The Unaparent

Challenging the System: A Conversation with Dr. Stuart Fischbein (Part 1)


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In this two-part conversation, Katia sits down with Dr. Stuart Fischbein—better known as Dr. Stu—a board-certified obstetrician turned home birth advocate, author, educator, and co-host of the Birthing Instincts podcast. In Part 1, they unpack the deeply human and political layers of childbirth in America—from informed consent and medical gaslighting to how birthing has become a business model rather than a health model.

Dr. Stu shares his unconventional journey from practicing hospital-based obstetrics to becoming a pioneering advocate for midwifery care, breech and twin home births, and individualized birth choices. Together, they challenge the fear-based narratives and rigid protocols that dominate modern maternity care, and invite listeners to ask: Who benefits? Who profits? And who suffers when we silence critical questions around birth?

This episode is not just for parents—it’s for anyone who believes in bodily autonomy, birth equity, and reclaiming our right to question the systems that shape our most sacred life experiences.

🎧 Listen now on Apple Podcasts, Spotify, or wherever you get your podcasts.

Follow Dr.Stu’s work here:

@birthinginstincts

www.birthinginstincts.com

www.birthinginstinctspodcast.com

Don’t forget to FOLLOW the podcast on Instagram and TikTok. SUBSCRIBE to our YouTube channel for all the unapparent content you never knew you needed. 📺

⁠The Unaparent Podcast⁠ is a ⁠Studio Dama⁠ production. For production, sponsorship, and ad inquiries contact [email protected] or send a DM to ⁠@studio.dama.design⁠

SHOW NOTES:

00:00 – Katia’s Catch Up

04:17 – Guest Introduction: Dr. Stuart Fischbein

06:45 – An Unapparent Truth of Parenting

08:38 – Why Obstetrics? Dr. Stu’s Journey

13:26 – From Hospital OB to Home Birth Advocate

16:04 – Butter Births and Expanding the Model

19:03 – Pregnancy Is Not a Disease

22:03 – Medical Culture vs. Informed Consent

24:26 – Why OBs and Midwives Don’t Collaborate in the U.S.

27:07 – How Insurance Could Shift the System

29:40 – Nature Knows Best: Trusting Mammalian Birth

30:55 – Risks of Unnecessary Cesareans

31:09 – Part 1 Closing

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The UnaparentBy Katia Reguero Lindor | a Studio Dama, LLC Production