Cynthia Overgard & Trisha Ludwig
Down to Birth
Join Cynthia Overgard and Trisha Ludwig once per week for evidence-based straight talk on pregnancy, birth and postpartum --- beyond the clichés and beyond the system. With 40 years' combined experience in midwifery, childbirth education and advocacy, publishing, research and postpartum care, we've guided thousands of families toward safer, more empowered choices. Down to Birth is all about safe childbirth, while recognizing a safe outcome isn't all that matters. We challenge the status quo, explore women's rights in childbirth, and feature women from all over the world, shining shine light on...
Be sure to visit the podcast's website and support the creator: www.downtobirthshow.com
Author
Cynthia Overgard & Trisha Ludwig
Category
Podcast website
Latest episode
Oct 14, 2026
Where to listen?
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Episodes
#141 | December Q&A: Increasing Breastmilk; Urge to Push; Cervadil; Posterior Cervix; PP Anxiety; Big Placentas; The Purple Line; Amusement Parks in Pregnancy 29.12.2021 47:08
Our December Q&A is here and loaded with entertaining and informative questions: We begin with a question around increasing supply without pumping: Is it possible? Next we dive into expectations around pushing as it relates to hypnobirthing and the urge to push. We discuss Cervadil and the subsequent cascade of interventions and what happens with a posterior cervix? How do you know if you have...
#140 | How to Write Your Birth Story with Carrie Murphy 22.12.2021 24:22
Writing your birth story seems like a simple thing to do, yet so many of us struggle with where and how to begin; and many of us never get it on paper at all. We can also opt to skip the writing and record ourselves telling the story. Writing your birth story is not only creating a beautiful memory to be shared and passed on, but it can also be a necessary and important part of healing from a di...
#139 | Katie's Gentle Birth After a Host of Unnecessary Interventions the First Time Around 15.12.2021 43:21
At 41+1 weeks Katie was pressured into an induction beginning with a foley bulb followed by forcefully rupturing her bag of water, high amounts of Pitocin, restricted movement due to fetal heart rate abnormalities, a maternal fever resulting in an urgent need for a forcep delivery to "save her baby," and a six hour separation from her baby for monitoring after birth. Left traumatized...
#138 | Legal Case Study #1 with Attorney Hermine Hayes-Klein: Traumatized at a Major Teaching Hospital While Interns Watched and Learned 08.12.2021 1:00:12
Today on the show we have attorney Hermine Hayes-Klein, a fearless legal advocate for sexual and reproductive rights with a particular passion for defending women’s human rights in childbirth, which, she says, are routinely violated in maternity care systems. We’re also grateful to have her her clients, Lillie and George, whose birth experience we will be focusing on today. By the end of this epis...
#137 | When Providers Get It Wrong: Kassidy's Birth Story of Mistreatment and Claiming Her Power 01.12.2021 32:14
When Kassidy was preconception, she had Polycystic Ovarian Syndrome (PCOS) and was told she would never conceive. But she did. When she told her providers her conception date, they refused to listen, and determined her due date based on her last menstrual cycle. This insistence on method over mother caused them to overstate the gestational age throughout Kassidy's entire pregnancy, which res...
#136 | November Q&A: Membrane Sweeps, PP Hemorrhage, PP hormones & Mood Disorders, When to go to the Hospital, Cord Traction, Group B Strep 24.11.2021 36:19
Our Q&A is here again! We open with some interesting survey results on how long mothers spend in the waiting room versus in the actual prenatal appointment. This month we had excellent questions from our community on whether or not you should have a membrane sweep in late pregnancy, how to avoid experiencing a postpartum hemorrhage, how and why postpartum hormones influence baby blues versus...
#135 | Covid Vaccine Research for Breastfeeding Moms with Dr. Kaytlin Krutsch of Texas Tech University's Infant Risk Research Team 17.11.2021 50:26
Breastfeeding women have been having a difficult time knowing whether to get the Covid vaccine, given that the vaccine is new and neither the CDC nor vaccine manufacturers have studied whether vaccine ingredients make their way into breast milk. Meanwhile, pregnant and breastfeeding women have been told to get the vaccine despite this lack of research. It has been the historical norm for vaccines...
#134 | Pitocin for Labor: Why and Why Not 10.11.2021 30:02
Did you know that Pitocin is said to be the most abused drug in the world today? Did you know it is used 97% of the time for off-label purposes? Did you know it is not FDA approved for labor augmentation or the elective induction of labor? And that Pitocin is not the same as Oxytocin? Join us as Cynthia and Trisha talk through all the things you probably don't know about Pitocin but wish yo...
#133 | Julie's Birth Story: Redemption in Home Birth After a Traumatic Midwife Hospital Birth 03.11.2021 44:22
When Julie was 40+4 she had a slow leak but no contractions. Eagerly, she went to the hospital where she was admitted and encouraged to "get things going" by breaking her water. She started Pitocin and when it came time to push, her baby was born with meconium and shoulder dystocia and was helicoptered to a nearby hospital with a NICU. Devastated, poorly treated by hospital staff, and l...
#132 | October Q&A: Postpartum Hemorrhage at Home; Conceiving with PCOS; Kegels; Baths with Ruptured Membranes; Labor Positions with Spinal Issues; Length of Labor Variations; Coffee in Pregnancy; Postpartum Feels 27.10.2021 39:30
It's that time of the month! We are back with our October Q&A. Today, we begin with a recap of fundal massage and postpartum bleeding as Trisha shares a story of postpartum hemorrhage at a recent home birth. Next we jump into our questions including: Can midwives help with pre-conception care and fertility, especially when it comes to PCOS? When should I start kegels after giving birth? I...
#131 | Cynthia Mini: Nonviolent Communication for Building Connection 25.10.2021 10:01
This week's mini-side provides a scope into dozen of emotions we can feel, especially when home with baby postpartum. Cynthia provides an explanation of Nonviolent Communication - the communication method developed by clinical psychologist Marshall Rosenberg - for better connection in our interpersonal relationships. It's about feelings, but it's ultimately about needs. * * * * *...
#130 | Krystle's Twin Home Birth with Dr. Stu of Birthing Instincts 20.10.2021 26:01
It is a rare OB or midwife who will support a twin home birth. When Krystle learned she was pregnant with not one but two for her fourth and fifth babies, and after having her third baby at home, she knew she was not going back to hospital birth. Instead, she found Dr. Stu Fischbein of @birthinginstincts to assist her in birthing her twins in the comfort of her home. Today we share her inspiring t...
#129 | Provider Red Flags in Your Third Trimester 13.10.2021 49:11
The third in our series of provider red flags episodes is here. Today, Cynthia and Trisha talk about the words, behaviors, and "recommendations" that concern us most around third trimester pregnancy topics such as: elective inductions, big babies, due dates, failure to progress, and vaginal exams. How your provider thinks about, discusses and manages these topics tells you a lot about...
#128 | Vaginal Breech Birth with Dr. Stu of Birthing Instincts: Why It's Safer Than you Think 06.10.2021 45:11
Dr. Stu Fischbein is an OBGYN in California and one of the very few providers who will attend home breech and twin birth. Breech babies make up about 6% of pregnancies at term but few women will experience a vaginal breech birth. 98% of providers will not support a vaginal breech birth, not because it is dangerous (because it is not); but rather, because OBGYNs and most midwives no longer have t...
#127 | September Q&A: Pediatricians, Shoulder Dystocia, Family Dynamics & Birth Choices, Fundal Massage, Preventing Big Babies, Using the Haaka, Fetal Hiccups, Fourth Degree Tears, Changing Your Mind in Birth 29.09.2021 41:20
Our September Q&A is here! Today, we open the episode with a discussion around choosing the best pediatrician for you and your baby; next we address shoulder dystocia and postpartum hemorrhage followed by questions such as: How do you handle family dynamics where you and your Mother-in-law have differing ideas about where and how to give birth? Is fundal massage after birth necessary? Do you...
#126 | Giana's Shoulder Dystocia Birth at Home 27.09.2021 11:44
Giana is one of our Down To Birth Show listeners whose OB had told her to get an induction at 38 1/2 weeks due to a large baby. When she declined, her OB offered a scheduled Cesarean section as an alternative. Giana noticed the OB emphasized the importance of getting the baby out, but ignored the risk factors associated with induction or scheduled Cesarean. She took matters into her own hands by...
#125 | Uterine Fibroids in Pregnancy: Their Impact on Birth, Uterine Scars, and How Black Women are Affected the Most 22.09.2021 38:13
Mabel Bashorun of withinherbirthservices is a certified Lamazae childbirth educator and certified lactation consultant. Her journey into birth work stems from her unique story of trying to conceive, at age 26, and desiring a vaginal birth while having uterine fibroids. Today, she shares her struggle with achieving her birth goals as a result of her diagnosis and helps other women living with fibr...
#124 | Provider Red Flags: Your Second Trimester 15.09.2021 36:47
We are back today with our 2nd episode in our three-part series on provider red flags. In this segment, we discuss the key issues that may come up in your second trimester and will get you thinking if you are in the right place with the right provider...think glucose screening test, discussions around baby's size, doulas, attention to your emotional well being, provider punctuality and condu...
#123 | Trisha Mini: Orgasmic Birth: What is it and How Does it Work? 13.09.2021 9:26
What does it really mean to have an orgasmic birth? Sure, you might have a “birthgasm,” but more likely you’ll feel the ecstasy of the physiological birth process. In today’s minisode, Trisha walks us through the complex interplay of hormones that brings us to ecstasy in birth and what it takes to get there. This show is sponsored by: Postpartum Soothe * Beautiful Births and Beyond Doula Services...
#122 | Provider Green Lights: Interview with Barbara Harper on Holistic, Respectful & Supportive Birth Providers 08.09.2021 41:16
Barbara Harper is an internationally-published author and the founder of Water Birth International. Her best selling book “Gentle Birth Choices” has been translated into nine languages. Her latest collaborative project was published in May 2021, entitled, “Bringing Birth Home.” Barbara joined us on Down to Birth to discuss all the benefits of water birth in episode #100. Today, she is back to...
#121 | Marriage After Birth Trauma with Kayleigh Summers 01.09.2021 39:45
Kayleigh Summers of @thebirthtrauma_mama joined us on the show in episode # 116: Surviving an Amniotic Fluid Embolism, to share her deeply traumatic birth story in which she literally died during childbirth. She and her baby both survived. In that episode we discussed her lengthy and non-linear healing process. It just so happens Kayleigh is also a therapist, who has a unique perspective on her...
#120 | August Q&A: Family Boundaries; Good Babies; Measuring Big; VBAC Safety; Tandem Nursing; PTSD in Labor; Lotus Birth; AMA 25.08.2021 43:55
Hello Again! It is time for our August Q&A. Because we love our IG conversations so much, we open the episode with the very important topic of establishing family boundaries postpartum and share your biggest concerns while offering our best advice. Next we have a short convo on "good babies" followed by answering your questions including: Is measuring too big a reason for C-section?...
#119 | Mini: Jessica's Breastfeeding Struggles After Her Dream Birth 23.08.2021 17:57
Jessica found that community made all the difference, starting in pregnancy. After having a beautiful birth, she ran into significant breastfeeding and even formula challenges. She was moved and humbled when a community formed around her once again to ensure her baby was cared for and fed. Jessica's story inspires us to seek community and become that lifeline for someone else. * * * * * * * *...
#118 | Your First Trimester: Provider Red Flags 18.08.2021 26:18
In today's episode, Cynthia and Trisha present the first of three conversations on determining whether you've hired the right provider for your pregnancy and birth. In our experience there are tell-tale warning signs indicating your provider may not be as supportive of your birth goals as you think. When you hear or see this language or behavior, it may be time to look elsewhere. Stay...
#117 | Home Birth of a Black MD from NYC: Why Home Seemed the Safest, Smartest Option 11.08.2021 39:30
Dr. Jess MD is a NYC-based doctor of Psychiatry who sought routine OB care early in her first pregnancy. When her provider didn't know which trimester of pregnancy she was in, she realized she was just a number in a system that was not going to support the kind of birth experience she envisioned for herself, her husband, and her baby. She sought out a home birth midwife and never looked bac...
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