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Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young
Birthing Instincts
Neueste Episode

469 Episoden

  • Birthing Instincts

    #481: Microbirth, A Film Explains How We Birth Matters

    02.09.2026 | 1 Std. 18 Min.
    What if the way we enter the world has consequences that reach far beyond the day we're born?
    This week, Blyss and Stu dive into “Microbirth”, the 2014 documentary exploring the human microbiome and what happens during the extraordinary biological transition of birth. From exposure to maternal bacteria during vaginal birth to skin-to-skin contact, breastfeeding, antibiotics, cesarean delivery, and the hormonal physiology of labor.
    At the heart of the conversation is a much bigger question: When we intervene in birth, are we considering only the immediate outcome, or the ripple effects that may follow a baby for years, and perhaps even generations?
    Because birth isn't simply the moment a baby arrives. It may be one of the most important biological programming events of our lives.
    Listen now and join us as we ask: How much does the way we birth really matter?

    References:
    Microbirth Film
    https://play.xumo.com/free-movies/microbirth/XM0KT28KHM1VCA

    Do Antibiotics Given to Pregnant Women Harm the Baby's Brain? By Jennifer Margulis
    https://jennifermargulis.substack.com/api/v1/post/pdf?postId=192562195

    Impact of maternal intrapartum antibiotics, method of birth and breastfeeding on gut microbiota during the first year of life: a prospective cohort study
    https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.13601

    Allowed to Birth Ashland Screening
    birthinginstincts.com/events/allowed-to-birth

    Intentional Birth Pro Advocacy Training
    https://community.intentionalbirth.co/a/2147925238/HUkqrEuo

    Discussed in This Episode
    Microbirth documentary
    Humans as Living Ecosystems
    What Happens to the Microbiome During Birth?
    Ripple Effects of Antibiotics
    The Incredible Biology of Breast Milk
    The Gut-Brain Axis
    What Is Vaginal Seeding?
    Does Too Much Protection Hurt the Microbiome?

    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 

    This show is supported by
    LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

    Connect with Dr. Stu and Blyss
    Join our Patreon! patreon.com/birthinginstinctspodcast
    Instagram: @birthinginstincts/@wovenmoon_
    Website: birthinginstincts.com/birthingblyss.com
    Email: birthinginstinctspodcast@gmail.com
    Podcast webpage: birthinginstinctspodcast.com
    Subscribe to podcast newsletter: birthinginstinctsp.wixforms.com/f/7498520437421245447

    Advertising Inquiries: https://redcircle.com/brands
  • Birthing Instincts

    #480: From Hashimoto’s to Breech: The Surprising Role of Thyroid in Pregnancy

    26.08.2026 | 1 Std. 33 Min.
    Thyroid health may not be the first thing that comes to mind when you think about pregnancy, but thyroid hormones play an important role in both maternal health and fetal development, especially during those early weeks when baby is relying on mom's thyroid hormones.
    This week, Blyss and Stu take a deep dive into thyroid disease in pregnancy. Stu breaks down the basics of how the thyroid works, the difference between hypothyroidism and hyperthyroidism, Hashimoto's versus Graves' disease, and what TSH, T3, T4, and thyroid antibodies can actually tell us. They look at the potential pregnancy risks associated with overt thyroid disease, why subclinical disease is a very different conversation, and why pregnancy itself can change thyroid lab values.
    Together they answer the question, should every pregnant woman have her thyroid screened? And discuss how testing itself can sometimes set off an unnecessary cascade of referrals, surveillance, and intervention.
    This one gets into the weeds, but it's an episode worth saving as a resource for pregnant families, birth workers, and anyone navigating thyroid disease during the childbearing years.

    References:
    Reclaiming Birth Gathering
    reclaimingbirthconference.com/

     Birth and Birth Psychology Congress in Istanbul, Turkey
    Instagram: @birthandbirthpsychology
    Website: dogumicinelele.org/

    Birthing Instincts Podcast Patreon
    Patreon.com/birthinginstinctspodcast

    Open Evidence Links
    https://www.openevidence.com/ask/04b52887-1c7f-423d-aeb4-7d28376e225a

    Thyroid Disease in Pregnancy
    www.ovid.com/10.1097/AOG.0000000000003893

    Maternal thyroid function during gestation is related to breech presentation at term
    https://pubmed.ncbi.nlm.nih.gov/19832853/

    Allowed to Birth Ashland Screening
    birthinginstincts.com/events/allowed-to-birth

    Discussed in This Episode
    Thyroid 101: TSH, T3, T4 & How It All Works
    Hashimoto's vs. Graves' Disease
    Why Thyroid Hormones Matter for Fetal Development
    Thyroid Disease & Pregnancy Risks: What Do the Numbers Actually Mean?
    Should Everyone Be Screened During Pregnancy?
    How Pregnancy Changes Thyroid Labs
    Hypothyroidism: When Pregnancy Symptoms Look Like Thyroid Symptoms
    Subclinical Hypothyroidism: Does It Need Treatment?
    What Thyroid Labs Should Actually Be Ordered?
    Treating Overt Hypothyroidism During Pregnancy
    Hyperemesis and Thyroid Changes

    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 

    This show is supported by
    LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    Girls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% off

    Connect with Dr. Stu and Blyss
    Join our Patreon! patreon.com/birthinginstinctspodcast
    Instagram: @birthinginstincts/@wovenmoon_
    Website: birthinginstincts.com/birthingblyss.com
    Email: birthinginstinctspodcast@gmail.com
    Podcast webpage: birthinginstinctspodcast.com

    Advertising Inquiries: https://redcircle.com/brands
  • Birthing Instincts

    #479: An Emotional Week & Some Data On Uterine Rupture

    19.08.2026 | 1 Std. 15 Min.
    This week, Blyss and Stu run the gamut, from joy and grief to frustration, research, and a whole lot of questions about who really gets to decide what “safe” birth looks like.
    After sharing personal updates and a moving remembrance of Dr. Rob Biter, Blyss and Stu turn their attention to autonomy in birth. They discuss a mother struggling to find a midwife willing to truly meet her where she is, the ongoing fight over traditional midwifery in Pennsylvania, and what happens when regulation and institutional standards begin limiting the choices available to birthing families.
    Then, Dr. Stu dives into new research examining oxytocin (Pitocin), TOLAC, and uterine rupture. What does the research actually tell us about uterine rupture when Pitocin is used during a VBAC? How much does the risk change compared with spontaneous labor? Does a higher dose matter? And perhaps most importantly, are we paying enough attention when a laboring body, or the woman herself, is telling us something isn't right?
    Blyss brings the midwifery perspective to the data, questioning directed pushing, prolonged augmentation, hospital timelines, and what can happen when physiology is pushed rather than supported. Together, she and Stu unpack the difference between relative risk and absolute risk, how the same research can be used to either support or discourage VBAC, and why informed decision-making requires more than simply being told what the “standard of care” recommends.

    References:
    Reclaiming Birth Gathering
    reclaimingbirthconference.com/

    Allowed to Birth Ashland Screening
    birthinginstincts.com/events/allowed-to-birth

    Inquirer Article: Why Pennsylvania quietly repealed its 1929 midwifery law — and is now getting sued for it
    https://www.inquirer.com/politics/pennsylvania/midwives-pennsylvania-budget-law-20260804.html

    PubMed study: Maximum Oxytocin Dose and Uterine Rupture During Trial of Labor After Cesarean
    https://pubmed.ncbi.nlm.nih.gov/41325062/

    Discussed in This Episode
    Remembering Dr. Rob Biter and his contributions to physiologic birth
    What’s happening with traditional midwifery in Pennsylvania
    How regulation can indirectly restrict access to home birth
    Newest Research on Pitocin use during TOLAC
    Uterine rupture rates with spontaneous labor vs. oxytocin exposure
    Relative risk vs. absolute risk when counseling families
    Why increased Pitocin doses may be telling us something about the labor itself
    Directed pushing, augmentation, and listening to the body
    How confirmation bias influences the way research gets interpreted

    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 

    This show is supported by
    LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

    Connect with Dr. Stu and Blyss
    Join our Patreon! patreon.com/birthinginstinctspodcast
    Instagram: @birthinginstincts/@wovenmoon_
    Website: birthinginstincts.com/birthingblyss.com
    Email: birthinginstinctspodcast@gmail.com
    Podcast webpage: birthinginstinctspodcast.com

    Advertising Inquiries: https://redcircle.com/brands
  • Birthing Instincts

    #478: Deception In Documentation Is Pervasive & Pernicious

    12.08.2026 | 1 Std. 21 Min.
    What happens when the medical record doesn't match the birth experience?
    This week, Blyss and Stu dive into one of the most uncomfortable, but critically important topics in maternity care: documentation, informed consent, and the ways language can shape a family's entire birth experience.
    Using real-world examples, published legal cases, hospital consent forms, and an anonymous patient story, they examine how documentation can influence clinical decisions, legal outcomes, and patient autonomy. They discuss the difference between genuine informed consent and liability-driven documentation, why wording matters, and how routine practices can become normalized before parents even realize they have options.
    Whether you plan to birth at home, in a birth center, or in the hospital, understanding how consent, documentation, and communication intersect can help you become a more informed participant in your own care.

    References:
    Girls Who Know: girlswhoknow.com (code instincts for 15% off)
    Case Law Update: Gawthrop v Bendigo Health [2026] VSC 157
    https://bravelegal.com.au/gawthrop-v-bendigo-health-vaginal-examination/
    Melissa Philippe Facebook Post
    The Doula Group on Facebook
    Johns Hopkins: Delivering Your Baby
    https://www.hopkinsmedicine.org/health/wellness-and-prevention/delivery

    Discussed in This Episode
    What true informed consent should look like
    How documentation can influence legal and medical narratives
    The difference between physiologic birth and procedure-based birth education
    Why coercive language matters
    A court ruling that recognized non-consensual vaginal exams as assault.
    How fear-based counseling can affect birth decisions
    Why birth education before labor is more important than ever

    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 

    This show is supported by
    LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

    Connect with Dr. Stu and Blyss
    Join our Patreon! patreon.com/birthinginstinctspodcast
    Instagram: @birthinginstincts/@wovenmoon_
    Website: birthinginstincts.com/birthingblyss.com
    Email: birthinginstinctspodcast@gmail.com
    Podcast webpage: birthinginstinctspodcast.com

    Advertising Inquiries: https://redcircle.com/brands
  • Birthing Instincts

    #477: False Evidence Appearing Real (FEAR): Our Chat with Doula Dude, Travis Stroud

    05.08.2026 | 1 Std. 35 Min.
    This week, Blyss and Stu welcome Doula Dude, Travis Stroud, whose perspective has captivated millions of viewers in just a few short months. Travis never imagined he'd become one of the loudest voices encouraging fathers to educate themselves about pregnancy and birth. But after preparing for nearly two years, he and his wife chose a wild pregnancy and freebirth at home that forever changed the course of his life.
    Together they discuss why men have become disconnected from birth, what fathers lose when they're pushed to the sidelines, and why Travis believes childbirth is the "biggest rabbit hole" because it touches every aspect of health, family, and society.
    Whether you agree with every perspective or not, this conversation challenges listeners to ask questions, become informed, and reconsider the role fathers can play in protecting and supporting mothers during birth.

    About Travis Stroud:
    Travis is a 31-year-old husband and father in the small town of Brunswick, Maryland. On Valentine's Day in 2024, he and his wife welcomed their daughter through a planned free birth at home Travis was the sole birth attendant, and together they managed every aspect of the pregnancy, birth, and postpartum journey, with the exception of some postpartum support from his mother-in-law.
    The couple spent nearly two years preparing, beginning their research and planning back in 2022, before they had even conceived. Their birth experience profoundly changed Travis's perspective on pregnancy, birth, and fatherhood in ways he never expected.
    Today, he is passionate about sharing their story and the lessons they learned, inspiring conversations about birth trust, and the incredible role fathers can play in the journey.

    Instagram: @Doula.dude
    Eyla Cuenca's Uncover Birth Doula Training (Use code STU for 10% off)
    Dr. Bradley's Husband-Coached Childbirth book 

    References:
    Earthbound Parenting Podcast: Mentorship & the Things That Weave Us with Blyss Young
    https://podcasts.apple.com/us/podcast/mentorship-the-things-that-weave-us-with-blyss-young/id1612737552?i=1000776872540

    Breech Birth Podcast: S5 Ep6 Dr Stuart Fischbein: Twins, VBAC, disempowered doctors & hospital systems
    https://open.spotify.com/episode/1kef3azO2lkResOw4LMCmj?si=2vODGoHQS9Wr_9ikDMkMrg&nd=1&dlsi=f2411fe90011441d

    Germany drops routine COVID vaccination advice for healthy people under 75
    https://goodoil.news/germany-drops-routine-covid-vaccination-advice-for-healthy-people-under-75/#google_vignette

    Discussed in This Episode
    Preparing for Birth Before Pregnancy
    Travis’ Wild Pregnancy & Freebirth Story
    Why Birth Became His Mission
    Who Controls Birth?
    Why Fathers Matter
    How Families Evaluate Risk
    The Importance of Informed Decision-Making
    Why Every Parent Deserves to Understand All of their Options

    Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care 

    This show is supported by
    LMNT | Got to drinklmnt.com/birthinginstincts to get a free sample pack with any order
    Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
    Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
    Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

    Connect with Dr. Stu and Blyss
    Join our Patreon! patreon.com/birthinginstinctspodcast
    Instagram: @birthinginstincts/@wovenmoon_
    Website: birthinginstincts.com/birthingblyss.com
    Email: birthinginstinctspodcast@gmail.com
    Podcast webpage: birthinginstinctspodcast.com

    Advertising Inquiries: https://redcircle.com/brands
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Über Birthing Instincts
The birth world can be overwhelming for parents and practitioners alike. Dr. Stuart Fischbein and Midwife Blyss Young and their combined 55+ years of experience are here to support you in this beautiful rite of passage.Join the weekly conversation as we blend wisdom and humor in discussing our recent births, the latest research, traditional healing, and instinctual birth.  
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