Down to Birth
Down to Birth
Cynthia Overgard & Trisha Ludwig
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.
#374 | Fibroids in Pregnancy: IUGR, Induction, Hemorrhage, and a Life-Saving Birth
In today’s episode, Cassidy Peck shares a birth story shaped by large fibroids, a late IUGR diagnosis, low amniotic fluid, and a postpartum emergency that nearly cost her life. After years of debilitating periods and a delayed fibroid diagnosis, Cassidy conceived naturally and planned a home birth with an experienced midwife. Her pregnancy was largely uncomplicated until late third trimester, when concerns about fetal growth and fluid levels led to induction at 37 weeks. What followed was an ...
Jul 1
46 min
#373 | June Q&A: VBAC Labeling, Big Baby Ultrasounds, In-Law Matters & Labor Questions
In today's episode we reference the following resources: Should I be induced? Evidence on the ARRIVE Trial Planning Your Successful VBAC ********** Welcome to the June Q&A! In today's episode, we begin with a listener who has some things to say about the term VBAC. Our questions begin with one from a new mother whose enthusiastic in-laws are eager to babysit her exclusively breastfed baby. The conversation is less about breastfeeding and more about expectations, trust and boundaries...
Jun 24
53 min
#372 | The First Meal: Colostrum, Formula, and Newborn Gut Health with Dr. Rhonda Trust, PhD
Most parents have heard that breastfeeding is beneficial. What far fewer understand is why those first feedings matter so much, what colostrum does beyond nutrition, and how early feeding choices shape the gut microbiome, immune system, and long-term health. Today, we’re joined by Dr. Rhonda Trust, PhD, registered dietitian, professor of health communication, and longtime breastfeeding educator, for a conversation about newborn gut health, colostrum, skin-to-skin contact, formula supplementat...
Jun 17
48 min
#371 | Mothers in the Birth Space: Should You Have Her There? How Women Decide.
In today’s episode, we take on a question many women think about but don’t always say out loud: should your mother be at your birth? We share listener voicemails from women who made very different choices. Some had their mothers in the room, some kept them close by but not present for the birth, and others chose not to include them at all. It’s a candid, interesting conversation that gets into what shapes that decision and why it can feel more complicated than you might expect, even in close,...
Jun 10
53 min
#370 | 43-Week Pregnancy: Jessica and Aaron Researched, Prayed, and Waited
In today's episode, we sat with Ontario couple Jessica and Aaron, who share the birth story of their first child. Jessica's pregnancy included several key decision points, including whether to accept RhoGAM and how to approach care and manage the expectations of their loved ones as they moved well past their due date -- nearly 3 weeks past! They describe how they evaluated risk, navigated recommendations, and remained aligned as a couple under increasing pressure, while working with a midwife...
Jun 3
38 min
#369 | May Q&A: Postpartum Hemorrhage, RhoGAM, Family Boundaries, Induction, and Placenta Previa
Happy Spring! And welcome to the May Q&A! We start with a listener email we loved, followed by a discussion on creativity and why it matters, especially in the early years of motherhood when it can feel completely out of reach. Then we get into your questions. We talk about postpartum hemorrhage and how it’s defined, including whether 500 cc of blood loss is truly cause for concern, and the use of Pitocin and Cytotec in that context, particularly for VBAC mothers. We also revisit RhoGAM a...
May 27
51 min
#368 | Kristina's Vaginal Breech Birth at the Eleventh Hour
In today's episode, Kristina shares her breech birth story following a long journey marked by cycle irregularities, miscarriage, and difficulty conceiving. At 40 weeks, she learned that her baby was breech and was scheduled for a C-section, despite having been told throughout pregnancy that the baby was head down. Unwilling to move forward with surgery, Kristina sought out an alternative and ultimately found a physician in Connecticut willing to support a hospital-based vaginal breech birth. ...
May 20
42 min
#367 | Your VBAC Questions Answered by The First Woman to Have One, Nancy Wainer
In today’s episode, Cynthia and Trisha are joined once again by Nancy Wainer, award-winning author, longtime home birth midwife, and the woman who coined the term VBAC in her 1980s book Silent Knife. With decades of experience supporting women through vaginal birth after cesarean, Nancy brings clarity to a conversation that is shaped by fear, false information, and shifting medical standards. This episode is part free-flowing conversation and part Q&A, where we take listener questions and...
May 13
52 min
#366 | Full-Term Stillbirth at 39 Weeks: Penelope's Story
In today's episode, we speak with Stephanie about her stillborn daughter, Penelope, who arrived at 39 weeks and 6 days. After two healthy births and a completely uneventful third pregnancy, Stephanie found herself facing the unthinkable: an awareness of no fetal movement, confirmed by a silent Doppler and finally a hospital ultrasound. What followed was labor induction, birth, and the impossibility of leaving the hospital without her baby, riding home with her innocently cheerful toddlers in ...
May 6
1 hr 10 min
#365 | April Q&A: Best Age to Have Children, Precipitous Labor, Pushing and Tearing, Pregnancy Weight Gain, Water Birth Myths
Welcome to the April Q&A with Cynthia and Trisha! Today, we begin with a conversation about one of the most personal questions women face: is there a best age to have children? We talk about the pressures around timing, fertility, career, and spacing, and why this is one of those decisions that depends entirely on the individual woman, her life, and what feels right to her. Next, we get into your questions, starting with a mother who experienced a very fast labor and wants to know if prec...
Apr 29
53 min
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