00:06:20.120And I had this fantastic nurse who had just come in on a shift change.
00:06:23.400and she was like, we're going to get this baby out of you. I'm like, I believe in you. I have
00:06:26.380a peanut ball and we're going to do all these things. And she's like, I have a method. I'm
00:06:29.960like, okay, great. I'm glad you do because I don't. Those methods and all that advice,
00:06:36.680that is what we're getting into in this podcast. We're talking to moms who you heard above,
00:06:42.200but we're also talking to doctors, nurses, doulas, and dads. We're bringing everyone on to find out
00:06:49.080what you want to know, what you need to know, and how you can best prepare for this birth.
00:06:54.160Some of the best advice that I got as a new mom and as a reporter writing about birth
00:06:59.740is that we have to include the birthing partners as early as possible in this process. A birthing
00:07:06.400partner should be reading all the things, listening to the podcasts, watching the videos,
00:07:11.560and attending the classes. Because trust me, the last thing you want to be doing while giving birth0.80
00:07:16.460is playing telephone with all the information that you're getting during a pregnancy.
00:07:20.800I think I made just about every single OB appointment that my wife went to for both of
00:07:27.020our kids. I learned a lot. You know, I'd never held a baby before my first daughter was born,
00:07:32.380so I had absolutely no clue what I was doing. And those OB appointments taught me so much.
00:07:38.060Two, they were this bonding moment or moments for my wife and I where, you know, we'd go to
00:07:44.260the appointment together. We'd talk about it beforehand. We'd talk about what the doctor said
00:07:48.800afterward. And we became so much closer for that. The other thing that I wasn't expecting to go so
00:07:58.260deep on, but my parents got us a copy of the American Academy of Pediatrics, big book. And I
00:08:05.900read that out loud to my wife. There's a section on pregnancy and then on birth and then on how to
00:08:13.280how to have a newborn. And reading that together at night was so amazing in terms of
00:08:19.340developing skills, but also just understanding what was coming.
00:08:25.980Let me introduce myself. I'm Joe Piazza. I'm a journalist, a podcaster, and a mom of three.
00:08:33.580Right now, my kids range in age from two to seven. I've given birth in a hospital three times.
00:08:39.880Two of my babies were delivered by midwives and one by an OB-GYN.
00:08:44.600For the first birth, I had the help of a doula, and for the next two, I decided to just wing it.
00:08:49.240My first labor lasted 36 hours, and the last one was induced and lasted about 45 minutes.
00:08:55.820I've been in hospital rooms with friends giving birth, and as a journalist, I've seen babies born on the floor of a hut in rural Kenya.
00:09:03.880I think a lot about something the sociologist Barbara Katz-Rothman said about the process of birth.
00:09:09.240Birth is not only about making babies. Birth is about making mothers. Strong, competent, capable mothers who trust themselves and know their inner strength.
00:09:21.540In order to trust yourself, you need good information. And that's what I'm here for. Let's do this. Together.
00:09:29.000to start us off i want to bring on someone who might be in your shoes
00:09:35.780laura is pretty much going to give birth any minute now how far along are you right now
00:09:41.100almost 38 weeks every day every little thing is like oh my gosh do i need to go to the hospital
00:09:47.740now do i need to go to the hospital now do i need to go do i need i know i want to i'm so ready
00:09:53.180oh my god i know i know my one of my good friends just gave birth uh the other day and we we were
00:10:00.800hanging out when she was at 38 weeks and she's like could i get any bigger and i'm like oh my
00:10:05.760gosh get bigger oh yeah don't worry you can even though you think you can't like i don't know why
00:10:11.900but when i was my first pregnancy i remember thinking like surely the baby's gonna plateau
00:10:16.960like surely they stop growing after a certain period of time no they do not no they do not
00:10:22.380no they do not there is always room to get bigger my friend always I'm at the point where like even
00:10:30.300my maternity shirts are riding up at the bottom so I always have a little bit of belly sticking
00:10:34.620out and I'm like oh my gosh I just yeah yeah you just own that is what you do you do totally so
00:10:41.260how are you feeling I mean what would you tell your first time pregnant self oh my gosh I would
00:10:45.360say this is the first lesson in parenting is that nothing is certain you can plan and you can think
00:10:53.900you know what's coming and you can read all the things and you can keep googling and googling and
00:10:58.540googling but you never actually know what's about to happen and you cannot control your kid at all
00:11:05.500they have their own agenda they come when they want to it's the greatest lesson in parenting like
00:11:10.400you got to embrace the uncertainty and you have no control like you cannot control them you cannot
00:11:15.200control when they sleep you cannot control what or when they eat you just have to live with that
00:11:21.520you just yeah and i think that is the best advice for giving birth you're like okay yes it's gonna
00:11:27.440happen yep and you're gonna get through it but you don't have a whole lot of control
00:11:33.380about how it's gonna go down nope not at all not at all no yeah and social media you know and all
00:11:41.100the things you read can kind of give you like this illusion of control, you know, and I think
00:11:45.480that's how I felt going into my first pregnancy was like, you know, I had the birth plan. I thought
00:11:50.720it was going to go a certain way and it completely went the opposite way that I thought it was going
00:11:55.940to go. So I, I now, you'd think I would have learned my lesson, but I'm still, I'm still
00:12:02.840trying to grasp at control. Like I'm, I'm so ready. So I'm like, how could I make this happen
00:12:07.720on my terms but you can't but you can't we are going to take a really quick break here
00:12:12.880and when we get back we're going to talk about the things that you actually can control
00:12:16.880what you can control is something i really want to touch on in this first episode because the
00:12:33.500truth is that you can do all the right things to prepare your body and your mind, and your baby
00:12:38.940might just have different plans than you do. And that is okay. In fact, it's totally normal.
00:12:46.220Before we really dig in, I wanted to chat with some doctors about what we can and what we can't
00:12:50.780control when it comes to giving birth. What parts of birth are generally within someone's control,
00:12:57.420And then what parts are we just leaving up to the universe?
00:13:02.000I'll say that the human body is pretty amazing.
00:13:05.480And to remember to have respect for that.
00:13:18.080But sometimes you don't feel like we have control over that, right?
00:13:21.100Like your body is changing and doing things, whether you like it or not.
00:13:25.260It's also important to remember that as an OBGYN, I'm taking care of two patients at a time, right?
00:13:31.380So I'm watching the birthing patient, but also we're keeping a really close eye on baby when you're in labor.
00:13:40.480And the way that we do that is watching baby's heart rate.
00:13:43.500And so labor might be progressing and your body's doing exactly what it needs to, but sometimes babies don't tolerate that for whatever reason.
00:13:51.060like the cord's getting pinched somewhere, the placenta is ready to be done. And we see signs
00:13:57.200of that. And that can be really frustrating for patients when we say, you know, this isn't going
00:14:03.120the way and it can feel like it's very out of your control because it is. And it turns out
00:14:08.320even when they're bored, kids do what they want. You know, they just sometimes don't listen to us.
00:14:14.120I would say it's more often than sometimes. Yeah, me too. I have to. Yeah. Yeah. I mean,
00:14:20.160It is definitely more often than sometimes.
00:14:23.420I've posed this question to dozens of medical professionals while reporting this podcast.
00:14:29.780And everyone stresses that there is truly so much you can't control about a birth and what a baby is going to do.
00:14:36.100The only things you really have control over are how you and your partner handle things as you go through it.
00:14:41.840I asked the midwife, Victoria Dean, the same question.
00:25:43.100And that is not not at all what happened.
00:25:45.240But those were my expectations going in.
00:25:47.400In the next episode, we're going to walk you through the nitty gritty of how to build your
00:25:50.860birth team and also how to choose where to give birth. And later on in this series,
00:25:55.460you're going to hear all of the things. What do labor contractions actually feel like?
00:26:00.400It felt more like a tightening of my guts. It felt like, I described it to someone as like,
00:26:06.940if you ever go out for Mexican food and you have a ton of tacos and like split two pictures of
00:26:11.380margaritas and you wake up the next morning and your stomach is like, oh, like that's how it felt.
00:26:15.760And then it would stop. So that was neat. It wasn't like my leg is, you know, crushed under a piano that fell on me and the pain is all the time.
00:26:22.920It was like, oh, my God, oh, my God. Oh, OK. A couple of deep breaths. I'm like, I'm good.
00:26:26.960And then a few minutes later, like, oh, my God, oh, my God. Oh, no, I'm OK. OK, great.
00:26:30.280Real life rundowns of getting an epidural.
00:26:32.500I got the epidural and it was the first time in six months I hadn't been riddled in pain. I mean, I took a nap.
00:26:37.460We're talking to women who've had planned C-sections.
00:26:40.280It's probably not going to be what you expect. It's great to prep.0.98
00:26:43.460But I think what really struck me about my planned C-section was just how nervous I felt and how still there were things that surprised me.
00:26:55.440It's a weird experience, and I will say, like, I had a great medical team.
00:27:00.180They explained everything that was happening, but it still was, it still felt very strange.
00:27:08.720Women who've had emergency C-sections.
00:27:10.660suddenly there are without exaggeration five doctors multiple nurses two anesthesiologists
00:27:19.580they grab the sheets they move me onto a gurney they roll me down the hall it looked like something
00:27:24.980out of gray's anatomy like we were running down the hall people they were shouting ahead of them1.00
00:27:30.300nurses are pulling open doors we are running a woman who planned for everything and then had1.00
00:27:36.320very run-of-the-mill vaginal births. By the time the doctor was like, okay, let's try pushing.1.00
00:27:41.780I tried pushing and she's like, whoa, literally like close your knees. I have to get a gown on.0.92
00:27:48.340She wasn't like fully ready, but she was like right there. If you take anything away from this,
00:27:54.960it's that the unexpected may very well happen, but also you're going to be okay.
00:28:01.820and you really do deserve to give birth with people that you feel comfortable with
00:28:07.240people that are going to support you and help you through this experience
00:28:10.300and at the end of the day nothing might go the way you planned it
00:28:14.060but some of the best advice that i got the first time i was pregnant
00:28:17.460was that babies get out of your body one way or another
00:28:21.420you've got this and you can do this what i will say is you'll get through it no matter
00:28:30.100no matter which way it goes. One child we had was a natural birth without medicine. And the
00:28:36.300second one was an emergency C-section, extremely premature in three months in the hospital. Both
00:28:42.340of them turned out amazing. I had three C-sections, one emergency C-section and two planned.
00:28:49.580And I have three beautiful daughters. Birth works, you know, it does. Bodies do know how to give birth
00:28:57.560and there is plenty of support for the birthing person wherever they go it's a matter of really
00:29:03.820knowing what your goals are knowing like the things that are most important to you in your
00:29:08.180birth experience so that your team can really give you the experience that you're hoping to have
00:29:14.120babies come out all kinds of ways birth stories are you know all types of journeys people take
00:29:21.200to have their babies and their babies get here and just know that at any given time that you
00:29:27.300give birth there are you know thousands of women who are giving birth the same day all around the
00:29:32.740world you are not alone even though it might feel like that sometimes