I’ve said it many times: the only predictable thing about birth is that it’s unpredictable. But you can absolutely navigate that unpredictability by being prepared - which is exactly what Alexa did. After what she calls a “smooth pregnancy,” things took some surprising twists and turns which ended in a cesarean birth.

At 35 weeks, her husband noticed she was unusually swollen and urged her to visit the doctor. What was supposed to be a checkup turned into delivery day! It was determined that she actually did have preeclampsia and, though at first she hoped she would be able to spend a couple more weeks on bed rest waiting, her baby had different plans.

In this Episode, You’ll Learn About:

• Why being pregnant alongside friends made a difference for Alexa
• When she decided to start looking for a doula and how she made her decision
• How Alexa and her family initially reacted to her swelling /// What signs of swelling Alexa experienced before her diagnosis
• What steps her husband took after noticing her swelling
• Why Alexa was hospitalized after her checkup
• When Alexa learned her baby was breech and how it changed the birth plan
• What factors led to Alexa’s C-section
• What it was like giving birth where her husband works
• What challenges Alexa faced during recovery
• Which support systems helped Alexa through postpartum depression

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Full website notes: drnicolerankins.com/episode283

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Giving birth in the hospital feels scary.

It’s a system that too often takes a paternalistic approach and takes away power from women over what happens in their own bodies. #facts

Not all doctors and hospitals are bad but you don’t know who’s who without knowing the right questions to ask.

You also won’t know how to advocate for yourself if you’re not educated. 

I teach you the questions to ask and the info you need to know.

No coordinating schedules or awkward ice breakers.

Do it on your time and at your own pace.

With your partner from the comfort of your own home.

Comprehensive childbirth education for under $150.

Plus pregnancy affirmations for FREE to start getting your mindset right today.

Sale ends Dec 2nd. See you inside!

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Did you know that almost one in ten pregnancies in the United States is affected by gestational diabetes? While that might sound scary, the good news is that with the right information and care, people with gestational diabetes will most likely have a healthy pregnancy and a healthy baby.

When it’s time to be screened, don’t focus on “passing” the test. If you have gestational diabetes, you want to know so you can treat it effectively. Many people can manage it with dietary changes so don’t stress too much if you don’t get the results you want. Just take the test - then manage the results with confidence. Listen to this episode to help you!

In this Episode, You’ll Learn About:

• What gestational diabetes is and how common it is
• What complications it can pose for parent and baby
• How glucose tests are used in diagnosis
• How pregnancy hormones can affect blood sugar levels
• How GDM is treated: both with and without medication
• How it affects pregnancy and birth management
• What its lasting effects can be

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Full website notes: drnicolerankins.com/episode282

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You've heard of low intervention birth but what does it mean? In this episode I share how a low intervention birth under my care unfolded. Here's a peak -

• 8 AM - cervical check and 4 cm
• Intermittent monitoring, saline lock, moving, eating and drinking
• 8 PM - second cervical check and 6 cm
• starting pushing at 1130 PM
• and listen to hear the rest!

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Did you know the U.S. is one of just four countries in the world - and the only developed nation - without guaranteed paid maternity leave? While we’ve made great strides in workplace fairness, the fight for equity is far from over. In a country where pregnancy can still jeopardize someone’s career, these protections are more crucial than ever. That’s why advocates like today’s guests are so important.

Jack Tuckner is a workplace rights attorney who specializes in gender discrimination, including pregnancy-related issues, and Catherine Kreider is a lawyer and doula. Through their legal work and advocacy, they’ve been instrumental in advocating for laws like the Pregnant Workers Fairness Act and strengthening protections for expectant workers. Make sure you know your rights, document everything, and don’t hesitate to seek out a local attorney if you need support - advocacy starts with awareness!

In this Episode, You’ll Learn About:

• What constitutes pregnancy discrimination in the workplace
• Who qualifies for protections under the Pregnant Workers Fairness Act
• Why documenting workplace interactions is critical for protecting your rights
• When and how to notify your employer about your pregnancy
• How to request accommodations during pregnancy
• Whether state or federal laws provide better protections for pregnant workers

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Full website notes: drnicolerankins.com/episode281

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In this shorty episode I answer this listener question from Kate. And if you want me to answer a question for you DM me on Instagram @drnicolerankins or shoot me a message on my website contact form!

"I was checked at 5 cm, started feeling pressure after a few hours, and then a really strong urge to push after another few hours. I was unmedicated, so I could really feel those sensations, but was told to push against this urge and, I quote, ""hold it in"" because I was only at 8 cm and that I would tear my cervix if I pushed. This kept going for about an hour, at which point they called the doctor, who said, I quote again, “8, maybe 9, I guess you could push if you want to”. I wasn’t really able to talk, so I just pushed and everything went well. But then I started wondering why my body would give me such a powerful urge to push if it was too early. Is it possible that 9 cm was as far as my cervix would dilate? I’m a really small person, does that play a role? Does everyone get as far as 10? I’m curious and would love to hear more about this."

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Rachel always wanted to be a mother, but before she could begin that journey, she felt it was important to get off of depression and anxiety medication. After spending three months weaning off her meds, she very quickly got pregnant. Her pregnancy, although a source of great excitement, also brought unexpected difficulties, including two falls - and then her water broke during her baby shower!

A breech baby, a failed turning procedure (external cephalic version), intubation during her cesarean for a “panic attack”, and more added up to a traumatic birth experience. Rachel gets a bit emotional and teary during her story and you can understand why. Her birth was definitely a challenge and there's so much to learn from her story. I cannot wait for you to hear it.

In this Episode, You’ll Learn About:

• How Rachel and her psychiatrist created a plan to safely stop medication
• What tactics she used to manage anxiety and depression symptoms
• How limited food options triggered old disordered eating struggles
• How lower back and hip pain caused daily difficulties with mobility
• Why she wishes she would’ve chosen a different provider
• How the epidural created a sensation of being unable to breathe
• Why she underwent general anesthesia for her C-section
• What her healing process was like
• Whether or not she’ll return to psychiatric medication

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Full website notes: drnicolerankins.com/episode280

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In this short episode I address this really thoughtful comment from a listener -

"I've noticed that Dr. Rankins' position statements have gotten stronger on the negatives of a hospital birth over time (in the year+ that I've been listening). For instance her opening introduction now frames hospitals as a system that "too often takes away power from women over what happens in their own bodies." When she first started I think this was phrased more as "it can undermine women" or something a little softer. I've noticed the types of guests she welcomes onto the podcast are also more likely to have this stronger mentality against/suspicious of/worried about hospital births. I guess I'm curious if this reflects a true change in Dr. Rankins' position as she continued to gain knowledge herself through the podcast community, or if this reflects her willingness to simply say what she's known more strongly now, or if this is a trend of worsening conditions in hospitals. And overall does Dr. Rankins feel that hospital births still provide an overall positive service to women (do the goods outweigh the bads, especially for women who come in prepared with some knowledge), or does she feel that the scales are now tipped more negatively? I guess an updated "bird's eye" view of the whole system in the US might be helpful for some of us trying to understand the overall context as we work through our individual choices available to us in our regions. (For context on myself, if it matters/helps, my first birth was unmedicated in a hospital setting with a doula -- the doula was excellent, the overall birth experience was just ok, the after birth care was very good.)"

If you want to let me know your thoughts about the podcast head to drnicolerankins.com/survey!

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Dealing with nausea and vomiting during pregnancy is no fun. You’ve probably heard of “morning sickness” but that’s a misnomer - queasiness can happen at any time of day (and during any stage of pregnancy too). The good news is, for most people, it’s nothing to worry about. Even though it’s uncomfortable (and sometimes downright miserable), it’s generally not harmful to you or your baby.

In this episode, you’ll learn about triggers, warning signs, and relief options for nausea and vomiting in pregnancy. It’s a challenging part of pregnancy, and it’s common so we need to talk about it! I’ll also touch upon hyperemesis gravidarum, which is when nausea and vomiting escalates to a more serious condition and a level of severity that requires more intense medical attention.

In this Episode, You’ll Learn About:

• How common pregnancy-related nausea and vomiting are
• Whether symptoms can harm you or baby
• What some of the underlying causes are
• When digestive issues typically occur during pregnancy
• What hyperemesis gravidarum involves and how it’s handled
• How pregnancy sickness is evaluated and treated
• How diet, acupressure, and ginger could help
• Which medication options are available
• Why cannabis isn’t recommended for symptom management
• When to visit your doctor for help

--

Full website notes: drnicolerankins.com/episode279

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How did a birth described as “a series of traumatic events” end up being the best experience of Jenna’s life? Despite all of the unexpected challenges, getting through the 65 hour labor and birth helped her find peace and confidence in her intuition. 

Jenna’s story reminds us that it’s okay to feel both grateful to a medical team and to feel upset about how certain aspects of care were handled. It’s well beyond time to stop saying that “all that matters is a healthy baby”—the full experience matters, too. I’m so excited for you to hear Jenna’s journey and how she navigated this incredibly challenging birth.

In this Episode, You’ll Learn About:

• Why Jenna booked a preconception consultation
• How polyhydramnios and gestational diabetes affected the pregnancy
• Why she opted for a 39-week induction
• Which interventions her team used to help progress labor
• What challenges her baby’s position presented
• How she managed through a failed epidural experience
• How her intuition and persistence led to an emergency C-section
• What an Erb’s Palsy diagnosis meant for her baby’s recovery
• What role postpartum therapy played in reframing her experience

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Full website notes: drnicolerankins.com/episode278

Check out The Birth Preparation Course

Register for the class How to Make a Birth Plan the Right Way

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