Birthing Instincts

Is every positive urine culture in pregnancy a problem that needs antibiotics? Dr. Stu and midwife Blyss explore ACOG’s UTI guidelines, the evidence behind screening, and the growing concern about microbiome disruption and antibiotic resistance.References:Motherhood Equipped Podcast: 62. Birth Freedom, Breech Truth, and Why Physiologic Birth Matters with Dr. Stuart FischbeinPatreon.com/BirthingInstinctsPodcast Support the Podcast Velvet and Bone Somatic & Trauma-Informed Doula Training (velvet-and-bone.com)ACOG Clinical: Urinary Tract Infections in Pregnant IndividualsPubMed: Asymptomatic GBS bacteriuria during antenatal visitsBirthing Instincts Podcast Episode #294 Group B Strep: Prioritizing Agenda Over ScienceDiscussed in This EpisodeBladder Infections Kidney Infections The Various Screening Recommendations and TreatmentsWhat is Asymptomatic Bacturia Benefits of Asymptomatic BacturiaWhy Eradicate Asymptomatic Bacturia?Alternatives to AntibioticsWhen to Seek Medical AdviceRisks of Antibiotics in Pregnancy, Labor and to Newborn Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byWeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@birthingblyssWebsite: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

On this week’s episode Blyss and Stu introduce guest Abigail Iovine, a Pennsylvania traditional midwife, and her mission to create legislation to protect traditional midwifery through her organization The National Alliance for Traditional Birth Rights. Iovine discusses how legislation and institutional credentialing can criminalize basic midwifery care and shrink options. This episode outlines harms from siloed maternity care and discusses NARM’s influence.About Abby Iovine:Abby is a traditional midwife, mother of ten, and a passionate advocate for medical freedom who was raised with a deep love for God and family. Yes, all ten are hers, and yes, she has given birth ten times, an experience that profoundly shaped the way she approaches birth and care.Her journey into midwifery began after the birth of her fourth child, and while pregnant with her fifth, she famously searched, “How to NOT have a baby in the hospital?” That question set her on a new path. After welcoming her first homebirth with her fifth baby, she began formally studying midwifery in 2010, later becoming a certified doula in 2013 and attending births soon after.Trained through a five-year traditional apprenticeship under local elder midwives, she built her foundation in hands-on, relationship-centered care. In 2018, she officially began serving families through Cardinal Birth Midwifery, a family-centered, autonomy-respecting ministry that places real life, children, and family needs at the heart of care.In 2025, she also founded the National Alliance for Traditional Birth Rights, further expanding her advocacy for family-centered care and the preservation of traditional midwifery.Facebook: ProtectTraditionalMidwifery / YourBirthMattersWebsite: Natbr.orgReferences:Back to Basics Podcast 42: Dr. Stu Fischbein, MD - Childbirth 101: Home birth, breech, VBAC, and moreAttend a Reteach Breech Workshop: birthinginstincts.com/eventsACOG Releases Updated Guidance on Maternal ImmunizationsThe Highwire Episode 464: STEEP TERRAINNational Alliance for Traditional Birth Rights (NATBR) Federal Policy BriefALEC Birth Freedom ActNATBR Petition Demand federal safeguards for traditional midwives and family choiceDiscussed in This EpisodeEffects of Legislation on Midwifery InvestigationsBill SB507 in PennsylvaniaAMA Influence and Hospital ControlDefining Traditional MidwiferyNARM Critique and LicensingHow Standards of Care Can Be ImprovedEradication of Midwifery and its Impact on Maternal Mortality“Heritage Care” Brief to Protect Midwifery Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byWeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@birthingblyssWebsite: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

With Blyss away, Stu sits down with Phoenix OB-GYN Michael Hervey II to explore what true physician–midwife partnership looks like in real time. Together, an OB and midwife team delivered a remarkable set of hospital triplets born in rapid succession within minutes, totaling just over fifteen pounds. It’s a conversation about collaboration over hierarchy, shared skill, and how complex physiologic birth can unfold safely when trust and teamwork lead the way.About Dr. Michael Hervey:Dr. Michael J. Hervey II, MD, is a board-certified obstetrician–gynecologist with extensive experience spanning private practice, academic medicine, trauma care, and women’s health consulting. Born in St. Louis, Missouri, he pursued his education at several of the nation’s most respected institutions, including Morehouse College, Harvard University, and the University of Virginia, among other prestigious universities. His training and career reflect a deep commitment to clinical excellence, intellectual rigor, and service.Dr. Hervey is widely recognized for his patient-centered, concierge-oriented approach to maternity and gynecologic care, with a particular focus on improving outcomes, restoring trust, and addressing the lasting impact of birth trauma. He combines hands-on clinical expertise with systems-level leadership, advocating for care models that integrate medical excellence, mental health support, and compassionate communication.Beyond clinical practice, Dr. Hervey is an author, educator, and entrepreneur who contributes to thought leadership in women’s health and maternal wellness through writing, speaking, and media initiatives. He is married to Ellie Tan, CNM, and together they share two children, Michael and Kieara. His work and life are grounded in a steadfast commitment to dignity, safety, and healing for women and families at every stage of care.Instagram: @premierobgyn_llcFacebook: Premier Ob/Gyn LLCWebsite: Teambabycatcher.com Books: Empowering Birth: The Role of Midwifery and Physician Collaboration in Modern Maternity Care. Her Body, Her Baby: Real Stories of Autonomy in Child-birthReferences:A maneuver for head entanglement in term breech/vertex twin labor, Dr. Stuart J. Fischbein#373 BI Podcast Special Edition: A 90's Triplet StoryDiscussed in This EpisodeListening to Patients Over ProtocolTriplet Delivery CriteriaCollaborative Care Model: Midwives and OBsHow the Midwifery Model of Care Compares to Medical ModelThe Importance of Supportive MFM collaborationImportance of Client Autonomy Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byWeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@birthingblyssWebsite: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

Blyss and Stu are joined by guest Barbara Harper, founder of Waterbirth International, an internationally recognized expert on water birth and gentle birth. Join us for a roller coaster of an episode where we dig into the history of water birth, tell stories about how society lost its way in the world of birth, and dive into the physiology of birthing in water. Truly an episode you won’t forget.About Barbara:Barbara Harper is an internationally recognized expert on waterbirth and gentle birth who has dedicated her life to revolutionizing the way we welcome babies into the world.She founded Waterbirth International in 1988 with one goal in mind—to ensure that water birth is an “available option” for all women. During the past five decades, Barbara has worked as an obstetric and pediatric nurse, midwife, midwifery instructor, childbirth educator, hypnosis and doula trainer. Her unique seminars, and Waterbirth Certification Courses have been conducted within hospitals, nursing schools, midwifery and medical schools, and community groups worldwide. Barbara has taught over 30,000 doctors and midwives in 81 countries to date.She has been interviewed by hundreds of TV and radio shows, newspapers, and podcasts. Her bestselling 2005 book and DVD, ‘Gentle Birth Choices,’ has been translated into 9 languages, including a 2016 Mandarin Chinese edition. She is working on a new book due out in early 2026, The Comprehensive Guide to Waterbirth.”She is the mother of three adult children, two of whom were born at home in water. She lives in Boca Raton, Florida.Instagram: @waterbirthint @thebarbaraharperWebsite: waterbirth.org and barbaraharper.orgBook: Gentle Birth ChoicesReferences:Healthy as a Mother Podcast: How Breech Birth Exposes Hospital Dysfunction Deconstructing Conventional Podcast: Hospital vs Home Birth Truth with Dr. Fischbein & Blyss YoungBorn Free Twins-Breech Gathering Seven Secrets of Successful Waterbirth - MIDIRSMaternal and neonatal outcomes among spontaneous vaginal births occurring in or out of water following intrapartum water immersion: The POOL cohort studyWater birth: a systematic review and meta-analysis of maternal and neonatal outcomesAJOG Journal Pre-proof: Hospital Waterbirth for Low-Risk Birthing People: Findings of a Randomized Controlled TrialDiscussed in This EpisodeWater Birth Through History: Indigenous Traditions, Early Textbooks & Medical TakeoverModern Controversies: Why Water Birth Fell Out of Trust + Debunking Common ClaimsHow Babies Breathe in WaterUnderwater Birth: Why “Dive Reflex” Isn’t the ExplanationThe 3 Protective Mechanisms That Prevent a First Breath in WaterWhat Actually Initiates BreathingBreech & Water Birth Transitions + The “Aquatic APGAR” AssessmentLower APGARS in Water Birth Explained Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byWeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use  code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@birthingblyssWebsite: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands

In this week’s episode of the Birthing Instincts podcast, Blyss Stu challenge one of the most ignored questions in modern obstetrics: what does birth actually do to a human being? Joined by midwife and pre- and perinatal psychology educator Mary Jackson, they explore how experiences from conception through early childhood leave lasting imprints on the nervous system, emotional development, and lifelong behavior.Mary unpacks how routine medical interventions, often dismissed as benign or “necessary”, can carry psychological and physiological consequences for both babies and mothers, consequences that are rarely acknowledged or integrated. The conversation pushes back against a system that prioritizes efficiency and control over awareness, connection, and respect for the baby’s lived experience. This episode is an invitation to slow down, question what has been normalized in birth culture, and reconsider what it truly means to protect, honor, and support the innate intelligence of birth.About Mary:Mary Jackson started her journey to become a home birth midwife in 1975. She has had the honor to catch her second generation of babies. She supports families to integrate their early experiences of preconception throughout their life span.She incorporates Castellino somatic pre and perinatal psychology, Somatic Experience, Circle of Security, BCST, her training as an RN and Licensed Midwife. She is an international teacher/speaker and has brought her work to 12 countries. She currently teaches the Castellino foundation Training.Website: birthinconnection.com / castellinotraining.com Email: [email protected]:WSJ Article: ‘My Family Thought I Was Crazy’: More Women Are Choosing to Give Birth at HomeSubstack: There’s Now a Medical Code for Vaccine Counseling Without Giving a VaccineDr. Joe Tate, Peachtree Corners, GATheHighwire.comThe Association for Prenatal & Perinatal Psychology & HealthDiscussed in This EpisodePre and Perinatal Psychologist, Mary JacksonRecognizing Birth Interventions in Adult LifeUnderstanding Birth Sequences and Their ImpactThe Phases of Labor and BirthEffects of Interventions During Labor on Baby and MotherThe Baby's Experience and Long-Term EffectsRepairing Birth Imprints in Children and AdultsSupporting Babies and Parents Post-BirthThe Importance of Birth Stories Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care This show is supported byWeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 offGirls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% offConnect with Dr. Stu and BlyssJoin our Patreon! patreon.com/birthinginstinctspodcastInstagram: @birthinginstincts/@birthingblyssWebsite: birthinginstincts.com/birthingblyss.comEmail: [email protected] webpage: birthinginstinctspodcast.comAdvertising Inquiries: https://redcircle.com/brands