of, like, goes, and like, they said I should go back next week. If that’s your energy going into it, you’re not going to get the best, most out of it, right? So just do whatever it is that, you know, I’m somebody… if I hear of someone through the grapevine with… through three people, that’s my thing. If three people say, so-and-so’s awesome, I’ll go try them. And then how I built my practice, I kept trying all these people that people would refer, and I would take the best bits of what they did through treatment and stuff, and I’d be like, okay, and I slowly started incorporating that into what I do as a clinician. And I would say the same for… not that you guys would be amassing it to do it as a clinician, but same thing when you go to seek any type of care, number one, make sure you have some type of a positive feeling when you’re coming out. Number two, don’t be… like, go back again. All of these things are meant to be compounded, so, you know, whether you decide to yourself, I’m going to do acupuncture once a month, then I’m gonna do fascial release twice a month, then I’m gonna do Pilates twice a month, and then I’m gonna make sure I get my walks in every single day, and I’m, you know, doing my breathwork and my relaxation techniques, and I’m just gonna prioritize my nutrition, drink my water, and go to sleep on time. Like, hello, you’ve already. Dr. Deb Muth 42:05I’m gonna leave our… Shalinibhat 42:07you’ve already done, you know, you’re gonna be better for it. So, put into your schedule whatever fits, and don’t make it overwhelming, because if something’s overwhelming, you’re also not going to do it, and then it’s not going to work either. Dr. Deb Muth 42:18Absolutely. This is a great conversation, I love this. I have one last question for you, and I ask this question of all of my guests. If you could change one thing in healthcare today, what would it be? Shalinibhat 42:31Oh my god. That’s such a good question. I… does it have to be realistic? Dr. Deb Muth 42:41It does not. Shalinibhat 42:43I would put someone with expertise like myself, and I’m not saying this, like, oh, I’m so good, like, just somebody with outer knowledge of the body and inner knowledge of the body from a gray area functional perspective in acute care. And what I mean by that is for example, that patient I gave earlier that went to the hospital with acute abdominal… within quotation marks, acute abdominal pain, seeking, like, is this appendicitis? If that person sought somebody who… or… That person sat and waited in the, you know. at ER for so long because they’re not bleeding from the head, you know what I mean? Right. And then you put a functional person in there, not only are they going to say, hey, you want to know what this is? That makes that patient feel great, because they feel heard, they feel seen, they now have an answer for what’s going on, and… they didn’t have to clog up the system. I think there’s a lot of functional, from an MSK perspective, people in the ER, and I think there’s a lot of functional you know, things that you and I would see in our practice in the ER. And I wish people were more equipped with the type of tools you and I might have that we take Granted, because if you or I have a symptom… I remember one day, actually, I had this… such an acute neck pain all of a sudden, and I knew exactly what it was, and I knew exactly what to do to, like, how… like, how to move, and how to lie, and what at that moment, and I said to myself, I said to my husband, I said, if I was a layperson right now, I would think death was on my door, I would make you run me to the ER right now in an ambulance, like, I would call an ambulance because of how I felt, but because I actually knew what it was, A, you have that locus of control. You’re like, oh, okay, I’ve seen this before, I’ve treated this before, I know how to deal with it. Okay, it’s gonna be 48 hours, here’s how it’s gonna start, like, here’s the position I need need to be in, blah blah blah.But if you don’t know that, that’s highly alarming. And so, the second… You didn’t ask me for two things, but I’m giving you two things anyways. That’s okay. The thing would be making sure that in schools, all of the children, all of the teenagers are extremely equipped with their own understanding of the body and understanding of tools available to them Should non-emergent things be happening to them that they could empoweringly address themselves. Dr. Deb Muth 45:12I love that, that’s great. I think you’re right, like, we’ve taken so much of how the body functions away from the general population of knowledge and made it so complicated that people can’t help themselves, and they’re so fearful of Any little thing that happens in the body. And I guess rightfully so, you know, there’s a lot of terrible things that can happen, and everybody’s afraid of the worst thing possibly happening, but I think if we could give power back to people so they understood their bodies. That would make all the difference in the world between them being a nervous wreck about something and waiting to see the doctor versus, I can treat this myself, and it’ll be better, and it’s okay. Because I think we’re… we’ve lost a lot of that magic of, folk medicine, so to speak, or the things we pass down from family generations, but we were able to treat a lot of things back then and make people not afraid of it, and we need to go back to learning that. Shalinibhat 46:10We do, and I think the other, like, one thing that I noticed with my son, even, like, all, like, immediate… like, if he even shows a sign of anything, I’m like, oh, immediately putting him on, like, homeopathic this or whatever, and that’s when to use those things, right? Is, like, at that. Dr. Deb Muth 46:26Right. Shalinibhat 46:26So, like, if we could teach people that, like, you know, the signs of when you’re feeling off, like, and really tune into that, so, like, how do I feel today? Like, what’s norm… what’s my normal, and what’s not, so that they can always catch things really. Dr. Deb Muth 46:41early. Shalinibhat 46:42When you catch things really early, all the amazing things that we have, you know, access to can make such a big difference. It’s when it goes on and on and on and on and on so long that you’re suddenly like, oh my gosh, now what’s wrong with me? And that’s the other thing, is like.That if, again, we could shift the mindset of when something happens to someone, they’re like, the hospital will fix me, the doctor will fix me, something’s wrong with me, you know? Dr. Deb Muth 47:03And then… Shalinibhat 47:04Like, oh, my neck is feeling like this because I XYZ, and now… and you know what? It just needs this. Instead of that, I’m going to take this body that’s kind of not mine and take it to the ER, you know, to fix it. Dr. Deb Muth 47:16written. Shalinibhat 47:17You know, and so that’s, like, yeah, that’s a piece that’s missing, too, that I wish we had. Dr. Deb Muth 47:22Awesome. This has been such a great conversation. Thanks for joining me. Is there any last comments or things you want to share with our audience today? Shalinibhat 47:31Yeah, I mean, you guys can come find me. I actually, write a newsletter myself, not through AI, and so if you liked learning these little nuggets from me, here on this podcast, I just talk like this, and this is what my newsletter sounds like, is like you’re chatting with me. So you can head over to my Instagram or my website and join, my newsletter list, and yeah, otherwise you can join me on my social channels, which I’m sure you’re gonna link here. And, yeah, it was really nice to meet you, and thank you for all the work that you do, because I know it’s hard doing the work that we do, and, you know, trying to hold the line for the people that really do need us, so I always, you know, just want to say thank you for that, too, and thank you for having me today. Dr. Deb Muth 48:16Oh, thank you, it’s been a great pleasure. Shalinibhat 48:18Yeah! Dr. Deb Muth 48:21Oh, goose this. Thank you for joining me today on Let’s Talk Wellness Now. If this episode gave you clarity about why your symptoms might be connected, or how, and how they’re integrated in root care cause. and you feel like this could help, share it with someone who needs to hear this. To learn more about Dr. Bhat and the Movement Boutique, you can look them up online or on social, and check out their links below. Until next time, I’m Dr. Deb. Remember that your recovery is a process, not a race. Be well, and I’ll see you next time.The post Episode 271 – The Tissue Saving Your Body (Or Making You Stiff): The Fascia Explanation first appeared on Let's Talk Wellness Now.
Send us Fan MailStarting January 1, 2027 every antepartum visit becomes its own billable E/M charge. The global OB code goes away. The seventeen deleted codes include 59400, 59510, 59425, and 59426. And the way most prenatal notes are written today supports a 99212 at best, even when the visit was genuinely a 99214. Dr. Heather Signorelli and Maria Reynoso, Director of RCM at NatRevMD, walk through what changes, what the notes have to say, and the three actions every OB practice should take this week. What changes January 1, 2027: Antepartum-only codes (59425, 59426) and global OB codes (59400, 59510) are deleted. Every prenatal visit is now a standard E/M visit with modifier TH. New patient 99202–99205. Established patient 99211–99215. What the notes actually look like today: Notes have been written for speed because the global model did not reward note detail. A typical 16-week prenatal note (BP, fundal height, FHTs, “patient doing well, return in 4 weeks”) supports a 99212. The provider did much more during that visit. None of it is in the note. Under 2027, that gap is real revenue. What a 99214 note has to say: ACOG's position: pregnancy is a chronic illness with exacerbation and progression for E/M purposes. The complexity is built in. The note has to reflect it. For a 99214, document the ongoing management of the pregnancy as a condition, the data reviewed with your interpretation, and moderate risk decisions like prescription management or monitoring a condition that could escalate. “Anatomy scan reviewed, normal” is a 99212. “Anatomy scan reviewed, normal four-chamber heart, no CNS abnormality, EFW consistent with dates, AFI normal, counseled patient” is a 99214. High-risk patients finally pay for the complexity of their care: Under the global model the complex patient and the low-risk patient paid the same. The new model fixes that two ways. Complex visits code at a higher level (99214 / 99215). And more frequent visits equal more claims. For 99215 the note needs the specific complicating diagnosis named, data reviewed with interpretation, the management decision and the reason behind it, and specialist coordination if applicable. Same-day procedures and modifier 25: Antepartum procedures (NSTs, ultrasounds, amniocentesis, CVS) still bill separately. The E/M visit on the same day is now also billable with modifier 25. The note must independently support the E/M, not just the procedure. Three actions this week: Audit twenty random prenatal notes against the 2021 E/M guidelines to set your baseline Rebuild EHR templates to prompt for MDM elements, not for speed Start documentation training in Q3, using providers' own notes side by side with the corrected version and the dollar difference Quick Reference Table: Topic What to knowDeleted codes count - 17 codes deleted total Antepartum-only codes - 59425, 59426 — deleted Jan 1, 2027Global OB codes - 59400, 59510 — deleted Jan 1, 2027 New patient E/M range - 99202–99205 + modifier TH Established patient E/M range - 99211–99215 + modifier TH 99214 vs 99213 - ~$46 per visit at Medicare ratesModifier 25 - On the E/M when a procedure is also billed same dayACOG test date -September 1, 2026 — recommended start for test claimsRVU finalization - CMS proposes July 2026, finalizes November 2026 RESOURCES BLOCK Save your seat: Live OB/GYN Global Codes Update Webinar (July 7, 2026, 4:00 PM ET) · eligibility.natrevmd.com/obgyn-global-updates-webinar Book a 1:1 with Dr. Signorelli · calendly.com/heather-natrevmd/ Practice Revenue Leak Scorecard · eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist · eligibility.natrevmd.com/payment-posting-checklist RECOVER Diagnostic Quiz · natrevmd.com/quiz Series Part 1 (EP188): https://podcasts.apple.com/us/podcast/188-17-ob-codes-just-got-deleted-your-real-deadline/id1624182351?i=1000773393336Coming next: EP191 · Phase 2 labor management codes (the codes that have never existed in CPT before)
Gina (doula/perinatal fitness trainer) and Roxanne (certified nurse midwife) walk through how birth has evolved, from mostly home births with midwives pre-1700s (but high death rates from infection, bleeding, obstructed labor, and blood pressure issues) to increasing hospital-based, physician-led care in the 1800s–1900s. They discuss key shifts like antiseptics, anesthesia (including twilight sleep), antibiotics, transfusions, prenatal care, and safer C-sections—improving survival but often reducing autonomy and satisfaction. They cover the 1970s natural childbirth and feminist movements, and the later push for evidence-based, family-centered care (partners/doulas, skin-to-skin, breastfeeding support, delayed cord clamping, shared decision-making). Their takeaway: modern interventions save lives, but they're tools—not requirements—and blending safety with physiologic support matters.00:00 Welcome to MamasteFit01:02 Birth History Setup02:06 Pre Modern Birth03:21 Why Mortality Was High05:16 Forceps Enter the Scene06:10 Early Medicalization 1700s07:44 Standardized Midwife Training10:22 Modern Obstetrics Begins11:11 Hospitals Take Over Birth12:41 Twilight Sleep Era21:53 Antibiotics and Safer Birth25:59 Routine Interventions Peak29:29 Natural Childbirth Movement32:18 Evidence Based Care Shift34:54 Epidurals And Twilight Sleep35:56 Unmedicated Birth Tools38:03 Stop Romanticizing The Past41:52 Partners Enter The Room43:59 Evidence Based Birth Shift44:52 Modern Practices And Tools50:55 Social Media And Misinformation53:19 Trust Medicine Own Harm59:53 Why Birth Got Safer01:06:36 Balance Safety And Experience01:07:45 Course And Final Wrap————
A study covering 22 countries over almost three decades has some surprising news about democracy. Plus, a new blood test for pregnant women could eliminate the need for invasive screening. Several states are making progress on voting rights by rolling back Jim Crow-era bans. And Sweden becomes the latest country to attempt to limit screentime in the classroom. What Could Go Right? is produced by The Progress Network and Kaleidoscope. For transcripts, to join the newsletter, and for more information, visit: theprogressnetwork.org Subscribe to our (FREE) Substack newsletter: https://theprogressnetwork.org/newsletter/ Watch the podcast on YouTube: / theprogressnetwork Follow us on X, Instagram, Facebook, TikTok: @progressntwrk Follow Emma on Instagram: https://www.instagram.com/heyemmavarv/
Learn the importance of community engagement in intersex research from Louis Canavan and Bria Brown-King. Discover insights into how intersex voices shape prenatal screening conversations. It's crucial that research reflects the realities and needs of those being studied. When intersex perspectives are included, the findings are not only richer but also more relevant to the community. Featured Article: Intersex community perspectives on prenatal sex chromosome screening: “It silences intersex” Guest Bios: Louis is an MGH IHP Genetic Counseling alum and is currently studying to be a high school biology/genetics teacher.He works as a paraprofessional at a middle school and is passionate about advocating for the LGBTQIA+ and neurodivergent communities. www.linkedin.com/in/louiscanavan Bria is a Black, queer, non-binary, and intersex person. Bria started doing intersex advocacy work as an intern with interACT, where they published articles for them, the ACLU, and Teen Vogue. In 2019, they became the first openly intersex person to speak about intersex issues on the steps of the Supreme Court. Bria now serves on multiple advisory boards, representing intersex people both nationally and internationally. Bria earned their bachelor's degree in Political Science from York College of Pennsylvania and their Master's in Nonprofit Management and Philanthropy from Bay Path University. In this segment we discuss: - How community-engaged research partnerships can improve studies involving intersex individuals and ensure lived experiences are represented. - Intersex community perspectives on prenatal screening, including both potential benefits and concerns about how results may be used. - The impact of healthcare provider language on patient experiences, reproductive decision-making, and perceptions of intersex traits. - The importance of bodily autonomy, reducing stigma in healthcare, and improving provider education about intersex variations. Resources: InterACT: Advocates for Intersex Youth Intersex Justice Project National LGBTQIA+ Health Education Center Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”. For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others. Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com. DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Stephanie Schofield.
This episode breaks down gestational diabetes (new insulin resistance in pregnancy—not type 1 or 2), how insulin and glucose work, and why pregnancy naturally raises insulin resistance (but sometimes the pancreas can't keep up). It covers who's at higher risk (higher BMI, inactivity, prior GDM, certain ethnic groups, prior 9+ lb baby, PCOS, hypertension, heart disease) and how screening works at 24–28 weeks: the non-fasting 1-hour 50g test, followed by a fasting 3-hour 100g test if you “fail” (two elevated values = diagnosis). It explains why the test is a glucose “stress test,” alternatives like at-home fingersticks or CGM, and drink options (Glucola, Fresh Test, jelly beans). Finally, it outlines risks (C-section, shoulder dystocia, preeclampsia, baby hypoglycemia) and care differences between diet-controlled (deliver by 40+6) vs medication-controlled (NSTs/ultrasounds ~32 weeks, deliver ~39).00:00 Gestational Diabetes Overview00:52 How Insulin Works02:31 Risk Factors Explained03:20 Glucose Test Basics05:43 One Hour vs Three Hour07:06 At Home Monitoring Options09:42 Drink Alternatives13:52 Why It Matters Risks18:46 How Care Changes21:27 Final Recap Next Steps24:24 Closing Resources————
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This episode breaks down elective induction (inducing labor at 39–41 weeks with no medical reason besides still being pregnant) and reminds you that “we scheduled your induction” still requires your consent. It explains why 39 weeks is the risk-benefit sweet spot (mature baby lungs) and why providers avoid going past 42 weeks (stillbirth risk rises from 1/10,000 at 37 weeks to 32/10,000 at 42 weeks). The 2018 ARRIVE Trial is reviewed: low-risk, first-time, single, head-down pregnancies; similar neonatal outcomes; slightly lower C-section rates with induction (19% vs 22%), plus fewer hypertension diagnoses, though study limits include low midwife representation and protocols not matching every hospital. You'll weigh values (low-intervention vs convenience), provider/hospital C-section rates, accurate due dates, and risks like longer labor, more interventions, failed induction, and tachysystole.00:00 Induction Decision Intro00:16 What Elective Means01:02 Why 39 Weeks02:21 Stillbirth Risk Numbers03:15 ARRIVE Trial Explained06:22 Study Limits And Context09:40 Personal Decision Factors11:46 Benefits Of Induction14:14 Risks And Tradeoffs16:19 Putting It Together20:06 Autonomy And Consent21:25 Wrap Up And Resources————
Do you ever look at your child in the middle of a meltdown and wonder: Is this because of me? Did they learn this from me? Did I somehow pass this on?In this episode of the Building Resilience Podcast, Leah Davidson looks at how to bring nervous system awareness into family life without it becoming one more overwhelming thing on your plate. Whether your kids are toddlers, teenagers, or in their 20s, the principles Leah covers apply, and the entry points for change are more within reach than you might think.Leah walks through the science of why children develop the nervous system patterns they do, from temperament and epigenetics to the power of co-regulation and repair. You will learn why your own regulated nervous system is the most powerful parenting tool you have, how to teach age-appropriate body awareness, and why repair after a rupture matters more than being calm all the time.We will explore:Children are born with a temperament that shapes how their nervous system responds from day one.Prenatal stress and early experiences play a layered role in wiring a child's stress response system.Co-regulation is the most powerful thing a parent can offer at any age.Naming nervous system states (Team Hyper, Team Hypo, Team Resilient) gives kids language without labeling them.Building safety cues and predictable routines helps the nervous system practice regulation daily.Modeling self-awareness and repair out loud teaches children more than any lesson ever could.LINKS AND RESOURCES:COMMUNITYMIDLIFE NERVOUS SYSTEM REWIRE COMMUNITY
In this powerful listener story, Kate returns to share her second birth experience after previously sharing her first story years ago. After surviving postpartum preeclampsia and medical trauma with her first child, Kate spent years healing through therapy, EMDR, community support, and advocacy work. When she became pregnant again, she hoped for a different experience, but life had other plans.At 24 weeks pregnant, Kate learned that her son had a rare congenital heart condition. What followed was months of uncertainty, specialist appointments, a surprise early delivery, NICU and cardiac ICU stays, and ultimately open-heart surgery when her son was just five weeks old. Through it all, Kate shares how community, mental health support, and unwavering advocacy helped her navigate some of the most difficult moments of her life.In This Episode, We Discuss:
You leave your prenatal appointment and get in your car. And something just feels off.You are confused. Unsettled. Maybe a little worried about your body or your baby. And you spend the whole drive home trying to figure out what just happened in there and what you are supposed to do about it.In this episode, I am walking you through exactly what to do when something does not feel right with your provider.Whether it is an induction conversation that caught you completely off guard, a big baby warning that sent you straight to Google, or a provider you are just not sure about anymore. And I am being really honest in this one, too, because I have nodded and smiled my way out of appointments that did not feel right, gotten in my car, and completely lost it. I was a doula. I knew better. And I still did it.
In this MamasteFit Podcast: Birth Story, Hanna shares her home VBAC story after two C-sections, delivering a 9 lb 11 oz baby despite being told her pelvis was “too small” in previous births. She recounts a first pregnancy shaped by COVID stress, a long induction ending in C-section, and a discouraging postpartum comment about never birthing vaginally. Her second pregnancy included deep VBAC research, doula support, a 42-week induction attempt, painful positioning, a partial epidural, a repeat C-section, and alarming (later contradicted) claims of uterine rupture. After reviewing her op report with her provider, Hanna pursued a third pregnancy with improved nutrition, fitness using Training for Two, and spontaneous labor at 42 weeks; after 2.5 hours of pushing, an OB and midwife resolved a shoulder dystocia, and postpartum was physically tough but emotionally healing with smooth breastfeeding.Find Hanna here!: @hanna_elisabeth_turner on Instagram@joysofbirth doula page on Instagram00:00 Welcome and Episode Preview00:48 Meet the Hosts and Mission01:35 Introducing Hanna's HBAC Story02:08 First Pregnancy During COVID03:54 Induction to First C-Section05:36 Pelvis Comment and Postpartum07:16 Second Pregnancy and TOLAC Plan10:12 Labor Struggles and Walchers13:07 Repeat C-Section Trauma16:03 Uterus Scare and Grief17:57 Second Opinion Changes Everything25:02 Choosing Home Birth Support27:20 Training for Two and Pain-Free Pregnancy32:41 Choosing Gentle Induction34:07 Pelvic Mobility Theory35:45 Membrane Sweep Plan38:17 Active Day Sparks Labor41:31 Early Labor and Support46:12 Water Breaks Intensity Hits48:20 Two Hour Push Marathon52:35 Shoulder Dystocia Emergency58:09 Big Baby Aftermath01:00:01 Postpartum Recovery Reality01:05:09 Advice After Two C Sections01:07:23 Final Thanks and Resources————
This week, the ladies sit down with registered dietitian and functional medicine practitioner Ayla Barmmer, founder of Fullwell, to break down what's actually in your supplements and what's not. We get into iron deficiency, the choline conversation blowing up in the prenatal world, what "pixie dusting" is and why your drugstore multivitamin might be lying to you, and the ovary-brain connection that proves your reproductive health matters whether or not you're having babies. Plus, Jac wants you in Chicago for our Lady Hang Brunch Club on July 11th, Becca's mom told her over FaceTime that her grays are no longer "blending with the blonde" (rude), and Keltie accidentally turned her pool into a 104-degree hot tub for a kids' playdate! Use code LADYGANG25 for 25% off at fullwellfertility.comWe have great deals for YOU!Hers: Ready to reach your goals? Visit forhers.com/ladygang for personalized, affordable care that gets YOU.DirecTV: Get over 60 channels, Disney+, Hulu, and HBO Max ALL IN ONE PACK for $34.99 a month at DirecTV.com/genrepacksMacy's: Live YOUR Tropical Fantasy! Remember to shop at Macys.com OR in-store!Progressive: Looking to save on car insurance? Cruise on over to Progressive.comClean Simple Eats: Shop the best tasting protein powders at CleanSimpleEats.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
The American College of Obstetricians and Gynecologists (ACOG) does not recommend routine ultrasound measurement of the lower uterine segment (LUS) thickness as part of the evaluation for trial of labor after cesarean delivery (TOLAC). ACOG Practice Bulletin No. 205 (2019) on Vaginal Birth After Cesarean Delivery does not include LUS measurement among its recommendations for TOLAC candidacy assessment. The guideline focuses on clinical factors such as type of prior uterine incision, number of prior cesarean deliveries, and other obstetric history to determine TOLAC candidacy, and emphasizes that most women with one previous low-transverse cesarean delivery should be counseled about and offered TOLAC. But what if you find a likely uterine window at the LUS? Does that mandate a repeat C-section? This topic comes from Serena, one of our podcast family members. Listen in for details. 1. Dr. Chapa's Clinical Pearls, Dec 31., 2023: LUST FOR TOLAC; and follow up episode Jan 15, 20242. ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery. Committee on Practice Bulletins—Obstetrics Obstetrics and Gynecology. 2019;133(2):e110-e127. doi:10.1097/AOG.0000000000003078.3. Rozenberg P, Sénat MV, Deruelle P, et al. Evaluation of the Usefulness of Ultrasound Measurement of the Lower Uterine Segment Before Delivery of Women With a Prior Cesarean Delivery: A Randomized Trial. American Journal of Obstetrics and Gynecology. 2022. 4. Swift BE, Shah PS, Farine D. Sonographic Lower Uterine Segment Thickness After Prior Cesarean Section to Predict Uterine Rupture: A Systematic Review and Meta-Analysis. Acta Obstetricia Et Gynecologica Scandinavica. 2019. 5. McLeish SF, Murchison AB, Smith DM, et al. Predicting Uterine Rupture Risk Using Lower Uterine Segment Measurement During Pregnancy With Cesarean History: How Reliable Is It? A Review. Obstetrical & Gynecological Survey. 2023. 6. Jastrow N, Demers S, Chaillet N, et al. Lower Uterine Segment Thickness to Prevent Uterine Rupture and Adverse Perinatal Outcomes: A Multicenter Prospective study.7. American Journal of Obstetrics and Gynecology. 2016. 8. Guerby P, Bujold E, Chaillet N. Impact of Third-Trimester Measurement of Low Uterine Segment Thickness and Estimated Fetal Weight on Perinatal Morbidity in Women With Prior Cesarean Delivery. Journal of Obstetrics and Gynaecology Canada. JOGC. 2022.
Celia is a mom of four, an Air Force Technical Sergeant, and a passionate advocate for evidence-based communication in birth. In this episode, she shares her four very different birth experiences: a 36-hour induction ending in a forceps delivery and severe tear, another induction that turned precipitous, a breech Cesarean that felt calm and healing, and ultimately a hospital water birth VBAC at a hospital that DIDN'T allow water births! Celia opens up about prenatal depression, birth trauma, knowing your worth, switching providers, and the reality that both cesareans and vaginal births can be traumatic, and both can also be healing.Celia also sheds light on the power dynamics with navigating military maternity care as an enlisted service member treated by officers within the system. She talks about healing from an abusive relationship, how she opened her heart to love and trust again, and the unique challenges that come with a blended family. We encourage all Women of Strength to give grace to the younger versions of yourself just as Celia so beautifully exemplifies!Keywords: VBAC, hospital water birth, birth trauma, military maternity care, MTF, active duty VBAC, switching providers, forceps delivery, breech cesarean, advocacy, prenatal depression, precipitous labor, healing, hospital policiesPostpartum Support International Provider DirectoryNeeded Website: Code TVL for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingAdvertising Inquiries: https://redcircle.com/brands
This episode dives into why women deserve a far higher standard of care during pregnancy and postpartum. Pregnancy is one of the most nutrient-demanding phases of life, yet many women are entering it already depleted, stressed, undernourished, and running on empty.I discuss how inadequate nutrition may contribute to a more symptomatic pregnancy, harder recovery, hormone imbalances, blood sugar dysregulation, fatigue, hair loss, anxiety, postpartum depletion, and long-term health struggles beyond birth. This episode is about moving beyond the “survive motherhood” mentality and supporting women with truly optimal nourishment.I also break down my top prenatal rankings and why quality, nutrient forms, choline, iron, methylation support, and bioavailability matter so much.Needed Prenatal and We Natal products can be found on my Fullscript at a huge discount! Create a free account here Sign the Needed Petition Work with meprenatal and postpartum nutrition protocols in my membership
369: An essential prenatal nutrient that is not only good for expecting mothers, but nursing mama's, as well as those who want to have kids in the next 5 years....and, this nutrient is even beneficial for kids as young as 1 year old! I'm talking about C:15 from the only and only Fatty15. This is an essential fatty acid discovered by Stephanie and Eric Venn-Watson was actually accidental, as they were working with the navy! Now emerging evidence is coming out weekly with new studies to showcase the benefits of C:15 and why humans need it, where we originally got it from, and why so many of us are lacking it in today's society. If you're on GLP-1's, pregnant, have young kids, caring for the elderly, or just trying to manage your own health issues, this episode is for you! Topics Discussed: → Why we are deficient in this nutrient → Why fish oil supplements are rancid and how they hide it → Where we can get this nutrient in food → Common side effects of this deficiency → Testimonies → What the research says → Why you need this is you are on GLP-1 → Who is this safe for? → Benefits of C:15 As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app. Sponsored By: → Fatty15 | For 15% off the starter kit go to https://fatty15.com/digest → Our Place | Go to https://fromourplace.com/ and use code DIGEST for 10% → Kasandrinos | Go to https://www.kasandrinos.com/digest and use code DIGEST for 25% offTimestamps: → 00:00:00 - Introduction → 00:04:02 - Stephanie Venn-Watson Returns + Rapid Fire Questions → 00:06:25 - What Fatty15 & C15 Actually Are → 00:09:40 - Why C15 Disappeared From Our Diets → 00:14:39 - C15, Pregnancy & Prenatal Health → 00:20:35 - What Benefits People Notice Taking Fatty15 → 00:26:55 - Fish Oil Supplements & Rancidity → 00:32:30 - Fatty15 vs Omega-3 Supplements → 00:34:38 - What Is Cellular Fragility Syndrome? → 00:39:09 - C15 for Kids, Infant Formula & Aging → 00:42:53 - GLP-1 Medications & Nutrient Deficiencies → 00:45:24 - The Future of C15 Research & Longevity → 00:47:34 - Autism Research & Brain Health Discussion → 00:51:18 - How the Navy Accidentally Discovered C15 → 00:53:06 - Where To Find The Research & Studies Further Listening: →Top FAKE “Healthy” Foods on the Market | BOK Check Out Stephanie Venn-Waton: → Fatty15 | For 15% off the starter kit go to https://fatty15.com/digest → Studies → The Longevity Nutrient → Instagram Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book → Get my Newsletters (Friday Finds) Produced by Drake Peterson Learn more about your ad choices. Visit megaphone.fm/adchoices