The Midwives' Cauldron

Katie James and Dr Rachel Reed

Join us as we hubble, bubble, toil, and trouble our way through aspects of midwifery, birth, lactation, and womanhood. We tackle and discuss a variety of topics within the sphere of womanhood, birth, and lactation and what this entails in today's society. We want to be able to share in the strengths of women gathering together and being more informed, for their birth, their feeding experience, and the transition into knowing ourselves better. This is the podcast to connect us as a greater circle of women united.

  • 48 minutes 32 seconds
    What you didn't know about donor milk and milk sharing

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    In this episode, Katie takes Rachel behind the scenes for an in-depth exploration of donor milk—an intriguing topic that might just challenge everything you thought you knew about this practice.                                                    

    I have to caveat that some of the information in this episode is possibly going to get your knickers in a twist though – do we have any episode that don’t?!

    We’ll be discussing: 

    •  The history of milk banking 
    •  Are we seeing different health outcomes when using donor milk compared to a mother’s own milk?
    • Are there differences between donor and mothers milk that we should know about
    • What about informal, unpasteurised, milk sharing? Is this also happening in the hospital settings as well? 
    • And have you ever heard the term “milk sibling” before? 

    I'll also dive into whether we need to rethink our approach to milk when caring for vulnerable infants. Plus, Rachel asks me about the future of milk banking—where is this practice headed?

    LINKS:

    Evidence-Based Methods That Promote Human Milk Feeding of Preterm Infants 

    Early postpartum pumping behaviors

    Supplementation of Mother's Own Milk with Preterm Donor Milk

    Maternal production of milk

    Proactive Lactation Care 

    Economic benefits and costs of human milk feedings

    The institutional cost of acquiring 100 mL of human milk

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
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    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    25 September 2024, 5:00 am
  • 1 hour 7 seconds
    Waterbirth

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    In this episode Rachel and Katie dive into the fascinating topic of waterbirth (excuse the pun, but it was too good to leave out!). 

    I ask Rachel my burning questions and she stirs up the cauldron exploring everything from the history of waterbirth to the practicalities and the science behind it. 

    Listen in as we find out about:

    ·      When did women start birthing in water?

    ·      What does the research say about waterbirth improving outcomes?

    ·      Why are some women told they can’t get into the pool until they are 5 centimeters dilated?

    ·      Do water-born babies take longer to start breathing?

    ·      Guidelines recommend women get out of the pool to birth the placenta, but do they really need to?

    ·      And lastly, does waterbirth alter the baby’s microbiome?

    So,  place your order with the barista, pop your coat on, or press play as you get those headphones over your lugol’s, and let’s dive into the deep end of waterbirth. 


    LINKS:

    https://bmjopen.bmj.com/content/12/7/e056517

    https://www.sciencedirect.com/science/article/abs/pii/S1871519216302190?via%3Dihub

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    4 September 2024, 4:00 am
  • 1 hour 11 minutes
    Kangaroo mother care and zero separation with Dr Nils Bergman

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    Dr Nils Bergman calls himself a Public Health Physician, and currently promotes and researches skin-to- skin contact on a full time basis. He is a Research Associate at the Karolinska Institute, Sweden. Dr. Bergman was born in Sweden and raised in Zimbabwe, where he also later worked as a mission doctor. He received his medical degree (MB ChB) at the University of Cape Town, a Diploma in Child Health at Uppsala University, and later a Masters in Public Health at the University of the Western Cape. During his years in Zimbabwe he completed a doctoral dissertation (MD, equivalent to PhD) on deadly scorpion stings. He has worked in South Africa, Zimbabwe and Sweden, and his last posting was Senior Medical Superintendent of Mowbray Maternity Hospital in Cape Town, overseeing 18000 births per year. He is married to Jill, and father to Rebecka, Simon and Emma, and has five grandchildren.

    In this episode, Dr. Bergman delves into the critical importance of maintaining skin-to-skin contact throughout the first day of a newborn's life. He explains how this practice not only connects and wires the baby's brain but also has profound effects on the mother.

    Dr. Bergman sheds light on the pivotal role of Oxytocin, often dubbed the 'love hormone,' which he eloquently describes as the hormone of resilience, vital for both mother and baby.

    We further explore the crucial significance of focusing not only on the first 1000 days of a child's life but also on the first 1000 minutes. Dr. Bergman passionately explains how these early moments are foundational for long-term health and emotional resilience.

    Additionally, we dive into the detailed work behind the latest version of the WHO Kangaroo Mother Care (KMC) document. Dr. Bergman shares insights into the creation of this and introduces us to the concept of 'nurture-science.' He discusses how this emerg

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    7 August 2024, 5:00 am
  • 47 minutes 58 seconds
    To Nipple Shield or not to Nipple Shield?

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    In this episode Katie takes Rachel into a conversation about why the nipple shield topic gets Katie’s knickers in a Twist. 

     We discuss: 

    • The history of their use from1500s to present day
    •  How the research might not be telling the right story?
    •  Why are they so controversial? 
    • We ask do nipple shields affect how much milk the baby can take out of the breast?
    •  When might be a good reason to use a nipple shield – way more reasons than you probably think! 
    • How do you get the right fit, and who are we fitting the shield for, the baby’s mouth or the mum’s nip?
    •  Do babies attach differently when they use one?
    •  And we discuss how to wean off from using a nipple shield.

    All this and tons more packed in to one episode for your eager lug’ols.  

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    3 July 2024, 4:00 am
  • 1 hour 2 minutes
    OP position in pregnancy, labour and birth

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     In this episode Rachel takes me on the path to enlightenment about the topic of the occipito posterior (OP) position in pregnancy, labour and birth! 

    I ask Rachel why she’s always been reluctant to cover this topic on the podcast! 
    And  sit down to discuss: 

    • What exactly is an OP position? 
    • Why it is considered a problem in our current maternity systems 
    • Are there any problems caused by a baby in an OP position? 
    • Some really interesting facts about the normal labour pattern with an OP position 
    • And we tackle the subject of the interventions to rotate baby’s and whether they work? 

    All this and lots more as usual. And find all the links Rachel has provided below.

    LINKS:
    Blog post with links to the research and movie demo

    How the uterus transforms in labour movie

    Lesson on OP available in the Reclaiming Childbirth Collective

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    6 June 2024, 5:00 am
  • 59 minutes 39 seconds
    Newborn weight loss

    Want to send us a message? Fan mail? Thoughts on the episode?

     In this episode it’s us together again in the cauldron and Katie chats with Rachel about all things early weight loss… and gain in babies. 

    We look at: 

    ·      Why do babies lose weight? 

    ·      What is normal weight loss?

    ·      Are there some babies who are more likely to lose more weight than others?

    ·      What’s with the panic once we hit the (not so magical) number of 10% weight loss? 

    ·      And how can we best support mums and babies through this period of feeding difficulty, before we jump straight into the bottles of formula top-ups.

    ·      What about IV fluids given to labouring women and the effect on a baby’s weight straight after birth? We know there’s been talk of a correlation right, but why do we not have any standardised guidelines for this yet?

    ·      We try to straighten out the facts on one of those common anxiety causing parts of breastfeeding.

     All this and the usual banter when us two get together. 

    LINKS:
    Breastfeeding & lactation: the fundamentals course
    BJM paper: Maternal intrapartrum fluids and neonatal weight loss in the breastfed infant. 2023


    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    8 May 2024, 6:00 am
  • 1 hour 3 minutes
    The importance of the amniotic sac

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    In this episode Rachel talks to Katie about all the wondrous and darn right fascinating things about the amniotic sac. 

    ·      Why is the baby surrounded by fluid, and what is it made of?

    ·      Women are often told they have too much or too little fluid. Is this a problem?

    ·      We also discuss why Rachel is (slightly!) obsessed with the function of the amniotic sac during labour

    ·      We ask does breaking the amniotic sac (the waters) speed up labour at any point?

    ·      What if your amniotic sac breaks before labour? We discuss the time the time-frames around augmenting labour when this has happened. 

    ·      And we discuss what if the membranes don’t break during labour?

    All this and lots more for your eager lug’ols. 

     

    LINKS: 

    https://midwifethinking.com/2015/09/16/in-defence-of-the-amniotic-sac/

    https://midwifethinking.com/2013/08/14/amniotic-fluid-volume-too-much-too-little-or-who-knows/

    https://midwifethinking.com/2015/01/14/the-curse-of-meconium-stained-liquor/

    https://midwifethinking.com/2017/01/11/pre-labour-rupture-of-membranes-impatience-and-risk/

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    11 April 2024, 4:00 am
  • 49 minutes 9 seconds
    Pregnancy sickness and hyperemesis breakthrough with Professor Sir Stephen O’Rahilly FRS

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    In this episode I discuss with Professor Sir Stephen O’Rahilly all things pregnancy sickness and Hyperemesis. 

    Just a few months ago the scientific evidence was published highlighting what causes pregnancy sickness and hyperemesis. This breakthrough discovery came from the work of Prof Sir O’Rahilly, his team and the team from Dr Marlena S. Fejzo in the US.

    This ground breaking work gives hope to thousands of women globally who suffer terribly throughout their pregnancy with extreme nausea and sickness. 

    • I discuss what it is that causing this to happen during pregnancy. 
    • Why our human bodies could be making this hormone and what it’s use would possibly be for.  
    • And what the future holds for a cure, how Prof O’Rahilly and his team are working collaboratively with the pregnancy sickness support, a UK charity, women who have and are currently suffering from hyperemesis,  and a team of obstetric specialists to find the answer to help stop this condition. 

    Professor Sir Stephen O’Rahilly FRS, is Co-Director of the Institute of Metabolic Science (IMS) and Director of the MRC Metabolic Diseases Unit which is part of the broader University of Cambridge Metabolic Research Laboratories which he also directs.  On the wider Cambridge Biomedical Campus, he is Scientific Director of the NIHR Biomedical Research Centre and Head of the University Department of Clinical Biochemistry.

    He was elected FRS in 2003, to the National Academy of Sciences, USA in 2011, has received five honorary doctorates and numerous scientific awards. 

    In 2013 he was made Knight Bachelor & for services to medical research.

    His main research area is the aetiology and pathophysiology of human metabolic and endocrine disease and how such information might be used to improve the diagnosis, therapy and prevention of these di

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    18 March 2024, 7:00 am
  • 1 hour 9 minutes
    Periods and perimenopause with Dr Lara Briden

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    Lara Briden is a naturopathic doctor and bestselling author of the books Period Repair Manual and Hormone Repair Manual — practical guides to treating period problems with nutrition, supplements, and bioidentical hormones. 

    With a strong science background, Lara sits on several advisory boards and is the lead author on a couple of peer-reviewed papers

    She has more than 20 years’ experience in women’s health and currently has consulting rooms in Christchurch, New Zealand, where she treats women with PCOS, PMS, endometriosis, perimenopause, and many other hormone- and period-related health problems.

    On this episode we discuss with Lara all things periods and perimenopause. 

    • What is perimenopause? The nine symptoms you need to know!
    • Is midlife really from 37? 
    • What is going on hormonally and how this affects our entire body system
    • Dealing with heavy periods
    • Supplementing our hormones 
    • Taking the contraceptive pill  
    • Dealing with stress, does perimenopause affect our ability to cope the same as before? 
    • Alcohol use and the real truth you need to know! 
    •  All things ‘sorting your sleep out’ including dealing with night shifts! 
    • All this and so much  more! 

    LINKS:

    Website
    Hormone repair manual book
    The Lara Briden Podcast - Everything women’s health in under 15 minutes
    Graph of hormonal changes of perimenopause

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    23 February 2024, 6:00 am
  • 50 minutes 58 seconds
    Born at Home with Amanda Banks and Eleanor Currie

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    Where and how women choose to birth matters. Born at Home is a stunning documentary film exploring what it takes to have a positive and transformative birth experience. 

    Empowered by the homebirth of her second child in 2020, Amanda Banks together with long term dear friend Eleanor Currie, set out to create a film exploring Homebirth in QLD.

    With a passion for telling stories about the human experience. Their film 'Born At Home' explores the emotional journey of homebirth.  ​The film interviews birthing experts, midwives, educators and shows many a homebirth first hand. 

    • We talked to Eleanor and Amanda about the messaging behind the film
    • Home birth statistics 
    • About the transformative effects home birth can have for some women,  
    • And we delve deeper into the reasons  why more women are deciding to give birth at home. 

    This is a beautiful episode with many insights. A great way to whet your appetite before you see the film.

    LINKS:
    Born at home the film
    IG @bornathomethefilm
    Screenings of the film

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    26 January 2024, 7:00 am
  • 1 hour 5 minutes
    Breastfeeding and medication with Wendy Jones BSc, MSc, PhD, MRPharmS

    Want to send us a message? Fan mail? Thoughts on the episode?

    Wendy Jones BSc, MSc, PhD, MRPharmS is known for her work on providing a service on the compatibility of drugs in breastmilk and has been a registered breastfeeding supporter for 36 years. She is passionate that breastfeeding should be valued by all and that medication should not be a barrier. In her employed life she was a primary care pharmacist. Wendy left paid work 12 years ago to concentrate on writing her books and developing her website to provide information for mothers and professionals. Wendy was awarded an MBE in the New Year’s Honours List of 2018 for services to mothers and babies. 

    In this episode I chat to Wendy about all those common questions which start with “is it safe to breastfeed with that medication?!”

    ·      Breastfeeding whilst needing medications for a chronic condition 

    ·      Common misconceptions with anxiety and depression medications and breastfeeding

    ·      Is it safe to keep breastfeeding when you catch the common cold or flu?

    ·      Emergency contraception – do you need to stop breastfeeding and will it affect milk supply?

    ·      Wendy tells us about the new medications for migraines

    ·      Colic medicines – is there evidence for this and do they work? 

    ·      Why planning in pregnancy is essential to support ongoing breastfeeding for those needing to use any medications long term, and yet unfortunately is still mostly not happening. 

    ·      And Wendy tells me how she ended up giving out her personal phone number to the whole of the UK several years ago for any breastfeeding questions on medications and feeding! And was dealing with 10.000 calls a year!


    LINKS:
    Wendy Jones website, fact sheets, books and more
    BFN Dr

    Want to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! 

    Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. 

    Support the show

    Like this podcast? Leave us a review here
    Want more from Katie and Rachel?
    Katie's website
    Rachel's website

    Disclaimer
    The information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.

    The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness.

    The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

    10 January 2024, 7:00 am
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