Birthing Instincts

Birthing Instincts

By Dr. Stuart Fischbein + Midwife Blyss YoungAlternative HealthHealth & FitnessParentingKids & Family
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Birthing Instincts episodes

  • #486: Holding Hope After Miscarriage with Kenzie Covarrubias

    There are some experiences in life that we simply cannot prepare our hearts for.

    Pregnancy loss is one of them.

    This week, we sit down with Kenzie Covarrubias, co-founder of Held in Hope, for a tender conversation about miscarriage, grief, and what it truly means to care for a woman through loss. Because a miscarriage is so much more than a medical event. There was a mother who was full of hopes and dreams, and a baby who was already deeply loved.

    How do we give women the information they need while still honoring the sacredness of what they're experiencing? And when someone we love is grieving, how do we resist the urge to fix it and simply be there?

    There is no one right way to move through loss. But there are gentler ways to hold one another through it.

    This is one of those conversations we wish no one ever needed, and one we believe every woman deserves to hear.

    .About Kenzie Covarrubias

    Kenzie Covarrubias is the co-founder of Held in Hope, a nonprofit dedicated to supporting and equipping women through miscarriage. After recognizing how often women are left unprepared to navigate pregnancy loss,, Kenzie and co-founder Amber Hassett created the Held in Hope Miscarriage Kit, providing clear information, practical supplies, and compassionate support during first-trimester loss. Today, Held in Hope works with hospitals, midwives, medical providers, pregnancy centers, and families across the country to help ensure no woman has to face miscarriage feeling alone or unprepared.

    Kenzie is also a wife and mom of five and is passionate about changing the way women are cared for through pregnancy loss.

    Website: heldinhope.org

    Instagram: @held.in.hope


    References:

    FriYAY! 

    Instagram.com/birthinginstincts


    Allowed to Birth Ashland Screening

    https://rova.live/event/allowed-to-birth-film-screening-presented-by-woven-moon-2026-10-27-1800


    Held In Hope - Miscarriage Boxes

    heldinhope.org


    Birthing Instincts Podcast #383: There Can Be Healing in Loss

    https://podcasts.apple.com/ca/podcast/383-there-can-be-healing-in-loss/id1552816683?i=1000673286068


    Birthing Instincts Podcast #339 Early Pregnancy Loss

    https://podcasts.apple.com/us/podcast/339-early-pregnancy-loss/id1552816683?i=1000638423958


    Discussed in This Episode

    Meet Kenzie & Held in Hope

    What Are Women Actually Told After a Miscarriage?

    The Option Women May Not Know They Have When Experiencing Loss

    When You Can't Just Call Your Doctor 

    Not Just a Medical Event

    A Care Package That Holds Space in Miscarriage 

    Preparing Women for What They May See or Experience

    Support Without an Agenda or Judgment 

    What Does Waiting for a Miscarriage Actually Look Like?

    When Is Medical Intervention Necessary?

    What Happens to Your Baby After a D&C?

    What Do You Say to Someone Who Miscarried?

    Dads Grieve Too


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • Tallow Twins | Go to tallowtwins.ca and use code INSTINCTS for 15% off your order
    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BIRTHINGINSTINCTS for 30% off the Faith-Filled Childbirth Course!.
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 8 min
  • #485: Understanding Blood Transfusion

    Blood transfusions can save lives, but when are they actually necessary, and what should you know before you're ever faced with that decision?

    This week, Blyss and Dr. Stu unpack blood transfusions in birth: postpartum hemorrhage, hemoglobin levels, blood types and compatibility, potential reactions, and why the number on a lab report doesn't always tell the whole story.

    They also dive into some of the harder questions: Can you choose where your blood comes from? What about directed donation? And what options exist for families who have concerns about receiving blood from vaccinated donors?

    From the surprising obstetric origins of modern transfusion medicine to the questions worth asking during pregnancy, this is one of those conversations you may never need, but you'll be glad you heard if you do.


    References:

    Vaccine Choice Canada

    vaccinechoicecanada.com

    Reclaiming Birth Gathering

    reclaimingbirthconference.com

    FriYAY! Instagram.com/birthinginstincts

    Up to Me. Up to You. Up to Everyone.

    uptoeveryone.com

    Safe Blood - The Global Leader In SafeBlood Matching

    safeblood.com

    Blessed By His Blood

    blessedbyhisblood.com

    History of Blood Transfusions

    https://www.redcrossblood.org/donate-blood/blood-donation-process/what-happens-to-donated-blood/blood-transfusions/history-blood-transfusion.html

    Allowed to Birth Ashland Screening

    https://rova.live/event/allowed-to-birth-film-screening-presented-by-woven-moon-2026-10-27-1800


    Discussed in This Episode

    The history of blood transfusion, and its roots in obstetrics

    When postpartum blood loss may warrant transfusion

    Why hemoglobin is only one piece of the clinical picture

    How red blood cells carry oxygen throughout the body

    ABO/Rh blood types and transfusion compatibility

    Common and rare transfusion reactions

    Why modern blood banking has made transfusion significantly safer

    Directed donor blood and the challenges of arranging it during pregnancy

    Questions surrounding vaccinated vs. unvaccinated donor blood

    Ways to optimize maternal health and reduce the likelihood of needing transfusion

    Questions to discuss with your birth team before an emergency occurs


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 29 min
  • #484: Isthmocoele, Infertility & Other Lesser Known Cesarean Risks

    Cesarean sections can be lifesaving. But are women actually being told about the potential long-term consequences before they consent to one?

    This week, Blyss and Stu dig into some of the lesser-discussed risks of cesarean birth, particularly the risks that may not show up until months or even years later.

    Stu walks through research examining isthmocoeles and the broader long-term outcomes associated with cesarean delivery, including future fertility, placenta previa and accreta, uterine rupture, miscarriage, stillbirth, and potential childhood outcomes.

    But this isn't an episode about frightening women away from cesareans. It's about informed decision-making. As Blyss points out, being informed shouldn't mean you're expected to consent. Women deserve to understand both the benefits and the risks, including the downstream risks that may affect their bodies, their babies, and pregnancies they haven't even had yet.


    References:


    Kristine’s instagram post

    https://www.instagram.com/reel/DdB70-Ohaek/?utm_source=ig_web_copy_link&stkn=MzRlODBiNWFlZA==


    FriYAY! Instagram.com/birthinginstincts


    Allowed to Birth Ashland Screening

    https://rova.live/event/allowed-to-birth-film-screening-presented-by-woven-moon-2026-10-27-1800


    Classical Midwifery Conference - Tbilisi Georgia, 2027

    gentlebirths.net/classicalmidwiferyconference


    Birth Untethered Podcast: S2E31 - In Conversation with Dr Stu-What Doctors Get Wrong About Safety, Consent, and Birth Outcomes

    https://podcasts.apple.com/us/podcast/s2e31-in-conversation-with-dr-stu-what-doctors-get/id1836371735?i=1000788208319


    Return to Wisdom Podcast: “Free Birth is a Rational Response” — with Dr Stu Fischbein

    https://podcasts.apple.com/us/podcast/free-birth-is-a-rational-response-with-dr-stu-fischbein/id1829401357?i=1000788354017


    Ancient Health Podcast:  Your Gut Is Recirculating Your Own Bad Estrogen

    https://open.spotify.com/episode/7okFAoLL6xeBkpxwhnqWpi?si=vTRhY-wLToeW6d7rm_gYLA&nd=1&dlsi=ed1bb63852ff4f5b


    Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis

    https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002494


    Investigating the risk factors for isthmocele development after cesarean delivery

    https://pmc.ncbi.nlm.nih.gov/articles/PMC11078695/pdf/main.pdf


    Book: Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… And Why You Still Feel Terrible Despite “Normal” Labs

    https://a.co/d/03dsXMQL


    Discussed in This Episode

    • What an isthmocele/cesarean scar defect actually is

    • Why some cesarean complications may not appear until years later

    • Secondary infertility following cesarean birth

    • Abnormal bleeding and other symptoms associated with uterine scar defects

    • How repeat cesareans may affect scar healing

    • Placenta previa, accreta, uterine rupture, miscarriage, and stillbirth

    • What research suggests about long-term childhood outcomes

    • The difference between signing a consent form and actually being informed


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 21 min
  • #483: Safer Birthing with Childbirth Attorney, Gina Mundy

    What can nearly 24 years of birth injury litigation teach us about preventing birth injuries before they happen?

    This week, Blyss and Stu are joined by nationally recognized trial attorney, bestselling author, and host of The Childbirth Attorney Podcast, Gina Mundy. After spending her career reviewing the births that went wrong—studying medical records, questioning doctors and nurses, and identifying the decisions that changed families’ lives forever, Gina decided those lessons belonged in the hands of parents before they ever entered the delivery room.

    Take a look behind the curtain of both the hospital and legal systems. Gina shares why Pitocin inductions appear so frequently in the birth injury cases she sees, what she learned while attending her own daughter’s induction, why she believes doulas can play such an important role in hospital birth, and the questions families should consider before consenting to interventions.

    They also dig into the uncomfortable realities of “standard of care,” defensive medicine, emergency C-sections, expert witnesses, medical records, hospital accountability, and what happens when the accepted standard may not necessarily represent the best care.

    We can’t predict every possible outcome, but we can do our best to understand the system we’re walking into, asking better questions, and making informed decisions before you’re in the intensity of labor.


    About Gina Mundy:

    Gina Mundy is a nationally recognized trial attorney, internationally bestselling author, speaker, and host of The Childbirth Attorney Podcast. For more than two decades, her work has focused on one of the most consequential moments in a family’s life: childbirth.

    Gina has spent her career studying birth injury cases in hindsight. She analyzes what happened, why it happened, which warning signs were missed, and what could have changed the outcome. That perspective became the foundation for her internationally bestselling book, A Parent’s Guide to a Safer Childbirth.

    Gina believes the greatest lessons for helping babies enter the world safely should be learned before labor begins, not after something has gone wrong.

    Through her book, The Childbirth Attorney Podcast, speaking engagements, media appearances, and international platforms, Gina brings those lessons to parents, doulas, birth professionals, and families around the world. Her work has reached audiences throughout the United States, the United Kingdom, Australia, Canada, and beyond.

    Instagram: @ginamundy 

    Website: ginamundy.com / fiegerlaw.com

    Book: A Parent's Guide to a Safer Childbirth https://a.co/d/03AlkDiL


    References:


    Allowed to Birth Ashland Screening

    birthinginstincts.com/events/allowed-to-birth


    Classical Midwifery Conference - Tbilisi Georgia, 2027

    gentlebirths.net/classicalmidwiferyconference


    Great Birth Rebellion Podcast Episode 218 - The Cascade of Intervention

    https://open.spotify.com/episode/3YikOJ1ADT9oC5NTL7JNH5?si=36a5db05f3dd4448


    Discussed in This Episode

    • The one intervention that shows up again and again in birth injury cases
    • Why “slow and steady” can make a huge difference when using Pitocin
    • The question every parent should consider asking before allowing someone to break their water
    • Are some interventions really about safety, or getting the baby delivered on someone else’s timeline?
    • The surprising way fear of being sued may actually lead to MORE interventions and C-sections
    • What happens when the accepted “standard of care” may not actually be good care
    • How two highly qualified medical experts can look at the exact same birth and tell a jury two completely different stories
    • Why doulas are rarely involved in the birth injury cases
    • Should you record conversations during labor or after an unexpected outcome? 
    • The hospital details to look for when preparing to give birth


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 31 min
  • #482: Tossing Seeds with Dr. Sherri Tenpenny

    Dr. Sherri Tenpenny joins Blyss and Dr. Stu for a wide-ranging conversation about vaccines, pregnancy, medical freedom, informed consent, institutional trust, and what it means to question the systems we’ve been taught to rely on.

    Blyss asks an important question for parents and birth workers: when major medical organizations say there are enormous amounts of data supporting recommendations during pregnancy, how is the average person supposed to evaluate those claims? 

    Stu and Sherri also challenge the influence professional medical organizations have on hospital policy and discuss what happens when recommendations become protocols, sometimes without the kind of long-term or downstream outcomes they believe should be considered.

    But underneath all of these topics is a bigger conversation: How do we think for ourselves without simply replacing one authority with another?

    And that brings Blyss and Stu back to something they talk about often: we need each other, our community. Whether you agree with every perspective in this episode or find yourself questioning some of it, the invitation is the same, stay curious, look deeper, ask for the evidence, and make informed decisions for yourself and your family.


    About Dr. Sherri Tenpenny:

    Dr. Sherri Tenpenny is a globally recognized leader in exposing vaccine dangers and medical corruption. With over 50,000 hours of research spanning more than 25 years, she was one of the first medical professionals to sound the alarm on vaccine risks, paving the way for many of today’s voices in the medical freedom movement. Her relentless dedication to uncovering the truth behind public health policies, pharmaceutical influence, and vaccine-related injuries has made her one of the most sought-after educators and speakers in the field.

    Dr. Tenpenny began her career as an emergency room physician and served as Director of a Level II Trauma Center for 12 years, where she gained firsthand experience in critical care and the failures of conventional medicine. Realizing the limitations of the mainstream medical system, she founded Tenpenny Integrative Medical Center near Cleveland, Ohio, where she helped thousands of patients from all 50 states and more than 20 countries achieve true wellness through natural, holistic approaches.

    She was also one of the first doctors in the world to warn about the dangers of the COVID-19 shots. In April 2021, she released the groundbreaking ebook and webinar, “The 20 Mechanisms of Injury,” detailing how the shots could cause widespread harm. By July 2021, she expanded her research with “20 MORE Mechanisms of Injury,” further exposing the devastating effects of these experimental injections. Her work provided early, critical insights into the long-term consequences of the COVID-19 jab, helping countless people make informed choices—insights that other media sources slowly began to acknowledge long after her early dire warnings.

    A dynamic speaker, prolific writer, and fearless advocate, Dr. Tenpenny has appeared on countless media platforms, challenging the medical establishment and exposing the systemic deceptions behind vaccines, public health mandates, and Big Pharma’s unchecked power. She continues to educate, empower, and fight for medical freedom, making her one of the most influential and unwavering voices in the movement today."

    Instagram: @realdrsherritenpenny and @busydrt

    Website: DrTenpenny.com, Shoptenpenny.net, Vcourses.drtenpenny.com, primemembership.drtenpenny.com

    Substack: drtenpenny.substack.com, 

    Podcast: The Tenpenny Files Podcasts

    Published Books: https://www.amazon.com/s?k=sherri%2Btenpenny&crid=1QNWOKPFHKB8X&sprefix=sherri%2Btenpenn%2Caps%2C241&ref=nb_sb_noss_2

    Vax App: drtenpenny.com/vaxapp/


    References:


    Allowed to Birth Ashland Screening

    birthinginstincts.com/events/allowed-to-birth


    Intentional Birth Pro Advocacy Training

    https://community.intentionalbirth.co/a/2147925238/HUkqrEuo


    NAET Nambudripad Allergy Elimination Techniques

    naet.com


    Thyroid Function Throughout Pregnancy in Women With Subclinical Hypothyroidism or Hypothyroxinemia

    ovid.com/10.1097/AOG.0000000000006373


    A Quality-Improvement Study Evaluating Three Postpartum Prophylactic Oxytocin Rates and Blood Loss After Vaginal Birth

    ovid.com/10.1097/AOG.0000000000006355


    High-Dose Oxytocin Protocol Implementation and Postpartum Hemorrhage

    ovid.com/10.1097/AOG.0000000000006351


    Vaccines and the Diseases They Target: An Analysis of Vaccine Safety and Epidemiology (The Silver Booklet)

    physiciansforinformedconsent.org/silver-booklet/


    Book: Tylenol and Autism: Evidence, Scientific Blunders, and Medicine Gone Wrong


    Book: Lab 257: The Disturbing Story of the Government's Secret Germ Laboratory


    Discussed in This Episode

    • Pregnancy and vaccine recommendations
    • What “safe and effective” actually means, and what evidence should support those words
    • Preparing for newborn medical decisions before labor
    • Grandparents, Pertussis & the Newborn Bubble
    • Combination vaccines and the questions parents should be asking
    • Why asking questions may be more effective than arguing facts
    • The importance of community when your choices fall outside the mainstream
    • Lyme disease and alpha-gal syndrome
    • Breast implant illness
    • “Turbo Cancer” & COVID Claims
    • How professional medical organizations influence hospital policy
    • Scientific research, peer review, and fabricated AI citations
    • Why Sherri believes being a “seed sower” matters


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 41 min
  • #481: Microbirth, A Film Explains How We Birth Matters

    What if the way we enter the world has consequences that reach far beyond the day we're born?

    This week, Blyss and Stu dive into “Microbirth”, the 2014 documentary exploring the human microbiome and what happens during the extraordinary biological transition of birth. From exposure to maternal bacteria during vaginal birth to skin-to-skin contact, breastfeeding, antibiotics, cesarean delivery, and the hormonal physiology of labor.

    At the heart of the conversation is a much bigger question: When we intervene in birth, are we considering only the immediate outcome, or the ripple effects that may follow a baby for years, and perhaps even generations?

    Because birth isn't simply the moment a baby arrives. It may be one of the most important biological programming events of our lives.

    Listen now and join us as we ask: How much does the way we birth really matter?


    References:

    Microbirth Film

    https://play.xumo.com/free-movies/microbirth/XM0KT28KHM1VCA


    Do Antibiotics Given to Pregnant Women Harm the Baby's Brain? By Jennifer Margulis

    https://jennifermargulis.substack.com/api/v1/post/pdf?postId=192562195


    Impact of maternal intrapartum antibiotics, method of birth and breastfeeding on gut microbiota during the first year of life: a prospective cohort study

    https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.13601


    Allowed to Birth Ashland Screening

    birthinginstincts.com/events/allowed-to-birth


    Intentional Birth Pro Advocacy Training

    https://community.intentionalbirth.co/a/2147925238/HUkqrEuo


    Discussed in This Episode

    • Microbirth documentary
    • Humans as Living Ecosystems
    • What Happens to the Microbiome During Birth?
    • Ripple Effects of Antibiotics
    • The Incredible Biology of Breast Milk
    • The Gut-Brain Axis
    • What Is Vaginal Seeding?
    • Does Too Much Protection Hurt the Microbiome?


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com
    • Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 19 min
  • #480: From Hashimoto’s to Breech: The Surprising Role of Thyroid in Pregnancy

    Thyroid health may not be the first thing that comes to mind when you think about pregnancy, but thyroid hormones play an important role in both maternal health and fetal development, especially during those early weeks when baby is relying on mom's thyroid hormones.

    This week, Blyss and Stu take a deep dive into thyroid disease in pregnancy. Stu breaks down the basics of how the thyroid works, the difference between hypothyroidism and hyperthyroidism, Hashimoto's versus Graves' disease, and what TSH, T3, T4, and thyroid antibodies can actually tell us. They look at the potential pregnancy risks associated with overt thyroid disease, why subclinical disease is a very different conversation, and why pregnancy itself can change thyroid lab values.

    Together they answer the question, should every pregnant woman have her thyroid screened? And discuss how testing itself can sometimes set off an unnecessary cascade of referrals, surveillance, and intervention.

    This one gets into the weeds, but it's an episode worth saving as a resource for pregnant families, birth workers, and anyone navigating thyroid disease during the childbearing years.


    References:

    Reclaiming Birth Gathering

    reclaimingbirthconference.com/


     Birth and Birth Psychology Congress in Istanbul, Turkey

    Instagram: @birthandbirthpsychology

    Website: dogumicinelele.org/


    Birthing Instincts Podcast Patreon

    Patreon.com/birthinginstinctspodcast


    Open Evidence Links

    https://www.openevidence.com/ask/04b52887-1c7f-423d-aeb4-7d28376e225a


    Thyroid Disease in Pregnancy

    www.ovid.com/10.1097/AOG.0000000000003893


    Maternal thyroid function during gestation is related to breech presentation at term

    https://pubmed.ncbi.nlm.nih.gov/19832853/


    Allowed to Birth Ashland Screening

    birthinginstincts.com/events/allowed-to-birth


    Discussed in This Episode

    • Thyroid 101: TSH, T3, T4 & How It All Works
    • Hashimoto's vs. Graves' Disease
    • Why Thyroid Hormones Matter for Fetal Development
    • Thyroid Disease & Pregnancy Risks: What Do the Numbers Actually Mean?
    • Should Everyone Be Screened During Pregnancy?
    • How Pregnancy Changes Thyroid Labs
    • Hypothyroidism: When Pregnancy Symptoms Look Like Thyroid Symptoms
    • Subclinical Hypothyroidism: Does It Need Treatment?
    • What Thyroid Labs Should Actually Be Ordered?
    • Treating Overt Hypothyroidism During Pregnancy
    • Hyperemesis and Thyroid Changes


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 34 min
  • #479: An Emotional Week & Some Data On Uterine Rupture

    This week, Blyss and Stu run the gamut, from joy and grief to frustration, research, and a whole lot of questions about who really gets to decide what “safe” birth looks like.

    After sharing personal updates and a moving remembrance of Dr. Rob Biter, Blyss and Stu turn their attention to autonomy in birth. They discuss a mother struggling to find a midwife willing to truly meet her where she is, the ongoing fight over traditional midwifery in Pennsylvania, and what happens when regulation and institutional standards begin limiting the choices available to birthing families.

    Then, Dr. Stu dives into new research examining oxytocin (Pitocin), TOLAC, and uterine rupture. What does the research actually tell us about uterine rupture when Pitocin is used during a VBAC? How much does the risk change compared with spontaneous labor? Does a higher dose matter? And perhaps most importantly, are we paying enough attention when a laboring body, or the woman herself, is telling us something isn't right?

    Blyss brings the midwifery perspective to the data, questioning directed pushing, prolonged augmentation, hospital timelines, and what can happen when physiology is pushed rather than supported. Together, she and Stu unpack the difference between relative risk and absolute risk, how the same research can be used to either support or discourage VBAC, and why informed decision-making requires more than simply being told what the “standard of care” recommends.


    References:

    Reclaiming Birth Gathering

    reclaimingbirthconference.com/


    Allowed to Birth Ashland Screening

    birthinginstincts.com/events/allowed-to-birth


    Inquirer Article: Why Pennsylvania quietly repealed its 1929 midwifery law — and is now getting sued for it

    https://www.inquirer.com/politics/pennsylvania/midwives-pennsylvania-budget-law-20260804.html


    PubMed study: Maximum Oxytocin Dose and Uterine Rupture During Trial of Labor After Cesarean

    https://pubmed.ncbi.nlm.nih.gov/41325062/


    Discussed in This Episode

    • Remembering Dr. Rob Biter and his contributions to physiologic birth
    • What’s happening with traditional midwifery in Pennsylvania
    • How regulation can indirectly restrict access to home birth
    • Newest Research on Pitocin use during TOLAC
    • Uterine rupture rates with spontaneous labor vs. oxytocin exposure
    • Relative risk vs. absolute risk when counseling families
    • Why increased Pitocin doses may be telling us something about the labor itself
    • Directed pushing, augmentation, and listening to the body
    • How confirmation bias influences the way research gets interpreted


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 16 min
  • #478: Deception In Documentation Is Pervasive & Pernicious

    What happens when the medical record doesn't match the birth experience?

    This week, Blyss and Stu dive into one of the most uncomfortable, but critically important topics in maternity care: documentation, informed consent, and the ways language can shape a family's entire birth experience.

    Using real-world examples, published legal cases, hospital consent forms, and an anonymous patient story, they examine how documentation can influence clinical decisions, legal outcomes, and patient autonomy. They discuss the difference between genuine informed consent and liability-driven documentation, why wording matters, and how routine practices can become normalized before parents even realize they have options.

    Whether you plan to birth at home, in a birth center, or in the hospital, understanding how consent, documentation, and communication intersect can help you become a more informed participant in your own care.


    References:

    Girls Who Know: girlswhoknow.com (code instincts for 15% off)

    Case Law Update: Gawthrop v Bendigo Health [2026] VSC 157

    https://bravelegal.com.au/gawthrop-v-bendigo-health-vaginal-examination/

    Melissa Philippe Facebook Post

    The Doula Group on Facebook

    Johns Hopkins: Delivering Your Baby

    https://www.hopkinsmedicine.org/health/wellness-and-prevention/delivery


    Discussed in This Episode

    • What true informed consent should look like
    • How documentation can influence legal and medical narratives
    • The difference between physiologic birth and procedure-based birth education
    • Why coercive language matters
    • A court ruling that recognized non-consensual vaginal exams as assault.
    • How fear-based counseling can affect birth decisions
    • Why birth education before labor is more important than ever


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 22 min
  • #477: False Evidence Appearing Real (FEAR): Our Chat with Doula Dude, Travis Stroud

    This week, Blyss and Stu welcome Doula Dude, Travis Stroud, whose perspective has captivated millions of viewers in just a few short months. Travis never imagined he'd become one of the loudest voices encouraging fathers to educate themselves about pregnancy and birth. But after preparing for nearly two years, he and his wife chose a wild pregnancy and freebirth at home that forever changed the course of his life.

    Together they discuss why men have become disconnected from birth, what fathers lose when they're pushed to the sidelines, and why Travis believes childbirth is the "biggest rabbit hole" because it touches every aspect of health, family, and society.

    Whether you agree with every perspective or not, this conversation challenges listeners to ask questions, become informed, and reconsider the role fathers can play in protecting and supporting mothers during birth.


    About Travis Stroud:

    Travis is a 31-year-old husband and father in the small town of Brunswick, Maryland. On Valentine's Day in 2024, he and his wife welcomed their daughter through a planned free birth at home Travis was the sole birth attendant, and together they managed every aspect of the pregnancy, birth, and postpartum journey, with the exception of some postpartum support from his mother-in-law.

    The couple spent nearly two years preparing, beginning their research and planning back in 2022, before they had even conceived. Their birth experience profoundly changed Travis's perspective on pregnancy, birth, and fatherhood in ways he never expected.

    Today, he is passionate about sharing their story and the lessons they learned, inspiring conversations about birth trust, and the incredible role fathers can play in the journey.


    Instagram: @Doula.dude

    Eyla Cuenca's Uncover Birth Doula Training (Use code STU for 10% off)

    Dr. Bradley's Husband-Coached Childbirth book 


    References:

    Earthbound Parenting Podcast: Mentorship & the Things That Weave Us with Blyss Young

    https://podcasts.apple.com/us/podcast/mentorship-the-things-that-weave-us-with-blyss-young/id1612737552?i=1000776872540


    Breech Birth Podcast: S5 Ep6 Dr Stuart Fischbein: Twins, VBAC, disempowered doctors & hospital systems

    https://open.spotify.com/episode/1kef3azO2lkResOw4LMCmj?si=2vODGoHQS9Wr_9ikDMkMrg&nd=1&dlsi=f2411fe90011441d


    Germany drops routine COVID vaccination advice for healthy people under 75

    https://goodoil.news/germany-drops-routine-covid-vaccination-advice-for-healthy-people-under-75/#google_vignette


    Discussed in This Episode

    • Preparing for Birth Before Pregnancy
    • Travis’ Wild Pregnancy & Freebirth Story
    • Why Birth Became His Mission
    • Who Controls Birth?
    • Why Fathers Matter
    • How Families Evaluate Risk
    • The Importance of Informed Decision-Making
    • Why Every Parent Deserves to Understand All of their Options


    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 


    This show is supported by

    • LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    • Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    • Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    • Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off


    Connect with Dr. Stu and Blyss

    • Join our Patreon! patreon.com/birthinginstinctspodcast
    • Instagram: @birthinginstincts/@wovenmoon_
    • Website: birthinginstincts.com/birthingblyss.com
    • Email: [email protected]
    • Podcast webpage: birthinginstinctspodcast.com


    Advertising Inquiries: https://redcircle.com/brands
    1 hr 36 min

About Birthing Instincts

From the publisher's feed

The birth world can be overwhelming for parents and practitioners alike. Dr. Stuart Fischbein and Midwife Blyss Young and their combined 55+ years of experience are here to support you in this…

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