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Down to Birth

Cynthia Overgard & Trisha Ludwig
Down to Birth
Latest episode

392 episodes

  • Down to Birth

    #387 | September Q&A: Home Birth Reactions, Miscarriage Prevention, Short Umbilical Cords, Stalled Pushing, Postpartum Anxiety, Tandem Breastfeeding

    2026-09-30 | 56 mins.
    Welcome to the September Q&A! Today we kick things off with your answers to the question, “What did people say when they found out you were planning a home birth?” From being told you’re putting your baby in danger and that you’ll end up in the ER to family members questioning your midwife, calling you brave, or even threatening to tell your husband not to let you, you had a lot to say.
    Then we get into your questions. One mother is seven weeks pregnant after a 12-week miscarriage earlier this year that resulted in significant hemorrhage and an ambulance transfer. Her midwife has recommended a miscarriage prevention protocol that includes baby aspirin, progesterone cream, and supplements. Is there evidence that these interventions prevent miscarriage after a single loss, and are there additional considerations when there’s a history of hemorrhage?
    Next, a mother who recently had her first baby at home noticed that her baby’s umbilical cord was quite short, making it difficult to bring her baby fully up to her chest during her water birth. She’s considering a free birth in the future and wants to know whether having a short cord once makes it more likely to happen again, what determines cord length, and whether a short cord poses any particular risks during birth.
    Then, a listener asks about a home birth she recently attended where the mother pushed for two to two and a half hours, her contractions eventually stopped, and the baby was not descending. The mother ultimately transferred to the hospital, but could rest have been another option? We discuss what it means when contractions stop during pushing, when a long second stage becomes concerning, and what might help labor get going again.
    Quickies this month include suddenly resenting your pets after having a baby, homeschooling, tandem breastfeeding a newborn and three-year-old, normal pumping output, pacifier use while breastfeeding, C-section after a traumatic shoulder dystocia, measuring three days behind on an early ultrasound, trying again after miscarriage, weaning from exclusive pumping, showering and self-care postpartum, postpartum anxiety improving around nine months, postpartum care after stillbirth, sleep versus exercise versus sunlight, postpartum depression and anxiety in fathers, grounding yourself during anxiety, and whether postpartum depression is more likely to recur with subsequent babies.
    Call us with your questions, comments or stories at 802-GET-DOWN!
    #385 | The Lindsay Clancy Case: Postpartum Psychosis or Psychiatric Drug Reaction? with Dr. Roger McFillin
    Postpartum Psychosis: The Signs, Risks, Symptoms and Recovery
    Livestream: Should we homeschool? Ask a Mom whose family thrived.
    **********

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    Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric
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    Watch us on YouTube! Please note we don’t provide medical advice.
  • Down to Birth

    #386 | Why Home Birth: A Father's Perspective on Choosing Birth Outside the System

    2026-09-23 | 42 mins.
    When Marine Corps officer Jacob Dubois's wife, Madison, told him she wanted a home birth, he was skeptical. He assumed the hospital was the safest place to have a baby until he began asking questions, researching, and meeting midwives. 
    That journey inspired Jacob to write Why Home Birth?, a book written for fathers who want to better understand birth and confidently support the women they love in chooseing birth outside of the medical system.
    In this conversation, we discuss why birth experiences shape women long after the baby is born, how our culture has normalized traumatic birth, why fathers often see birth differently than mothers, and how couples can approach birth as a shared experience that strengthens their family for years to come.
    If you enjoyed today's episode, you may be interested in these Down to Birth streaming workshops:
    Birth Trauma: Recognizing & Overcoming It
    Home Birth: Women's Round Table
    Jake Dubois on Instagram

    **********
    Send us Fan Mail
    Support the show
    Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric
    Needed <-- for 20% off
    DrinkLMNT <--  for FREE 8-day supply
    Primally Pure Skincare: Use code DOWNTOBIRTH
    Postpartum Soothe: Use code DOWNTOBIRTH
    ENERGYBits Superfood<--for 20% off
    Join Patreon here
    IG @downtobirthshow
    Call 802-GET-DOWN.
    Watch us on YouTube! Please note we don’t provide medical advice.
  • Down to Birth

    #385 | The Lindsay Clancy Case: Postpartum Psychosis or Psychiatric Drug Reaction? with Dr. Roger McFillin

    2026-09-16 | 1h 21 mins.
    The tragic case of Lindsay Clancy has ignited a national conversation about postpartum psychosis, maternal mental health, and criminal responsibility. Clinical psychologist Dr. Roger McFillin of The Radically Genuine Podcast believes a critical part of the story has been largely overlooked: the psychiatric care Lindsay received in the months leading up to what happened.
    Roger returns to Down to Birth to examine Lindsay’s medical history, severe sleep deprivation, reported reactions to psychiatric drugs, and the extraordinary number of prescriptions she received from multiple providers in a matter of months. We discuss what happens when adverse drug reactions are interpreted as worsening mental illness, why the psychiatric standard of care deserves greater scrutiny, and whether what happened to Lindsay was truly postpartum psychosis at all.
    We also confront the difficult question of personal responsibility, and whether the role of psychiatric drugs and medical care can be examined separately from the question of criminal responsibility. Although this is a deeply unsettling topic, we feel families will benefit from the facts of this case, particularly around informed consent, the known side effects of psychiatric drugs, personal accountability, and a medical system Roger believes failed Lindsay Clancy and her family long before she committed this unimaginable tragedy. We hope this conversation offers reassurance to mothers who have been left fearing that postpartum psychosis can simply strike without warning, while encouraging women to trust themselves, ask questions, and understand the risks and benefits of the care they receive. We also hope it helps fathers to better understand what to watch for, what questions to ask, and how to advocate for and protect the women and children they love.
    **********
    Check out our previous episode with Dr. Roger McFillin here:
    #235 | Solution or Sham? The Anti-Depressant Industry Exposed with Dr. Roger McFillin

    Access our workshops on postpartum:
    Understanding Postpartum Psychosis
    Overcoming Postnatal Depletion
    Postpartum Rage: What To Do About It
    Send us Fan Mail
    Support the show
    Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric
    Needed <-- for 20% off
    DrinkLMNT <--  for FREE 8-day supply
    Primally Pure Skincare: Use code DOWNTOBIRTH
    Postpartum Soothe: Use code DOWNTOBIRTH
    ENERGYBits Superfood<--for 20% off
    Join Patreon here
    IG @downtobirthshow
    Call 802-GET-DOWN.
    Watch us on YouTube! Please note we don’t provide medical advice.
  • Down to Birth

    #384 | Military Maternity Care in Sicily: Tara’s Birth Story

    2026-09-09 | 42 mins.
    Tara was pregnant and stationed with her husband in Sicily, where military rules required her to give birth at the naval hospital on base. What followed was a birth marked by pressure, fear-based counseling, an induction she did not want, repeated talk of a C-section, and a series of interventions that often seemed to create more questions than answers. 
    In this episode, Tara shares how late fetal heart rate decelerations led her care team to tell her that refusing induction could result in stillbirth or her child becoming a "vegetable", and how close she came to agreeing to a C-section that, when all was said and done, would have been unnecessary.
    We discuss informed consent, fetal monitoring, Pitocin, epidurals, hospital time limits, military maternity care, and just how difficult it can be to hold onto your instincts and decision-making when providers are warning you of the worst possible outcome.
    **********
    Send us Fan Mail
    Support the show
    Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric
    Needed <-- for 20% off
    DrinkLMNT <--  for FREE 8-day supply
    Primally Pure Skincare: Use code DOWNTOBIRTH
    Postpartum Soothe: Use code DOWNTOBIRTH
    ENERGYBits Superfood<--for 20% off
    Join Patreon here
    IG @downtobirthshow
    Call 802-GET-DOWN.
    Watch us on YouTube! Please note we don’t provide medical advice.
  • Down to Birth

    #383 | A Second Home Birth: Vocalizing, Instinct & Skilled Support

    2026-09-02 | 36 mins.
    Birth doula and mother of two Carson Meyer joins us to share the story of her second home birth and the very different emotions that came with approaching birth after such a positive first experience.
    Carson talks about the anxiety she carried in the final weeks of pregnancy, the problem with predicting when labor will begin, and her persistent worry that her midwife might not make it to the birth. We also discuss what it means to feel safe enough to be completely uninhibited in labor, why some women are quiet while others are intensely vocal, and the connection between the jaw, throat, pelvic floor, and the sounds women instinctively make in birth.
    Carson shares how she prepared her young daughter to be present during labor, what happened when things suddenly began moving much faster than expected, and why her concerns about having her midwife there ultimately proved significant.
    This is a conversation about trusting birth without pretending it never requires help and about the difference a calm, skilled provider can make when it does.
    Carson Meyer on Instagram
    Carson Meyer
    Make Your Hospital Birth Feel Like Home
    Send us Fan Mail
    Support the show
    Access our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs Rhetoric
    Needed <-- for 20% off
    DrinkLMNT <--  for FREE 8-day supply
    Primally Pure Skincare: Use code DOWNTOBIRTH
    Postpartum Soothe: Use code DOWNTOBIRTH
    ENERGYBits Superfood<--for 20% off
    Join Patreon here
    IG @downtobirthshow
    Call 802-GET-DOWN.
    Watch us on YouTube! Please note we don’t provide medical advice.
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About Down to Birth
Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on pregnancy, birth and postpartum --- beyond the clichés and beyond the system. With 40 years' combined experience in midwifery, childbirth education and advocacy, publishing, research and postpartum care, we've guided thousands of families toward safer, more empowered choices. Down to Birth is all about safe childbirth, while recognizing a safe outcome isn't all that matters. We challenge the status quo, explore women's rights in childbirth, and feature women from all over the world, shining shine light on the policies, culture, and systemic forces that shape our most intimate and transformative of life experiences. You'll hear the birth stories of our clients, listeners and numerous celebrities. You'll benefit from our expert-interviews, and at any time you can submit your questions for our monthly Q&A episodes by calling us at 802-GET-DOWN. With millions of downloads and listeners in 90 countries, our worldwide community of parents and birth professionals coms together to learn, question and create change, personally and societally. We're on Instagram at @downtobirthshow and at Patreon.com/downtobirthshow, where we offer live ongoing events multiple times per month. Become informed, feel empowered, and join the movement toward better maternity care in the United States and worldwide. As always, hear everyone, listen to yourself.
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