

Down to Birth
Cynthia Overgard & Trisha Ludwig
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.
Episodes
Mentioned books

Apr 23, 2025 • 47min
#313 | Including Children at Birth: Should They Be There? with Dr. Morgan MacDermott
What happens when we invite our children into the sacred space of birth? In this episode, we’re joined by Dr. Morgan MacDermott, a naturopathic doctor, perinatal health specialist, and mother of four, to talk about the transformative experience of having siblings present at birth. We tackle the key questions: Should all children be present at birth, and if not, which considerations should be considered? Will they be scared? Will the mother be able to stay focused? What happens if they get uncomfortable, and how much do you really need to prepare them for witnessing birth?Children at birth isn't what every woman wants, which is the most important factor to consider. We discuss why some women dream of this option, and how our own children responded to being present at their younger siblings' births. This conversation is for any parent who wants to challenge the fear-based cultural narrative around birth and raise children who understand that birth is not something to fear—but something to trust and witness with reverence and awe. Morgan MacDermott on InstagramRemember to watch our full episodes on YouTube!**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 pack Not a Sponsor but HIGHLY recommended: ENERGYbits Save 20%Use promo code: DOWNTOBIRTH for all sponsors.Send us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Apr 16, 2025 • 47min
#312 | Avoiding the Unnecessary Cesarean: A Five-Step Evidence-Based Approach
Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference?In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded, evidence-based approach for avoiding surgery when it isn’t truly needed. From provider practices to birth environments, timing to interventions, we explore what really makes a difference in protecting your ability to give birth naturally.We also talk about the deeper side of birth: how your nervous system, your sense of safety, and your trust in your body all play a powerful role in how birth unfolds. If you’ve ever been told you might need a C-section because your baby is “too big,” or you’re wondering how to stack the odds in your favor for a physiological birth—this episode is for you.Watch the full videos of all our episodes on YouTube!**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packENERGYbits--the superfood every mother needs for pregnancy, postpartum, and breastfeedingUse promo code: DOWNTOBIRTH for all sponsors.Send us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Apr 9, 2025 • 42min
#311 | Listen to Me: Black Maternal Health, Tragedy, and the Fight for Change
In honor of Black Maternal Health Week, we’re joined by Stephanie Etienne and Kanika Harris, creators of the documentary Listen to Me. The film follows the pregnancy and birth journeys of several black women. It reveals a devastating reality: Black mothers in the U.S. and U.K. are dying in childbirth at far higher rates than white women regardless of education, income, or resources.Kanika shares the heartbreaking story of losing her twin babies after a sudden onset of preeclampsia and HELLP syndrome. Though she arrived at the hospital by ambulance, bleeding and in critical condition, she was still stopped at the front desk and asked for insurance information before being evaluated. The tragedy was compounded when her husband, Jua, was advised not to tell Kanika the whole story about the fate of her babies, out of concern that Kanika might not survive if she received the devastating news while her own health was so tenuous.We talk with Stephanie and Kanika about why they made the film, what they want every pregnant woman to know, and how Black families are often treated with suspicion or disregard in medical spaces. They also speak of the grief carried by partners, families, and entire communities when a mother is lost.Listen to MeListen to Me on InstagramWatch the full videos of all our episodes on YouTube!**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packSend us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Apr 2, 2025 • 58min
#310 | The Co-Sleeping Controversy: Overcoming Fear & Supporting Instincts with Isadora of Happy Co-Sleeper
What if sleeping beside your baby isn’t dangerous—but actually protective? In this episode, we talk about one of the most instinctive things mothers do—and one of the most feared and judged: co-sleeping. Today's guest is Isadora Ambrose, founder of Happy Co-Sleeper and a certified holistic infant sleep specialist.Why are parents told to never sleep with their babies when every cell in their body wants to keep them close at night? Isadora breaks down what makes co-sleeping safe (and what makes it unsafe), how studies are often misinterpreted, and why so many parents end up co-sleeping anyway—without the right support or setup. We discuss breastfeeding, chest-sleeping, the role of the mother’s body in keeping babies safe, and how co-sleeping protects against sleep deprivation and unsafe sleep situations. (You'll also hear Isadora's opinion on the SNOO!)We also explain how co-sleeping changes as your child grows—what to do as your baby becomes a toddler, how to bring a new sibling into the mix, and how to keep your relationship intact while sharing sleep with your child.This is an honest, reassuring conversation for anyone who's ever felt torn between what feels natural and what they've been told is “safe.” Happy Co-SleeperIsadora on InstagramRemember to watch our full episodes on YouTube!**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packNot a Sponsor but HIGHLY recommended: Send us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Mar 26, 2025 • 39min
#309 | March Q&A: Uterine Rupture Risk; Weaning without Guilt; Home Birth Laws; Timeframes for Placental Birth; Precipitous Birth; Botox and Nursing
Cynthia and Trisha are back with the March Q&A episode! This one kicks off with a fun discussion on things that our Instagram followers think people should know but don’t—like how, when you say you’re eating a kiwi, you’re actually referring to either a kiwi bird or, worse, a person from New Zealand!In today’s Q&A episode, we answer these questions:Do I need to schedule a cesarean at 40 weeks if I’m planning a VBAC? My OB says I do.How do I know when it’s time to wean from breastfeeding, and how can I do it without feeling guilty?What are my options if my state says it’s illegal to give birth at home after a previous cesarean?In the extended, ad-free version, available on Patreon and Apple subscriptions, we cover:My second birth was only 45 minutes long, and my baby was born in the car on the way to the hospital. How can I prevent or better prepare for a rapid birth with my third baby?Will dropping a pumping session with my eleven-week-old baby affect my milk supply?How long is too long to wait to deliver the placenta, and how can I help it come out more quickly?Finally, in the "quickies" segment, we touch on a variety of topics, including alternatives to Pitocin, botox while breastfeeding, swimming in public pools during the third trimester, finances & family planning, and dealing with the awkward situation of being told your baby can't attend a baby shower—and much more!Remember you can watch all our episodes now in full video format on the Down to Birth YouTube channel! Thank you, as always, for your fantastic questions! Keep them coming to our hotline at 802-438-3696. We promise we won’t answer! :)**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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%Use promo code: DOWNTOBIRTH for all sponsors.Send us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Mar 19, 2025 • 1h 4min
#308 | Mammogram Myths: Safer Ways to Screen for Breast Cancer with Dr. Jenn Simmons
In today's episode, Dr. Jenn Simmons shares her powerful journey from a leading breast cancer surgeon to an advocate for functional medicine and holistic health. Drawing from her personal experience with illness and healing, Dr. Simmons discusses the dangers and limitations of traditional breast cancer screening with mammography and offers insight into safer, more effective alternatives like QT imaging, the ARIA test, and the importance of self-breast exams.This conversation is especially relevant for pregnant and postpartum mothers who want to make informed decisions about their health. We cover how lifestyle choices, metabolic health, and early detection practices can play a significant role in breast cancer prevention.If you've ever questioned mammography, you were right to do so. Today, we offer evidence-based alternatives to conventional care, expose the myths and dangers of mammography, and teach you about the most important tool that you already have to help detect and prevent breast cancer. Dr. Jenn Simmons on Instagram**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packENERGYbits--the superfood every mother needs for pregnancy, postpartum, and breastfeedingUse promo code: DOWNTOBIRTH for all sponsors.Send us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Mar 12, 2025 • 47min
#307 | When Labor Stalls: Recognizing and Resolving Dystocia with Midwife Molly O'Brien @biomechanics_for_birth
Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—both during pregnancy and labor—can promote a smoother, more efficient birth.Our discussion covers:The definitions of labor dystocia and why there is no universal consensus;How fetal positioning impacts labor progress and ways to optimize it;The effects of maternal posture, movement, and soft tissue balance during pregnancy and birth;Understanding biomechanics in making space for the baby and easing labor challenges;How the medical model misinterprets and over-manages normal variations in labor; andPractical strategies to prevent and resolve labor dystocia naturally.When a mother and baby are doing well in labor there is no upper limit to how long her labor can go. No woman should be diagnosed with failure to progress, a term we reject. This episodes provides insights and tips to optimize your labor and your baby's position and reduced the chances of experiencing a long, difficult labor.Molly O'brienMolly on Instagram**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packSend us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Mar 5, 2025 • 42min
#306 | Breastfeeding Q&A: Engorgement & Oversupply; Sleepy Feeders; Hands-Free Pumps; Foremilk/Hindmilk Imbalances; Cracked Nipples
Do you know the "hi" joke? If not, you haven't been listening long enough or need to go back to our earliest episodes, lol! If you haven't been there you should. We have some amazing episodes from season one.Anyway, today is all about breastfeeding. Trisha answers our listeners' questions on the following:Are there any techniques to relieve engorgement and over-production of milk in the early days to be more comfortable? And Cynthia asks Trisha: Why is oversupply such a problem, anyway?What do you recommend for extra sleepy babies to help them breastfeed when they're demonstrating a preference for bottles over breast? Could being born prematurely have an impact on the situation?Is it ok to use a portable, hands-free pump instead of double electric pump? And find out why it might be best to engage in a side activity while pumping.Does breastfeeding reduce your calcium stores in your bones and should you take more calcium while breastfeeding?For quickies we touch on foreceful letdowns, foremilk/hindmilk balance, breastfeeding apps, breastfeeding without pillow support, cracked nipples, bottle introduction, and our bravest breastfeeding experiences!Over on YouTube, Trisha provides a demonstration of latch on her preferred bottle for breastfeeding babies. To work with Trisha virtually or in person, please text 734-649-6294. In-network coverage with major insurance companies.**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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 packENERGYbits--the superfood every mother needs for pregnancy, postpSend us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Feb 26, 2025 • 46min
#305 | February Q&A: Induction at 37 Weeks, "Lazy" Feeders, Low-Lying Placenta, PPD, Respiratory Distress in Newborns, Kick Counts
Welcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions:1. Is there such a thing as a lazy newborn, and if so, what can you do about it?2. Can my placenta detach in pregnancy? My OB told me I can't have sex because my placenta is low-lying and it could separate. 3. I have a diagnosis of gestational hypertension. If my blood pressure goes down, do I still need to be induced at week 37 as the OB is recommending? In our extended episode, we discuss when or not medications may be needed for postpartum depression, what increases the risk of cervical tears and hematomas, and what to do about respiratory distress in newborns born at home. Lastly, in quickies, we talk about doulas at birth, suggest the one question you should ask your midwife or doula, and answer whether you need to track kick counts. We discuss breastfeeding and laser hair removal, phototherapy and jaundice, and whether or not we start our day with a dry or wet toothbrush, among other morning routines. Thank you as always for your wonderful questions, and please keep them coming by calling 802-438-3696. For the extended version of this episode, please subscribe on Apple subscriptions or join us on Patreon.**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.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%Use promo code: DOWNTOBIRTH for all sponsors.DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packSend us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Feb 19, 2025 • 40min
#304 | Why Algae is the Superfood for Fertility, Pregnancy & Postpartum Health
In today’s episode, we explore the powerful benefits of spirulina and chlorella—two superfoods that boost energy, improve digestion, and alkalize your body, especially during pregnancy. Each tiny tablet is pure food with the nutritional equivalent of an entire plate of vegetables. Trisha noticed a significant difference in her energy level during her workouts once she started taking spirulina each morning. So we've invited Catharine Arnston, founder of EnergyBits, to explain why these nutrient-dense algae offer superior nutrition. Spirulina, packed with amino acids, delivers 99.9% bioavailable protein for clean, sustained energy. It's also rich in chlorophyll and phycocyanin, which support mitochondrial health and cellular protection. Chlorella, on the other hand, helps detoxify the body and relieve constipation—a common pregnancy discomfort—while replenishing essential nutrients.During pregnancy, spirulina supports fetal brain development with nutrients similar to breast milk, while chlorella provides immune support and gentle detoxification. Plus, with just one serving equaling 1,000 grams of vegetables, these superfoods make filling nutritional gaps easy and affordable.We also cover how to incorporate spirulina and chlorella into your routine, recommended doses, and their key differences: spirulina for nourishment, chlorella for detoxification.If you're looking for a natural way to boost energy, improve digestion, and support a healthy pregnancy, this episode is packed with insights you won’t want to miss. Algae is one of the most rigorously studied foods in the world and has been deemed the solution to world hunger.We are so excited to bring you this amazing superfood! Try it today using promo code: DOWNTOBIRTH to save 20% on your first order. For $7 per week, you can relinquish your worries about ensuring the best nutrition for your baby and your body.ENERGYbits**********Our sponsors:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favoritSend us Fan Mail Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% offJoin Patreon for our exclusive contentIG @downtobirthshowDown to Birth ShowCall 802-GET-DOWNWatch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.


