Today, Blyss meets up with Dr. Stu at his new homestead for some in-person podcasting! They discuss thrombocytopenia and low levels of independent thought in so many health care providers. Learn about the importance of a complete blood count and peripheral blood smear, the risks associated with certain medications, and the key characteristics of gestational thrombocytopenia. They also discuss various platelet count thresholds and what they mean for the expecting mother.

#314 Low Platelets & Deficiencies of Wisdom

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 beautiful rite of passage.Join the weekly conversation as we blend wisdom and humor in discussing our recent births, the latest research, traditional healing, and instinctual birth.  

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Health & Fitness

Interpreting the value of a study can be difficult. With Blyss taking some healing time, Dr. Stu interviews Dr. Emiliano Chavira, MD, MPH, FACOG and MFM sub-specialist who shares his expertise on this subject. From randomized trials to meta-analyses we learn that a study is never definitive. Working within the "high risk" system, Dr. C has insight and wisdom that we want our fellow travelers to hear. What's the definition of IUGR, what are the problems with moving the bar and why so much color Doppler? About Dr. Emiliano Chavira: Dr. Chavira is board certified in Obstetrics & Gynecology with a subspecialty certification in Maternal-Fetal Medicine. He completed both his Ob/Gyn residency training as well as his fellowship in Maternal-Fetal Medicine (high risk pregnancy) at LAC+USC in Los Angeles, California. In his years as a specialist working in tertiary referral centers, he has cared for some of the most complicated and high-risk pregnancies, dealing with both maternal medical issues as well as complex fetal problems. His passion is to provide objective and caring guidance to his patients with the aim of instilling knowledge, understanding, empowerment, and hope in difficult circumstances. In addition to caring for complicated pregnancies, he also has an interest in ethical dilemmas in modern obstetric care, particularly as related to vaginal breech birth, multiple gestations, and VBAC (vaginal birth after cesarean). Key highlights:Flaws in Term Breech TrialDebate on 39-Week Induction SafetyC-Section Rates in Labor InductionOpinions on ARRIVE Trial and C-SectionDefining Intrauterine Growth RestrictionImpact of Fear in Pregnancy MonitoringEpisode resources:Join our Patreon! patreon.com/birthinginstinctspodcastArticle: 6 Basic Types of Research Studies (Plus Pros and Cons)Article: This Is How Much Home Birth Costs in Every StateThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderBIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness programChristian Hypnobirthing | Go to christianhypnobirthing.com/birthinginstincts to get 30% off Christian Hypnobirthing's Faith-Filled Childbirth courseConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com


#362 Studies Are Just Pieces Of Evidence with Dr. Emiliano Chavira

The uterus is a miraculous creation but sometimes it doesn't follow nature's blueprint. Today on the podcast we discuss these fairly common blips (AKA anomalies or abnormalities) and their significance. With awareness and empathy, we weave through personal stories and clinical presentations, highlighting the profound impact these uterine anomalies can have on fertility and pregnancy. We dissect the various types of these conditions, the possible complications, and the importance of a compassionate, patient-centric approach to care. It's a deep exploration of a topic that's typically clouded by misunderstanding, so we aim to bring light and informed guidance to those it affects. Blyss shares a VBAC story as she continues to "patiently" recover. Dr. Stu wonders about the saying, "Life is like riding a bicycle!" and reads an uplifting twin story. Key highlights:VBAC Support and Hospital PoliciesLong Labor Story With A Happy EndingControversy Over Doula RegulationUnderstanding Congenital Uterine AbnormalitiesManagement of Uterine Anomalies and ComplicationsEpisode resources:Join our Patreon! patreon.com/birthinginstinctspodcastNational Library of Medicine: The impact of congenital uterine abnormalities on pregnancy and fertility: a literature reviewUp To Date: Congenital uterine anomalies: Clinical manifestations and diagnosisThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderBIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness programChristian Hypnobirthing | Go to christianhypnobirthing.com/birthinginstincts to get 30% off Christian Hypnobirthing's Faith-Filled Childbirth courseConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com

#361 Congenital Uterine Alternatives

Skin disorders exclusive to pregnant women have always been puzzling to Blyss & Dr. Stu. How do we know one from the other? Today we look at the dermatoses of pregnancy and differentiate the physiologic from the pathologic. You'll hear us dissect the five major types of rashes that can puzzle even seasoned healthcare professionals, the challenges of medical information access, and personal accounts of birth timing, premature labor, and the vital role of clear clinical documentation. We also delve into the nuances of supporting births in the community, examining the value of trust and adaptability when changes arise, such as a different midwife attending a birth, and discussing the impact of Group B Streptococcus (GBS) testing on hospital transfers and treatment. We also take a critical eye to medical misinformation spread by healthcare professionals on social media and the exasperating experiences with insurance companies, using personal anecdotes to highlight the issues. We also examine a range of skin and hair changes during pregnancy, and take a thought-provoking look at how control over medical literature might shape our understanding of autoimmune diseases and their potential environmental triggers. Blyss shares a birthkeeper dilemma while Dr. Stu does his civic duty. Key highlights:Medical misinformation and insurance frustrationsHow skin conditions affect pregnancyMany rashes are annoying but not harmfulWhat can be done for relief from pregnancy rashes?Exploring medical literature and information controlEpisode resources:Join our Patreon! patreon.com/birthinginstinctspodcastDermatoses of pregnancyBirthing Instincts Event: The Talk: Bringing the Homebirth Hesitant on BoardThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderBIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness programChristian Hypnobirthing | Go to christianhypnobirthing.com/birthinginstincts to get 30% off Christian Hypnobirthing's Faith-Filled Childbirth courseConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com

#360 Some Clarity To The Confusion of Rashes In Pregnancy

Blyss returns only a week post op! She is a Goddess! Today's guests, Lenny Sue Tinseth & Corinne Flatt, OG Nevada midwives share their thoughts on the laws of Nevada, California and the state of midwifery. So much wisdom, so few diplomas! About Lenny Sue Tinseth: Lenny Sue is a Licensed California Midwife, a Certified Professional Midwife and a Certified Health Coach. She has been practicing Midwifery in the Lake Tahoe, Reno Nevada and surrounding areas for 38 years. Having practiced in a grass roots unlicensed environment in her early years, both in Nevada and California has given her the perspective of licensure’s pros and cons. She is a member of Nevada Midwives Association. NMA is devoted to maintaining full access to midwifery care for all women in the state of Nevada. She has been an advocate during the last 2 legislative sessions in Nevada to ensure proposed licensure does not limit families receiving access to midwifery care. About Corrine Flatt: Corrine is a midwife, serving families in southern Nevada since 1998, the founder of Pinkpeas Pregnancy and Parenting Care, and a long-time activist for birth freedom. Find Corrine everywhere on the internet, but don't miss the speech she made on Birth Freedom in Panama at dondeseayconquiensea.org  Key highlights:Home Birth Midwife Conference AnnouncementChallenges of Birthing Freedom in NevadaModern Midwifery Practice and MedicalizationRestrictions on Midwife Practices in NebraskaState by State Birth Rights DebateGlobal Push for Midwifery Regulation  Episode resources:Join our Patreon! patreon.com/birthinginstinctspodcastalpinemidwifery.com@alpine_midwifery on IG@corrineflatt on IGBirth Freedom in Panama presentations | Donde Sea y Con Quien Sea dondeseayconquiensea.orgBeautiful One Midwifery | Holistic Women's Health beautifulonemidwiferysandiego.com  This show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderBIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness programChristian Hypnobirthing | Go to christianhypnobirthing.com/birthinginstincts to get 30% off Christian Hypnobirthing's Faith-Filled Childbirth courseConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com

#359 Unraveling the Legal Wrangling & Strangling of Midwifery

The two authors who despise home birth are at it again with a new pre-print on the "Enduring Safety Concerns" of community birthing. Does their evidence hold water? The disconnect of priorities by organized medicine continues. Dr. Stu is joined by guest co-host Lindsey Meehleis, to break down the data. Together, Dr. Stu and Lindsey dissect this paper that scrutinizes the safety of out-of-hospital births, and discuss the complexities surrounding breech births, twin pregnancies, and the sacred moments of life and death, advocating for the wisdom of traditional midwifery in today's polarized birth setting debates. They take a closer look at the ACOG's rigid stance on planned home birth risks, untangling the often-misleading statistics that shape many women's choices about their birth setting. California no longer tracks stillbirths! What? We send blessings to and burn a candle for Blyss who had hip replacement surgery today.   Key highlights:Holistic Home BirthFetal Death Reporting ControversyDebate on Planned Home Birth SafetyChallenges in Traditional Midwifery TrainingHome Birth Studies  Episode resources:Join our Patreon! patreon.com/birthinginstinctspodcastOC midwifery: orangecountymidwives.com/lindsey-meehleis-lm-cpmAbout Lindsey MeehleisACOG article: Planned Home BirthScience direct article: Enduring safety concerns for out-of-hospital births in the United StatesPubMed article: Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospitalPubMed article: Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnanciesPubMed article: Planned home versus planned hospital births in women at low-risk pregnancy: A systematic review with meta-analysisThebmj article: Outcomes of planned home births with certified professional midwives: large prospective study in North AmericaBJOG article: Perinatal mortality and morbidity up to 28 days after birth among 743 070 low-risk planned home and hospital births: a cohort study based on three merged national perinatal databases  This show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderBIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness programChristian Hypnobirthing | Go to christianhypnobirthing.com/birthinginstincts to get 30% off Christian Hypnobirthing's Faith-Filled Childbirth courseConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com

#314 Low Platelets & Deficiencies of Wisdom

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