#322 | June Q&A: VBAC Induction, Birth Plan Boundaries, Nuchal Hand Presentation, 36-Week Cervical Exams, Episiotomy, Newborn Transition

Down to Birth

Down to Birth
#322 | June Q&A: VBAC Induction, Birth Plan Boundaries, Nuchal Hand Presentation, 36-Week Cervical Exams, Episiotomy, Newborn Transition
Jun 25, 2025 Season 6 Episode 322
Cynthia Overgard & Trisha Ludwig

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Welcome to the June Q&A with Cynthia & Trisha. This month we kick things off with a conversation about a midwife who dropped her client in early labor because her HBAC labor was taking too long to get going--as you can imagine, we have a lot to say about this! Next we take your questions:

One mom writes about her 3rd attempt at a homebirth after two hospital transfers and wonders if it is ok to keep her birth plans from her family with whom she is very close with. 

We also answer:

My midwife told me I should do a cervical check at 36 weeks to help understand the baby's position and offer recommendations based on the findings. Is this really necessary? And, if a baby isn't breathing after a minute of being born and is still attached to the placenta, do babies need to be stimulated or is intervention required?

In the extended episode, available on Patreon, we discuss vaginal birth with a nuchal hand, scheduling C-sections for planned VBAC at 40 week, and vaginal birth after a shoulder dystocia.

Finally in quickies, we touch on spray tans while breastfeeding, induction vs cesarean, elastic nipples & pumping, third labors, length of umbilical cords, and our favorite seasons and candy (except Cynthia doesn't eat candy).

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Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.