Down to Birth

Dr. Morgan MacDermott, NMD, a naturopathic medical doctor specializing in perinatal and postpartum health, joins us to explore why postpartum isn’t simply a recovery period—it’s a complete physiological and emotional transformation. We discuss why American culture celebrates productivity instead of rest, and the critical role of the  “5-5-5 rule."

As the conversation unfolds, we move into the realities of early motherhood—how high-achieving women struggle with loss of control, the connection between personality type and postpartum mood disorders, and why relying on intuition matters more than parenting scripts, tracking apps, or “doing it right.” We al...

Welcome to our end-of-year Q&A episode! Settle in with your favorite drink and listen as we play listener voicemails from around the world. You'll hear us reflect on six years of podcasting together, while we share voicemails, questions, and stories as we close out the season and prepare for the new year.

We begin by addressing one of our posts that sparked an unexpectedly intense reaction online, and then get into an impassioned conversation on why postpartum life is never 50/50. We also share a personal client story about placenta previa, late-pregnancy ultrasounds, and an unnecessary cesarean...

In today's episode, we reconnect with Sarah and Lara of Dynamic Doulas, who last joined us in Episode 196: The Toughest Part of Being a Doula. Three years later, we tackle the conversation that is in fact the toughest part of being a doula: Supporting women through the loss of a baby at birth. 

Sarah and Lara return to talk to us about their recent experiences including when a baby dies or faces a severe adverse outcome. We move beyond business and birth plans and into the realities most childbirth education never mentions.

We talk about a...

Pregnant women often carry fears about breastfeeding long before their babies arrive — fears of pain, low supply, clogged ducts, or not knowing when to feed. After all, if breastfeeding is so natural, why do we keep hearing how hard it is? In this episode, Cynthia asks Trisha to address the most common concerns from the women in our community. We discuss why these fears are so prevalent, what’s actually normal, and how much of breastfeeding success depends on preparation, support, and confidence—not just luck. 

If you are worried whether your body will make enough milk, how to...

Midwife and mother of two, Sophia Henderson, host of the Born Wild podcast, joins us to tell the story of her children’s births – and how a chiropractor may have saved her newborn daughter’s life.

In her first pregnancy, Sophia navigated weeks of unexplained bleeding, chose home birth as a student midwife, and after giving birth learned her son had no anal opening and would ultimately be diagnosed with VACTERL association. She describes what it means to care for a medically complex baby, how quickly those diagnoses unfold after birth, and how that first year reshaped her un...

Welcome to the November Q&A! Today, we start with a topic that always stirs strong feelings—birth partners. From the gestures that truly helped to the ones that fell short, we chat about your experiences of your partner's support, presence, connection or not.

Next, we respond to an emotional call for help from a sleep-deprived and emotionally exhausted mother whose husband threatens to call the cops on her for how she handled an overwhelming moment with her toddler. 

Today's episode includes a special guest appearance from Nancy Wainer, world-renowned midwife and the woman who coi...

When it comes to infant sleep, few topics are more misunderstood—or more burdened by cultural myths—than the expectation that babies should “sleep through the night.” Pediatric sleep and development specialist and author of Rest Assured: The Heart and Science of Nurturing Baby Sleep, Louise Herbert, joins us to explain what’s really happening in a baby’s body and brain during sleep.

Louise breaks down the biology of circadian rhythms, sleep pressure, and night wakings—clarifying when frequent waking is normal, what can sometimes underlie it, and why responsiveness and proximity are protective, not problematic. We also explor...

After six seasons, we’re finally doing it—we’re talking about how to get down to birth.

As your "due date" approaches, many women find themselves up against policies, deadlines, and pressure to accept a medical induction. But what if other ways actually work?

Today, we explore all the safe, risk-free, and surprisingly enjoyable ways to support your body as it prepares for labor and to help get things going when the pressure is on. Some are physical, some are emotional, and yes—some even play on the more literal meaning of “getting down.” Each approac...

After birth, many women are left blindsided by physical changes they never expected. Vaginal dryness, painful sex, recurring UTIs, and even emotional strain can all show up during breastfeeding — but most mothers are never told why. In this episode, we sit down with Sara Perelmuter, a third-year medical student at Weill Cornell Medical College in New York City. Sara currently serves as president of the Sexual Medicine Research Team and has authored numerous peer-reviewed publications on reproductive and genitourinary health.

Sara explains the hormonal shifts that mimic menopause in the postpartum period, why so many women are su...

Welcome to the October Q&A episode! We kick things off with a few confessions from our community (and one from us!) before diving into your thoughtful questions on pregnancy, birth, and postpartum.

Today’s questions include: Is it safe if you pee in the birth tub? How can you afford a home birth when money is tight? What does it mean to “push wrong” in labor, and how does the Ferguson reflex really work? We also discuss the fear of postpartum rage returning in a subsequent pregnancy, whether OBs should move out of the way so partne...

Emily shares two unforgettable and very different birth stories: an unmedicated hospital induction with Pitocin, and an unplanned free birth at home. In her first birth, she transferred late in pregnancy under New Hampshire’s “two high readings” rule for blood pressure. With a Foley balloon, Cervidil, and the lowest possible Pitocin drip, she labored quietly on all fours, declined unnecessary interventions, and delivered under the fetal ejection reflex—so calmly that all the nurses and doctors from around the maternity ward gathered to witness a rare physiologic Pitocin birth without an epidural.

Her second birth brought the perf...

Welcome to another Breastfeeding Q&A episode. Today, we start with a conversation on how to night wean and your personal experiences with what worked best.  

For today's questions, Trisha responds to:

Bringing a new baby home is exciting—but it can feel overwhelming when you’re worried about how your toddler will adjust. You may be wondering: Will my toddler feel jealous? How do I handle tantrums? How do I keep my child feeling loved while caring for a newborn?

In this episode, toddler expert Devon Kuntzman, author of the book Transforming Toddlerhood: How to Handle Tantrums and Power Struggles and Raise Resilient Kids Without Losing Your Mind, joins us to share practical wisdom for parents navigating this transition. In this discussion, we explore how to decode toddler beha...

In this episode, occupational therapist and IBCLC Michelle Emanuel joins us to explore the hidden ways tongue-tie affects babies long before birth. She explains how oral restrictions begin in the embryo, influence fetal positioning, and impact birth outcomes including torticollis and C-sections. We dive into the anatomy of the tongue, how it connects to breathing, posture, and feeding, and why many tongue-ties remain hidden or misdiagnosed.

We discuss feeding positions, tummy time, swaddling, and infant sleep, and, of course, SIDS, including airway safety, sleep surfaces, toxins, and the importance of ventral (tummy) time for development and sleep.<...

In this month’s Q&A, we start with a big one: What are your biggest fears in life? (Besides snakes and spiders, of course!) Then we dive into your thoughtful community questions, including:

Motherhood, pregnancy, and postpartum life are filled with moments that test our patience — from bedtime battles and clutter overload to partner misunderstandings and in-law tensions. But these moments aren’t just “part of the job” — they’re emotional triggers, and they hold powerful clues for personal growth, stress relief, and a healthier, happier motherhood journey.

In this episode, we dive deep into emotional triggers for moms, especially during pregnancy and postpartum. We share relatable stories from our community of mothers about whining toddlers, relationship stress, junk food battles, and the mental load of parenting. You’ll learn how to recogni...

Emily Vondy hardly needs an introduction. She's a mother of six, songwriter, and online creator @emilyvondy whose humor, reflections, and music have brought laughter and validation to millions. In this episode, she invites us into the story of her fifth birth, which came after two heartbreaking miscarriages. What began as a pregnancy marked by fear and doubt became an experience of profound peace—and what she vividly experienced as clear-as-day divine intervention.

That’s right: Emily shares the story of how she had not one but three vivid spiritual encounters with Jesus during her hardest hour of labo...

In this episode, filmmaker and microbiome advocate Toni Harman joins us to explore the groundbreaking science behind establishing the infant microbiome—and why the earliest moments of life matter so much for lifelong health. Toni shares her personal journey from an unexpected C-section to uncovering how birth methods, antibiotics, and feeding choices shape immunity, metabolism, and risk of chronic disease over our lifetime.

Key Points Discussed Include:

Welcome to the August Q&A episode! What is your secret quirk? We want to know! We share a few of yours along with our own. 

Today's first question is from a mother who had a large first baby without a diagnosis of gestational diabetes. She's concerned in her second pregnancy that she might develop late-onset gestational diabetes.

Next, a pregnant mother's mother is a medical doctor and is having a hard time supporting her daughter's natural birth choices because of her experiences in the medical system. 

Another mom is struggling with sugar cr...

Sleep is the foundation of health—and yet in modern motherhood, it’s often the first thing we lose. In this episode, we’re joined by Heidi and Thaddeus of DreamWalkerz, parents of six and passionate educators on the biology of sleep. Together, we explore how light—yes, just light—is one of the most overlooked but powerful regulators of our sleep, hormones, mood, and even fertility.

Heidi and Thaddeus break down what circadian rhythms really are, how they’re installed in babies, and why so many of us are unknowingly “teaching” our newborns to be awake at night and asl...

Doulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by profit and control. Still, many doulas are called to this work—and despite everything, they continue with resilience, purpose, and unwavering commitment.

Doulas are indispensable. The evidence is clear: When a doula is present, C-se...

At 28 weeks, Jessie found out her baby was breech—but instead of panicking, she trusted her gut. She felt strongly that her baby was meant to be born this way. After initially planning a home birth, Jessie began exploring other options and considered traveling to Pennsylvania for a hospital birth with experienced breech providers.

But when labor started at 39 weeks, everything shifted. Mid-drive to Pennsylvania, Jessie and her husband decided to turn around and head to Yale New Haven Hospital. There, an OB team unexpectedly supported her birth plan, and her baby was born breech and vaginally—with...

Welcome to the July Q&A! Today, we kick off the show with a conversation about your experiences of unnecessary, frequent stressors that we have the power to change or eliminate: For Trisha, it's taking phone calls while grocery shopping. 

Next, we get into your questions, beginning with:

Did taking folic acid in pregnancy cause my baby's tongue tie?

Is having the cord wrapped three times around a baby's neck a legitimate reason for c-section?

Is it true that I can't have a VBAC (vaginal birth after cesarean) if it has b...

Finally, after all these years, Trisha tells the stories of her three home births. Pregnancy, birth, & midwifery are woven into her life story, from her early obsession with pregnancy to her decision to pursue a career in midwifery, allowing her to understand every aspect of birth from a physiological and intellectual perspective. Hear how she became a midwife, how she got herself into labor with her first, grueling, long birth, to her wildly different second birth, and her unintentionally unassisted third home birth to her son, who taught her the most important lesson she wants every birthing woman to...

In this extraordinary episode, Leslie shares her deeply personal story of discovering a lump in her breast at 34 weeks pregnant—an aggressive, triple-negative breast cancer. A wellness coach who hadn’t taken over-the-counter medication in five years, Leslie spent her adult life doing everything she could to prevent disease. As she prepared to welcome her second baby at home, she was forced to face a diagnosis that would alter her life on every level.

She confidently insisted on continuing with her home birth plans and delivered her son peacefully at 38 weeks, just weeks before starting intensive chemotherapy. Her...

Drawing from our their personal experiences, your words, and our intimate birth story processing sessions, Cynthia & Trisha delve into the neuroscience around beliefs and birth. Our brain constantly wants to make sense of things, but it often lands on unhelpful conclusions. This episode is about recognizing those negative beliefs and actively replacing them with empowering ones. It's about taking charge of your internal narrative to foster healing and confidence, no matter your  story. Join us as we explore the conscious and unconscious stories we tell ourselves about birth – "my body failed me", "my births are cursed" – beliefs that, whether objec...

Emily Woodward is a mother of two who planned a home birth for each of her babies. Her first labor began with confidence and joy—and stretched across multiple days, testing her endurance, her trust in her birth team, and her ability to surrender when the path ahead took an unexpected turn. She transferred from home to hospital with a crowning baby. Her second pregnancy was smooth and uneventful—until 31 weeks, when she awoke in the middle of the night to a pool of bright red blood, and everything changed in an instant.

A former nurse and long...

Welcome to the June Q&A with Cynthia & Trisha. This month we kick things off with a conversation about a midwife who dropped her client in early labor because her HBAC labor was taking too long to get going--as you can imagine, we have a lot to say about this! Next we take your questions:

One mom writes about her 3rd attempt at a homebirth after two hospital transfers and wonders if it is ok to keep her birth plans from her family with whom she is very close with. 

We also answer:

M...

Neuroscientist and author of The Nurture Revolution, Dr. Greer Kirschenbaum, PhD, joins us today to discuss the profound impact of nurturing care in the first three years of life. Drawing from decades of brain research, Greer explains how responsive, connected parenting in early life lays the neurological foundation for emotional regulation, mental health, and lifelong resilience—and why this critical window is so often misunderstood, underestimated, or dismissed.

We also explore the neurobiology of fatherhood: how the dad's brain transforms during the postpartum period, how these changes depend on direct contact with the baby, and why emotional an...

Welcome to the June Breastfeeding Q&A episode with Trisha & Cynthia. Today, we open with a follow-up discussion to our recent Patreon discussion on the predatory marketing of formula companies followed by a listener's comment about a hospital who forbade a mother and baby from doing skin-to-skin. Next, Trisha answers the following questions:

Devon Stockton was deeply rooted in health and wellness and armed with years of medical experience. She had only ever envisioned a natural, low-intervention birth and took all of the necessary steps to prepare herself. But her birth took an unexpected turn upon arrival at the hospital when she discovered her baby was footling breech and a cesarean would be necessary. Devon recounts the emotional shift, the support of her husband, and the unexpected calm of her labor before surgery. She shares the relief of a healthy baby girl, the kindness of her medical team, and the surprising positivity...

Welcome to the May Q&A with Cynthia & Trisha. If you have been wondering what you should plan to eat after giving birth, we've got the answers in today's episode, and we think they'll surprise you! For today's regular episode, we answer the following:

What's the one question every woman wants to answer when considering a VBAC? Is it safe for me and my baby? In today's episode, Cynthia & Trisha break down the available data on VBAC, why we should discard the term TOLAC, the actual risks of uterine rupture, whether induced with Pitocon versus a prostaglandin or having spontaneous labor versus expectant management. We present the few cases in which a woman should not choose to VBAC and help mothers understand their decisions should not be driven by statistics alone. If you are considering a VBAC, get a pen and paper and...

Did you know that how you breathe on a daily basis can influence how your birth goes? Yes, your rib cage impacts your pelvic tension! On today's episode, we have Lindsay McCoy, a birth doula, exercise physiologist, and co-founder of the Body Ready Method. She explains how breath, mobility, and pelvic balance all come together to support a smoother, more efficient labor—and how a few simple daily practices in pregnancy can reduce the need for interventions in birth. She reminds us that our job is not to get stuck in our heads trying to “do it all right," and...

Preeclampsia is an increasingly common diagnosis, but are we getting it right? This episode tackles the alarming reality of misdiagnosis and the rush to intervene prematurely with induction. Join us and functional medicine expert Sarah Thompson, researcher and author of Functional Maternity, as we dive into the deeper nature of preeclampsia, beyond simple blood pressure readings. Learn about the crucial roles of sleep, stress, and your body's detox pathways in the prevention of preeclampsia. Did you know 80% of cases are said to be preventable? 

You’ll learn:

Welcome to the April Q&A episode! Today's episode begins with your answers to our question: How do you cope when you are at your breaking point in parenting? If you are looking for some creative ideas, you will find them here! And someone, please tell us where one Mississippi, two Mississippi came from?

Next, we get down to birth and answer the following questions: 

What happens when we invite our children into the sacred space of birth? In this episode, we’re joined by Dr. Morgan MacDermott, a naturopathic doctor, perinatal health specialist, and mother of four, to talk about the transformative experience of having siblings present at birth. We tackle the key questions: Should all children be present at birth, and if not, which considerations should be considered? Will they be scared? Will the mother be able to stay focused? What happens if they get uncomfortable, and how much do you really need to prepare them for witnessing birth?

Children at...

Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference?

In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded, evidence-based approach for avoiding surgery when it isn’t truly needed. From provider practices to birth environments, timing to interventions, we explore what really makes a difference in protecting y...

In honor of Black Maternal Health Week, we’re joined by Stephanie Etienne and Kanika Harris, creators of the documentary Listen to Me. The film follows the pregnancy and birth journeys of several black women. It reveals a devastating reality: Black mothers in the U.S. and U.K. are dying in childbirth at far higher rates than white women regardless of education, income, or resources.

Kanika shares the heartbreaking story of losing her twin babies after a sudden onset of preeclampsia and HELLP syndrome. Though she arrived at the hospital by ambulance, bleeding and in critical co...

What if sleeping beside your baby isn’t dangerous—but actually protective? In this episode, we talk about one of the most instinctive things mothers do—and one of the most feared and judged: co-sleeping. Today's guest is Isadora Ambrose, founder of Happy Co-Sleeper and a certified holistic infant sleep specialist.

Why are parents told to never sleep with their babies when every cell in their body wants to keep them close at night?  Isadora breaks down what makes co-sleeping safe (and what makes it unsafe), how studies are often misinterpreted, and why so many parents end up co-s...

Cynthia and Trisha are back with the March Q&A episode! This one kicks off with a fun discussion on things that our Instagram followers think people should know but don’t—like how, when you say you’re eating a kiwi, you’re actually referring to either a kiwi bird or, worse, a person from New Zealand!

In today’s Q&A episode, we answer these questions:

In today's episode, Dr. Jenn Simmons shares her powerful journey from a leading breast cancer surgeon to an advocate for functional medicine and holistic health. Drawing from her personal experience with illness and healing, Dr. Simmons discusses the dangers and limitations of traditional breast cancer screening with mammography and offers insight into safer, more effective alternatives like QT imaging, the ARIA test, and the importance of self-breast exams.

This conversation is especially relevant for pregnant and postpartum mothers who want to make informed decisions about their health. We cover how lifestyle choices, metabolic health, and early detection...

Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—both during pregnancy and labor—can promote a smoother, more efficient birth.

Our discussion covers:

Do you know the "hi" joke? If not, you haven't been listening long enough or need to go back to our earliest episodes, lol! If you haven't been there you should. We have some amazing episodes from season one.

Anyway, today is all about breastfeeding. Trisha answers our listeners' questions on the following:

Are there any techniques to relieve engorgement and over-production of milk in the early days to be more comfortable? And Cynthia asks Trisha: Why is oversupply such a problem, anyway?

What do you recommend for extra sleepy babies to help...

Welcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions:

1. Is there such a thing as a lazy newborn, and if so, what can you do about it?

2. Can my placenta detach in pregnancy? My OB told me I can't have sex because my placenta is low-lying and it could separate.  

3. I have a diagnosis of gestational hypertension. If my blood pressure goes down, do I s...

In today’s episode, we explore the powerful benefits of spirulina and chlorella—two superfoods that boost energy, improve digestion, and alkalize your body, especially during pregnancy. Each tiny tablet is pure food with the nutritional equivalent of an entire plate of vegetables. 

Trisha noticed a significant difference in her energy level during her workouts once she started taking spirulina each morning. So we've invited Catharine Arnston, founder of EnergyBits, to explain why these nutrient-dense algae offer superior nutrition. Spirulina, packed with amino acids, delivers 99.9% bioavailable protein for clean, sustained energy. It's also rich in chlorophyll and phyco...

Today we dive deep into an incredibly empowering and unique birth story. Megan Wilson of @wilsonfamilyhomestead shares her journey of unexpectedly giving birth to her 33-week baby in a car and the powerful decision she made to trust her instincts, rather than following the traditional hospital protocol. She purposefully broke her own water in the car to expedite the birth once they were parked in the hospital parking lot.

In an inspiring twist, Megan reveals her decision to have her baby stay in the car with her, avoiding antibiotics, the NICU, and unnecessary interventions, and explains how...

In this episode, Allison Angelini shares the profound and challenging story of her second pregnancy and birth. From the start, Allison had a premonition that her birth might not go as planned. Compounding her worries, she experienced a traumatic event while camping with her toddler, which left her grappling with PTSD and anxiety throughout her pregnancy.

Despite her fears, Allison pursued a home birth. Her labor was long and intense, complicated by an anterior cervical lip and an instinctive sense that something was off. After her baby’s head was born, his shoulders became stuck—a shoulder dyst...

Welcome to the first Q&A episode of Season 6 with Cynthia & Trisha! We’re kicking things off by discussing some lesser-known causes of cervical scar tissue that could impact labor progress. It’s a good reminder to consider how any procedure or reproductive intervention might affect future births.

In this episode, we answer a new collection of listener questions, including one about a mom-to-be who wants a home birth but is feeling uneasy about having someone else in the house to watch her child during labor. Is a birth center a better option for her? We also talk...

As an active member of the military, Alexandra was required to take various medical products. After experiencing multiple adverse reactions, she started  researching the benefits, safety and risks of each, leading her to create the platform, "Just the Inserts." Just the Inserts provides all the publicly available information on vaccines and other medical products to help parents make informed choices about what they will accept or decline for themselves and their children. 

This episode is not about being "anti-vax" or "pro-vax", labels that we reject, and there is no implication about whether any vaccine or medical product is...

In her early 20s, Kelsey of Soul Shine Birth went to her OBGYN for a routine Pap smear. Her results came back with HPV and abnormal cells. Having been led to believe she had impending cervical cancer, she did exactly what her OB advised: Get a LEEP (Loop Electrosurgical Excision Procedure) as soon as possible to remove any potentially harmful cells. For the next 6-9 months sex was painful and she regularly bled with intercourse.  

As it turned out, her abnormal cells were not cancerous and her HPV (human papillomavirus) spontaneously resolved, as it typically does in y...

Is childbirth truly one of the most painful experiences—even, as one person claims, comparable to being burned alive? In this episode, we bust this widespread myth after first diving into Elon Musk’s provocative claim that C-sections might lead to larger brains over generations.

The debate about pain-free birth has been raging on social media, with strong opinions on both sides. We discuss the unintended effects of setting women’s expectations about whether their births will—or won’t—be painful. 

Also, Cynthia shares insights from her work with HypnoBirthing clients, given that HypnoBirthing is commonly m...

In this special New Year's Day episode, we’re giving you an exclusive peek into one of our private Patreon Q&A gatherings. Originally recorded in October, this off-the-record session features 18 thoughtful questions from our Patreon community, covering a wide range of topics related to birth, breastfeeding, pregnancy, and postpartum. We've only removed a few of the highly personal questions from our participants and the voices of any women who spoke directly to us on screen during the event.

If you’ve been curious about joining our Patreon community, this episode gives you a glimpse of one of t...

For this December Q&A, we kick it off, with a follow-up conversation based on one listener's response to  episode #188 on RhoGAM. Next, we jump into our questions discussing the actual risks of going past 24 hours or ruptured membranes without contractions and how you can mitigate those risks. We break down why meconium becomes more concerning after 42 weeks gestation and what those actual risks are. One mother who has the flu in the third trimester wonders if this is harmful to her baby and what she should do about it; another mom is curious if it is more helpful o...

Catherine Watson Genna is a renowned International Board Certified Lactation Consultant in private practice in New York City and author of Supporting Sucking Skills in Breastfeeding Infants. She specializes in teaching professionals around the world how treat to babies with anatomical, genetic and/or neurological issues. Today, she joins us to discuss the controversial topic of tongue tie. The research indicates 5-10% of babies suffer from feeding difficulties that require a surgical procedure known as a frenotomy, however far more than 10% are being diagnosed with tie-tongue and are treated for it. That means a majority of babies with tight...

In this episode, we have Barbara Harper on the podcast with us. Barbara is a midwife, author, and the founder of WaterBirth International, which she founded exactly 40 years ago. She is a world-expert in birthing and to this day travels the globe educating obstetricians, nurses and midwives on physiologic birth.

Few mothers are given the opportunity to birth their placentas in the water, but is it really necessary to move women post-birth into a bed to complete the third stage (placental birth) of labor?  In order to explain whether this is the right choice for any mother a...

For this November Q&A, please enjoy the full, extended version of one of our top Q&As from season 3, where we discuss: 

Weight loss after having a baby--can you lose too much too fast? What tests should be done if you've had multiple miscarriages? Can you give us the scoop on Evening Primrose oil for getting labor started--is it helpful or hurtful, and what does the research show? How do I handle my mother-in-law who keeps giving me keepsakes for the baby that I don't want? Is there a way to safely bed-share with your baby w...

Lisa Hendrickson-Jack is the author of The Fith Vital Sign, a book detailing normal and abnormal parameters around menstruation and fertility and what your menstrual cycle reveals about your health. She refers to her period as "her secretary", who once per month brings her all the unfinished business in her life and plops it down on her desk to deal with. Most of us think of PMS as an annoying, unavoidable side effect of our monthly flow. Lisa challenges us to see it as a dutiful assistant encouraging us to face the pesky tasks, emotions, people, relationships, jobs, etc...

At twenty-one years old, Lacey was pregnant with her first child. She was young and healthy and expected everything to go perfectly in her labor and birth. As a result of high blood pressure, she was induced for labor. When her son was born blue and unresponsive with an APGAR score of one, she knew something was off. She held her son for only a minute before he was whisked off to the NICU. Noticing that his ears seemed disproportionally small, her maternal instincts were alert. Five days later, she learned her son had Down Syndrome when a nurse...

You may remember midwife Lindsey Meehleis from episode #187 in our first off-the-record-style conversation. When we decide to interview Lindsay, we do so without a plan, knowing that whatever is on our minds will be a worthwhile and impactful conversation. In today's conversation, we chat about the problems with modern medicine, how midwifery has evolved over the years, what breech babies can teach us about our emotions, how Lindsey handles pregnancies that go beyond forty-two weeks, how to get your partner or family members on board with choosing home birth the first time, and we even dabbled a bit in...

Welcome to the October Q&A with Cynthia & Trisha. What's the most absurd thing that you've ever heard said to a woman in labor or to you? Today, we kick it off by sharing your anecdotes and our responses.  In our regular episode, we answer:

If I am planning a free birth how do I know if I have a placenta previa and what should I do?
 
I am twelve weeks pregnant and have extremely sensitive nipples while breastfeeding my toddler. Will this get better or should I stop breastfeeding?

How often do ho...

Postpartum rage is a form of emotional upheaval that many mothers experience but seldom feel comfortable discussing. Today's episode aims to break the silence and offer a compassionate and supportive look into the real lives of two mothers living with these intense emotions. Corrine lost her own mother the day after her son was born. Angela, a mother of five with number six on the way, lost her sister unexpectedly in a car accident on her way to help Angela with childcare. In today's episode, Angela and Corrine, who never met before today, share the unexpected ways grief and...

If there is one best place to begin when it comes to optimizing our fertility, it is with food, and who better to bring us the lowdown on what we do and don't need for fertility optimization than Lily Nichols, RDN, the modern-day-author and guru of all things related to food and pregnancy. In today's episode, she delivers crucial information about how our modern food practices, particularly the standard American diet, set us up for sub-optimal fertility and contribute to the most common complications of pregnancy including pre-eclampsia, pre-term labor, PPROM, and more. She opens our eyes to the...

Emotional trauma is stored in the body and can lead to a host of health issues if left unresolved. In this episode, Courtney shares her deeply personal journey of navigating the effects of a controlling and emotionally abusive her mother -- so controlling, in fact, that her demanding mother caused early marital issues for Courtney and her husband. Further, due to being placed on hormonal birth control at a young age, Courtney developed a belief that she couldn’t ovulate or conceive naturally, leading her to IVF when she and her husband were ready to start a family.

...

There are few things a mother can do with such a profound impact as meditation, yet it remains one of the hardest habits to incorporate into one's life, let alone the life of an exhausted, busy mother with a new baby in her arms. 

In today's episode, Kelly Smith, yoga/meditation instructor and podcast host of Mindful in Minutes, explains the benefits of meditating for as little as just ten minutes a day. We also discuss the various forms of meditation (including guided), the most common barriers to meditation, and the practical tips to get started right n...

Welcome to the September Q&A episode with Cynthia & Trisha. Today, we begin with discussing the problem of increased reliance on Google searches and googling our way to answers that require deep introspection and self-trust rather than an automated and potentially biased and generalized result.

In our first question, Cynthia & Trisha debate one woman's question on whether or not she should stay with a midwife she does not feel emotionally connected to or fire her late in the game and choose free birth instead. 

Additionally, we answer the following:

Welcome to our second 'Breastfeeding Q&A' episode with Trisha & Cynthia. We open with an inspiring success story of a mother whose baby did not start breastfeeding for the first time until around five months of age. Additionally, we answer the following questions:

"Hi I’m Olivia. I was a patient of Dr. Javaid Perwaiz, so, I don’t trust you." Each time Olivia met with a new medical provider, she prefaced her introduction with the above statement. Olivia was a patient of Dr. Perwaiz for many years before he was  sentenced to 59 years in prison after a jury convicted him on 52 counts of health care fraud arising from performing medically unnecessary procedures including irreversible hysterectomies. Eventually, Olivia found a team of providers who she trusted to have a baby under their care. Despite developing severe pre-eclampsia, resulting in a 35-hour induction and r...

Taylor Westenberger celebrated her baby shower at 33 weeks pregnant with her first baby. Little did she know, two days later she would go into labor and give birth to a 4.5 pound baby boy. Her birth experience, while generally smooth, involved the absence of her husband due to Covid protocols and an unconsented episiotomy. She was encouraged to breastfeed in the NICU, but when it came to taking her baby home she was warned about the dangers of co-sleeping and told horror stories of babies who had died in their mothers' beds. Determined to provide the safest environment for her...

Welcome to the August Q&A episode with Cynthia and Trisha. Today, we start by discussing various experiences in which mothers feel a visceral response to a family member, friend, or provider crossing a boundary with their baby--think kissing your baby without permission. In our first question of the episode, we invite Carly Hartwig from @cleanlivingwithcarly, to explain how to understand our fertile window and ovulation through assessing your cervical mucus. Next, Cynthia provides some financial guidance in response to one mother's concern about transitioning to a SAHM and not having her own financial independence or source of income...

If you've ever felt that your husband is falling short or if you are a dad looking to be more available to your wife, this episode is for you. Today, we chat with Dan Doty, the co-founder of Fatherhood Ready and a passionate advocate for expectant dads. As a father of three, Dan brings his unique perspective on building a men's organization focused on emotional growth, exploration, and connection. His journey from wilderness guide to fatherhood expert was shaped by his transformative experiences working with adolescent boys and their fathers. Witnessing the profound emotional breakthroughs that happen when fathers...

Were you billed erroneously for your birth, or charged for something frivolous like "skin to skin contact" or "out of hospital birth"? Did you receive an exorbitant hospital bill for services you may not have asked for or even incurred? Are you worried that your hospital bills are going to go unpaid? Did you want to leave Against Medical Advice (AMA) but were told your insurance would not pay for your services? In today's episode, we invite Sue Chamberlain, a medical billing professional with over twenty years of experience in the industry to explain how medical billing in the...

Hyperemesis Gravidarum (HG) is not morning sickness, but rather a potentially life-threatening complication of pregnancy that may cause weight loss, malnutrition, dehydration, disability due to severe nausea and/or vomiting and can cause long-term health issues for mother and baby, including death.

Today, we are joined by Kimber W. MacGibbon, executive director of the HER foundation, and Ashton Paige Clark, a wife and mother who experienced HG in five pregnancies. Together, they share Ashton's story of struggling through HG and the desperate decision she was forced to make to ensure her survival.  Ashton and Kimber help us u...

Welcome back to the July Q&A with Cynthia & Trisha. Today we kick off the episode with one mother's story of her transition from OB to midwife to an unintentional free birth her 9 pound, 4 oz baby born at home in her bathroom and then the premium medical bill she received from her OB for "extra counseling time." Next, we jump into our questions starting with:

Dr. Joel Gator Warsh is a classically trained integrative pediatrician with a holistic health practice in California. His approach to care puts parents at the center of the decision-making process. In today's episode, we discuss the key questions parents should ask when interviewing a pediatrician (and yes, you should interview numerous pediatricians before choosing the best fit for your family), including: 

The importance of healthy oral function is essential not only for infant feeding but also for a person's entire life. Poorly shaped palates, low resting tongue posture, restricted tongues, and mouth breathing are all common signs of oral restrictions or tension that can begin in the womb and influence one's health from infancy through adulthood. In today's episode, Jeannie Nelson, a speech and language pathologist from Breathe Eat Sleep Talk joins us to explain what myofunctional therapy is, how it can help, and the key red flags to look for in infancy or childhood to identify oral restriction. In...

In last week's episode (#272) you met legendary midwife-author Nancy Wainer. Well she's back today for Part II, where she joins us in a Q&A-style episode to answer our listeners' questions. Nancy experienced the first planned VBAC in the United States and she coined the acronym itself in her first book, Silent Knife, published in 1983. She has over 40 years of birth experience and has supported women through some incredible births that almost certainly would have resulted in surgery in any other environment. Today, she takes questions from our community including:

1. What are the common characteristics of women...

This episode has been a long time coming and is finally here! Meet Nancy Wainer, the legendary woman who began the Vaginal Birth After Cesarean (VBAC) movement. Not only did Nancy coin the term VBAC, but she is the first on record in the United States to experience a planned VBAC. Nancy has been a midwife, fierce birth advocate, author, mentor, and teacher to thousands and thousands of women, mothers, and birth professionals over the last forty-plus years. 

Today, we are honored to have her join us to share the story of her traumatic first birth and w...

Welcome to the June Q&A with Cynthia and Trisha! Today, we start the episode with all the romantic, hilarious, and random ways our community met their spouses, and we finish the episode with one woman's question to us: "If you were a dog, what kind would you be?" -- you'll hear us reach out to a friend on the spot to answer that question for us. In the regular version of this episode, we answer the following questions:

Can you imagine giving birth without ever "checking on" your baby? Without a test, an ultrasound, a need for reassurance from others that your baby is okay? And, what does it mean to cross the threshold from Maiden to Mother? How does a woman step into her wiser feminine self, relinquishing her controlled, organized, masculine energy and need for control in birth? What is required of a woman to feel so safe in her body that she can release hypervigilance and surrender fully to the power of her body? These are some of the untraditional questions we consider in...

Dr. Lizzie Kieffer is a doctorate of physical therapy with a specialty practice in women's pelvic floor health.  She joins us today to let us in on the little-known secret to protecting, relaxing, strengthening, and restoring your pelvic floor. She teaches us three simple techniques you can initiate immediately after birth to optimize pelvic floor recovery, how, when and why to do kegel exercises, what it means to have diastasis recti, and explains the differences in pelvic floor changes in a vaginal versus cesarean birth. Not only should every woman having a baby hear this episode, but also, every w...

Dr. Trillitye Paullin is a molecular biologist and founder of Free to Feed, a consultation service for navigating infant food reactivity in breastfeeding dyads. Today, Dr. Trill joins us with one of her clients, Chelsea, a first-time mom who found Trill and our podcast and reached out to help spread the research around newborn food reactivity. Trill shares her ground-breaking research into why and how a mother's diet causes allergic responses in babies in the form of bloody stools, skin rashes, vomiting, reflux and colic-like symptoms. With around 25% of parents reporting food allergy symptoms in their babies, these issues...

Hello everyone! Cynthia and Trisha are back with the May Q&A episode. Today, we kick it off with an enlightening discussion on the worst parenting advice you have ever received--here's to all the things we never need to hear as mothers! Next, we hear one woman's beautiful take on her cesarean scar. Then, we dive into your awesome questions beginning with:

Today's episode is a four-way conversation between us and a mother and daughter who are living in France. Nicola Thompson is a former L&D nurse of 30 years who worked in the U.S., and is now working in France as a traditional birth attendant, full-spectrum doula and IBCLC. Sasha Sharif, her daughter, is a mother of two with a third on the way. Sasha explains the impact her mother's life's work has had on her, and how that wisdom ultimately guided her away from birthing in the French maternity system. Instead, she (and her sister as well) have...

Tiffany and Kelly of Beautiful One Midwifery are a midwife team in California who both began their birth work as doulas.  As a result, they designed their practice from a hands-off, hands-out approach--meaning, the woman is the focal point of all decision-making making, and interventions are only utilized with her absolute permission and desire. Not only does this model require a woman to take radical responsibility for her birth, but it also gives her body and mind the space to give birth as undisturbed as possible while still being supported by a professional and skilled midwife.  Tiffany and Kelly ra...

Welcome to our first breastfeeding-only Q&A with Trisha & Cynthia. Trisha is a Certified Nurse-Midwife and International Board Certified Lactation Consultant with thousands of hours of clinical experience. Today's episode follows the format of our regular monthly Q&A episodes, where women call in with questions and we wrap up with Quickies at the end, but this time it's your breastfeeding questions only. Today Trisha answers questions such as: 

Amanda Holden was planning a home birth with her first baby, having hired a midwife she loved. When she reached 42 weeks, her midwife terminated her care abruptly, due to Colorado state law prohibiting midwives from attending late-term home births. With a heavy heart but optimistic mindset, Amanda and her husband made the decision to birth in a hospital rather than have an unattended home birth. Using the education she had under her belt by that point, Amanda rallied herself into believing her hospital birth would go mostly according to her plan of a natural, undisturbed birth. Once in labor...

Welcome to the April Q&A episode with Cynthia & Trisha. Today, we invite you to guess the two things that Cynthia and Trisha will never talk about on the podcast. Hint: They are not scandalous or controversial. Shoot us a DM with your guesses! Next, hear the most annoying habits from our podcast community regarding their partners. As for our questions this month, here we go:

Emma Armstrong,  author of The Fearless Birth Book, and Instagram birth influencer at @thenakeddoulaofficial, joins us today to delve into the meaning of pleasurable birth. We ask the questions, "Why should a woman want a pleasurable birth, what does it even mean, and what holds women back from experiencing pleasure instead of pain?" In this enlightening and off-the-record-style conversation, we uncover the emotions holding us back from ecstatic, pleasurable, even orgasmic birth. Emma opens up about her unexpected cesarean birth and how a woman who teaches other women about vaginal birth can feel confident in doing so despite her n...

You won't find an obstetrician anywhere in the United States who will birth triplets vaginally in the hospital, but today you'll hear the story of traditional midwife Kristine Lauria who welcomed them at home with the respect and reverence for birth every woman deserves.  Kristine witnesses some of the most "high risk" births around the world in her midwifery work for Doctors Without Borders. She has attended over 500 breech, twin, and triplets births! 

In this episode, you will hear the story of a mother in her 7th pregnancy birthing three babies at home as told by Kristine.  We...

When Carolyn was pregnant with her first baby, she went past her "due date." After declining an induction at 41+6, her doctor questioned her integrity as a mother, stating, "I am surprised your motherly instinct (to protect your baby) hasn't kicked in yet."  Knowing that she and her baby were ok, she continued to wait despite heavy pressure from her OB. When she passed the 42-week mark, feeling out of options and having been told she was going to have a ten-pound baby, Carolyn accepted an induction on her 31st birthday. Her baby was born vaginally, weighing seven pounds and f...

We are back with the March Q&A episode with Cynthia & Trisha.  We kick off today's episode with an unbelievable, once-in-a-lifetime story of an OB who holds off a mother's pushing to tie a bow in the baby's hair before being born! Next, we get into our questions beginning with a mother who wants to offer important birth advice to her friend's daughter but doesn't know if it is her place or how to not overstep boundaries. Also, what questions to ask at a late third-trimester ultrasound to best avoid unnecessary interventions? Then, Barbara Harper of Waterbirth International answers t...

In today's episode, three current and former L&D nurses join us in a roundtable-style conversation to share their behind-the-scenes experiences on the L&D floor. These three women get raw, real, and honest about what pulled them to this line of work and for one, what forced her to leave. They share their experiences and that of the women they serve on how birthing mothers are manipulated, coerced, and betrayed by their providers and the system. You'll hear astonishing quotes such as "Well that's what she gets for refusing Pitocin yesterday," when a mother ends up with an...

Like many mothers, Taylor Chamberlain Dilk had no idea where to begin in preparing for childbirth. Lucky for her she has a large social media presence and requested recommendations from her audience, and lucky for us, Down to Birth Show came highly recommended. Once she started digging in, she felt her inner maternal voice rising to the surface.  She knew she wanted an unmedicated birth, but had no idea what she was up against giving birth with an OB in the hospital. When she was offered a membrane sweep in her 41st week, she accepted, triggering uncomfortable contractions but n...

In this episode, we welcome back Dr. Stu Fischbein for his third appearance on  Down to Birth Show. We start the conversation by catching up on some of the latest problems occurring on the birth scene including VBACs, aspirin in pregnancy, the monetization of birth, late pregnancy ultrasounds, big babies, and due dates, before we get into the meat of the episode on Intrauterine Growth Restriction (IUGR). Dr. Stu shares a letter from one of his followers regarding her IUGR diagnosis resulting in an induction at 37 weeks for a 4-pound 14-ounce baby,  which launches into a conversation around what IU...

Welcome to the February Q&A with Cynthia & Trisha. To kick things off, we share some of your New Year's Resolutions--don't miss this as Trisha makes Cynthia momentarily speechless! Next, we dive into your questions beginning with: Is cord traction really necessary to birth the placenta? Another woman explains that she always throws up in labor right when her water breaks and asks if this is normal. Also, a new mother is curious if giving her baby a pacifier will be harmful or helpful...and more.  In our extended version of today's episode, we answer several more questions about t...

In today's episode, Cynthia and Trisha break down some of the current guidelines published by ACOG (the American College of Obstetricians & Gynecologists). You'll see many of these guidelines favor physiological birth and stand for minimal medical intervention in exactly the ways we recommend, which makes it  all the more perplexing why so many of today's obstetricians don't follow along. By understanding ACOG's position on common concerns in pregnancy and birth, you can feel more empowered to advocate for what you know is best for you and your baby.  Did you know that ACOG clearly and strongly states that the us...

IUGR or Intrauterine Growth Restriction is the latest trend on the obstetric scene--a diagnosis that has afflicted many mothers unnecessarily. Eric, a father of two daughters,  joins us on the show today to discuss his experience with his wife's IUGR experience.  When an early ultrasound told them their baby was measuring smaller than expected, they were sent to maternal-fetal medicine and their baby was labeled as growth-restricted. As their dreams of a birth center birth quickly vanished, they started having regular ultrasounds and non-stress tests to monitor their baby. While Eric's intuition told him everything was ok with their ba...

Have you ever wondered why we actually need to get a pap smear or why the testing guidelines frequently change? The presence of HPV or the Human Papilloma Virus is associated with an increased risk of cervical cancer and is the reason behind the pap smear.  A pap smear looks at the health of the cells in our cervix and the presence of HPV. When abnormal cells are found, it is usually recommended that we have those cells removed at the risk of the functionality of our cervix.

In this eye-opening conversation with Nathan Riley, MD, we l...

Hello and is it too late to still say Happy New Year?! Cynthia & Trisha are back with the first Q&A of 2024 in season five of the Down to Birth Show! We kick it off today by sharing some of your highs and lows from the holiday season. Next, we get into our questions beginning with a mother who had low milk supply with her first baby and wonders what she can do in pregnancy and birth to prevent it from happening again; one curious listener wants to know if she can check her own cervix to help determine...