Down to Birth

In last week's episode (#272) you met legendary midwife-author Nancy Wainer. Well she's back today for Part II, where she joins us in a Q&A-style episode to answer our listeners' questions. Nancy experienced the first planned VBAC in the United States and she coined the acronym itself in her first book, Silent Knife, published in 1983. She has over 40 years of birth experience and has supported women through some incredible births that almost certainly would have resulted in surgery in any other environment. Today, she takes questions from our community including:1. What are the common characteristics of women who have had successful VBACS2. Is it still safer and healthier to have a VBAC if it has been less than 18 months since your cesarean?3. Is a classical cesarean incision truly a contraindication to VBAC4. How much impact does the shape of a woman's pelvis have on her labor?5. Is there ever an indication to break a woman's bag of water in labor?We are honored to have her wisdom and advice to share with our community and this won't be the last time you hear from her!**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors. Send us Fan MailNeeded <-- 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.

This episode has been a long time coming and is finally here! Meet Nancy Wainer, the legendary woman who began the Vaginal Birth After Cesarean (VBAC) movement. Not only did Nancy coin the term VBAC, but she is the first on record in the United States to experience a planned VBAC. Nancy has been a midwife, fierce birth advocate, author, mentor, and teacher to thousands and thousands of women, mothers, and birth professionals over the last forty-plus years.  Today, we are honored to have her join us to share the story of her traumatic first birth and what led her to become the incredible midwife, author and birth educator she is today. This midwife has turned no woman away: mothers in her care are given the prenatal care and birth support they deserve when no one else will work with them. Nancy discusses who, if anyone, should be induced, what makes a good home birth candidate, why you shouldn't drink milk in pregnancy, and the importance of switching sides in your bed. If you are considering a VBAC or just want to hear what it means to truly trust women and their bodies, you will relish every word from Nancy Wainer and her story. Also: Stay tuned for Part II: a special Q&A episode with Nancy next week! **********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above 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.

Welcome to the June Q&A with Cynthia and Trisha! Today, we start the episode with all the romantic, hilarious, and random ways our community met their spouses, and we finish the episode with one woman's question to us: "If you were a dog, what kind would you be?" -- you'll hear us reach out to a friend on the spot to answer that question for us. In the regular version of this episode, we answer the following questions:Help! I am losing trust in my body after having experienced miscarriage. What do I do?My midwife told me I that my pelvic shape causes me to have back labor and a posterior baby. Is this true?How can I manage negative comments at work about pregnancy in general?Is artificial rupture of membranes a necessary part of induction for pre-eclampsia?In the extended version of today's episode, available on Patreon and Apple subscriptions, we answer the following:Should you limit time spent breastfeeding to ensure a baby doesn't burn too many calories feeding at the breast?Do I have to be monitored continuously in labor for high blood pressure?Does consuming the placenta or cord tissue after after birth prevent postpartum hemorrhage? My midwife told me this is a biohazard. Is this true?As always, we close with a round of rapid fire quickies! Thank you for your excellent questions and please continue to call them in to our hotline at 802-438-3696 or 802-GET-DOWN!**********Down to Birth is sponsored by: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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. BSend 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.

Can you imagine giving birth without ever "checking on" your baby? Without a test, an ultrasound, a need for reassurance from others that your baby is okay? And, what does it mean to cross the threshold from Maiden to Mother? How does a woman step into her wiser feminine self, relinquishing her controlled, organized, masculine energy and need for control in birth? What is required of a woman to feel so safe in her body that she can release hypervigilance and surrender fully to the power of her body? These are some of the untraditional questions we consider in this deeply provocative conversation with Lea, the woman behind Trusting Birth and the Wise Woman Diaries Podcast. This open and deeply personal episode invites us to look more closely at our lifelong struggle to trust ourselves, to embrace stillness, and to distinguish fear from intuition. Ultimately, this conversation dares us to take radical responsibility for the power of our feminine energy and all it can do for us.   Trusting Birth on Instagram#14: Roundtable: Mothers of Stillbirth and What They Can Teach Us**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors.DrinkLMNT -- Purchase LMNT with this unique Send us Fan MailNeeded <-- 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.

Dr. Lizzie Kieffer is a doctorate of physical therapy with a specialty practice in women's pelvic floor health.  She joins us today to let us in on the little-known secret to protecting, relaxing, strengthening, and restoring your pelvic floor. She teaches us three simple techniques you can initiate immediately after birth to optimize pelvic floor recovery, how, when and why to do kegel exercises, what it means to have diastasis recti, and explains the differences in pelvic floor changes in a vaginal versus cesarean birth. Not only should every woman having a baby hear this episode, but also, every woman should make pelvic floor therapy a regular part of their life, even as they age into menopause and beyond.Dr. Lizzie on Instagram**********Down to Birth is sponsored by: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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.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.

Dr. Trillitye Paullin is a molecular biologist and founder of Free to Feed, a consultation service for navigating infant food reactivity in breastfeeding dyads. Today, Dr. Trill joins us with one of her clients, Chelsea, a first-time mom who found Trill and our podcast and reached out to help spread the research around newborn food reactivity. Trill shares her ground-breaking research into why and how a mother's diet causes allergic responses in babies in the form of bloody stools, skin rashes, vomiting, reflux and colic-like symptoms. With around 25% of parents reporting food allergy symptoms in their babies, these issues have been grossly underserved and misunderstood for decades. We cover: The top 12 foods causing allergy symptoms;The timing of protein transfer, reactivity, and gut healing;How our gastrointestinal health impacts infant food allergies;How stress and cortisol impact the transfer of proteins into milk.Stanford University and Free to Feed have embarked on a transformative partnership to develop tools aimed at accurately identifying and managing pediatric food allergies. This collaboration, part of the "Improving Outcomes for Food-Allergic Children" project led by Dr. Trillitye Paullin and supported by Stanford’s Data Science for Social Good Program, seeks to enhance care quality while preventing unnecessary dietary restrictions for children. By integrating these tools into clinical practice and fostering enhanced awareness among providers, the initiative promises to improve health outcomes for children and provide significant insights into the complexities of food allergies, shaping future policies in pediatric healthcare.**********Down to Birth is sponsored by:Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- For before, during, and after pregnancy.Use promo code: DOWNTOBIRTHSend 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.

Hello everyone! Cynthia and Trisha are back with the May Q&A episode. Today, we kick it off with an enlightening discussion on the worst parenting advice you have ever received--here's to all the things we never need to hear as mothers! Next, we hear one woman's beautiful take on her cesarean scar. Then, we dive into your awesome questions beginning with:What is the likelihood that if I had pre-eclampsia and gestational diabetes in my first pregnancy that I will have it again, and what can be done about it?If I have a history of pre-term labor twice, should I take steroids preventatively at 30 weeks by my doctor's recommendation?I am pregnant with my fourth baby, planning a home birth, and I don't want any ultrasounds. Do you think this is ok and will my midwife approve?In the extended version of the episode, available on Apple subscriptions and Patreon,  we discuss the pros and cons of the midwifery lifestyle for one woman trying to decide if she should go the CNM or CPM route; when it is appropriate or necessary to take a urine sample in pregnancy; and why one mother may have been given intramuscular Pitocin instead of intravenous when she already had an IV in place.As always, we close with a round of quickies touching on how to keep breastfeeding while pregnant, getting induced for "mild" pre-eclampsia, what a high LH reading means, preventing mastitis when you have a plugged duct, our recommended prenatal vitamin, and our most embarrassing moments in public!Thank you as always for your wonderful questions! Please call in your question to 802-GET-DOWN or 802-438-3696. To get the extended version of today's episode (and all episodes 100% ad-free) just click the subscribe button on Apple Podcasts or download the Patreon App and join any tier.If you enjoyed this episode, please see our April Q&A episode:#262 | April Q&A: Prenatal Vitamins, Premature Rupture of Membranes, Painless Breech Birth, Precipitous Labor, HypnoBirthing, Prenatal Hypertension**********Down to Birth is sponsored by:Vitality: An athleisure brand made for womeSend 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.

Today's episode is a four-way conversation between us and a mother and daughter who are living in France. Nicola Thompson is a former L&D nurse of 30 years who worked in the U.S., and is now working in France as a traditional birth attendant, full-spectrum doula and IBCLC. Sasha Sharif, her daughter, is a mother of two with a third on the way. Sasha explains the impact her mother's life's work has had on her, and how that wisdom ultimately guided her away from birthing in the French maternity system. Instead, she (and her sister as well) have repeatedly  opted to give birth at home attended by their mother. In this episode, we dive into the birth culture in France including what it is like to be a midwife in France, the country's 87% epidural rate in hospitals, how the ARRIVE Trial has influenced birth across the Atlantic, and the fact that the French consider the "due date" to be at 41 weeks! **********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.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.

Tiffany and Kelly of Beautiful One Midwifery are a midwife team in California who both began their birth work as doulas.  As a result, they designed their practice from a hands-off, hands-out approach--meaning, the woman is the focal point of all decision-making making, and interventions are only utilized with her absolute permission and desire. Not only does this model require a woman to take radical responsibility for her birth, but it also gives her body and mind the space to give birth as undisturbed as possible while still being supported by a professional and skilled midwife.  Tiffany and Kelly rarely do vaginal exams in labor and essentially never break a woman's bag of water. They consider even speaking to a woman in labor as an intervention that can alter her birth energy.  In today's episode,  you will learn what hands-off midwifery means and how birth can be safely, effectively, and beautifully supported under this model of care.   Beautiful One Midwifery**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Use promo code: DOWNTOBIRTH for all of the above sponsors.DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.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.

Welcome to our first breastfeeding-only Q&A with Trisha & Cynthia. Trisha is a Certified Nurse-Midwife and International Board Certified Lactation Consultant with thousands of hours of clinical experience. Today's episode follows the format of our regular monthly Q&A episodes, where women call in with questions and we wrap up with Quickies at the end, but this time it's your breastfeeding questions only. Today Trisha answers questions such as: Can I introduce a pacifier to my exclusively breastfed baby at two and a half weeks?Is it a nursing strike or weaning: Help! My eleven-month-old is refusing my breast. What is the best way to manage pumping for my exclusively breastfed baby when I am away?How and when do I introduce a bottle to my exclusively breastfed baby so that I can leave him/her with a caregiver?What are your thoughts on using the medication Domperidone with a diagnosis of Insufficient Glandular Tissue (IGT)?In our round of Quickies, we touch on leaking, supplements for increasing supply, prenatal hand expression of colostrum, alcohol and breastmilk, breast refusal, lip blisters, breast fullness and milk supply, and flat nipples.Please remember, that every mother and baby dyad is unique, and breastfeeding issues require an individualized care plan. Online appointments are available with Trisha by texting 734-649-6294.**********Down to Birth is sponsored by:Vitality: An athleisure brand made for women, by women, designed with style and comfort for pregnancy and beyond.Davin & Adley-- The perfect nursing and pumping bra combinedSilverette 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 to nourish yourself before, during, and after pregnancy.Send us Fan MailNeeded <-- 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.