Birthing Instincts

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

454 Episoden

  • Birthing Instincts

    #466: Update On The Use Of TXA (Tranexamic Acid)

    20.05.2026 | 1 Std. 26 Min.
    What happens when a medication designed to stop hemorrhage quietly starts creeping into routine birth care?
    This week, Dr. Stu and Midwife Blyss take on TXA (tranexamic acid), what it is, when it actually makes sense, and why they’re increasingly concerned about how it’s being used in modern maternity care.
    From postpartum hemorrhage protocols to the growing push for prophylactic use during cesareans and even BEFORE birth, this conversation digs into the science, the politics, and the unintended consequences nobody seems willing to talk about.
    Along the way, they tackle the bigger issue underneath it all: Who gets to define “safe” birth care? Hospital systems? Bureaucrats? International organizations? Or the people actually attending births?

    References:
    Evidence Based Birth Podcast Episode 396 - Inequities in VBAC Access with Dr. Nicholas Rubashkin, MD, PhD
    https://podcasts.apple.com/us/podcast/ebb-396-inequities-in-vbac-access-with-dr-nicholas/id1334808138?i=1000764260687

    Mom who sued the State of Nebraska in home birth case delivers baby
    https://nebraskapublicmedia.org/en/news/news-articles/mom-who-sued-the-state-of-nebraska-in-home-birth-case-delivers-baby/

    Home births to resume after safety concerns
    https://www.yahoo.com/news/articles/home-births-resumed-safety-concerns-183648374.html

    Practice Bulletin No. 183: Postpartum Hemorrhage: https://journals.lww.com/greenjournal/abstract/2017/10000/practice_bulletin_no__183__postpartum_hemorrhage.56.aspx

    Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum hemorrhage (WOMAN): an international, randomized, double-blind, placebo-controlled trial:
    https://pubmed.ncbi.nlm.nih.gov/28456509/

    Efficacy of prophylactic tranexamic acid among parturient at increased risk for postpartum hemorrhage undergoing cesarean delivery: A systematic review and meta-analyses of randomized controlled trials
    https://pubmed.ncbi.nlm.nih.gov/41066405/

    Discussed in This Episode
    The Momnibus Act & the Future of Midwifery
    TXA Enters the Midwifery World
    What TXA Actually Does in the Body
    The Evidence Behind TXA for Hemorrhage
    Why Routine Prophylactic TXA Raises Concerns
    Does TXA Cross the Placenta?
    Four Ts of Postpartum Hemorrhage
    Why Timing Matters in Hemorrhage Care
    Defining “High Risk” in Birth
    Use of Oral and Intermuscular TXA

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

    This show is supported by
    LMNT | Got to lmnt.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
    Caraway Home | Go to Carawayhome.com/instincts for an additional 10% off, or use code INSTINCTS at checkout!

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

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

    #465: For All The Midwives In Texas: Fighting Injustice with Salli Gonzalez & Octavia Martinez, Esq

    13.05.2026 | 1 Std. 34 Min.
    In this week’s episode, Dr. Stu and Midwife Blyss sit down with Texas midwife Salli Gonzalez and attorney Octavia Martinez to unpack a case that should concern not only licensed midwives, but anyone with a license.
    Together they discuss what happens when a midwife follows protocol, transfers appropriately, and still becomes the target?
    What happens when unverified screenshots, incomplete records, and social media comments are used to justify suspending a license, without a trial?
    And more importantly, what does this mean for the future of midwifery?
    This conversation goes beyond the case of one midwife, and beyond what is happening in Texas. This is about the direction birth care is heading in the U.S and why we all need to pay attention.

    About Salli:
    My love of birth started with my own births, the first on in a typical hospital system, birthing in lithotomy in the OR in 1984. The second baby I chose a birth center and decided to take more control of my choices in birth. I gave birth in a birth center under my own terms, which included eating and drinking in labor, moving with the contractions instead of being tied to the bed with monitors, no IV and limited vaginal exams. This birth propelled me to want to share with the world that birth doesn’t have to be traumatic nor painful. I set out to educate the world, as I had four more babies at home, one of which included a breech birth under qualified hands.  
    It’s been my life’s work to uphold birth as a normal and natural process of the female body. I’ve taken the steps to attend as many emergency skills preparedness workshops as I can as well as many breech and twin conferences as possible. I’ve also mentored and offered my assistance to newer midwives who are also interested in learning. We are always learning and renewing our skills in midwifery. Midwifery is the future of our country. Without midwifery the true nature of women’s autonomy will be lost. 
    Instagram: @for_the_love_of_birth
    GoFundMe: gofund.me/a54e40705

    About Octavia:
    Professional Background
    A graduate of The University of Virginia and The Ohio State University Moritz College of Law, Octavia began her career in Phoenix. As a felony prosecutor and civil litigator, she handled high-stakes matters ranging from commercial trucking defense to complex medical malpractice.
    Her time on the defense side — working alongside institutional defendants and their counsel — gave her an understanding of how those cases are built, where the vulnerabilities lie, and what separates the attorneys who win from the ones who simply file. She brought that knowledge with her when she crossed to the plaintiff's side.
    The Move to Texas
    Bringing this diverse experience to the Rio Grande Valley, Octavia expanded her practice to meet the border region's unique needs. Her scope grew to cover defamation, and specialized defense for medical providers, including physicians and midwives.
    South Texas presented a client population that had historically been underserved by high-quality legal representation — complex multigenerational estates, a healthcare industry with its own licensing ecosystem, and individuals whose situations required an attorney willing to engage the full weight of the law on their behalf.
    Launch of the Firm
    Octavia later paused her legal career to focus on stewardship: homeschooling her children and managing her family's homestead farm. However, she reactivated her license to assist a client whose legal matters had stagnated under conventional representation. That crisis highlighted the urgent need for uncompromised advocacy, leading to the launch of Octavia LaVon Martinez PLLC.
    Today, she has become a resource for clients who seek an alternative to the status quo — clients who have been failed by passive representation, whose matters are too complex for a generalist, or who simply need an attorney who will fight with the same conviction they feel about their own case.
    Website: octaviamartinezlaw.com
    X: @OctaviaLaVon

    References:
    Sham Peer Review: The Leave-of-Absence Trap
    Expedited Motion for Hearing (PDF)
    Facebook Post and Comments
    Facebook Comment #2
    Media Release: TDLR Suspends Midwife’s License Following Maternal and Infant Deaths
    KLTV Texas midwife requests state to reinstate license amid death investigations

    Support Salli: Defend Her Midwifery License gofund.me/a54e40705

    Discussed in This Episode
    Midwives under fire, and why this isn’t just a Texas problem
    What actually happened in the case of Salli Gonzalez
    When outcomes don’t have clear causes, who gets blamed?
    The Legal Reality of what is happening
    Social Media as “Evidence”?
    Anonymous posts, cropped screenshots, and missing context
    Why this case could affect doctors, lawyers, and beyond
    Licensing doesn’t mean protection

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

    This show is supported by
    LMNT | Got to lmnt.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: [email protected]
    Podcast webpage: birthinginstinctspodcast.com

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

    #464: A Confused Mixture Of Topics: Clearing The Desk

    06.05.2026 | 1 Std. 25 Min.
    This week’s podcast Blyss and Stu come to you with no guest and no single topic, just a “hodgepodge” of what’s been piling up in Dr. Stu’s mind attic.
    From collapsing birth options and disappearing breech skills…to food, fear, and the quiet coercion baked into modern maternity care.
    It may seem random, but there is a common thread here: Systems replacing skills, policy replacing autonomy, and women left navigating the fallout
    References:
    Fringe Red Light Therapy: Code BirthingInstincts10 for 10% off
    ICAN 
    Coalition for Breech Birth Coalition Facebook Group
    CPT Maternity Care Services Codes and Guidelines | AMA
    Leaked Kaiser email on Facebook
    Reclaiming Birth Conference - https://www.reclaimingbirthconference.com/

    Discussed in This Episode
    Oregon moms left without hospital breech providers 
    The dying art of vaginal breech delivery
    The System That Forces You to Lie
    Coercion Disguised as Care
    Ultra-Processed Food & Pregnancy Outcomes
    EMFs, Fertility & What No One’s Talking About
    New AMA Obstetric Codes
    Risks of VBAC with a T-Inscision
    Risk of repeat uterine rupture

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

    This show is supported by
    LMNT | Got to lmnt.com/birthinginstincts to get a free sample pack with any order
    Caraway Home | Go to Carawayhome.com/instincts for an additional 10% off, or use code INSTINCTS at checkout!
    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/@birthingblyss
    Website: birthinginstincts.com/birthingblyss.com
    Email: [email protected]
    Podcast webpage: birthinginstinctspodcast.com

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

    #463: The 20 Week Ultrasound: Dissecting the Anatomy Scan

    29.04.2026 | 1 Std. 47 Min.
    The 20-week anatomy scan has become a routine part of modern pregnancy, but is it truly essential, or just another layer of over-monitoring?
    After receiving a listener question, Dr. Stu and Blyss dissect the purpose, limitations, and unintended consequences of the anatomy scan. From what providers are actually looking for, to why so many women walk away with more anxiety than answers, this episode challenges the assumption that more information always equals better outcomes.
    At the end of the day, the real question isn’t can we look, it’s should we?

    Additional References:
    Birthing Instincts Podcasts:
    Episode 446: Baby Aspirin For All??
    Episode 459: Over-Monitoring & Outcomes, How Are We Doing & Who Benefits.
    Episode 313: Comforting Truths About Low Lying Placentas
    Episode 274: I Remember Every Detail
    Pub Med Study: Therapeutic ultrasound as a potential male contraceptive: power, frequency and temperature required to deplete rat testes of meiotic cells and epididymides of sperm determined using a commercially available system
    Cleveland Clinic: What to Expect at Your 20-Week Ultrasound (Anatomy Scan)

    Discussed in This Episode
    The many names of the anatomy scan (and what it’s supposed to do)
    Ultrasound, anomaly scan, fetal survey—same test, very different interpretations
    The 11 major conditions they look for vs. everything else that gets added on
    How tiny measurements turn into weeks of stress and follow-ups
    The rise of false positives and soft markers
    Ultrasound-free pregnancy: radical or reasonable?
    Why more testing keeps becoming the standard, regardless of outcomes

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

    This show is supported by
    WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.
    LMNT | Got to lmnt.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/@birthingblyss
    Website: birthinginstincts.com/birthingblyss.com
    Email: [email protected]
    Podcast webpage: birthinginstinctspodcast.com

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

    #462: When Surrounded, Take The First Opportunity To Fight Like Hell With Del Bigtree

    22.04.2026 | 1 Std. 44 Min.
    What if the system you trust never did the science you assume it did?
    In this explosive episode, Dr. Stu and Blyss sit down with Del Bigtree to pull back the curtain on vaccines, medical authority, and the institutions shaping maternal and pediatric care. From ACOG recommendations to the hidden realities behind “safe and effective,” this conversation challenges everything we’re told—and asks the question no one in mainstream medicine seems willing to ask.
    This isn’t just about vaccines. It’s about power, profit, fear… and what happens when parents start saying no..
    About Del:
    Del Bigtree is one of the preeminent voices of the MAHA Movement. He was the Director of Communications for Robert Kennedy Jr’s 2024 presidential campaign, the founder and CEO of the non-profit, Informed Consent Action Network (ICAN), and host of the internet talk show TheHighWire.com, boasting over 400 million views world-wide. A former Emmy winning producer of the CBS talk show The Doctors, and most recently Executive Producer of the film, An Inconvenient Study. Del’s multi-pronged approach incorporates media, legislative, and legal actions to expose the fraud, lies, and conflicts of interest that have allowed US regulatory agencies to collude with industry power brokers to evade standardized safety testing on products including vaccines, drugs, food, drinking water, and 5G. On behalf of American citizens, Del’s non-profit, ICAN, has submitted over one thousand Freedom Of Information Requests (FOIA) and has won multiple lawsuits against government agencies including HHS, NIH, FDA and the CDC. Most notable are the FDA case that forced the release of Pfizer’s Covid Vaccine trial data which the FDA had attempted to hide for 75 years, the CDC case that forced the release of the CDC’s V-Safe Covid Vaccine Injury data, and the State of Mississippi Case which reinstated the Religious Exemption from Vaccination which had been denied for over 30 years.
    Instagram: @delbigtree
    X: @delbigtree
    Websites: https://thehighwire.com / https://icandecide.org
    Documentary: An Inconvenient Study

    Additional References:
    Jennifer Margulis Substack: Breaking News in Delivery Rooms: More Parents Saying “No, Thank You” to Vaccines and Other Unnecessary Interventions
    Documentary: Vaxxed: From Cover-Up to Catastrophe
    The Inconvenient Study
    Henry Ford Health Denounces Claim That System Suppressed Research, Cautions Against Dangerous Viral Disinformation and Misinformation
    Book: Vax-Unvax: Let the Science Speak (Children’s Health Defense)

    Discussed in This Episode
    Inside ICAN, legal strategy, and the fight for transparency against federal agencies.
    Who Controls the Vaccine Narrative? Follow the Money
    Dr. Zervos Vaccinated v. Unvaccinated Study 
    An Inconvenient Study—what happens when even insiders admit the science was never done.
    Vaccinated v. Unvaccinated Study Results

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

    This show is supported by
    WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.
    LMNT | Got to lmnt.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/@birthingblyss
    Website: birthinginstincts.com/birthingblyss.com
    Email: [email protected]
    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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