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Down to Birth — Kids & Family
Down to Birth

Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on pregnancy, birth and postpartum — beyond the clichés and beyond the system. With 40 years’ combined experience in midwifery, childbirth education and advocacy, publishing, research and postpartum care, we’ve guided thousands of families toward safer, more empowered choices. Down to Birth is all about safe childbirth, while recognizing a safe outcome isn’t all that matters. We challenge the status quo, explore women’s rights in childbirth, and feature women from all over the world, shining shine light on the policies, culture, and systemic forces that shape our most intimate and transformative of life experiences. You’ll hear the birth stories of our clients, listeners and numerous celebrities. You’ll benefit from our expert-interviews, and at any time you can submit your questions for our monthly Q&A episodes by calling us at 802-GET-DOWN. With millions of downloads and listeners in 90 countries, our worldwide community of parents and birth professionals coms together to learn, question and create change, personally and societally. We’re on Instagram at @downtobirthshow and at Patreon.com/downtobirthshow, where we offer live ongoing events multiple times per month. Become informed, feel empowered, and join the movement toward better maternity care in the United States and worldwide. As always, hear everyone, listen to yourself.

Copyright: © 2024 Down to Birth

Latest Episodes:

#197 | January Q&A: Postpartum Hemorrhage; Mucous Plugs; Pumping for Work Trips; Beyond 42 Weeks; Flat Nipples; Starting Solids; Placentas Jan 25, 2023

Show notes

We are back with our first Q&A of 2023. We begin today by discussing absurd comments shared with us around natural birth statistics before we jump into our regular Q&As, starting with:
How can I prevent another postpartum hemorrhage when I feel like I did everything right the first time but still bled too much? What role does a doula play in a home birth and how does she interact with the home birth midwife? Is it normal to lose your mucus plug at 32 weeks, and will it come back? How can I pump enough milk for my exclusively breastfed baby to leave for a 4-day work trip without risking oversupply? Is it worth it to switch from an insurance-covered nurse-midwife that I don't really like to an out-of-pocket homebirth midwife?
Next, we jump into our quickies which cover topics like: oxygen at home birth, "powering through" engorgement, nipple shields, supplements for mental health while breastfeeding, flat feet in children, and - here was an off-topic surprise that came in - our favorite karaoke song to sing?
And there is much more! For those who are Apple subscription or Patreon members, we answered several additional questions including: What to do in a home birth if an emergent situation arises? Is midwifery just for low-risk women? How to start solids? Is the placenta filled with toxins and is placenta encapsulation unwise? What does it mean if you can't find the heartbeat early in pregnancy?
Thanks for joining us, and remember you can call our phone line with your questions 24/7 at 802-GET-DOWN. (That's 802-438-3696)
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Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#196 | The Toughest Part of Being a Doula with the Dynamic Doulas of London, Ontario Jan 18, 2023

Show notes

Sarah Hutchison & Lara Martens are the Dynamic Doulas of London, Ontario. Doula work is a delicate balance of keeping a "soft front and hard back", stepping-in and and not overstepping. The fact is, doula burnout is high, the emotional work can be heavy, and the lifestyle is challenging. But as any doula knows, those who are called to the work can't imagine doing anything else and the rewards of supporting mothers in achieving their birth goals are tremendous.
Today's episode is an "off-the-record" kind of conversation between us and this "dynamic" doula team, where we get into the heartfelt anguish of being a doula. In today's discussion we explore: What do women really want from their doulas? What's the hardest part of keeping a client happy? Should doulas take on any client who's willing to hire them, or should doulas be selective about whom they choose to work with? How can doulas avoid burnout? How far should a doula go in advocating for their clients and how do doulas manage a client's unwillingness or inability to speak up for herself when faced with an unwanted intervention? How can doulas support women whose birth values starkly differ from their own, and what should doulas do when they suspect the woman's chosen birth location has firm policies in contrast to physiologic birthing? Should doulas speak up more or less, and to what extent do women expect doulas to go beyond birth support and assume the role of protector and advocate? Whether you're looking to be a doula or hire one, today's episode gives you a behind-the-scenes scope into the demanding lifestyle of providing emotional, mental and physical labor support to birthing women and their families.
Dynamic Doulas on Instagram.
Dynamic Doulas

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Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#195 | Your Menstrual Cycle & Its Vital Role in Health Explained with Author Lara Briden Jan 11, 2023

Show notes

If you are considering the birth control pill to fix your period, think again. Did you know the hormones in your pill don't replace the hormones your body naturally makes? Instead, they mask and suppress them. The period you get at the end of your birth control pill pack is not a real period; it's simply a withdraw bleed from synthetic hormones. Your brain, bones, heart, mood, sex drive, motivation, inspiration, and creativity are all influenced by the hormonal cycles of naturally-occurring estrogen and progesterone.
Lara Briden, author of The Period Repair Manual, joins us today to teach us the difference between a real period and a "pill" period. She explains how various contraceptive devices influence our hormones and how our body is affected by natural versus synthetic hormones. Her goal is for each woman to experience symptomless, naturally-occurring menstrual cycles throughout her lifetime.
Lara Briden
Taking the Pill as a Teenager May Have Long-Lasting Effect on Depression Risk

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Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#194 | Birth Trauma & PPD Healed Through EMDR and a Redemptive Hospital Birth Jan 04, 2023

Show notes

When Emma's first baby was one year old, she opened her phone to review her baby's photos and realized she had spent that year completely avoiding looking back at any images from the first three months of her baby's life. It was clear in that moment, she had experienced significant postpartum depression and delayed bonding with her baby, and the photos were a stark reminder of a truth she hadn't been ready to face. Six months later she ruptured her spleen, resulting in a post-traumatic stress response for which she sought out EMDR (Eye Movement Desensitization & Reprocessing) Therapy. As she worked through her trauma, much of her first birth experience and PPD memories resurfaced. Later, when she found out she was pregnant again and considered where to birth her next baby, she ran the gamut from a fully medicalized birth to free-birth (unassisted home birth) and landed on a hospital birth with a "unicorn OB." She chose to birth in a hospital because it "scared" her, and was a fear she felt she needed to overcome. Emma was GBS positive and established a "No IV, no antibiotics" birth policy and confidently declined. Her water broke just minutes before she welcomed her eleven pound baby safely into her arms. That's right: Eleven pounds.
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Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#193 | December Q&A: Rhogam; Premature Rupture of Membranes; Meconium; Fevers in Pregnancy; Cord Traction; Vitamin D; Waterbirth & Cold Plunges Dec 28, 2022

Show notes

Hello everyone! It is that time of the month, and we are back with our December Q&A. To kick it off, we have 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 or hurtful to use assistance to birth her placenta and questions if a hep-lock or IV port is really necessary in labor. Furthermore, is vitamin D supplementation truly necessary for breastfed babies?
Additionally, we have a great quickies segment on pregnancy headaches, aging placentas, newborn rashes, breast changes in pregnancy, cold-plunging postpartum, water birth and infections and whether or not sleep training babies is really needed.
In our extended version, over on Patreon and Apple Subscriptions, we dive into a very important topic: How to accurately calculate your due date based on your specific menstrual cycle, not the average cycle. We discuss delayed cord clamping and where to clamp the cord, two-vessel cords and the implications for induction and the safety of home-birth with midwives who have restricted access to emergency medications. It's an extra-long extended episode this month - happy new year!
Remember you can hang with us twice a month during our interactive and educational livestream for our Patreon community members!
Thanks for joining us, and remember you can call our phone line with your questions 24/7 at 802-GET-DOWN. (That's 802-438-3696)
**********

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#192 | Your Hospital Anecdotes, Our Comments Dec 21, 2022

Show notes

If we could share every single woman's birth story on this podcast we would; but instead, today we are giving you a glimpse into a handful of hospital stories and anecdotes that represent the rhetoric, mistreatment, and disrespect that mothers experience from hospital staff, midwives, OBs and pediatricians. In this episode, you will hear such things as a mother having her call light put on the other side of the room so she couldn't bother the staff with her questions, another mother purposefully ignored when she needed to use the bathroom postpartum because she refused to give her baby sugar water, an OB telling a mom that her baby will have Cerebral Palsy if she declines a vaginal exam, and another mother getting an episiotomy without her consent, plus other examples of medical coercion and abuse. After each mother's story, you will hear Cynthia's and Trisha's comments. While we know this episode will get you fired up, we hope it will also shed light on just how rampant the problem is within today's maternity care system, with the reminder that you don't have to tolerate mistreatment. Thank you to these mother for taking the time to call us with their stories and thank you for taking the time to listen.
Remember to join us for two livestreams per month on Patreon.

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#191 | Placental Abruption: Meghan's Third and Final Birth Dec 14, 2022

Show notes

Meghan Murray and her husband decided to have one more baby. She'd already experienced beautiful vaginal births with her first two boys and, like so many women, she mentally went through all the things she could do this time around to get things just right. In preparing for her dream birth, Meghan hired new midwives who practiced outside of a hospital setting and seemed perfectly aligned with her wishes. She remained fit, practiced Spinning Babies and learned relaxation techniques for a comfortable physiologic birth. She savored her pregnancy knowing it was her last, and excitedly planned her first water birth.
At 36 weeks, Meghan suddenly heard a pop and assumed her membranes had released. But instead of amniotic fluid, she saw blood -- and lots of it. As she and her husband left immediately for the hospital, Meghan knew a placental abruption had occurred.
Meghan is more than a year out from her birth, and talks to us about her journey of processing what happened. In particular, what it was like having a very traumatic birth her last time around, when her hopes and expectations were at their highest.
This show is sponsored by:
Silverette USA*
Postpartum Soothe*
Baby Notebook - Get the App Here
*Use promo code DOWNTOBIRTH
**********

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#190 | Babies in the NICU: Three Mothers' Stories Dec 07, 2022

Show notes

No matter how beautiful, long, short or difficult your birth experience is, nothing compares to the agony of your brand new baby being whisked out of your arms and admitted to the Neonatal Intensive Care Unit (NICU) or Special Care Nursery (SPC). Mothers in this position often experience less autonomy and authority over the decision-making and informed consent process than they did in their own birth experiences.
Today, we share the individual stories of three women whose babies ended up in the NICU or SPC with one common thread: Informed consent was insufficient or lacking altogether, interventions were performed without permission, and timely diagnoses for their babies were neglected.
Meet Cameron, whose home birth plans were derailed when she went into labor spontaneously at 34 weeks; Nicole, a mother of five and birth doula whose baby was grossly misdiagnosed until a year of age; and Erin, a mother of three who successfully insisted on breast-feeding in the NICU and followed her instincts to fight for her baby to get an early release from an unnecessarily prolonged stay in the NICU.
Each mother shares her story and her battle to feed, hold, comfort and mother her baby within the confines of NICU and SCN procedures and policies. And even though these three moms never met, they each came to the same individual conclusion when it comes to the advice they have for all parents: Know your rights, your breastfeeding expectations and your values, and use your instinct to defend all three relentlessly through your NICU experience.
**********

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#189 | November Q&A: Cholestasis; Growth Curve Worries; Petite-Women Birth Concerns; The McRobert's Position; Retained Placenta; Burping & Formula Nov 30, 2022

Show notes

Hello everyone! It is Wednesday, and we are back with our monthly Q&A!
In this month's extended Q&As (always ad-free and available to all by subscribing to Down To Birth + on Apple or joining our Patreon community) we discuss an interesting situation reported by one mom regarding her "retained placenta" - or was it? How would you know if it's really a medical situation or a failure to be patient? We also respond to one mom regarding the quality of European versus U.S. formulas, we discuss how to really know when to go to the hospital in labor, and whether it is ok to push without an urge - should you do it or wait for the go-ahead? Finally, the question so many parents can relate to: How much should I worry when my breastfed baby has plummeted on the growth curve?
In our regular Q&A version (non-extended), one mother inquires about her bedroom temperature being too cold for her newborn but necessary for her own sleep comfort - what's too cold for a newborn and what's the risk? We also discuss petite mothers' abilities to vaginally birth babies, because one woman has received plenty of unsolicited negativity about her body size, despite that she's fit and healthy. We also discuss one provider's comment about having to keep women on their backs while pushing "in case" she needs to utilize the McRobert's position in the event of shoulder dystocia. Is that legit? Cholestasis is the special circumstance faced by another mom, who wants to understand the risks and isn't thrilled it'll most likely mean induction. One Home Birth After Cesarean (HBAC) mom is concerned about whether she should get an ultrasound to ensure her placenta has not attached over her scar - should this be routine for VBAC and HBAC women?
Other moms are asking:
"Is it normal to feel nauseous when breastfeeding"
"Do babies need to be burped after feeds?"
and more.
Thank you for all of your awesome questions and for being part of this fabulous community! Call 802-GET-DOWN any time to submit a question for our next Q&A. And remember to join our Patreon community to attend our two educational, interactive livestreams every month!
**********

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

#188 | Rhogam for Rh Negative Mothers: How It Works and When It Doesn't Nov 23, 2022

Show notes

In today's episode we discuss the problem with Rh negative blood types and how it impacts future pregnancies. We've invited Courtney, mother of three, and her midwife, Jessica, to discuss her experience as an Rh negative mother who became isoimmunized against her baby, resulting in the need for multiple in-utero blood transfusions to save her baby's life.
Typically, women who carry the Rh negative blood type are given a blood product called Rhogam, which protects the mother from developing an auto-immune response against her future babies. In Courtney's case, Rhogam (also known as anti-D) did not work. As a result, her own body "attacked" her third baby, causing her baby to have life-threatening anemia in utero.
The purpose of this episode is to help mothers (a) learn about the issue behind Rh negative blood types; (b) understand how Rhogam works to prevent isoimmuization; (c) know the risks associated with receiving the Rhogam injection; and (d) feel empowered by discovering that even a high-risk pregnancy, such as Courtney's, can be co-managed under midwifery care to achieve the labor and birth goals associated with a low-intervention or natural birth.
**********

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <-- for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

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