When your skin is stretching during birth, it can tear. It is common for first-time mothers to have some tearing during vaginal birth, and there is also the possibility that you could have an episiotomy, which is a surgical incision. The good news is that you can do some things to prevent this leading up to and during your labor and birth. I know this can sound scary, but it shouldn't be. The benefits of a vaginal delivery far outweigh the downside of a tear or an episiotomy. Remember that some women make it through a vaginal birth without tearing, so it is not unavoidable. If you do end up wi ..read more

Ideally, towards the end of your pregnancy, your baby is in a cephalic presentation, positioned head-down, facing your back, with their chin tucked to their chest and the back of their head ready to enter your pelvis. Although humans are designed to be born head first, some babies will be breech, meaning they are bottom first rather than head first. In recent decades there has been a growing trend of doctors recommending an elective cesarean for a breech baby at term. This is intended to avoid the risks of some complications possible with a vaginal breech birth. To turn your baby head down for ..read more

Most expecting parents are aware that babies are ideally head down. As you get closer to your due date, your baby’s position can significantly impact your labor and birth. Few doctors and midwives have training and experience in vaginal breech birth. As a result, most mothers with a breech baby will require a cesarean delivery. Your baby’s position is much more nuanced than being head down or breech. For a vaginal birth, it isn’t a straight shot for your baby to maneuver through the birth canal. The direction they face, whether their head is extended, and other details of their position can le ..read more

There are over 100 herpes viruses. HSV-1 and HSV-2 are common skin conditions and affect a considerable portion of the population. According to the World Health Organization, an estimated 3.7 billion people under age 50 have HSV-1, and 491 million people under 50 have HSV-2. In the United States, approximately 22% of pregnant women have HSV-2. Most of these mothers have the virus before getting pregnant, and 2% of expecting mothers will acquire HSV-1 or HSV-2 during their pregnancy. Other than an occasional outbreak, no long-term adverse health outcomes exist in adults with HSV. Only about 5–1 ..read more

Gestational diabetes is one of the most common conditions during pregnancy. In the United States, it is standard to test all pregnant women for gestational diabetes, even if they do not have any risk factors. During pregnancy, your body naturally becomes more resistant to insulin. That means you absorb less glucose and more remains in your blood. You can imagine that a growing baby needs a lot of energy, so this adaptation makes sense and allows more glucose to reach your baby. For most moms, this works just like it is supposed to. Your pancreas reacts to higher blood glucose by producing more ..read more

From a biological standpoint, there is a limited window for getting pregnant from reproductive age until menopause. While there is a big window of opportunity, there is never a perfect time to have a baby. You may end up expecting much sooner than you imagined, or life may work out that you end up pregnant much later. Due to the higher risk stigma of pregnancy after age 35 or social norms and expectations, many women feel pressure to have children before age 35. The technical term for having a baby over 35 is advanced maternal age. There is a classification for pregnant women over age 35 becau ..read more

In the past, you went to the doctor and whatever they told you was the correct answer. They were the experts and the gatekeepers of information. Today, doctors are still experts, but access to information is widely available to patients. There has been a major shift in patients being informed, especially concerning pregnancy and birth. Ideally, you find a doctor or midwife who is the perfect fit, whose ideology aligns with yours, and whom you trust explicitly. Many expecting parents will encounter scenarios where they do not see eye-to-eye with their care provider. You have two choices, you ca ..read more

You can expect at least one, and likely multiple, ultrasounds during your pregnancy. This technology does more than give you a sonogram picture for your baby book. The information from an ultrasound can confirm that your baby is healthy and diagnose potential issues. While these exams can be helpful when medically indicated, many expecting mothers may get additional ultrasounds that are unnecessary. This episode breaks down the evidence on ultrasounds and the research on their accuracy and safety. This episode is a must-listen if you are considering a 3D or 4D ultrasound of your baby.   T ..read more

Self-care is taking action to preserve or improve your physical and mental health. If there is any time during your life when self-care is crucial, it is during your pregnancy. Your body is working incredibly hard right now, and you are going through a significant transformation in your life. Now is the perfect time in your life to make self-care a priority for two main reasons. First, you have more free time now than you will in the foreseeable future, which makes prioritizing yourself now easier. Secondly, making this a habit during pregnancy allows you to continue and build on your self-car ..read more

There are a lot of administrative tasks associated with being a parent. The Pregnancy Podcast has separate episodes covering big projects like planning maternity leave and finding the right childcare. There are many smaller miscellaneous tasks you are responsible for once your baby is born, from keeping track of pediatrician appointments to updating your finances. This episode overviews the administrative tasks you need to take care of as a new parent. Plus how to stay organized and keep track of these new responsibilities. Procrastinating and putting off these responsibilities will take more ..read more