The Midwives' Cauldron

In this 2nd episode on gestational diabetes, we discuss the baby; what is hypoglycaemia, how does it affect babies, what are the signs, and how is it treated? We look at some of the evidence and latest guidelines for treatment of hypoglycaemia in the infant, as well as antenatal hand expression, what helps support a baby's glucose level after birth and the link between women with gestational diabetes and delayed onset of lactation (milk 'coming in' late) and its potential impact on future breastfeeding. And of course, how to get breastfeeding off to a good start. A jam-packed episode to complete our whirlwind tour of GD. 

 LINKS:

Our Patreon account https://www.patreon.com/themidwivescauldron

Dr Rachel Reed - Gestational Diabetes blog https://midwifethinking.com/2018/03/20/gestational-diabetes-beyond-the-label/

Hypo EXIT - Lower versus Traditional Treatment Threshold for Neonatal Hypoglycemia. https://www.nejm.org/doi/full/10.1056/NEJMoa1905593

ABM #1 Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021  https://www.bfmed.org/assets/DOCUMENTS/PROTOCOLS/Protocol%20%231.pdf

Dextrose gel for neonatal hypoglycaemia (the Sugar Babies Study): a randomised, double-blind, placebo-controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61645-1/fulltext  

Advising women with diabetes in pregnancy to express breastmilk in late pregnancy (Diabetes and Antenatal Milk Expressing [DAME]): a multicentre, unblinded, randomised controlled trial https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31373-9/fulltext

Lily Nichols- Real food for pregnancy

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode, we discuss all things gestational diabetes. This is a two-part episode as there was just so much we had to talk about. We start with gestational diabetes in pregnancy and next time we will be looking at it from the mother and baby perspective. 

Listen in as Rachel gives us the most wonderful analogy about insulin and glucose wrapped up in the form of Pac-Man, and Rachel dissects some of the research to give us a greater understanding of testing for diabetes in pregnancy and what this all really means but when a mother is diagnosed with gestational diabetes.

This is a cracker of an episode and we'll be back with the 2nd part very soon! Get your lugholes ready coz here we go!

LINKS:

Patreon: https://www.patreon.com/themidwivescauldron

Dr Rachel Reed website https://rachel-reed.website/

Midwifethinking Blog: https://midwifethinking.com/2018/03/20/gestational-diabetes-beyond-the-label/

Michel Odent real quote (!) “A diagnosis looking for a disease. ”



Disclaimer:
The information and provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. 

All liability with respect to actions taken or not taken based on the content of the podcast are hereby expressly disclaimed. Your use of content contained in or linked to this podcast is entirely at your own risk. The Midwives' Cauldron podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

On this episode we talk to Dr Sara Wickham, a midwife, best-selling author, speaker and researcher. Sara is the Director of the Birth Information Project. She divides her time between speaking, writing, facilitating online courses, creating resources, and undertaking consultancy services for midwifery and health-related organisations around the world. 

Today we are discussing all things Anti D. 

We delve into the founding history of Anti d – who discovered it, how it's made, what monkeys have got to do with Anti-D, the limitations in the research, and where we are at in current maternity practice. It's a jam-packed show!

Plus Rachel and Sara discuss their, let's say unusual, hobby of being guideline detectives! 

Sara's passion is "Getting good information out so women and families know what the evidence is and know what they want to do." 

This episode is both wonderfully informative and full of discoveries you've probably never heard before and of course some laughter along the way!

LINKS:
Sara's website 
Sara on Instagram @drsarawickham

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we talk with the utterly wonderful Prof Amy Brown about why she doesn’t like sea lions, looking at breastfeeding from a biological perspective,  women’s experiences of feeding their babies, how to navigate the internet as a birth worker and more!

 Prof  Amy Brown is a professor of maternal and child public health at Swansea University. She is based in the department of public health, policy and social sciences where she is the director of their research centre 'LIFT' which stands for Lactation, Infant Feeding and Translation.  She researches everything to do with becoming and being a new parent, with a particular focus on infant feeding, mental health and normal baby behaviour. The ultimate aim of her research being to change society and culture, which as she states“turns out not to be an overnight job”. Amy wants to see a future where women and families are respected, valued and supported in growing, birthing and caring for their babies.  

Amy has written extensively; a plethora of books, research, blog articles and videos which you can find below.

LINKS:

Website: https://professoramybrown.co.uk/

Books: https://professoramybrown.co.uk/books-%26-shop  

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode we get to interview the wonderful Billie Harrigan. Billie is the Owner and Director of Birth Trauma Ontario, which provides education and training for maternity providers and allied birth professionals in trauma-informed care, as well as providing information and support for parents and loved ones that are dealing with birth-related trauma or birthing after trauma.

Billie is a traditional birth companion, certified birth and postpartum doula, and childbirth educator. 

We delve into some deep topics in this episode; what is trauma-informed care, how 1/3 of women experience trauma following birth, the importance of language and we discuss the skill of “affective empathy” and how this is key to gain an emotional resonance with another person. How affective empathy changes outcomes, improves client trust, how it reduces burnout in clinicians, and improves overall job satisfaction. 

I think you’ll find this episode both challenging and game-changing. And as Billie says it's time to start equipping women with the tools they need.    

LINKS:
Billie Harrigan website: https://billieharrigan.com/

Dr Rachel Reed book: https://rachel-reed.website/reclaiming-childbirth-as-a-rite-of-passage/


MUSIC: Joesph McDade https://josephmcdade.com/music
PRODUCTION: Katie James

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

This time Rachel interviews Katie about the most common breastfeeding questions we have about the early days.  The usual banter and laughter ensue, with a musical number or two belted out by Rachel!

LINKS: 
Donna Ramsey. Anatomy of the lactating human breast redefined with ultrasound imaging: https://pubmed.ncbi.nlm.nih.gov/15960763/ (open access article) 


Disclaimer:
The information and provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. 

All liability with respect to actions taken or not taken based on the content of the podcast are hereby expressly disclaimed. Your use of content contained in or linked to this podcast is entirely at your own risk. The Midwives' Cauldron podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

Dr Danielle Arabena, is a descendant of the Meriam Mer people in the Torres Strait, a medical doctor, GP specialist,  educator, respected figure in the medical community and host of the Indigenous Health MedTalk podcast. 

This episode delves into aboriginal history, ancient medicine, medical magic and how we no longer recognise the importance of connecting to our menstrual cycle. We discuss how we can all benefit from sitting with ourselves properly during our cycle, learning more about our womb space and the energy it carries, including pain, trauma, and loss that we may be holding onto.

Through her formal higher education studies, trials and cultural journeying, Dr Danielle Arabena has arrived into her true authentic self as a Doctor, Doula, Healer and Indigenous health educator. Danielle has spent 30 years devoted to studies of all types, defying odds & bending stereotypes.  Dr Danielle has a particular interest in holistic women's health, menstruation, childbirth, lactation and postpartum care. 

LINKS:
Website
Podcast
IG - @drdaniellearabena

Artist - Delvene Cockatoo Collins 

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

In this episode Katie interviews Rachel Reed on her new book 'Reclaiming childbirth as a rite of passage'; from conception to birthing, including tea and toast at the end!

LINKS:
https://rachel-reed.website/reclaiming-childbirth-as-a-rite-of-passage/

Chapters

Part One: The Weft

1. Herstory: an overview of the herstory of childbirth from early humans to the emergence of modern maternity systems.
2. The legacy: how the legacy of herstory continues to influence the modern cultural landscape of childbirth.
3. Blood mysteries: an exploration of women’s bodily rites of passage and how they are interrelated with the childbirth experience.
4. Childbirth as a rite of passage: key elements of childbirth as a rite of passage and the role of care providers (setting the scene for Part Two).

Part Two: The Weave

1. Preparation: pregnancy and cultivating self-trust for birth
2. Separation: early labour and releasing the external world
3. Liminality: labour, betwixt and between, and transition
4. Emergence: birthing the baby and witnessing body wisdom
5. Integration: birthing the placenta and mother-baby enchantment
6. Medical birth rites: how to centre the woman when her childbirth rite of passage includes medical intervention.

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

Toni Harman is the incredible film maker of the multi-award winning documentaries Microbirth, Doula and Freedom for birth, as well as the producer of the microbiome online courses. In this episode, we explore the science of ‘seeding and feeding’ a baby’s microbiome during pregnancy, birth and breastfeeding and the critical role of mothers’ microbes for optimal training of the infant immune system and lifelong health. Along with discussing the differences between vaginal and caesarean birth, those amazing human milk oligosaccharides (HMOs), we also get down and dirty in the mud, Katie has now decided she needs a cow for a house pet, and we even talk about cave beer and pickling all in the name of healthy pregnancy, birth and for ongoing lifelong health for our babies, children and own bodies. 

LINKS:
Microbiome Courses website: http://microbiomecourses.com

On Facebook: https://www.facebook.com/groups/473121803401844/

On Pinterest: https://www.pinterest.co.uk/MicrobiomeCourses/

On Instagram: https://www.instagram.com/microbiomecourses/

Megan Azad: Perinatal antibiotic exposure of neonates in Canada and associated risk factors: a population-based study https://www.tandfonline.com/doi/abs/10.3109/14767058.2014.947578

Ewe Ewald: Proceedure in the NICU, University Hospital Sweden - Skin to skin contact https://www.youtube.com/watch?reload=9&v=VVwbVJpfgAc 

Lambic beer: https://www.thrillist.com/eat/nation/what-is-lambic-beer-the-fermented-sour-belgian-beer-you-need-to-try 

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.

 In this episode, Rachel and Katie take a look at the evidence surrounding the pushing phase of labour. Rachel discusses the reasoning behind why we need to stop talking about labour in stages and we delve into the cervical lip and how best to deal with it. And of course along the way we have some fun.  Join us in this episode of The Midwives Cauldron to learn while you laugh.

LINKS: 
Research mentioned:

• Dahlen et al. (2013) Vaginal examinations during normal labor: routine examination or routine intervention: https://connect.springerpub.com/content/sgrijc/3/3/142?implicit-login=true

Midwife thinking blog posts: 

• The anterior cervical lip: how to ruin a perfectly good birth: https://midwifethinking.com/2016/06/15/the-anterior-cervical-lip-how-to-ruin-a-perfectly-good-birth/
• Pushing: leave it to the experts: https://midwifethinking.com/tag/cervical-lip/ 

Disclaimer:
The information and provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. 

All liability with respect to actions taken or not taken based on the content of the podcast are hereby expressly disclaimed. Your use of content contained in or linked to this podcast is entirely at your own risk. The Midwives' Cauldron podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

Head over to The Latch Revolution Podcast to continue the conversations with Katie James and Johanna Sargeant, IBCLCs

Click here if you would like to find out more about Decoding The Suck  and advance your clinical skills in lactation and suck assessment.

Support the show

Resources & Support

Get Katie’s Milk Supply Confidence Kit — a free resource to help pregnant women, new parents and professionals feel calm, informed, and confident about breastfeeding.
👉 Download here

⭐Leave a Review
Enjoying the podcast? Leave us a review and tell your friends!

Want More from Katie and Rachel?
– Katie’s website
– Rachel’s website

🎶 Music by Joseph McDade


Disclaimer
The information shared in this podcast is for general educational purposes only and is not intended as medical or legal advice. Always consult with a qualified professional regarding individual health concerns.

The Midwives’ Cauldron podcast does not guarantee the completeness or accuracy of the information provided and accepts no liability for any loss or harm arising from reliance on this content.