Down to Birth – Details, episodes & analysis

After birth, many women are left blindsided by physical changes they never expected. Vaginal dryness, painful sex, recurring UTIs, and even emotional strain can all show up during breastfeeding — but most mothers are never told why. In this episode, we sit down with Sara Perelmuter, a third-year medical student at Weill Cornell Medical College in New York City. Sara currently serves as president of the Sexual Medicine Research Team and has authored numerous peer-reviewed publications on reproductive and genitourinary health.

Sara explains the hormonal shifts that mimic menopause in the postpartum period, why so many women are suffering in silence, and what the research reveals about both the prevalence of these symptoms and the safe, effective treatments available — including pelvic floor therapy, moisturizers, lubricants, and topical vaginal estrogen.

These symptoms are common, but they are not inevitable. By naming and studying them, we open the door to treatment and better care.

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Welcome to the October Q&A episode! We kick things off with a few confessions from our community (and one from us!) before diving into your thoughtful questions on pregnancy, birth, and postpartum.

Today’s questions include: Is it safe if you pee in the birth tub? How can you afford a home birth when money is tight? What does it mean to “push wrong” in labor, and how does the Ferguson reflex really work? We also discuss the fear of postpartum rage returning in a subsequent pregnancy, whether OBs should move out of the way so partners can catch the baby, and why so many providers still insist mothers push on their backs.

We then cover laboring down and whether it increases risk, the truth about the “30-minute rule” for delivering the placenta, and how prenatal Pilates affects the pelvic floor. We also answer a listener’s question on how to explain conception and birth to young children in a clear, age-appropriate way.

Quickies this month: Can an OB tell if a baby is head down without an ultrasound? Do lip ties need correction? Which supplements actually help milk supply? Is estrogen cream useful postpartum? PT vs. chiropractor in pregnancy? Plus a few lighthearted ones, including our guilty pleasure shows, whether we wash our walls, and what we’re currently reading.

Call us anytime with your questions, comments, or stories at 802-GET-DOWN!

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Welcome to the August Q&A episode! What is your secret quirk? We want to know! We share a few of yours along with our own. 

Today's first question is from a mother who had a large first baby without a diagnosis of gestational diabetes. She's concerned in her second pregnancy that she might develop late-onset gestational diabetes.

Next, a pregnant mother's mother is a medical doctor and is having a hard time supporting her daughter's natural birth choices because of her experiences in the medical system. 

Another mom is struggling with sugar cravings in pregnancy and is wondering what advice we have to reduce those cravings.

In the extended episode, available on Patreon and Apple subscriptions,  we address the benefits of exclusive breastfeeding over exclusive bottle-feeding, whether or not you should have a planned cesarean after a shoulder dystocia, and if moxibustion works to turn a breech baby. 

Quickies: Fundal height measurements, prenatal appointments at the end of pregnancy, hemorrhoids, spotting postpartum, short breastfeeds, LEEP procedure and cervical scar tissue, high lipase milk, laboring down, restless legs in pregnancy, and finally, would we tell anyone about our pregnancy before 12 weeks? 

Call us with your questions, comments or stories at 802-GET-DOWN!

Watch this episode in full video format on YouTube.

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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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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.

Send us Fan Mail

Cozyearth: Use code DTB for 20% off

Needed <-- this link for 20% off your order
DrinkLMNT <--  this link for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH for 10% off
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits Superfood<--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

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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.

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: The Direct Marginal Costs of Breastfeeding
Suboptimal Breastfeeding in the United States: Maternal and Pediatric Health Outcomes and Cost
Rhonda Trust on Instagram
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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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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.

Send us Fan Mail

Cozyearth: Use code DTB for 20% off

Needed <-- this link for 20% off your order
DrinkLMNT <--  this link for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH for 10% off
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits Superfood<--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

Down to Birth Show

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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.

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.

Send us Fan Mail

Cozyearth: Use code DTB for 20% off

Needed <-- this link for 20% off your order
DrinkLMNT <--  this link for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH for 10% off
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits Superfood<--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

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.

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!

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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.

Send us Fan Mail

Cozyearth: Use code DTB for 20% off

Needed <-- this link for 20% off your order
DrinkLMNT <--  this link for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH for 10% off
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits Superfood<--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

Down to Birth Show

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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.

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 unwavering commitment to authenticity challenges the status quo, beckoning us to peer beyond the facade and reckon with the stark realities we collectively face.

Radically Genuine Podcast
Radically Genuine YouTube
Radically Genuine
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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 h

Send us Fan Mail

Cozyearth: Use code DTB for 20% off

Needed <-- this link for 20% off your order
DrinkLMNT <--  this link for FREE 8-day supply
Primally Pure Skincare: Use code DOWNTOBIRTH for 10% off
Postpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTH
ENERGYBits Superfood<--this link for 20% off

Join Patreon for our exclusive content
IG @downtobirthshow

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.