This week, Blyss and Stu run the gamut, from joy and grief to frustration, research, and a whole lot of questions about who really gets to decide what “safe” birth looks like.
After sharing personal updates and a moving remembrance of Dr. Rob Biter, Blyss and Stu turn their attention to autonomy in birth. They discuss a mother struggling to find a midwife willing to truly meet her where she is, the ongoing fight over traditional midwifery in Pennsylvania, and what happens when regulation and institutional standards begin limiting the choices available to birthing families.
Then, Dr. Stu dives into new research examining oxytocin (Pitocin), TOLAC, and uterine rupture. What does the research actually tell us about uterine rupture when Pitocin is used during a VBAC? How much does the risk change compared with spontaneous labor? Does a higher dose matter? And perhaps most importantly, are we paying enough attention when a laboring body, or the woman herself, is telling us something isn't right?
Blyss brings the midwifery perspective to the data, questioning directed pushing, prolonged augmentation, hospital timelines, and what can happen when physiology is pushed rather than supported. Together, she and Stu unpack the difference between relative risk and absolute risk, how the same research can be used to either support or discourage VBAC, and why informed decision-making requires more than simply being told what the “standard of care” recommends.
References:
Reclaiming Birth Gathering
reclaimingbirthconference.com/
Allowed to Birth Ashland Screening
birthinginstincts.com/events/allowed-to-birth
Inquirer Article: Why Pennsylvania quietly repealed its 1929 midwifery law — and is now getting sued for it
https://www.inquirer.com/politics/pennsylvania/midwives-pennsylvania-budget-law-20260804.html
PubMed study: Maximum Oxytocin Dose and Uterine Rupture During Trial of Labor After Cesarean
https://pubmed.ncbi.nlm.nih.gov/41325062/
Discussed in This Episode
Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care
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