Down to Birth

In today's episode, we reconnect with Sarah and Lara of Dynamic Doulas, who last joined us in Episode 196: The Toughest Part of Being a Doula. Three years later, we tackle the conversation that is in fact the toughest part of being a doula: Supporting women through the loss of a baby at birth. Sarah and Lara return to talk to us about their recent experiences including when a baby dies or faces a severe adverse outcome. We move beyond business and birth plans and into the realities most childbirth education never mentions.We talk about a stillbirth at 38 weeks, a shoulder dystocia at 42 weeks, an ambulance transfer during a home birth, and what happens to the doula’s mind and body afterward. We explore the ethical tension between educating clients toward physiological birth and supporting every decision they make, even when those decisions give the doula pause.We also look at the limits of “evidence-based” care, why risk can never be reduced to zero, how to think about induction at 42 weeks, big babies, shoulder dystocia, and continuous fetal monitoring without slipping into fear or blind trust in the system. For pregnant women and birth workers alike, this conversation examines responsibility, intuition, and the space between over-medicalized birth and simplistic reassurance.Sarah and Lara share how these losses changed their practice, how they now talk to clients about risk and responsibility, and what it truly means to “hold space” when the worst outcome occurs. We also talk about nervous system strain, how doulas know when they need a break from their work, and why no doula should have to process these experiences alone.For women who are pregnant, this episode offers perspective on how rare events are understood by the people supporting you, and how to stay rooted in your own values, intuition, and sense of responsibility. For birth professionals, we discuss burnout, secondary trauma, why partnership matters so much in this work, and how a strong professional doula partnership can make the difference between quitting and continuing onward with new clients after witnessing a client's loss.#196 | The Toughest Part of Being a Doula with the Dynamic Doulas of London, OntarioSend us a text Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% off Join Patreon for our exclusive contentIG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Pregnant women often carry fears about breastfeeding long before their babies arrive — fears of pain, low supply, clogged ducts, or not knowing when to feed. After all, if breastfeeding is so natural, why do we keep hearing how hard it is? In this episode, Cynthia asks Trisha to address the most common concerns from the women in our community. We discuss why these fears are so prevalent, what’s actually normal, and how much of breastfeeding success depends on preparation, support, and confidence—not just luck. If you are worried whether your body will make enough milk, how to know if your baby’s latch is correct, or whether your milk will “come in” at all, this conversation will leave you informed, grounded, and far more at ease about what’s to come. You, along with your baby, can absolutely know breastfeeding success. Watch this episode in full video format on YouTube.**********Send us a text Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% off Join Patreon for our exclusive contentIG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Midwife and mother of two, Sophia Henderson, host of the Born Wild podcast, joins us to tell the story of her children’s births – and how a chiropractor may have saved her newborn daughter’s life.In her first pregnancy, Sophia navigated weeks of unexplained bleeding, chose home birth as a student midwife, and after giving birth learned her son had no anal opening and would ultimately be diagnosed with VACTERL association. She describes what it means to care for a medically complex baby, how quickly those diagnoses unfold after birth, and how that first year reshaped her understanding of risk, normalcy, and surgical intervention.Just as her son's medical journey was unfolding when he was just a few months old, Sophia found herself pregnant again—depleted, caring for a fragile infant, and facing new legal restrictions in California that removed home birth as an option. She entered the hospital as a confident midwife who expected to advocate for herself, only to discover how difficult it is to hold onto intuition when confronted with pressure around breech, preterm labor, and surgery.After her daughter’s premature birth, Sophia and her husband were told the baby’s lungs had collapsed, that there was “nothing more they could do,” and that she was unlikely to survive or at best, would require oxygen all her life. A desperate post to Facebook caught the attention of a chiropractor, who responded that she could see the issue and restore the baby to wellness. Her treatment was performed quietly after being snuck into the hospital, and led to a recovery so dramatic that it reframed Sophia’s entire understanding of newborn physiology and the role of chiropractic care.Born Wild Midwifery**********Send us a text Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% off Join Patreon for our exclusive contentIG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

Welcome to the November Q&A! Today, we start with a topic that always stirs strong feelings—birth partners. From the gestures that truly helped to the ones that fell short, we chat about your experiences of your partner's support, presence, connection or not.Next, we respond to an emotional call for help from a sleep-deprived and emotionally exhausted mother whose husband threatens to call the cops on her for how she handled an overwhelming moment with her toddler. Today's episode includes a special guest appearance from Nancy Wainer, world-renowned midwife and the woman who coined the term VBAC. Nancy answers a listener’s question about an anterior placenta in a planned VBAC and explains what her decades of experience tell us about how placentas behave in utero. We also discuss endometrial polyps and whether a biopsy could affect future fertility, how to handle conversations about home birth within a hospital work environment, and how to choose a midwife when you have numerous options and like them all. In Quickies, we cover making baby-wearing more comfortable, the myth that labor “starts” at one centimeter, chiropractic versus pelvic floor PT in pregnancy, relieving newborn gas, timing big changes during teething, postpartum nutrition, and even whether to skip airport scanners while pregnant. We end with each of us pondering which baby names we’d choose today and our favorite ways to spend a slow morning at home.VBAC: How to Plan for Success#257 | Labor & Delivery Nurses' Roundtable: How Their Hands are Tied to Doctors' Orders#273 | Special Q&A Featuring Nancy Wainer on VBAC and More**********Send us a text Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% off Join Patreon for our exclusive contentIG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.

When it comes to infant sleep, few topics are more misunderstood—or more burdened by cultural myths—than the expectation that babies should “sleep through the night.” Pediatric sleep and development specialist and author of Rest Assured: The Heart and Science of Nurturing Baby Sleep, Louise Herbert, joins us to explain what’s really happening in a baby’s body and brain during sleep.Louise breaks down the biology of circadian rhythms, sleep pressure, and night wakings—clarifying when frequent waking is normal, what can sometimes underlie it, and why responsiveness and proximity are protective, not problematic. We also explore how stress and separation impact early brain development, why sleep training often overlooks fundamental physiology, and how parents can align their routines with their baby’s natural rhythms to improve sleep for everyone.This conversation replaces confusion and guilt with evidence and understanding, helping parents see night wakings as a feature of healthy development—not a flaw to fix.Mouthernourishnuture on InstagramLouise Herbert: Rest Assured **********Send us a text Needed <-- this link for 20% off your whole subscription orderDrinkLMNT <-- this link for FREE 8-day supplyPrimally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTHPostpartum Soothe: Organic herbal padsicles for healing. Promo code DOWNTOBIRTHENERGYBits: <--this link for 20% off Join Patreon for our exclusive contentIG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.