#356 | February Q&A: Tearing vs. Episiotomy, Decels, Posterior Babies, Pitocin, Premature Rupture of Membranes, High Palates, Oversupply episode artwork

EPISODE · Feb 25, 2026 · 59 MIN

#356 | February Q&A: Tearing vs. Episiotomy, Decels, Posterior Babies, Pitocin, Premature Rupture of Membranes, High Palates, Oversupply

from Down to Birth · host Cynthia Overgard & Trisha Ludwig

Welcome to the February Q&A!  We begin with a brief reflection on a mother's need to find time for play (not with her children but for herself) and creativity during early parenthood, before diving into your questions. Today’s episode addresses a common pattern in maternity care: past birth experiences being used by providers to justify predetermined interventions in subsequent pregnancies.One listener asked, do women need to get out of the tub for fetal heart rate decels, and is this based on policy or physiology? Is Pitocin given after heavy bleeding in a prior birth justifiable for routine use in a subsequent birth? Additionally, we explore the long-term impact of episiotomies and membrane sweeps performed without consent, and address myths about posterior (OP) babies and whether those conditions are mother-specific or unique to each pregnancy. Finally, we talk about water breaking before labor and how much time most women realistically have before intervention is generally recommended (and whether it is actually needed).As always, we close with quickies, including our best beauty tips (no, it is not a product you can buy).Thank you for the excellent questions. Call us anytime at 802-438-3696. That's 802-GET-DOWN! Oh, yeah, if you loved this episode, leave us a 5-star review, and thank you!**********Send us Fan Mail Support the showAccess our workshops: Have a Physiologic Birth in the Hospital and Ultrasound: The Research vs RhetoricNeeded <-- for 20% off DrinkLMNT <--  for FREE 8-day supplyPrimally Pure Skincare: Use code DOWNTOBIRTH Postpartum Soothe: Use code DOWNTOBIRTHENERGYBits Superfood<--for 20% offJoin Patreon hereIG @downtobirthshowCall 802-GET-DOWN. Watch us on YouTube! Please note we don’t provide medical advice.

Episode metadata supplied by the publisher feed · Published Feb 25, 2026

Embed this episode

Welcome to the February Q&A! We begin with a brief reflection on a mother's need to find time for play (not with her children but for herself) and creativity during early parenthood, before diving into your questions. Today’s episode addresses a common pattern in maternity care: past birth experiences being used by providers to justify predetermined interventions in subsequent pregnancies. One listener asked, do women need to get out of the tub for fetal heart rate decels, and is th...

Distinct summary based on available episode metadata or transcript content.

Ready to play

#356 | February Q&A: Tearing vs. Episiotomy, Decels, Posterior Babies, Pitocin, Premature Rupture of Membranes, High Palates, Oversupply

0:00 59:28

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

No similar episodes found.

No similar podcasts found.

Frequently Asked Questions

How long is this episode of Down to Birth?

This episode is 59 minutes long.

When was this Down to Birth episode published?

This episode was published on February 25, 2026.

Is there a transcript available for this episode?

Yes, a full transcript is available for this episode. You can read the complete transcript on the episode page.

Can I download this Down to Birth episode?

Yes. Use the download control on the episode player to save the publisher-provided media file.
URL copied to clipboard!