Down to Birth

In today s episode, we invited back Thaddeus Owen and Heidi Syme of DreamWalkerz, this time focusing on electromagnetic fields (EMFs), wireless technology, and the growing questions many families have about how modern environments can affect health.We discuss the difference between naturally occurring and man-made electromagnetic fields, the research that has fueled concern about wireless technologies, and why this topic has become increasingly relevant as our homes fill with Wi-Fi networks, smartphones, Bluetooth devices, smart appliances, and baby monitors.Thaddeus and Heidi share their perspective on practical ways families can reduce exposure without becoming overwhelmed, including simple changes related to device use, distance, sleep environments, and home technology. We also discuss grounding, time outdoors, and the role of nature in supporting overall well-being, as the best ways to reduce these exposures.Topics discussed:• What electromagnetic fields are and how they occur in nature • The difference between native and non-native EMFs • Research on wireless technology and biological effects • Cell phones, Wi-Fi, Bluetooth, and baby monitors • EMFs and fertility concerns • Grounding and earthing practices • Why sleep environments matter • Common household sources of EMF exposure • Practical ways to reduce exposure without fear or perfectionism • The importance of spending time outdoors and connecting with natureAs with so many topics we cover, the goal isn t fear. It s awareness, thoughtful decision-making, and finding an approach that works for your family.#330 | Sleep Like a Baby: The Impact of Melatonin, Blue Light, and Sunrise with DreamWalkerzDreamwalkerzDreamwalkerz.ai PromoCode: Downtobirth1Primal HackersSend us Fan MailSupport the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded -- for 20% off DrinkLMNT --  for FREE 8-day supplyPrimally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits Superfood --for 20% offJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to our July Breastfeeding Q&A episode! We open with a conversation about what surprised women most about breastfeeding (for better or worse) after all the things they'd heard from others, from pain and emotional shifts to supply, pumping, and expectations that didn’t match reality.Additionally, we answer the following questions:I’m pregnant and still breastfeeding my toddler. What should I know about tandem nursing, and how do I prioritize a newborn without creating oversupply?My newborn had low blood sugar readings in the hospital and we were encouraged to use donor milk. Was that necessary, and would things have resolved differently outside that setting?I experience waves of anxiety, nausea, and sadness right before letdown. What is this and is it normal?As usual, we lead into a round of quickies including: can latch change during teething, how to manage nipple sensitivity during your cycle, does milk supply drop when baby starts sleeping longer stretches, should you always nurse from both sides, is one breast doing all the work okay, do breastfed babies need vitamin D, and when is it okay for baby to sleep through the night. We wrap with a personal question which is: What advice would you give to someone entering the industry?#364 | When Co-Sleeping Gets Complicated: Weaning, Toddlers, and Sleep Transitions with Tiffany BelangerSend us Fan Mail Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-

In today’s episode, we talk with Carly and Rachel of Kale Blossom about environmental toxins, what matters when it comes to everyday exposure, and how mothers can make thoughtful changes without getting pulled into fear-based messaging.The conversation around “low-tox living” can quickly become overwhelming, especially during pregnancy and early motherhood, when concern for your baby is understandably high. We wanted to cut through the noise and ask a more useful question: where does reducing exposure meaningfully matter, and where are women being sold anxiety?We talk about some of the highest-impact places to focus, including fragrance, household cleaning products, skincare, indoor air quality, plastics, and common materials in the home. We also discuss realistic, budget-conscious swaps, the role of overall health in supporting the body’s natural detoxification processes, and why perfection is neither possible nor necessary.This is a practical conversation about relative risk, informed decision-making, and reducing toxic burden in a way that feels sustainable rather than stressful.#221 | Understanding Fetal-Maternal Microchimerism with Rachel Marynowski of @Kale.BlossomKale Blossom**********Send us Fan Mail Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t

In today’s episode, Cassidy Peck shares a birth story shaped by large fibroids, a late IUGR diagnosis, low amniotic fluid, and a postpartum emergency that nearly cost her life.After years of debilitating periods and a delayed fibroid diagnosis, Cassidy conceived naturally and planned a home birth with an experienced midwife. Her pregnancy was largely uncomplicated until late third trimester, when concerns about fetal growth and fluid levels led to induction at 37 weeks.What followed was an unmedicated induction, the vaginal birth of her 4 lb 6 oz daughter, and then a catastrophic postpartum hemorrhage caused by a fibroid that had descended into the birth canal. Cassidy required emergency surgery, two blood transfusions, and an unexpected intraoperative myomectomy that ultimately saved both her life and her uterus.#125 | Uterine Fibroids in Pregnancy: Their Impact on Birth, Uterine Scars, and How Black Women are Affected the MostSend us Fan Mail Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today's episode we reference the following resources:Should I be induced? Evidence on the ARRIVE TrialPlanning Your Successful VBAC**********Welcome to the June Q&A! In today's episode, we begin with a listener who has some things to say about the term VBAC. Our questions begin with one from a new mother whose enthusiastic in-laws are eager to babysit her exclusively breastfed baby. The conversation is less about breastfeeding and more about expectations, trust and boundaries.Next, we answer one we've never been asked: "What do contractions actually feel like?" How's it possible this hasn't come up before?!Then, we discuss a common late-pregnancy scenario: a routine ultrasound that leads to concerns about a "big baby." When a healthy 38-week pregnant woman is told her baby's abdomen is measuring large, how much weight should she give to that information? As always, we finish with Quickies, covering cervical lips, high-lipase milk, pacifiers, coffee during pregnancy, milk blebs, antidepressants, swaddling, wake windows, dates, sex, retained placenta, induction, creatine, and a few personal questions about coffee preferences and family size.Have a question for a future Q&A? We'd love to hear from you. Leave us a voicemail and join the conversation! Call us 24/7 at 802-GET-DOWN! That's 802-438-3696.**********Choosing Induction: When it Might be NeededSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits Superfood<--for 20% off

Most parents have heard that breastfeeding is beneficial. What far fewer understand is why those first feedings matter so much, what colostrum does beyond nutrition, and how early feeding choices shape the gut microbiome, immune system, and long-term health.Today, we’re joined by Dr. Rhonda Trust, PhD, registered dietitian, professor of health communication, and longtime breastfeeding educator, for a conversation about newborn gut health, colostrum, skin-to-skin contact, formula supplementation, and the larger systems influencing infant feeding decisions.We talk about what happens when babies receive formula in the hospital before breastfeeding is established, why nutrition education is still surprisingly limited in conventional medical training, and how formula marketing continues to shape the messaging parents receive.We also get into donor milk, birth mode, bacterial transfer, and why the newborn microbiome is about far more than digestion.We discuss:• What colostrum actually does in the newborn gut • Why the first feeding matters differently from feeding decisions made later • How skin-to-skin contact helps establish a healthy microbiome • Why formula is so often introduced before breastfeeding is fully supported • The connection between gut health, immune development, and chronic illness • Why many pediatricians receive limited breastfeeding and nutrition education • The role of donor milk when breastfeeding isn’t immediately possible • How modern infant feeding culture became so disconnected from biologyIf you’ve ever been told “a little formula won’t hurt,” or wondered why the first few days matter so much, this episode provides much food for thought.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGY

In today’s episode, we take on a question many women think about but don’t always say out loud: should your mother be at your birth?We share listener voicemails from women who made very different choices. Some had their mothers in the room, some kept them close by but not present for the birth, and others chose not to include them at all.It’s a candid, interesting conversation that gets into what shapes that decision and why it can feel more complicated than you might expect, even in close, supportive relationships.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today's episode, we sat with Ontario couple Jessica and Aaron, who share the birth story of their first child. Jessica's pregnancy included several key decision points, including whether to accept RhoGAM and how to approach care and manage the expectations of their loved ones as they moved well past their due date -- nearly 3 weeks past!They describe how they evaluated risk, navigated recommendations, and remained aligned as a couple under increasing pressure, while working with a midwifery team that respected informed consent.This episode examines how risk is framed in pregnancy, how provider–patient dynamics influence decision-making, and what it looks like to stay grounded in your choices through the final weeks of a post-term pregnancy.Access our workshop: How to Have a Physiologic Birth in the HospitalAccess our workshop: Ultrasound: The Research and the Rhetoric**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Happy Spring! And welcome to the May Q&A!We start with a listener email we loved, followed by a discussion on creativity and why it matters, especially in the early years of motherhood when it can feel completely out of reach.Then we get into your questions.We talk about postpartum hemorrhage and how it’s defined, including whether 500 cc of blood loss is truly cause for concern, and the use of Pitocin and Cytotec in that context, particularly for VBAC mothers. We also revisit RhoGAM and walk through when it may or may not be necessary, especially if you’re not planning future pregnancies.One listener asks how to handle being the only one in the family making different choices around birth and parenting. We share our thoughts on boundaries, restraint, and when saying less is often the stronger position.In quickies, we cover induction at 42 weeks, complete placenta previa, vitamin D for breastfed babies, pelvic floor therapy access, low libido in pregnancy, newborn weight checks, birth combs, and how to get through the third trimester in the summer.Finally, when one fan asked our opinion on which of us may be the better driver, one of us shares an old story of getting a reckless driving ticket!Access our workshop: How to Have a Physiologic Birth in the HospitalAccess our workshop: Ultrasound: The Research and the Rhetoric**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon here<

In today's episode, Kristina shares her breech birth story following a long journey marked by cycle irregularities, miscarriage, and difficulty conceiving. At 40 weeks, she learned that her baby was breech and was scheduled for a C-section, despite having been told throughout pregnancy that the baby was head down.Unwilling to move forward with surgery, Kristina sought out an alternative and ultimately found a physician in Connecticut willing to support a hospital-based vaginal breech birth. She describes the pressure she faced from both her care team and loved ones, the process of transferring care late in pregnancy, and the decisions she made to stay aligned with her instincts.This episode offers a detailed look at late breech diagnosis, informed refusal, and the realities of navigating hospital-based breech birth. Kristina also shares what she would do differently and what this experience taught her about trust, decision-making, and preparation.#257 | Labor & Delivery Nurses' Roundtable: How Their Hands are Tied to Doctors' OrdersSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today’s episode, Cynthia and Trisha are joined once again by Nancy Wainer, award-winning author, longtime home birth midwife, and the woman who coined the term VBAC in her 1980s book Silent Knife. With decades of experience supporting women through vaginal birth after cesarean, Nancy brings clarity to a conversation that is shaped by fear, false information, and shifting medical standards.This episode is part free-flowing conversation and part Q&A, where we take listener questions and explore them in depth. We cover topics including delayed postpartum hemorrhage after cesarean, uterine rupture, scar thickness, “uterine windows,” closely-spaced pregnancies, doulas in a home birth setting, and VBAC with twins or breech babies. We also look at the common reasons women are given for repeat C-sections and where those claims hold up and where they don’t. We wrap with Quickies and a personal question Nancy's never been asked.#273 | Special Q&A Featuring Nancy Wainer on VBAC and More#272 | Nancy Wainer, CPM and Pioneer of the VBAC, Shares Her Journey from Mother to MidwifeSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today's episode, we speak with Stephanie about her stillborn daughter, Penelope, who arrived at 39 weeks and 6 days. After two healthy births and a completely uneventful third pregnancy, Stephanie found herself facing the unthinkable: an awareness of no fetal movement, confirmed by a silent Doppler and finally a hospital ultrasound. What followed was labor induction, birth, and the impossibility of leaving the hospital without her baby, riding home with her innocently cheerful toddlers in the car.Next came shock and denial, pleading with God, managing her milk coming in, and experiencing an isolation so extreme that even a friend of fifteen years told Stephanie she couldn't handle maintaining a friendship in the face of something so grave. Stephanie also reflects on the impact to her equally-devastated husband, the family members who ranged from phenomenal to absent, and facing the disorienting task of caring for her two children while grieving a third. To this day, Stephanie grapples with how to answer the question mothers usually enjoy: "How many children do you have?"  Our conversation later turns to grief, faith, 'God winks' that seem to show up everywhere as signs of her daughter's love and presence, and Stephanie's evolving sense of peace, even hope and eagerness, as she looks toward continuing to expand her family. **********Send us Fan MailAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to the April Q&A with Cynthia and Trisha! Today, we begin with a conversation about one of the most personal questions women face: is there a best age to have children? We talk about the pressures around timing, fertility, career, and spacing, and why this is one of those decisions that depends entirely on the individual woman, her life, and what feels right to her.Next, we get into your questions, starting with a mother who experienced a very fast labor and wants to know if precipitous birth can be prevented and how to better handle it mentally if it happens again. Another listener shares her experience of a difficult pushing stage that resulted in ruptured blood vessels in her eyes and a long recovery from an anal fissure, and asks what she may have done wrong. We talk about why women so often assume fault in these situations and what actually influences outcomes in the pushing stage. We also address pregnancy weight gain, how much control women really have over it, and whether calorie restriction or tracking has any place in pregnancy.As always, we close with a round of quickies covering the purple line in labor, nursing to sleep, deciding whether to have a second child, ways to reduce the risk of preeclampsia, tips for managing morning sickness, hand pumping while breastfeeding, long first labors, frequent night waking, evening milk supply, shoulder dystocia, and more.Thank you for your excellent questions and please continue to call them in to our hotline at 802-438-3696 or 802-GET-DOWN.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-D

Today, we talk with Tiffany Belanger of @cosleepy about some of the challenges that may arise for co-sleeping families, whether you're trying to reduce night feeds, prepare for another baby, or simply want your bed back. We discuss how these transitions often unfold, including moving a child into a crib or floor bed, and why the experience can look completely different from one family to the next, depending on lifestyle, a child’s temperament, and the parents' mental and emotional states, like guilt, anxiety, exhaustion or embarrassment.This is a free-flowing, honest conversation, not a set of rules to apply. The goal of this episode is to prepare you for these transitions, normalize some of the challenges parents face, and offer a range of ways to move from one stage to the next that most resonate with you and your family.Tiffany on Instagram @cosleepy**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

We are back with another breastfeeding-only Q&A episode. In today's conversation, we respond to several listener questions related to nursing, sleep, and fertility after breastfeeding. One mother who is co-sleeping with her 15-month-old, who wakes three to five times per night to nurse, asks how she can help her toddler sleep longer stretches without abruptly stopping breastfeeding. Another listener with a 4.5-month-old who has never taken a bottle is planning to attend a bachelorette party when her baby will be about nine months old and asks how best to prepare. We also hear from a mother who recently weaned her two-year-old and then experienced a very early miscarriage, often called a chemical pregnancy, and wonders whether she should consider hormonal support before trying to conceive again.As for our Quickies: Is it concerning if a 12-week-old drops slightly on the growth curve while still gaining weight, what the issue is with the Boppy pillow for breastfeeding, and can you continue breastfeeding while taking antibiotics for mastitis? We also discuss healing cracked nipples after a tongue-tie release, whether milk will come in normally if you breastfeed during pregnancy, and whether lactation cookies or brewer’s yeast actually increase supply. As also cover oversupply with a second baby, postpartum chills when milk comes in, storing breast milk and keeping pump parts clean on long drives, preventing recurrent mastitis from oversupply, whether a mild tongue tie should be released if breastfeeding is going well, what a “nursing holiday” is and whether it can help supply and latch, and how to help a bottle-fed newborn latch to the breast.Just us on Patreon for our upcoming all-Quickies episode, exclusive to patrons-only.Controversial article we discussed in this episode:My Decision Not to Breastfeed with Elise Hewitt#239 | The Cost of Breastfeeding Versus Formula Feeding with Dr. Rhonda Trust, PhD**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded <a href='https://drinklmnt.com/pages/free-gift-with-purchase?rfsn=7184519.f5105df&utm_medium=affiliate&utm_source=downtobirth&utm_campaign=agwp&utm_content=&utm_term=&rfsn_cn=EXCLUSIVE%20

In today's episode, one of Trisha's clients, Holly, shares the story of two very different births and two equally different breastfeeding experiences, and what shifted between them.Her first labor began spontaneously but ended with a vacuum delivery, and the demoralizing message that her “pushes weren’t productive.”  Breastfeeding was just as difficult, leading to a year of mostly exclusive pumping and undiagnosed postpartum anxiety. Four years later, she approached birth with real preparation, a clear plan, and a timely transfer of care to a midwife who immediately changed the tone of her birth experience.This episode examines how preparation, autonomy, and the right support can change not only the course of a labor, but the way a mother understands her own strength.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Water birth has long been controversial, but more recently, a wave of claims has emerged from the natural birth community that water birth is dangerous for babies and disruptive to the physiologic process of birth. In this episode, we sit down with midwife Barbara Harper, the world's leading expert on water birth and founder of Waterbirth International, to explain the preponderance of evidence supporting the safety of water birth and to dispel circulating fallacies.We talk about the idea that babies can aspirate water, whether the diving reflex can fail, and the claim that water immersion interferes with a mother’s ability to respond to her baby during birth. Barbara explains what actually initiates a baby’s first breath, how the transition from fetal to newborn circulation works, and why arguments that water immersion causes a disruption to physiology that compromises babies don't hold up when you truly understand the physiology. Join us for yet another educational and fascinating discussion with Barbara.Catch our other episodes with Barbara here:#200 | Physiologic Birth of the Placenta in Water, Optimal Cord Clamping and Preventing Postpartum Hemorrhage with Barbara Harper#122 | Provider Green Lights: Interview with Barbara Harper on Holistic, Respectful & Supportive Birth Providers#100 | The Benefits of Water Birth: Interview With Barbara Harper**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBI

Welcome to the March Q&A!We begin today’s episode with a conversation about the strange, intrusive, and sometimes downright insulting comments women receive in public while pregnant. We also share a listener story about a home birth that took an unexpected turn when a woman’s mother, meant to support her during labor, ended up creating some chaos after drinking too much wine.Next, we address feeling unusually irritable toward an older child during pregnancy, what to consider after experiencing shoulder dystocia in two previous births, and whether an intact bag of waters could contribute to tearing during a very fast birth. We also discuss whether it ever makes sense to remain in an uncomfortable labor position in hopes of helping labor progress.As for Quickies, we cover questions about nursing pillows, pregnancy spacing, breastfeeding and fertility, bras for labor, sleep regressions, breast pumps, retained placenta, building a freezer stash, one of Cynthia’s favorite homemade salad dressing recipes, and the most famous people we’ve ever met. Thanks for being here, and enjoy today’s episode.PS: Check Patreon for more from Cynthia on salad dressings!**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In this episode, Abby shares her VBAC birth story following an emergency cesarean. Determined to experience a vaginal birth, she prepared carefully while navigating limited provider options in Alabama. What unfolded during labor and delivery underscores how provider behavior, rather than maternal physiology, often determines birth outcomes. Abby describes how a manual vaginal extraction caused a nearly catastrophic fourth-degree tear, requiring three subsequent surgeries in the months that followed and significantly disrupting her early postpartum period with her newborn.We ask Abby whether she has considered legal action against the doctor and hospital, and we explore how birth trauma shapes future decision-making. Abby explains why she is choosing a repeat cesarean for her third baby after this traumatic vaginal birth, and what autonomy and dignity can still look like within surgical birth.She also reflects on how faith, support, and intentional processing helped her move forward, and what she hopes other women will take from her story.Learn more about Abby here: http://www.abbyevelynphotography.com**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

When Trisha was pregnant with her second baby, she read Gentle Birth, Gentle Mothering — a book that completely reframed how she understood labor, and to this day remains her favorite book on pregnancy. Trisha's second birth unfolded in just three hours, a stark contrast to her first. That book was written by Dr. Sarah J. Buckley, and we've long dreamed of getting her on the show. That day has finally come!Dr. Buckley is a New Zealand–trained family physician and leading researcher on the hormonal physiology of childbirth, and today she walks us through the science of oxytocin and why it matters so profoundly in labor. We explore how the maternal brain modulates pain, how safety and privacy influence hormone flow, and why certain features of modern maternity care can unintentionally trigger stress responses that disrupt physiological birth.This episode is a deep dive into the biology of labor — and what women truly need for it to unfold as designed.In this episode, we discuss:The "Safety Triad": Why feeling private, safe, and unobserved is a biological requirement, not a luxury.The Pitocin Paradox: The shocking truth about synthetic "oxytocin", its unknown half-life, and why it doesn't offer the same brain benefits as the real thing.The Epidural Gap: How numbing the sensation of labor interrupts your natural hormonal feedback loop.The Baby’s Experience: What the fetal catecholamine surge is and what it means for your newborn’s first moments after birth.Sarah BuckleySend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon here<a href='https://www.instagram

Six seasons later, we are revisiting one of our first episodes of this podcast: Using evidence-based care to plan your birth. Much of what happens in labor is presented as standard, routine, or unavoidable—but that doesn’t mean it’s evidence-based. Birth care hasn’t become more complex because women need more intervention. It’s become more complex because intervention has become the default. If you’ve ever wondered whether what’s happening in labor is truly backed by research—or simply “standard protocol”—this episode is for you.In this conversation, we get back to the basics, examining how modern birth is typically managed, where that approach aligns with evidence, and where it too often doesn’t. This episode gives you an evidenced-based framework, so you can better evaluate the care offered and recognize when something supports physiologic birth or when it may quietly interfere with it.Listen with your partner, take notes, and use this episode as a guide for thinking more clearly about the choices that shape your birth.#9 | Birth Plan 101: Evidence Based Birth as the Safest, Smartest Approach**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to the February Q&A!  We begin with a brief reflection on a mother's need to find time for play (not with her children but for herself) and creativity during early parenthood, before diving into your questions. Today’s episode addresses a common pattern in maternity care: past birth experiences being used by providers to justify predetermined interventions in subsequent pregnancies.One listener asked, do women need to get out of the tub for fetal heart rate decels, and is this based on policy or physiology? Is Pitocin given after heavy bleeding in a prior birth justifiable for routine use in a subsequent birth? Additionally, we explore the long-term impact of episiotomies and membrane sweeps performed without consent, and address myths about posterior (OP) babies and whether those conditions are mother-specific or unique to each pregnancy. Finally, we talk about water breaking before labor and how much time most women realistically have before intervention is generally recommended (and whether it is actually needed).As always, we close with quickies, including our best beauty tips (no, it is not a product you can buy).Thank you for the excellent questions. Call us anytime at 802-438-3696. That's 802-GET-DOWN! Oh, yeah, if you loved this episode, leave us a 5-star review, and thank you!**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today's episode, mother of two, Samantha Collignon, joins us to share two very different birth experiences separated by thirteen years. She gave birth to her first baby at 18 with minimal support and limited understanding of her options. At 31, married and deeply informed, she approached birth with education, confidence, and a strong sense of autonomy, resulting in a profoundly different and blissful birth experience.Samantha reflects on how age and life stage shaped the way she was perceived by medical providers, shares how IVF factored into decision-making during her second pregnancy, and why an induced labor can still be a everything you wished for in birth. **********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In this episode, we talk to Moran of @2lifedoula, a doula whose journey into birth work was born from her own harrowing transition into motherhood. Moran candidly shares the story of her first birth—a clinical, disconnected experience where lack of preparation and resurfaced childhood trauma led to a "full-blown panic attack" and postpartum depression.Knowing that wasn't how birth was meant to be, Moran transformed her approach for her subsequent birth, ultimately having a euphoric, spontaneous home birth. This transformation sparked her 14-year career as a doula and inspired her new book, Before You Give Birth, written for the woman she once was: unprepared, overwhelmed, and unaware of her own strength.Moran explains why birth is a portal of transformation, regardless of the outcome, and offers a roadmap for women to heal and advocate for themselves, whether you are a first-time mother or a birth professional.2lifedoulaBirthing Without Trauma & Fear**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Tearing is one of the most common fears around birth—and one of the most misunderstood. In this episode, we talk about what really causes tearing, what the research shows, and what you can do to reduce your risk. We cover perineal massage, positions for birth, breathing and pacing, water birth, warm compresses, and what makes recovery smoother.Through the episode, we review our followers' real-life "tearing" stories, and provide our commentary, which includes labial tears, scar tissue, pelvic floor recovery, over-stitching and unnecessary repairs, how beliefs and fear affect pushing, poor suturing techniques, the harm caused by routine episiotomies and the so-called, absolutely outrageous, “husband stitch”. This is an honest, evidence-based conversation about the perineum—how to protect it, how to heal, and what every woman can know before giving birth.Watch our full Preventing Perineal Tears workshop on Patreon.com/DownToBirthShow.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to our first monthly Q&A episode of Season 7!In today's episode, we discuss why C-sections are sometimes framed as “prevention,” how fear around tearing, fetal monitoring, or cord concerns impacts clinical decision-making, and why breaking the bag of waters is still routine practice despite clear risks and limited benefit. We explain what delayed cord clamping looks like during a cesarean and why vague language like “misplaced cord insertion” can unknowingly lead to unnecessary intervention. Additionally, we talk about nursing while pregnant, early breastfeeding challenges, frozen breastmilk, feeding to sleep, and other common postpartum concerns. Lastly, Barbara Harper joins us to dispel the fear around water birth by explaining the exact physiology of newborn transition under the water. As always, thanks for calling in with your questions. Call us anytime at 802-GET-DOWN (that's 802-438-3696).**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In this episode, Jessica shares the breastfeeding journey she never expected. After a smooth birth at a birth center, feeding quickly became complicated: flat nipples, an early nipple shield, a missed first feeding window, a significant tongue tie, and a baby who grew increasingly sleepy and underweight. What followed was weeks of pumping, weighted feeds, donor milk, tongue-tie revision, and the ongoing effort to understand why breastfeeding wasn’t working despite doing everything “right.”Jessica describes the emotional strain of those early weeks, from feeling inadequate to questioning her own anatomy, and the constant fear she was letting her daughter down. This conversation brings needed attention to the realities behind many breastfeeding challenges and the gaps that leave mothers without the support they need. **********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

In today’s breastfeeding Q&A, we take calls from mothers facing the challenges that often arise well beyond the newborn phase. We begin with a question about nursing an eighteen-month-old who lifts his mother’s shirt the moment she sits down, and what healthy boundaries can look like when a toddler is still deeply attached to nursing. From there, we address concerns about forceful letdowns, oversupply, pumping routines, and the role of pacifiers when feeding becomes overstimulating for the baby. We also take a call from a mother with a three-week-old who experiences gas and discomfort at the breast, and we discuss the differences between oversupply, fast flow, and the possibility of oral restrictions.Today's conversation highlights how individual feeding dynamics are and why a tailored approach is always necessary.Thank you for your thoughtful questions and for your continued support of the show. To submit your questions for a future episode, call our hotline at 802-438-3696, that's (802) GET-DOWN.**********Send us Fan MailAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 also talk about the myth of the woman who can do it all, the importance of presence over perfection, and how stability—not constant stimulation—is what children remember and rely on most.Together, we examine how modern mothers can reclaim postpartum and motherhood as a sacred and restorative experience, and how that same understanding can shape calmer, more confident parents -- and children -- in the years that follow.Dr. Morgan MacDermott on Instagram**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 narrowly avoided.Prompted by one woman's considerate voice message, you'll also hear Cynthia reflect candidly on grief, resilience, and what this past year has taught her.All bets are off for this episode, where we have spontaneous conversations from one topic to the next. Thank you so very much for being a part of our community, and for listening, calling our phone line, supporting our work, and sharing our commitment to evidence-based conversations about pregnancy, birth, postpartum, and motherhood. Season Seven begins next week with a very exciting year ahead!Enjoy today's episode ad-free, and consider joining us for ad-free episodes all the time, for just $29.99 on Apple Podcasts. Finally, as a special end-of-year invitation, we’d love to welcome you into our Patreon community. For a limited time, you can get 40% off an annual membership of any tier using the code WELCOME2027. Patreon supporters receive ad-free episodes, extended content, access to our book club, and our growing library of past workshops and live events. Joining Patreon is the most direct way to support the work we do, deepen your engagement with us and be part of the conversations that shape everything we create.Thank you again for supporting Down to Birth and we'll see you next week for our first episode of Season Seven!**********Send us Fan MailAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum

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 stillbirth at 38 weeks, a shoulder dystocia at 42 weeks, an ambulance transfer during a home birth, and what happens to the doula’s mind and body afterward. We explore the ethical tension between educating clients toward physiological birth and supporting every decision they make, even when those decisions give the doula pause.We also look at the limits of “evidence-based” care, why risk can never be reduced to zero, how to think about induction at 42 weeks, big babies, shoulder dystocia, and continuous fetal monitoring without slipping into fear or blind trust in the system. For pregnant women and birth workers alike, this conversation examines responsibility, intuition, and the space between over-medicalized birth and simplistic reassurance.Sarah and Lara share how these losses changed their practice, how they now talk to clients about risk and responsibility, and what it truly means to “hold space” when the worst outcome occurs. We also talk about nervous system strain, how doulas know when they need a break from their work, and why no doula should have to process these experiences alone.For women who are pregnant, this episode offers perspective on how rare events are understood by the people supporting you, and how to stay rooted in your own values, intuition, and sense of responsibility. For birth professionals, we discuss burnout, secondary trauma, why partnership matters so much in this work, and how a strong professional doula partnership can make the difference between quitting and continuing onward with new clients after witnessing a client's loss.#196 | The Toughest Part of Being a Doula with the Dynamic Doulas of London, OntarioDynamic Doulas on Instagram**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric<a href='https://thisisneeded.com/?i

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 know if your baby’s latch is correct, or whether your milk will “come in” at all, this conversation will leave you informed, grounded, and far more at ease about what’s to come. You, along with your baby, can absolutely know breastfeeding success. Watch this episode in full video format on YouTube.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 understanding of risk, normalcy, and surgical intervention.Just as her son's medical journey was unfolding when he was just a few months old, Sophia found herself pregnant again—depleted, caring for a fragile infant, and facing new legal restrictions in California that removed home birth as an option. She entered the hospital as a confident midwife who expected to advocate for herself, only to discover how difficult it is to hold onto intuition when confronted with pressure around breech, preterm labor, and surgery.After her daughter’s premature birth, Sophia and her husband were told the baby’s lungs had collapsed, that there was “nothing more they could do,” and that she was unlikely to survive or at best, would require oxygen all her life. A desperate post to Facebook caught the attention of a chiropractor, who responded that she could see the issue and restore the baby to wellness. Her treatment was performed quietly after being snuck into the hospital, and led to a recovery so dramatic that it reframed Sophia’s entire understanding of newborn physiology and the role of chiropractic care.Born Wild Midwifery**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTH<a href='https://energybits.com/discount/DOWNTOBIRTH?rfsn=8547832.32bb23&utm_source=refersion&utm_medium=affiliate&utm_campaign=8547832.32

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 coined the term VBAC. Nancy answers a listener’s question about an anterior placenta in a planned VBAC and explains what her decades of experience tell us about how placentas behave in utero. We also discuss endometrial polyps and whether a biopsy could affect future fertility, how to handle conversations about home birth within a hospital work environment, and how to choose a midwife when you have numerous options and like them all. In Quickies, we cover making baby-wearing more comfortable, the myth that labor “starts” at one centimeter, chiropractic versus pelvic floor PT in pregnancy, relieving newborn gas, timing big changes during teething, postpartum nutrition, and even whether to skip airport scanners while pregnant. We end with each of us pondering which baby names we’d choose today and our favorite ways to spend a slow morning at home.VBAC: How to Plan for Success#257 | Labor & Delivery Nurses' Roundtable: How Their Hands are Tied to Doctors' Orders#273 | Special Q&A Featuring Nancy Wainer on VBAC and More**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded

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 explore how stress and separation impact early brain development, why sleep training often overlooks fundamental physiology, and how parents can align their routines with their baby’s natural rhythms to improve sleep for everyone.This conversation replaces confusion and guilt with evidence and understanding, helping parents see night wakings as a feature of healthy development—not a flaw to fix.Mouthernourishnuture on InstagramLouise Herbert: Rest Assured **********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 approach works with your body instead of against the clock, and most are evidence-based and easy to do. Whether you’re nearing your due date, facing induction, or simply want to feel prepared for whatever may come, this conversation gives you all the "hacks" to get you down to giving birth! #176 | August Q Evening Primrose Oil; Safe Bed-Sharing; Breastmilk Stashes; Failure to Descend; Pushing; High Blood Pressure**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 suffering in silence, and what the research reveals about both the prevalence of these symptoms and the safe, effective treatments available — including pelvic floor therapy, moisturizers, lubricants, and topical vaginal estrogen.These symptoms are common, but they are not inevitable. By naming and studying them, we open the door to treatment and better care.**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 partners can catch the baby, and why so many providers still insist mothers push on their backs.We then cover laboring down and whether it increases risk, the truth about the “30-minute rule” for delivering the placenta, and how prenatal Pilates affects the pelvic floor. We also answer a listener’s question on how to explain conception and birth to young children in a clear, age-appropriate way.Quickies this month: Can an OB tell if a baby is head down without an ultrasound? Do lip ties need correction? Which supplements actually help milk supply? Is estrogen cream useful postpartum? PT vs. chiropractor in pregnancy? Plus a few lighthearted ones, including our guilty pleasure shows, whether we wash our walls, and what we’re currently reading.Call us anytime with your questions, comments, or stories at 802-GET-DOWN!**********Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 perfect contrast: a planned home birth that stalled, restarted after midnight, and ended an hour later with three strong pushes before the midwife could arrive.In this episode, we explore how to choose hospitals based on cesarean rates, what to know about induction protocols (low and slow, and when to stop Pitocin), gestational hypertension vs. preeclampsia, recognizing white-coat hypertension, and why mental training may be the most powerful tool in birth.**********Check out all our sponsor offers here:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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:How child-led weaning works at 14 months, 18 months, and 2 years oldNursing strikes at 6 months — why they happen and how to respondNight weaning tips: gentle strategies without losing daytime breastfeedingWhy milk supply sometimes doesn’t come in (and hospital factors that affect it)How to stop biting while breastfeeding (without turning it into a game)Coping with strong or painful letdowns and oversupplyBreastfeeding myths: Does breastfeeding cause cavities?Nutrition for moms: hops, beer, and spirulina for milk supplyHow to manage sleep deprivation, co-sleeping, and even feeding twinsFor quickies, we tackle rapid milk ejection, breastmilk and cavities, reducing oversupply, biting, all-night latching, beer & milk supply, nipple damage, feeding twins. Watch this episode in full video format on YouTube.Thank you to everyone for these great questions and remember you can call us any time at 802-GET-DOWN (that's 802-438-3696). See you next week!**********Our sponsors, Patreon, and contact info are below:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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 behavior without harmful labels, set loving boundaries that build security, and handle big emotions—whether in the safety of your home or the middle of a grocery store. We discuss sibling jealously, strategies for parental preference, how to handle tantrums, time-outs, spanking and boundaries. Then we ask Devon your questions at the end, quickie style! Watch this episode in full video format on YouTube.**********Check out all our sponsors here:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

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.Michelle shares insights on when a frenotomy is truly needed, the risks of unnecessary or too-early releases, and why myofunctional therapy and whole-body approaches are critical for optimal long-term outcomes. This episode is a must-listen for parents, birth professionals, and anyone seeking a deeper understanding of how tongue-tie influences health even before your baby is born. Watch this episode in full video format on YouTube.Michelle's WebsiteInstagramOur Patreon Event with Michelle**********Our sponsors, Patreon, and contact info below:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon here<a href='https://www.in

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:Homebirth vs. family pushback: My sister is a labor & delivery nurse, my family isn’t supportive, and my MIL has no boundaries. What should I do?Breastfeeding oversupply: I had a major oversupply with my first baby—will it be worse or the same with my next?Birth interventions: In my first birth, my midwife used hands-on pushing techniques and I was given continuous antibiotics. Were these necessary?In the extended version of today's episode available on Patreon or Apple subscriptions, we answer additional questions on:preparing for a long home birth after a cesarean (HBAC) and how to avoid hospital transfer, "failure to progress" in a vaginal birth after cesarean (VBAC), whether we consider water birth to be a birth intervention, and if it is ok to sleep on your back in pregnancy. Finally, in quickies, we discuss: the best HypnoBirthing class (ha), preventing perineal tearing, cycle length & gestation, our current favorite podcasts, breast reductions and breastfeeding, posterior babies, pushing length and positions, and a favorite item in our homes.  Thanks, everyone, and call us any time at 802-GET-DOWN! That's 802-438-3696.Watch this episode in full video format on YouTube.**********Our sponsors, Patreon, and contact info below:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Pa

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 recognize your triggers, uncover the roots behind them, and respond in ways that protect your mental health, improve your relationships, and bring more peace into your home.Watch this episode in full video format on YouTube.**********Our sponsors, Patreon, and contact info below:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packUse promo code: DOWNTOBIRTH for all sponsors.Send us Fan MailAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon</

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 labor—on the car ride to the birthing center. The experience brought her so much peace that she became completely silent in the throes of labor, and the drive—one she had made many times in previous labors—felt to her like just five minutes. As our conversation unfolded, we talked about why it may have happened then, and why it hasn’t happened since. She recognizes her story will inevitably leave some incredulous, and she admits she sometimes has to remind herself how very real it was. In fact, her birth video shows her describing the encounter to her husband immediately after her baby was born. Emily also reflects on how the experience left her feeling humbled by God’s nearness—not “special” or “chosen”—but deeply comforted, grateful, and mystified.At the end of the episode, Emily lets us into the world behind her on-screen presence, answering our listeners’ questions about past jobs, family size, support systems, and marriage—making our conversation both deeply inspiring and refreshingly honest. She speaks openly about balancing the chaos of a big family, the grounding practices that help her in moments of overwhelm, and the ways her faith, humor, and disposition keep her marriage strong. If you think you couldn't love Emily Vondy more than you already do, this episode just may prove you wrong. Watch this episode in full video format on YouTube.**********Our sponsors, Patreon, and contact info below:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded Dri

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:Why vaginal birth, skin-to-skin contact, and early exclusive breastfeeding are the gold standard for seeding a healthy microbiome;How C-section birth changes microbial exposure—introducing hospital and staff microbes instead of the mother’s;Why even a single bottle of formula can shift the gut microbiome, and how exclusive breastfeeding and skin-to-skin can help restore balance;The fascinating recent research about vaginal seeding during C-sections...is it actually effective?The impact of newborn exposure to maternal gut microbes at birth;How the microbiome begins to “lock in” by age 2–3, and ways to keep building resilience through early childhood.Buckle up for some mind-blowing ideas in this episode! As always, Mother Nature has the perfect, albeit a little dirty, plan! Microbirth FilmInstagram: Toni HarmanWatch this episode in full video format on YouTube.**********Our sponsors, Patreon, and contact info below:Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon here<a href='ht

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 cravings in pregnancy and is wondering what advice we have to reduce those cravings.In the extended episode, available on Patreon and Apple subscriptions,  we address the benefits of exclusive breastfeeding over exclusive bottle-feeding, whether or not you should have a planned cesarean after a shoulder dystocia, and if moxibustion works to turn a breech baby. Quickies: Fundal height measurements, prenatal appointments at the end of pregnancy, hemorrhoids, spotting postpartum, short breastfeeds, LEEP procedure and cervical scar tissue, high lipase milk, laboring down, restless legs in pregnancy, and finally, would we tell anyone about our pregnancy before 12 weeks? Call us with your questions, comments or stories at 802-GET-DOWN!Watch this episode in full video format on YouTube.**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packUse promo code: DOWNTOBIRTH for all sponsors.Send us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded <a href='https://drinklmnt.com/pages/free-gift-with-purchase?rfsn=7184519.f5105df&utm_medium=affiliate&utm_source=downtobirth&utm_campaign=agwp&utm_content=&utm_term=&rfsn_cn=EXCLUSIVE%20GIFT%20FOR%20the%20down%20to%20birt

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 asleep during the day. We talk about the biological cost of blue light, the myth of the night owl, and how shifting even small habits—like going outside at dawn or switching a lightbulb—can radically change the way we sleep and parent.We also explore melatonin myths, the complex hormonal dance between light and reproduction, and why syncing your body to natural light is not just a lifestyle tweak—it’s a return to something deeply human.This episode offers no quick fixes, but rather a steady reminder that rest is not a luxury—it’s a birthright. And it begins not with a supplement or a schedule, but with the rising sun.Dreamwalkerz: Use Promo code DOWNTOBIRTH1 to save 10%Instagram: DreamwalkerzThe Melatonin Makeover#172 | Our Sexual Energy as the Secret Weapon to Our Best Birth and Best Life with Kim AnamiSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGY

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-section rates drop -- as do all other routine interventions. Physiologic birth is more likely. Breastfeeding is more successful. And most important, mothers walk away feeling more satisfied and supported. Doulas are, and always have been, the original birth keepers. Their presence makes birth safer, more humane, and more aligned with what women actually want and need.In today’s episode, we hear directly from doulas about what they’re up against—and why, despite it all, they keep showing up. We also share our reflections on what it means to support doulas as they continue this vital work.**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packConnect with us on Patreon for our exclusive content.Email [email protected] @downtobirthshowCall us at 802-GET-DOWNWatch the full videos of all our episodes on YouTubeSend us Fan Mail Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded <a href='https://drinklmnt.com/pages/free-gift-with-purchase?rfsn=7184519.f5105df&utm_medium=affiliate&utm_source=downtobirth&utm_campaign=agwp&utm_content=&utm_term=&rfsn_cn=EXCLUSIVE%20GIFT%20FOR%20the%20d

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 ease.In this episode, Jessie shares her story of intuition, flexibility, and trust in her body and baby. It’s an inspiring reminder that sometimes birth doesn’t go according to plan—and that’s exactly what makes it beautiful.**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packUse promo code: DOWNTOBIRTH for all sponsors.Send us Fan MailAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded DrinkLMNT Primally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits SuperfoodJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on <a href='ht