The Great Birth Rebellion

It’s spicy Friday but on a Monday! In this episode Mel answers listener questions in this unscripted, off-the-cuff, unfiltered Q&A session submitted straight from her social media followers. She tackles burning birth questions and hot topics, including:

• 08:32 – To protect the perineum or not when pushing? How to know when to do it and when not to do it?
• 14:18 – How can we protect our oxytocin when trans...

You might be one of the 60% of women who have an epidural during their labour or birth. Whatever birth you’re planning, knowing about epidurals is an absolute must. Epidurals are the most effective form of pain relief available in labour, but they are much more than just a quick injection—they come with a complete "package" of interventions, altered physiology, and downstream effects that women are rarely fully informed...

Around 25% of women will experience a longer than anticipated early labour phase. Some maternity care providers might explain this as ‘false’ labour… but I can assure you it’s not false, it’s called ‘prodromal labour’ or prolonged early labour. You are in labour, but for some reason your body is not making visible signs of progress towards birth. Why does this happen? There are lots of rea...

Why not favour pain management options that have no side-effects? In this episode, Mel interviews midwife and researcher Nigel Lee who explains the research he and his team undertook regarding 2 pain management options for labour and birth - sterile water injections and hypnobirthing. In this episode we pick apart the research, explain how they are used and show how using sterile water injections and hypnobirth could change the cou...

This episode gives a snapshot of the main global challenges that face women in their childbearing years and the midwives that care for them. In this episode, Mel covers what she learned from the International Confederation of Midwives conference in Portugal June 2026. The main global challenges include, the over-medicalisation of childbirth, a shortage of skilled midwives and the erosion of midwifery skill to identify and facilitat...

In this episode Dr Melanie Jackson and Prof Hannah Dahlen explain The 5 BIG Induction studies that often get used to encourage the use of induction for suspected big babies, women over the age of 35 and over 41 weeks pregnant - The BIG BABY trail, The SWEPIS study, the ARRIVE trial, The INDEX trial and the 35/39 trial. If your clinician is using any of these studies and you want to look into them further, this episode is for you. O...

The concept of a rigid 40-week due date is one of the most deeply entrenched myths in modern maternity care. Today I cast a critical eye over the historical and mathematical flaws behind how Estimated Due Dates (EDDs) are calculated, and why treating day 280 as a strict deadline creates unnecessary interventions. 

Related episodes to queue up next:

• Episode 181 - Induction of Labour Part 1
• Episode 182 - Inductio...

Get practical ways to support recovery in the first 2 weeks after birth. Learn how to prepare your home for easier access to supplies, early breastfeeding patterns, and what to expect as milk comes in during the first few days.

Expect huge emotional changes around day three, including crying and feeling overwhelmed, and discover how to distinguish these from postpartum depression and the rarer postpartum psychosis.

Mel also discuss...

The first two weeks after birth have a lot going on… So I'm doing 2 episodes on it. Here you will learn what recovery can look like for both mother and baby. I discuss the wide range of postpartum experiences, the care gap that can exist after birth, and how support from midwives, nurses, GPs, partners, family, friends, and the wider community can help with feeding, recovery, and emotional wellbeing.

I’m also going to ...

Women with negative blood groups are routinely offered at least 3 doses of anti-D throughout pregnancy. The question is, what is anti-D, do you really need it? What happens if you choose not to take it? And how do you make wise decisions about anti-D. In this episode, Mel explains it all along with all the different tests and screening options that you can choose to help you make decisions about anti-D in pregnancy

• Click here...

Being pregnant may be the very first reason you’ve had prolonged exposure to the health care system. Interacting with the maternity care system can feel confusing and frightening and some women feel pressured and coerced into accepting testing, screening, treatments and medicines that they didn’t really want, but didn’t know how to say NO or negotiate other options. In this episode Mel shares her thoughts and stra...

If you get a swollen cervix during labour, your care provider might recommend an epidural or caesarean section. There are many other things you can try before resorting to such extreme measures and this episode covers them all. Interestingly, there are no research papers AT ALL to substantiate any of the strategies to remedy a swollen cervix so it’s worth trying them all to see what works, if you want to avoid an epidural or ...

If you’ve been diagnosed with pre-eclampsia, this is a must-listen episode to prepare you for the journey ahead. Mel continues the pre-eclampsia 2-part series by focusing on management, decision-making, and navigating the emotional toll of this acute illness. 

This is part 2. Episodes 201 and 202 give a deep dive into what preeclampsia is, ways to prevent and diagnose it, and today we talk about what happens if you&rsquo...

In this episode Mel casts a critical eye over the serious pregnancy complication of preeclampsia. She explains what pre-eclampsia is, how to diagnose it, how it develops and some strategies on how to prevent it. In this episode, you will also learn who is more likely to get pre-eclampsia so that preventative strategies can be targeted.

Get your tickets to The convergence of rebellious midwives conference, tickets available NOW - it...

The medicalisation spectrum is 101 when it comes to understanding how to plan pregnancy, birth and postpartum care. In this episode Mel explains the medicalisation spectrum with reference to where your care provider and chosen birth location would also fit along the spectrum. Mel discusses 2 birth philosophies and encourages you to explore where you sit, so you can match your philosophy to the rest of your care. This information is...

We know sun contains nutrients, vitamin D is one of the most well-known, but there are other health properties that are garnered from sunlight both directly on our skin and indirectly that are essential for health. Listen to see if you are harvesting what your body needs from the sun.

You can learn more about todays guest Max Gulhane at  https://drmaxgulhane.com/

Click here to see Max’s Circadian Health Retreat 

Get...

Your circadian rhythm is part of a web of body clocks that keep your body ticking through the day and regenerating and repairing through the night. In this episode, medical doctor Max Gulhane explains the parts of the circadian rhythm and how to optimise them with appropriate light and dark exposure. He includes how to optimise eating times to improve your health through pregnancy, parenting and all of life! Humans lead cyclical li...

Want to increase your chances of a low-intervention vaginal birth in hospital? Then this episode is for you! If you attend hospital to give birth, you have approximately a 50% chance of having a vaginal birth without an episiotomy, vacuum, forceps, or caesarean section. There are things you can do to increase your chances. This episode gives 5 clear strategies that you can implement today to make a BIG difference to your birth expe...

Dr Andrew Bisits, Australian Obstetrician, built a name for himself over his 40 year career as ‘the breech whisperer’ owing to his willingness to attend vaginal breech births, but there is more to him than his obstetric courage around breech birth. In this episode Mel interviews Andrew about his 40 year career and about his declaration that he has ‘resigned not retired’ from his work. At the age of 70, Andre...