Down to Birth

<p>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 <em>all</em> 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.</p>

#334 | Why Moms Get Triggered: The Emotional Stressors of Postpartum Living

Send us a text Motherhood, pregnancy, and postpartum life are filled with moments that test our patience — from bedtime battles and clutter overload to partner misunderstandings and in-law tensions. But these moments aren’t just “part of the job” — they’re emotional triggers, and they hold powerful clues for personal growth, stress relief, and a healthier, happier motherhood journey. In this episode, we dive deep into emotional triggers for moms, especially during pregnancy and postpartum. We...

09-17
31:36

#333 | Emily Vondy's Encounter with God During Labor

Send us a text Emily Vondy hardly needs an introduction. She's a mother of six, songwriter, and online creator @emilyvondy whose humor, reflections, and music have brought laughter and validation to millions. In this episode, she invites us into the story of her fifth birth, which came after two heartbreaking miscarriages. What began as a pregnancy marked by fear and doubt became an experience of profound peace—and what she vividly experienced as clear-as-day divine intervention. That’s right...

09-10
01:23:06

#332 | The Hidden Power of the Infant Microbiome: Optimizing Exposure in Birth & Breastfeeding

Send us a text In this episode, filmmaker and microbiome advocate Toni Harman joins us to explore the groundbreaking science behind establishing the infant microbiome—and why the earliest moments of life matter so much for lifelong health. Toni shares her personal journey from an unexpected C-section to uncovering how birth methods, antibiotics, and feeding choices shape immunity, metabolism, and risk of chronic disease over our lifetime. Key Points Discussed Include: Why vaginal birth, skin-...

09-03
48:42

#331 | August Q&A: Sugar Cravings, Exclusive Breastfeeding vs Bottle, Moxibustion, Obstetric Coercion, Late Onset GD, Dystocia, Fundal Height

Send us a text Welcome to the August Q&A episode! What is your secret quirk? We want to know! We share a few of yours along with our own. Today's first question is from a mother who had a large first baby without a diagnosis of gestational diabetes. She's concerned in her second pregnancy that she might develop late-onset gestational diabetes. Next, a pregnant mother's mother is a medical doctor and is having a hard time supporting her daughter's natural birth choices because of her...

08-27
45:54

#330 | Sleep Like a Baby: The Impact of Melatonin, Blue Light, and Sunrise with DreamWalkerz

Send us a text Sleep is the foundation of health—and yet in modern motherhood, it’s often the first thing we lose. In this episode, we’re joined by Heidi and Thaddeus of DreamWalkerz, parents of six and passionate educators on the biology of sleep. Together, we explore how light—yes, just light—is one of the most overlooked but powerful regulators of our sleep, hormones, mood, and even fertility. Heidi and Thaddeus break down what circadian rhythms really are, how they’re installed in babies,...

08-20
53:00

#329 | Doula Confessions: Bearing Witness to Birth and Broken Systems

Send us a text Doulas play a critical role in supporting women through childbirth—but their work is anything but easy, and their work isn't for the faint of heart. Many face disrespect from providers and routinely witness coercion, misinformation, and violations of informed consent. Even with their deep commitment to the women they serve, doulas often feel powerless in the face of hospital systems driven by profit and control. Still, many doulas are called to this work—and despite everything,...

08-13
46:08

#328 | Jessie's Vaginal Breech Birth: The Way it Was Meant To Be

Send us a text At 28 weeks, Jessie found out her baby was breech—but instead of panicking, she trusted her gut. She felt strongly that her baby was meant to be born this way. After initially planning a home birth, Jessie began exploring other options and considered traveling to Pennsylvania for a hospital birth with experienced breech providers. But when labor started at 39 weeks, everything shifted. Mid-drive to Pennsylvania, Jessie and her husband decided to turn around and head to Yale New...

08-06
32:38

#327 | July Q&A: Folic Acid & Tongue Tie, Nuchal Cords, VBAC & Pregnancy Intervals, IUGR & Induction, Fundal Massage, Fetal Heart Rate Variations

Send us a text Welcome to the July Q&A! Today, we kick off the show with a conversation about your experiences of unnecessary, frequent stressors that we have the power to change or eliminate: For Trisha, it's taking phone calls while grocery shopping. Next, we get into your questions, beginning with: Did taking folic acid in pregnancy cause my baby's tongue tie? Is having the cord wrapped three times around a baby's neck a legitimate reason for c-section? Is it true that I can't ha...

07-30
40:33

#326 | Trisha's Three Home Births

Send us a text Finally, after all these years, Trisha tells the stories of her three home births. Pregnancy, birth, & midwifery are woven into her life story, from her early obsession with pregnancy to her decision to pursue a career in midwifery, allowing her to understand every aspect of birth from a physiological and intellectual perspective. Hear how she became a midwife, how she got herself into labor with her first, grueling, long birth, to her wildly different second birth, and her...

07-23
48:07

#325 | Breast Cancer While Pregnant: Leslie’s Story of Faith, Birth & Healing

Send us a text In this extraordinary episode, Leslie shares her deeply personal story of discovering a lump in her breast at 34 weeks pregnant—an aggressive, triple-negative breast cancer. A wellness coach who hadn’t taken over-the-counter medication in five years, Leslie spent her adult life doing everything she could to prevent disease. As she prepared to welcome her second baby at home, she was forced to face a diagnosis that would alter her life on every level. She confidently insisted on...

07-16
43:53

#324 | The Impact of Beliefs on Birth: Changing Our Thoughts to Serve Us

Send us a text Drawing from our their personal experiences, your words, and our intimate birth story processing sessions, Cynthia & Trisha delve into the neuroscience around beliefs and birth. Our brain constantly wants to make sense of things, but it often lands on unhelpful conclusions. This episode is about recognizing those negative beliefs and actively replacing them with empowering ones. It's about taking charge of your internal narrative to foster healing and confidence, no matter ...

07-09
46:32

#323 | Two Planned Home Births at the Hospital: Emily's Birth Stories

Send us a text Emily Woodward is a mother of two who planned a home birth for each of her babies. Her first labor began with confidence and joy—and stretched across multiple days, testing her endurance, her trust in her birth team, and her ability to surrender when the path ahead took an unexpected turn. She transferred from home to hospital with a crowning baby. Her second pregnancy was smooth and uneventful—until 31 weeks, when she awoke in the middle of the night to a pool of bright red bl...

07-02
40:24

#322 | June Q&A: VBAC Induction, Birth Plan Boundaries, Nuchal Hand Presentation, 36-Week Cervical Exams, Episiotomy, Newborn Transition

Send us a text Welcome to the June Q&A with Cynthia & Trisha. This month we kick things off with a conversation about a midwife who dropped her client in early labor because her HBAC labor was taking too long to get going--as you can imagine, we have a lot to say about this! Next we take your questions: One mom writes about her 3rd attempt at a homebirth after two hospital transfers and wonders if it is ok to keep her birth plans from her family with whom she is very close with. ...

06-25
42:54

#321 | Spoil Your Baby: The Neuroscience of Thriving Baby Brains with Dr. Greer Kirschenbaum, PhD

Send us a text Neuroscientist and author of The Nurture Revolution, Dr. Greer Kirschenbaum, PhD, joins us today to discuss the profound impact of nurturing care in the first three years of life. Drawing from decades of brain research, Greer explains how responsive, connected parenting in early life lays the neurological foundation for emotional regulation, mental health, and lifelong resilience—and why this critical window is so often misunderstood, underestimated, or dismissed. We also explo...

06-18
52:11

#320 | Breastfeeding Q&A: Nipple Shields, Restricting Skin-to-Skin, Formula Marketing, Gentle Weaning, Nursing Strikes, Night Feeding

Send us a text Welcome to the June Breastfeeding Q&A episode with Trisha & Cynthia. Today, we open with a follow-up discussion to our recent Patreon discussion on the predatory marketing of formula companies followed by a listener's comment about a hospital who forbade a mother and baby from doing skin-to-skin. Next, Trisha answers the following questions: Does a baby need to feed in the first 24 hours?What are your tips for gently weaning a 20-month old?Did I sabotage my milk supply ...

06-11
46:31

#319 | Devon's Footling Breech Birth Story: Accepting the Necessary Cesarean

Send us a text Devon Stockton was deeply rooted in health and wellness and armed with years of medical experience. She had only ever envisioned a natural, low-intervention birth and took all of the necessary steps to prepare herself. But her birth took an unexpected turn upon arrival at the hospital when she discovered her baby was footling breech and a cesarean would be necessary. Devon recounts the emotional shift, the support of her husband, and the unexpected calm of her labor before surg...

06-04
33:51

#318 | May Q&A: Precipitous Births, Tearing Tips, Best Foods After Birth, Epidural Removal for Pushing, Induction & VBAC, Cord Clamping, Jaundice

Send us a text Welcome to the May Q&A with Cynthia & Trisha. If you have been wondering what you should plan to eat after giving birth, we've got the answers in today's episode, and we think they'll surprise you! For today's regular episode, we answer the following: Can you remove an epidural for pushing?Can the cervix swell shut if you push before it is fully dilated?Can you prevent a tear in a precipitous birth when the baby comes flying out?Can I still have a VBAC if I had a big ba...

05-28
44:41

#317 | The Risk of Uterine Rupture: Breaking Down ACOG's VBAC Bulletin

Send us a text What's the one question every woman wants to answer when considering a VBAC? Is it safe for me and my baby? In today's episode, Cynthia & Trisha break down the available data on VBAC, why we should discard the term TOLAC, the actual risks of uterine rupture, whether induced with Pitocon versus a prostaglandin or having spontaneous labor versus expectant management. We present the few cases in which a woman should not choose to VBAC and help mothers understand their decision...

05-21
56:08

#316 | The Body Ready Method for Optimizing Labor With Co-Founder Lindsay McCoy

Send us a text Did you know that how you breathe on a daily basis can influence how your birth goes? Yes, your rib cage impacts your pelvic tension! On today's episode, we have Lindsay McCoy, a birth doula, exercise physiologist, and co-founder of the Body Ready Method. She explains how breath, mobility, and pelvic balance all come together to support a smoother, more efficient labor—and how a few simple daily practices in pregnancy can reduce the need for interventions in birth. She reminds ...

05-14
47:18

#315 | The Preeclampsia Puzzle: Misdiagnoses, Misconceptions and Prevention with Author Sarah Thompson

Send us a text Preeclampsia is an increasingly common diagnosis, but are we getting it right? This episode tackles the alarming reality of misdiagnosis and the rush to intervene prematurely with induction. Join us and functional medicine expert Sarah Thompson, researcher and author of Functional Maternity, as we dive into the deeper nature of preeclampsia, beyond simple blood pressure readings. Learn about the crucial roles of sleep, stress, and your body's detox pathways in the prevention of...

05-07
01:10:13

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