#479: An Emotional Week & Some Data On Uterine Rupture

This week, Blyss and Stu run the gamut, from joy and grief to frustration, research, and a whole lot of questions about who really gets to decide what “safe” birth looks like.

After sharing personal updates and a moving remembrance of Dr. Rob Biter, Blyss and Stu turn their attention to autonomy in birth. They discuss a mother struggling to find a midwife willing to truly meet her where she is, the ongoing fight over traditional midwifery in Pennsylvania, and what happens when regulation and institutional standards begin limiting the choices available to birthing families.

Then, Dr. Stu dives into new research examining oxytocin (Pitocin), TOLAC, and uterine rupture. What does the research actually tell us about uterine rupture when Pitocin is used during a VBAC? How much does the risk change compared with spontaneous labor? Does a higher dose matter? And perhaps most importantly, are we paying enough attention when a laboring body, or the woman herself, is telling us something isn't right?

Blyss brings the midwifery perspective to the data, questioning directed pushing, prolonged augmentation, hospital timelines, and what can happen when physiology is pushed rather than supported. Together, she and Stu unpack the difference between relative risk and absolute risk, how the same research can be used to either support or discourage VBAC, and why informed decision-making requires more than simply being told what the “standard of care” recommends.

References:

Reclaiming Birth Gathering

reclaimingbirthconference.com/

Allowed to Birth Ashland Screening

birthinginstincts.com/events/allowed-to-birth

Inquirer Article: Why Pennsylvania quietly repealed its 1929 midwifery law — and is now getting sued for it

https://www.inquirer.com/politics/pennsylvania/midwives-pennsylvania-budget-law-20260804.html

PubMed study: Maximum Oxytocin Dose and Uterine Rupture During Trial of Labor After Cesarean

https://pubmed.ncbi.nlm.nih.gov/41325062/

Discussed in This Episode

Remembering Dr. Rob Biter and his contributions to physiologic birth
What’s happening with traditional midwifery in Pennsylvania
How regulation can indirectly restrict access to home birth
Newest Research on Pitocin use during TOLAC
Uterine rupture rates with spontaneous labor vs. oxytocin exposure
Relative risk vs. absolute risk when counseling families
Why increased Pitocin doses may be telling us something about the labor itself
Directed pushing, augmentation, and listening to the body
How confirmation bias influences the way research gets interpreted

Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care

This show is supported by

LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

Connect with Dr. Stu and Blyss

Join our Patreon! patreon.com/birthinginstinctspodcast
Instagram: @birthinginstincts/@wovenmoon_
Website: birthinginstincts.com/birthingblyss.com
Email: birthinginstinctspodcast@gmail.com
Podcast webpage: birthinginstinctspodcast.com

Advertising Inquiries: https://redcircle.com/brands

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(473)

#485: Understanding Blood Transfusion

Blood transfusions can save lives, but when are they actually necessary, and what should you know before you're ever faced with that decision?This week, Blyss and Dr. Stu unpack blood transfusions in ...

30 Syys 1h 28min

#484: Isthmocoele, Infertility & Other Lesser Known Cesarean Risks

Cesarean sections can be lifesaving. But are women actually being told about the potential long-term consequences before they consent to one?This week, Blyss and Stu dig into some of the lesser-discus...

23 Syys 1h 20min

#483: Safer Birthing with Childbirth Attorney, Gina Mundy

What can nearly 24 years of birth injury litigation teach us about preventing birth injuries before they happen?This week, Blyss and Stu are joined by nationally recognized trial attorney, bestselling...

16 Syys 1h 30min

#482: Tossing Seeds with Dr. Sherri Tenpenny

Dr. Sherri Tenpenny joins Blyss and Dr. Stu for a wide-ranging conversation about vaccines, pregnancy, medical freedom, informed consent, institutional trust, and what it means to question the systems...

9 Syys 1h 40min

#481: Microbirth, A Film Explains How We Birth Matters

What if the way we enter the world has consequences that reach far beyond the day we're born?This week, Blyss and Stu dive into “Microbirth”, the 2014 documentary exploring the human microbiome and wh...

2 Syys 1h 18min

#480: From Hashimoto’s to Breech: The Surprising Role of Thyroid in Pregnancy

Thyroid health may not be the first thing that comes to mind when you think about pregnancy, but thyroid hormones play an important role in both maternal health and fetal development, especially durin...

26 Elo 1h 33min

#478: Deception In Documentation Is Pervasive & Pernicious

What happens when the medical record doesn't match the birth experience?This week, Blyss and Stu dive into one of the most uncomfortable, but critically important topics in maternity care: documentati...

12 Elo 1h 21min