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October 22, 2025 58 mins

Dr. Sara Ailshire, an anthropologist and Evidence Based Birth®️® Research Team member, and her husband, Dr. Siavash Samei, an environmental archaeologist, share the story of welcoming their rainbow baby after loss. In this episode, Sara and Siavash open up about navigating miscarriage care in the wake of changing abortion laws in Ohio, the anxiety and hope of pregnancy after loss, and Sara's experience with developing preeclampsia near the end of her pregnancy. They describe how they worked with a supportive midwifery team, hired a doula for advocacy and comfort, and ultimately experienced an induction that honored their preferences for a low-intervention birth. Their story also sheds light on the realities of discrimination in healthcare, the importance of community support, and the resilience found in becoming parents after loss.

(01:58) Facing Miscarriage in Ohio and Barriers to Care
(07:35) Pregnancy After Loss: Anxiety, Detachment, and Hope
(13:04) Finding Midwifery Care in Kentucky and Planning a Low-Intervention Birth
(20:29) Preparing for Birth: Classes, Doulas, and Advocacy Concerns
(22:37) Early Signs of Preeclampsia and Navigating Blood Pressure Monitoring
(30:33) Deciding on Induction at 38 Weeks
(36:39) Laboring with Support and Moving Through Transition
(42:43) Birth of Ferdous and Unexpected Placenta Complications
(49:34) Advocacy, Microaggressions, and the Role of the Doula
(54:23) Advice for Expecting Parents: Finding Calm, Support, and Autonomy
 
Resources
Learn more about preeclampsia: www.preeclampsia.org
Miscarriage Care Instructions from Kaiser Permanente: healthy.kaiserpermanente.org
Dobbs-Era Abortion Restrictions and Miscarria
Mark as Played

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