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Realfoodology

Why So Many Women End Up With C-Sections: Birth Interventions Explained | Dr. Stuart Fischbein

Realfoodology

Courtney Swan

Nutrition, Alternative Health, Health & Fitness

4.81.6K Ratings

🗓️ 12 May 2026

⏱️ 93 minutes

🧾️ Download transcript

Summary

299: I’m joined by Dr. Stuart Fischbein to have an honest conversation about modern pregnancy, birth culture, and why so many women feel fearful going into labor. We talk about the rise in C-sections, inductions, epidurals, and the cascade of interventions that can happen in hospital births. Dr. Stu also explains the history behind “geriatric pregnancy,” the differences between midwifery and the medical model, and why informed consent and individualized care matter so much for mothers and babies. Whether you’re currently pregnant, planning to have children someday, or simply curious about how birth has changed over time, this episode offers a deeper look at the modern birth system and the importance of trusting women’s bodies.Topics Discussed: → Pregnancy After 35 & “Geriatric Pregnancy” → Home Birth vs Hospital Birth → Fear-Based Birth Culture → C-Sections, Inductions & Medical Interventions → Midwifery Model of Care → Epidurals, Pitocin & Birth Outcomes → Informed Consent & Choosing the Right Birth Provider → Trusting Nature’s Design During Birth Sponsored By: → Function | Check your health the way I do — 160+ lab tests a year for $365, plus the ability to dive deeper into your results with Function's trusted connections to platforms like ChatGPT and Claude. Join at https://functionhealth.com/REALFOODOLOGY and use code REALFOODOLOGY25 for a $25 credit toward your membership. → Qualia | Take control of your cellular health today. Go to https://qualialife.com/realfoodology and save 15% to experience the science of feeling younger.  → PaleoValley | Head to https://paleovalley.com/realfoodology for 15% off your first purchase. → BetterWild | Right now, Betterwild is offering our listeners up to 40% off your order at https://betterwild.com/REALFOODOLOGY → Clearstem | Discover the CLEARSTEM difference — Because CLEAR SKIN CHANGES EVERYTHING. Go to https://clearstem.com/realfoodology and use code REALFOODOLOGY at checkout for 15% off your first order.→ 00:00:00 - Introduction → 00:02:11 - Is Pregnancy After 35 Actually “Geriatric”? → 00:08:35 - How Mammals Naturally Give Birth → 00:13:12 - Why C-Sections & Inductions Keep Rising → 00:20:16 - What Counts as a True Birth Emergency? → 00:33:58 - The Cascade of Interventions During Labor → 00:42:20 - Midwives vs Traditional OB Care → 00:49:38 - Solutions for the Modern Birth System → 00:54:57 - Fear-Based Pregnancy Culture & Epidurals → 01:03:07 - Epidurals, Hormones & Baby Bonding → 01:17:07 - “Your Baby Is Too Big” & Birth Myths → 01:21:17  - Induction at 41/42 Weeks Explained → 01:25:31 - Why Birth Stories Stay With Women Forever → 01:28:37 - Final Thoughts + Trusting Your BodyShow Links: → ⁠realfoodology.com Check Out: Dr. Stu → Instagram - Birthinginstincts → Dr. Stu’s Newsletter Sign Up  Check Out Courtney:  →⁠⁠⁠ ⁠LEAVE US A VOICE MESSAGE⁠⁠⁠⁠ → ⁠⁠⁠ ⁠Check Out My new FREE Grocery Guide!⁠⁠⁠⁠ → ⁠⁠⁠ ⁠@realfoodology⁠⁠⁠⁠ →⁠⁠⁠ ⁠⁠PEOPLE VS THE POISON - Sign up now!⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠ ⁠www.realfoodology.com⁠⁠⁠⁠ → ⁠⁠⁠ ⁠My Immune Supplement by 2x4⁠⁠⁠⁠ → ⁠⁠⁠ ⁠Air Dr Air Purifier⁠⁠⁠⁠ → ⁠⁠⁠ ⁠AquaTru Water Filter⁠⁠⁠⁠ → ⁠⁠⁠ ⁠EWG Tap Water Database⁠⁠⁠⁠  Produced By: Drake Peterson Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

If anybody thinks that health care is about getting you well and it's not about money, they're being naive.

0:04.9

If you look back at how a mammal gives birth, whether it's your dog or a deer or a horse, the mammal goes off to a quiet place. They go off by themselves. They want to feel safe, quiet, and undisturbed in their environment. You don't interrupt them. You don't restrict their movement. You don't anesthetize them. You don't bother them.

0:19.2

The other dogs are deer.

0:20.3

Don't come around and ask how they're doing.

0:22.0

Nobody's doing a vaginal exam on a tiger at seven centimeter. The system is designed very poorly for good outcomes. It's designed very well, maximize profit. And so we have this whole system where everything that the hospital does to you when you come in, make you go bathroom and pee in a cup, draw your blood, start an IV. They bill for all those things. If anyone's ever been to a home birth, we don't make women pee in a cup, draw blood or start an IV, and somehow they still have babies. If doctors had the ability and the freedom to treat women as independent people, we probably would improve our outcomes. But then somebody's going to lose control and profit. That's the problem.

1:05.4

Dr. Stu, welcome to the Real Foodology podcast. I'm so excited to have you on. I have had so many people in my life tell me that I need to get you on the podcast, including my own midwife.

1:09.6

So she was very excited when she found out that you were coming on my podcast because she's a big fan of yours and listens to your podcast. And then I actually realized yesterday when I was looking you up that you were on my friend Alex Clark's podcast like two years ago, I think. Yeah, it was an honor to be. That's when she was, I think she's still in Phoenix, but it was called the spillover in those days. Now she's got culture apothecary.

1:29.3

But yeah, it's one of my biggest downloads for being on that.

1:35.3

And again, that long format that you and I wanted to have, but we couldn't quite arrange the

1:40.3

scheduling for me to get to Austin in time.

1:43.3

And you have a deadline coming up.

1:45.0

I do.

1:46.0

Yeah, just for my listeners, because they're going to be like, why are you doing this virtual?

1:52.0

I don't normally do virtual, but because my due date is rapidly approaching, and I really wanted

1:57.0

to get you on before I gave birth to my sweet little baby boy, we did what we had to do. So I'm so honored to have you on. To give you a little context, because I don't know you, I don't know if you know a lot about me and my story, but I'm 41. We got pregnant on the first try. I unfortunately am just one of those women that it took me a lot longer to find my person.

2:18.1

So I'm having my first baby at 41.

2:20.1

And one thing that I was really shocked by going into all of this was hearing everyone call

2:26.6

pregnancy geriatric after 35.

2:29.8

Is pregnancy after 35 actually geriatric or is that label outdated and fear-based?

2:37.4

Exactly.

2:38.7

Let me explain something.

2:40.2

Again, I don't think many of your listeners probably know who I am, so they probably haven't

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