Birth With Power

This is a special rebroadcast of one of my most essential postpartum episodes — a clear, compassionate conversation about perinatal mood and anxiety disorders (PMADs) and how to recognize when you need support. This episode will help you clearly know what’s “normal,” what’s not, or when to consider treatment.I’m joined by Dr. Stephanie Waggle — psychiatrist, perinatal mental health–certified physician, cancer survivor, marathon runner, and passionate advocate for improving maternal mental health care. With over 17 years of experience, she brings a rare mix of clinical expertise, research knowledge, and deep empathy for the mental health challenges people face during pregnancy and postpartum.Together, we break down what PMADs truly look like, why they’re much more than “postpartum depression,” and how to make informed decisions about medication and therapy — including what to do if you were taking medication before pregnancy or are considering restarting postpartum.This conversation is especially powerful if you’ve ever had intrusive thoughts, felt overwhelmed by anxiety, or been unsure whether what you’re experiencing is simply “new mom adjustment” or something more.What you’ll learn:What PMADs include (it’s far more than postpartum depression)How common these conditions really are — in both birthing parents and partnersRisk factors and why even those without them can still develop PMADsHow to recognize the difference between baby blues and clinical depressionWhat intrusive thoughts are — and why having them does not mean you’re unsafe or “crazy”When to seek help and where to turn for reliable supportHow psychiatrists approach medication decisions before, during, and after pregnancyThe truth about breastfeeding, medication safety, and making choices that protect both you and your babyA breakdown of the first FDA-approved medication specifically for postpartum depression — and what you need to knowResources Mentioned:Postpartum Support International: www.postpartum.netImprove Life - Dr. Waggle’s practiceMommyMeds appFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:Hospital Tour Scorecard: Know exactly what to look for so you can choose the right hospitalHow to Tell If Your OB Is Right for You: Ask the right questions and spot red flags earlyLabor Pain Management Playbook: Learn the tools and strategies I teach my own patientsNote: This episode is a rebroadcast as part of our Postpartum Power Replay series — spotlighting vital postpartum conversations to support your mental health, your confidence, and your well-being during a season when you deserve exceptional care.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This is a special rebroadcast of one of our most-loved postpartum episodes, a powerful and practical conversation for any parent navigating life after the NICU. Whether you’re currently in the thick of it or simply want to feel more prepared, this replay will leave you feeling supported, grounded, and seen.In this episode, I sit down with Dr. Jessica Daigle — pediatrician, NICU hospitalist, and founder of Mom & Me MD — whose passion for caring for NICU families shines through in everything she does. With warmth and clarity, Dr. Jess breaks down what truly affects families after a NICU stay, how to ease the transition home, and how parents can let go of unnecessary guilt and step into confidence.Her insights come from both her professional expertise and her deeply personal journey: miscarriage, extreme preterm delivery, and raising two NICU graduates. This episode is a gift for any parent who needs reassurance, practical tools, or simply a reminder that they’re not alone.What you’ll learn:The five areas of life most impacted when you bring home a new baby (especially after the NICU)How to release guilt and self-blame when birth or postpartum don’t go as plannedKey questions every NICU parent should feel empowered to askWhy advocacy and communication with the care team matterHow to prepare for postpartum while you’re still pregnantPractical tips for building support systems that actually make life easierResources Mentioned:Mom & Me MD (concierge NICU + 4th trimester care)Dr. Jess on Instagram: @momandme_mdFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:Hospital Tour Scorecard: Know exactly what to look for so you can choose the right hospitalHow to Tell If Your OB Is Right for You: Ask the right questions and spot red flags earlyLabor Pain Management Playbook: Learn the tools and strategies I teach my own patientsNote: This episode is a rebroadcast as part of our Postpartum Power Replay series — sharing conversations that make postpartum feel more supported, less overwhelming, and filled with the kind of guidance every new parent deserves.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This is a special rebroadcast of one of our most downloaded postpartum episodes, and for good reason. This conversation is for you if your birth didn’t go the way you hoped.In this replay, I sit down with Kaylee Summers — the Birth Trauma Mama — to unpack what birth trauma actually is, why it’s so common, and how you can begin to heal. Kaylee brings both clinical expertise and lived experience as an amniotic fluid embolism survivor, and her honesty, clarity, and compassion make this episode a must listen if you had a traumatic birth experience.What you’ll learn:What “birth trauma” really means (and why it’s more common than most people think)Why trauma is subjective — and why your experience mattersThe signs and symptoms of birth trauma in the early postpartum periodHow treatment works, including what EMDR and other trauma-focused therapies actually doWhen (and how) to seek support if you’re struggling after birthThe role communication and care team dynamics play in shaping your birth experienceResources Mentioned:Kaylee’s Instagram + TikTok: @thebirthtrauma_mamaThe Birth Trauma Mama PodcastPostpartum Support International provider directoryTouchstone Institute provider directoryFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:Hospital Tour Scorecard: Know exactly what to look for so you can choose the right hospitalHow to Tell If Your OB Is Right for You: Ask the right questions and spot red flags earlyLabor Pain Management Playbook: Learn the tools and strategies I teach my own patientsNote: This episode is a rebroadcast as part of my December “Postpartum Power Replay” series — revisiting some of the most powerful episodes to support you during a season when postpartum needs often go unseen.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is your invitation for a softer season, a clearer mind, or just a moment to breathe before the year ends. It will feel like a nice warm exhale.In this reflective end-of-year episode, I’m sharing the milestones, challenges, and growth that shaped my 2025 — from sending my NICU graduate to college, to navigating perimenopause, to choosing rest over hustle. I’m also walking you through the non-negotiable holiday boundaries that matter most during pregnancy and postpartum, and how to give yourself permission to honor what you need this season.You’ll learn:– Why rest is a necessary part of preparing for birth, postpartum, and motherhood– How I’m protecting my peace during the holidays — and how you can too– Simple, clear scripts for setting boundaries with family and visitors– What my family milestones taught me about growth, identity, and motherhood– Why I’m stepping back for the remainder of December (and how you can build your own pause)Resources Mentioned:Instagram: @drnicolerankinsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Hospital birth may not be the right path for every OB/GYN.This week, I’m in conversation with Dr. Nathan Riley, an OB-GYN and palliative care physician who left conventional medicine to support home birth and midwifery-led care. We talk about what the system gets wrong, what it does right, and how honoring true autonomy can transform the birth experience.You’ll hear two OBs with very different paths, get real about training gaps, liability fears, and what actually supports healthy birth. Whether you’re planning a home birth, a hospital birth, or you’re just curious about your options, this is an episode that challenges assumptions and opens possibilities.You’ll learn:Why Dr. Riley left the hospital system — and what he does nowHow hospital training limits women’s birth choicesWhat really happens during an emergency C-sectionThe untold truth about vaginal breech birthWhat autonomy actually looks like in labor (and how to prepare for it)Resources mentioned:Dr. Nathan Riley on InstagramBorn Free MethodBeloved HolisticsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Today’s episode is a little different. I’m sharing a home birth story! Home birth can be safe, supported, and deeply empowering when planned well.In this birth story, I’m joined by Leah, a writer, mom of two, and aspiring childbirth educator who planned a home birth after a positive but impersonal hospital birth with her first child. Despite navigating insurance barriers, and anticipating a large baby, Leah created the low-intervention experience she wanted, and welcomed her 11-pound daughter after just a three-and-a-half-hour labor. Her story is full of advocacy, intuition, humor (yes, she was poked in the eye mid-contraction), and practical insights you’ll walk away with.In this episode, you’ll learn:What made Leah choose a planned home birth after a hospital birthHow she advocated for weight-inclusive prenatal careThe realities of insurance challenges for home birth familiesHow she prepared mentally and physically for a fast, intense laborWhy her postpartum experience at home was dramatically different — and betterWhat she wants every pregnant person to know about big babies and birth optionsResources Mentioned:Bradley Method book: Natural Childbirth the Bradley WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This Thanksgiving, I’m inviting you into my heart.After more than two decades in obstetrics, raising a family, and building this platform — I’m pausing to name what I’m deeply grateful for. It’s more than a holiday checklist. This is about honoring the anchors that carry me through birth work and life.Whether you’re cooking, commuting, or just catching your breath, I hope this episode reminds you to reconnect with what’s holding you up this season.In this special episode, I share:How my body is still showing up strong at 51 (yoga poses included!)What I’ve learned from 20 years of marriage and motherhoodWhy my OB-GYN skills go beyond technique — and why that mattersThe power of a team that truly supports womenHow you — yes, you — keep this platform alive and impactfulResources Mentioned:Serial Season 1 (my first podcast love!)Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if the key to your fertility isn’t just in your hormones—but in your mouth?In this eye-opening episode, I sit down with Dr. Katie Lee, dentist, entrepreneur, and author of Saved by the Mouth, to uncover the powerful connection between oral health and reproductive outcomes. We break down how bacteria in your mouth can influence conditions like PCOS, endometriosis, and even stillbirth—and what you can do to protect your fertility, pregnancy, and long-term health.You’ll Learn:How oral bacteria affect fertility and pregnancy outcomesWhy inflammation in your gums triggers inflammation throughout your bodyThe truth about dental care during pregnancy (and why skipping the dentist could backfire)How salivary testing works—and what it can reveal about your reproductive healthEveryday oral care habits that protect your fertilityResources Mentioned:Dr. Katie Lee: collectivehealthsociety.comSaved by the Mouth by Dr. Katie LeeFollow Dr. Lee on InstagramFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Bleeding early in pregnancy can be terrifying — but in many (even most) cases, it’s not as dangerous as it seems.In this short episode, I’m unpacking what it means when you’re told there’s a subchorionic hematoma. I’ll walk you through what’s actually happening in your body, how it’s diagnosed, what it means for your baby, and — most importantly — why it’s usually not your fault.You’ll learn:What a subchorionic hematoma is and how common it really isWhy it happens (and why you didn’t cause it)How doctors monitor it over timeWhat to expect with follow-up ultrasoundsPractical tips to protect your peace during the waiting periodResources Mentioned:Follow me on Instagram for more pregnancy education: @drnicolerankinsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What happens when a perinatal psychologist — who supports women through fertility and birth trauma — becomes the patient herself?In this honest and heartfelt episode, I chat with Dr. Allison Altman, a Bay Area psychologist who specializes in women’s mental health and trauma, about her deeply personal journey through infertility, IVF, and an unexpectedly fast hospital birth. Allison opens up about the emotional rollercoaster of pregnancy after infertility, how her professional training shaped her experience, and why advocacy and flexibility made all the difference.In this episode, you’ll learn:What it’s really like to go through IVF — and how uncertainty takes a toll on your mental healthHow anxiety can show up during pregnancy after infertility (and what helps)What an IUGR (intrauterine growth restriction) diagnosis means and how to navigate induction decisionsHow Allison balanced her birth preferences with hospital protocols — and why she said “no” to breaking her water earlyThe surprising speed of her labor (from 4 cm to baby in 20 minutes!) and how she processed it afterwardWhy setting up postpartum support before birth matters more than you thinkResources Mentioned:Dr. Allison Altman’s websiteThe Birth With Power Pathway — my online childbirth classFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

If you’ve ever felt overwhelmed by medical jargon or unsure what’s really in the medications you’re offered — you’re not alone.In this episode, I sit down with Alexandra Galaska, founder of Just the Inserts, to talk about what true informed consent looks like and how to decode medical product information with confidence. From navigating medication inserts to advocating for yourself in pregnancy and postpartum, this conversation will help you feel grounded — not fearful — in your choices.You’ll Learn:What informed consent really means (and why it’s more than signing a form)How to find and read medication and vaccine insertsThe CLEAR framework for informed decision-makingHow to balance medical recommendations with your personal valuesHow to ask your provider informed, respectful questions during pregnancy and birthResources Mentioned:Just the Inserts – Free Training & ResourcesIs Your Doctor Right For Your Birth? - Dr. Nicole’s Question GuideFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

You’ve heard it all—“Tylenol causes autism” vs. “Totally safe.” Safe doesn’t mean risk-free, and you deserve the full picture.If you’re pregnant and dealing with headache, fever, or pain, this short episode gives you a clear, guilt-free way to think about acetaminophen (Tylenol). I walk you through what the research actually says, why observational studies can confuse the conversation, and how to make a smart, individualized decision with your clinician.You’ll learn:Why “safe” ≠ “risk-free,” and how OBs should communicate benefits vs. risksWhat big studies say about acetaminophen and neurodevelopment—and what they don’t proveWhy untreated fever and significant pain carry their own real risks in pregnancyA simple decision framework: lowest effective dose, shortest time, with guidanceNon-drug options to consider for pain (PT, yoga, chiropractic)Resources Mentioned:Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology (cautious, judicious use; association ≠ causation)Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability (no association in sibling-controlled analyses)Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Vaginal exams are one of the most common — and most misunderstood — parts of labor. They can empower you or leave you feeling powerless. The difference? Knowing what they really mean.In this episode, I’m giving you a sneak peek inside The Birth With Power Pathway, my upcoming childbirth education program. We’ll demystify vaginal exams — what they measure, how often they should be done, and how to make them more comfortable and respectful. By the end, you’ll understand how to stay informed, set boundaries, and keep your power every step of the way.You’ll learn:What dilation, effacement, and fetal station actually measureHow to interpret those numbers (and why they can vary between providers)How often vaginal exams are typically done — and when you can say “no”Tips to make exams more comfortable and less painfulWhat true informed consent looks like during laborResources Mentioned:The Birth With Power Pathway — join the waitlist: drnicolerankins.com/emailFollow me on Instagram: @drnicolerankinsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

When Ashley’s hands and feet started to itch, she almost brushed it off as “just another pregnancy symptom.” But that simple sign turned out to be something much more serious — intrahepatic cholestasis of pregnancy (ICP). This condition can significantly increase the risk of stillbirth.In this episode, Ashley shares how she faced ICP not once, but twice — from an unexpected early labor that left no time for pain meds to finding peace and confidence in her second birth. Her story is a raw and empowering reminder to trust your instincts, speak up when something feels off, and lean on your care team.You’ll learn:What ICP is and why early detection mattersHow Ashley’s lightning-fast first birth unfolded (and what she wishes she’d known)How her second birth experience was completely different — and healingPractical signs to watch for if you ever experience unexplained itchingWhy listening to your body can literally save livesResources Mentioned:ICP Care — support and information for families affected by ICPFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

If you’re planning a hospital birth, you may be wondering whether an epidural is right for you. You’re not alone—and you deserve clear, practical guidance.In this episode, I walk you through five essential truths about epidurals—from how well they work (and when they don’t) to timing, side effects, movement, and what they do not do to your cesarean risk. You’ll leave feeling informed, confident, and ready to make the choice that fits you.You’ll learn:Why epidurals are highly effective—yet not “magic”—and what hot spots and uneven relief mean in real life.How timing works (IV, fluid bolus, anesthesiologist availability) and realistic relief onset.When you can request one (spoiler: anytime—even fully dilated in select cases).Common side effects vs. rare complications—and simple ways we manage them.Why there’s no true “walking epidural,” but how we adjust dosing so you can push effectively.Resources Mentioned:Labor Pain Management Playbook (free): drnicolerankins.com/laborFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Today, we’re talking all about chiropractic care in the postpartum period—what it is and how it may help you heal after giving birth. Now listen, I know some doctors can be quick to dismiss things like chiropractic care or other so-called “alternative” approaches. But I really believe it's important that we expand our lens and stay open to options outside the traditional box—especially when those options may offer real benefits for postpartum healing and wellness.In this episode, we’re welcoming back award-winning prenatal chiropractor and childbirth educator, Dr. Elliot Berlin. He was a guest on the podcast way back on episode 44 and he’s back to talk about how chiropractic care can support your body during recovery. If you're curious about safe, effective ways to care for your body after baby, this one's for you!In this Episode, You’ll Learn About:How personal fertility struggles shifted Dr. Berlin from medicine to holistic careWhat chiropractors really do (and no it doesn’t always involve cracking)How restoring joint motion supports recoveryWhat the postpartum “golden window” is and how it makes chronic issues easier to resolveWhat physical stress pregnancy places on joints, muscles, and postureWhether chiropractic care is safe after giving birthHow laser therapy can support C-section recovery and pelvic floor healingHow integrating physical therapy and chiropractic care can improve outcomesWhat to look for in a chiropractorWhy postpartum recovery works best with team-based, collaborative care_________Full website notes: drnicolerankins.com/episode303Feel calm and confident before birth with the $37 Mindset Bundle! Grab it at drnicolerankins.com/calm.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

If you’ve ever wondered how you’ll let your baby go one day, this one’s for you.In this episode, my husband Falcon takes over the mic and interviews me the very week we dropped our oldest—who started life in the NICU—off at college! It’s a raw, unscripted conversation about the joy, grief, pride, and growth tucked inside every goodbye. I share how NICU memories never really leave, why presence matters more than perfection, and the mindset shift that helped me loosen my grip while keeping our bond strong.You’ll hear:How our NICU beginning still shapes my heart todayThe one mindset that made move-in day gentler (presence > perfection)How I prepared myself (not just my teen) for launchWhy honoring your child’s personality builds lifelong confidenceThe NICU resources I wish I’d had back thenResources Mentioned:Episode 76: Navigating the NICU with neonatologist Dr. Terry Major-Kincade drnicolerankins.com/episode76Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What happens when you actually pause—without guilt, without pressure? Clarity shows up. Peace returns. Purpose sharpens.This mini episode is me sharing five lessons from my summer reset—family first, listening for divine guidance, returning to my core values, remembering I am what I teach, and using social media with intention. I’m back with more joy, more clarity, and a big update on the Birth with Power Pathway.You’ll learn:Why time with family is never a regret—and how presence restores you.How stillness opens space to hear what you’ve been asking for.The 3 values that ground Birth with Power: service, authenticity, simplicity.A reminder that you can be calm, confident, and powerful—because I live it, too.A healthier way to use social media (yes, I deleted the apps from my main phone).Resources Mentioned:Join my email list for first access + launch bonus: drnicolerankins.com/email.Follow me on Instagram: @drnicolerankins.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This Power Replay episode brings back a candid and heartfelt discussion where I share my personal perspective on the term “pregnant people.” It’s a short but powerful conversation about identity, inclusion, and why language matters in the world of pregnancy and birth.You’ll hear how I navigate using terms like “pregnant woman” and “pregnant person,” and how my experiences as a Black woman and as a parent have shaped my approach. This episode is all about honoring diverse identities while still seeing and affirming yourself.Whether you’ve never thought much about this topic or it’s something that sparks strong feelings for you, I hope you’ll listen with an open heart.I’d love to hear your thoughts! Send me a message through my website at drnicolerankins.com/contact or DM me on Instagram @drnicolerankins.👉🏽 Sign up for my email list to stay connected and get more great pregnancy and birth content: drnicolerankins.com/emailFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is a power replay and one you don’t want to miss!We’re revisiting one of the most insightful and important topics I've covered: physiologic birth. I was inspired to do this episode by Certified Nurse Midwife Gianna Fay, who raised a critical question - how do we define and support physiologic birth, especially in a hospital setting?As an OB/GYN, I wasn’t taught much about this, and I had to dig in and learn myself. In this episode, I break down what physiologic birth really means, what disrupts it, why it’s beneficial, and how YOU can be supported in having one.You’ll learn:How normal physiologic birth is definedWhich factors can disrupt the process (and how many of them are routine in hospitals)What benefits physiologic birth can offer to both you and your babyWhy hospital protocols often contradict best practicesThe truth about pushing techniques, fetal monitoring, labor positions, and moreHow you can advocate for yourself and demand change in a system slow to evolveWhether you're planning a physiologic birth or not, this episode will leave you informed, empowered, and ready to make the best decisions for your birth experience.👉🏽 Be sure to sign up for my email list for more helpful resources at drnicolerankins.com/email.You deserve a beautiful pregnancy and birth!Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week’s episode is a Power Replay of one of the most important messages you need to hear..We often hear the phrase, “just be happy to have a healthy baby.” But that mindset overlooks something deeply important - your birth experience matters too. In this short but powerful episode, I share why it's not only okay to have birth wishes beyond physical health, it's necessary.Birth is a rare and transformational event. Of course you want a healthy baby. But you also deserve to be listened to, respected, and treated with compassion throughout the process. Your emotional well-being and how you’re treated during labor and delivery are just as vital as your physical health.Let this episode be a reminder: the bare minimum is physical health. You deserve so much more.👩🏾‍⚕️ Ready to stay informed and empowered? Join my email list for updates, resources, and support at drnicolerankins.com/emailFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week’s episode is a Power Replay and we’re diving into one of the most fascinating parts of pregnancy that often doesn’t get enough attention - the placenta! Yep, it’s an organ, and it's your baby’s lifeline throughout pregnancy. This episode is packed with essential info every expecting parent should know.You'll learn all about what the placenta does, where it forms, and how it supports your baby’s growth and development. I also break down common (but thankfully rare) complications like placenta abruption, placenta previa, and placenta accreta, including who’s at risk and why they matter.We also explore some of the more debated practices—placenta encapsulation and lotus birth. Curious about eating your placenta or leaving it attached to your baby? I’ve got you covered with the facts and what to think about before making your decision.What You’ll Learn in This Episode:What the placenta is and how it functionsHow and why placental issues occurWhat makes conditions like placenta accreta so seriousThe real deal on placenta encapsulationWhy some parents choose lotus birth and whether it's beneficialWhether you're preparing for your first birth or brushing up your knowledge, this episode will leave you more informed and empowered about this incredible organ.🎧 Tune in now—and don’t forget to join my email list for more empowering pregnancy content at drnicolerankins.com/emailOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is a power replay and it's one worth tuning into if you've ever wondered: Is it okay to drink coffee while I'm pregnant?Join me as we dive into what the research says (and doesn't say) about caffeine during pregnancy. We'll talk about why the data is mixed, what a “safe” amount of caffeine looks like, and how things like brewing method and even your body’s metabolism affect caffeine's impact. I’ll also share what I did during my own pregnancies and how to be mindful about your caffeine intake without stressing too much.Plus, I point you to a helpful resource from the Center for Science in the Public Interest that gives you the caffeine content of your favorite drinks (Starbucks lovers, take note!).Whether you're newly pregnant, trying to conceive, or even breastfeeding, this episode is packed with the practical info you need to enjoy your daily cup (or two) with peace of mind.🎧 Don’t forget to subscribe so you never miss a replay or a new episode!💌 Want more helpful tips delivered straight to your inbox? Sign up for my email list at drnicolerankins.com/emailOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week's episode is a Power Replay that’s packed with essential info every expecting parent should hear.Amniotic fluid might not be something you think about every day, but let me tell you, it plays a huge role in your baby’s health. Whether it’s too little or too much, the amount of amniotic fluid matters. And understanding it can help you feel more confident and informed as you navigate your pregnancy journey.In this replay, I’m breaking it all down for you:What exactly is amniotic fluid and why it's so importantWhat it's made of and how it's createdHow we measure it (and why those measurements matter)What happens when there’s too little (oligohydramnios) or too much (polyhydramnios)What causes these conditions and how we manage themI'll also share personal insights from my own pregnancies—yes, I had polyhydramnios myself—and what that experience was like.Whether you're preparing for birth or just want to deepen your understanding, this episode is a must-listen.👉🏽 Be sure to sign up for my email list at drnicolerankins.com/email to stay in the know and get even more empowering pregnancy info delivered right to your inbox.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is a Power Replay you’ll definitely want to hear! If you’re pregnant and wondering whether it’s really a big deal to sleep on your back — or why your sleep feels so off in general — this short episode has the answers.Tune in as I dive into:How your sleep changes across each trimesterWhy back sleeping is discouraged (and what the real risks are)What “supine hypotensive syndrome” means for you and your babyEasy strategies to help you get better rest (including why chamomile tea might not be your friend!)And if you ever wake up on your back and panic? Don’t! I explain why it’s not something to stress about and what to do instead.Get the reassurance and tips you need to sleep better during pregnancy.Want more helpful info like this? Be sure to sign up for my email list at drnicolerankins.com/email!Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week’s episode is a power replay of a listener favorite all about... your due date! Yep, that little date carries a whole lot of weight. From test scheduling to birth decisions, your due date impacts nearly everything during pregnancy, which is why it’s so important to get it right.But here’s the truth: only about 4% of babies are actually born on their due date. In this updated episode, I explain why I actually hate the term “due date” and what I think we should be doing instead. You’ll learn how due dates are determined, why accuracy matters so much, what a suboptimally dated pregnancy means, and what your real options are if you go past your due date.We also talk about the risks of late-term and post-term pregnancies, and why informed, individualized decision-making is the most empowering approach.In this episode, you’ll learn:Why your due date is so much more than just a countdownThe most accurate way to determine your due date (hint: it's all about timing)What happens if your pregnancy goes beyond 40 or even 42 weeksWhy due dates shouldn’t be treated like expiration datesWhat stillbirth risk actually looks like — and how it changes week by weekYour options if you go past your due date and how to make the best choice for you✨ Ready to stay informed and empowered throughout your pregnancy journey? Join my email list at drnicolerankins.com/email for exclusive updates, discounts, and more expert tips delivered straight to your inbox.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

It’s Power Replay time! In this quick and fun storytime episode, I’m sharing how I found out I was pregnant with both of my sweet girls and let’s just say, all of my OB/GYN training went right out the window both times!You’ll hear the unexpected twists and honest moments from my own journey to motherhood, including how I nearly scheduled surgery before realizing I was pregnant and how I completely missed the signs the second time around. Yes, even OB/GYNs can be totally surprised by a positive test!Plus, I share a few tips about pregnancy tests and early signs that might surprise you too.If you’ve got your own “I didn’t know I was pregnant” story, I’d love to hear it! DM me on Instagram @drnicolerankins or email me through my website.✨ Don’t miss the chance to join my email list for even more insights, tips, and support: drnicolerankins.com/emailOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is a Power Replay that’s packed with gems to guide you through your pregnancy, birth, and postpartum journey with confidence and grace.With nearly 15 years of experience as an OBGYN and thousands of births under my belt, I know firsthand that while birth is unpredictable, you can absolutely be prepared. In this replay, I’m sharing 11 powerful, must-know tips that will help you be calm, confident, and empowered—no matter what your birth looks like or where it happens.From building a support system and preparing for the unexpected, to taking care of yourself and bonding with your baby before they’re even born, these tips are relevant whether it’s your first baby or your fifth. Trust me, you’ll want to take notes.Here’s what you’ll learn in this episode:How to make the most of every prenatal care visitThe importance of attending all your checkups and being prepared for themWhat a strong support system looks like and why it mattersHow to have better communication with your birth partnerSweet ways to bond with your baby during pregnancyWhy self-care is necessary, not selfishTools for managing the stress that comes with this transformational timeIf you want to feel more grounded, informed, and in control during this journey, this episode is a must-listen.🎧 Tune in now and take the first step toward a beautiful experience.👉🏽 Be sure to sign up for my email list for more pregnancy and birth tips at drnicolerankins.com/emailOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This power replay episode is a must-listen if you’re wondering whether baby aspirin should be part of your pregnancy care plan.In this short and information-packed replay, I break down everything you need to know about baby aspirin—what it is, why it’s prescribed, and most importantly, who should be taking it. You’ll learn how this simple, low-cost medication can significantly reduce the risk of preeclampsia and related pregnancy complications like preterm birth and growth restriction.We’ll also talk about when to start taking baby aspirin, how much is recommended, and which risk factors make someone a good candidate. Spoiler alert: you may be eligible even if your pregnancy seems low-risk.If you’re looking for clarity and peace of mind around this common prenatal recommendation, this episode has you covered.👉🏽 Want more evidence-based tips like this delivered straight to your inbox? Sign up for my email list at drnicolerankins.com/email.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week’s episode is a Power Replay that felt especially timely to revisit at the midpoint of the year. It’s a great moment to pause, reflect, and recommit to the values and visions that matter most for pregnancy, birth, and maternal health.In this heartfelt episode, I share 10 loving-kindness wishes inspired by Metta meditation—a practice rooted in compassion and goodwill. Originally shared at the start of 2025, these wishes are just as powerful now as they were then, and they continue to represent what I want for the people I serve and for the world we live in.These wishes speak to safety, respect, support, empowerment, healing, and more. They are for you, your loved ones, and anyone walking the path of parenthood. Let them be affirmations, reminders, or moments of pause throughout your day.Whether you’ve heard this before or it’s your first time, I hope it offers inspiration, healing, and connection.💌 Be sure to join my email list at drnicolerankins.com/email so you never miss updates, insights, and support for your pregnancy and birth journey.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

👋🏾 This episode is a Power Replay of one of the most important messages I’ve ever shared — nothing should happen to you during your birth without your consent. Period.Whether it's a vaginal exam, breaking your water, starting Pitocin, or performing an episiotomy, your provider must have a clear, informed discussion with you about the benefits, risks, and alternatives, and receive your explicit consent before doing anything.In this short but powerful “Dr. Nicole Says” episode, I walk you through what real consent sounds like, how it differs from the all-too-common “I’m just here to check your cervix” script, and why being informed and empowered is non-negotiable for your birth experience.💡 You’ll learn:How “nice” providers can still bypass consentReal-life examples of consent done rightWhy childbirth education is essential to advocating for yourselfYou are the center of your birth. And you have the right to say YES—or NO.📧 Want more empowering, evidence-based info straight to your inbox? Sign up for my email list at drnicolerankins.com/emailOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this short and personal episode, I share a personal update, what’s coming next, and an invitation to reflect on where you might need rest too.Our Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Today we’re talking about something that is beautiful, powerful, and yes—potentially life-saving: feeling your baby move. In addition to the emotional connection, it’s also an important way to stay in tune with their wellbeing. But there’s a lot of inaccurate advice and fear out there. You’ll hear so many opinions about kick counts, what’s normal, and when you should call your doctor. It can feel incredibly confusing. So today I’m giving you the info you need on understanding your baby’s movement so you can feel calm, confident, and empowered through every kick, roll, and twist.In this Episode, You’ll Learn About:When you should start feeling your baby moveWhat's normal for fetal movement and what's notHow to tune into your baby's pattern without stressing yourself outWhen counting kicks can be a helpful tool—and when it’s not necessaryWhat the research says about tracking fetal movement and preventing stillbirthWhen to see your doctor or midwife for changes in your baby’s activityFull website notes: drnicolerankins.com/episode302Feel calm and confident before birth with the $37 Mindset Bundle! Grab it at drnicolerankins.com/calm.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

After experiencing a miscarriage, Melissa decided to heal, both emotionally and physically, before trying again. In this episode, she shares how therapy and doing her homework helped her process the loss and feel ready to try again.From the exhaustion of prodromal labor to the raw intensity of pushing and a third-degree tear, Melissa shares a beautifully honest and empowering account of her journey. There’s so much goodness in this episode—real talk, helpful tips, and lessons that can truly make a difference for your own birth experience.In this Episode, You’ll Learn About:What Melissa experienced during her miscarriageHow therapy helped her process the loss and feel ready to try againHow soon she got pregnant for the second timeWhen she learned she had a fibroid and what it meantHow she educated herself before giving birthWhy she chose midwifery care and how her provider’s approach influenced her birth experienceWhat it felt like to go through prodromal labor for days before true labor beganWhat made labor so much harder than she expectedWhich degree of tearing she had during deliveryWhat surprised her about postpartum healing_________Full website notes: drnicolerankins.com/episode301Feel calm and confident before birth with the $37 Mindset Bundle! Grab it at drnicolerankins.com/calm.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Intense pregnancy itching might be a sign of a serious condition called cholestasis of pregnancy—a liver disorder that affects pregnancy and can increase the risk of stillbirth. In honor of ICP Awareness Month this June, I’m joined by Donna Benavides, founder of the nonprofit ICP Care, to talk about her personal journey after tragically losing her first son due to cholestasis of pregnancy.Donna is here to share what everyone should know about this rare but potentially dangerous pregnancy complication. She’s sharing her critical insights about symptoms to watch for, the importance of self-advocacy, and how to get the right care. If you’re pregnant or planning to be, this is must-know information to help you protect your baby and your peace of mind.In this Episode, You’ll Learn About:What the signs and symptoms of cholestasis of pregnancy areWho is most likely to experience cholestasis of pregnancyWhat testing and treatment involveHow long test results can take—and why timing mattersWhether cholestasis of pregnancy can be preventedHow to advocate for yourselfWhich kinds of support can make a difference in your careHow ICP can affect future pregnancies_________Full website notes: drnicolerankins.com/episode300Feel calm and confident before birth with the $37 Mindset Bundle! Grab it at drnicolerankins.com/calm.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Episiotomy is not routine anymore, but it hasn't gone away. If it's done without your consent or because your doctor's in a hurry, that’s a problem. So let's talk about it! Because when you understand what an episiotomy really is, when it's actually needed, and how to protect yourself from one that isn't needed, that's when you step into your power.I first covered this topic back in 2020 but I want to circle back to it because I’d like to come out harder with my thoughts on consent, power, how doctors' habits can shape your birth, and things you can do to protect yourself. So whether this is brand new for you or something you've heard horror stories about, stay with me because I'm giving you the real deal on what to watch out for in labor so nothing is done to you without your consent.In this Episode, You’ll Learn About:What the biggest predictor of whether you will get an episiotomy isWhy it’s important to discuss your doctor’s approach ahead of timeHow rates have changed over timeWhat the two types are and how they differWhen it may actually be necessary — and how rare that isWhat language during labor can signal an episiotomy is about to happenWhat the healing process is like and when to seek pelvic floor support--Full website notes: drnicolerankins.com/episode299Feel calm and confident before birth with the $37 Mindset Bundle — grab it at drnicolerankins.com/calm.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In the last birth story episode, episode 295, I shared a story of a home birth that went beautifully. Today, we’re exploring the other side of that experience—because while out-of-hospital births can be wonderful, they can also come with real risks. My guest, Megan, joins me to share her second birth story, which started at a standalone birth center and turned into a life-threatening emergency involving a cord prolapse and an urgent hospital transfer.This is an emotional and important conversation about the realities of rare birth complications, the gaps that can exist between birth centers and hospitals, and why it’s so important to ask questions—no matter where you’re giving birth. And yes, even if you're planning a hospital birth, there are key lessons here around communication, continuity of care, and preparing for the unexpected. Megan’s story is one of strength, resilience, and ultimately, healing—and I’m honored to share it with you.In This Episode, You’ll Learn About:Why Megan chose a hospital for her first baby and a birthing center for her secondWhat a cord prolapse is and why it’s a true obstetric emergencyHow her low-risk birth escalated to a life-threatening situationWhy relationships between birthing centers and hospitals are so importantWhat happens when the nearest hospital isn’t fully equipped for labor and deliveryWhy her cord prolapse required immediate delivery through emergency C-sectionHow Megan is healing from birth trauma and preparing for a future VBAC--Full website notes: drnicolerankins.com/episode298Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Struggling to sleep during pregnancy or postpartum? You are definitely not alone. And it’s not just about being tired - it’s a chronic condition that deserves attention. Up to 80% of women experience insomnia by the third trimester, and many continue to struggle even two years postpartum. So if you’re having trouble, seek help.In this episode, I’m joined by clinical psychologist and sleep specialist Dr. Daniella Marchetti to break down why sleep can feel so elusive in motherhood and what you can do about it. We’re talking real strategies, the truth about melatonin and Benadryl, and why “sleep when the baby sleeps” just doesn’t cut it. Tune in—this episode might just change your nights.In this Episode, You’ll Learn About:What really causes insomnia during pregnancy & how it’s different than just having a tough nightHow long it takes most people to seek help for sleep issuesHow common insomnia is in pregnancy and postpartumHow sleep slips through the cracks during pregnancy careWhich sleep disorders are most common during pregnancyWhy quality rest matters so muchWhat CBT-I is (Cognitive Behavioral Therapy for Insomnia) — and why it worksWhen to seek help for insomniaWhat sleep hygiene meansWhether or not sleep trackers are actually useful--Full website notes: drnicolerankins.com/episode297Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

I never intended to talk much about home birth—mainly because I’ve never attended one myself. But here we are. Why? Because if we’re serious about making hospital birth safer, more respectful, and more empowering, we have to take a close look at what home birth gets right.This episode is not about debating home versus hospital birth. It’s about asking a better question: what actually works? I walk you through the reasons some women choose home birth, what the research says about its safety, and—most importantly—what lessons the hospital system needs to learn from the home birth model.In This Episode, You’ll Learn About:Why some people choose home birthWho attends a safe birth at home and why training mattersHow many U.S. births actually happen at homeWhat the data says about safetyWhy fewer medical interventions happen at homeHow often planned home births transfer to hospitalsWho out-of-hospital birth is for—and who it’s not forHow the U.S. falls short on midwife-hospital teamworkWhy emotional safety is just as important as clinical safety--Full website notes: drnicolerankins.com/episode296Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

With Mother’s Day around the corner, I want to share something really personal—what it’s actually like to be a mom (or mommy as my girls call me :)). In this episode, I’m getting real about the 10 best and worst things about motherhood. Whether you're already a mom or you're pregnant and wondering what lies ahead, this one’s for you. It’s honest, raw, and from the heart—because motherhood deserves to be seen in all its messy, beautiful truth.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This episode is a first for the podcast: I’m sharing a home birth story. While I primarily focus on hospital births, I wanted to learn more and see what we might take away from this experience to make hospital births better.Lauren joins me to share her beautiful, deeply thoughtful journey into birthing from home after having her first baby in a hospital. This wasn’t a choice she made lightly - she did her research, worked with a trained provider, and had a backup plan in place. What she found was a level of trust, respect, and personalized care that’s worth talking about. Even if home birth isn’t on your radar, this story offers powerful lessons that anyone preparing for birth can take to heart.In this Episode, You’ll Learn About:Why Lauren chose home birth for her second deliveryHow she weighed the risks and benefits of hospital vs home birthWho made up her support teamHow she prepared for the possibility of a hospital transferWhat changed when Lauren labored in a space that was hersWhich position she gave birth inWhat it was like to rest in her own bed right after birthHow the birth certificate and paperwork were handled--Full website notes: drnicolerankins.com/episode295Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Did you know your blood type can impact not just your current pregnancy, but future ones too? In this Thursday short episode, I’m breaking down what it means to be RH negative, how RhoGAM works, and why this small shot can prevent serious complications. Every woman and birthing person deserves to understand how something so simple can make such a big difference!Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if you're not ready to stop breastfeeding but you're burned out from the constant demands? Or maybe you’re thinking of breastfeeding beyond the baby stage? In this episode I'm talking with Erin Harris, a certified lactation educator and the creator of Nursing Mamas, about the very real and rarely discussed world of extended breastfeeding.I am so excited to talk about this topic because I’ve never talked about it before and honestly, I haven’t really heard that much about it, and I suspect the listeners will feel the same. If you’re nursing past that first year, or thinking about it, this episode is a must listen!In this Episode, You’ll Learn About:What extended breastfeeding actually meansHow Erin’s personal journey led her to supporting othersHow to recognize breastfeeding burnoutWhat the four emotional stages of extended nursing look likeHow to tell when it’s time to wean — for you or your toddlerWhat the real benefits and challenges of toddler nursing areWhy boundaries are essential for extended nursingHow toddler nursing compares to infant nursingWhat it’s like to breastfeed a baby and a toddler at the same time--Full website notes: drnicolerankins.com/episode294Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Just because labor moves fast doesn’t mean pushing will! In this powerful storytime episode, I take you into the delivery room with me for a birth that had a fast start, a long push, and a beautiful ending. You’ll learn why patience, positioning, and the right support team are everything—plus what to expect when birth doesn’t follow the script.Only for subscribers, so make sure you're signed up!Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if I told you that understanding your birth environment is one of the most powerful ways to take charge of your birth? When you know what to expect at every stage—from check-in to how labor progress is assessed—you can make informed choices and feel more confident. That’s exactly what we’re talking about today with The B.I.R.T.H. Blueprint, a simple way to understand the lay of the land in labor and truly own your birth experience.The B.I.R.T.H. Blueprint is actually part of my brand-new Birth With Power Pathway online childbirth education class, launching this May! This course is designed to help you take charge of your birth with confidence and clarity. While I’m putting the finishing touches on the class, enjoy a sneak peek at one of the most important lessons!In this Episode, You’ll Learn About:B - Begin at Arrival: What to expect when you arrive at the hospitalI - IV Fluids & Monitoring: How it works & how to stay mobileR - Refuel: Eating and drinking in labor - What’s really safe to eat in laborT - Track Progress: How labor progress is assessedH - Hustle or Hold Still?: Movement & positioning during labor--Full website notes: drnicolerankins.com/episode293Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Heard scary stories about Pitocin? You’re not alone—and you deserve real information, not fear. In this quick and powerful episode, I’m sharing 10 fast facts about Pitocin: what it is, how it works, and what you actually need to know before it’s offered during labor. Walk away feeling informed, prepared, and empowered to make the best choices for your birth.Want more tips to help you feel calm, confident, and empowered for birth? Get my weekly email, The Birth With Power Brief. You'll get exclusive insights, real talk, and practical tools delivered straight to your inbox. Sign up at drnicolerankins.com/email.Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Epidural or unmedicated: how do you know what’s right for you? Danica has done both and in this episode she takes us through her journey of having two epidural births followed by an unmedicated one—her biggest baby yet! She shares what worked, what didn’t, and how she felt in those first moments postpartum. It’s going to surprise you. If you’re weighing your pain management options, you won’t want to miss this episode!In this Episode, You’ll Learn About:What it felt like to labor unmedicated after two epidural birthsWhy she chose epidurals for her first two babiesHow support from her sisters-in-law helped her decision-makingWhich position gave her the most reliefHow her labor progressed quickly—especially after her water brokeWhat made the moments after birth harder than she expectedWhat her postpartum recovery felt like compared to her previous birthsWhy she’s glad she experienced both medicated and unmedicated birth--Full website notes: drnicolerankins.com/episode292Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The right support can make all the difference in your birth experience. 💕 From your doctor to your partner to your labor nurse, your Circle of Support should empower and uplift you every step of the way.In this episode, I break down exactly who should be on your birth team and how to ensure they align with YOUR birth wishes. Because a supported birth is a safe birth! LINKS MENTIONEDHow To Choose A Doula - drnicolerankins.com/episode218Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Did you know that practicing prenatal yoga can actually shorten your labor by up to three hours? Or that simple breathing techniques might help manage your blood pressure during pregnancy? In this episode, I'm joined by Dr. Shilpa Babbar, a double board-certified maternal-fetal medicine specialist, researcher, and yoga instructor. We dive deep into the science-backed benefits of prenatal yoga, how it can support you physically and emotionally, and the misconceptions that might be holding you back. Tune in to learn why yoga is more than just movement—it's a powerful tool for pregnancy and birth!In this Episode, You’ll Learn About:How prenatal yoga differs from other types of yogaWhich yoga poses and practices should be avoided during pregnancyWhat recent research reveals about prenatal yoga’s benefitsWhich common pregnancy issues it can help withHow breathing techniques can support blood pressure regulation during pregnancyHow yoga can potentially shorten labor and increase the chances of vaginal birthWhat role yoga and breathwork can play in labor preparation and pain managementWhy integrative medicine is gaining traction among high-risk pregnancy doctors--Full website notes: drnicolerankins.com/episode291Check out The Birth Preparation CourseRegister for the class How to Make a Birth Plan the Right WayFree Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if the key to a calm, confident birth was all in your mindset? In this episode, I introduce the MAMA Mindset, part of my new Birth with Power Pathway framework. You’ll learn how Meditation, Affirmations, Movement, and an Attitude of gratitude can transform the way you approach birth—helping you feel calm, confident, and empowered. Tune in to discover simple yet powerful strategies to train your mind for the beautiful birth experience you deserve! Free Resources to Help You Birth With PowerGet the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patientsOur Sponsors:* Check out Avocado Green Mattress: https://AvocadoGreenMattress.com/DRNICOLEAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy