Today I’m welcoming Dr. Rachael Cappuccino to The Birth Link podcast!

Rachael started Cappuccino Physical Therapy after the birth of her two children because she believes that an active lifestyle does not end with motherhood. Having experienced both a vaginal delivery and cesarean, Rachael understands the physical challenges that come from birth. Too many women accept these challenges as their new reality when she firmly believes that most can be treated with pelvic floor physical therapy.

We dive into the limited awareness of pelvic floor therapy for women in any stage of their lives, but especially pregnancy, delivery and postpartum.

She shares how you can find a pelvic floor physical therapist and have it covered with insurance, possibly without a referral from a provider. She hits on the top complaints from women that can be prevented before they ever happen, to strengthen your core, know when and how to relax those muscles, and even practice how to correctly and efficiently push to minimize how long you are pushing and tears. Thank you so much Rachael for joining us!

00:03 Introducing Dr. Rachael Cappuccino

00:20 The Importance of Community

04:08 Meet Rachael Cappuccino

05:51 Starting a Pelvic Floor Physical Therapy Business

07:05 Challenges in Pelvic Floor Physical Therapy Awareness

11:47 Accessing Pelvic Floor Physical Therapy

14:36 Common Pregnancy and Postpartum Issues

16:05 Proactive Birth Preparation

24:13 Advocating for Yourself

25:45 Wrapping Up and Future Topics

More from Dr. Rachel Cappuccino:

To reach Rachael visit www.cappuccinopt.com or follow her on Instagram @cappuccinopelvicpt or on Facebook at Rachael Cappuccino

More from My Friend's a Nurse:

Join us for the Next Childbirth Crash Course This September 18th-20th!

Join us for the next Birth Plan Workshop!

Join the newsletter for behind the scenes and episode insights you don't want to miss!

Visit MyFriendsaNurse.com

Grab this FREE Hospital Bag Checklist

Email Colette directly for coaching availability and membership colette@myfriendsanurse.com

If you are interested in partnering or being a guest on The Birth Link Podcast please email info@myfriendsanurse.com

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The First 15 continues, closing out the triad of active management of the third stage of labor. To accompany cord clamping (now delayed 60 sec), cord traction and uterine massage.

Doing our part to lower maternal death, the leading cause being hemorrhaging by including not only as a treatment, but as prevention. In the hospital, most providers choose active management as their practice but fail to discuss the experience, the benefits, the risks or any other alternate options.

It seems to be so routine that they do not feel it is a decision that the mother or parents need to even make. Though active management and pitocin can be a great choice for many women looking to lower her chance of hemorrhage and has had multiple interventions already, the power comes with knowledge.

I'm researching, discussing and sharing that knowledge with clients and you, so let's get into the history, date and current recommendations for pitocin and uterotonics in postpartum.

Resources:

Pitocin During the third Stage of Labor by Rebecca Dekker, RN and Anna Bertone MPH, Evidence Based Birth

Management of the Third Stage of Labor, Updated:

Jun 03, 2024, Author: John R Smith, MD, FACOG, FRCSC; Chief Editor: Christine Isaacs, MD, Medscape

Postpartum Hemorrhage: Prevention and Treatment, 2017, AAFP, Ann Evensen, MD, Janice M Anderson, MD, and Patricia Fontaine, MD, MS

00:40 Breaking Water and Pitocin Orders

02:18 Concerns About Early Pitocin Use

04:41 Importance of Informed Consent

09:45 Postpartum Pitocin and Hemorrhaging

14:30 Historical Approaches to Hemorrhaging

18:14 Development of Oxytocin Drugs

24:35 Discovery of Oxytocin

26:44 Pitocin: Synthetic Oxytocin

27:23 Active Management in Labor

29:50 Historical Trials and Errors

32:25 Prostaglandins and Alternatives

36:01 Modern Practices and Recommendations

41:13 Preventing and Managing Hemorrhage

45:20 Final Thoughts and Advice

50:35 Upcoming Episode Preview

More from My Friend's a Nurse:

Join us for the Next Childbirth Crash Course This September 18th-20th!

Join us for the next Birth Plan Workshop!

Join the newsletter for behind the scenes and episode insights you don't want to miss!

Visit MyFriendsaNurse.com

Grab this FREE Hospital Bag Checklist

Email Colette directly for coaching availability and membership colette@myfriendsanurse.com

If you are interested in partnering or being a guest on The Birth Link Podcast please email info@myfriendsanurse.com

Stay Connected:

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Today we have the opportunity to sit down for an in depth look at postpartum care and how to prepare for this delicate time. Specifically how new parents can navigate and set expectations for your family’s and newborn’s sleep and feeding routine. How sleep affects your milk supply and your newborn’s sleep at night. Listen in on this expert interview, where I learned a few things myself and reviewed tricks to produce sufficient milk supply and newborn healthy feeding habits. You may want to take notes!

Melanie is a certified lactation educator at UCLA and owner of Melanie Wachsman Doula in Los Angeles, CA. She is a Gentle Sleep Educator and consultant and Sleep Savvy certified. You can find more information on her as a maternity expert at doulamellie.com IG @doula_mellie

00:00 Welcome to Episode Nine!

00:45 Introducing Melanie Wachsman Bingham

01:16 The Importance of Newborn Sleep

03:31 Melanie's Journey to Becoming a Doula

04:57 Balancing Sleep and Feeding for Newborns

10:33 Practical Tips for Newborn Sleep Routines

19:31 Managing Parental Sleep Deprivation

24:55 Navigating Cluster Feeding

26:12 The Benefits of Bedside Co-Sleepers

26:38 Understanding Baby's Primal Instincts

28:14 Finding the Right Sleep Setup

29:43 The Role of Partners and Support Systems

30:41 Personal Experiences with Sleep Training

36:25 Different Types of Nighttime Caregivers

45:55 Preparing for Baby's Arrival

50:08 Final Thoughts and Resources

More from Melanie:

Visit her website DoulaMellie.com

Connect with her on Instagram: @doula_mellie

More from My Friend's a Nurse:

Join us for the Next Childbirth Crash Course This September 18th-20th!

Join us for the next Birth Plan Workshop!

Join the newsletter for behind the scenes and episode insights you don't want to miss!

Visit MyFriendsaNurse.com

Grab this FREE Hospital Bag Checklist

Email Colette directly for coaching availability and membership colette@myfriendsanurse.com

If you are interested in partnering or being a guest on The Birth Link Podcast please email info@myfriendsanurse.com

Stay Connected:

Instagram

TikTok

FaceBook