Birth Matters

Sierra envisioned a waterbirth for her baby, but was disheartened to find it’s hard to find a birthing location where that’s possible and also hard to find birthing center options in NYC. With the help of her doula, she finds the one birthing center in all of NYC and switches her care. Working with midwives, Sierra immediately feels much more cared about, seen and heard than she ever did with her hospital OB. Listen to hear this exciting story of how Sierra’s son had very different plans for where he wanted to be born at 39 weeks!

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Despite the fact that EmJ has always had a self-professed low pain tolerance, she finds instinctive coping mechanisms that work for her to have the unmedicated birth that she had hoped to have in a Manhattan hospital. Part of what helps this happen was how EmJ receives uncommonly doula-like support from the nurses that helps her to manage well when things were at the most intense points. After the birth story, EmJ details navigating breastfeeding, and ultimately, exclusive pumping, in light of having had previous breast reduction surgery. She seeks out pelvic PT and finds it incredibly valuable to do an initial phone consult shortly after birth, particularly since she had experienced a fairly significant tear. Finally, EmJ gives some lesser known info on how she learned as a solo business owner that she could participate in the NY State Paid Parental Leave program and give us some tricks for small business owners. 

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As a teenager, Crystal learned she has a bicornuate uterus which significantly affected her menstrual cycle. So it’s no small miracle years later when she conceives naturally twice after being told she’d probably need to use IUI or IVF. When her son doesn’t seem to have room to flip from breech to vertex (or head up to head down), and because doctors are rarely trained to deliver a breech baby vaginally, Crystal has a belly birth. She shares a few bumps along the way including an allergic reaction to the pre-op antibiotics, challenges with healing from major abdominal surgery and initial breastfeeding, but also shares how overall it was a positive experience. So much so that only 14 weeks into parenthood, she’s already feeling ready to give it another go. She also shares some details about her son’s hip dysplasia, which is more common in babies who are persistently breech.

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Cally’s hopes were high for an unmedicated birth. She gets thrown a curve ball when her membranes rupture as the first sign of labor. Knowing that an important strategy for a healthy birth is to labor at home for as long as possible, she doesn’t rush to the hospital. When she does go many hours later, she bravely signs an AMA (“against medical advice”) form in order to go back home after learning she’s barely dilated or effaced and baby is still high. When she later goes to the hospital and agrees to be induced, she’s ultimately very happy to have a vaginal birth with shorter-than-average length of induction, epidural for just a couple of hours, and an efficient pushing stage. She also shares some about her experiences with clinical anxiety and strategies to manage it, challenges with breastfeeding, and experiencing tendonitis due to repetitive stress in holding baby.

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As a doctor of physical therapy specializing in pelvic health, Nidhi is quite well-informed during her pregnancy, and had hoped to have an unmedicated birth with limited or no interventions. As her pregnancy develops, Nidhi learns she has gestational diabetes and goes on insulin and baby has an abnormal quad screen. In light of these things, her OB pushes to induce at 39 weeks, but she advocates to delay the induction until the fluid tests low a day before her estimated due date. She agrees to the induction at that point, but is thankful on the other side of birth to have bought more time because her son actually measured small at the time of birth, contrary to what often happens with gestational diabetes. Nidhi also shares about her severe tearing due to the use of the vacuum, and details her frustration with the lack of helpfulness of medical care in the postpartum period.

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In today’s episode, Jewish doula and mental health therapist Chana Diamond returns to share her 2nd and 3rd babies’ birth stories. She shares the details of two more unmedicated, uncomplicated vaginal births in a hospital attended by the same midwife as her first. Her babies were born healthy, despite a bit of concern due to identifying the rare Kidd antibody for both her 2nd and 3rd pregnancies. Chana also reflects on and describes some of the meaningful Jewish customs and rituals she observed in her pregnancies. (If you missed her first birth story, you can find that in Episode 87.)

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Millennials & die-hard Queens natives Suzanne & Edgar share the many smart things they did to prepare for the journey into parenthood and in hopes of having a healthy pregnancy & unmedicated birth: pre-conception couples therapy, going back on mental health meds in the journey to conceive, physical prep with exercise including yoga, nutritional support, chiropractic, acupuncture, meditation & mindfulness practices, hiring a doula, carefully choosing care provider, taking birth class, attending lactation support meetings during pregnancy, books, and more. Their birth story starts with being told they need an immediate induction due to low fluid. They decide to buy a bit of time by going to Suzanne’s “lucky diner” for a good meal beforehand, and her labor starts spontaneously. Suzanne experiences a faster-than-average 1st stage of labor but longer-than-average pushing stage. When the doctor says a cesarean might be needed after 3 hours of pushing, Suzanne is determined to give birth vaginally. Going into parenthood, she experiences some breastfeeding challenges that hit her mental health and shares about the hard decisions she had to make along the way. This story powerfully demonstrates how strong self-advocacy is often a gamechanger in many hospitals to have a physiologic birth and avoid unnecessary interventions. It also highlights how important supporting our mental health is in the journey into parenthood - directly from a parent who works in the mental health field.

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Hallie and Eric had a long 3-year journey to conceive their son. Along the way, previously undiagnosed conditions PCOS and Hashimoto’s are identified. Hallie eventually decides to seek out complementary therapies in her pursuit to conceive such as acupuncture, which seems to make a big difference. She conceives on the first IVF transfer and immediately seeks out doula support and an OB who specializes in endocrinology. She also dives into research to develop her preferences. Though she desired an undisturbed, low-intervention birth, she ends up needing an immediate induction at 38 weeks due to preeclampsia. Despite this not being the preferred path, she still has a positive experience because of the birth team she so carefully chose. Hallie also shares about working with an infant care & feeding specialist as well as a mohel for their son’s bris ceremony. 

Full show notes at: birthmattersnyc.com/blog/ep93

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Whenever Hannah tried to reconcile her background as a professional dancer with the idea of pregnancy and birth, it felt like the two were incompatible. Yet when she does get pregnant, she finds ways to beautifully integrate the two. While pregnant, Hannah obtains a grant to both create and perform a dance work that tells the story of her journey into parenthood and to hold dance & journaling classes to create a community of support for fellow pregnant people. Ultimately, she chooses to give birth at home. Today’s birth story shares all the details of how Hannah hires a great midwife and doula birth team to support her and her husband in their Upper West Side home birth.

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Kelly eagerly educated herself and prepared for giving birth in all the ways – prenatal yoga, hiring doulas and a midwife, taking birth class, strategic nutrition, acupuncture, seeing a pelvic floor therapist. Because she’s a self-professed “jaded” professional working in the medical field, she made very intentional choices surrounding her care provider and support team. Kelly’s surprised when, just before her due date, her water breaks during a prenatal visit with her midwife. From there, listen to hear how quickly Kelly’s labor progresses after her midwife sends her home, how instinctively she labors, and how showing up just in time to push contributed to an easier-than-she-expected birthing process. Kelly also shares a bit about her early breastfeeding experience and how getting her daughter’s tongue-tie oral restrictions released helped lead to gradual improvements.

Read show notes/resources, transcript, see photos at birthmattersshow.com

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