Down to Birth
Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on pregnancy, birth and postpartum --- beyond the clichés and beyond the system. With 40 years' combined experience in midwifery, childbirth education and advocacy, publishing, research and postpartum care, we've guided thousands of families toward safer, more empowered choices. Down to Birth is all about safe childbirth, while recognizing a safe outcome isn't all that matters. We challenge the status quo, explore women's rights in childbirth, and feature women from all over the world, shining shine light on the policies, culture, and systemic forces that shape our most intimate and transformative of life experiences. You'll hear the birth stories of our clients, listeners and numerous celebrities. You'll benefit from our expert-interviews, and at any time you can submit your questions for our monthly Q&A episodes by calling us at 802-GET-DOWN. With millions of downloads and listeners in 90 countries, our worldwide community of parents and birth professionals coms together to learn, question and create change, personally and societally. We're on Instagram at @downtobirthshow and at Patreon.com/downtobirthshow, where we offer live ongoing events multiple times per month. Become informed, feel empowered, and join the movement toward better maternity care in the United States and worldwide. As always, hear everyone, listen to yourself.
Episodes
After six seasons, we’re finally doing it—we’re talking about how to get down to birth.
As your "due date" approaches, many women find themselves up against policies, deadlines, and pressure to accept a medical induction. But what if other ways actually work?
Today, we explore all the safe, risk-free, and surprisingly enjoyable ways to support your body as it prepares for labor and to help get things going whe...
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...
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 di...
Emily shares two unforgettable and very different birth stories: an unmedicated hospital induction with Pitocin, and an unplanned free birth at home. In her first birth, she transferred late in pregnancy under New Hampshire’s “two high readings” rule for blood pressure. With a Foley balloon, Cervidil, and the lowest possible Pitocin drip, she labored quietly on all fours, declined unnecessary interventions, and delive...
Welcome to another Breastfeeding Q&A episode. Today, we start with a conversation on how to night wean and your personal experiences with what worked best.
For today's questions, Trisha responds to:
- How child-led weaning works at 14 months, 18 months, and 2 years old
- Nursing strikes at 6 months — why they happen and how to respond
- Night weaning tips: gentle strategies without losing daytime breastfeeding
- Why...
Bringing a new baby home is exciting—but it can feel overwhelming when you’re worried about how your toddler will adjust. You may be wondering: Will my toddler feel jealous? How do I handle tantrums? How do I keep my child feeling loved while caring for a newborn?
In this episode, toddler expert Devon Kuntzman, author of the book Transforming Toddlerhood: How to Handle Tantrums and Power Struggles and Raise Resilient K...
In this episode, occupational therapist and IBCLC Michelle Emanuel joins us to explore the hidden ways tongue-tie affects babies long before birth. She explains how oral restrictions begin in the embryo, influence fetal positioning, and impact birth outcomes including torticollis and C-sections. We dive into the anatomy of the tongue, how it connects to breathing, posture, and feeding, and why many tongue-ties remain ...
In this month’s Q&A, we start with a big one: What are your biggest fears in life? (Besides snakes and spiders, of course!) Then we dive into your thoughtful community questions, including:
- Homebirth vs. family pushback: My sister is a labor & delivery nurse, my family isn’t supportive, and my MIL has no boundaries. What should I do?
- Breastfeeding oversupply: I had a major oversupply with my first baby—will ...
Motherhood, pregnancy, and postpartum life are filled with moments that test our patience — from bedtime battles and clutter overload to partner misunderstandings and in-law tensions. But these moments aren’t just “part of the job” — they’re emotional triggers, and they hold powerful clues for personal growth, stress relief, and a healthier, happier motherhood journey.
In this episode, we dive deep into emotional trigg...
Emily Vondy hardly needs an introduction. She's a mother of six, songwriter, and online creator @emilyvondy whose humor, reflections, and music have brought laughter and validation to millions. In this episode, she invites us into the story of her fifth birth, which came after two heartbreaking miscarriages. What began as a pregnancy marked by fear and doubt became an experience of profound peace—and what she viv...
In this episode, filmmaker and microbiome advocate Toni Harman joins us to explore the groundbreaking science behind establishing the infant microbiome—and why the earliest moments of life matter so much for lifelong health. Toni shares her personal journey from an unexpected C-section to uncovering how birth methods, antibiotics, and feeding choices shape immunity, metabolism, and risk of chronic disease over our lif...
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 har...
Sleep is the foundation of health—and yet in modern motherhood, it’s often the first thing we lose. In this episode, we’re joined by Heidi and Thaddeus of DreamWalkerz, parents of six and passionate educators on the biology of sleep. Together, we explore how light—yes, just light—is one of the most overlooked but powerful regulators of our sleep, hormones, mood, and even fertility.
Heidi and Thaddeus break down what ci...
Doulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by profit and control. ...
At 28 weeks, Jessie found out her baby was breech—but instead of panicking, she trusted her gut. She felt strongly that her baby was meant to be born this way. After initially planning a home birth, Jessie began exploring other options and considered traveling to Pennsylvania for a hospital birth with experienced breech providers.
But when labor started at 39 weeks, everything shifted. Mid-drive to Pennsylvania, Jessie...
Welcome to the July Q&A! Today, we kick off the show with a conversation about your experiences of unnecessary, frequent stressors that we have the power to change or eliminate: For Trisha, it's taking phone calls while grocery shopping.
Next, we get into your questions, beginning with:
Did taking folic acid in pregnancy cause my baby's tongue tie?
Is having the cord wrapped three times around a baby'...
Finally, after all these years, Trisha tells the stories of her three home births. Pregnancy, birth, & midwifery are woven into her life story, from her early obsession with pregnancy to her decision to pursue a career in midwifery, allowing her to understand every aspect of birth from a physiological and intellectual perspective. Hear how she became a midwife, how she got herself into labor with her first, grueli...
In this extraordinary episode, Leslie shares her deeply personal story of discovering a lump in her breast at 34 weeks pregnant—an aggressive, triple-negative breast cancer. A wellness coach who hadn’t taken over-the-counter medication in five years, Leslie spent her adult life doing everything she could to prevent disease. As she prepared to welcome her second baby at home, she was forced to face a diagnosis that wou...
Drawing from our their personal experiences, your words, and our intimate birth story processing sessions, Cynthia & Trisha delve into the neuroscience around beliefs and birth. Our brain constantly wants to make sense of things, but it often lands on unhelpful conclusions. This episode is about recognizing those negative beliefs and actively replacing them with empowering ones. It's about taking charge of yo...
Emily Woodward is a mother of two who planned a home birth for each of her babies. Her first labor began with confidence and joy—and stretched across multiple days, testing her endurance, her trust in her birth team, and her ability to surrender when the path ahead took an unexpected turn. She transferred from home to hospital with a crowning baby. Her second pregnancy was smooth and uneventful—until 31 weeks, when sh...
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