This is a free preview of a paid episode. To hear the full conversation, visit keelysemler.substack.com.

Today’s guest is board-certified OB/GYN Dr. Ono Nseyo. We cover a wide range of women’s health topics, from birth control to the lack of women’s health research. We also talk about the gaps in prenatal nutrition education in medical training and the missed opportunities this creates for clinicians. We explore the importance of shared decision-making with patients, including how Dr. Nseyo navigates situations when a patient’s choice differs from her medical recommendation.

One of the reasons I love this conversation is that Dr. Ono never pretends to have all the answers. Her honesty and humility are refreshing, especially in a field where overconfidence can overshadow curiosity and connection.

In the extended interview, Dr. Nseyo speaks candidly about the pressures and limitations of modern medicine, the need to honor matrescence (the profound physical, psychological and emotional process of becoming a mother) and why postpartum care deserves more attention and support from clinicians.

Resources from this episode:

* For more on women’s health research, check out this episode with Katie Schubert from the Society for Women’s Health Research.

* Read this article on how insurance companies are medicalizing the role of doulas to profit from them.

* Join us for a roundtable discussion with Dr. Nseyo and midwife Nancy Beyda.

Dr. Ono Nseyo is a board-certified OB/GYN and Medical Director of Women’s Health for Sutter East Bay Medical Group, where she leads efforts to expand access and equity in healthcare. Rooted in advocacy and compassion, her practice bridges clinical expertise with a deep commitment to maternal health and systemic change. She is also the host of Golden Hour.FM, a podcast that amplifies the many different voices and experiences of childbirth.

If you love the Motherlands Podcast, please help us keep it alive by becoming a paid subscriber at keelysemler.substack.com.

4:15 Birth control

9:09 Keely’s experience of being pushed to take birth control for hormonal acne in adolescence & the need more women’s health research

14:17 The black hole of nutrition in Western medical school

20:13 Med school: from an algorithmic binary approach to patient-centered, shared decision-making care

24:16 What is medical informed consent?

27:09 Honoring patient autonomy

43:27 The difficulties and frustrations of being a medical professional

Behind Closed Doors Extended Interview Includes:

44:24 How medical insurance companies negatively impact the way doctors are able to care for their patients

48:50 Matrescence & the need to invest resources in postpartum care

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