Roxanne breaks down Intrahepatic Cholestasis of Pregnancy (ICP) —a pregnancy-specific liver condition (about 2–3% of pregnancies) where bile acids build up in the bloodstream, often causing intense itching on palms/soles with no rash. She reviews other possible symptoms (jaundice, dark urine, light stools, fatigue, right upper quadrant pain), how diagnosis is made with symptoms plus bile acid labs (and sometimes liver enzymes), and how treatment depends on bile acid levels. Roxanne discusses options such as meds to lower bile acids and improve itching, fetal monitoring (NSTs/BPPs), and sometimes induction as early as 36 weeks—especially if bile acids are over 100. She explains baby risks (preterm birth, respiratory distress, stillbirth), including stillbirth rates. ICP usually resolves after birth but can recur (40–60%).

00:00 Welcome and Overview

00:16 Meet the Hosts

01:04 ICP Symptoms and Why It Matters

01:29 What ICP Is in the Liver

02:15 Risks for Mom and Baby

03:32 Other Signs and Diagnosis

04:22 Treatment and Monitoring Plan

05:24 Bile Acid Levels and Induction Timing

06:49 Stillbirth Risk Numbers Explained

09:08 Quick ICP Recap

11:20 After Birth and Future Pregnancies

11:59 Questions, Course, and Wrap-Up

————

Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

📧 Download our free birth prep circuit guide with six exercises to prepare your body for birth: https://mamastefit.com/freebies/prepare-for-birth-circuit/

Prepare for your birth with MamasteFit:

💻 Online Childbirth Education Courses

🏋🏻‍♀️ Online Prenatal Fitness Programming

🧘‍♀️ Prepare Your Pelvic Floor for Birth Course

Explore our prep for birth courses: https://mamastefit.com/prenatal-support

3rd Trimester Specific Prep Courses: https://mamastefit.com/fitness-programs/third-trimester/

-------

Freebies to Support Your Postpartum:

📩 Join our free early postpartum recovery course: https://mamastefit.com/freebies/early-postpartum-recovery/

—-

Recover after birth and return to fitness with MamasteFit: https://mamastefit.com/fitness-programs/postpartum/

💻 Postpartum Education Courses

🏋🏻‍♀️ Postpartum Fitness Programs

——

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——

****Freebies*****

Early postpartum recovery course:

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Postpartum sample:

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Prenatal Sample:

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Pelvic Floor

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Birth Prep for Labor Guide

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Birth Partner Guide

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Birth Plan

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Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) break down what labor & delivery nurses do versus midwives, OBs, and some family medicine providers, including who typically handles low- vs high-risk care and which interventions midwives can’t do. They explain why some people choose midwives versus OBs, and note midwives can provide full-spectrum women’s health care. Roxanne outlines three midwife paths—CPM (apprenticeship plus education/exam; licensing varies by state), CM (non-nurse bachelor’s plus grad midwifery; limited states), and CNM (nursing degree to grad midwifery, boards, state licensure, collaboration requirements). They discuss clinical hour/birth requirements, costs, licensing logistics, and how Roxanne used ROTC and the GI Bill to pay for school, then end with a top tip: attend births (even on YouTube) to see if the calling is real.

00:00 Welcome and Episode Setup

01:17 Feeling Called to Midwifery

02:40 Nurse vs Midwife vs OB

07:15 Choosing Midwife or OB

13:06 Midwives Beyond Birth Care

14:54 Three Midwife Types Overview

15:47 CPM Path and Licensure

17:57 Unlicensed CPM Tradeoffs

22:13 Certified Midwife Route

24:19 CNM Training and Nursing Paths

29:06 Midwifery School Format and Clinicals

33:16 Clinical Skills and Birth Requirements

39:02 Clinical Volume Matters

40:04 Choosing the Right Provider

41:40 Certification Exam Reality

45:20 State Licensure and Reciprocity

48:46 Midwife Training Pathway

50:48 Costs and Barriers

52:52 Military Funding Options

58:49 Paying for Grad School

01:03:53 Labor and Delivery Nursing Route

01:06:08 Best Tip Attend Births

01:09:23 Wrap Up and Resources

————

Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

📧 Download our free birth prep circuit guide with six exercises to prepare your body for birth: https://mamastefit.com/freebies/prepare-for-birth-circuit/

Prepare for your birth with MamasteFit:

💻 Online Childbirth Education Courses

🏋🏻‍♀️ Online Prenatal Fitness Programming

🧘‍♀️ Prepare Your Pelvic Floor for Birth Course

Explore our prep for birth courses: https://mamastefit.com/prenatal-support

3rd Trimester Specific Prep Courses: https://mamastefit.com/fitness-programs/third-trimester/

-------

Freebies to Support Your Postpartum:

📩 Join our free early postpartum recovery course: https://mamastefit.com/freebies/early-postpartum-recovery/

—-

Recover after birth and return to fitness with MamasteFit: https://mamastefit.com/fitness-programs/postpartum/

💻 Postpartum Education Courses

🏋🏻‍♀️ Postpartum Fitness Programs

——

Follow Us on IG at https://instagram.com/mamastefit

On this episode of The MamasteFit Podcast: Birth Stories, Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) interview Destiny about her two births. Her first ending with an unplanned C-section in 2024 after laboring to 10 cm, pushing 1.5 hours, spiking a fever with concern for infection, and baby’s sustained high heart rate. Her second, a much faster VBAC just three weeks ago! For baby #2, Destiny had planned a repeat C-section because he was breech for weeks—until a last-minute ultrasound showed he’d flipped head-down, leading to a TOLAC with Pitocin, lots of movement (wireless monitors!), sudden transition, and a 15-minute unmedicated push. She shares postpartum comparisons, the importance of understanding why a C-section happened, limiting room “spectators,” and that unmedicated stitches plus a 45-minute intern tutorial is not the vibe.00:00 Podcast Welcome00:39 Meet The Hosts01:30 Destiny Joins01:41 First Birth Prep02:39 Late Pregnancy Recap04:13 Labor Begins05:18 Admitted And Monitored07:53 Epidural And Slowdown09:45 Pushing And C Section Call15:12 Recovery And Anxiety15:51 Second Birth Goals16:24 Breech Surprise Flip19:11 Tolac Induction Starts21:27 Pitocin And Hospital Checks22:22 Pitocin Starts Slow23:12 Hip Opening Moves24:17 Supportive Care Team25:27 Station Zero Progress27:49 Epidural Decision Talk28:58 Transition Hits Hard30:18 Chaotic Rapid Delivery34:11 Postpartum Recovery Win35:33 Advice After C Section38:41 Fast Labor Lessons40:58 Sutures and Boundaries42:31 Wrap Up and Resources____________🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour go-to guide for prenatal fitness, birth prep, and postpartum recovery.👇 Start Preparing for Birth Today📥 Download our free Birth Prep Circuit Guide → https://mamastefit.com/freebies/prepare-for-birth-circuit📥 Grab our free Pelvic Floor Prep Guide → https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Learn how to relax and lengthen your pelvic floor to support a smoother labor and pushing phase.💻 Explore Our Online Programs:Whether you're pregnant or postpartum—we’ve got you covered with expert-led fitness and education:🏋🏻‍♀️ Prenatal & Postpartum Fitness Programs🎓 Childbirth + Postpartum Education Courses→ https://mamastefit.com🤱 Just Had a Baby?📥 Grab our free Postpartum Core Workouts → https://mamastefit.kit.com/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://instagram.com/mamastefit———✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500

Gina (perinatal fitness trainer/birth doula) and Roxanne (certified nurse midwife) discuss postpartum stress urinary incontinence—aka “surprise pee” during running, jumping, laughing, sneezing, or heavy lifts. The sisters and pros emphasize it’s common, not shameful, and NOT a required badge of motherhood. They explain key contributors: impact mechanics (shock absorption through ankles/knees/hips), pressure management (ribcage/diaphragm positioning and avoiding “reverse” breathing that increases downward pressure), and pelvic floor capacity (healing timelines—often not ready early postpartum, with many feeling better around 12–16+ weeks, improving over months). Quick fixes include stacking the ribcage, using a left-back/right-forward staggered stance for symptoms, and externally splinting the perineum when coughing/sneezing; for running, reduce “bounce,” increase cadence, use a slight forward lean, and consider run-walk intervals. They note non-orthopedic causes to rule out (UTI, neurologic issues, prolapse/urogynecology care) and recommend pelvic floor PT/OT, plus their return-to-running programs.00:00 Postpartum Leaking Overview00:35 Meet the Hosts01:24 Normalize Not Accept03:11 Why Leaking Happens07:38 Running Impact Mechanics10:46 Pressure and Breathing15:20 Healing Timeline Capacity21:50 Medical Causes to Rule Out24:47 Quick Fixes for Relief31:38 Long Term Strength Plan36:39 Wrap Up and Resources🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour go-to guide for prenatal fitness, birth prep, and postpartum recovery.👇 Start Preparing for Birth Today📥 Download our free Birth Prep Circuit Guide → https://mamastefit.com/freebies/prepare-for-birth-circuit📥 Grab our free Pelvic Floor Prep Guide → https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Learn how to relax and lengthen your pelvic floor to support a smoother labor and pushing phase.💻 Explore Our Online Programs:Whether you're pregnant or postpartum—we’ve got you covered with expert-led fitness and education:🏋🏻‍♀️ Prenatal & Postpartum Fitness Programs🎓 Childbirth + Postpartum Education Courses→ https://mamastefit.com🤱 Just Had a Baby?📥 Grab our free Postpartum Core Workouts → https://mamastefit.kit.com/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://instagram.com/mamastefit———✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500

Gina (perinatal fitness trainer + birth doula) and Roxanne (certified nurse midwife) break down what a doula is—and definitely isn’t. A birth doula is a non-medical, continuous support person (think: labor coach, comfort measures, positions, partner guidance, emotional support, and helping you ask the right questions), not someone who checks cervixes, runs vitals, or makes medical decisions. They talk about how doulas can improve birth experiences and outcomes when integrated as part of the team, plus red flags like a doula (or any provider) trying to isolate you or create distrust. They cover affordability options, insurance quirks, and how doula “certification” works (including DONA training basics), plus ways new doulas can gain experience through agencies and continuing education.

00:00 Doula Basics Intro

00:30 Meet the Hosts

01:24 Doula vs Midwife

02:01 What Doulas Do Not Do

02:52 Continuous Labor Support

03:56 Emotional Physical Support

04:39 Communication and Advocacy

05:52 Midwife View on Doulas

08:10 Teamwork and Observations

10:02 When Doulas Are Excluded

12:08 Evidence for Doula Support

15:37 Red Flags When Hiring

19:34 Recap Doula Role

20:09 Advocacy Example IV Pole

21:26 Staying Calm Not Hostile

21:51 Monitoring Conflict Story

22:43 Doula Team Dynamics

23:17 Bridging Communication Gaps

24:22 Community Resources Network

25:33 Cost Insurance Options

29:18 Do You Need One

31:25 Becoming A Doula

33:03 Certification Process

36:05 Experience And Mentorship

36:58 Continuing Education Tools

39:45 Choosing The Right Doula

41:12 Final Recap And Next Steps

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🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour go-to guide for prenatal fitness, birth prep, and postpartum recovery.👇 Start Preparing for Birth Today📥 Download our free Birth Prep Circuit Guide → https://mamastefit.com/freebies/prepare-for-birth-circuit📥 Grab our free Pelvic Floor Prep Guide → https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Learn how to relax and lengthen your pelvic floor to support a smoother labor and pushing phase.💻 Explore Our Online Programs:Whether you're pregnant or postpartum—we’ve got you covered with expert-led fitness and education:🏋🏻‍♀️ Prenatal & Postpartum Fitness Programs🎓 Childbirth + Postpartum Education Courses→ https://mamastefit.com🤱 Just Had a Baby?📥 Grab our free Postpartum Core Workouts → https://mamastefit.kit.com/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://instagram.com/mamastefit———✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500

Gina (perinatal fitness trainer and birth doula) breaks down why your pelvic floor isn’t a one-move wonder: hip and spine positions change pelvic floor tension, so deep squats, butterfly, and “all the Kegels” only hit part of the picture. She explains the pelvic floor as four quadrants (front/back, right/left) and shows how wide-stance + spinal extension biases the front, while knees-in/internal rotation + rounding targets the back—then zooms in on one-sided drills to address common hot spots (often right front overactivity and left back tension). She demos stretches like half-lunge/open hip shifts, adductor rock-backs, and hip-shift variations for tailbone/constipation/SI pain patterns, then pairs them with smarter strengthening: breath coordination, open-hip quad/glute work for posterior support, and hinge/adductor/hamstring/internal-rotation work for anterior balance. Bonus: programs and a YouTube demo/workout are available.

00:00 Pelvic Floor Beyond Kegels

00:26 Meet the Hosts

01:14 Pelvic Floor Quadrants Explained

02:07 Front Half Release Positions

05:05 Front Quadrant Stretches

09:30 Back Half Tension Relief

13:03 Strengthening With Breath

14:43 Strengthen Back Half Glutes

16:57 Strengthen Front Half Adductors

19:29 Asymmetries and Pro Help

20:36 Wrap Up and Programs

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour go-to guide for prenatal fitness, birth prep, and postpartum recovery.👇 Start Preparing for Birth Today📥 Download our free Birth Prep Circuit Guide → https://mamastefit.com/freebies/prepare-for-birth-circuit📥 Grab our free Pelvic Floor Prep Guide → https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Learn how to relax and lengthen your pelvic floor to support a smoother labor and pushing phase.💻 Explore Our Online Programs:Whether you're pregnant or postpartum—we’ve got you covered with expert-led fitness and education:🏋🏻‍♀️ Prenatal & Postpartum Fitness Programs🎓 Childbirth + Postpartum Education Courses→ https://mamastefit.com🤱 Just Had a Baby?📥 Grab our free Postpartum Core Workouts → https://mamastefit.kit.com/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://instagram.com/mamastefit———✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500

Gina (perinatal fitness trainer and birth doula) and Roxanne (certified nurse midwife) discuss Roxanne’s early postpartum recovery at five weeks after a home birth of her fourth baby, Harvey. Roxanne shares that this is her first postpartum without a hemorrhage, attributing differences to improved nutrient status (not being anemic, vitamin D, diet), the home birth flood of oxytocin & support, and active third-stage management with Pitocin. She explains monitoring pelvic floor/prolapse symptoms (heaviness/pressure and increased bleeding) as cues to rest, alongside challenges balancing feeling good with needing to slow down. Roxanne outlines using MamasteFit’s free early postpartum recovery program, strategies for workouts with a baby (breaks, splitting sessions, babywearing), goals to return to running for a runDisney event, and breastfeeding/tongue-tie treatment, plus postpartum product favorites and discount/affiliate links!✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500All of Roxanne’s Postpartum Faves: https://www.amazon.com/shop/mamastefit/list/3RPPT8UNHV3O7?ref_=cm_sw_r_apin_aip_sf_list_spv_ofs_mixed_m_lspvrd_DEF3VZNAHGNNTX1YBSMQ&language=en-US00:00 Welcome and Episode Setup01:34 Roxanne Four Weeks Postpartum02:22 Why No Hemorrhage This Time05:43 Supplements and Vitamin D07:34 Healing Without Hemorrhage10:44 Prolapse Symptoms and Overdoing It16:05 Signs You Need to Slow Down21:41 Early Postpartum Movement Plan24:36 Free Early Recovery Course25:48 Back in the Gym With Baby28:52 Workout Strategies and Splitting Sessions30:28 Their In Person Gym Update30:37 Quiet Gym Vibes30:54 Running Goals Return32:47 Treadmill Plans Strollers33:22 Consistency After Grad School35:00 RunDisney Challenge Charity36:08 Breastfeeding Tongue Tie Fix40:20 Sibling Dynamics Postpartum42:57 Home Birth Recovery Tips44:18 Postpartum Programs Support47:01 Favorite Postpartum Products50:22 Wrap Up Subscribe————🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour go-to guide for prenatal fitness, birth prep, and postpartum recovery.👇 Start Preparing for Birth Today📥 Download our free Birth Prep Circuit Guide → https://mamastefit.com/freebies/prepare-for-birth-circuit📥 Grab our free Pelvic Floor Prep Guide → https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Learn how to relax and lengthen your pelvic floor to support a smoother labor and pushing phase.💻 Explore Our Online Programs:Whether you're pregnant or postpartum—we’ve got you covered with expert-led fitness and education:🏋🏻‍♀️ Prenatal & Postpartum Fitness Programs🎓 Childbirth + Postpartum Education Courses→ https://mamastefit.com🤱 Just Had a Baby?📥 Grab our free Postpartum Core Workouts → https://mamastefit.kit.com/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://instagram.com/mamastefit———✨ Shop Our Favorites:⚡️ Electrolytes we love → https://drinklmnt.com/mamaste🌿 Supplements we trust – 20% off with code MAMASTEFIT → https://thisisneeded.com/ginaandroxanne👖 Maternity clothing we actually wear – 10% off with code MAMASTEFIT → https://rstr.co/lovesteady/3500

Roxanne welcomes Sadie to share her first birth and postpartum experience. Sadie prepared for an unmedicated birth through extensive education (birth courses, daily podcasts/YouTube), movement/pelvic biomechanics work, breathing/hypnobirthing, and practicing counterpressure with her husband- inspiring her to later train as a doula! She chose a low-intervention hospital option in Utah called “Simply Birth,” which includes tubs and doesn’t admit until 5 cm. Sadie describes her birth in great detail, as well as postpartum recovery with a second-degree perineal tear and a minor periurethral tear. Postpartum, the hardest parts were tear healing (first two weeks), fear around bathroom trips, and breastfeeding challenges (shallow latch, supply dip after 4 weeks, stress about low weight percentile, some pumping/supplementing with donated milk).

Her key advice: don’t let others’ opinions derail your birth goals, and use education to build confidence and reduce fear.

00:00 Podcast Welcome

00:53 Meet Sadie

01:06 Pregnancy Prep Research

03:54 Choosing Birth Setting

06:36 Confidence Through Education

08:41 Labor Story Begins

09:40 Membrane Sweep And Prep

11:18 Early Labor At Home

18:18 Heading To Hospital

19:02 Simply Birth Admission

20:27 Supportive Nurse And Tub

23:30 Water Break Decision

28:11 Transition Intensity

30:49 Ready To Push

33:42 Pushing And Nausea

34:32 Nurse Support Pushing

35:44 Positions And Coaching

39:20 Fast Crowning Delivery

42:26 Cord Placenta And Tears

45:32 Stitches And Golden Hour

54:33 Postpartum Breastfeeding Challenges

58:19 Healing Diastasis And Care Gaps

01:03:21 Next Birth Plans Advice

01:04:44 Final Takeaways Thanks