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
#91 | Colleen's VBAC: Relying on Instinct over Provider 07.04.2021 28:29
Colleen always felt called to birth and was determined to have the birth of her dreams. After two miscarriages, she was so excited to give birth to her first child. When her birth resulted in a cesarean, she knew the next time around she would make sure things went differently. Despite her mother and husband resisting the idea of a VBAC she went for it anyway. At 1/2 a centimeter dilated, the h...
#90 | March Q&A: Ultrasounds; VBAC Providers; Vaginal Exams; PPD in Pregnancy; Exploring Home Birth; Distraction Techniques in Labor 31.03.2021 34:45
Our March Q&A episode is here! We begin with a discussion around the use of ultrasound measurements in pregnancy to determine your baby's size and weight at birth (hint: a baby that is measuring long is likely to be taller than average not macrosomic); we discuss when you might consider changing providers for your planned VBAC birth; can a mother experience postpartum depression (PPD) wh...
#89 | Birth Story Mini: Kimberly's Unplanned Home Birth 29.03.2021 15:14
Kimberly always wanted a home birth -- especially the second time around -- but decided to stay with the providers she liked and trusted. She began having doubts during the implementation of Covid protocols, and those doubts only grew when her doctor started talking about induction before she was at 41 weeks. But she declined the induction and implemented some natural means of induction at home, i...
#88 | Jamie's Unattended Freebirth with Twins 24.03.2021 31:11
Jamie Davison Ortiz is a mother, doula, and student midwife who birthed her twins naturally during a planned freebirth with her husband and doula. For those who don’t know, a freebirth is a controversial birth movement of giving birth at home without a medical professional in attendance. Jamie’s birth wasn’t without risk and while Jamie says she has no regrets, she’s the first to say that free-bir...
#87 | Postpartum Rage: The Outburst-Guilt-Shame Cycle 17.03.2021 33:53
Postpartum rage is among the lesser known perinatal mood and anxiety disorders that can impact postpartum women and even their partners. Unfortunately, what women don’t understand is that sometimes anger comes more easily than tears, and it doesn’t mean that anything is fundamentally wrong with them or with their character; but rather, they are suffering from one particular manifestation of postp...
#86 | Breastfeeding Mini: The Three Most Common Challenges for Breastfeeding Moms 15.03.2021 17:06
In today's minisode, Trisha reviews the three most common challenges that breastfeeding moms experience: Engorgement, Nipple Pain, and Supply issues. She briefly explains why they occur and offers simple steps to recognize and resolve each issue so that you may comfortably and easily continue your breastfeeding journey. See other episodes on breastfeeding: #33 | Breastfeeding Mini: Out With...
#85 | Understanding Gestational Diabetes with Dietitian Leslee Flannery 10.03.2021 25:50
Approximately 1 in 12 women are diagnosed with gestational diabetes, which can leave them feeling confused ashamed and overwhelmed with questions like, “Have I done something wrong? What can I eat now? Does this mean I have to be induced?” In this episode we speak with Leslee Flannery a dietitian from Ohio and founder of @gestational.diabetes.nutrition who loves supporting, educating and empower...
#84 | Lynne's Last Minute Home Birth After Two C-Sections 03.03.2021 35:47
For Lynne, giving birth via Cesarean just didn't feel like giving birth. Learning she was pregnant with her third and having had two prior C-sections, she wanted a different experience. After meeting a friend for lunch who was planning a home birth, she got curious and started exploring options and digging into the research on VBAC. While giving birth at home felt outside her comfort zone,...
#83 | February Q&A: Plus-Size Pregnancy; What to Wear During Birth; Waking a Sleeping Baby; Implications of a Subchorionic Hematoma; Waterbirth & Baby's First Breath; Best Times to Pump 24.02.2021 34:18
Our February Q&A episode is here! Today, we discuss a wide variety of topics from the influence of medical rhetoric on our decisions in pregnancy and birth to the implications of being plus-size in pregnancy to the best time to pump your breastmilk. We have a lengthy discussion on what to wear in pregnancy and seriously question why hospitals still promote the classic hospital gown for birth...
#82 | Birth Story Mini: Stefanie's Home Birth After C-Section (HBAC) 22.02.2021 16:20
“I would give birth like that ten more times!” In today’s mini-sode Stefanie tells her story of choosing a homebirth VBAC (HBAC) for her second birth after knowing she would absolutely not return to the hospital to have her next baby. Despite going into to labor just before 37 weeks, Stefanie was fully committed to her HBAC birth and beautifully supported by her midwives, doulas, and partner thro...
#81 | Andrea Left the Hospital AMA (Against Medial Advice) to Avoid Induction 17.02.2021 25:55
Andrea was thirty-three years-old and experiencing a low-risk healthy pregnancy when she went in for her prenatal visit at five days past her guess date and - it just so happened - the week of Christmas and New Year's. Her OB informed her that she would need to be induced. In response to her question, "What happens if we wait for labor to begin on its own," he replied, "Your...
#80 | Roundtable: Mothers Who've Miscarried 10.02.2021 46:05
Approximately 1 in 5 known pregnancies result in miscarriage before 12 weeks, and 1 in 4 women have experienced a miscarriage in their lifetime. Despite it being a relatively common experience, it is often left unspoken of, leaving mothers heartbroken and shrouded in feelings of guilt and failure. Today, Amanda, Nicole and Meghan share their heartfelt stories, expressing the deep emotions surro...
#79 | Cynthia Mini: What is Medical Rhetoric? 08.02.2021 7:48
Medical Rhetoric involves language designed to have a persuasive or impressive effect on its audience, but often lacks sincerity or meaningful content. How can you tell when your obstetrician or medical provider is using rhetoric to persuade, discourage or manipulate you into going along with a particular course of action without first offering you any information or data that would be useful in y...
#78 | Christina's Run From Induction to a Home Birth with Group B Strep 03.02.2021 27:01
When Christina showed up at the hospital with ruptured membranes and GBS+ status, the hospital informed her that she was not allowed to leave—not even to return home to get her hospital bag. According to Christina, every cell in her body told her to run. She made a few phone calls, started crying while she searched for a way out, and soon found herself driving across state lines to see a home b...
#77 | January Q&A: Co-sleeping; Prodromal Labor; Switching Providers; Third Babies; Conceiving While Breastfeeding; Vaginal Dryness; Baby-Led Weaning; Hep-Locks and IVs 27.01.2021 37:13
This month's Q&A is packed with valuable information! Check it out below: Did you Co-Sleep with your babies? I am thinking about leaving my provider. What do you recommend I say or do? Do you have any tips for prodromal labor? Is it common to have vaginal dryness while breastfeeding? Is it true that the 3rd baby can be a "wild card?" And if so, is there anything I can do? Do I...
#76 | Birth Story Mini: Tara's Empowered Birth During Covid 25.01.2021 14:41
After losing her first baby in utero at five months, Tara and her husband became pregnant again and quickly realized they were with a large group of rotating obstetricians who didn't feel quite right for them. After switching to a midwifery practice and preparing with HypnoBirthing, Tara had a beautiful birth amid COVID protocols, but not without some obstacles along the way, including dehydr...
#75 | Fetal Monitoring and Fetal Distress with Midwife-Author Amy Romano 20.01.2021 47:39
To monitor or not monitor: that is the question. More specifically, how to best monitor your baby in labor without causing undue worry and intervention is the question of today's episode. Author, midwife, and researcher Amy Romano MBA, MSN, CNM tells us that a large body of evidence on fetal heart rate monitoring indicates that we are likely looking for and finding problems that don't...
#74 | Table For Five: Author Ted Yang Gives Voice To Fathers Who've Lost A Baby 13.01.2021 42:46
When Ted Yang learned his wife was pregnant, life felt amazing! He was married to the love of his life, had a fulfilling and lucrative career, and was expecting not one but three babies. But his world was turned upside down when he found himself facing the reality of premature birth, one infant loss, and two premature babies fighting for their lives. His experience as a loss father left him feeli...
#73 | Trisha Mini: The Six Week Postpartum Visit: No, I'm Not Ready to Have Sex 11.01.2021 5:19
The six week postpartum visit is generally the time when new moms get the green light to return to having sex, yet so many (more than 80%) are not ready to do so. In today's mini-sode Trisha digs into the meaning of the six week postpartum visit and discusses how we can do better in supporting mothers in the postpartum transition. * * * * * * * * * * If you enjoyed this episode of the Down...
#72 | The Winding Road Through Postpartum with Claude Racine-Valinsky 06.01.2021 39:36
You may remember professional dancer and choreographer Claude Racine-Valinsky from episode #28. Claude came back on the show today to talk about her postpartum experience – the battle she’s having with the body she’s always counted on; the resentment she feels toward the husband she adores; and the knowledge that her son’s physical and emotional wellness has not merely integrated into her life bu...
#71 | December Q&A: Postpartum Hair Loss; Fear of Childbirth; Sex During Pregnancy; Postpartum Resentment; Induction for High Blood Pressure; A Mother's Stress on Baby; Co-Lactation in Same-Sex Parents 30.12.2020 37:19
Our last episode of 2020 is here and it's loaded with great questions! Have you wondered why so many women experience significant hair loss postpartum? How much does a mother's experience of stress impact her baby? Why do I feel so resentful toward my husband? My OB wants to induce me for a past history of high blood pressure even though my blood pressure is currently normal. What&apos...
#70 | Home Birth on Little Cranberry Island Breaks 93-Year Streak 23.12.2020 12:50
On a little island off the coast of Maine, reside only sixty-five year round residents. The last woman to give birth on the island was Erin's grandmother ninety-three years ago. On September 26th, Azalea Belle Gray was born peacefully at home with her five siblings nearby, after a long and tiring prodromal labor followed by a swift and sudden active stage. Today's home birth story is a...
#69 | Birth Story Mini: Courtney's Birth Managing Rh Incompatibility with RhoGam 21.12.2020 12:37
In this birth story mini episode, Courtney shares the story of her second son's birth, which involved managing her pregnancy with a RhoGam shot due to her Rh incompatibility (which occurs when a mother's blood type is negative and her baby's is positive). Courtney's birth took place during the earlier part of the Covid pandemic and despite these unforeseen obstacles, particula...
#68 | Our Five Must-Hear Episodes of 2020 16.12.2020 28:55
While we still have a few more episodes going live before the end of the year, Trisha and Cynthia spend this episode looking back at the 67 episodes published thus far in season one, since the launch of Down To Birth last New Year's. Disclaimer: One of the episodes may not be suitable for everyone, as it deals with stillbirth. But check out why we selected these as our top five, and hear snip...
#67 | Leah's Birth Story: From Trauma to Triumph in Two Dramatically Different Births 09.12.2020 38:29
Leah’s first-birth trauma began the moment she arrived at the hospital and continued during an unusually difficult, even dangerous postpartum recovery period. She was the last person to believe her second baby would arrive quickly, vaginally and naturally among a joyful staff of midwives and nurses. In this episode, Leah discusses the details around her first birth: What happened, how she was tre...
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