Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:02):
The postpartum care
system is failing, leaving
countless mothers strugglingwith depression, anxiety and
autoimmune conditions.
I'm Miranda Bauer and I'vehelped thousands of providers
use holistic care practices toheal their clients at the root.
Subscribe now and join us inaddressing what modern medicine
(00:22):
overlooks, so that you can giveyour clients real, lasting
solutions for lifelongwell-being.
Hey friends, welcome back tothe podcast Miranda Bauer.
Here and today we're going todive into a topic that has been
stirring up a lot of heat, andfor a very good reason.
(00:43):
A few weeks ago, I posted aquick thread online and just a
few sentences really about howcommon birth medications like
Pitocin and epidurals andantibiotics are being linked to
increased rates of postpartumdepression.
And let me tell you, thebacklash came fast because
(01:08):
people don't want to believethat something so routine, so
normalized in birth couldactually be doing them harm.
But the truth is, the researchis undeniable.
We now have multiple studiesthat show consistent patterns of
synthetic oxytocin disruptinghormonal feedback loops,
(01:29):
epidurals altering the nervoussystems, natural pain processing
mechanisms and antibioticswrecking the gut and, by
extension, the brain.
So none of this is speculation,it's absolute science.
And thankfully I was like no,no, no, no, we have to talk
about this I posted again onInstagram laying out all of the
(01:51):
facts and details.
Well, I won't say all of that.
That's what this episode ishere for, and the love was
overwhelming.
People were like thank you somuch for sharing.
But there was also so manyquestions for that, because for
many people, this was the veryfirst time that they were
hearing this information.
It's probably the first timethat you're hearing it, and
(02:13):
that's why I want to bring thisepisode to you today.
Here's the part that you needto hear.
This episode is not about fear.
This is not about shame.
This is not about blamingsomeone for how their birth
unfolded.
It is about informed consent.
This is about making sureproviders know how to support
(02:34):
recovery from birth medications.
And this is finally telling thewhole truth so that we can
prevent, not just react to,postpartum mental health crises,
because right now and I saycrises right Because I want to
emphasize it's not just crisisthere's so much there and right
(02:56):
now, the most common you know,quote unquote care a mother
receives after birth is a sixweek checkup and a prescription
for birth control, which, again,if you've been following along
with our newsletter, we divedinto all of the science behind
why that's also causingpostpartum depression and
(03:17):
definitely linked to depression,and we actually have a podcast
episode on that too, so we'lllink that in the show notes.
But moms are not told how thesemedications that she received
during labor and birth may beaffecting her mood, her hormones
or her ability to heal.
Providers are not taught thiseither, so oftentimes that you
(03:41):
know a level of support that sheneeds for gut repair and
detoxing or even simplenutritional replenishment is
just not there.
Instead, what happens isdepression, and then some of us
act surprised and some of ushave normalized it for so long.
It's like, yeah, whatever, thisis just the way it is, because
that's how we've been treatingmotherhood lately and it's awful
(04:03):
.
So today we are going to dig in.
We're going to walk you throughthe data how these medications
impact the brain and the body,and what providers and mothers
have to understand about how tosupport healing after birth,
because postpartum depressionisn't always a mysterious,
(04:23):
mystical chemical imbalance.
It's not that way at all.
It's never that way, actually,and oftentimes it's completely
predictable, and medicalinterventions, when left
unaddressed, is a huge componentto that.
So let's talk about that, let'stell the truth, let's start
this conversation that shouldhave been started a long time
ago.
(04:45):
So, first off, why this matters?
Because understanding theconnection between birth
medications and postpartumdepression isn't, again, about
stirring fear.
It's not about, you know,filling our heads with more fear
.
It's about filling in themassive gaps to our current
postpartum care model.
These medications are oftenadministered without a full
(05:05):
picture of their downstreameffects on the nervous system
and the gut, health and thehormone regulation and maternal
mental health.
So most mothers receive theseinterventions as routine,
without informed discussionabout the risks or any support
for how to recover from theirimpact.
And again, I'm not talkingabout those who need this in
(05:26):
emergency scenarios.
I'm talking about the routineof it, and we'll get a little
bit more into that.
So we want to reduce the risingrates of postpartum depression
and truly support healing.
So how do we do that,especially when you know this is
a routine?
And what happens when we needit beyond routine?
What happens when there is anemergency?
And what happens when we needit beyond routine?
What happens when there is anemergency and we need these
(05:48):
medications?
And so I'm gonna give you allof these powerful tools and all
of the information so that wecan understand this fully and
know how to address the needs ofa mother when she does receive
this.
Okay, so let's dive into the funstuff, the research.
We have known for a long timethat postpartum bodies are
(06:11):
incredibly vulnerablebiologically, neurologically,
immunologically but recently wedidn't have any large scale
conclusive data showing howdeeply interventions during
labor and birth can affect amother's mental health.
Actually a fun fact foreveryone listening in it was
(06:35):
actually illegal for any studiesto be conducted on women until
1977, when an act that made thatillegal was reversed.
Isn't that insane?
Because birth control has beenaround since like the 50s, but
it was illegal to actually testwomen.
Because women are ofchildbearing age and years, it
(06:59):
didn't matter any of that.
They just forebode it fromwomen in general not having any
studies.
So those medication studies,those nutrient studies I've been
telling you all this for a longtime birth control studies,
medicaid, like all of this,again, never studied on human
females.
Okay, that's, that's prettysobering, right?
(07:20):
So now we have to look atdeeper into this.
So what we know about all ofthis?
We know that there's compellingevidence that birth
interventions play a significantrole in the onset of postpartum
depression.
We're only scratching thesurface here.
There was a large study donewith JAMA Network in 2024 and
(07:40):
JAMA Network Open showed thathormonal contraceptive use and
postpartum increased the risk ofdeveloping depression by 49%
within the first year.
Right, so not labor medicationin the least bit, but it speaks
volumes to the immensevulnerability of the postpartum
brain to synthetic hormonalshifts.
(08:03):
So when a layer of drugs likePitocin and antibiotics and
anesthesia all of whichinterfere with the natural
hormonal cascades happen, right,we begin to see this perfect
storm.
There was a study done indepression and anxiety in 2017
that revealed that women whoreceive synthetic oxytocin, ie
(08:26):
pitocin, during labor weresignificantly more likely to
experience both depression andanxiety disorders and postpartum
.
The issue isn't just thesynthetic hormone, which is
often like the first andforemost that we just blame.
It's how it disrupts theoxytocin feedback loop, which is
(08:47):
crucial for bonding, emotionalregulation and physiological
recovery after birth.
Okay, so let's start withepidurals and postpartum
depression.
Let's start here, because it'sone of the most common
interventions.
The BMC Public Health did astudy in 2024 and looked over at
over like 12,000 women, so thiswas a fairly large study, and
(09:11):
they found that epiduralanesthesia during labor was
significantly associated with ahigher risk of postpartum
depression, particularly whenwomen reported negative birth
experiences or poor painmanagement afterward.
So why?
Why is this happening?
So, the theory because there'sso much more that needs to be
(09:34):
studied in this.
Now we know that it happens.
Now there has to be morestudies that show why it happens
.
Right, but the main theoryaround this is the gut brain
disruption, hormonalinterference and nervous system
dysregulation.
So epidurals don't just numbpain, they alter how the body
manages stress.
Slow labor can lead to moreinterventions, which also is
(09:58):
really pertinent to viewing thebirth experience as negative,
and then it also influencesoxytocin release.
Okay, so all of that contributeto a more difficult recovery
and an increased emotionalvalidity.
Then we have pitocin.
So we have synthetic oxytocin,which has real, real risks.
(10:21):
Right, pitocin is syntheticoxytocin.
It's not the same thing.
Okay, it is not the same thing.
Those two are notinterchangeable.
Natural oxytocin is released inpulses.
It's co-regulated by feedbackfrom the body, the brain and the
environment.
It promotes bonding, calm,emotional regulation, and
(10:42):
pitocin, on the other hand, isdelivered in a continuous drip.
It floods the system in waysthat override the body's natural
signals.
And 2017, there was a studypublished in Depression and
Anxiety that found that exposureto synthetic oxytocin during
labor increased the risk ofpostpartum depression and
(11:06):
anxiety disorders.
So let that sink in.
We're literally giving women adrug meant to mimic love and
connection and it's contributingto emotional breakdown.
And then we have antibiotics,right.
Antibiotics during labor, oftengiven for a group B, strep or
C-sections, are routinelyprescribed, and for very good
(11:30):
reasons, right, we know why.
I'm not saying that this issomething that we should never
do or anything along those lines, but it's really discussed like
a single course of antibioticscan alter the gut microbiome for
months or even years.
And what do we know about themicrobiome?
It produces neurotransmitterslike serotonin and GABA.
(11:52):
It regulates inflammation.
It plays a huge role in mentalhealth.
So disrupt the microbiome andyou disrupt the brain.
In fact, gut dysbiosis is nowconsidered a central contributor
to postpartum depression.
We have all the studies forthat, and maternal antibiotic
use during birth is one of thebiggest risk factors to the
(12:16):
disruption and contribution ofgut dysbiosis and therefore
postpartum depression.
Amazing, right.
And then weum depressionAmazing right.
And then we have compoundedeffects, right?
This is the kicker.
Most mothers don't get just oneof these.
They get the epidural, they getPitocin and then they get
antibiotics all within the samelabor.
(12:37):
Sometimes that's what's needed,but but at what cost?
They get the epidural, theirbirth slows.
Now they need the Pitocin right.
That goes crazy and oftentimeslead to other interventions.
And now they have to haveantibiotics.
They go in for a cesarean.
(12:58):
Antibiotics are necessary.
It's like the trifecta ofinterventions, and it floods the
body with synthetic hormones,it disrupts the gut brain axis
and increases inflammatory load,all in a system that is already
inflamed, nutrient depleted andexhausted.
It's like a perfect storm.
(13:20):
And now, for the first time, agrowing body of evidence is
connecting the dots betweenthese medications and the
explosion of postpartum mentalhealth challenges that we're
seeing today.
Why is no one talking aboutthis?
This latest research is thefirst of its kind to lay the
(13:41):
foundation for understandingthese connections at scale right
.
Until now, it has been largelyanecdotal, it's buried in
smaller observational studies orcompletely dismissed altogether
, and so this study isrepresenting a long overdue
shift in how we think aboutroutine birth interventions, and
(14:04):
not just this one study.
I'm actually going to link youseveral different studies so you
can see that all in the shownotes.
And this is really just thebeginning.
There's no longitudinal studiestracking the compound impact of
multiple medications over time.
There's no standard of care formitigating these effects.
(14:25):
There's no guidance forpostpartum providers to screen
or support mothers with this inmind, and the silence is costing
women dearly.
So the next time somebody saysthese meds are safe or this is
exactly what I want, I want youto ask yourself safe, for whom,
(14:45):
under what conditions is thissafe?
Because it's not, again, notabout blame, it's about
awareness, informed consent andthen advocating for a system
that sees the mother as morethan a vessel for birth.
She is a whole person and shedeserves the whole truth.
Okay, so let's talk about thisa little bit deeper because,
(15:05):
let's be honest, most of thesemedications are not inherently
bad.
I'm not saying that thesemedications are bad.
Pitocin, antibiotics andepidurals can be life-saving
when used appropriately.
The issue isn't always themedication itself.
It's the frequency, the blanketapplication, the lack of
(15:27):
informed consent that surroundsthem.
Today, over 60% of laborers inthe United States involve
Pitocin, not for emergencies but, to quote-unquote, move things
along for hospital timing, forpolicy, et cetera, et cetera.
Epidurals are offered socasually that they become a rite
(15:49):
of passage, and antibiotics areroutinely given without fully
assessing individualized risk.
This is not precision medicine.
It's protocol driven, it'ssystem first care.
Are there cases where theseinterventions are absolutely
needed.
A thousand percent right.
Pitocin might be necessaryduring postpartum hemorrhage,
(16:12):
when the uterus isn'tcontracting and mom's life is at
risk.
Antibiotics can be life-savingfor moms diagnosed with uterine
infections or a baby who'sshowing signs of sepsis.
The epidurals might offer arelief and calm and really long,
exhausting labors where thenervous system is shutting down
(16:34):
and adrenaline is just too highto allow for dilation and
progress.
So these are not the problem,you know, allow for dilation and
progress.
So these are not the problem.
But the reality is most womendon't receive these medications
because of emergencies.
They receive them because theybecome routine or they are
subjected to routineinterventions that make these
(16:59):
necessary.
Okay, and oftentimes we callthis a snowball effect,
especially when we're talkingabout childbirth education and
how many of these things, oreven things that happened
beforehand, like lying down onyour back rather than being
active and moving around justthe very idea of being admitted
(17:19):
into the hospital creates awhite coat effect.
Right, all of those things arereal, things that happen that
make these kinds of medicationsseem like they are necessary,
when indeed they are not.
It's because we've interruptedthe natural process and progress
of birth.
Progress of birth.
(17:45):
So the routine intervention andinterventions that lead to
these routine interventionswithout routine recovery is
where harm begins.
Okay, this is key.
This is, first and foremost,routine recovery.
That is what we need to talkabout.
So let's get into it.
Okay, again, no shame.
Everybody, at some point intheir lives, unfortunately, need
(18:05):
medical support.
This is what happens afterbirth.
It just, it just is right.
Sometimes it happens in birth.
That's just the way it goes.
Sometimes medications arenecessary.
They're routine, sometimesthey're forced.
Right, the care must continue,no matter what the situation is,
even if you know and I'mspeaking of myself there was
many things that I was noteducated in in the birth process
(18:27):
or until it happened.
So, whatever it is, whereveryou are in your journey either
postpartum or providing care tomoms women need help.
Women are left to recover fromphysical and emotionally intense
events and nothing but a pat onthe back is given or a birth
(18:49):
control prescription at sixweeks, which is also linked to
postpartum depression.
So nobody's talking about theripple effects on her brain and
her body and her gut and hernervous system and her sense of
self.
So here's what she actuallyneeds.
Here's a healing protocol thateverybody needs right now.
Okay, we need to address thenervous system, especially after
(19:11):
trauma.
Birth is intense and whenmedications like Pitocin or
epidurals are involved,especially without consent or
adequate support, the nervoussystem can become overwhelmed
and these moments leave momfeeling out of control, unheard,
violated.
That is trauma, and traumadoesn't always come from
(19:34):
emergencies.
It often comes from how a womanwas treated, not necessarily
what was done.
So, and also, we're talkingabout over 50% of births are
deemed traumatic here in theUnited States.
It's sickening the number andit's skyrocketing.
It's rising.
(19:54):
Back in 2010, if I remembercorrectly, the statistic was
less than 30%.
It's rising significantly.
Okay, even if trauma is not apart of the birth story, the
nervous system needs help, okay,so begin with somatic-based
(20:17):
support like breath work,grounding, vagus, nerve
stimulation, gentle movement.
Again, these are not like woopractices.
I hear that often, especiallyin the medical world.
These are strategies that are,in clinical studies, proven to
be effective in the postpartumperiod.
(20:39):
Okay, encourage mom to retellher birth story in a very safe
space.
Witnessing it without trying tofix it is incredibly healing.
You can offer herbal supportfor the nervous system, like oat
straw, skullcap, lemon balm,chamomile.
All of those are safe duringthe postpartum period.
(21:03):
Educate about postpartum PTSDsymptoms so they recognize them
and they're not misdiagnosed asanxiety or depression, because
PTSD is very, very different inhow we treat that than how we
treat anxiety and depression,and how we treat that than how
we treat anxiety and depression.
(21:24):
And so, if this is something ofconcern, mom needs to be seeing
somebody who is absolutelytrained in postpartum mental
health.
So if you're going to go see acounselor or a therapist or a
mental health provider, it needsto be somebody who has specific
training in it.
You can't just go see somebodywho practices general, you know,
(21:46):
mental health medicine.
That's not going to beeffective, it's not going to be
healthy, it's not going to beenough guaranteed.
Okay, somebody who hasspecialized training in this
area, okay.
So that's nervous systemsupport.
Two is gut healing and detoxsupport.
So both epidurals andantibiotics are known to disrupt
(22:07):
the microbiome and liverpathways.
Gut inflammation is linkeddirectly to mood, hormonal
imbalances and poor nutrientabsorption and disruption.
And also it's not just momsthat experience this.
Can I just say that it's alsobaby who experiences this,
because whatever a mom receivesin labor, it it goes through the
(22:30):
placenta we know this, um andit also impacts the baby and we
see this often and baby skin Um,it's one of those surefire ways
, because a baby's liver is notfully formed in the months after
birth.
It relies solely on the mom'sliver to help detoxify their
(22:50):
body.
The only detoxification pathwayof a baby that's fully
developed is through the skin,which is oftentimes why we see
babies who have skin issues, andI will tell you if that's
something that is part of yourstory or you know somebody.
Lymph massage is one of thebest things that you can do to
(23:11):
support that, and that can be abeautiful thing for mom as well.
Okay, back to gut healing.
Use probiotics and prebiotics.
Those will help restore themicrobiome.
Encourage bone broth andvegetables in broth foods,
(23:31):
ginger tea, bitter greens forliver and gut support dandelion
root.
All of those are absolutelyincredible for supporting gut
health and detoxing naturally ina safe way, especially with
breastfeeding.
Limit processed foods and sugar.
That can increase inflammationand make it even extra difficult
(23:53):
, and it also feeds thenot-so-great gut bugs that live
in your gut, so to speak, yourgut microbiome gut bugs that
live in your gut, so to speak,your gut microbiome.
And then again you can considernatural detox herbs, milk,
thistle, dandelion those arereally great ones Also do things
(24:14):
like rebounding.
They have rebounding machinesthat are really amazing for
lymph flow and detoxing.
Also, dry brushing those areamazing getting into the sauna.
I have an entire detox uhsupport tool that I love using
with moms and I haven't um uhoffered that program in a long
(24:34):
time.
Maybe I'll, maybe I'll do that.
If that's something that youwant, you can message me, let me
know on social social media andI'll see about returning it to
the public for sale.
Okay, replenish nutrient stores.
So we've got nervous system, wegot gut healing and detoxing
(24:56):
and, of course, this would notbe a conversation without
nutrient repletion.
Nutrient repletion has to goalong with nervous system and
detoxing, so you can't just belike operating these in steps.
This is my protocol, this iswhat I do.
You know many of you who havebeen following me for a long
time already know all of this.
(25:18):
The repleting nutrients has togo along with nervous system.
It has to go along withdetoxing.
You can't just do step one I'mgoing to only focus on nervous
system and step two I'm onlygoing to work on replenishing
nutrient stores.
They all work hand in hand.
So why are we focusing onnutrient stores?
Because medications increasenutrient burn and depletion, and
(25:43):
when you combine that withpostpartum bleeding and stress
and sleep deprivation, and thenutritional tank is just empty.
So we have to focus onnutrient-dense foods organ meats
, eggs, oily fish, leafy greens,root vegetables which are
cooked okay so that we canabsorb them better.
(26:04):
Because it's not just aboutnutrient-dense foods, it's also
about absorbability, and so wewanna make sure that we are
getting the best out of ourfoods.
If they're not absorbing, it'snot going to do us any good to
eat them.
So make sure that you'regetting all of that.
Avoid synthetic supplements.
They're gonna be poorabsorption and often they can
(26:25):
cause extra toxicity in the body.
Deep rest, recovery time.
Recovery is not linear.
Interventions can disrupt thebody's natural healing rhythm
and women need real time torepair.
So encourage restorative restduring the day, even if it's in
a short burst.
Try to get as much naps aspossible.
(26:47):
You know, sleep is not aboutsleeping in an eight hour period
anymore.
It's about getting eight hoursin at minimum and a you know a
24 hour period.
So in order to do that, we haveto have some sleep strategies.
We have to have support inplace reduce stimulation, lower
lights, reduce noise, avoidoverscheduling, create practical
(27:11):
plans for rest, get householdsupport, all of those things.
Who's watching the other kids,like?
Make a plan.
Help mom make a plan to getthis in place.
Sometimes it's about findingcommunity support.
This is the next one that Ihighly recommend, even for those
who have, you know quote,unquote the perfect birth.
Even with interventions or not,it can still leave emotional
(27:35):
wounds, and when those feelingsare dismissed, shame builds.
So it's really important tofind a group that maybe is full
of trauma-informed providers whoactually listen, or a mom's
group focused on real talk, nottoxic positivity, and not toxic
like bashing either, becauseoftentimes both of those will
(27:58):
just be very unhelpful.
And then postpartum coaches ordoulas trained in emotional
support or trauma integration.
Those are amazing places toreally look for that emotional
and community support that's sonecessary in postpartum.
Women should not be doing thatalone.
And then, of course, educate,empower, encourage her
sovereignty.
One of the most healing toolsthat you can offer is
(28:20):
information.
Help her understand what'shappening in birth and the
interventions that may have beendone and what she can do to
support her body now, like, lether feel informed and in charge,
because birth can oftentimestake all of that away in a
moment of seconds and lead usdisoriented and confused and
(28:40):
then allow this to be like thenew standard of care.
As providers, we get to helprebuild all of this and,
honestly, we get to help preventit from happening in the first
place as well.
Okay.
So if you've made it this farin the episode, I know your
heart is in the first place aswell.
Okay.
So if you've made it this farin the episode, I know your
heart is in the right place.
All of you who are listening,thank you so much because you
are here.
You care deeply and maybe, likemany of us, you were never
(29:04):
taught this.
You were never given thepostpartum education you
deserved.
You weren't trained on howpitocin alters oxytocin pathways
, or how epidurals affect thegut-brain axis, or how
antibiotics depletenutrient-critical and mood
stability and nutrient depletionand all of that.
None of that is your fault, butnow that you know, it becomes
(29:27):
your responsibility, becausewomen deserve more than standard
care.
They deserve informed consent.
Because women deserve more thanstandard care.
They deserved informed consent.
They deserve to know the fullstory, not just the benefits but
the risks, not just immediateimpact but the aftershocks, the
body and the brain and theemotional wellbeing.
And they deserve support toheal from the very system that
(29:48):
was meant to help them.
You don't have to become like apharmacologist.
You don't have to become like apharmacologist.
You don't have to rejectmedicine, but you do have to ask
these really good questions.
You do have to stay curious.
You do have to listen to whenyour clients say I don't feel
like myself to look beyond thesurface and start connecting the
(30:08):
dots, because when we do that,when we lead with truth and
compassionate education,everything changes.
Everything changes.
If this episode stirredsomething in you, good, it means
that you're awake, it means youare ready to lead the change,
and I'm so, so grateful that youare here.
(30:29):
If this episode resonates withyou, please let us know.
Leave a comment, share thatcomment with us, leave a review.
That would mean the world to us, because it's time to reclaim
postpartum care, and that startswith acknowledging what we have
here and helping us make itbetter.
(30:50):
And all of that, all of that,starts with you.
Thanks so much for being a partof this crucial conversation.
I know you're dedicated toadvancing postpartum care and if
you're ready to dig deeper,come join us on our newsletter,
(31:11):
where I share exclusive insights, resources and the latest tools
to help you make a lastingimpact on postpartum health.
Sign up at postpartumu theletter ucom, which is in the
show notes and if you foundtoday's episode valuable, please
leave a review to help us reachmore providers like you.
(31:31):
Together, we're building afuture where mothers are fully
supported and thriving.