August 5, 2024 • 25 mins
In this episode, Kelly and Tiffany emphasize the importance of a holistic approach during pregnancy to avoid birth complications. They share tips on supplement hacks, and discuss how to maintain a low-risk pregnancy and labor.
00:00 Introduction and Welcome
00:47 Listener Review
03:15 We Heart Nutrition Supplement Hacks
08:40 The Importance of Preventing Birth Complications
05:17 Tips for Maintaining Low-Risk Pregnancy and Labor
22:01 Childbirth Education Course Announcement
Links to all the extra good stuff:
We Heart Nutrition- code BEAUTIFULONE for 20% off: HERE
Childbirth Education Wait List: HERE
Water Breaking Blog: HERE
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Be sure to subscribe to the podcast to catch every episode. Follow us on Instagram for extra education and antics between episodes at: @beautifulonemidwifery
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Welcome to At Home with Kellyand Tiffany, where naturally
minded women gather together aswe pursue simplicity and
confidence in healthalternatives, so we can show up
better in our busy lives andfeel more at home in our bodies.
Join your favorite home birthmidwife duo for conversation,
candor, and community.
Welcome back to at home withKelly and Tiffany I'm, Tiffany
(00:22):
I'm Kelly.
We are two midwives in sunny,San Diego.
We haven't really introducedourselves as, as such in a
while.
Yeah.
And it is sunny.
Here is we're in a bit of like aheat wave.
It seems silly to be saying thatbecause like our listeners who
live in the south or something,or like, yeah, be quiet.
You guys it's like 78 and a halfdegrees here.
(00:43):
And let me tell you, the aircondition is working hard.
We are spoiled, but it is.
It is it's warmer than usual.
I'm excited to share on thistopic in particular, because it
is the foundation of midwiferycare in general.
As we get going on that I have areally sweet review to read, but
(01:05):
this is by courageous coolCatholic.
And it's a five star review.
The title says best pregnancypodcast.
I'd like to put that.
On a plaque.
We probably should put itsomewhere.
It's the best.
Yeah.
Rev reader or listener.
Listener.
Approved listener.
(01:27):
Voted.
Voted.
The listeners have decided thisis the best one.
It's the best.
Okay.
So she says I've been dying tofind a holistic perspective on
pregnancy.
And this podcast is it.
Too much of the pregnancyinformation out there is basic
Western medicine philosophy andwomen need more Kelly and
Tiffany not only provide highquality information and details,
(01:49):
but also do it in a fun lightmanner, sort of similar to the
vibe that stuff you should knowcarries.
Thank you so much for doing thispodcast.
Keep it up.
I'm 20 weeks pregnant with myfirst and find so much comfort,
courage, and solitude andlistening.
I love that is wonderful.
Do you know, the very firstpodcast I ever started listening
(02:09):
to, I would binge listen to itwhile I had like a, like, Like a
admin job in college was stuffyou should know.
Oh, really?
That's sweet for her toreference that.
Yeah.
I wonder if we could get thatmany listeners.
Be helpful stuff you shouldknow.
Birth edition.
We can, we can petition orwhatever, ask them, Hey.
(02:32):
Oh, you should have a birthaddition.
Can we share stuff you shouldknow about birth in a
lighthearted manner?
We've already been voted thebest.
See podcasts.
Just so, you know, you would be.
Only enhancing.
Your show by having this on it.
We are the best.
It's all just for you.
Oh, my gosh.
(02:52):
Well, I just appreciate thereviews you guys, because that
is how we are able to get tomore people.
And.
The way that podcasts, thealgorithm of podcast is based on
reviews.
Downloads.
And so every time you listen,every time you review, every
time you subscribe, every timeyou share it, all really helps.
(03:14):
And I know we've like really.
Unashamedly admitted that ithelps us.
Yep.
Really keeps us going and makesus feel like we're doing
something.
So, I mean, we get stuff onInstagram, too similar where I'm
like, oh yeah, yeah.
Okay.
This.
This gives me the courage foranother day.
I feel like I can continuefighting the good fight.
(03:37):
Yes.
Absolutely.
If you leave a review, we alsowill buy you a drink.
When you tell us that you heardus read your review.
So it has to be a good review inorder for us to read it.
And when we do, we buy him adrink.
It's a good, that's a goodexchange.
Absolutely.
We create the podcast.
You listen to it.
You love it.
You write review.
We bought you drink.
(03:57):
It's a good it's good.
Then you start all over again.
You listen.
That's good.
Okay.
I have a hack.
I wanted to share with peoplebecause I'm so excited about
this.
So I, it seems like about everyother episode now we're sharing
about we heart nutrition.
And we, we just love thembecause they're friends of ours
and we love their product.
We're not sponsored by them.
(04:17):
Nope.
But because we're recommendingit so often I end up getting in
these conversations with peopleall the time.
So I had another midwife textsme, and she was like, Hey, one
of my clients.
Is looking at we heart nutritionfor their supplements, but I've
never recommended them before.
Can you just tell me like what.
What the deal is.
And so I was telling her.
(04:38):
And she is like, oh, but youknow, there it's, it's a, it's a
high quality, high qualityproduct.
It looks a little pricey.
Do you think it's worth thequality?
And I'm like, absolutely.
Or I wouldn't recommend it.
I think supplements are one ofthe things that are absolutely
we're spending money on, but youhave to know what you're getting
out of it.
And I think that's really hardfor women sometimes to, to be
(05:00):
able to discern, what am Ipaying for here?
Is this worth it?
We did an entire episode allabout.
Supplementing and like, keep, Ithink it's called like
affordable and.
Quality.
Something supplements.
Yeah.
So you guys can find that inour, in our history, you can
find that based off that reallygreat title search for you.
(05:23):
I think if you just look upsupplements, I think if you just
search supplements in ourpodcast, you'll be able to find
it.
But anyway, I found this awesomehack for we heart nutrition, and
it basically reduces your orderin like half or like almost 50%
to get it cheaper.
So I will tell you exactly whatto do.
(05:44):
First you get on we heartnutrition.com.
Then you click one of thebundles because the bundles are,
I think like 10% off orsomething like that.
When you bundle things together,then you use our coupon on top
of that, that gets you 20% offyour order.
Then you choose auto ship.
And that subscription, which isjust helpful.
(06:07):
That's just a life hack ingeneral, right?
Like just subscribed to thingsthat you are definitely going to
need every single month.
And that gets you like another10% off too.
So like for example, theirprenatal bundle, they have their
prenatal, multi, they have theiromega, they have the magnesium
and they have their iron.
It's like such a fantasticlittle quadruple set there.
(06:28):
It starts out at$134.
That's pretty comparable.
That is, I mean, for supplementsfor$134 is pretty standard.
Like upper level high qualitysupplements.
But if you choose the bundleoption, it goes down to 107.
Then you subscribe an auto-ship,it goes down to$97 and you don't
(06:51):
have to do it every singlemonth.
They have options for 30 days,60 days, 90 days.
Okay.
Then you use our coupon.
And it goes down to$77.
Plus you get free shipping.
So you save almost$60.
That's a wild stacking, allthose things.
And that's incredible.
That's like such a.
(07:11):
That's such a sweet way to justlike take advantage of.
Jumping in and just in tryingthese out, I think everybody
should do it.
Yeah, absolutely.
And anything that takessomething off your mental load?
Like, I don't know why everysingle month when I'm like, oh,
I'm out of this thing, then I'mlike, oh, I got to order it to
get it.
Like, why do I do this tomyself?
Because I know this is somethingthat's a part of my rhythm.
(07:34):
I've just got to click thebutton.
Yeah.
I'm afraid of.
The amount of money that I'mspending on supplements.
And so it's like, I almost wantto see exactly what it is, but
it's preventing me from actuallybeing able to take them because
I don't have them in stock allthe time.
It's like a vicious cycle that Ihave to like psychologically
work through.
(07:54):
But it's not just pregnancysupplements.
They have just well-womanmultis.
They have postpartum multi-resthey have pre-menopausal and
menopausal multi-res.
They have.
A great little B six combo formorning sickness.
There's just like multiplethings on there that you could
love and enjoy.
And they probably told us thisat some point, because they're
(08:17):
very good at keeping us informedon their promotions.
But you can actually build yourown bundle.
Yes.
So you can say like, well, Iknow I'm going to use a lot of
the magnesium.
I'm gonna get a couple of thoseand I'm also working on my iron
or something.
Right.
And you get to build your own,whatever it is you need and get
the discount off of the bundlethat you built.
I don't know.
It's just genius.
(08:38):
It was just so, so good.
They know what's up.
Okay, so jumping into preventingbirth complications.
The biggest complication thateveryone is trying to avoid is
basically like surgical birth.
Right?
I mean, women at the end of theday who were trying to.
Avoid interventions and avoidmedications.
And I mean, there's definitely apiece of it.
(08:59):
That's like, well, I just wantto experience what this is meant
to be.
But I think if you got to theheart of it, most women are
like, yeah, I just don't want aC-section.
That's just, oh, that's justeverything that comes along with
it and everything that wouldlead up to it would just be the
opposite of what I want thisexperience to be.
Yeah.
And I think some people arelike, well, that's like the end
goal.
So anything I can do, I'm justgoing to avoid that thing.
(09:22):
Not realizing that like, that'sthe end of a whole host of other
things that probably has comebefore that.
Yup.
I mean, the cascade ofinterventions in general is
basically just like.
One thing that leads to anotherleads to another and it, the F
the.
Statistics around birthinterventions in general is
(09:46):
super fascinating.
For example, you're six timesmore likely to have a C-section
if you have Pitocin and anepidural involved in your labor,
six times, six times.
So like a first-time mom whoavoids Pitocin, she almost
doubles her chance of avoidingan epidural.
For example, like these twothings go hand in hand it gives
(10:07):
her a 5% risk of having aC-section.
Versus our national average islike 33%.
If she avoids Pitocin, but usesan epidural, she has a 20%
chance of a C-section.
So you take that down by like13% just by avoiding Pitocin.
And the first time mom whoreceives Pitocin and an epidural
(10:28):
of course has a C-section riskof like 30 to 35% Pitocin with
no epidural produces a 19%seminarian risk.
So similar to.
Having an epidural, but noPitocin.
So those two pieces together andwhoever did the research on.
Connecting those pieces.
Was so smart because Pitocin isusually needed in an induction
(10:52):
or an augmentation.
That means that there's somepart of the labor or some part
of the process that.
Someone says is not going fastenough or strong enough, or, and
so now we're going to intervenein this way.
And the intervention of theepidural is, you know, everyone
gets to choose what kind of.
(11:13):
Pain relief and support thatthey want.
But the women who are, who areworking on having a natural
birth, want to avoid theepidural because they know that
it kind of like leads down intothis cascade.
So what is going to set women upto.
Keep them out of thosecategories is basically
understanding.
Why does the Pitocin end upcoming into the picture?
(11:35):
For births.
And why does, why do epiduralsend up coming into the picture
for birth and how can you workbackwards from those pieces in
order to avoid some of thoseinterventions?
Yeah, and I think what's justfascinating is right.
The majority, the vast majorityof women are starting their
prenatal care and their laboritself in a very highly
(11:57):
interventive situation.
So if you're wanting to avoidthose things and you're walking
into a hospital experience, you.
You, you just automatically areat higher risk for those things
because they are right there.
Right?
Our assessment of encouraginglabor to start, or, you know,
(12:17):
kind of helping moms establish agood labor rhythm or help them
cope with the intensity of laborlooks very different than it
does in the hospital.
Right.
And so allowing and kind ofleaning into physiology wherever
we absolutely can matter.
So.
So much.
And so we see what ends up.
(12:39):
Making women more likely to haveall of those other
interventions.
One is where they're choosingand with whom they're choosing
to birth with.
But we see these things so oftenin our massively high induction
rates, those things togetheralmost are like hand in hand and
women are walking into these expor care.
Providers are walking women intothese experiences as if they're
(13:01):
just like.
Well, don't you want to meetyour baby?
Sometimes there are medicalreasons for doing so, but Mo a
lot of the time we see thisbeing orchestrated in a way that
is For timing or for just careprovider, personal preference.
I've had multiple.
I mean, I remember when I wasdoing more hospital births as a
(13:22):
doula, how many clients werepersuaded or talked into a, an
induction because of the careproviders vacation plans.
Right?
Like, I won't be here.
I won't be on call.
How about, you know, that youhave me and we'll just choose
this day.
So that impacts so, so muchright.
Yeah, it absolutely does.
(13:42):
And like, ah, you know, as ahome birth midwife, We're we're
only taking care of low riskclients.
So it's really uncommon forthere to be a need for a medical
induction.
But most women in the hospitalsetting are potentially
candidates for low risk birth.
Right.
But unfortunately, You're beingcared for by a provider who
(14:06):
deals with and has the grid forhigh risk situations and
potentially in an environmentthat is set up for and
potentially has you on theconveyor belt for dealing with
high risk.
Situation.
So it's possible that your, thatyour idea of what you would like
to happen in your birth and thechoices that you're making with
(14:27):
your provider and your birthenvironment are mismatched.
Just because of that, you'regoing to a facility in your
paint, your you're hiring yourprovider.
That their specialty and theirexpertise is in, is in high risk
pregnancies in bursts.
And so if that's what they'recomfortable with and that's what
they're used to, and that's howtheir.
(14:48):
Going to potentially funnelwomen through.
That just increases your riskfor those pieces just alone all
by itself.
Yeah.
You'll, you'll be walking into asituation in which you're just
simply higher risk for theseinterventions because of the
situation you're walking into.
And that's not to say, Hey,you're making the wrong choice
that may make you feel better.
(15:09):
And that is okay and acceptable,but everyone has to have their
eyes wide open as they makethese decisions of which risk
status am I most comfortablewith.
Right.
There's risk in any.
Where nothing is risk-free inany space.
But again, I was wide open.
Yeah.
And so no, what the, no, whatthe rates are, know what your
(15:30):
provider rates are forinduction.
Like how, what percentage ofwomen in your practice ended up
being induced?
Know what the C-section ratesare of your provider and the
facility that you're givingbirth in.
Something else that kind of setsyou up for some of these
complications can be just beingthe first time mom in general.
It tends to be like thepregnancy that lasts the longest
(15:54):
and the mom that is the mostnervous and the labor that takes
the most time and in animpatient society with
in-patient care providers whoare trying to push the process
along, or at least tryingdesiring to control it.
You just have some things markedagainst you automatically.
(16:15):
So when we talk to women who arelike, I'll have the home birth
the second time after I.
Can see that I can do burrs thenwill then, then I'll feel more
confident and she is into homebirth the best possible.
Outcome for your first birth inorder to avoid creating of high
(16:38):
risk obstetrical history foryourself that would potentially
keep you from being able to havecandidacy for home birth in your
second is to put yourself in alow risk environment with.
With the provider who is.
Is an expert in dealing with lowrisk birth that is going to
protect your experience the mostas a first time, mom.
(17:00):
Yeah.
And I mean, not to mention likebirth trauma and the things like
that, that we deal with in termsof people stepping out of the
medical model of care.
There are a few things too, justto kind of consider about risk
status of kind of being involvedin these sorts of complications.
So you mentioned being a firsttime mom going past your due
date is one as well.
And that is somewhat common fora first-time mom.
(17:21):
I would say more common thannot, but even in subsequent
pregnancies, it's not a badthing or not an abnormal thing.
But depending on your careprovider and their stance on
that, I was actually sharing acare provider that somebody else
had recommended with me tosomebody else.
And I clicked on the link thatwas sent.
And somewhere on that very firstpage set at 40 weeks, you will
(17:42):
be scheduled for an induction.
And I was like, well, I can't, Ican't refer you there because I
don't think you're going to gettrue informed consent and all of
the things right.
But dealing with due dates andthat kind of thing absolutely
can be a piece of it.
And then other things that aregoing on in the actual labor or
pregnancy itself as well.
Like if your water breaks is thefirst sign of your labor, you
(18:03):
will.
Potentially step into thishigher risk status.
We actually have a blog thatgoes into a ton of information
about that in particular andkind of managing those pieces,
which can be.
Really helpful your GBS statusas well can be a huge impact on
how your.
Pregnancy and labor is managedand can impact the type of
(18:25):
interventions that are offeredor strongly encouraged and all
of those things.
And again, we also have lots ofinformation about GBS on our
website as a, well, including anentire protocol on how to deal
with GBS, how to prevent it, allof the options and things like
that to help decrease your riskfor entering into these types of
(18:45):
statistics.
Right.
Yep.
And you know, a part of thattoo, is like participating in a
ton of extra testing andultrasounds at the end of your
pregnancy.
Knowing if your provider haslike a low tolerance for how
normal long labors can be.
If your baby isn't in a greatposition, that's causing all
kinds of, you know, stalls inyour labor.
(19:07):
So understanding the importanceof optimal, fetal positioning in
pregnancy and how thattranslates into labor.
And the type of support that youwant to have in your labor in
order to maximize that.
There's so much that you can doin pregnancy in order to set
yourself up well, for avoidingsome of these interventions and
complications and a huge part ofthat is just participating in a
(19:28):
model of care.
That's preventative.
That's been one of my favoritethings actually about creating
this Trump birth education classthat we are finishing up is that
we have been able to share thisinformation about our model of
care and the importance ofprevention and looking ahead
rather than being reactive tostuff or dealing with it in the
(19:49):
moment of course we can show upand deal with something that
comes.
You know, go sideways orsomething in the moment, but the
more that you can do beforehand,the more that you're like, let
me nourish my body.
Well, let me move it.
Well, let me.
Be armed with the informationthat I need.
Gosh, that matters so much.
Yep.
So I would venture to sayavoiding.
(20:12):
Complications in birth.
You take a step.
You know, backwards from there,it means staying low risk in
your labor, which meanspotentially staying low risk in
your pregnancy.
And how can you stay as low riskas possible in your pregnancy,
potentially having apreventative model of care.
(20:34):
Even even the beautiful,beautiful piece of preconception
counseling and doing some labsbefore you even get pregnant and
trying to get some of.
Those foundational healthpieces, all surrounding having a
low risk pregnancy thattranslates into having a low
risk, labor and birth thattranslates into avoiding some of
(20:55):
those complications.
And, you know, essentially justbuilding your confidence.
For the types of situations thatmight come up that you
understand, this is what thenormal process looks like.
This is the way that I can bestsupport my body in doing that.
I feel really confident saying,no, thank you to that.
In fact, we, we created a wholereal ones that was like all on
(21:17):
the premise of if you want toavoid interventions.
You need to get reallycomfortable and practice
declining things.
And start doing that in yourpregnancy started doing that
before you even got pregnant,just get comfortable with really
looking at the options andsaying, no, thank you to the
things that you actually do notwant because it leads to the
(21:38):
ultimate.
No.
Thank you.
Right.
It leads to the ultimate.
Like I'm not, I'm not going toutilize that tool unless I
absolutely need it.
So we want women to just beequipped with those pieces.
A huge part of that has reallyjust been the extension of that
to our own clients and themgetting to participate in that
(21:59):
model of care with us.
And now we finally have a waythat we can get all of those
details and many, many layers ofpreventative care and.
Informed consent and really goodeducation from a physiological
perspective through ourchildbirth education course.
So that's a really excitingthing you guys know that has
(22:20):
been in the works all.
Spring and summer, and we are soclose to the point of being able
to launch it into the world.
And it's very, very, veryexciting for us.
So.
We are going to get you guys onthe wait list for the childbirth
education course, you can justgo to beautiful one
midwifery.com or you can jumpinto the show notes.
(22:42):
We have had that link there formonths now.
And you being on that wait listgives you first access to the
course.
It gives you potentialdiscounts, all that.
We haven't figured out exactlywhat those are yet.
It gives you early access andthere's some other perks
involved in being on the waitlist too.
And so, as we are preparingthose final pieces, we have all
(23:04):
of the content already loadedinto our beta group and we're
finishing some of those lastlittle testing pieces and
getting it ready.
This podcast is going to be onbreak for a few weeks while we
concentrate all of our energy onthat.
So when we come back in a fewweeks from now, the course will
be launched.
And if you want to have all theupdates on that, the best way to
(23:27):
do that as on the wait list,you're going to be the first
ones to find out.
You can also follow us onInstagram and.
Beyond our newsletter list.
Like eventually.
Those announcements will trickleinto those places too.
But if you are just reallyready, To have your hands on it
as soon as possible.
Maybe your do In the fall orlater in the, in the winter.
And you're trying to sort outyour childbirth education
(23:49):
options, then you gotta be onthat wait list.
We are, I mean, we can't evensay how excited we are to get
this out to you because I feellike the podcast is like a
little snippet right?
Of like how we can really getinformation out to people.
This course is so organized andso rich and full of great stuff
for y'all.
(24:09):
We're just excited to be able toshare no matter what kind of
birth you have.
Planned, what kind of careprovider you have?
What, where you're planning onbirthing?
There is.
A ton of information and nuggetsfor you to store.
Okay.
So we won't be around here inthis space for the next few
weeks, but when we come back, wehave podcasts to plan for, if
(24:30):
you can't have a home birth.
What is the best way to hold onto a physiological experience?
We're also going to do anepisode on things that you
should be avoiding when you'retrying to conceive.
We have a really sweet burststory to share after that, too.
So, so much good stuff plannedso much to anticipate as we kind
of like roll into the next.
(24:51):
Thing here.
And we're so grateful that weget to share that with you guys.
So, be on the lookout for allthat good stuff.
And we will catch you back herein a few weeks from now.
Welcome to At Home with Kellyand Tiffany, where naturally
minded women gather together aswe pursue simplicity and
confidence in healthalternatives, so we can show up
better in our busy lives andfeel more at home in our bodies.
Join your favorite home birthmidwife duo for conversation,
candor, and community.
Welcome back to at home withKelly and Tiffany I'm, Tiffany
(00:22):
I'm Kelly.
We are two midwives in sunny,San Diego.
We haven't really introducedourselves as, as such in a
while.
Yeah.
And it is sunny.
Here is we're in a bit of like aheat wave.
It seems silly to be saying thatbecause like our listeners who
live in the south or something,or like, yeah, be quiet.
You guys it's like 78 and a halfdegrees here.
(00:43):
And let me tell you, the aircondition is working hard.
We are spoiled, but it is.
It is it's warmer than usual.
I'm excited to share on thistopic in particular, because it
is the foundation of midwiferycare in general.
As we get going on that I have areally sweet review to read, but
(01:05):
this is by courageous coolCatholic.
And it's a five star review.
The title says best pregnancypodcast.
I'd like to put that.
On a plaque.
We probably should put itsomewhere.
It's the best.
Yeah.
Rev reader or listener.
Listener.
Approved listener.
(01:27):
Voted.
Voted.
The listeners have decided thisis the best one.
It's the best.
Okay.
So she says I've been dying tofind a holistic perspective on
pregnancy.
And this podcast is it.
Too much of the pregnancyinformation out there is basic
Western medicine philosophy andwomen need more Kelly and
Tiffany not only provide highquality information and details,
(01:49):
but also do it in a fun lightmanner, sort of similar to the
vibe that stuff you should knowcarries.
Thank you so much for doing thispodcast.
Keep it up.
I'm 20 weeks pregnant with myfirst and find so much comfort,
courage, and solitude andlistening.
I love that is wonderful.
Do you know, the very firstpodcast I ever started listening
(02:09):
to, I would binge listen to itwhile I had like a, like, Like a
admin job in college was stuffyou should know.
Oh, really?
That's sweet for her toreference that.
Yeah.
I wonder if we could get thatmany listeners.
Be helpful stuff you shouldknow.
Birth edition.
We can, we can petition orwhatever, ask them, Hey.
(02:32):
Oh, you should have a birthaddition.
Can we share stuff you shouldknow about birth in a
lighthearted manner?
We've already been voted thebest.
See podcasts.
Just so, you know, you would be.
Only enhancing.
Your show by having this on it.
We are the best.
It's all just for you.
Oh, my gosh.
(02:52):
Well, I just appreciate thereviews you guys, because that
is how we are able to get tomore people.
And.
The way that podcasts, thealgorithm of podcast is based on
reviews.
Downloads.
And so every time you listen,every time you review, every
time you subscribe, every timeyou share it, all really helps.
(03:14):
And I know we've like really.
Unashamedly admitted that ithelps us.
Yep.
Really keeps us going and makesus feel like we're doing
something.
So, I mean, we get stuff onInstagram, too similar where I'm
like, oh yeah, yeah.
Okay.
This.
This gives me the courage foranother day.
I feel like I can continuefighting the good fight.
(03:37):
Yes.
Absolutely.
If you leave a review, we alsowill buy you a drink.
When you tell us that you heardus read your review.
So it has to be a good review inorder for us to read it.
And when we do, we buy him adrink.
It's a good, that's a goodexchange.
Absolutely.
We create the podcast.
You listen to it.
You love it.
You write review.
We bought you drink.
(03:57):
It's a good it's good.
Then you start all over again.
You listen.
That's good.
Okay.
I have a hack.
I wanted to share with peoplebecause I'm so excited about
this.
So I, it seems like about everyother episode now we're sharing
about we heart nutrition.
And we, we just love thembecause they're friends of ours
and we love their product.
We're not sponsored by them.
(04:17):
Nope.
But because we're recommendingit so often I end up getting in
these conversations with peopleall the time.
So I had another midwife textsme, and she was like, Hey, one
of my clients.
Is looking at we heart nutritionfor their supplements, but I've
never recommended them before.
Can you just tell me like what.
What the deal is.
And so I was telling her.
(04:38):
And she is like, oh, but youknow, there it's, it's a, it's a
high quality, high qualityproduct.
It looks a little pricey.
Do you think it's worth thequality?
And I'm like, absolutely.
Or I wouldn't recommend it.
I think supplements are one ofthe things that are absolutely
we're spending money on, but youhave to know what you're getting
out of it.
And I think that's really hardfor women sometimes to, to be
(05:00):
able to discern, what am Ipaying for here?
Is this worth it?
We did an entire episode allabout.
Supplementing and like, keep, Ithink it's called like
affordable and.
Quality.
Something supplements.
Yeah.
So you guys can find that inour, in our history, you can
find that based off that reallygreat title search for you.
(05:23):
I think if you just look upsupplements, I think if you just
search supplements in ourpodcast, you'll be able to find
it.
But anyway, I found this awesomehack for we heart nutrition, and
it basically reduces your orderin like half or like almost 50%
to get it cheaper.
So I will tell you exactly whatto do.
(05:44):
First you get on we heartnutrition.com.
Then you click one of thebundles because the bundles are,
I think like 10% off orsomething like that.
When you bundle things together,then you use our coupon on top
of that, that gets you 20% offyour order.
Then you choose auto ship.
And that subscription, which isjust helpful.
(06:07):
That's just a life hack ingeneral, right?
Like just subscribed to thingsthat you are definitely going to
need every single month.
And that gets you like another10% off too.
So like for example, theirprenatal bundle, they have their
prenatal, multi, they have theiromega, they have the magnesium
and they have their iron.
It's like such a fantasticlittle quadruple set there.
(06:28):
It starts out at$134.
That's pretty comparable.
That is, I mean, for supplementsfor$134 is pretty standard.
Like upper level high qualitysupplements.
But if you choose the bundleoption, it goes down to 107.
Then you subscribe an auto-ship,it goes down to$97 and you don't
(06:51):
have to do it every singlemonth.
They have options for 30 days,60 days, 90 days.
Okay.
Then you use our coupon.
And it goes down to$77.
Plus you get free shipping.
So you save almost$60.
That's a wild stacking, allthose things.
And that's incredible.
That's like such a.
(07:11):
That's such a sweet way to justlike take advantage of.
Jumping in and just in tryingthese out, I think everybody
should do it.
Yeah, absolutely.
And anything that takessomething off your mental load?
Like, I don't know why everysingle month when I'm like, oh,
I'm out of this thing, then I'mlike, oh, I got to order it to
get it.
Like, why do I do this tomyself?
Because I know this is somethingthat's a part of my rhythm.
(07:34):
I've just got to click thebutton.
Yeah.
I'm afraid of.
The amount of money that I'mspending on supplements.
And so it's like, I almost wantto see exactly what it is, but
it's preventing me from actuallybeing able to take them because
I don't have them in stock allthe time.
It's like a vicious cycle that Ihave to like psychologically
work through.
(07:54):
But it's not just pregnancysupplements.
They have just well-womanmultis.
They have postpartum multi-resthey have pre-menopausal and
menopausal multi-res.
They have.
A great little B six combo formorning sickness.
There's just like multiplethings on there that you could
love and enjoy.
And they probably told us thisat some point, because they're
(08:17):
very good at keeping us informedon their promotions.
But you can actually build yourown bundle.
Yes.
So you can say like, well, Iknow I'm going to use a lot of
the magnesium.
I'm gonna get a couple of thoseand I'm also working on my iron
or something.
Right.
And you get to build your own,whatever it is you need and get
the discount off of the bundlethat you built.
I don't know.
It's just genius.
(08:38):
It was just so, so good.
They know what's up.
Okay, so jumping into preventingbirth complications.
The biggest complication thateveryone is trying to avoid is
basically like surgical birth.
Right?
I mean, women at the end of theday who were trying to.
Avoid interventions and avoidmedications.
And I mean, there's definitely apiece of it.
(08:59):
That's like, well, I just wantto experience what this is meant
to be.
But I think if you got to theheart of it, most women are
like, yeah, I just don't want aC-section.
That's just, oh, that's justeverything that comes along with
it and everything that wouldlead up to it would just be the
opposite of what I want thisexperience to be.
Yeah.
And I think some people arelike, well, that's like the end
goal.
So anything I can do, I'm justgoing to avoid that thing.
(09:22):
Not realizing that like, that'sthe end of a whole host of other
things that probably has comebefore that.
Yup.
I mean, the cascade ofinterventions in general is
basically just like.
One thing that leads to anotherleads to another and it, the F
the.
Statistics around birthinterventions in general is
(09:46):
super fascinating.
For example, you're six timesmore likely to have a C-section
if you have Pitocin and anepidural involved in your labor,
six times, six times.
So like a first-time mom whoavoids Pitocin, she almost
doubles her chance of avoidingan epidural.
For example, like these twothings go hand in hand it gives
(10:07):
her a 5% risk of having aC-section.
Versus our national average islike 33%.
If she avoids Pitocin, but usesan epidural, she has a 20%
chance of a C-section.
So you take that down by like13% just by avoiding Pitocin.
And the first time mom whoreceives Pitocin and an epidural
(10:28):
of course has a C-section riskof like 30 to 35% Pitocin with
no epidural produces a 19%seminarian risk.
So similar to.
Having an epidural, but noPitocin.
So those two pieces together andwhoever did the research on.
Connecting those pieces.
Was so smart because Pitocin isusually needed in an induction
(10:52):
or an augmentation.
That means that there's somepart of the labor or some part
of the process that.
Someone says is not going fastenough or strong enough, or, and
so now we're going to intervenein this way.
And the intervention of theepidural is, you know, everyone
gets to choose what kind of.
(11:13):
Pain relief and support thatthey want.
But the women who are, who areworking on having a natural
birth, want to avoid theepidural because they know that
it kind of like leads down intothis cascade.
So what is going to set women upto.
Keep them out of thosecategories is basically
understanding.
Why does the Pitocin end upcoming into the picture?
(11:35):
For births.
And why does, why do epiduralsend up coming into the picture
for birth and how can you workbackwards from those pieces in
order to avoid some of thoseinterventions?
Yeah, and I think what's justfascinating is right.
The majority, the vast majorityof women are starting their
prenatal care and their laboritself in a very highly
(11:57):
interventive situation.
So if you're wanting to avoidthose things and you're walking
into a hospital experience, you.
You, you just automatically areat higher risk for those things
because they are right there.
Right?
Our assessment of encouraginglabor to start, or, you know,
(12:17):
kind of helping moms establish agood labor rhythm or help them
cope with the intensity of laborlooks very different than it
does in the hospital.
Right.
And so allowing and kind ofleaning into physiology wherever
we absolutely can matter.
So.
So much.
And so we see what ends up.
(12:39):
Making women more likely to haveall of those other
interventions.
One is where they're choosingand with whom they're choosing
to birth with.
But we see these things so oftenin our massively high induction
rates, those things togetheralmost are like hand in hand and
women are walking into these expor care.
Providers are walking women intothese experiences as if they're
(13:01):
just like.
Well, don't you want to meetyour baby?
Sometimes there are medicalreasons for doing so, but Mo a
lot of the time we see thisbeing orchestrated in a way that
is For timing or for just careprovider, personal preference.
I've had multiple.
I mean, I remember when I wasdoing more hospital births as a
(13:22):
doula, how many clients werepersuaded or talked into a, an
induction because of the careproviders vacation plans.
Right?
Like, I won't be here.
I won't be on call.
How about, you know, that youhave me and we'll just choose
this day.
So that impacts so, so muchright.
Yeah, it absolutely does.
(13:42):
And like, ah, you know, as ahome birth midwife, We're we're
only taking care of low riskclients.
So it's really uncommon forthere to be a need for a medical
induction.
But most women in the hospitalsetting are potentially
candidates for low risk birth.
Right.
But unfortunately, You're beingcared for by a provider who
(14:06):
deals with and has the grid forhigh risk situations and
potentially in an environmentthat is set up for and
potentially has you on theconveyor belt for dealing with
high risk.
Situation.
So it's possible that your, thatyour idea of what you would like
to happen in your birth and thechoices that you're making with
(14:27):
your provider and your birthenvironment are mismatched.
Just because of that, you'regoing to a facility in your
paint, your you're hiring yourprovider.
That their specialty and theirexpertise is in, is in high risk
pregnancies in bursts.
And so if that's what they'recomfortable with and that's what
they're used to, and that's howtheir.
(14:48):
Going to potentially funnelwomen through.
That just increases your riskfor those pieces just alone all
by itself.
Yeah.
You'll, you'll be walking into asituation in which you're just
simply higher risk for theseinterventions because of the
situation you're walking into.
And that's not to say, Hey,you're making the wrong choice
that may make you feel better.
(15:09):
And that is okay and acceptable,but everyone has to have their
eyes wide open as they makethese decisions of which risk
status am I most comfortablewith.
Right.
There's risk in any.
Where nothing is risk-free inany space.
But again, I was wide open.
Yeah.
And so no, what the, no, whatthe rates are, know what your
(15:30):
provider rates are forinduction.
Like how, what percentage ofwomen in your practice ended up
being induced?
Know what the C-section ratesare of your provider and the
facility that you're givingbirth in.
Something else that kind of setsyou up for some of these
complications can be just beingthe first time mom in general.
It tends to be like thepregnancy that lasts the longest
(15:54):
and the mom that is the mostnervous and the labor that takes
the most time and in animpatient society with
in-patient care providers whoare trying to push the process
along, or at least tryingdesiring to control it.
You just have some things markedagainst you automatically.
(16:15):
So when we talk to women who arelike, I'll have the home birth
the second time after I.
Can see that I can do burrs thenwill then, then I'll feel more
confident and she is into homebirth the best possible.
Outcome for your first birth inorder to avoid creating of high
(16:38):
risk obstetrical history foryourself that would potentially
keep you from being able to havecandidacy for home birth in your
second is to put yourself in alow risk environment with.
With the provider who is.
Is an expert in dealing with lowrisk birth that is going to
protect your experience the mostas a first time, mom.
(17:00):
Yeah.
And I mean, not to mention likebirth trauma and the things like
that, that we deal with in termsof people stepping out of the
medical model of care.
There are a few things too, justto kind of consider about risk
status of kind of being involvedin these sorts of complications.
So you mentioned being a firsttime mom going past your due
date is one as well.
And that is somewhat common fora first-time mom.
(17:21):
I would say more common thannot, but even in subsequent
pregnancies, it's not a badthing or not an abnormal thing.
But depending on your careprovider and their stance on
that, I was actually sharing acare provider that somebody else
had recommended with me tosomebody else.
And I clicked on the link thatwas sent.
And somewhere on that very firstpage set at 40 weeks, you will
(17:42):
be scheduled for an induction.
And I was like, well, I can't, Ican't refer you there because I
don't think you're going to gettrue informed consent and all of
the things right.
But dealing with due dates andthat kind of thing absolutely
can be a piece of it.
And then other things that aregoing on in the actual labor or
pregnancy itself as well.
Like if your water breaks is thefirst sign of your labor, you
(18:03):
will.
Potentially step into thishigher risk status.
We actually have a blog thatgoes into a ton of information
about that in particular andkind of managing those pieces,
which can be.
Really helpful your GBS statusas well can be a huge impact on
how your.
Pregnancy and labor is managedand can impact the type of
(18:25):
interventions that are offeredor strongly encouraged and all
of those things.
And again, we also have lots ofinformation about GBS on our
website as a, well, including anentire protocol on how to deal
with GBS, how to prevent it, allof the options and things like
that to help decrease your riskfor entering into these types of
(18:45):
statistics.
Right.
Yep.
And you know, a part of thattoo, is like participating in a
ton of extra testing andultrasounds at the end of your
pregnancy.
Knowing if your provider haslike a low tolerance for how
normal long labors can be.
If your baby isn't in a greatposition, that's causing all
kinds of, you know, stalls inyour labor.
(19:07):
So understanding the importanceof optimal, fetal positioning in
pregnancy and how thattranslates into labor.
And the type of support that youwant to have in your labor in
order to maximize that.
There's so much that you can doin pregnancy in order to set
yourself up well, for avoidingsome of these interventions and
complications and a huge part ofthat is just participating in a
(19:28):
model of care.
That's preventative.
That's been one of my favoritethings actually about creating
this Trump birth education classthat we are finishing up is that
we have been able to share thisinformation about our model of
care and the importance ofprevention and looking ahead
rather than being reactive tostuff or dealing with it in the
(19:49):
moment of course we can show upand deal with something that
comes.
You know, go sideways orsomething in the moment, but the
more that you can do beforehand,the more that you're like, let
me nourish my body.
Well, let me move it.
Well, let me.
Be armed with the informationthat I need.
Gosh, that matters so much.
Yep.
So I would venture to sayavoiding.
(20:12):
Complications in birth.
You take a step.
You know, backwards from there,it means staying low risk in
your labor, which meanspotentially staying low risk in
your pregnancy.
And how can you stay as low riskas possible in your pregnancy,
potentially having apreventative model of care.
(20:34):
Even even the beautiful,beautiful piece of preconception
counseling and doing some labsbefore you even get pregnant and
trying to get some of.
Those foundational healthpieces, all surrounding having a
low risk pregnancy thattranslates into having a low
risk, labor and birth thattranslates into avoiding some of
(20:55):
those complications.
And, you know, essentially justbuilding your confidence.
For the types of situations thatmight come up that you
understand, this is what thenormal process looks like.
This is the way that I can bestsupport my body in doing that.
I feel really confident saying,no, thank you to that.
In fact, we, we created a wholereal ones that was like all on
(21:17):
the premise of if you want toavoid interventions.
You need to get reallycomfortable and practice
declining things.
And start doing that in yourpregnancy started doing that
before you even got pregnant,just get comfortable with really
looking at the options andsaying, no, thank you to the
things that you actually do notwant because it leads to the
(21:38):
ultimate.
No.
Thank you.
Right.
It leads to the ultimate.
Like I'm not, I'm not going toutilize that tool unless I
absolutely need it.
So we want women to just beequipped with those pieces.
A huge part of that has reallyjust been the extension of that
to our own clients and themgetting to participate in that
(21:59):
model of care with us.
And now we finally have a waythat we can get all of those
details and many, many layers ofpreventative care and.
Informed consent and really goodeducation from a physiological
perspective through ourchildbirth education course.
So that's a really excitingthing you guys know that has
(22:20):
been in the works all.
Spring and summer, and we are soclose to the point of being able
to launch it into the world.
And it's very, very, veryexciting for us.
So.
We are going to get you guys onthe wait list for the childbirth
education course, you can justgo to beautiful one
midwifery.com or you can jumpinto the show notes.
(22:42):
We have had that link there formonths now.
And you being on that wait listgives you first access to the
course.
It gives you potentialdiscounts, all that.
We haven't figured out exactlywhat those are yet.
It gives you early access andthere's some other perks
involved in being on the waitlist too.
And so, as we are preparingthose final pieces, we have all
(23:04):
of the content already loadedinto our beta group and we're
finishing some of those lastlittle testing pieces and
getting it ready.
This podcast is going to be onbreak for a few weeks while we
concentrate all of our energy onthat.
So when we come back in a fewweeks from now, the course will
be launched.
And if you want to have all theupdates on that, the best way to
(23:27):
do that as on the wait list,you're going to be the first
ones to find out.
You can also follow us onInstagram and.
Beyond our newsletter list.
Like eventually.
Those announcements will trickleinto those places too.
But if you are just reallyready, To have your hands on it
as soon as possible.
Maybe your do In the fall orlater in the, in the winter.
And you're trying to sort outyour childbirth education
(23:49):
options, then you gotta be onthat wait list.
We are, I mean, we can't evensay how excited we are to get
this out to you because I feellike the podcast is like a
little snippet right?
Of like how we can really getinformation out to people.
This course is so organized andso rich and full of great stuff
for y'all.
(24:09):
We're just excited to be able toshare no matter what kind of
birth you have.
Planned, what kind of careprovider you have?
What, where you're planning onbirthing?
There is.
A ton of information and nuggetsfor you to store.
Okay.
So we won't be around here inthis space for the next few
weeks, but when we come back, wehave podcasts to plan for, if
(24:30):
you can't have a home birth.
What is the best way to hold onto a physiological experience?
We're also going to do anepisode on things that you
should be avoiding when you'retrying to conceive.
We have a really sweet burststory to share after that, too.
So, so much good stuff plannedso much to anticipate as we kind
of like roll into the next.
(24:51):
Thing here.
And we're so grateful that weget to share that with you guys.
So, be on the lookout for allthat good stuff.
And we will catch you back herein a few weeks from now.
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