Episodes
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You've heard of low intervention birth but what does it mean? In this episode I share how a low intervention birth under my care unfolded. Here's a peak -
8 AM - cervical check and 4 cmIntermittent monitoring, saline lock, moving, eating and drinking8 PM - second cervical check and 6 cmstarting pushing at 1130 PMand listen to hear the rest!
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Published 11/21/24
Did you know the U.S. is one of just four countries in the world - and the only developed nation - without guaranteed paid maternity leave? While we’ve made great strides in workplace fairness, the fight for equity is far from over. In a country where pregnancy can still jeopardize someone’s career, these protections are more crucial than ever. That’s why advocates like today’s guests are so important.
Jack Tuckner is a workplace rights attorney who specializes in gender discrimination,...
Published 11/19/24
In this shorty episode I answer this listener question from Kate. And if you want me to answer a question for you DM me on Instagram @drnicolerankins or shoot me a message on my website contact form!
"I was checked at 5 cm, started feeling pressure after a few hours, and then a really strong urge to push after another few hours. I was unmedicated, so I could really feel those sensations, but was told to push against this urge and, I quote, ""hold it in"" because I was only at 8 cm and that I...
Published 11/14/24
Rachel always wanted to be a mother, but before she could begin that journey, she felt it was important to get off of depression and anxiety medication. After spending three months weaning off her meds, she very quickly got pregnant. Her pregnancy, although a source of great excitement, also brought unexpected difficulties, including two falls - and then her water broke during her baby shower!
A breech baby, a failed turning procedure (external cephalic version), intubation during her...
Published 11/12/24
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...
Published 11/07/24
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...
Published 11/05/24
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...
Published 10/29/24
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...
Published 10/22/24
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,...
Published 10/15/24
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...
Published 10/08/24
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....
Published 10/01/24
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...
Published 09/24/24
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/birthplan
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Published 09/12/24
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...
Published 09/10/24
In this short episode I'm answering this listener question from Cat!
"Hi Dr. Nicole! Long time listener & love your podcast!!. Question for you - a friend of mine recently gave birth to a beautiful baby girl but unfortunately her birth didn't go as planned. She got to the hospital at 7.5cm, got an epidural, and then they told her she was "having too many contractions, 5 in 10 mins, and the limit is 6" so they gave her Terbutaline/Brethine to slow down her labor. I have listened to...
Published 09/05/24
In this episode I’m chatting with Rachel Somerstein about her traumatic experience having a C-section without adequate anesthesia. Already a professional journalist, this experience led Rachel to write her first book, Invisible Labor: The Untold Story of the Cesarean Section. In Invisible Labor Rachel weaves her personal narrative and investigative journalism with medical, social, and cultural history to reveal the surprising evolution of the cesarean section: from its days being practiced on...
Published 09/03/24
Lauren DMed me on Instagram and asked me to talk about CMV and pregnancy so here it is!
In this short episode you'll learn
What is CMVHow it’s transmittedHow it can impact pregnancyHow it’s diagnosedHow it can be prevented or treated
If you have a question you want me to answer in an upcoming episode, shoot me a DM on Instagram @drnicolerankins!
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Published 08/29/24
Ginny had an elective labor induction that went so smoothly she calls it a “dream.” But that doesn’t mean that everything about her pregnancy experience was easy. Multiple people in her personal life experienced birth-related complications while Ginny was pregnant including stillbirth. This caused Ginny a lot of anxiety. Also, she struggled with depression - both during pregnancy and postpartum.
Learn how Ginny was able to successfully navigate these challenges in this great episode!
In this...
Published 08/27/24
Epidurals provide excellent pain relief during labor but there are risks and side effects. Learn how epidurals work and things you need to know before you get one.
And no need to take notes, you can grab my comprehensive guide to managing pain in labor here!
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Published 08/22/24
In today's episode, you’re going to learn about vaccines and pregnancy. Vaccines -also called immunizations- are important in order to help prevent moms and babies from getting certain potentially serious infections. I know there’s a lot of concern about vaccines. But let me assure you, although vaccines are not risk free, they are very safe.
There are 2 vaccines that are recommended to be up to date prior to pregnancy - MMR and Varicella, as well as 4 vaccines that are recommended during...
Published 08/20/24
In this short episode you'll learn about medications to manage pain in labor that are not an epidural, specifically opioid medications and nitrous oxide. You'll learn how they work, the side effects, risks, pros and cons of each.
Grab the free guide to managing pain in labor - drnicolerankins.com/pain
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Published 08/15/24
David Arrell is a coach, consultant, and returning guest! About three years ago David joined us for a conversation about the WTF moments of fatherhood. Since then, his empire of dad advice has grown and he’s back with more helpful tips.
Welcome to Fatherhood (or WTF as it’s appropriately called at times) is his fatherhood brand. What began with a book is now a podcast, blog, and even a course! As a partner, it’s not always easy to know how to show up in the most supportive and helpful way. If...
Published 08/13/24
In this short episode you'll learn why it's really important to think about labor pain differently, tips to approach a medication free birth, and techniques to manage pain.
Grab my free labor pain management guide here!
Join The Birth Preparation Course here (use code DRNICOLE for an additional 10% off!).
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Published 08/08/24
Katie calls her second birth an amazing experience - night and day from her first. The standard hospital birth she had for her first baby was fine, but this time she wanted a more holistic prenatal experience. This led her to a private birth center with a group of amazing midwives.
I don't usually share birth center birth stories because I’m not familiar with that setting. For the podcast, I tend to ‘stay in my lane’, which is the hospital setting. However if I want to improve our maternal...
Published 08/06/24