Down to Birth

Cynthia Overgard & Trisha Ludwig

Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on having a safe and informed birth, which starts with determining if you've hired the right provider. If we had to boil it down to a single premise, it's this: A healthy mom and baby isn't all that matters. We have more than 30 years' experience between us in midwifery, informed rights advocacy, publishing, childbirth education, postpartum support and breastfeeding, and we've personally served thousands of women and couples. Listen to the birth stories of our clients, listeners and celebrities, catch our expert-interviews, and submit your questions for our monthly Q&A episodes by calling us at 802-GET-DOWN. We're on Instagram at @downtobirthshow and also at Patreon.com/downtobirthshow, where we offer live ongoing events multiple times per month, so be sure to join our worldwide community. We are a Top .5% podcast globally with listeners in more than 80 countries every week. Become informed, empowered, and have a great time in the process. Join us and reach out any time - we love to hear from you. And as always, hear everyone, listen to yourself.

  • 58 minutes 2 seconds
    #292 | The Wisdom of Our Menstrual Cycles with Lisa Hendrickson-Jack

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    Announcement: Between now and year-end, we will be releasing a mixture of brand-new episodes interspersed with old-favorites, due to the sudden loss of Cynthia's husband in November. We will be back to our usual production schedule by New Year's. If you'd like to donate a gift to the GoFundMe that was set up for Cynthia and her family, you may do so here. Thank you to everyone for your beautiful messages, gifts and prayers.

    Please keep an eye out for new content and an expanded Down to Birth platform on Patreon, including a new Community feature where listeners can post questions for us and each other. To join and gain instant access to our entire library of video content, go to our Patreon and sign up.

    Onto the show:

    Lisa Hendrickson-Jack is the author of The Fith Vital Sign, a book detailing normal and abnormal parameters around menstruation and fertility and what your menstrual cycle reveals about your health. She refers to her period as "her secretary", who once per month brings her all the unfinished business in her life and plops it down on her desk to deal with. Most of us think of PMS as an annoying, unavoidable side effect of our monthly flow. Lisa challenges us to see it as a dutiful assistant encouraging us to face the pesky tasks, emotions, people, relationships, jobs, etc. that we tend to brush off or continually avoid during our less open, vulnerable weeks of the month.

    Additionally, we discuss the abnormal societal normalization of period pain, what your cervical position can tell you about where you are in your cycle, and how your period flow volume can clue you in to your fertility health.

    Finally, Lisa responds to your most pressing questions on whether or not you need to tailor your exercise routine to your cycle stages and what it might mean if your postpartum period is mysteriously absent.

    You can learn more about Lisa on Instagram or her website Fertility Friday

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.

    Support Cynthia's family here: 
    https://www.gofundme.com/f/support-cynthia-overgards-family-after-tragic-loss

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    20 November 2024, 10:00 am
  • 37 minutes 28 seconds
    #291 | Discovering Down Syndrome at Birth: Lacey's Story and Her Greatest Gift

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    At twenty-one years old, Lacey was pregnant with her first child. She was young and healthy and expected everything to go perfectly in her labor and birth. As a result of high blood pressure, she was induced for labor. When her son was born blue and unresponsive with an APGAR score of one, she knew something was off. She held her son for only a minute before he was whisked off to the NICU. Noticing that his ears seemed disproportionally small, her maternal instincts were alert. Five days later, she learned her son had Down Syndrome when a nurse inadvertently said, “This is the second baby with Down Syndrome this week,” upon entering the room. According to Lacey, how and when the news was reported to her and her husband was more difficult and painful than receiving the diagnosis itself.

    Today, Lacey shares her mission to help parents understand the gift and beauty of raising a child with Down Syndrome.

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 



    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    13 November 2024, 10:00 am
  • 50 minutes 58 seconds
    #290 | Another Off-The-Record Birth Rant with Midwife Lindsey Meehleis

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    You may remember midwife Lindsey Meehleis from episode #187 in our first off-the-record-style conversation. When we decide to interview Lindsay, we do so without a plan, knowing that whatever is on our minds will be a worthwhile and impactful conversation. In today's conversation, we chat about the problems with modern medicine, how midwifery has evolved over the years, what breech babies can teach us about our emotions, how Lindsey handles pregnancies that go beyond forty-two weeks, how to get your partner or family members on board with choosing home birth the first time, and we even dabbled a bit in the current political climate. Imagine you are sitting at the table next to us at a cafe, eavesdropping on our shop talk, and that's today's episode. Enjoy!

    Lindsey Meehleis

    #187 | Carrying the Torch of the Midwives Before Us: An Off-The-Record Kind of Conversation with Home Birth Midwife Lindsey Meehleis


    The Business of Being Born

    Why Not at Home

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    6 November 2024, 10:00 am
  • 56 minutes 18 seconds
    #289 | October Q&A: Placenta Previa, Nipple Sensitivity, Home Birth Transfers, Uterine Rupture Risk, Cholestasis, Gentle Sleep Support, Caffeine

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    Welcome to the October Q&A with Cynthia & Trisha. What's the most absurd thing that you've ever heard said to a woman in labor or to you? Today, we kick it off by sharing your anecdotes and our responses.  In our regular episode, we answer:

    If I am planning a free birth how do I know if I have a placenta previa and what should I do?
     
    I am twelve weeks pregnant and have extremely sensitive nipples while breastfeeding my toddler. Will this get better or should I stop breastfeeding?

    How often do home births transfer to the hospital?

    Why do so many women planning unmedicated hospital births end up choosing to get pain medications?

    In the extended version available on Patreon and Apple Subscriptions (always ad-free) we address the risk of uterine rupture after a VBAC for a planned home birth, what, if anything, can be done to avoid induction if you have Cholestasis of pregnancy, what gentle sleep training (or support) means, and if you can decline induction with well-controlled gestational diabetes.

    In our Quickies segment: Is body odor postpartum is it normal? Why is a VBAC called a TOLAC? Should home birth midwives always carry oxygen? Plus caffeine in pregnancy, postpartum dryness, birthing the placenta in the tub, leaking and letdowns, infant percentiles, and how we take our coffee plus whether our own children appreciate the work we do in the world.

    Ep #229 The Risk of Risk-Based Approach with Sara Wickham

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    30 October 2024, 9:00 am
  • 50 minutes 21 seconds
    #288 | Roundtable: Postpartum Grief and Rage

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    Postpartum rage is a form of emotional upheaval that many mothers experience but seldom feel comfortable discussing. Today's episode aims to break the silence and offer a compassionate and supportive look into the real lives of two mothers living with these intense emotions. Corrine lost her own mother the day after her son was born. Angela, a mother of five with number six on the way, lost her sister unexpectedly in a car accident on her way to help Angela with childcare. In today's episode, Angela and Corrine, who never met before today, share the unexpected ways grief and rage impacted their postpartum experiences from never wanting to have another child to throwing and breaking things. This heartfelt episode brings you close into the minds of women suffering with grief on top of the classic postpartum isolation and overwhelm that all mothers can immediately understand.

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 



    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    23 October 2024, 9:00 am
  • 48 minutes 11 seconds
    #287 | Lily Nichols on Fertility, Folate and Food

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    If there is one best place to begin when it comes to optimizing our fertility, it is with food, and who better to bring us the lowdown on what we do and don't need for fertility optimization than Lily Nichols, RDN, the modern-day-author and guru of all things related to food and pregnancy. In today's episode, she delivers crucial information about how our modern food practices, particularly the standard American diet, set us up for sub-optimal fertility and contribute to the most common complications of pregnancy including pre-eclampsia, pre-term labor, PPROM, and more. She opens our eyes to the significant problems with folic acid in our food sources, prenatal vitamins, and birth control, and we get into the nitty-gritty on the difference between folic acid and folate. Additionally, she explains which macro- and micronutrients we need to best support the female body for conception. If optimizing fertility is on your mind, this is a must-listen, must-share episode!

    Lily Nichols on Folate:  Why it’s Superior to Folic Acid for Pregnancy (even if you don’t have MTHFR)

    Lily Nichols on Instagram

    And check out our episodes with Lily Nichols:

    #203 | Pre-eclampsia: Diet, Nutrition and the Influence of Sperm with Lily Nichols

    #155 | Gestational Diabetes Prevention and Management with Author Lily Nichols, RDN, CDE

    **********
    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    16 October 2024, 9:00 am
  • 59 minutes 43 seconds
    #286 | Facing Childhood Trauma Through Birth: Courtney's Story

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    Emotional trauma is stored in the body and can lead to a host of health issues if left unresolved. In this episode, Courtney shares her deeply personal journey of navigating the effects of a controlling and emotionally abusive her mother -- so controlling, in fact, that her demanding mother caused early marital issues for Courtney and her husband. Further, due to being placed on hormonal birth control at a young age, Courtney developed a belief that she couldn’t ovulate or conceive naturally, leading her to IVF when she and her husband were ready to start a family.

    As she recounts her experiences—including distressing moments during her hospital care that triggered her childhood coping mechanisms of freezing and disassociation—Courtney describes the thought process of being coerced by and ultimately succumbing to a doctor while in labor. Courtney herself is a hospital-based medical professional who was accustomed to doctors and hospitals in her everyday life, so the betrayal and intimidation she experienced came as a genuine shock to her system. After her first birth experience, Courtney shares the heavy emotional work she did to reframe her trauma and establish strict boundaries - for the very first time - with her mother. Courtney went on to have four children in all, ultimately experiencing spontaneous conception and a completely empowered, peaceful birth with her fourth at home.

    Courtney's story sheds light on the complex interplay of early trauma and birth, and how embracing physiologic birth can facilitate healing and restore trust in the body’s innate capabilities. Tune in for a heartfelt discussion about resilience, healing, and the journey to reclaiming one's body and mind.

    @_holisticourtney

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    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    9 October 2024, 9:00 am
  • 52 minutes 17 seconds
    #285 | The Mother's Mind: Harnessing Peace and Calm with a Simple Meditation Practice with Kelly Smith

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    There are few things a mother can do with such a profound impact as meditation, yet it remains one of the hardest habits to incorporate into one's life, let alone the life of an exhausted, busy mother with a new baby in her arms. 

    In today's episode, Kelly Smith, yoga/meditation instructor and podcast host of Mindful in Minutes, explains the benefits of meditating for as little as just ten minutes a day. We also discuss the various forms of meditation (including guided), the most common barriers to meditation, and the practical tips to get started right now. In today's outtake, you'll hear about some of our own personal meditation experiences.

    If you want to yell less, sleep better, be kinder to yourself, feel better, act calmer, lower your blood pressure, and age in reverse, or if you've just always wanted to meditate but have never taken that first step, then run, don't walk, to listen to this enlightening and inspiring episode!

    Mindful in Minutes podcast

    Kelly Smith's Website

    **********
    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    2 October 2024, 9:00 am
  • 55 minutes 22 seconds
    #284 | September Q&A: The Midwife-Client Relationship; Ghosting Your Induction; 2-Step Delivery; Postpartum Resentment; Platypelloid Pelvis; No FER

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    Welcome to the September Q&A episode with Cynthia & Trisha. Today, we begin with discussing the problem of increased reliance on Google searches and googling our way to answers that require deep introspection and self-trust rather than an automated and potentially biased and generalized result.

    In our first question, Cynthia & Trisha debate one woman's question on whether or not she should stay with a midwife she does not feel emotionally connected to or fire her late in the game and choose free birth instead. 

    Additionally, we answer the following:

    • My midwife is making me feel very uncomfortable about my weight gain. How much focus should be put on weight and nutrition in pregnancy? 
    • My home birth midwife told me her home-to-hospital transfer rate is 30%. Is that too high, and if so, what should I do about it?
    • What happens if I don't show up for my induction, and should I do this if I don't want to be induced?

    Later, in the extended version of today's episode available on Patreon or Apple subscriptions, we discuss: 

    Two-step delivery: what it is and why we don't like it; Pushing your baby out when you have no urge to push; Rupturing of membranes and the potential impact on causing a baby to rotate from an anterior to posterior position; What it means to have a platypelloid pelvis and if any pelvic shapes make vaginal birth impossible or more difficult?

    Finally, we close with a round of quickies on the following: nipple shields; eating placentas and likening it to cannibalism; height and big babies; holding clingy babies; flying at 35 weeks; resenting sleeping husbands; prolapse after birth; making a twin pregnancy happen; morning sickness; timelines for breastfeeding babies getting back to birth weight; and personal experiences with terrible haircuts. 

    #87 | Postpartum Rage: The Outburst-Guilt-Shame Cycle


    #272 | Nancy Wainer, CPM and Pioneer of the VBAC, Shares Her Journey from Mother to Midwife


    #273 | Special Q&A Featuring Nancy Wainer on VBAC and More


    Livestream: Postpartum Rage: A Deep Dive into postpartum rage, why it occurs, and how to understand and break the cycle. Available on Patreon.

    **********
    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    25 September 2024, 9:00 am
  • 42 minutes 23 seconds
    #283 | Breastfeeding Q&A: A 5-month Old Baby Starts to Breastfeed, Low Milk Supply, How Often To Feed in First 24-hours, Plugged Ducts & Pumping

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    Welcome to our second 'Breastfeeding Q&A' episode with Trisha & Cynthia. We open with an inspiring success story of a mother whose baby did not start breastfeeding for the first time until around five months of age. Additionally, we answer the following questions:

    • I tried everything to increase my supply and stumped every lactation consultant I met with; is this going to happen to me again and what could have been the cause of my low milk supply?
    • I have low milk supply and recurrent plugged ducts. My lactation consultant told me to pump after feeding but won't that increase my plugged ducts? How do I increase my supply and prevent plugged ducts?
    • From a nurse: In my hospital, we teach moms that babies are sleepy in the first 24 hours and won't eat very much, but also we tell them to wake the baby every 2-3 hours to feed them so they don't get low blood sugar. Help! I feel like I am confusing mothers. 

    Lastly, we answer quickies including: what are the best breastfeeding snacks, are nipple shields harmful, does milk supply drop in pregnancy, how do I increase milk supply on one side, how to prevent thrush, what's the best breast pump, and more!

    Listen here to the May 2024 Breastfeeding Q&A

    Jaundice & Breastfeeding:
    When grouped by number of breastfeeds in the first 24 hours, exaggerated jaundice on day six occurred in:
    28% who breastfed 0-2 times
    24.5% of babies who breastfed 3-4 times
    15% of babies who breastfed 5-6 times
    12% of babies who breastfed 7-8 times
    0% of the babies who breastfed 9-11 times

    (Yamauchi and Yamanouchi, 1990)

    Thanks to everyone who called in! Please call 802-GET-DOWN (that's 802-438-3696). See you next week!

    **********
    Our sponsors:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products for before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. 

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    18 September 2024, 9:00 am
  • 50 minutes 56 seconds
    #282 | Escaping a Doctor Just Before His Arrest: Olivia's Story

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    "Hi I’m Olivia. I was a patient of Dr. Javaid Perwaiz, so, I don’t trust you." Each time Olivia met with a new medical provider, she prefaced her introduction with the above statement. Olivia was a patient of Dr. Perwaiz for many years before he was  sentenced to 59 years in prison after a jury convicted him on 52 counts of health care fraud arising from performing medically unnecessary procedures including irreversible hysterectomies. Eventually, Olivia found a team of providers who she trusted to have a baby under their care. Despite developing severe pre-eclampsia, resulting in a 35-hour induction and relinquishing her natural birth plans, Olivia had a safe and satisfying birth experience because she had learned to take the most important advice: Hear everyone and listen to yourself. This self-trust allowed her to control what she still could and surrender to the rest. This powerful story is the perfect example of finding the balance between bodily autonomy, informed consent, and medically necessary care.
     
    To learn more about the case against Dr. Javaid Perwaiz read here

    **********
    Down to Birth is sponsored by:
    Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups.
    Postpartum Soothe -- Herbs and padsicles to heal and comfort.
    Needed -- Our favorite nutritional products to nourish yourself before, during, and after pregnancy.
    Use promo code: DOWNTOBIRTH for all of the above sponsors.
    DrinkLMNT -- Purchase LMNT with this unique link and receive a free 8-day supply. Be sure to use the unique link to buy yours today.

    Connect with us on Patreon for our exclusive content.
    Email [email protected]
    Instagram @downtobirthshow
    Call us at 802-GET-DOWN

    Work with Cynthia:
    203-952-7299
    HypnoBirthingCT.com

    Work with Trisha:
    734-649-6294

    Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

    11 September 2024, 9:00 am
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