Ep 312: Why This OB-GYN Walked Away From the System with Dr. Nathan Riley

This is a special rebroadcast of one of our most downloaded postpartum episodes, and for good reason. This conversation is for you if your birth didn’t go the way you hoped.In this replay, I sit down with Kaylee Summers — the Birth Trauma Mama — to unpack what birth trauma actually is, why it’s so common, and how you can begin to heal. Kaylee brings both clinical expertise and lived experience as an amniotic fluid embolism survivor, and her honesty, clarity, and compassion make this episode a must listen if you had a traumatic birth experience.What you’ll learn:What “birth trauma” really means (and why it’s more common than most people think)Why trauma is subjective — and why your experience mattersThe signs and symptoms of birth trauma in the early postpartum periodHow treatment works, including what EMDR and other trauma-focused therapies actually doWhen (and how) to seek support if you’re struggling after birthThe role communication and care team dynamics play in shaping your birth experienceResources Mentioned:Kaylee’s Instagram + TikTok: @thebirthtrauma_mamaThe Birth Trauma Mama PodcastPostpartum Support International provider directoryTouchstone Institute provider directoryFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:Hospital Tour Scorecard: Know exactly what to look for so you can choose the right hospitalHow to Tell If Your OB Is Right for You: Ask the right questions and spot red flags earlyLabor Pain Management Playbook: Learn the tools and strategies I teach my own patientsNote: This episode is a rebroadcast as part of my December “Postpartum Power Replay” series — revisiting some of the most powerful episodes to support you during a season when postpartum needs often go unseen.Our Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is your invitation for a softer season, a clearer mind, or just a moment to breathe before the year ends. It will feel like a nice warm exhale.In this reflective end-of-year episode, I’m sharing the milestones, challenges, and growth that shaped my 2025 — from sending my NICU graduate to college, to navigating perimenopause, to choosing rest over hustle. I’m also walking you through the non-negotiable holiday boundaries that matter most during pregnancy and postpartum, and how to give yourself permission to honor what you need this season.You’ll learn:– Why rest is a necessary part of preparing for birth, postpartum, and motherhood– How I’m protecting my peace during the holidays — and how you can too– Simple, clear scripts for setting boundaries with family and visitors– What my family milestones taught me about growth, identity, and motherhood– Why I’m stepping back for the remainder of December (and how you can build your own pause)Resources Mentioned:Instagram: @drnicolerankinsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Hospital birth may not be the right path for every OB/GYN.This week, I’m in conversation with Dr. Nathan Riley, an OB-GYN and palliative care physician who left conventional medicine to support home birth and midwifery-led care. We talk about what the system gets wrong, what it does right, and how honoring true autonomy can transform the birth experience.You’ll hear two OBs with very different paths, get real about training gaps, liability fears, and what actually supports healthy birth. Whether you’re planning a home birth, a hospital birth, or you’re just curious about your options, this is an episode that challenges assumptions and opens possibilities.You’ll learn:Why Dr. Riley left the hospital system — and what he does nowHow hospital training limits women’s birth choicesWhat really happens during an emergency C-sectionThe untold truth about vaginal breech birthWhat autonomy actually looks like in labor (and how to prepare for it)Resources mentioned:Dr. Nathan Riley on InstagramBorn Free MethodBeloved HolisticsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Today’s episode is a little different. I’m sharing a home birth story! Home birth can be safe, supported, and deeply empowering when planned well.In this birth story, I’m joined by Leah, a writer, mom of two, and aspiring childbirth educator who planned a home birth after a positive but impersonal hospital birth with her first child. Despite navigating insurance barriers, and anticipating a large baby, Leah created the low-intervention experience she wanted, and welcomed her 11-pound daughter after just a three-and-a-half-hour labor. Her story is full of advocacy, intuition, humor (yes, she was poked in the eye mid-contraction), and practical insights you’ll walk away with.In this episode, you’ll learn:What made Leah choose a planned home birth after a hospital birthHow she advocated for weight-inclusive prenatal careThe realities of insurance challenges for home birth familiesHow she prepared mentally and physically for a fast, intense laborWhy her postpartum experience at home was dramatically different — and betterWhat she wants every pregnant person to know about big babies and birth optionsResources Mentioned:Bradley Method book: Natural Childbirth the Bradley WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This Thanksgiving, I’m inviting you into my heart.After more than two decades in obstetrics, raising a family, and building this platform — I’m pausing to name what I’m deeply grateful for. It’s more than a holiday checklist. This is about honoring the anchors that carry me through birth work and life.Whether you’re cooking, commuting, or just catching your breath, I hope this episode reminds you to reconnect with what’s holding you up this season.In this special episode, I share:How my body is still showing up strong at 51 (yoga poses included!)What I’ve learned from 20 years of marriage and motherhoodWhy my OB-GYN skills go beyond technique — and why that mattersThe power of a team that truly supports womenHow you — yes, you — keep this platform alive and impactfulResources Mentioned:Serial Season 1 (my first podcast love!)Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if the key to your fertility isn’t just in your hormones—but in your mouth?In this eye-opening episode, I sit down with Dr. Katie Lee, dentist, entrepreneur, and author of Saved by the Mouth, to uncover the powerful connection between oral health and reproductive outcomes. We break down how bacteria in your mouth can influence conditions like PCOS, endometriosis, and even stillbirth—and what you can do to protect your fertility, pregnancy, and long-term health.You’ll Learn:How oral bacteria affect fertility and pregnancy outcomesWhy inflammation in your gums triggers inflammation throughout your bodyThe truth about dental care during pregnancy (and why skipping the dentist could backfire)How salivary testing works—and what it can reveal about your reproductive healthEveryday oral care habits that protect your fertilityResources Mentioned:Dr. Katie Lee: collectivehealthsociety.comSaved by the Mouth by Dr. Katie LeeFollow Dr. Lee on InstagramFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Bleeding early in pregnancy can be terrifying — but in many (even most) cases, it’s not as dangerous as it seems.In this short episode, I’m unpacking what it means when you’re told there’s a subchorionic hematoma. I’ll walk you through what’s actually happening in your body, how it’s diagnosed, what it means for your baby, and — most importantly — why it’s usually not your fault.You’ll learn:What a subchorionic hematoma is and how common it really isWhy it happens (and why you didn’t cause it)How doctors monitor it over timeWhat to expect with follow-up ultrasoundsPractical tips to protect your peace during the waiting periodResources Mentioned:Follow me on Instagram for more pregnancy education: @drnicolerankinsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What happens when a perinatal psychologist — who supports women through fertility and birth trauma — becomes the patient herself?In this honest and heartfelt episode, I chat with Dr. Allison Altman, a Bay Area psychologist who specializes in women’s mental health and trauma, about her deeply personal journey through infertility, IVF, and an unexpectedly fast hospital birth. Allison opens up about the emotional rollercoaster of pregnancy after infertility, how her professional training shaped her experience, and why advocacy and flexibility made all the difference.In this episode, you’ll learn:What it’s really like to go through IVF — and how uncertainty takes a toll on your mental healthHow anxiety can show up during pregnancy after infertility (and what helps)What an IUGR (intrauterine growth restriction) diagnosis means and how to navigate induction decisionsHow Allison balanced her birth preferences with hospital protocols — and why she said “no” to breaking her water earlyThe surprising speed of her labor (from 4 cm to baby in 20 minutes!) and how she processed it afterwardWhy setting up postpartum support before birth matters more than you thinkResources Mentioned:Dr. Allison Altman’s websiteThe Birth With Power Pathway — my online childbirth classFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

If you’ve ever felt overwhelmed by medical jargon or unsure what’s really in the medications you’re offered — you’re not alone.In this episode, I sit down with Alexandra Galaska, founder of Just the Inserts, to talk about what true informed consent looks like and how to decode medical product information with confidence. From navigating medication inserts to advocating for yourself in pregnancy and postpartum, this conversation will help you feel grounded — not fearful — in your choices.You’ll Learn:What informed consent really means (and why it’s more than signing a form)How to find and read medication and vaccine insertsThe CLEAR framework for informed decision-makingHow to balance medical recommendations with your personal valuesHow to ask your provider informed, respectful questions during pregnancy and birthResources Mentioned:Just the Inserts – Free Training & ResourcesIs Your Doctor Right For Your Birth? - Dr. Nicole’s Question GuideFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

You’ve heard it all—“Tylenol causes autism” vs. “Totally safe.” Safe doesn’t mean risk-free, and you deserve the full picture.If you’re pregnant and dealing with headache, fever, or pain, this short episode gives you a clear, guilt-free way to think about acetaminophen (Tylenol). I walk you through what the research actually says, why observational studies can confuse the conversation, and how to make a smart, individualized decision with your clinician.You’ll learn:Why “safe” ≠ “risk-free,” and how OBs should communicate benefits vs. risksWhat big studies say about acetaminophen and neurodevelopment—and what they don’t proveWhy untreated fever and significant pain carry their own real risks in pregnancyA simple decision framework: lowest effective dose, shortest time, with guidanceNon-drug options to consider for pain (PT, yoga, chiropractic)Resources Mentioned:Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology (cautious, judicious use; association ≠ causation)Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability (no association in sibling-controlled analyses)Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Ritual and get 25% off : https://ritual.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy