The MamasteFit Podcast

Certified Nurse Midwife Roxanne explains the third stage of labor—the time from baby’s birth to placenta delivery. How long does it last for most people, and why it matters for postpartum hemorrhage and potentially breastfeeding. Roxanne describes how oxytocin-driven uterine contractions help the placenta separate and the signs of separation and compares expectant/physiologic management (waiting and monitoring) with active management (Pitocin IM/IV and sometimes gentle cord traction) to reduce hemorrhage risk. As always, the emphasis is on individualized, informed, risk-based decision-making! 

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🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwH
Your 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/core
Start reconnecting with your core and feeling strong again—safely and confidently.

———

📲 Follow Us on Instagram for Daily Tips + BTS
https://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
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On the MamasteFit Podcast, perinatal fitness trainer and doula Gina and certified nurse midwife Roxanne interview Brooke about the birth of her second child, Scarlet. After a 48-hour first labor that included Pitocin and an epidural, Brooke (a physical therapist) prepared intensely for an unmedicated hospital birth: reading Ina May’s Guide to Childbirth, listening to MamasteFit, taking our childbirth course, and trying multiple comfort tools. Past her due date, labor ramped up quickly and she discovered the hypnobirthing tools she had thought would save the day just weren’t her thing! Thanks to preparing a variety of comfort measure, Brooke discovered low moans/vocalization, swaying, and asymmetrical positions helped most! She arrived fully dilated, and experienced a birth that left her feeling super empowered! Her key advice: prepare, educate, and bring backup coping methods.

00:00 Welcome 
01:04 Brooke Joins the Show
01:22 First Birth Lessons
03:17 Planning Unmedicated Birth
04:45 Books and Coping Tools
06:25 Courses and Hypnobirthing
08:28 Late Pregnancy Labor Prep
09:45 Early Labor Begins
15:51 Active Labor at Home
21:52 Vocalization Breakthrough
23:03 Hospital Arrival and Triage
25:54 Fully Dilated Surprise
30:11 Pushing Positions and Water Break
32:58 Crowning and Shoulder Delivery
35:21 Birth and Immediate Afterglow
38:59 Postpartum Recovery and Two Kids
41:07 Advice to Prepare and Adapt
44:06 Wrap Up and Listener Takeaways

————

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwH
Your 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/core
Start reconnecting with your core and feeling strong again—safely and confidently.

———

📲 Follow Us on Instagram for Daily Tips + BTS
https://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
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Gina (doula/perinatal fitness trainer) and Roxanne (certified nurse midwife) walk through how birth has evolved, from mostly home births with midwives pre-1700s (but high death rates from infection, bleeding, obstructed labor, and blood pressure issues) to increasing hospital-based, physician-led care in the 1800s–1900s. They discuss key shifts like antiseptics, anesthesia (including twilight sleep), antibiotics, transfusions, prenatal care, and safer C-sections—improving survival but often reducing autonomy and satisfaction. They cover the 1970s natural childbirth and feminist movements, and the later push for evidence-based, family-centered care (partners/doulas, skin-to-skin, breastfeeding support, delayed cord clamping, shared decision-making). Their takeaway: modern interventions save lives, but they’re tools—not requirements—and blending safety with physiologic support matters.

00:00 Welcome to MamasteFit
01:02 Birth History Setup
02:06 Pre Modern Birth
03:21 Why Mortality Was High
05:16 Forceps Enter the Scene
06:10 Early Medicalization 1700s
07:44 Standardized Midwife Training
10:22 Modern Obstetrics Begins
11:11 Hospitals Take Over Birth
12:41 Twilight Sleep Era
21:53 Antibiotics and Safer Birth
25:59 Routine Interventions Peak
29:29 Natural Childbirth Movement
32:18 Evidence Based Care Shift
34:54 Epidurals And Twilight Sleep
35:56 Unmedicated Birth Tools
38:03 Stop Romanticizing The Past
41:52 Partners Enter The Room
43:59 Evidence Based Birth Shift
44:52 Modern Practices And Tools
50:55 Social Media And Misinformation
53:19 Trust Medicine Own Harm
59:53 Why Birth Got Safer
01:06:36 Balance Safety And Experience
01:07:45 Course And Final Wrap

————

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwH
Your 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/core
Start reconnecting with your core and feeling strong again—safely and confidently.

———

📲 Follow Us on Instagram for Daily Tips + BTS
https://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
——

This episode breaks down gestational diabetes (new insulin resistance in pregnancy—not type 1 or 2), how insulin and glucose work, and why pregnancy naturally raises insulin resistance (but sometimes the pancreas can’t keep up). It covers who’s at higher risk (higher BMI, inactivity, prior GDM, certain ethnic groups, prior 9+ lb baby, PCOS, hypertension, heart disease) and how screening works at 24–28 weeks: the non-fasting 1-hour 50g test, followed by a fasting 3-hour 100g test if you “fail” (two elevated values = diagnosis). It explains why the test is a glucose “stress test,” alternatives like at-home fingersticks or CGM, and drink options (Glucola, Fresh Test, jelly beans). Finally, it outlines risks (C-section, shoulder dystocia, preeclampsia, baby hypoglycemia) and care differences between diet-controlled (deliver by 40+6) vs medication-controlled (NSTs/ultrasounds ~32 weeks, deliver ~39).

00:00 Gestational Diabetes Overview
00:52 How Insulin Works
02:31 Risk Factors Explained
03:20 Glucose Test Basics
05:43 One Hour vs Three Hour
07:06 At Home Monitoring Options
09:42 Drink Alternatives
13:52 Why It Matters Risks
18:46 How Care Changes
21:27 Final Recap Next Steps
24:24 Closing Resources

————

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwH
Your 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/core
Start reconnecting with your core and feeling strong again—safely and confidently.

———

📲 Follow Us on Instagram for Daily Tips + BTS
https://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
——

This episode breaks down elective induction (inducing labor at 39–41 weeks with no medical reason besides still being pregnant) and reminds you that “we scheduled your induction” still requires your consent. It explains why 39 weeks is the risk-benefit sweet spot (mature baby lungs) and why providers avoid going past 42 weeks (stillbirth risk rises from 1/10,000 at 37 weeks to 32/10,000 at 42 weeks). The 2018 ARRIVE Trial is reviewed: low-risk, first-time, single, head-down pregnancies; similar neonatal outcomes; slightly lower C-section rates with induction (19% vs 22%), plus fewer hypertension diagnoses, though study limits include low midwife representation and protocols not matching every hospital. You’ll weigh values (low-intervention vs convenience), provider/hospital C-section rates, accurate due dates, and risks like longer labor, more interventions, failed induction, and tachysystole.

00:00 Induction Decision Intro
00:16 What Elective Means
01:02 Why 39 Weeks
02:21 Stillbirth Risk Numbers
03:15 ARRIVE Trial Explained
06:22 Study Limits And Context
09:40 Personal Decision Factors
11:46 Benefits Of Induction
14:14 Risks And Tradeoffs
16:19 Putting It Together
20:06 Autonomy And Consent
21:25 Wrap Up And Resources

————

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwH
Your 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/core
Start reconnecting with your core and feeling strong again—safely and confidently.

———

📲 Follow Us on Instagram for Daily Tips + BTS
https://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
——