Postpartum providers, the PPD and exhaustion your clients face are direct outcomes of the medicalized birth model. Renowned OB-turned-advocate Dr. Stu Fischbein joins us to expose why standard practices (like the "six-week checkup") create pervasive obstetrical trauma. This episode cuts through the noise to reveal the root cause of the postpartum crisis and shows you how to fight for the holistic care your clients deserve.
01:44: Dr. Stu's unique perspective: 28 years in hospital OB vs. 12+ years in home birth
04:52: OB residency teaches providers to view pregnancy as an illness
08:00: The hospital model is designed for efficiency and profit
11:48: The "see you in six weeks" model is driven by financial reimbursement
15:04: The medical system separates mother and baby as two entities
20:50: The economic and societal benefit of paid parental leave
23:44: subsidizing midwifery care for a year is an important social change
26:40: Why women must not abdicate responsibility for their birth care
29:44: Obstetrical abuse behaviors are similar to domestic abuse
35:07: Obstetrical trauma makes postpartum recovery more difficult.
38:40: cognitive dissonance that prevents doctors from seeing the problem.
44:45: Why families cannot rely on the system for postpartum support.
46:00: The critical role of the husband in defending the mother
48:38: Why medicine ignores what it can't quantify or bill for
50:40: The danger of licensing doulas and regulating quality.
54:17: Why midwifery schools are becoming medicalized
Connect with Dr. Stu
Stuart James Fischbein MD is a published author of the book “Fearless Pregnancy, Wisdom & Reassurance from a Doctor, A Midwife and A Mom” and peer-reviewed papers Homebirth with an Obstetrician, A Series of 135 Out of Hospital Births, Breech Birth at Home and Twin Home Birth. He spent 28 years assisting women with hospital birthing and, then for the next 12+ years, was a homebirth obstetrician who worked directly with midwives. He now lectures globally, advocating for informed consent and reteaching breech & twin birth skills. Host of the weekly Birthing Instincts Podcast with Blyss Young. Website | IG
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