#437: What Is The Value Of The Fetal Non Stress Test?

#437: What Is The Value Of The Fetal Non Stress Test?

In this week’s episode, Blyss and Stu do a deep dive into the methodology, history, and current practices surrounding the non-stress test (NST) used in prenatal care. They answer all your questions: What is a non-stress test? Where did it come from? How did it become so accepted? Does it actually tell you what it's supposed to tell you? And, is there evidence that a previous stillbirth is an indication for for NST testing?


Discussed in This Episode

Understanding Non-Stress Test (NST) and Its Limitations

History and Evolution of NST

NST vs. Biophysical Profiles

Predictive Value of NST

ACOG Guidelines on NST

Fetal Kick Counting vs. NST


Mentioned in this Episode

An Inconvenient Study: aninconvenientstudy.com

ACOG Practice Bulletin: Antepartum Fetal Surveillance

Birthing Instincts Episode #386 with David Hayes


Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care


This show is supported by


Connect with Dr. Stu and Blyss

Jaksot(432)

#333 "Erring on the Side of Caution" - Trick or Treat?

#333 "Erring on the Side of Caution" - Trick or Treat?

In their somewhat erratic Halloween tradition, Blyss & Dr. Stu share some scary stories and a lot of dumb doctor dogma. We also introduce our upcoming Webinar, "Bringing The Homebirth Hesitant on Board" debuting in November. This episode brings to light the complex connections between nature, healthcare, and risk assessment. We reflect on how our understanding of nature is reflected in our treatment of healthcare, and the importance of considering risks when making decisions. We also navigate through some controversial medical topics and Q&A sessions, exploring the implications of medical interventions and the potential risks associated with them.Key highlights:Lack of Trust in Health AgenciesControversial Medical Topics and Q&ABaby's Renal Pelvis ConcernsIssues With Medical Protocols and PoliciesMonitoring Jaundice in Home BirthsMedical Intervention DangersFinding Confidence in Listening to IntuitionEpisode resources:Video: Twin Placenta Tour w/ Emergence MidwiferyThe Sharyl Attkisson Podcast ep. 199 - Spoiler Alert: Robert F. Kennedy Jr.The Sharyl Attkisson Podcast ep. 197 - Can Mammograms Cause Cancer?Phototherapy Threshold GraphsThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439Podcast webpage: birthinginstinctspodcast.com

1 Marras 20231h 22min

#332 Influenza & Pregnancy, Data vs. Dogma

#332 Influenza & Pregnancy, Data vs. Dogma

Autumn is here and beside the display of nature's splendor comes the inevitable cold and flu season with all it's precautions and warnings. Blyss & Dr. Stu refuse to blindly accept the standard recommendations offered by organized medicine. Together they dive into what is known about influenza in pregnancy and share their wisdom and typically strong opinions.In this episode, Dr. Stu and Blyss explore the power of advocacy during pregnancy and birth. They explore the pros and cons of the RhoGAM shot during pregnancy, discuss intermittent fetal monitoring during labor, and the topic of delaying the standard shot of Pitocin after delivery. This chat is punctuated by a journey back in time to the complex history of midwifery and medicine, the shift from apprenticeship to professional schooling, and the upcoming challenges if this trend continues.Key highlights:Influenza in PregnancyEmpowering Advocacy in Pregnancy and BirthApprenticeship in Midwifery and MedicineVaccination and COVID-19 During PregnancyRisks of Flu Vaccination in PregnancyControversy Surrounding Vaccinations in PregnancyEpisode resources:Fluzone package insert: https://www.fda.gov/media/170019/download?attachmentPregnancy as a risk factor for severe outcomes from influenza virus infection: A systematic review and meta-analysis of observational studiesCDC: Cold vs. FluCDC: Vaccines and Pregnancy: 9 Things You Need to KnowArticle: Assessment and Treatment of Pregnant Women With Suspected or Confirmed InfluenzaBlyss’ instagram post on c-sectionsThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

25 Loka 20231h 28min

#331 Who Owns the Word "Midwife"?

#331 Who Owns the Word "Midwife"?

Today we have as our guest spiritual midwife, Anna Lundqvist, who chose defiance and de-registering rather than submit to the bloody shit show that is the increasingly regulated and medicalized world of midwifery. Her story and wisdom are compelling. Blyss launches The Bridge Midwives and Dr. Stu speaks out on some new platforms.This conversation aims to strip back the layers to reveal the influences of patriarchy and the church on midwifery and women's rights. We'll navigate through riveting historical narratives involving the rise of the barber surgeon and the man midwife. We'll also delve into a comparison of evidence-based practices in Sweden and the autonomy (or lack thereof) for Australian midwives.We take a deep dive into the power and history of midwifery, including the haunting past of witches and midwives who faced persecution for their healing practices. This episode promises to unravel the relevance of this history, and how it illuminates the marginalization of women. Our hope is to leave you inspired and enlightened, with an expanded perspective on birthing experiences.Key highlights:Understanding Motivations and Traditions in ChildbirthMidwives, Witches, and Women's RightsRole of Healthcare Professionals in BirthMen's FertilityTraditional MidwiferyThe Impact of Cesarean Section RatesEpisode resources:THE MEDICAL ESTABLISHMENT GREED, LIES & ABUSE START WITH PREGNANT WOMEN | Counter Narrative Ep. 122Book: Witches, Midwives, and Nurses: A History of Women Healers (Contemporary Classics)To learn more about Blyss’ new project, donate and join in to get all the updates:Website: bridgemidwives.comInstagram: @thebridgemidwivesThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Anna:Instagram: @thespiritualmidwitchWebsite: thenaturalbirthcourse.comConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

18 Loka 20231h 25min

#330 The Time To End The Emphasis On Due Dates Is Overdue

#330 The Time To End The Emphasis On Due Dates Is Overdue

In today's episode, we discuss the origins and question the usefulness of estimated due dates. Blyss gets back to birthing and Dr. Stu is gaining media exposure to spread the word. Digging a deeper hole of mistrust, ACOG unequivocally supports the RSV vaccine for pregnant women. Once again, the math and ethics do not line up for them.We question ACOG's support for this barely tested vaccine and the potential risk it poses. The hypocrisy of medical professionals blaming midwives for problems caused by their own practices also comes under scrutiny. Plus, we also shed light on the dangers of due dates inaccurately assigned to pregnant women, especially for those with diabetes.Finally, we challenge the medical model of due dates, discussing the history of the calculation and the accuracy of ultrasound in determining gestational age. This discussion also revolves around individualizing care for the pregnant woman when determining the due date and the importance of avoiding unnecessary medical interventions. Don't miss out on this thought-provoking episode filled with insights, debates, and the joy of birth.Key highlights:RSV Vaccine Risks and Benefits DebateDebunking the Medical Model of Due DatesUltrasound's Accuracy in Estimating Gestational AgeChallenging the Concept of Due DatesDifference in Pregnancy Lengths TheoryEpisode resources:Book: Holistic Midwifery: A Comprehensive Textbook for Midwives in Homebirth Practice, Vol. 1: Care During PregnancyArticle: Pfizer's RSV Vaccine Math: Kill 4,000 Newborns to Save 300 from RSVArticle: HypoglycemiaPregnancy Due Date and Gestational Age CalculatorThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

11 Loka 20231h 38min

The Remembering: Debut Episode of At Her Feet

The Remembering: Debut Episode of At Her Feet

Unearth the rich and mesmerizing traditions of midwifery as Blyss announces her new podcast, At Her Feet, with her co host Lindsey. This episode is a homage to midwives across the globe, their vibrant cultures, and the pivotal role they play in the birthing process. Settle in as Blyss and Lindsey share their journey from a transformative retreat in Mexico to the profound wisdom passed down by our ancestors.Blyss and Lindsey explore the historical influence of midwifery across various cultures. Their travels to India, Bali, and Mexico have shown them the global lack of midwives and the urgent need for proper training and resources to reduce maternal and child deaths. They illuminate the impacts of modern medicine on traditional midwifery and the perpetual importance of preserving this age-old wisdom. Tune in as Blyss and Lindsey voice their passion for midwifery and our endeavor to keep these sacred traditions alive.Episode resources:Book: Immaculate Deception: A New Look at Women and Childbirth in AmericaKey highlights:Introducing the Bridge Midwives ProjectIntroducing At Her FeetThe Magical Ice Bath ExperienceDiscovering Grandmother Wisdom and Traditional MidwiferyExploring Midwifery and Traditional Birth PracticesThe Influence of Culture on MidwiferyConnect with Lindsey:Website: theremembering.coConnect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

6 Loka 202358min

#329 The Common Denominator is Isolation

#329 The Common Denominator is Isolation

Postpartum mental health is the focus of today’s podcast with guest, Cynthia Overgard of the Down to Birth podcast. We dive into this often-overlooked topic and the importance of a strong support system. Dr. Stu returns from teaching in Wisconsin and Blyss is back home on birth watch.This critical conversation with Cynthia takes us inside the escalating complications in hospital births. From dissecting the potential reasons behind these increasing complications to taking a hard look at the role of the COVID-19 pandemic, Cynthia brings an enlightening perspective to these important maternal health issues. This dialogue doesn’t shy away from examining the shifting trends in high-quality care, bringing you comprehensive insights into the sphere of maternal health.About Cynthia Overgard:Cynthia Overgard is the producer of Down to Birth Show, a weekly podcast she co-hosts with CNM Trisha Ludwig. Cynthia is a published writer in the field of maternal health, and has taught HypnoBirthing to more than 2,000 couples in the past 16 years. Cynthia is trained in Perinatal Mood and Anxiety Disorders through Postpartum Support International and has run a weekly postpartum support group since 2015. She has an undergraduate degree in Sociology and an MBA in Finance. Cynthia continues to teach HypnoBirthing classes to couples globally.Connect with Cynthia:Website: HypnoBirthingCT.comInstagram: @downtobirthshowEmail: cynthia@hypnobirthingct.comKey highlights:Increasing Complications in Hospital BirthsUnderstanding Postpartum Depression and SupportRisk Factors for Postpartum DepressionIsolation's Impact on Postpartum Mental HealthMen's Mental Health During PregnancyPostpartum Anxiety and PsychosisSupport and Strategies for Postpartum WellbeingThe Power of Love and ConnectionThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

4 Loka 20231h 30min

#328 Dear Hospitals, When We Need You, Where Are You?

#328 Dear Hospitals, When We Need You, Where Are You?

Working for women and not the law, traditional midwife, Rebecca Walker joins the show to discuss birthing in a maternity care desert. Dr. Stu reviews hospital rankings with suspicion and Blyss reads an impassioned letter from a Scottish doula in despair.This episode uncovers the harsh realities faced by women in rural areas seeking maternity care. Dr. Stu, Blyss, and Rebecca dissect hospital policies that deny care during birth, discuss the disturbing rise of forced C-sections, and debate the legal status of traditional midwifery. With the dire need for more midwives ringing loud and clear, this episode pushes us to think about the intricacies of maternity care and the struggles endured by women in their quest for a safe and empowering birth experience.Key highlights:Influencers and the Reality of InstagramDoulas During the PandemicMaternity Care and the Need for MidwivesHospital Refusal of Care During BirthLegal Status of Traditional MidwiferyProblems With Forced C-SectionsChallenges and Controversies in ObstetricsComparing Hospital Rankings and Midwife StatisticsEpisode resources:Article: Why I Am Taking a BreakArticle: Best Hospitals for Obstetrics & GynecologyWebsite: orgThis show is supported by:LMNT | Go to com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at com.BIRTHFIT | Go to com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.comCall-in line: 805-399-0439

27 Syys 20231h 30min

#327 Interesting Stuff about Fibroids

#327 Interesting Stuff about Fibroids

On short notice, Blyss gives Dr. Stu a request for a deep dive into the common finding of uterine fibroids. Listener questions and common doctor recommendations are addressed. Whether pregnant or not, many women will be confronted with this diagnosis. Symptoms, treatment, outcomes, and options are all discussed in today's episode. The data may surprise you.Dr. Stu and Blyss delve into the treatment options for fibroids, emphasizing the importance of patient-specific strategies and shared decision-making. They then discuss the potential effects of uterine fibroids on pregnancy outcomes. This includes exploring the theories behind the pain associated with red degeneration and the effects of fibroids on pregnancy outcomes. Finally, they examine the data from recent studies comparing the risk of conditions like postpartum hemorrhage, retained placenta, and uterine rupture in women with fibroids to that of control subjects. Tune in for this comprehensive session on fibroids, pregnancy, and birth choices.Key highlights:Fibroids' Impact on PregnancyMyomectomy and Vaginal Delivery ConsiderationsRacial Disparities in Fibroid TreatmentTreatment Options for FibroidsUterine Fibroids and Pregnancy OutcomesUterine Rupture Risks After MyomectomyEpisode resources:Article: Management of Symptomatic Uterine LeiomyomasArticle: Contemporary Management of Fibroids in PregnancyArticle: Trial of labor after myomectomy and uterine rupture: a systematic reviewThis show is supported by:LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every orderNeeded | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.Connect with Dr. Stu & Blyss:Instagram: @birthinginstincts / @birthingblyssWebsite: birthinginstincts.com / birthingblyss.comEmail: birthinginstinctspodcast@gmail.com Call-in line: 805-399-0439

20 Syys 20231h 32min

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