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Down to Birth

#307 | When Labor Stalls: Recognizing and Resolving Dystocia with Midwife Molly O'Brien @biomechanics_for_birth

Down to Birth

Cynthia Overgard & Trisha Ludwig

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8 • 586 Ratings

🗓️ 12 March 2025

⏱️ 47 minutes

🧾️ Download transcript

Summary

Labor dystocia, often labeled as "failure to progress," is the leading reason for cesarean birth in the United States. At its core, prolonged labor is frequently influenced by suboptimal fetal positioning, as well as the mother’s biomechanics, anatomy, and physiology. In this episode, we delve into the true causes of labor dystocia and explore how intentional movement and positioning—both during pregnancy and labor—can promote a smoother, more efficient birth. Our discussion covers: The defin...

Transcript

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0:00.0

What we need to be doing, I believe, is moving away from the quantitative measurements, which is obstetrics.

0:11.1

It has a place. I do understand that. But to measure it by how many hours, how many centimeters, how many contractions is not the whole picture at all. What would be much better

0:23.7

and as midwives, and I'm really, as a midwife, I'm really, really supporting the midwifery profession

0:29.1

here because our work is qualitative. It's about the quality of experience. Yes, it is about

0:36.5

the mechanical element of birth,

0:38.4

but it's coming from a midwifery perspective

0:40.3

that does not actually ignore the rest of this human being.

0:46.5

Who has a mind, who has emotions, who has experiences,

0:51.4

who has fear perhaps, or whatever. She's a whole person. We as midwives, that's our work.

1:00.6

I'm Cynthia Overgard, owner of hypniburthing of Connecticut, childbirth advocate, and postpartum

1:05.9

support specialist. And I'm Trescia Ludwig, certified nurse midwife and international board certified lactation consultant.

1:13.7

And this is the Down to Birth podcast.

1:18.3

Childbirth is something we're made to do.

1:20.7

But how do we have our safest and most satisfying experience in today's medical culture?

1:25.3

Let's dispel the myths and get down to birth.

1:36.1

I'm Molly, Molly O'Brien. I'm a midwife, and I teach midwives and obstetricians and

1:43.1

anyone who will listen about making birth safer using

1:48.9

the better understanding of the pelvis and the biomechanics for birth.

1:55.0

So how the baby is passing through that beautiful structure of the pelvis.

2:00.9

Been that it for quite a long time.

2:04.0

Well, considering that one of the biggest reasons that women have C-sections today

2:09.9

and the increasing number of C-sections that women are having today

...

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