Down to Birth

Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—both during pregnancy and labor—can promote a smoother, more efficient birth.

Our discussion covers:

• The definitions of labor dystocia and why there is no universal consensus;
• How fetal positioning impacts labor progress and ways to optimize it;
• The effects of maternal posture, movement, and soft tissue balance during pregnancy and birth;
• Understanding biomechanics in making space for the baby and easing labor challenges;
• How the medical model misinterprets and over-manages normal variations in labor; and
• Practical strategies to prevent and resolve labor dystocia naturally.

When a mother and baby are doing well in labor there is no upper limit to how long her labor can go. No woman should be diagnosed with failure to progress, a term we reject. This episodes provides insights and tips to optimize your labor and your baby's position and reduced the chances of experiencing a long, difficult labor.

Molly O'brien

Molly on Instagram

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

ENERGYbits--the superfood every mother needs for pregnancy, postpartum, and breastfeeding

Use promo code: DOWNTOBIRTH for all sponsors.

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

Do you know the "hi" joke? If not, you haven't been listening long enough or need to go back to our earliest episodes, lol! If you haven't been there you should. We have some amazing episodes from season one.

Anyway, today is all about breastfeeding. Trisha answers our listeners' questions on the following:

Are there any techniques to relieve engorgement and over-production of milk in the early days to be more comfortable? And Cynthia asks Trisha: Why is oversupply such a problem, anyway?

What do you recommend for extra sleepy babies to help them breastfeed when they're demonstrating a preference for bottles over breast? Could being born prematurely have an impact on the situation?

Is it ok to use a portable, hands-free pump instead of double electric pump? And find out why it might be best to engage in a side activity while pumping.

Does breastfeeding reduce your calcium stores in your bones and should you take more calcium while breastfeeding?

For quickies we touch on foreceful letdowns, foremilk/hindmilk balance, breastfeeding apps, breastfeeding without pillow support, cracked nipples, bottle introduction, and our bravest breastfeeding experiences!

Over on YouTube, Trisha provides a demonstration of latch on her preferred bottle for breastfeeding babies. 

To work with Trisha virtually or in person, please text 734-649-6294. In-network coverage with major insurance companies.

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

ENERGYbits--the superfood every mother needs for pregnancy, postpartum, and breastfeeding

Use promo code: DOWNTOBIRTH for all sponsors.

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions:

1. Is there such a thing as a lazy newborn, and if so, what can you do about it?

2. Can my placenta detach in pregnancy? My OB told me I can't have sex because my placenta is low-lying and it could separate.  

3. I have a diagnosis of gestational hypertension. If my blood pressure goes down, do I still need to be induced at week 37 as the OB is recommending? 

In our extended episode, we discuss when or not medications may be needed for postpartum depression, what increases the risk of cervical tears and hematomas, and what to do about respiratory distress in newborns born at home. 

Lastly, in quickies, we talk about doulas at birth, suggest the one question you should ask your midwife or doula, and answer whether you need to track kick counts. We discuss breastfeeding and laser hair removal, phototherapy and jaundice, and whether or not we start our day with a dry or wet toothbrush, among other morning routines. 

Thank you as always for your wonderful questions, and please keep them coming by calling 802-438-3696.  For the extended version of this episode, please subscribe on Apple subscriptions or join us on Patreon.

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

In today’s episode, we explore the powerful benefits of spirulina and chlorella—two superfoods that boost energy, improve digestion, and alkalize your body, especially during pregnancy. Each tiny tablet is pure food with the nutritional equivalent of an entire plate of vegetables. 

Trisha noticed a significant difference in her energy level during her workouts once she started taking spirulina each morning. So we've invited Catharine Arnston, founder of EnergyBits, to explain why these nutrient-dense algae offer superior nutrition. Spirulina, packed with amino acids, delivers 99.9% bioavailable protein for clean, sustained energy. It's also rich in chlorophyll and phycocyanin, which support mitochondrial health and cellular protection. Chlorella, on the other hand, helps detoxify the body and relieve constipation—a common pregnancy discomfort—while replenishing essential nutrients.

During pregnancy, spirulina supports fetal brain development with nutrients similar to breast milk, while chlorella provides immune support and gentle detoxification. Plus, with just one serving equaling 1,000 grams of vegetables, these superfoods make filling nutritional gaps easy and affordable.

We also cover how to incorporate spirulina and chlorella into your routine, recommended doses, and their key differences: spirulina for nourishment, chlorella for detoxification.

If you're looking for a natural way to boost energy, improve digestion, and support a healthy pregnancy, this episode is packed with insights you won’t want to miss. Algae is one of the most rigorously studied foods in the world and has been deemed the solution to world hunger.

We are so excited to bring you this amazing superfood!  Try it today using promo code: DOWNTOBIRTH to save 20% on your first order.  For $7 per week, you can relinquish your worries about ensuring the best nutrition for your baby and your body.

ENERGYbits

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

Today we dive deep into an incredibly empowering and unique birth story. Megan Wilson of @wilsonfamilyhomestead shares her journey of unexpectedly giving birth to her 33-week baby in a car and the powerful decision she made to trust her instincts, rather than following the traditional hospital protocol. She purposefully broke her own water in the car to expedite the birth once they were parked in the hospital parking lot.

In an inspiring twist, Megan reveals her decision to have her baby stay in the car with her, avoiding antibiotics, the NICU, and unnecessary interventions, and explains how she relied on her midwife’s guidance as they made their way to a nearby birth center. With a premie weighing in at five pounds, Megan’s determination to do what felt right for her and her baby led to an incredibly positive outcome: a thriving newborn who began breastfeeding right away and never dipped below her birth weight.

This episode is a celebration of maternal intuition, trusting your body, and navigating birth on your own terms. Join us for a heartwarming and real conversation about unconventional birth choices, self-trust, and the power of a mother doing things her way.

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

In this episode, Allison Angelini shares the profound and challenging story of her second pregnancy and birth. From the start, Allison had a premonition that her birth might not go as planned. Compounding her worries, she experienced a traumatic event while camping with her toddler, which left her grappling with PTSD and anxiety throughout her pregnancy.

Despite her fears, Allison pursued a home birth. Her labor was long and intense, complicated by an anterior cervical lip and an instinctive sense that something was off. After her baby’s head was born, his shoulders became stuck—a shoulder dystocia. He entered the world pale, limp, and not breathing. However, his umbilical cord remained intact and pulsing at a strong 150 bpm, allowing him to recover after eight tense minutes in his mother’s arms, still connected to his placenta.

In reflecting on her experience, Allison wonders if her mental state influenced her labor progression and contributed to the shoulder dystocia of her 9 lb. 13 oz. baby. Despite this difficult birth, she later went on to have a smooth home birth with her third child, who weighed almost exactly the same as her second.

Tune in to hear Allison’s honest and introspective journey as she wrestles with the question: Did my PTSD cause a shoulder dystocia?

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

Welcome to the first Q&A episode of Season 6 with Cynthia & Trisha! We’re kicking things off by discussing some lesser-known causes of cervical scar tissue that could impact labor progress. It’s a good reminder to consider how any procedure or reproductive intervention might affect future births.

In this episode, we answer a new collection of listener questions, including one about a mom-to-be who wants a home birth but is feeling uneasy about having someone else in the house to watch her child during labor. Is a birth center a better option for her? We also talk about postpartum aches and pains—specifically knee, calf, and foot discomfort—and what supplements and activities might help during recovery. Plus, we dive into the rise of shoulder dystocia: why is it happening more often, and what can be done to prevent or address it?

In our extended episode, available to Apple subscribers and on Patreon, we answer more questions, such as: How can you tell if you’re bleeding too much after delivering the placenta in water (with expert advice from Barbara Harper of Waterbirth International)? Do prenatal vitamins actually play a critical role? And when, if ever, does a low fetal heart rate in labor mean you need to cut the cord and separate mom and baby for resuscitation?

We also wrap up with a quick-fire round of Quickies covering everything from laboring on your back and diaper rash to ultrasounds, precipitous labor, and the foods we, personally, could eat every single day.

Tune in for all that and more!

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

As an active member of the military, Alexandra was required to take various medical products. After experiencing multiple adverse reactions, she started  researching the benefits, safety and risks of each, leading her to create the platform, "Just the Inserts." Just the Inserts provides all the publicly available information on vaccines and other medical products to help parents make informed choices about what they will accept or decline for themselves and their children. 

This episode is not about being "anti-vax" or "pro-vax", labels that we reject, and there is no implication about whether any vaccine or medical product is right for you or your child. It is about our right as citizens to true informed consent, knowing your available resources, learning to trust your own decisions, and becoming a steward of health for yourself and your family rather than outsourcing it to a medical provider or the government. 

Additionally, Alexandra answers questions from our audience such as:

• What is a black box warning, and do they apply to children?
• What is shedding, and should you be concerned about it?
• How did the current vaccine schedule come to be?
• What resources are available for parents to become educated?
• Why are medical professionals so poorly informed about the downsides of vaccines?
• How can you have a productive conversation with friends and family about  choices, accepting or declining medical products?
• As a reminder, this episode does not provide medical advice or recommendations on what products are right for you and your family. These choices require every individual to look deeply into their health, environment, and medical history.

As a reminder, this channel does not provide medical advice or recommendations on what products are right for you and your family. These choices require every individual to look deeply into their health, environment, and medical history.

Links to our recommended resources:
Just the Inserts
National Vaccine Information Center
Well Considered: A Handbook for Making Medical Decisions
FDA: Vaccines Licensed For Use in the USA
Vaccine Adverse Event Reporting System

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

In her early 20s, Kelsey of Soul Shine Birth went to her OBGYN for a routine Pap smear. Her results came back with HPV and abnormal cells. Having been led to believe she had impending cervical cancer, she did exactly what her OB advised: Get a LEEP (Loop Electrosurgical Excision Procedure) as soon as possible to remove any potentially harmful cells. For the next 6-9 months sex was painful and she regularly bled with intercourse.  

As it turned out, her abnormal cells were not cancerous and her HPV (human papillomavirus) spontaneously resolved, as it typically does in young women. Statistics show that 90% of HPV cases spontaneously resolve without intervention within two years. 

Today, Kelsey shares the story of her exhaustingly long labor, the remedies her midwife recommended to help cervical scar tissue dissolve, and how her mental preparations and birth altar supported her in achieving a vaginal birth despite 10 hours at nearly full dilation.  

This episode sheds light on the unnecessary and seemingly harmless interventions that young women are offered with their routine Pap smear that can have lasting and detrimental effects on the birth experience.

Watch the full video of today's episode on YouTube

If you enjoyed this episode, you can learn more by listening to episode #251 with Nathan Riley, MD.

Soul Shine Birth on Instagram

Soul Shine Birth Website

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.

Is childbirth truly one of the most painful experiences—even, as one person claims, comparable to being burned alive? In this episode, we bust this widespread myth after first diving into Elon Musk’s provocative claim that C-sections might lead to larger brains over generations.

The debate about pain-free birth has been raging on social media, with strong opinions on both sides. We discuss the unintended effects of setting women’s expectations about whether their births will—or won’t—be painful. 

Also, Cynthia shares insights from her work with HypnoBirthing clients, given that HypnoBirthing is commonly misunderstood as being a method that promises to eliminate childbirth pain. If it doesn’t make that promise, what is HypnoBirthing’s actual stance on pain? Moreover, how does Cynthia suggest educators guide women in their preparation?

We also feature listener comments, delve into the power of language to shape our perceptions of birth, and pose the ultimate question: Is childbirth inherently painful? Let us know your thoughts.

Watch on YouTube

**********
Our sponsors:
Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
Postpartum Soothe -- Herbs and padsicles to heal and comfort.
Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%
Use promo code: DOWNTOBIRTH for all sponsors.
DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

Send us Fan Mail

Support the show

Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric

Needed <-- for 20% off
DrinkLMNT <--  for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH
Postpartum Soothe: Use code DOWNTOBIRTH
ENERGYBits Superfood<--for 20% off
Join Patreon here
IG @downtobirthshow

Call 802-GET-DOWN.
Watch us on YouTube! Please note we don’t provide medical advice.