Listener Q&A - how many contractions are too many and what is terbutaline??

In this short episode I address this really thoughtful comment from a listener -"I've noticed that Dr. Rankins' position statements have gotten stronger on the negatives of a hospital birth over time (in the year+ that I've been listening). For instance her opening introduction now frames hospitals as a system that "too often takes away power from women over what happens in their own bodies." When she first started I think this was phrased more as "it can undermine women" or something a little softer. I've noticed the types of guests she welcomes onto the podcast are also more likely to have this stronger mentality against/suspicious of/worried about hospital births. I guess I'm curious if this reflects a true change in Dr. Rankins' position as she continued to gain knowledge herself through the podcast community, or if this reflects her willingness to simply say what she's known more strongly now, or if this is a trend of worsening conditions in hospitals. And overall does Dr. Rankins feel that hospital births still provide an overall positive service to women (do the goods outweigh the bads, especially for women who come in prepared with some knowledge), or does she feel that the scales are now tipped more negatively? I guess an updated "bird's eye" view of the whole system in the US might be helpful for some of us trying to understand the overall context as we work through our individual choices available to us in our regions. (For context on myself, if it matters/helps, my first birth was unmedicated in a hospital setting with a doula -- the doula was excellent, the overall birth experience was just ok, the after birth care was very good.)"If you want to let me know your thoughts about the podcast head to drnicolerankins.com/survey!Our Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dealing with nausea and vomiting during pregnancy is no fun. You’ve probably heard of “morning sickness” but that’s a misnomer - queasiness can happen at any time of day (and during any stage of pregnancy too). The good news is, for most people, it’s nothing to worry about. Even though it’s uncomfortable (and sometimes downright miserable), it’s generally not harmful to you or your baby.In this episode, you’ll learn about triggers, warning signs, and relief options for nausea and vomiting in pregnancy. It’s a challenging part of pregnancy, and it’s common so we need to talk about it! I’ll also touch upon hyperemesis gravidarum, which is when nausea and vomiting escalates to a more serious condition and a level of severity that requires more intense medical attention.In this Episode, You’ll Learn About:How common pregnancy-related nausea and vomiting areWhether symptoms can harm you or babyWhat some of the underlying causes areWhen digestive issues typically occur during pregnancyWhat hyperemesis gravidarum involves and how it’s handledHow pregnancy sickness is evaluated and treatedHow diet, acupressure, and ginger could helpWhich medication options are availableWhy cannabis isn’t recommended for symptom managementWhen to visit your doctor for help--Full website notes: drnicolerankins.com/episode279Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How did a birth described as “a series of traumatic events” end up being the best experience of Jenna’s life? Despite all of the unexpected challenges, getting through the 65 hour labor and birth helped her find peace and confidence in her intuition. Jenna’s story reminds us that it’s okay to feel both grateful to a medical team and to feel upset about how certain aspects of care were handled. It’s well beyond time to stop saying that “all that matters is a healthy baby”—the full experience matters, too. I’m so excited for you to hear Jenna’s journey and how she navigated this incredibly challenging birth.In this Episode, You’ll Learn About:Why Jenna booked a preconception consultationHow polyhydramnios and gestational diabetes affected the pregnancyWhy she opted for a 39-week inductionWhich interventions her team used to help progress laborWhat challenges her baby’s position presentedHow she managed through a failed epidural experienceHow her intuition and persistence led to an emergency C-sectionWhat an Erb’s Palsy diagnosis meant for her baby’s recoveryWhat role postpartum therapy played in reframing her experience--Full website notes: drnicolerankins.com/episode278Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In honor of Pregnancy and Infant Loss Awareness Month this October, in this episode we have secondary infertility and baby loss survivor Bernice Quesenberry (and quick note I inadvertently mispronounced her last name in the episode, my apologies!). She has repurposed her pain into something positive by starting a national nonprofit called Chasing the Rainbows, which offers FREE, trauma-informed support for those facing infertility, miscarriage, and infant loss.If you’ve experienced pregnancy or infant loss, it can feel very isolating because it’s not talked about often in media & mainstream culture. But you are not alone - unfortunately it’s a very common part of people's journey to being parents. I hope you never need this episode but if you do or know someone who might need it, then it's here with all of these amazing resources to help you.In this Episode, You’ll Learn About:Why trauma-informed care is crucial in supporting those experiencing baby lossHow reproductive trauma occurs and how frequently it happensWhat makes it difficult to find mental health support after baby lossHow peer mentorship and support groups provide a sense of connection and support during healingWhat the grief journey may look likeWhat you should (and shouldn’t) do to support someone after pregnancy or infant lossHow grief from infant loss impacts mental healthHow to honor the memory of a lost baby while continuing with life--Full website notes: drnicolerankins.com/episode277Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

I just turned 50 - yes, 50! I know people - and women especially - can feel some kind of way about sharing their age. But I have no problem with sharing my age because every day is truly a gift. To mark this milestone, I wanted to take a few moments to reflect, express my gratitude, share some thoughts on what helped me get here, and what’s next.This episode is also a bit different, as I want to take time to honor two people very dear to me - my late father, who passed away just last month, and my sister, who I lost over 10 years ago. Though I still miss them deeply, I feel immense gratitude for the time we shared, and their memories serve as a constant reminder to appreciate life and the people in it. It’s a bit of a different episode today, but I know you’ll enjoy it!In this Episode, You’ll Learn About:Why it doesn’t matter who you call family - it just matters that you spend time with themWhy it’s so important to value your own timeWhether you should invest in things or experiencesWhere true joy and happiness come fromHow staying true to your values can keep your peace of mindWhy you should shoot your shot - even if you’re scared!How real clarity comes from action, not overthinkingWhy embracing both joy and difficulty is key to living fully--Full website notes: drnicolerankins.com/276Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode may be about the NICU but it’s for any and every person who’s having a baby. The reason I say that is because it’s actually way more common than you think that a baby needs to receive intensive care. Nearly 40% of babies who go to the NICU are full-term.As a mom of two NICU babies, let me tell you: it’s the NICU nurses who are at your side. NICU nurses are angels and today’s guest is one! Mary Farrelly, a certified NICU nurse and trained doula, is leading the way in helping parents navigate the NICU journey.  You know I always say it’s important to listen to real experts - and today’s guest is exactly that!In this Episode, You’ll Learn About:What NICU stands for and what the levels areWhy babies go to the NICUWhat NICU nurses do and what training is requiredHow to include the NICU in your birth planWhy blending NICU nurse and doula roles benefits familiesWhich procedures are commonly used in the NICUWhat emotional support looks like for families post-NICU--Full website notes: drnicolerankins.com/episode275Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Martha hoped and prepared for a low intervention birth and ended up getting just about every intervention! She tried everything to get labor to start on its own but she ultimately was induced at 41 weeks. After 40 hours of labor with no pain medication other than nitrous oxide, she opted for an epidural. Soon after she was advised to get a non-emergency C-section because unfortunately things had plateaued.The C-section was fortunately not traumatic but it was the opposite of what she wanted. Her postpartum was beautiful but she also needed time to grieve the loss of the birthing experience she had hoped for. Today, she is feeling grateful to be bonded with her baby and wants listeners to take this story as a reminder that even if you have a challenging pregnancy and birth you can have a joyful and "easy" postpartum.In this Episode, You’ll Learn About:How she was envisioning her birth when she was preparing for itWhy she opted for midwives in a hospital settingHow she bargained for specifically 41 weeks and 3 daysWhich methods she used to try and induce laborWhy she preferred Cytotec to CirvidilWhether a balloon or Pitocin were helpfulWhy she said yes to an epidural and how she responded to itWhat doctors mean when they refer to your baby as “sleepy” during laborWhy she was grateful her doctor used a clear curtain during the C-section--Full website notes: drnicolerankins.com/episode274Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode was inspired by a message from long-time listener Sierra. She has experienced multiple miscarriages and, though she appreciated the episodes I have done discussing pregnancy loss, there are some issues specific to recurrent miscarriage that I haven’t gotten into yet. Sierra says “You've had some women who gave birth stories that had elements of miscarriage or infertility, but most of the discussions with them focus on the living children they had afterwards.”A successful pregnancy following miscarriage is the norm, it’s true. But for some, that’s not the full story. If you’re going through this painful experience, I hope this episode brings you both practical information and reassurance that you’re not alone. Even if you don’t think this episode applies to you, don’t shy away from it out of fear. Staying informed is empowering, not tempting fate!In this Episode, You’ll Learn About:What the difference is between miscarriage and recurrent miscarriageHow common single miscarriage is compared to recurrentWhat causes are often behind pregnancy lossWhich treatment options are availableHow likely a successful pregnancy is after miscarriageWhat the emotional impact of a pregnancy loss can beHow to support someone who’s had a miscarriageWhat to say to someone who has recently experienced loss--Full website notes: drnicolerankins.com/episode273Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Medical recommendations surrounding eating and drinking in labor are evolving, but not quite where they should be.In this episode learn the rationale for restricting eating and drinking in labor, why it's outdated, what our current guidelines are, and my evidence based recommendations for eating and drinking in labor.Join my next FREE LIVE birth plan class! - drnicolerankins.com/birthplanOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Nicole (yes, another Nicole!) is here to share her empowering story of a successful VBAC (vaginal birth after cesarean) followed by a challenging postpartum. Because she was intentional about her care team, she set herself up for success in the ways that she was able to control.However, nobody could control the liver issues her daughter would experience after birth. It took four hospital transfers and a five-week stay in the NICU before her baby was stable enough to come home. While Nicole’s birth story had a different ending than she expected, she took on the challenges with incredible strength and patience.In this Episode, You’ll Learn About:Why Nicole needed a C-section with her first babyHow she set herself up for a successful VBACHow her doula brought the whole birthing team togetherWhy it was worth the effort for Nicole to find the right doctorHow long she labored and pushed after inductionWhen medical staff realized that baby’s health problems required a hospital transferWhy her daughter required so many hospital transfers and how far she was taken for careHow long she spent in the NICUHow the community around Nicole and her family supported her through this difficult time--Full website notes: drnicolerankins.com/episode272Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayOur Sponsors:* Check out Mochi Health at joinmochi.com and use my code DRNICOLE to get $40 Off!* Get 25% off your first month of Ritual's Fertility Support for a limited time at ritual.com/DRNICOLE!Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy