Birthing Instincts

#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: documentation, informed consent, and the ways language can shape a family's entire birth experience.Using real-world examples, published legal cases, hospital consent forms, and an anonymous patient story, they examine how documentation can influence clinical decisions, legal outcomes, and patient autonomy. They discuss the difference between genuine informed consent and liability-driven documentation, why wording matters, and how routine practices can become normalized before parents even realize they have options.Whether you plan to birth at home, in a birth center, or in the hospital, understanding how consent, documentation, and communication intersect can help you become a more informed participant in your own care.References:Girls Who Know: girlswhoknow.com (code instincts for 15% off)Case Law Update: Gawthrop v Bendigo Health [2026] VSC 157https://bravelegal.com.au/gawthrop-v-bendigo-health-vaginal-examination/Melissa Philippe Facebook PostThe Doula Group on FacebookJohns Hopkins: Delivering Your Babyhttps://www.hopkinsmedicine.org/health/wellness-and-prevention/deliveryDiscussed in This EpisodeWhat true informed consent should look likeHow documentation can influence legal and medical narrativesThe difference between physiologic birth and procedure-based birth educationWhy coercive language mattersA court ruling that recognized non-consensual vaginal exams as assault.How fear-based counseling can affect birth decisionsWhy birth education before labor is more important than everPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian 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 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: birthinginstinctspodcast@gmail.comPodcast webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

#477: False Evidence Appearing Real (FEAR): Our Chat with Doula Dude, Travis Stroud

This week, Blyss and Stu welcome Doula Dude, Travis Stroud, whose perspective has captivated millions of viewers in just a few short months. Travis never imagined he'd become one of the loudest voices encouraging fathers to educate themselves about pregnancy and birth. But after preparing for nearly two years, he and his wife chose a wild pregnancy and freebirth at home that forever changed the course of his life.Together they discuss why men have become disconnected from birth, what fathers lose when they're pushed to the sidelines, and why Travis believes childbirth is the "biggest rabbit hole" because it touches every aspect of health, family, and society.Whether you agree with every perspective or not, this conversation challenges listeners to ask questions, become informed, and reconsider the role fathers can play in protecting and supporting mothers during birth.About Travis Stroud:Travis is a 31-year-old husband and father in the small town of Brunswick, Maryland. On Valentine's Day in 2024, he and his wife welcomed their daughter through a planned free birth at home Travis was the sole birth attendant, and together they managed every aspect of the pregnancy, birth, and postpartum journey, with the exception of some postpartum support from his mother-in-law.The couple spent nearly two years preparing, beginning their research and planning back in 2022, before they had even conceived. Their birth experience profoundly changed Travis's perspective on pregnancy, birth, and fatherhood in ways he never expected.Today, he is passionate about sharing their story and the lessons they learned, inspiring conversations about birth trust, and the incredible role fathers can play in the journey.Instagram: @Doula.dudeEyla Cuenca's Uncover Birth Doula Training (Use code STU for 10% off)Dr. Bradley's Husband-Coached Childbirth book References:Earthbound Parenting Podcast: Mentorship & the Things That Weave Us with Blyss Younghttps://podcasts.apple.com/us/podcast/mentorship-the-things-that-weave-us-with-blyss-young/id1612737552?i=1000776872540Breech Birth Podcast: S5 Ep6 Dr Stuart Fischbein: Twins, VBAC, disempowered doctors & hospital systemshttps://open.spotify.com/episode/1kef3azO2lkResOw4LMCmj?si=2vODGoHQS9Wr_9ikDMkMrg&nd=1&dlsi=f2411fe90011441dGermany drops routine COVID vaccination advice for healthy people under 75https://goodoil.news/germany-drops-routine-covid-vaccination-advice-for-healthy-people-under-75/#google_vignetteDiscussed in This EpisodePreparing for Birth Before PregnancyTravis’ Wild Pregnancy & Freebirth StoryWhy Birth Became His MissionWho Controls Birth?Why Fathers MatterHow Families Evaluate RiskThe Importance of Informed Decision-MakingWhy Every Parent Deserves to Understand All of their OptionsPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian 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 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: birthinginstinctspodcast@gmail.comPodcast webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

#476: Questioning the 2 cm Placenta Rule & A Remarkable Breech Twin Birth with Fadwah Halaby

This week, Dr. Stu welcomes Florida midwife Fadwah Halaby for an inspiring conversation about evidence, autonomy, and trusting physiological birth. Before diving into an unforgettable breech twin home birth, Stu takes a deep dive into another one of obstetrics' commonly accepted practices, the "2-centimeter rule" for low-lying placenta, and uncovers the surprisingly weak evidence behind it. Together, Stu and Fadwah explore how outdated conventions become hospital policy, why individualized care matters, and what happens when skilled providers support families instead of protocols. From twin growth charts to cord prolapse, patient autonomy, and the realities of home birth, this episode challenges assumptions while celebrating the art and science of physiological birth.About FadwahFadwah has worked as a nurse since 1992 (34 years) in various areas such as home health, ER, and L&D. For the past 20 years she has worked as a Nurse Practitioner, Certified Nurse Midwife - 8 years in a busy OB practice facilitating hospital birth and office gynecology, and 12 years in her independent home birth practice. She has assisted over 2000 babies to be born with about 700 of those in the community birth setting. She has been offering breech and twin birth in her practice for several years, more often in the past few years since completing formal training through Spinning Babies and Breech Without Borders. The first birth she ever witnessed live (other than her own) was a breech birth, in 1986.She is a divorced mother of 6 grown children with 5 granddaughters. Currently living in Palm Beach County, south Florida where she has her office and home birth practice, Midwife360. She is currently back to working in a solo practice with back up from various other home birth midwives in the area. She is limiting her practice to 4 births per month and willing to take on breech births from the community whenever she is able as there are no options for breech for most women. She is a licensed autonomous APRN in Florida.In 2023, she decided to exit the insurance game completely, after offering in-network provision of care through most insurance companies, both private and public. The reasons for this are numerous, but mainly financial and emotional. To help offset the difficulty some families have in affording home birth midwifery (a concierge service to be sure) she started a non profit - Birth Equity Resource. A 501(c)3 designed to attract donors wanting to help those more financially challenged to be able to choose home birth midwifery.Website: midwife360.com Non-Profit: birthequityresource.orgInstagram: @midwife360References:Placental edge to internal os distance in the late third trimester and mode of delivery in placenta praeviahttps://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/j.1471-0528.2003.02491.xVaginal delivery in women with a low-lying placenta: a systematic review and meta-analysishttps://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.15622Fetal Imaging: Executive Summary of a Joint Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal-Fetal Medicine, American Institute of Ultrasound in Medicine, American College of Obstetricians and Gynecologists, American College of Radiology, Society for Pediatric Radiology, and Society of Radiologists in Ultrasound Fetal Imaging WorkshopPlacenta previa: distance to internal os and mode of deliveryhttps://www.ajog.org/article/S0002-9378%2809%2900629-2/fulltextBirthing Instincts Podcast 378: The Cost of Homebirth, Navigating Insurance in Midwifery, with Fadwah HalabyA maneuver for head entanglement in term breech/vertex twin labor, by Dr. Stu Fischbeinhttps://static1.squarespace.com/static/52ca1028e4b05c5f2d7b157d/t/62e02090874eae67b683bc67/1658855570428/A+Maneuver+for+Head+Entanglement+Published.pdfDiscussed in This EpisodeWhere the 2-centimeter low-lying placenta guideline actually came fromCounseling families about twin pregnancy beyond fear-based statisticsFadwah's pathway from hospital midwifery to independent home birth practicePreparing for a planned breech twin home birthManaging cord prolapse in a breech presentationHome birth emergency preparedness and neonatal resuscitationThe importance of individualized risk assessment over blanket policiesPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian 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 offGirls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: birthinginstinctspodcast@gmail.comPodcast webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

#475: Birth Story & Body Health with Holistic Aesthetician, Michelle Vaughan

What happens when a traumatic first birth becomes the catalyst for a completely different second experience?This week, Blyss and Stu welcome holistic esthetician Michelle Vaughn to share the story of two births that couldn't have been more different, and how those experiences transformed not only the way she views birth, but the way she approaches health, skincare, motherhood, and everyday living.Michelle opens up about her husband's stage IV cancer diagnosis, the lifestyle changes that followed, and why she began questioning everything she was putting on and into her family's bodies. Together, they explore common skincare ingredients, sunscreen, deodorant, household products, and practical ways families can begin reducing toxic exposures without becoming overwhelmed.Whether you're interested in physiologic birth, holistic wellness, or simply making more informed choices for your family, this episode offers thoughtful conversation, personal stories, and plenty to consider.About MichelleMichelle Vaughan is a holistic esthetician with 19 years of experience, wellness educator, mom of two, and co-owner of Alma Aesthetics Organic Wellness Spa in Santa Barbara. She’s passionate about helping women and families make informed, balanced choices through holistic skincare, mindful living, and simple everyday wellness. Michelle shares her journey through motherhood, beauty, and healthy living with an approachable, evidence-informed perspective while encouraging others to feel confident in making the choices that are right for them.Instagram: @michellevaughanklett / @almaaestheticsClean Product Recommendations:Primally PureEarth Mama OrganicsUnder LunaLiving LibationsBranch BasicsWholesome organics Code Instincts for 20% offReferences:Joint Statement From NACPM and NARM Regarding MEAC’s Withdrawal from U.S. Department of Education Recognition: https://www.nacpm.org/news/joint-statement-from-nacpm-and-narmDiscussed in This EpisodeWhat MEAC's withdrawal from Department of Education recognition could mean for midwifery educationHospital birth versus home birth: one family's dramatically different experiencesTrauma, healing, and trusting the physiologic birth processThe connection between skincare, nutrition, inflammation, and overall wellnessSunscreen, deodorant, fragrances, household products, and reducing toxic exposureSimple swaps families can make without feeling overwhelmedPodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian 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 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: birthinginstinctspodcast@gmail.comPodcast webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

#474: The Mystery Of Postpartum Preeclampsia

Postpartum preeclampsia is one of the least talked about, but potentially most serious, complications after birth. This week, Dr. Stu and Midwife Blyss explore what we know, what we don't, and why every new mother should understand the warning signs, even after a healthy pregnancy and birth.Together they review the latest evidence surrounding postpartum hypertension and postpartum preeclampsia, discuss risk factors, symptoms, diagnosis, treatment options, and why postpartum care deserves far more attention than it often receives.Whether you're currently pregnant, postpartum, or supporting growing families, this episode offers practical information, thoughtful discussion, and an important reminder to trust your instincts when something doesn't feel right.References:Breech Birth Podcast: S5 Ep3 Midwife Blyss Young: Legal restrictions, walking through life & death & advocacyPostpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy: https://www.ajog.org/action/showPdf?pii=S0002-9378%2820%2931201-1Discussed in This EpisodeResearching Postpartum Preeclampsia (PPPE)PPPE Risk Factors Symptoms of PPPE And When It HitsThe importance of postpartum monitoring and listening to your bodyHow postpartum hypertension differs from classic preeclampsiaCurrent treatment recommendationsHome blood pressure monitoringRecognizing warning signsIs PPPE Iatrogenic?Why postpartum care shouldn't end at hospital dischargePodcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byLMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any orderChristian 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 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@wovenmoon_Website: birthinginstincts.com/birthingblyss.comEmail: birthinginstinctspodcast@gmail.comPodcast webpage: birthinginstinctspodcast.com•••#birthinginstinctspodcast #homebirth #midwife #BirthWithoutFear #PhysiologicBirth Advertising Inquiries: https://redcircle.com/brands