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Birthing Instincts

#318 Your Cholestasis Questions Answered…Finally!

Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young

Parenting, Kids & Family, Alternative Health, Health & Fitness

4.5631 Ratings

🗓️ 19 July 2023

⏱️ 87 minutes

🧾️ Download transcript

Summary

Join us as we celebrate the arrival of Stu’s first grandchild, and finally cover a topic that has been highly requested: cholestasis. This is a lesser-known health issue that affects a significant number of pregnant women and usually results in interventions once it is discovered. You'll walk away from this episode with a deeper understanding of cholestasis - from its potential treatments, its impact on the liver, and whether or not it is as scary as it is sometimes portrayed.

We dissect the risks and benefits of various treatments for cholestasis, alongside a poignant story from a listener who was diagnosed with this condition. We don't shy away from examining the harsh realities, but also shed light on the real facts of what different bile levels mean and their corresponding risks. We further delve into the medical model of treating cholestasis, highlighting the need for an individualized approach that takes into account the woman's unique experience and not just the medical perspective.

Not only do we discuss cholestasis, but we also tackle topics like the potential risks of placental pathology and the controversy surrounding forceps usage in childbirth. We pull back the curtain on the medical world, questioning the incentives behind the non-disclosure of placental pathology by hospitals, and revisiting the debate on the induction of labor. This episode is packed with valuable insights, personal stories, and expert advice - an invaluable resource for anyone seeking a comprehensive understanding of cholestasis and its management during pregnancy. Tune in and let's grow together!

  • The Biology of Aging and Fertility
  • Sensitivity of Hands and Feet
  • Reevaluating Induction Practices in Obstetrics
  • Cholestasis in Pregnancy and Risk Factors
  • Preeclampsia Risk in ICP Patients
  • Antepartum Testing in Intrahepatic Cholestasis
  • Likelihood of ICP Recurrence
  • Obstetricians' Approach to Risk and Individuality
  • Respiratory Distress Syndrome in Cholestatic Pregnancies

Episode resources:

This show is supported by:

  • LMNT | Go to com/birthinginstincts to get a free sample pack with every order
  • Needed | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at com.
  • BIRTHFIT | Go to com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.

Connect with Dr. Stu & Blyss:


Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Burling Instincts podcast.

0:05.0

I'm Dr. Stewart Fishbein, community-based practicing obstetrician and longtime advocate for birth choices.

0:10.6

And I'm Bliss Young, a licensed midwife.

0:13.0

Join us in our conversational style podcast where we talk about everything birth.

0:17.5

Sometimes we laugh, sometimes we cry, but we're happy that you're here.

0:20.7

So here we go. Well, we were both delayed this morning. Good morning. Good morning to you. Good to see you.

0:29.5

You too. I missed you last week, or I mean two weeks ago, what came out today yesterday.

0:36.0

Yes, great interview. Oh, yes, yesterday. Yes. Great interview.

0:38.7

Yeah, great interview.

0:40.6

I really enjoyed, you know, we always have to listen.

0:44.8

We record and then we listen again just to make sure that, you know, everything sounds

0:48.8

good for you guys.

0:49.8

And so I got to listen to the interview with Sarah with them and our beloved host, Stu.

1:00.0

And it was great.

1:01.6

I wish I had been there.

1:03.0

But I'm sure everybody's really enjoyed hearing that.

1:07.4

Yeah, you know, Wednesdays are crazy days for me and probably for you as well because not only do we

1:13.2

record and I have to do all my homework in the morning, but everything comes out, you know, the new

1:17.6

podcast comes out. So Instagram blows up and you and I both try to respond to people as much as we can.

1:25.1

And then I get emails with incredible stories of joy and woe. You know,

1:31.0

sometimes we read a joyous one. Often we read a woe one. So we did get one today. I don't know if we'll

1:36.4

have time for that one today, but we'll get it in in the future because it's really a good one.

...

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