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...
Author
Cynthia Overgard & Trisha Ludwig
Category
Podcast website
Latest episode
Jul 8, 2026
Where to listen?
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Episodes
#325 | Breast Cancer While Pregnant: Leslie’s Story of Faith, Birth & Healing 16.07.2025 43:09
In this extraordinary episode, Leslie shares her deeply personal story of discovering a lump in her breast at 34 weeks pregnant—an aggressive, triple-negative breast cancer. A wellness coach who hadn’t taken over-the-counter medication in five years, Leslie spent her adult life doing everything she could to prevent disease. As she prepared to welcome her second baby at home, she was forced to face...
#324 | The Impact of Beliefs on Birth: Changing Our Thoughts to Serve Us 09.07.2025 45:48
Drawing from our their personal experiences, your words, and our intimate birth story processing sessions, Cynthia & Trisha delve into the neuroscience around beliefs and birth. Our brain constantly wants to make sense of things, but it often lands on unhelpful conclusions. This episode is about recognizing those negative beliefs and actively replacing them with empowering ones. It's abou...
#323 | Two Planned Home Births at the Hospital: Emily's Birth Stories 02.07.2025 39:07
Emily Woodward is a mother of two who planned a home birth for each of her babies. Her first labor began with confidence and joy—and stretched across multiple days, testing her endurance, her trust in her birth team, and her ability to surrender when the path ahead took an unexpected turn. She transferred from home to hospital with a crowning baby. Her second pregnancy was smooth and uneventful—un...
#322 | June Q&A: VBAC Induction, Birth Plan Boundaries, Nuchal Hand Presentation, 36-Week Cervical Exams, Episiotomy, Newborn Transition 25.06.2025 41:37
Welcome to the June Q&A with Cynthia & Trisha. This month we kick things off with a conversation about a midwife who dropped her client in early labor because her HBAC labor was taking too long to get going--as you can imagine, we have a lot to say about this! Next we take your questions: One mom writes about her 3rd attempt at a homebirth after two hospital transfers and wonders if it is...
#321 | Spoil Your Baby: The Neuroscience of Thriving Baby Brains with Dr. Greer Kirschenbaum, PhD 18.06.2025 50:54
Neuroscientist and author of The Nurture Revolution, Dr. Greer Kirschenbaum, PhD, joins us today to discuss the profound impact of nurturing care in the first three years of life. Drawing from decades of brain research, Greer explains how responsive, connected parenting in early life lays the neurological foundation for emotional regulation, mental health, and lifelong resilience—and why this crit...
#320 | Breastfeeding Q&A: Nipple Shields, Restricting Skin-to-Skin, Formula Marketing, Gentle Weaning, Nursing Strikes, Night Feeding 11.06.2025 45:14
Welcome to the June Breastfeeding Q&A episode with Trisha & Cynthia. Today, we open with a follow-up discussion to our recent Patreon discussion on the predatory marketing of formula companies followed by a listener's comment about a hospital who forbade a mother and baby from doing skin-to-skin. Next, Trisha answers the following questions: Does a baby need to feed in the first 24 ho...
#319 | Devon's Footling Breech Birth Story: Accepting the Necessary Cesarean 04.06.2025 33:33
Devon Stockton was deeply rooted in health and wellness and armed with years of medical experience. She had only ever envisioned a natural, low-intervention birth and took all of the necessary steps to prepare herself. But her birth took an unexpected turn upon arrival at the hospital when she discovered her baby was footling breech and a cesarean would be necessary. Devon recounts the emotional s...
#318 | May Q&A: Precipitous Births, Tearing Tips, Best Foods After Birth, Epidural Removal for Pushing, Induction & VBAC, Cord Clamping, Jaundice 28.05.2025 43:56
Welcome to the May Q&A with Cynthia & Trisha. If you have been wondering what you should plan to eat after giving birth, we've got the answers in today's episode, and we think they'll surprise you! For today's regular episode, we answer the following: Can you remove an epidural for pushing? Can the cervix swell shut if you push before it is fully dilated? Can you preven...
#317 | The Risk of Uterine Rupture: Breaking Down ACOG's VBAC Bulletin 21.05.2025 53:46
What's the one question every woman wants to answer when considering a VBAC? Is it safe for me and my baby? In today's episode, Cynthia & Trisha break down the available data on VBAC, why we should discard the term TOLAC, the actual risks of uterine rupture, whether induced with Pitocon versus a prostaglandin or having spontaneous labor versus expectant management. We present the few...
#316 | The Body Ready Method for Optimizing Labor With Co-Founder Lindsay McCoy 14.05.2025 46:34
Did you know that how you breathe on a daily basis can influence how your birth goes? Yes, your rib cage impacts your pelvic tension! On today's episode, we have Lindsay McCoy, a birth doula, exercise physiologist, and co-founder of the Body Ready Method. She explains how breath, mobility, and pelvic balance all come together to support a smoother, more efficient labor—and how a few simple da...
#315 | The Preeclampsia Puzzle: Misdiagnoses, Misconceptions and Prevention with Author Sarah Thompson 07.05.2025 1:07:52
Preeclampsia is an increasingly common diagnosis, but are we getting it right? This episode tackles the alarming reality of misdiagnosis and the rush to intervene prematurely with induction. Join us and functional medicine expert Sarah Thompson, researcher and author of Functional Maternity, as we dive into the deeper nature of preeclampsia, beyond simple blood pressure readings. Learn about the c...
#314 | April Q&A: Epidurals, Pushing Too Soon, Castor Oil Risks, Parental Coping, Gestational Diabetes & Big Babies; How Tall Is Arnold Schwarzenegger 30.04.2025 43:13
Welcome to the April Q&A episode! Today's episode begins with your answers to our question: How do you cope when you are at your breaking point in parenting? If you are looking for some creative ideas, you will find them here! And someone, please tell us where one Mississippi, two Mississippi came from? Next, we get down to birth and answer the following questions: Why do some women choo...
#313 | Including Children at Birth: Should They Be There? with Dr. Morgan MacDermott 23.04.2025 47:07
What happens when we invite our children into the sacred space of birth? In this episode, we’re joined by Dr. Morgan MacDermott, a naturopathic doctor, perinatal health specialist, and mother of four, to talk about the transformative experience of having siblings present at birth. We tackle the key questions: Should all children be present at birth, and if not, which considerations should be consi...
#312 | Avoiding the Unnecessary Cesarean: A Five-Step Evidence-Based Approach 16.04.2025 47:04
Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference? In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded,...
#311 | Listen to Me: Black Maternal Health, Tragedy, and the Fight for Change 09.04.2025 41:25
In honor of Black Maternal Health Week, we’re joined by Stephanie Etienne and Kanika Harris, creators of the documentary Listen to Me . The film follows the pregnancy and birth journeys of several black women. It reveals a devastating reality: Black mothers in the U.S. and U.K. are dying in childbirth at far higher rates than white women regardless of education, income, or resources. Kanika shares...
#310 | The Co-Sleeping Controversy: Overcoming Fear & Supporting Instincts with Isadora of Happy Co-Sleeper 02.04.2025 56:39
What if sleeping beside your baby isn’t dangerous—but actually protective? In this episode, we talk about one of the most instinctive things mothers do—and one of the most feared and judged: co-sleeping. Today's guest is Isadora Ambrose, founder of Happy Co-Sleeper and a certified holistic infant sleep specialist. Why are parents told to never sleep with their babies when every cell in their...
#309 | March Q&A: Uterine Rupture Risk; Weaning without Guilt; Home Birth Laws; Timeframes for Placental Birth; Precipitous Birth; Botox and Nursing 26.03.2025 38:53
Cynthia and Trisha are back with the March Q&A episode! This one kicks off with a fun discussion on things that our Instagram followers think people should know but don’t—like how, when you say you’re eating a kiwi, you’re actually referring to either a kiwi bird or, worse, a person from New Zealand! In today’s Q&A episode, we answer these questions: Do I need to schedule a cesarean at 40...
#308 | Mammogram Myths: Safer Ways to Screen for Breast Cancer with Dr. Jenn Simmons 19.03.2025 1:02:10
In today's episode, Dr. Jenn Simmons shares her powerful journey from a leading breast cancer surgeon to an advocate for functional medicine and holistic health. Drawing from her personal experience with illness and healing, Dr. Simmons discusses the dangers and limitations of traditional breast cancer screening with mammography and offers insight into safer, more effective alternatives like...
#307 | When Labor Stalls: Recognizing and Resolving Dystocia with Midwife Molly O'Brien @biomechanics_for_birth 12.03.2025 46:25
Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—bot...
#306 | Breastfeeding Q&A: Engorgement & Oversupply; Sleepy Feeders; Hands-Free Pumps; Foremilk/Hindmilk Imbalances; Cracked Nipples 05.03.2025 42:05
Do you know the "hi" joke? If not, you haven't been listening long enough or need to go back to our earliest episodes, lol! If you haven't been there you should. We have some amazing episodes from season one. Anyway, today is all about breastfeeding. Trisha answers our listeners' questions on the following: Are there any techniques to relieve engorgement and over-productio...
#305 | February Q&A: Induction at 37 Weeks, "Lazy" Feeders, Low-Lying Placenta, PPD, Respiratory Distress in Newborns, Kick Counts 26.02.2025 45:14
Welcome to the February Q&A! Today, Cynthia & Trisha kick off the episode by discussing reasons why our community has lost friendships or relationships over their parenting choices. In our regular episode, we answer the following questions: 1. Is there such a thing as a lazy newborn, and if so, what can you do about it? 2. Can my placenta detach in pregnancy? My OB told me I can't hav...
#304 | Why Algae is the Superfood for Fertility, Pregnancy & Postpartum Health 19.02.2025 39:35
In today’s episode, we explore the powerful benefits of spirulina and chlorella—two superfoods that boost energy, improve digestion, and alkalize your body, especially during pregnancy. Each tiny tablet is pure food with the nutritional equivalent of an entire plate of vegetables. Trisha noticed a significant difference in her energy level during her workouts once she started taking spirulina eac...
#303 | Car Birth to Premature Baby with Megan @wilsonfamilyhomestead 12.02.2025 32:13
Today we dive deep into an incredibly empowering and unique birth story. Megan Wilson of @wilsonfamilyhomestead shares her journey of unexpectedly giving birth to her 33-week baby in a car and the powerful decision she made to trust her instincts, rather than following the traditional hospital protocol. She purposefully broke her own water in the car to expedite the birth once they were parked in...
#302 | Facing PTSD with Shoulder Dystocia at Home Birth 05.02.2025 43:18
In this episode, Allison Angelini shares the profound and challenging story of her second pregnancy and birth. From the start, Allison had a premonition that her birth might not go as planned. Compounding her worries, she experienced a traumatic event while camping with her toddler, which left her grappling with PTSD and anxiety throughout her pregnancy. Despite her fears, Allison pursued a home b...
#301 | January Q&A: Cervical Scarring, Shoulder Dystocia, Prenatal Vitamins, Birthing the Placenta in Water, Postpartum Aches & Pains 29.01.2025 39:27
Welcome to the first Q&A episode of Season 6 with Cynthia & Trisha! We’re kicking things off by discussing some lesser-known causes of cervical scar tissue that could impact labor progress. It’s a good reminder to consider how any procedure or reproductive intervention might affect future births. In this episode, we answer a new collection of listener questions, including one about a mom-t...
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