Episodes
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Giving birth in the hospital feels scary.
Itâs a system that too often takes a paternalistic approach and takes away power from women over what happens in their own bodies. #facts
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Did you know that almost one in ten pregnancies in the United States is affected by gestational diabetes? While that might sound scary, the good news is that with the right information and care, people with gestational diabetes will most likely have a healthy pregnancy and a healthy baby.
When itâs time to be screened, donât focus on âpassingâ the test. If you have gestational diabetes, you want to know so you can treat it effectively. Many people can manage it with dietary changes so donât stress too much if you donât get the results you want. Just take the test - then manage the results with confidence. Listen to this episode to help you!
In this Episode, Youâll Learn About:What gestational diabetes is and how common it isWhat complications it can pose for parent and babyHow glucose tests are used in diagnosisHow pregnancy hormones can affect blood sugar levelsHow GDM is treated: both with and without medicationHow it affects pregnancy and birth managementWhat its lasting effects can be--
Full website notes: drnicolerankins.com/episode282
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Episodes manquant?
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You've heard of low intervention birth but what does it mean? In this episode I share how a low intervention birth under my care unfolded. Here's a peak -
8 AM - cervical check and 4 cmIntermittent monitoring, saline lock, moving, eating and drinking8 PM - second cervical check and 6 cmstarting pushing at 1130 PMand listen to hear the rest!
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Did you know the U.S. is one of just four countries in the world - and the only developed nation - without guaranteed paid maternity leave? While weâve made great strides in workplace fairness, the fight for equity is far from over. In a country where pregnancy can still jeopardize someoneâs career, these protections are more crucial than ever. Thatâs why advocates like todayâs guests are so important.
Jack Tuckner is a workplace rights attorney who specializes in gender discrimination, including pregnancy-related issues, and Catherine Kreider is a lawyer and doula. Through their legal work and advocacy, theyâve been instrumental in advocating for laws like the Pregnant Workers Fairness Act and strengthening protections for expectant workers. Make sure you know your rights, document everything, and donât hesitate to seek out a local attorney if you need support - advocacy starts with awareness!
In this Episode, Youâll Learn About:What constitutes pregnancy discrimination in the workplaceWho qualifies for protections under the Pregnant Workers Fairness ActWhy documenting workplace interactions is critical for protecting your rightsWhen and how to notify your employer about your pregnancyHow to request accommodations during pregnancyWhether state or federal laws provide better protections for pregnant workers--
Full website notes: drnicolerankins.com/episode281
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In this shorty episode I answer this listener question from Kate. And if you want me to answer a question for you DM me on Instagram @drnicolerankins or shoot me a message on my website contact form!
"I was checked at 5 cm, started feeling pressure after a few hours, and then a really strong urge to push after another few hours. I was unmedicated, so I could really feel those sensations, but was told to push against this urge and, I quote, ""hold it in"" because I was only at 8 cm and that I would tear my cervix if I pushed. This kept going for about an hour, at which point they called the doctor, who said, I quote again, â8, maybe 9, I guess you could push if you want toâ. I wasnât really able to talk, so I just pushed and everything went well. But then I started wondering why my body would give me such a powerful urge to push if it was too early. Is it possible that 9 cm was as far as my cervix would dilate? Iâm a really small person, does that play a role? Does everyone get as far as 10? Iâm curious and would love to hear more about this."
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Rachel always wanted to be a mother, but before she could begin that journey, she felt it was important to get off of depression and anxiety medication. After spending three months weaning off her meds, she very quickly got pregnant. Her pregnancy, although a source of great excitement, also brought unexpected difficulties, including two falls - and then her water broke during her baby shower!
A breech baby, a failed turning procedure (external cephalic version), intubation during her cesarean for a âpanic attackâ, and more added up to a traumatic birth experience. Rachel gets a bit emotional and teary during her story and you can understand why. Her birth was definitely a challenge and there's so much to learn from her story. I cannot wait for you to hear it.
In this Episode, Youâll Learn About:How Rachel and her psychiatrist created a plan to safely stop medicationWhat tactics she used to manage anxiety and depression symptomsHow limited food options triggered old disordered eating strugglesHow lower back and hip pain caused daily difficulties with mobilityWhy she wishes she wouldâve chosen a different providerHow the epidural created a sensation of being unable to breatheWhy she underwent general anesthesia for her C-sectionWhat her healing process was likeWhether or not sheâll return to psychiatric medication--
Full website notes: drnicolerankins.com/episode280
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In this short episode I address this really thoughtful comment from a listener -
"I've noticed that Dr. Rankins' position statements have gotten stronger on the negatives of a hospital birth over time (in the year+ that I've been listening). For instance her opening introduction now frames hospitals as a system that "too often takes away power from women over what happens in their own bodies." When she first started I think this was phrased more as "it can undermine women" or something a little softer. I've noticed the types of guests she welcomes onto the podcast are also more likely to have this stronger mentality against/suspicious of/worried about hospital births. I guess I'm curious if this reflects a true change in Dr. Rankins' position as she continued to gain knowledge herself through the podcast community, or if this reflects her willingness to simply say what she's known more strongly now, or if this is a trend of worsening conditions in hospitals. And overall does Dr. Rankins feel that hospital births still provide an overall positive service to women (do the goods outweigh the bads, especially for women who come in prepared with some knowledge), or does she feel that the scales are now tipped more negatively? I guess an updated "bird's eye" view of the whole system in the US might be helpful for some of us trying to understand the overall context as we work through our individual choices available to us in our regions. (For context on myself, if it matters/helps, my first birth was unmedicated in a hospital setting with a doula -- the doula was excellent, the overall birth experience was just ok, the after birth care was very good.)"
If you want to let me know your thoughts about the podcast head to drnicolerankins.com/survey!
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Dealing with nausea and vomiting during pregnancy is no fun. Youâve probably heard of âmorning sicknessâ but thatâs a misnomer - queasiness can happen at any time of day (and during any stage of pregnancy too). The good news is, for most people, itâs nothing to worry about. Even though itâs uncomfortable (and sometimes downright miserable), itâs generally not harmful to you or your baby.
In this episode, youâll learn about triggers, warning signs, and relief options for nausea and vomiting in pregnancy. Itâs a challenging part of pregnancy, and itâs common so we need to talk about it! Iâll also touch upon hyperemesis gravidarum, which is when nausea and vomiting escalates to a more serious condition and a level of severity that requires more intense medical attention.
In this Episode, Youâll Learn About:How common pregnancy-related nausea and vomiting areWhether symptoms can harm you or babyWhat some of the underlying causes areWhen digestive issues typically occur during pregnancyWhat hyperemesis gravidarum involves and how itâs handledHow pregnancy sickness is evaluated and treatedHow diet, acupressure, and ginger could helpWhich medication options are availableWhy cannabis isnât recommended for symptom managementWhen to visit your doctor for help--
Full website notes: drnicolerankins.com/episode279
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How did a birth described as âa series of traumatic eventsâ end up being the best experience of Jennaâs life? Despite all of the unexpected challenges, getting through the 65 hour labor and birth helped her find peace and confidence in her intuition.
Jennaâs story reminds us that itâs okay to feel both grateful to a medical team and to feel upset about how certain aspects of care were handled. Itâs well beyond time to stop saying that âall that matters is a healthy babyââthe full experience matters, too. Iâm so excited for you to hear Jennaâs journey and how she navigated this incredibly challenging birth.
In this Episode, Youâll Learn About:Why Jenna booked a preconception consultationHow polyhydramnios and gestational diabetes affected the pregnancyWhy she opted for a 39-week inductionWhich interventions her team used to help progress laborWhat challenges her babyâs position presentedHow she managed through a failed epidural experienceHow her intuition and persistence led to an emergency C-sectionWhat an Erbâs Palsy diagnosis meant for her babyâs recoveryWhat role postpartum therapy played in reframing her experience--
Full website notes: drnicolerankins.com/episode278
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In honor of Pregnancy and Infant Loss Awareness Month this October, in this episode we have secondary infertility and baby loss survivor Bernice Quesenberry (and quick note I inadvertently mispronounced her last name in the episode, my apologies!). She has repurposed her pain into something positive by starting a national nonprofit called Chasing the Rainbows, which offers FREE, trauma-informed support for those facing infertility, miscarriage, and infant loss.
If youâve experienced pregnancy or infant loss, it can feel very isolating because itâs not talked about often in media & mainstream culture. But you are not alone - unfortunately itâs a very common part of people's journey to being parents. I hope you never need this episode but if you do or know someone who might need it, then it's here with all of these amazing resources to help you.
In this Episode, Youâll Learn About:Why trauma-informed care is crucial in supporting those experiencing baby lossHow reproductive trauma occurs and how frequently it happensWhat makes it difficult to find mental health support after baby lossHow peer mentorship and support groups provide a sense of connection and support during healingWhat the grief journey may look likeWhat you should (and shouldnât) do to support someone after pregnancy or infant lossHow grief from infant loss impacts mental healthHow to honor the memory of a lost baby while continuing with life--
Full website notes: drnicolerankins.com/episode277
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I just turned 50 - yes, 50! I know people - and women especially - can feel some kind of way about sharing their age. But I have no problem with sharing my age because every day is truly a gift. To mark this milestone, I wanted to take a few moments to reflect, express my gratitude, share some thoughts on what helped me get here, and whatâs next.
This episode is also a bit different, as I want to take time to honor two people very dear to me - my late father, who passed away just last month, and my sister, who I lost over 10 years ago. Though I still miss them deeply, I feel immense gratitude for the time we shared, and their memories serve as a constant reminder to appreciate life and the people in it. Itâs a bit of a different episode today, but I know youâll enjoy it!
In this Episode, Youâll Learn About:Why it doesnât matter who you call family - it just matters that you spend time with themWhy itâs so important to value your own timeWhether you should invest in things or experiencesWhere true joy and happiness come fromHow staying true to your values can keep your peace of mindWhy you should shoot your shot - even if youâre scared!How real clarity comes from action, not overthinkingWhy embracing both joy and difficulty is key to living fully--
Full website notes: drnicolerankins.com/276
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This episode may be about the NICU but itâs for any and every person whoâs having a baby. The reason I say that is because itâs actually way more common than you think that a baby needs to receive intensive care. Nearly 40% of babies who go to the NICU are full-term.
As a mom of two NICU babies, let me tell you: itâs the NICU nurses who are at your side. NICU nurses are angels and todayâs guest is one! Mary Farrelly, a certified NICU nurse and trained doula, is leading the way in helping parents navigate the NICU journey. You know I always say itâs important to listen to real experts - and todayâs guest is exactly that!
In this Episode, Youâll Learn About:What NICU stands for and what the levels areWhy babies go to the NICUWhat NICU nurses do and what training is requiredHow to include the NICU in your birth planWhy blending NICU nurse and doula roles benefits familiesWhich procedures are commonly used in the NICUWhat emotional support looks like for families post-NICU--
Full website notes: drnicolerankins.com/episode275
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Martha hoped and prepared for a low intervention birth and ended up getting just about every intervention! She tried everything to get labor to start on its own but she ultimately was induced at 41 weeks. After 40 hours of labor with no pain medication other than nitrous oxide, she opted for an epidural. Soon after she was advised to get a non-emergency C-section because unfortunately things had plateaued.
The C-section was fortunately not traumatic but it was the opposite of what she wanted. Her postpartum was beautiful but she also needed time to grieve the loss of the birthing experience she had hoped for. Today, she is feeling grateful to be bonded with her baby and wants listeners to take this story as a reminder that even if you have a challenging pregnancy and birth you can have a joyful and "easy" postpartum.
In this Episode, Youâll Learn About:How she was envisioning her birth when she was preparing for itWhy she opted for midwives in a hospital settingHow she bargained for specifically 41 weeks and 3 daysWhich methods she used to try and induce laborWhy she preferred Cytotec to CirvidilWhether a balloon or Pitocin were helpfulWhy she said yes to an epidural and how she responded to itWhat doctors mean when they refer to your baby as âsleepyâ during laborWhy she was grateful her doctor used a clear curtain during the C-section--
Full website notes: drnicolerankins.com/episode274
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This episode was inspired by a message from long-time listener Sierra. She has experienced multiple miscarriages and, though she appreciated the episodes I have done discussing pregnancy loss, there are some issues specific to recurrent miscarriage that I havenât gotten into yet. Sierra says âYou've had some women who gave birth stories that had elements of miscarriage or infertility, but most of the discussions with them focus on the living children they had afterwards.â
A successful pregnancy following miscarriage is the norm, itâs true. But for some, thatâs not the full story. If youâre going through this painful experience, I hope this episode brings you both practical information and reassurance that youâre not alone. Even if you donât think this episode applies to you, donât shy away from it out of fear. Staying informed is empowering, not tempting fate!
In this Episode, Youâll Learn About:What the difference is between miscarriage and recurrent miscarriageHow common single miscarriage is compared to recurrentWhat causes are often behind pregnancy lossWhich treatment options are availableHow likely a successful pregnancy is after miscarriageWhat the emotional impact of a pregnancy loss can beHow to support someone whoâs had a miscarriageWhat to say to someone who has recently experienced loss--
Full website notes: drnicolerankins.com/episode273
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Medical recommendations surrounding eating and drinking in labor are evolving, but not quite where they should be.
In this episode learn the rationale for restricting eating and drinking in labor, why it's outdated, what our current guidelines are, and my evidence based recommendations for eating and drinking in labor.
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Nicole (yes, another Nicole!) is here to share her empowering story of a successful VBAC (vaginal birth after cesarean) followed by a challenging postpartum. Because she was intentional about her care team, she set herself up for success in the ways that she was able to control.
However, nobody could control the liver issues her daughter would experience after birth. It took four hospital transfers and a five-week stay in the NICU before her baby was stable enough to come home. While Nicoleâs birth story had a different ending than she expected, she took on the challenges with incredible strength and patience.
In this Episode, Youâll Learn About:Why Nicole needed a C-section with her first babyHow she set herself up for a successful VBACHow her doula brought the whole birthing team togetherWhy it was worth the effort for Nicole to find the right doctorHow long she labored and pushed after inductionWhen medical staff realized that babyâs health problems required a hospital transferWhy her daughter required so many hospital transfers and how far she was taken for careHow long she spent in the NICUHow the community around Nicole and her family supported her through this difficult time--
Full website notes: drnicolerankins.com/episode272
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In this short episode I'm answering this listener question from Cat!
"Hi Dr. Nicole! Long time listener & love your podcast!!. Question for you - a friend of mine recently gave birth to a beautiful baby girl but unfortunately her birth didn't go as planned. She got to the hospital at 7.5cm, got an epidural, and then they told her she was "having too many contractions, 5 in 10 mins, and the limit is 6" so they gave her Terbutaline/Brethine to slow down her labor. I have listened to hundreds of birth stories and never heard of this! Then, of course, her labor stopped progressing, so they gave her pitocin a few hours later and well... you know what happened after that. I'm curious if you could do a short episode on the drug they used to slow down labor? Curious how common it is and learning more about the 6 contractions in 10 minutes rule? I definitely had more than that with both of my births, but maybe it's because I didn't have an epidural? Thanks so much!"
If you have a question that you want me to answer, shoot me a DM on Instagram @drnicolerankins!
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In this episode Iâm chatting with Rachel Somerstein about her traumatic experience having a C-section without adequate anesthesia. Already a professional journalist, this experience led Rachel to write her first book, Invisible Labor: The Untold Story of the Cesarean Section. In Invisible Labor Rachel weaves her personal narrative and investigative journalism with medical, social, and cultural history to reveal the surprising evolution of the cesarean section: from its days being practiced on enslaved and âunfitâ women, to the ways modern technology promotes its overuse.
Itâs very common not to prepare for the possibility of a cesarean birth (Rachel didnât). Even if you are completely healthy and it seems unlikely, you need to understand that a C-section is possible. If you want to know which questions to ask in order to understand if itâs medically necessary and what your options are, you need to be educated on all potential outcomes.
In this Episode, Youâll Learn About:Why Rachel didnât plan for a C-sectionWhat happened when she told her OB she wasnât numb during surgeryHow this experience affected her ability to bond with her new babyWhat long-term effects she experienced as a result of her traumatic birthHow therapy helped her discover that she wanted a second baby but fear was holding her backWhy itâs important to find a care team that enthusiastically supports your decision to try for a VBACWhat challenges came with giving birth in 2020How her recovery was different in her first versus second birthHow she processed her internalized stigmas about cesarean birth--
Full website notes: drnicolerankins.com/episode271
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Lauren DMed me on Instagram and asked me to talk about CMV and pregnancy so here it is!
In this short episode you'll learn
What is CMVHow itâs transmittedHow it can impact pregnancyHow itâs diagnosedHow it can be prevented or treatedIf you have a question you want me to answer in an upcoming episode, shoot me a DM on Instagram @drnicolerankins!
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Ginny had an elective labor induction that went so smoothly she calls it a âdream.â But that doesnât mean that everything about her pregnancy experience was easy. Multiple people in her personal life experienced birth-related complications while Ginny was pregnant including stillbirth. This caused Ginny a lot of anxiety. Also, she struggled with depression - both during pregnancy and postpartum.
Learn how Ginny was able to successfully navigate these challenges in this great episode!
In this Episode, Youâll Learn About:Why Ginny scheduled an inductionWhat subchorionic hemorrhaging meansHow she initially felt about inductionHow she made her hospital room feel like homeWhich induction medications and pain management she receivedHow the epidural made her feelWhat made her so happy with her birthing teamHow work helped Ginny find herself after pregnancy--
Full website notes: drnicolerankins.com/episode270
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