Black Maternal Health week is April 11-17th!

In this short episode I'm sharing some facts about Black Maternal Health.

As I've done before, during Black Maternal Health week I'm collecting donations to giveaway spots in my online childbirth education class, The Birth Preparation Course. I'd love for my community to come together and donate enough to give away 10 spots! Please donate whatever you can at drnicolerankins.com/help.

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I love connecting you with other physicians who have a real heart and passion for caring for people and that’s exactly what you’re going to get in this episode with Dr. Jess. 

Since she was 10 years old, Dr. Jess Daigle (@momandme_md) knew she wanted to be a pediatrician and neonatologist. Now a board-certified pediatrician and CEO of Mom & Me MD, a concierge practice that focuses on providing in-home care and support for moms and babies after a NICU stay, she has made that dream a reality and then some.

Dr Jess’s dedication to NICU care is rooted in her own challenging experiences with pregnancy and birth including a loss at 19 weeks and bedrest for 65 days followed by a preterm birth with her second pregnancy. Her passion and commitment for her work really shines through in this episode and you can’t help but listen to her and think “Man, I would love for her to be my doctor!”. 

We have a great conversation about 5 areas to prepare for when you’re having a baby (mom, baby, relationships, household, and career) as well as the importance of advocating for oneself and asking questions.

In this Episode, You’ll Learn About:

• How Dr. Jess’s personal experience shapes the kind of physician she is
• Why she wishes she would’ve done things differently after pregnancy loss
• What makes Mom & Me MD different from other postpartum care services
• Which unique emotional struggles affect families with babies in critical care
• What “fourth trimester” refers to and how this period can be more challenging for NICU parents
• How to create a postpartum “9-1-1 Crew”
• Why you should prepare for postpartum while you’re still pregnant

--

Full website notes: drnicolerankins.com/episode253

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

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In this short episode I answer this question from Bailey:

I was wondering if you could speak on partial-molar pregnancy in your podcast? My husband and I recently lost our baby due to this and I had to go through with a d&c, and this was something I hadn’t heard of until it happened to us. Thank you.

If you have a question you want me to answer in the podcast shoot me a DM on Instagram @drnicolerankins!

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Andrea planned an induction at 39 weeks, but things didn't go as anticipated. She thought that her water broke just after 38 weeks and went to the hospital. It turned out that it didn't, but her blood pressure was high and her baby had turned to a transverse position - which is basically going across the uterus - and no matter how hard we try, a baby is not going to fit through the vagina that way. So she ended up having to have a C-section.

A lot of things did not go great with her experience. Quite honestly, some of the things she experienced were just plain awful. Most of the nurses were great but one in particular made her feel like she was failing as a mom. Plus there were some other not ideal experiences which she’ll explain in the episode. These experiences resulted in postpartum depression and anxiety.

Now, despite those challenges, she's also going to share how she’s taking care of herself now. Working with a postpartum coach and a pelvic floor physical therapist have helped her grieve the vaginal birth she wanted but didn't have.

In this Episode, You’ll Learn About:

• Why she referred to her prenatal doctor’s visits as “conveyer belt care”
• How insurance limited what services she had access to
• How connecting with other expectant parents, both online and in person, helped her through a difficult pregnancy
• Which symptoms she experienced (basically every one you can imagine)
• How she felt when she realized she wasn’t going to have a vaginal birth
• What her c-section felt like
• What made her unhappy with her lactation support
• How medication has helped with her postpartum depression

--

Full website notes: drnicolerankins.com/episode252

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

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Stop fighting and listen to your body! This doesn't mean what you think.....

Make A Birth Plan The RIGHT Way - Free Class!

Check out The Birth Preparation Course and get calm, confident, and empowered for your birth.

If you like this podcast please support it at drnicolerankins.com/support.

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Amniotic fluid (AF) is the liquid that surrounds your baby after the first few weeks of pregnancy. An adequate amount of amniotic fluid is absolutely, positively critical for fetal health. If it’s too low, there can be a risk of severe fetal deformations, umbilical cord compression, and in extreme cases, fetal death. On the other side, if it’s too high, there’s a range of other fetal disorders that can occur affecting both you and your baby. Neither extreme is very common, but they both require monitoring and special care.

In this Episode, You’ll Learn About:

• What the purpose of amniotic fluid is
• What it is made up of
• Where it comes from
• How it is measured
• How low and high AF can affect development

--

Full website notes: drnicolerankins.com/episode251

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

If you like All Abou Pregnancy & Birth consider supporting it financially! You can do so here.

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Social media will have you believing you have to do SO MUCH when you are having a baby. I'm here to tell you that you don't! Learn exactly that things you don't have to do just because you're having a baby.

Make A Birth Plan The Right Way - FREE Class!

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This week’s guest is Dr. Andrea Wadley. She is board certified in both pediatrics AND breastfeeding medicine. In fact she’s one of only 100 physicians in the country who is board certified in breastfeeding medicine. With all of the unreliable information out there, it’s so important to seek out authorities like her.

It would be great if your doctor was an expert in breastfeeding but the fact is, whether it’s your OB/GYN or pediatrician, that’s rarely the case. That’s where you’re going to have to take some initiative. Educate yourself, seek out a lactation consultant, and of course listen to this episode with Dr. Wadley! Even if you can’t visit her in person, you can find all kinds of resources and ways to connect with her through the links below!

In this Episode, You’ll Learn About:

• What makes Dr. Wadley’s model of care unique
• Which factors can affect milk production
• What to expect with breastfeeding in the first 24 hours
• What is colostrum and how much is normal to produce
• When to consider using formula
• What the average timeline is for milk coming in
• Why having a proper latch is crucial
• Whether you should try hand expression

--

Full website notes: drnicolerankins.com/episode250

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

If you love All About Pregnancy & Birth, please support it here!

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I have a terrible time with seasonal allergies! And I hate to be the bearer of bad news, but if you have a hard time too, they might get worse in pregnancy. Get info on medication-free techniques (where I recommend you start) and medications to help with those turrrrible seasonal allergies!

Also, please do me a big favor and leave a review of the podcast in Apple podcasts. It's SUCH a huge help!

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I think this might be the first time I’ve had a guest describe their birth as “beautiful,” “joyful,” and even “relaxing”! Erin wasn’t expecting to be somebody who loved her birth story but she absolutely does. Today, she’s here to share her perspective that a hospital birth can be beautiful.

I didn’t realize until we started talking, but Erin actually gave birth in the hospital where I work! I was not a part of her birth but I know her doctor, nurses, and midwife. It was so nice to hear from a patient perspective that the place I work provides a great experience and validates that hospital birth can be beautiful!

In this Episode, You’ll Learn About:

• Why she fainted in her wedding dress
• How she managed high blood pressure caused by pregnancy
• When she decided to go to the hospital (and why she went back home)
• How long she labored at home
• Which pain management option she wanted
• How she stayed calm through the pain
• How long she pushed
• What parental support her job provided

Full website notes: drnicolerankins.com/episode249

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

If you like this podcast, please help support it! You can do so here - drnicolerankins.com/support

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In this shorty episode I'm answering a listener question that was sent to me via Instagram DM -

"Hi Dr. Rankins! I love your podcast and just signed up for your free birth class. I’m [in my first trimester]. This is my first pregnancy and I’m a little nervous. I was born with one kidney and a bicornuate uterus. I am learning I may be at higher risk for breech and may have to have a c-section. Maybe this can be a small topic for a future podcast. Any information you have about women with a “heart-shaped” uterus giving birth would be amazing, and if vaginal birth is possible. Thank you for all you do! You are wonderful! -Monica:)"

If you want me to answer your question on an upcoming episode, shoot me a DM on Instgram @drnicolerankins and be sure to follow me while you're there!

Check out my FREE birth plan class! drnicolerankins.com/birthplan

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This episode is all about helping you during those first six weeks postpartum! The reality is that once you get discharged from the hospital, your doctor likely won't see you for six weeks. Experts recommend some degree of contact within the first three weeks postpartum. However, the reality is that it isn’t common. So in this episode, you're going to get some great information to help you during that time.

This episode is taken from The Birth Preparation Course, my online childbirth education class that gets you calm, confident, and empowered to have the beautiful birth you deserve. Of course this podcast is fantastic. It’s great for helping you get information and I put my heart and soul into it, but inside of The Birth Preparation Course you get important visual information and a structured format to help you really be READY for birth. Even if you don't choose my Birth Preparation Course for childbirth education, please choose something. It is so, so important and you should not skip it.

In this Episode, You’ll Learn About:

• What physical transformations happen after birth
• How your body will be changed forever (and why that’s not a bad thing)
• How long it can take for your hair and weight to go back to normal
• Which items you need for baby to get started - it’s not as much as you think!
• What your baby needs more than anything else
• Why you don’t need to be too picky about where your baby sleeps
• Why you shouldn’t buy a lot of things in advance
• What my top 10 tips are to help with the first six weeks

--

Full website notes: drnicolerankins.com/episode248

Check out The Birth Preparation Course use the code DRNICOLE and get an additional 10% off!

Register for the class How to Create a Birth Plan the Right Way

Our Sponsors:
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IV (intravenous) fluids are extremely common and even routine during labor but are they really necessary?

In this shorty episode I’ll break that down for you!

You’ll learn

• what IV fluids are
• why they're given during labor
• My recommendation for IV fluids during labor

use the code DRNICOLE and get 10% off my online childbirth education class, The Birth Preparation Course!

Our Sponsors:
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If you’ve been listening to this show for a while, you’ll know that I’m a big proponent of doulas. What you might not know is that doulas can assist at all kinds of births - even planned cesareans!

Today’s guest, Hehe Stewart, is the founder of Tranquility by HeHe Maternity Concierge and is a doula herself. Finding the right support for your birth can be overwhelming and there is a ton of good information in here to help you make informed and empowered choices.

In this Episode, You’ll Learn About:

• What kinds of births are doulas appropriate for
• How doula support differs based on the type of birth
• What you can expect from a doula during pregnancy
• How doulas can provide partner support
• What advocacy looks like in different scenarios
• When your doula should meet you at the hospital
• What you can expect from your birth doula postpartum

--

Full website notes: drnicolerankins.com/episode247

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

Our Sponsors:
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Your baby should be with YOU after birth! I break down the 3 pieces to that in this episode:

• skin to skin contact after birth
• delayed cord clamping
• baby being in your room at all times

Be sure to get these things by making a birth plan! I teach you the RIGHT way to do that in my FREE class: drnicolerankins.com/birthplan

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Today Caitlin is here to share her story of having a baby with a cleft lip and palate. Usually, we talk mostly about the birth in birth story episodes of the podcast, but this episode is a little different. Caitlin reached out because despite it being relatively common, she noticed that I’d never touched upon cleft lip and palate on the podcast before and she wanted to share her experience and help others.

So what is cleft lip and palate? They are congenital conditions that occur during fetal development. An incomplete closure of the lip and/or palate (the roof of the mouth) results in a gap or opening in the affected areas. We don't know exactly what causes cleft lip and palate but fortunately it can usually be treated with surgery. Caitlin shares everything from how she found out (the way the doctor delivered the news was terrible) to the surgeries her baby girl had after birth. I’m so excited to finally be discussing this topic!

In this Episode, You’ll Learn About:

• How she found out about the cleft lip/palate - it was terrible
• How she felt after receiving the news
• What she did to prepare for a baby with these challenges
• Which kind of cleft condition her baby had
• Why she pumped instead of breastfed
• How she predicted that she was going to have a big baby
• How many surgeries her baby has had

--

Full website notes: drnicolerankins.com/episode246

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

Our Sponsors:
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The concern about pregnant women changing kitty litter comes from the possibility of getting infected with something called toxoplasmosis. What is toxoplasmosis, what problems does it cause, and can you really get it from kitty litter?

Take my free birth plan class! - drnicolerankins.com/birthplan

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In this episode you're going to learn exactly what happens during your menstrual cycle. I decided to talk about this because, quite frankly, it’s something that many of us don’t fully understand. We talk about our cycles in relation to pregnancy but there’s a lot more to periods than ovulation!

Your cycle can influence so many aspects of your life: libido, mood, energy, skin, appetite, and more! Better understanding your periods can help you make informed decisions regarding reproductive health, fertility, and overall well-being.

In this Episode, You’ll Learn About:

• What constitutes a regular menstrual cycle
• What the phases of the cycle are
• Which hormones are associated with pregnancy
• When ovulation occurs
• How to track ovulation
• How fertilization and implantation work
• How IUDs prevent pregnancy
• Whether you can really have a period while you’re pregnant

--

Full website notes: drnicolerankins.com/episode245

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

Our Sponsors:
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In this shorty episode you'll learn the changes that can happen with your sleep during pregnancy, why we recommend you don't sleep on your back during pregnancy, and strategies to get a good night's sleep (don't drink chamomile tea!).

Take my free birth plan class! - drnicolerankins.com/birthplan

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What can an attorney teach you about your labor and birth? A lot, it turns out! Gina Mundy specializes in childbirth cases defending medical professionals. Over the course of her 20+ year career, she has learned about the mistakes that can happen in hospitals and she’s here to share those insights with us. Her book, "A Parent's Guide to a Safer Childbirth," helps parents prevent errors and have a healthy baby. In today’s episode we are going to go through the 12 lessons covered in her book.

In this Episode, You’ll Learn About:

• Lesson 1 - Learning About Labor and Delivery
• Lesson 2 - The Delivery Team
• Lesson 3 - The Good Doctor
• Lesson 4 - Know Your Hospital
• Lesson 5 - Having a Plan
• Lesson 6 - Having an Advocate
• Lesson 7 - Knowing the Types of Fetal Monitors
• Lesson 8 - Knowing What Your Baby’s Heart Rate Means
• Lesson 9 - Understanding Tests and Interventions
• Lesson 10 - Common Facts and Issues in Legal Baby Cases
• Lesson 11 - Safety and Epidurals
• Lesson 12 - Understanding C-Sections

--

Full website notes: drnicolerankins.com/episode244

Check out The Birth Preparation Course

Register for the class How to Create a Birth Plan the Right Way

Our Sponsors:
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