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Midwife Monday

Author: Dr. Andie Wyrick CNM, DNP and Jaelin Stickels, CNM, WHNP, MSN

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Come on a hysterical weekly journey with passionate community midwives. Discover what true, supportive, evidence based health care can look like when you are armed with information and a powerful voice. We will discuss health, birth, pregnancy, labor, breastfeeding, sex... no topic is off the table.
60 Episodes
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If you plan on getting a good "weinering"...perhaps think about how beneficial it could be.  We don't mean the sensations, although that matters.  We want to dive into the rise and downfall of seminal fluid (see what we did there).  We have been fed a diet of all the scary ways unprotected sex can get us, but have you ever considered the wins. Let's go! Winner Weiners and their fluids.
Prodromal Labor

Prodromal Labor

2023-08-2916:19

People call it false labor...BARF. There is zero falsity about what you are feeling. The issue lies in the confusion.  So let's talk about making it a bit clearer and come up with some possible solutions to the 'precursor".
As people, we desire shared decision making and autonomy.  Research shows that both lead to better health outcomes, saved resources and nicer experiences overall. We have to look at the whole picture when we consider it . Where the responsibility falls currently? Where should it fall? It is about information and accountability.  
Building a birth team is pivotal in the outcome and experience .   Choose the invitation list wisely and with consideration.  Here is a couple ideas on what to think through...
How can we pass up two of our favorite topics. Science and sex.  Cue the porn music and the nerd jingle.  Postcoital (dorky word for after sex) Neurochemistry.  Arousal and orgasms have been well researched and overly discussed.  Those tend to be everyone’s bestie. But, there is a more mysterious and less-considered part of the cycle. Let's discuss. 
Bleeding In Pregnancy

Bleeding In Pregnancy

2023-05-1526:56

Vaginal bleeding during pregnancy could be related to a big bucket of things.  Ranging from no big deal to quite serious.  Bleeding in early pregnancy is pretty common. Most of the time, it does not signal a major problem. Bleeding later in pregnancy can be more serious. No matter when it happens we understand that it feel very scary.  Let's talk about it all.
The Newborn Exam

The Newborn Exam

2023-05-0126:31

When we examine a baby we are looking head to toe. Listening and observing. We start doing this from the moment they enter the world. Sometimes even before! Yes, we have been assessing little ones right away but on this epidsode we are going to go through the fancy nancy full assessment. What are we doing and what are we looking at.
We believe pregnancy is beautiful. You are holding hands with creation.  You are literally making life unfold.  Along with that glorious miracle, you have a host of other interesting happenings.  Changes are happenings so it makes sense for your body to go fruit loops a bit. 
Chemical messengers.  Body Signalers.  "Influencers".  Call them what you want, hormones are a big deal.  We will talk through some of the important hormones floating around and what happens when they don't play nice (imbalance).
Each and every intervention may seem benign, but we have to remember thateach shift in the natural process holds a distinct power to be the first of the cascade. Additionally we have to acknowledge that labor and birth is more than physical. Its mental. It is arguably possible that the mental component is more influential than the physical.  We also can't over look the need for consent here! So lets talk membrane sweeps. The pros, the cons and we may just show our Bias-Asses
There are stark differences in the definition set by ACOG and the community standard/policy driving practice for labor.  Your provider should follow the evidence.  Its a map that leads us to better outcomes.   Listen is as we open up that bag of "stuff".  
Why Are We Here

Why Are We Here

2023-02-1336:46

Midwifery has a strong but shaky history.  Every turn has gotten us to this point.  Why is it that maternal outcomes in America suck? Why is it that maternal care continues to be so litigation based? Why does all that matter?  How, as midwives, do we feel about it? We will tell ya...
Transfers are okay! Honestly.  The hardest part of a transfer is typically the disappointment that goes with a change of plan. We get it.  Sometimes when we know what to expect it makes the shift easier.  We like when birth is boring and beautiful, but birth can also veer and be BEAUTIFUL!  Here we go....
There is a history there. There is sometimes a purpose there. There is also a lot of who gives a flying heap of biscuits.  Let's walk through all of that and more...
Emergency Expectations

Emergency Expectations

2022-11-1532:56

Emergencies are rare.  Emergencies can feel scary. Sometimes knowing what could happen and what your midwife might do about it, can help relieve those fears. We will go over what emergencies may pop up in the home environment and how we handle them. Trigger warning: birth emergencies (nuchal cord, shoulder dystocia, postpartum hemorrhage, and resuscitation)
Sex Disparities

Sex Disparities

2022-11-0831:35

Health disparities are a plague. Wake up and see the sexual discrimination. It is present and we all have experienced it in some fashion. Let's face it head on, talk about it and start changing the way near half of the world is treated.
What are your risks? What does it look like? Did you know that you can help prevent preeclampsia? Grab that sucker by the blood pressure horns and tell it NO SIR.  
High or Low Body Mass Index is classified as a high risk category during pregnancy.  Is simply being on the high or low end make you high risk? or can there be increased risks associated with it? Big difference in those two ideas.  Join us as we break BMI apart. 
Birth is normal, until it isn't.  Birth is low risk, until it isn't.  We so desire a seamless stream lined courteous and pleasant system for transfers. It is a work in progress. Until then, this is what it looks like. 
In a world full of drama, lets strip away some of it.  The topic of Gestational Diabetes can be complicated and scary.  It does not have to be either.   Boring is beautiful. Lend us an ear for a few minutes and we will help break down the information and dissolve the scary label of high risk. 
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