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Doulas are an increasingly important, if not essential, member of a birth support team.  However, along with their increased importance, doulas are exposed to an ever-increasing level of risk and liability.  

In this episode, we welcome back to the show maternal healthcare and human rights attorney Hermine Hayes-Klein, to discuss the legal rights and roles of doulas. She asks the question, what does support really look like, and can the doula actually assert the mother's right to informed consent or refusal? The answer is complex, in part because doulas don't answer to a Board and therefore enjoy a flexible job description, which is exclusively between her and her client. Hayes-Klein dispels myths surrounding doula advocacy, clarifying that doulas cannot make decisions for their clients, but can speak for the client with the mother's consent and understanding of all parties in the birth space. 

Hayes-Klein discusses her latest project, The Birth Rights Law Project, focusing on legal security for out-of-hospital midwives and doulas. The Project provides assistance in creating and understanding documentation, offering a potential lifeline for doulas facing or seeking to avoid legal liability.

If you are a doula or a pregnant mother considering doula support, this episode will shed light on how to best establish the client-doula relationship and help doulas to best understand how not only to protect themselves legally but also to define their personal job description between you and her in your birth space.

#178| How Out-of-Hospital Birth Prejudice and Provider Bias Harms Mothers and Babies with Attorney Hermine Heyes-Klein 

#153 | Legal Case Study #2 with Attorney Hermine Hayes-Klein: Injured by Obstetrics with Nowhere Else To Turn

#138 | Legal Case Study #1 with Attorney Hermine Hayes-Klein: Traumatized at a Major Teaching Hospital While Interns Watched and Learned

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Welcome back to our monthly Q&A with Cynthia & Trisha! This month, we kick things off with a short story from an L&D nurse attending a mother giving birth to her seventh baby who was coerced into an unnecessary cesarean and what we think about how it was handled.

Next, we get into your questions starting with: How do I defend myself against friends and family who don't support my plans for a natural birth? Another mom asks what she can do to prevent her waters from breaking before labor begins, followed by a woman who expresses her frustration with her OB for insisting that she do a vaginal exam in late pregnancy to determine the baby's head position. Is this necessary or useful? We answer quickies on blackout curtains for baby naps, let-downs while breastfeeding, blood pressure checks in labor, handling natural birth nay-sayers, and more. The personal question of the month had to do with what each of us enjoys as an "old person" habit or hobby.

In the extended version of today's episode, available on Apple subscriptions and Patreon, you get additional questions on Hashimoto's disease in pregnancy, accidental urine leaking in pregnancy, iron absorption and diary, and drawing the line on what should and should not be considered routine in prenatal care. 

Then, as always, we wrap up with quickies and the personal-question of the month!

Join us today on Apple subscriptions or Patreon for ad-free and extended episodes.
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Silvere

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Elizabeth Parsons of Purely Parsons is a mother of five, living on seventy acres in Appalachia, homesteading with her husband and children. For her fourth pregnancy, she had a planned home birth with her seasoned midwife. Despite having regular prenatal care and even an ultrasound the day before she went into labor, Elizabeth had an unexpected twin double breech birth at forty weeks! After the first baby was born, six minutes later, she felt the urge to push again and it seemed unusually intense for the placenta they all expected to emerge. Out came another baby -- born bottom first! In fact, both babies were breech, but nothing was so remarkable as an unexpected twin that evaded all prenatal care. Tune in for this inspiring, fun birth story affirming that twin, breech vaginal birth is a viable option, even at home. 

Purely Parsons on Instagram

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A 2023 article from Yale News flashed across news outlets in the United States headlined:

"Yale researchers find that breastfeeding can cost over $11,000 a year. " The article goes on to say, "While the 2022 baby formula shortage in the United States sparked calls for an increase in support for breastfeeding nationwide, a group of researchers at the Yale School of Public Health and Yale School of Medicine sought to demonstrate how breastfeeding can impose significant financial burdens on families as well."

While there is no doubt breastfeeding is a major commitment and consumes a tremendous amount of time, there is also a significant cost of NOT breastfeeding, which failed to be discussed in the article.

In today's episode, we invited university professor and lactation expert, Dr. Rhonda Trust, PhD, to discuss the true costs of formula feeding versus breastfeeding. She explains that the Yale article misled the public and failed to name the protective health benefits for both mom and baby over a lifetime when breastfeeding is optimally supported, such as lower infant mortality and decreased risk of breast and ovarian cancer for mothers. Drawing from her prior experience as the Policy and Advocacy Chair for the Connecticut Breastfeeding Coalition, Rhonda also shares economic data from numerous research studies, demonstrating the direct cost savings are upwards of 14 billion dollars annually when 90% of babies are exclusively breastfed. 

Breastmilk is a free food source for every baby and saves infants' lives. While breastfeeding may not always be the right choice for every mother, breastmilk is the best choice for every baby. It is the job of public health officials and medical schools to share accurate and complete information regarding breastfeeding. In this episode, we discuss critical research that was either purposefully or unintentionally omitted from this article.

Yale News Article
No Such Thing as a Free Lunch:

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In this heartwarming episode, we met with the woman we believe is our oldest and wisest podcast fan and devout member of our Patreon community: Lee Roversi, a CSA farm owner in Hawaii, mother of three adult children, and grandmother. Lee begins by reflecting on her upbringing in Connecticut during the 1950s and how it shaped her perspective on motherhood. Her traditional family background contrasted with her later path toward holistic childbirth choices. Lee's story unfolds with anecdotes from her three home births, defying the norm of hospital deliveries at the time. Her first childbirth experience, in Manhattan with a midwife, was marked by a marathon 36-hour labor, yet it was a transformative experience that set her on a unique path.

Lee spent most of her time with us sharing her thoughts on the changing landscape of childbirth practices over the decades. She emphasizes the importance of recognizing the inner strength within every birthing woman -- a lesson she learned firsthand. Lee's journey wasn't without its challenges, but her conviction in the power of intuition and her commitment to natural childbirth prevailed.

The conversation takes a poignant turn as Lee discusses the significance of postpartum support and community. She highlights the value of support groups like La Leche League and the importance of maintaining connections in the age of isolation. Lee's heartfelt advice to new mothers centers on cherishing the fleeting moments of early motherhood and finding solace in the knowledge that women are never alone in their struggles.

We engaged in a heartfelt dialogue about the transformative journey of motherhood, the power of community, and the enduring strength of the human spirit. This episode reminds us to savor the precious moments of motherhood, to seek support and connection, and to trust in our innate abilities as women.

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Tess Frame is a mother of two who experienced severe pneumonia in late pregnancy after contracting the flu. Her condition became septic, resulting in organ failure and premature labor. She gave birth by cesarean at thirty-five weeks while comatose, and was intubated in critical care for several weeks after.  While in a coma, she experienced and/or perceived traumas she could only begin to unwind after becoming conscious, trying to unravel what experiences were real and what were only imagined in her unconscious state. She was convinced she had been kidnapped and assaulted and struggled to reconcile her conscious and subconscious experiences while in the coma. It was a heart-wrenching twenty-five days before Tess could finally meet her baby, and it took an additional three to four months for Tess to fully feel he belonged to her. She shares her birth story and her ambitious healing journey guided, perhaps surprisingly, by the twelve-step addiction recovery program. Supported by her church and community, she focused on mending her mind, body, and family, ultimately being granted a second chance at life.

Tess on Instagram

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Down to Birth is sponsored by:
Needed -- Optimal nutritional products for before, during and after pregnancy
Modern Nursery--Your one-stop shop for eco-friendly, stylish baby gear
DrinkLMNT -- Purchase LMNT today and receive a free sample kit.
Love Majka Products -- Support your milk supply.
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.

Needed <-- this link for 20% off your whole subscription order
DrinkLMNT <-- this link for FREE 8-day supply
Primally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTH
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits: <--this link for 20% off

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Hello everyone - it's your favorite day of the month, when we take your calls! As always, thank you for submitting your excellent questions to 802-438-3696 (802-GET-DOWN). Keep them rolling in! We love hearing from you.

Today, we kick things off with some of the hilarious comments and questions your husbands and partners have said during pregnancy and birth. Next, we dive into our questions beginning with one mom seeking guidance on how best to make mom friends after having a baby.  Another listener asks if it is true that her friend needed to have a C-section because her abdominal muscles were too tight. The answer is no, but we brought on pelvic floor specialist, Tara Gibson, to explain why. Next, we give our opinion on the recommendation for a mother with type 1 diabetes to have twice-weekly ultrasounds and non-stress tests starting at 32 weeks. Is having a velamentous cord insertion a reason for needing a C-section or induction?

In the extended version of today's episode, always available ad-free on Apple subscriptions and Patreon, we answer the controversial question about the necessity of Vitamin D drops for breastfed babies, followed by another listener's concern about her "big baby" needing hourly glucose checks, questions on glucose, weaning, and more.

Finally, we close with a round of quickies including a question on VBACs, weaning from breastfeeding, and at last, our "personal question" of the month: the last show we each binged!

**********
Down to Birth is sponsored by:
Needed -- Optimal nutritional products for before, during and after pregnancy
Modern Nursery--Your one-stop shop for eco-friendly, stylish baby gear
DrinkLMNT -- Purchase LMNT today and receive a free sample kit.
Love Majka Products -- Support your milk supply.

Needed <-- this link for 20% off your whole subscription order
DrinkLMNT <-- this link for FREE 8-day supply
Primally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTH
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits: <--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

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Dr. Roger McFillin, a seasoned clinical psychologist and the compelling voice of the Radically Genuine Podcast, dares to question the prevailing surge in depression diagnoses in our modern world. He boldly sheds light on the truth about SSRIs, leveling grave accusations of "criminal negligence" at the doctors who knowingly sidestep informed consent requirements. Dr. McFillin uncovers a disturbing reality—one where patients are shielded from the harsh truth of low efficacy rates, serious risks, and debilitating long-term side effects, such as inability to orgasm.

In this episode, Dr. McFillin unveils the elaborate charade woven by the pharmaceutical industry. He underscores the unsettling fact that antidepressants, touted as life-changing solutions, actually provide relief to a mere fifteen percent of those who turn to them, all while carrying a risk of suicide that's double that of a placebo. The heart of our conversation revolves around the calculated cherry-picking of scientific data, which serves to construct a narrative that prioritizes pharmaceutical profits over individual well-being.

Dr. McFillin contends that labeling these medications as "anti-depressants" is a gross misnomer, a stance he courageously shared through his YouTube channel. His insights earned him the attention of influential figures like Joe Rogan, but punishment from YouTube, who mysteriously took down his channel without explanation immediately after he exposed critical research findings. Dr. McFillin's mission is clear: he implores the public to embrace critical thinking and cast aside the blinders that obscure a disconcerting reality—a medical system that peddles drugs not on the basis of research, but rather at the whims of the marketing department.

As we delve deeper into the episode, we explore how the catchphrase "trust the science" often contradicts the actual scientific research. Later on, our conversation shifts over to postpartum depression and the lives of postpartum mothers. These exhausted and overwhelmed women represent just one of many vulnerable groups suffering harm, not help, by the professionals they entrusted.

Join us in this eye-opening discussion as we unravel the layers of deception and confront the unsettling truths about our contemporary medical landscape. Dr. Roger McFillin's un

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Hello, everyone! It's Cynthia here. Today, in celebration of my birthday, I want to share the extraordinary story of my daughter's birth. This personal narrative delves into the pivotal role intuition and self-trust played throughout my conception and pregnancy with her. You'll learn of some unexpected challenges we faced, and you'll hear about our unconventional attempt to reposition our breech baby head-down. Definitely don't try that at home - even though we did.

I hope you enjoy it. Catch Trisha in the outtake.

p.s. I shared my son's birth story way back in Season One, Episode 10 and you can listen to that here or you can read the published article here.

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Liz Eidelman, whose name some of you may recognize as the funny mom on Instagram @lizeidelman, gave birth to her first child in the hospital with a team of med students present. She had an episiotomy she didn't want, a vacuum-assist that led to another flood of people in the room, and a baby who was whisked away to the NICU within moments of birth, leaving Liz in the dark about her baby's condition. Overhearing nurses whisper, "The mother doesn't know yet," added to her anxiety. What Liz and her husband soon learned was that their baby was born with esophageal atresia, necessitating a life-saving surgery on Day Two of their baby's life.

Now, with the perspective of a few years and two births under her belt, Liz reflects on the many ways in which she was grossly mistreated in her birth, by the very people and system who helped her baby go from a status of "born incompatible with life" to healthy and well. Liz dives into how her labor could have taken a different course, not only the first time but also the second, had she been more aware of her rights within the hospital birth environment. Liz shares her personal story and reveals alarming details that ignited her passion to become a doula. She also created a thriving Instagram community for moms, where humor serves as the antidote for the challenges of parenting, birth, and life. Don't miss this enlightening and empowering episode with Liz Eidelman.

Liz on Instagram
Liz's Doula Page @The.Sage.Sister

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Down to Birth is sponsored by:
Needed -- Optimal nutritional products to nourish yourself before, during, and after pregnancy
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort after vaginal birth. 

Needed <-- this link for 20% off your whole subscription order
DrinkLMNT <-- this link for FREE 8-day supply
Primally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTH
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits: <--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

HypnoBirthingCT.com

Down to Birth Show

Call 802-GET-DOWN

Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.