The Birth Squad

Dr. Ijeoma Okwandu & Dr. Kimeshia Thomas

Welcome to The Birth Squad! Join best friends and colleagues, Drs. Ijeoma Okwandu and Kimeshia Thomas, two black obstetricians and gynecologists who use the power of storytelling and interviews to explore the pregnancy and birth experiences of real people. Join us two Sundays a month to discuss reproductive health, gynecology, and all things in between. Follow and tag us on Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags #thebirthsquad and #thebirthsquadpodcast read less
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Episodios

11-From a Father's Lens-Brandon's road to fatherhood and being a birth supporter
11-06-2023
11-From a Father's Lens-Brandon's road to fatherhood and being a birth supporter
Meet Brandon, a badass birth supporter who shares how he supported his partner, navigated relationship dynamics, and the challenges of pregnancy and labor from the lens of a father.  Follow and tag us on Instagram: @thebirthsquad | Twitter: @_thebirthsquad   Use hashtags  #thebirthsquad and #thebirthsquadpodcast    **Episode Notes**  Terms Fibroids: fibroids are benign/non-cancerous masses made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It’s estimated that up to 80% of women have fibroids, but most will not develop symptoms or need treatment. Symptoms include pelvic pressure, heavy or prolonged periods. During pregnancy, they are often asymptomatic. In the setting of larger fibroids, they may increase risk of fetal growth restriction, pain during pregnancy, or heavy bleeding postpartum Tdap: A vaccine that protects against a viral disease called pertussis (aka Whooping cough). This contagious disease can be very serious in babies. One-half of babies who get pertussis end up in the hospital. While there is a vaccine for pertussis, babies can’t get it until they are 2 months old. You can protect your newborn by getting vaccinated with TDAP when you are pregnant as well as anyone who will be in close contact with baby. The ideal time is between 27 and 36 weeks of pregnancy. Studies show the Tdap vaccine reduces pertussis in infants whose moms got Tdap during pregnancy and reduces hospitalizations from pertussis in these infants. Resources Find a doula: www.dona.org https://www.blackwomenbirthingjustice.com/black-doula-locator  Sample Birth Plans:   https://www.babylist.com/hello-baby/how-to-write-a-birth-plan  https://www.thebump.com/a/tool-birth-plan Contact Brandon Instagram: @thegriotb Schoolyard Rap: https://www.schoolyardrap.com/Musical Griot B on Spotify: https://open.spotify.com/artist/032PTKNjK5wizICJDFersE?si=Ve8yxauZQaaFlcLcw7FelA 200 seconds song on Spotify: ⁠https://open.spotify.com/artist/032PTKNjK5wizICJDFersE?si=Ve8yxauZQaaFlcLcw7FelA⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
10-“I became a shell of a person”-Aparna's path to overcome postpartum anxiety
28-05-2023
10-“I became a shell of a person”-Aparna's path to overcome postpartum anxiety
You can find out more information about Dr. Chatterjee and her practice at Meridian Psychiatric Partners. You can also follow Meridian on Facebook and Instagram! Articles: The Roles of Maternal Depression, Serotonin Reuptake Inhibitor Treatment, and Concomitant Benzodiazepine Use on Infant Neurobehavioral Functioning Over the First Postnatal Month Terms: Preconception counseling: an appointment with your healthcare provider to discuss and plan future pregnancies. Family history, risk factors, medical conditions, and lifestyle are discussed. Cystic Fibrosis: a genetic condition that affects a protein in the body. Sickle Cell: an inherited blood disorder in which red blood cells form into a sickle shape which can block blood flow causing pain (sickle cell crisis) Ferning: Amniotic fluid crystallizes in a fernlike pattern when dried on a glass slide Rupture of membranes:  the sac (amniotic membrane) surrounding your baby breaks (ruptures) Fetal Heart Rate Tracing:  monitoring of the baby’s heart rate.  Acceleration:  When the fetal heart rate goes up indicating good oxygenation.  Deceleration:  A drop in the fetal heart rate, which can indicate fetal head compression, umbilical cord compression, or a decrease in oxygenation. Postpartum anxiety: characterized by excessive worrying that occurs after childbirth. Those with postpartum anxiety may feel consumed with worry and constantly nervous or panicked. Baby blues:  Changes in mood that result from the loss of hormones experienced after birth. Occur in the first days after birth up to 14 days. Fourth trimester: Often referred to as the 12-week period after giving birth. It is a period of adjustment as the baby adjusts to being in a new environment and birth warriors adjust to parenthood.  SSRI (selective serotonin reuptake inhibitors):  A class of medications used in the treatment of major depressive disorder, anxiety disorders, and other psychological conditions. Works by increasing levels of serotonin in the brain SSNRI (serotonin and norepinephrine reuptake inhibitors): A class of medications that in the treatment of major depressive disorder, anxiety disorders, obsessive-compulsive disorder, and social phobia, among other conditions PPHN (Persistent pulmonary hypertension of the newborn): a rare condition in which the normal circulatory transition after birth does not happen. Babies may have symptoms such as fast breathing, fast heart rate, grunting or moaning when breathing, decreased oxygenation Neonatal adaptation syndrome: Symptoms may include poor muscle tone, tremors, jitteriness, irritability, seizures, feeding difficulties, sleep disturbances, low blood sugar, and respiratory distress. Has no long-term consequences for the baby.  Links: PSI (Postpartum Support International): An organization that aims to raise awareness about the emotional changes that women experience during  and postpartum by educating and training the community  https://www.postpartum.net/about-psi/ MotherToBaby: An organization that is a source of evidence-based information on the benefit or risk of medications and other exposures (eg. vaccines, chemicals, herbal products) during pregnancy and while breastfeeding https://mothertobaby.org/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
9-“What’s for you, is for you”- Letitia’s Infertility Journey and Advanced Maternal Age Pregnancy
14-05-2023
9-“What’s for you, is for you”- Letitia’s Infertility Journey and Advanced Maternal Age Pregnancy
Meet Letitia, a badass birth warrior who discusses her infertility journey and a "geriatric pregnancy" Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast ---- **Episode Notes** Links https://www.marchofdimes.org/find-support/topics/pregnancy/pregnancy-after-age-35 Terms AMA (advanced maternal age) - a birthing individual age 35 or older  Amniocentesis - a diagnostic procedure to obtain amniotic fluid with fetal cells. Offered to anyone over 35 or with an abnormal genetic screening  NST (non-stress test) - fetal heart rate monitoring for 20 minutes to assess fetal well being  PCOS (polycystic ovarian syndrome) - a constellation of symptoms with irregular periods or absence of a period being the main finding. Also, notable for excess hair growth and acne. Can be associated with infertility or increased risk for abnormal uterine cells. Tests for infertility  AMH (anti-mullerian hormone) - test to assess ovaries receptivity to infertility treatments (i.e. how hard or easy will it be to get you pregnant) Pelvic Ultrasound - abdominal and vaginal ultrasound to look at your uterus and ovaries.  Saline Sonogram - ultrasound procedure that instills water into your uterus to determine if there is abnormal tissue inside  Hydrosalpingogram - x-ray procedure where they inject dye in your uterus to determine if your fallopian tubes are open. Follicle count - an ultrasound exam by a GYN or fertility specialist to assess the number of follicles your ovaries have. Also, a way for them to determine how easy or hard it will be to get you pregnant. Semen analysis - assessment of sperm count, morphology, and motility. Is it normal or not? Ovulation induction medications:  medications that encourage ovulation  Clomid - ovulation induction medication with the highest risk for multiples Letrozole - ovulation induction medication better for PCOS patients and lower the risk of multiples Neonatologist - high-risk OB who specializes in complicated pregnancies or pregnancy disorders. Doula - a birthing coach who offers prenatal visits, labor support, and postpartum assistance. Cannot deliver babies  Induction - medications used to start labor Birth center - a place where you can deliver if you are low risk. Usually run by midwives  Midwife - a licensed nurse who can deliver low-risk infants  --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
8-“Not perfect”-How Jess Made It Over the Rainbow and Overcame a Miscarriage
30-04-2023
8-“Not perfect”-How Jess Made It Over the Rainbow and Overcame a Miscarriage
Meet Jess, a badass birth warrior who discusses her miscarriage and rainbow baby Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast ---- **Episode Notes** Links Jess' Blog: https://collective.world/i-had-a-miscarriage-on-the-first-day-of-2022-but-im-starting-2023-as-a-new-mother/?utm_campaign=cw-email&utm_source=article-published&utm_medium=jessy_lynn_g Micronized Vaginal Progesterone to prevent miscarriage: https://www.ajog.org/article/S0002-9378(19)32762-0/fulltext#:~:text=The%20PROMISE%20 Optimal Timing of Induction of Labor: https://www.ajog.org/article/S0002-9378(22)00742-6/fulltext Terms Miscarriage:  pregnancy loss in the first 12 weeks of gestation or first trimester 80% occur in the first trimester  50% due to chromosome abnormalities  Types of miscarriage: Missed abortion - no symptoms but the pregnancy stops growing. Diagnosed on ultrasound.  Threatened abortion - bleeding and cramping, a fetal heartbeat, and the cervix is closed. Inevitable abortion - bleeding and cramping, a fetal heartbeat, and the cervix is open. Will likely pass the pregnancy soon. Spontaneous abortion - actively passing the pregnancy. Retained products of conception:  When all the pregnancy tissue does not come out Ectopic:  a pregnancy that occurs outside of the uterus.  Pitocin: “bonding/love hormone’ your body naturally makes. Pitocin is the synthetic version IV medication that results in regular uterine contractions and dilation Side effects -  Too frequent contractions but can easily be controlled because they can be started and stopped Fetal Heart Rate Tracing:  Monitoring of the baby’s heart rate.  Acceleration:  When the fetal heart rate goes up indicating good oxygenation.  Deceleration:  A drop in the fetal heart rate, which can indicate fetal head compression, umbilical cord compression, or a decrease in oxygenation. APGAR score:  The score Pediatricians assign the baby at minute 1, 5, and 10 minutes of life. A total score of 1 to 10 and the higher the score, the better the baby is doing, with 7, 8, and 9 being normal scores. Carpal tunnel syndrome:  Swelling in your hands/wrists that leads to nerve compression and can cause numbness and tingling in one or both of your hands.  Ulcerative colitis or UC:  An inflammatory bowel disease associated with blood in your stool. Who's in your squad?:   OB/GYN:  Doctor who can deliver your baby or perform surgery like C-sections. Midwife: CNM (A certified nurse midwife) - can deliver your baby if you have a vaginal delivery, and also provide routine health care outside of pregnancy. LM (licensed midwife) - can provide prenatal care and deliver your baby. Doula:  A labor coach or birth assistant who can provide prenatal, labor, and postpartum support. This includes helping to create a birth plan, managing pain during delivery, and assisting with breastfeeding/lactation needs.  Maternal Fetal Medicine:  A high-risk OB consultant trained to manage complicated pregnancies and assist your birth provider with your care. Anesthesiologist:  A doctor who provides pain relief for epidurals or C-sections, but they also put patients to sleep for other surgeries.  CRNA:  Certified registered nurse anesthesiologist. Can also provide pain relief and put patients to sleep for surgeries.  Resident:  A doctor who is in training. This occurs after medical school.  Birth Center:  A facility where you can deliver with minimal interventions. Home Birth:  When someone delivers at home. Usually, a birth attendant presents to assist.   Community Hospital:  A smaller hospital that serves a specific location.  Academic Center:  A hospital that serves a large population of people. Participates in research and has trainees at different levels, which includes medical students, residents, and other higher education programs. Also, it may have the highest level of care. Usually affiliated with a school like USCF, UCLA, USC, Harvard, etc.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
7-“Felt like I had nothing left”-Sasha’s traumatic experience with preeclampsia
16-04-2023
7-“Felt like I had nothing left”-Sasha’s traumatic experience with preeclampsia
Meet Sasha, a badass birth warrior who discusses the challenges she faced during pregnancy and describes her experience with pre-eclampsia Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast ---- **Episode Notes** Links: Calculator for pre-eclampsia risk ⁠https://fetalmedicine.org/research/assess/preeclampsia/first-trimester⁠ ACOG Article https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/12/low-dose-aspirin-use-for-the-prevention-of-preeclampsia-and-related-morbidity-and-mortality Terms: Preeclampsia:  High blood pressure after 20 weeks of pregnancy that leads to end organ damage. Signs/symptoms include Headache unrelieved by pain medication, vision changes, protein in your urine, elevated liver enzymes, kidney failure, and low platelet levels.  Treatment:  Magnesium is usually used to prevent seizures and IV blood pressure  Eclampsia:  A seizure-related high blood pressure  IUD: hormonal or non-hormonal form of birth control Nausea and vomiting during Pregnancy:  Vitamin Bit 6 - prevent nausea  Doxylamine/ Unisom - prevent nausea and dry out your mouth or mucus membranes; SE: Makes you sleepy  Reglan - prevent vomiting; SE: Stimulates your bowels > diarrhea  Zofran - prevent vomiting; SE:  Causes constipation. Used in the first-trimester limited data shows it may cause cleft palate or cardiac abnormalities  Hyperemesis Gravidarum: Extreme nausea and vomiting that leads to weight loss (usually at least 5% of prepregnancy weight). Sometimes associated with electrolyte abnormalities. Occurs in 0.3 - 3% of pregnancies. Baby Blues:  Changes in mood that occur as a result of the loss of hormones experienced after birth. Occur in the first days after birth up to 14 days. Triage:  Location where you are assessed by a nurse prior to being admitted to the hospital. Sometimes if you are not in labor they will send you back home.  Back Labor:  Commonly occurs when that baby is “sunny side up.”  Most babies are born looking at the ground. IV pain meds:  Given to help take the “edge off” pain (Ex:  Fentaly, Stadol, Nubian) Spinal headache:  Headache worse with standing or sitting up and improved by lying down. Caused by spinal/epidural.  Blood patch:  Procedure to relieve a spinal headache. Take your own blood to form a clot/patch in the area of the spinal tap. OB/GYN:  Doctor who can deliver your baby or perform surgery like C-sections. Midwife: CNM (A certified nurse midwife) - can deliver your baby if you have a vaginal delivery, and also provide routine health care outside of pregnancy; LM (licensed midwife) - can provide prenatal care and deliver your baby. Doula:  A labor coach or birth assistant who can provide prenatal, labor, and postpartum support. This includes helping to create a birth plan, managing pain during delivery, and assisting with breastfeeding/lactation needs.  Maternal Fetal Medicine:  A high-risk OB consultant who is trained to manage complicated pregnancies and assist your birth provider with your care. Anesthesiologist:  A doctor who provides pain relief for epidurals or C-sections, but they also put patients to sleep for other surgeries.  CRNA:  Certified registered nurse anesthesiologist. It can also provide pain relief and put patients to sleep for surgeries.  Resident:  A doctor who is in training. This occurs after medical school.  Birth Center:  A facility where you can deliver with minimal interventions. Home Birth:  When someone delivers at home. Usually, a birth attendant is present to assist.   Community Hospital:  A smaller hospital that serves a specific location.  Academic Center:  A hospital that serves a large population of people. Participates in research and has trainees at different levels, which includes medical students, residents, and other higher education programs. Also, it may have the highest level of care. Usually affiliated with a school like USCF, UCLA, USC, Harvard, etc. --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
6-"I could've been a statistic"-Brittney’s near-death experience with a postpartum hemorrhage
02-04-2023
6-"I could've been a statistic"-Brittney’s near-death experience with a postpartum hemorrhage
Meet Dr. Brittney Johnson, a badass birth warrior who discusses her labor and facing the most common delivery complication- postpartum hemorrhage Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast ---- **Episode Notes** Articles NYT: https://www.nytimes.com/interactive/2023/02/12/upshot/child-maternal-mortality-rich-poor.html MATERNAL AND INFANT HEALTH INEQUALITY: NEW EVIDENCE FROM LINKED ADMINISTRATIVE DATA https://www.nber.org/system/files/working_papers/w30693/w30693.pdf Breast Feeding Resource: KellyMom.com Terms: IUD: a hormonal or non-hormonal form of birth control.  Skyla - hormonal lasts up to 3 years Kyleena - hormonal lasts up to 5 years  Liletta - hormonal last up to 7 years (very similar to Mirena) Mirena - hormonal lasts up to 8 years (increased from 5 years) Paragard - non-hormonal/copper lasts up to 12 years (increased from 10 years) Ovulation sticks vs LH kits: a hormone that is detected in your urine that lets you know when you are ovulating  Ectopic:  a pregnancy that occurs outside of the uterus.  Miscarriage:  pregnancy loss in the first 12 weeks of gestation or first trimester 80% occur in the first trimester  50% due to chromosome abnormalities  Full term:  37 weeks of pregnancy to 40 weeks, your due date Postpartum hemorrhage:  1000+ blood loss in first 24hrs after delivery Management for postpartum hemorrhage  Medical interventions - Uterotonics:  Medications to help stop bleeding Pitocin given intravenously (IV)  Methergine given as an injection Cannot give if you have high blood pressure  Side effect is high blood pressure Hemabate given as an injection Cannot give if you have bad asthma  Side effect is diarrhea (sorry!) Cytotec, pills given orally or rectally  Side effect is fever  Tranexamic acid (TXA) given in the IV Mechanical interventions: Bakri:  Balloon placed in the uterus to apply pressure and drain the uterus Vaginal pack:  gauze placed in the vaginal to apply pressure  Surgical interventions for PPH: Dilation and Curettage (D&C):  removal of contents of the uterus  Uterine Artery Embolization (UAE):  Procedure performed by Interventional Radiology (IR) to place medicine in the artery that supplies blood flow to the uterus. Hysterectomy:  Removal of the uterus completely Anemia in Pregnancy  First trimester – Hemoglobin <11 g/dL (approximately equivalent to a hematocrit <33 percent) Second trimester – Hemoglobin <10.5 g/dL (approximate hematocrit <31 or 32 percent) Third trimester – Hemoglobin level <10.5 to 11 g/dL (approximate hematocrit <33 percent) Symptoms:  fatigue, shortness of breath, dizziness, and headache  Lactation consultant:  people trained to help with breastfeeding --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
5-"When things aren’t quite right down there"-Samanatha’s postpartum pelvic floor woes
19-03-2023
5-"When things aren’t quite right down there"-Samanatha’s postpartum pelvic floor woes
Meet Dr. Samantha Benjamin-Allen, a badass birth warrior who discusses postpartum bladder leaks, sex, pelvic prolapse, and her journey to postpartum pelvic floor recovery.  Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast Want to get in contact with Dr. Samantha Benjamin-Allen? Instagram: https://www.instagram.com/freedomwellnessdoc/ Facebook: https://www.facebook.com/people/Freedom-Wellness-Physiatry/100085879912581/ Linked In: http://www.linkedin.com/in/samantha-benjamin-allen-do-mba-3330122b Website: http://www.freedomwellnessphysiatry.com **Episode Notes** Terms: Induction:  The process of starting labor with mechanical or chemical medications Augmentation:  The process of continuing labor with medications Fetal Heart Rate Tracing:  Monitoring of the baby’s heart rate. Acceleration:  When the fetal heart rate goes up indicating good oxygenation. Deceleration:  A drop in the fetal heart rate, which can indicate fetal head compression, umbilical cord compression, or a decrease in oxygenation. APGAR score:  The score Pediatricians assign the baby at minute 1, 5, and 10 minutes of life. The total score of 1 to 10 and the higher the score, the better the baby is doing, with 7, 8, and 9 being normal scores. TOLAC:  Trail of Labor after Cesarean Section. VBAC:  Vaginal Birth after Cesarean Section. Uterine rupture:  When the muscle of the uterus opens. A medical emergency that requires immediate delivery of the baby. NICU:  Neonatal Intensive Care Unit Where the baby has to go at times to help with issues such as supplemental oxygen or treatment for infection. Pelvic Floor Therapy:  Physical therapist trained to evaluate and treat issues that involve the pelvis, such as pelvic pain, pain with intercourse, or leaking urine. Pelvic Floor muscle:  The muscles of the pelvis that support the body. Can be affected by a pregnancy, traumatic birth, weight gain, chronic cough, etc. Kegels:  Exercise used to contract your pelvic floor. Think: about holding your pee when you go to the bathroom. Same muscles. Electromyography:  Study of the electrical activities of the muscles to access muscle and nerve health. Baby blues:  Changes in mood that occur as a result of the loss of hormones experienced after birth. Occur in the first days after birth up to 14 days. Dyspareunia:  Pain with intercourse. This can be due to vaginal dryness, pelvic floor muscle tightness, scar tissue, etc. --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
4-"Can't nobody tell me nothing"-Sierra's birth center experience
05-03-2023
4-"Can't nobody tell me nothing"-Sierra's birth center experience
Meet Sierra, a badass birth warrior who discusses how she made the decision to deliver at a birth center, breaking the news to her family, and how she mentally prepared herself for delivery.  Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast **Episode Notes** Articles: Benefits of doulas https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5538578/ Types of racism and implications for medicine https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446334/ Disparities in various specialties in OB/GYN https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024373/ Structural racism and obstetrics https://journals.sagepub.com/doi/full/10.1177/1073110520958875 Morbidity and mortality in the US https://pubmed.ncbi.nlm.nih.gov/25560097/ Dr. Okwandu's original research study https://pubmed.ncbi.nlm.nih.gov/34254270/ The Mama Natural Book https://www.mamanatural.com/book/week-by-week-guide-pregnancy-childbirth/ How to find a doula: www.dona.org and https://www.blackwomenbirthingjustice.com/black-doula-locator Definitions Early labor: This is part of the first stage of labor from the onset of contractions until the cervix is 5 cm. Early labor is unpredictable. For first-time birthing individuals, the average length ranges from hours to days, but it's often shorter for subsequent deliveries. Active labor: Also part of the first stable of labor. Active labor is the time when the cervix is 6 cm to 10 cm (fully dilated). It lasts about 4 to 8 hours. It starts when contractions are regular. During active labor.  Contractions get stronger, longer, and more painful. Second stage of labor: In the second stage of labor is when the cervix is fully dilated and ready to start pushing to give birth. For first-time birthing individuals, this stage can take up to 4 hours Third stage of labor: The third stage of labor refers to the time between when the baby is born to when the placenta is delivered. Home remedies that can induce labor (consult your medical provider before attempting) Loose-leaf raspberry tea Medjool dates Exercise Nipple stimulation Intercourse, orgasm Castor oil --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
3-Sister, Sister-Onyi's difficult decisions during an induction
24-02-2023
3-Sister, Sister-Onyi's difficult decisions during an induction
Meet Onyi, a badass birth warrior who shares the difficult decisions she had to make during her labor induction.  Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad Use hashtags  #thebirthsquad and #thebirthsquadpodcast    **Episode Notes** Contraception - Forms of medication that prevent someone from conceiving. Common options include (in order from most to least efficacious): Subcutaneous implant or Nexplanon:  Last 3 yrs Copper/Paraguard IUD (No hormones):  Last 12 yrs Mirena IUD (Most Hormones of IUDs) Last for 8 yrs Kylenna IUD (Hormonal):| Last 5 yrs Syla IUD (Least Hormones): Last for 3 yrs Depo shot: Last 3 mo (can cause delayed return to fertility) Vaginal Ring: Last 3 wks Patch: Last for 3 wks Birth control pill: Take daily Vaginal insert/Phexxi (No hormones):  Lasts 1 hr Information to keep in mind for anyone interested in vaginal delivery after a cesarean section-- TOLAC - Trial of Labor After Cesarean Term used when you are in labor Option for someone who has had one or two cesarean sections Should make sure your doctor is comfortable offering this Some physicians only feel comfortable if you have had one cesarean section Should make sure your hospital is capable of offering t   his Most have policies around TOLAC Risk that your scar could open, which is an emergency. Please discuss the risks and benefits with your healthcare provider if you are interested in this. VBAC - Vaginal Birth After Cesarean Term used when you have delivered a child vaginally Good indicator that you will have another vaginal delivery Vaginal lacerations are very common during vaginal deliveries. There are four types: 1st degree - vaginal tissue tears. It may or may not need repair. 2nd degree - some of the vaginal muscle is torn. (Most common) 3rd degree - vaginal muscle is torn and part or all of the rectal muscle. 4th degree  - complete tear thru all the vaginal and rectal tissue. ARRIVE Clinical Trial: Induction of labor at 39 weeks in low-risk nulliparous women did not result in a significantly lower frequency of a composite adverse perinatal outcome, but it did result in a significantly lower frequency of cesarean delivery. (Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development)  https://www.nejm.org/doi/full/10.1056/NEJMoa1800566 --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message
2-"Henney-thing is possible"-Renesha's birth plan takes a surprising turn
18-02-2023
2-"Henney-thing is possible"-Renesha's birth plan takes a surprising turn
Meet Renesha, a badass birth warrior who shares how she created a birth plan and how her experience at a birth center took a surprising turn.   Follow and tag us on  Instagram: @thebirthsquad | Twitter: @_thebirthsquad  Use hashtags  #thebirthsquad and #thebirthsquadpodcast    **Episode Notes**  Sample Birth Plans:  https://www.babylist.com/hello-baby/how-to-write-a-birth-plan  https://www.thebump.com/a/tool-birth-plan Transformed by Birth book: https://brittabushnell.com/book/ Infertility/Conception Treatment Methods OI | ovulation induction - where a doctor gives you medication to take, which can help you ovulate and become pregnant. Examples:  Clomid or Letrozole.   IUI | intrauterine insemination - where semen is injected into the uterus artificially. Depending on the country, it can be performed at home or in the doctor's office. Additionally can be a known donor (e.g. friend or partner) or an unknown donor.  Egg retrieval - where a trained fertility specialist removes eggs that they will freeze for future use. Requires you to inject the medication at home and have close follow-up. Can then choose to have semen placed in an egg to create an embryo. This is what is used for IVF.   IVF | in vitro fertilization  - where a trained fertility specialist takes an embryo, yours or a donor’s, and surgically places it into the uterus to help someone become pregnant.   Doula: a trained labor and postpartum support person.   Find a doula: www.dona.org and https://www.blackwomenbirthingjustice.com/black-doula-locator  If you are concerned about yourself or a friend who may have depression please contact your healthcare provider, or encourage them to.   Therapy for Black Girls Directory:  https://providers.therapyforblackgirls.com/ To find a therapist covered by your insurance:  https://www.psychologytoday.com/us/therapists Home remedies that can induce labor  Loose-leaf raspberry tea Medjool dates Exercise Nipple stimulation Intercourse, orgasm Castor oil   Definitions:  Midwife- CNM | Certified Nurse Midwife - nursing degree + additional midwifery training. Have full prescriptive rights. Can provide care across all life cycle CPM vs LM | Certified Professional Midwife vs Licensed Midwife - Midwifery training only. Can provide care throughout pregnancy and up to 6 weeks postpartum  Family Medicine Physician - a doctor trained to care for men, women, and children. Some obtain extra education to provide obstetric care and delivery, which may or may not include cesarean sections  OB/GYN - a doctor trained in women’s health. Can provide full-scope care for obstetric and not obstetric care --- Send in a voice message: https://podcasters.spotify.com/pod/show/the-birth-squad/message