The Birth Lounge Podcast

In this episode, HeHe sits down with Nebraska doula, childbirth educator, and birth photographer Leslie Moon for a nuanced conversation about Medicaid-covered doulas, birth equity, and the unintended consequences that can happen when community birth work becomes tied to insurance systems and hospital oversight.

At first glance, Medicaid coverage for doulas sounds like a massive win—and in many ways, increased access to support absolutely matters. But HeHe and Leslie unpack the deeper concerns many doulas and birth workers are quietly asking behind the scenes: What happens when doulas become accountable to the system instead of the families they serve? Could regulation, certification, and insurance reimbursement slowly reshape doula work the same way it transformed midwifery care over time?

Together, they dive into the realities of low reimbursement rates, hospital-employed doulas, licensure fears, and how profit-driven maternity care can directly conflict with relationship-based, autonomy-centered support. Leslie also shares what birth access looks like in Nebraska, where legal out-of-hospital birth options are extremely limited, and why protecting true community-based support matters now more than ever.

This episode is thoughtful, spicy in the best way, and packed with bigger-picture conversations about autonomy, advocacy, informed consent, and the future of birth work. Whether you’re a doula, birth worker, or parent who cares about protecting individualized support in maternity care, this conversation will absolutely give you a lot to think about.

Chapters: 

00:00 Medicaid Doula Hype

01:37 Host Story and Credibility

07:00 Birth Lounge App Pitch

09:50 Medicaid Coverage Concerns

50:17 Regulation Risks and Community Fixes

55:02 Doula Stipend Proposal

01:00:58 Board Certification Debate

01:11:14 Flexner Report Origins

01:14:08 Insurance Strings Attached

01:29:53 Protecting Doulas Call

Guest Bio:

Leslie Moon is a single mom of 2, a birth doula, birth photographer, and childbirth educator based in Lincoln, Nebraska. She supports families locally with in-person birth support and documentation, and works with families nationwide to prepare for navigating hospital birth in a system that wasn’t designed for birth.

She is the co-founder of The Birth Alchemy Course, where she teaches parents how to understand their options, advocate for themselves, and trust themselves throughout pregnancy and birth. Leslie is passionate about protecting relationship-based, community-centered care and helping families feel confident making decisions that align with their values

Connect with Leslie: 

Novitabirthstories.com

birthalchemycourse.com/birth-alchemy-course

Listeners can get $100 off our childbirth prep series, the Birth Alchemy Course using code HEHE

SOCIAL MEDIA:
Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

Connect with Leslie on IG: https://www.instagram.com/novitabirthstories

Find Birth Alchemy on IG: https://www.instagram.com/birthalchemy_official/

BIRTH EDUCATION:
Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/join

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app

 

LINKS MENTIONED:
Here’s a link to the full Flexner Report: 

http://archive.carnegiefoundation.org/publications/pdfs/elibrary/Carnegie_Flexner_Report.pdf

In this episode, HeHe is officially back behind the mic after a five-month maternity leave… and she’s bringing a very special guest with her. 💜 Listeners get a sweet little podcast-exclusive audio moment from baby Saggy before HeHe dives into one of the most requested newborn topics: how to bathe your baby safely and confidently without turning it into an overwhelming production.

She breaks down everything from how often newborns actually need baths (hint: it’s probably less than you think) to sponge baths before the umbilical cord falls off, ideal bath temperature, and why baths absolutely do not have to happen at night if that timing doesn’t work for your family. HeHe also walks through practical tips for keeping baby warm and calm, avoiding common safety mistakes, and setting yourself up with the right tools before you even turn the water on.

This episode is packed with simple, evidence-based guidance to help new parents feel more relaxed and confident during those early newborn weeks. From washing all those adorable little baby rolls to mastering a quick post-bath routine before your baby decides they are personally offended by towels, HeHe’s got you covered.

 

Baby Saggy and HeHe’s favorite bath tools: 

Primarily Pure baby soap: Use code HEHE to save here: https://primallypure.com/products/the-baby-kit

Find more of her favorites in the registry guide:  https://www.thebirthlounge.com/registry

00:00 Bath Safety First

00:51 Back From Maternity Leave

03:58 Why This Episode Matters

05:08 Bath Frequency and Timing

08:18 Water Temperature Basics

10:05 Keep Baby Warm and Quick

12:03 Ear Safety and Supervision

15:01 Bath Gear Checklist

28:09 Step by Step Newborn Bath

37:06 Wrap Up and Encouragement

 

SOCIAL MEDIA:
Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

BIRTH EDUCATION:
Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app-download-page

In this episode, HeHe sits down with somatics, sex, and intimacy coach Tilly Storm for a conversation that completely reframes what “orgasmic birth” actually means. Spoiler alert: we’re not talking about some performative movie-scene orgasm during labor. We’re talking about surrender, safety, primal energy, deep embodiment, and what can happen when a birthing person feels fully connected to their body instead of trapped in fear and tension.

Tilly breaks down how cultural conditioning, fear-based birth narratives, and male-centered definitions of pleasure disconnect women from both birth and sexuality. She shares her own birth stories, including a fast and powerful unassisted freebirth and a second birth that included hospital care, PROM, breast-pump induction, and a NICU stay that was still deeply empowering because she stayed rooted in advocacy, autonomy, and trust in herself.

Together, HeHe and Tilly dive into birth plans vs. flexibility, the role partners play during labor, how sexuality work can strengthen your voice and self-trust, and why reclaiming pleasure matters in postpartum too. Tilly also shares about Taoist jade egg practices, pelvic vitality, and reconnecting with your body after birth. This episode is expansive, thought-provoking, and such an important reminder that empowered birth is not about perfection—it’s about presence, safety, and sovereignty.

00:00 Conditioning Sets the Stage

01:53 Meet Tilly and Orgasmic Birth

04:23 Redefining Female Orgasm

08:55 Surrender Through Pain and Bliss

16:05 Roots of Trust and Freebirth

25:15 Farm Lessons and Birth Plans

30:19 Dissociation Versus Ecstasy

31:50 Nursery Curtains Sponsor Break

34:57 Taoism and Empowered Presence

36:13 Second Birth Curveball

36:40 ER After Water Break

38:21 Breast Pump Induction

41:52 NICU Advocacy And Care

47:34 Sovereignty Over Sexuality

01:05:02 Jade Egg And Wrap Up

Guest Bio:

If lack of confidence, low libido, or guilt and shame around your sexuality are the cause of your bedroom woes, (the hot, wild sex you never have any more, or the transition into motherhood or menopause that sucked your libido dry), you need Tilly. She’s a somatic sex and intimacy coach for women who lack desire or pleasure in the bedroom and beyond.

With a background in Taoism and Tantra, Tilly brings a modern twist to unlocking pleasure and passion in the bedroom. Using somatic healing, psychotherapy, and proven coaching techniques, she helps ambitious women reignite their desire and experience more pleasure in the bedroom and beyond.

Connect with Tilly: https://www.tillystorm.com/5daytraining

SOCIAL MEDIA:
Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

BIRTH EDUCATION:
Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app

In this episode of The Birth Lounge Podcast, HeHe returns from maternity leave and continues the listener-requested deep dives by breaking down what can actually go wrong with an epidural in labor, and more importantly, what you can do about it in real time.

After more than a decade working as a doula, HeHe walks through the three most common epidural issues she sees in practice: when the epidural is too dense (meaning overly heavy numbness and limited mobility), when there’s a “window” (one specific area that is not fully covered and still feels intense contraction pain), and the rare but stressful situation where an epidural seems to stop working altogether.

She explains how each scenario can show up in the body, what communication with anesthesia can sound like, and the practical options available in the moment, including repositioning, using gravity and labor positions strategically, pressing the PCA button when appropriate, requesting medication adjustments or a bolus, and when it may be time for anesthesia to reassess or replace the epidural.

Throughout the episode, HeHe emphasizes informed decision-making, calm advocacy, and flexibility in labor so you can respond to what is actually happening in your body instead of feeling stuck or panicked if things don’t go exactly as expected.

This episode is all about staying grounded, informed, and supported if an epidural needs troubleshooting during birth.

SOCIAL MEDIA:
Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

 

BIRTH EDUCATION:
Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app-download-page

LINKS MENTIONED:
Listen to Episode 404 Epidurals: Pros, Cons & Alternatives with Marissa Mulder of Sassy Anesthesia: https://youtu.be/m8As_lYXkMM?si=dNxuOvG04I8hFOVM

In this episode of The Birth Lounge Podcast, HeHe sits down with microplastics researcher and science communicator Dana for an eye-opening conversation about what microplastics are, where they’re hiding, and what this means for pregnancy, postpartum, and babies. Dana explains the basics of microplastics, how they enter our water, food, air, and everyday products, and why researchers are paying close attention to the chemicals often linked with plastics, including BPA, PFAS, and other hormone-disrupting compounds.

Together, they break down some of the most common and surprising exposure sources, from takeout containers, tea bags, canned foods, nonstick cookware, and synthetic clothing to baby bottles, wipes, toys, and feeding products. HeHe and Dana also talk about how to reduce exposure in a realistic, non-overwhelming way, because this is not about perfection or panic.

They share practical low-tox swaps that actually move the needle, like avoiding heating food in plastic, focusing on kitchen changes first, being more intentional with clothing and laundry habits, supporting gut health, and learning where small shifts can have the biggest impact. Dana also shares how her Microplastic Free app helps families better understand ingredients and everyday product choices.

If you’ve ever wondered how to lower your toxic load during pregnancy or make more informed choices for your family without spiraling into fear, this episode is packed with practical, grounded guidance.

 

Guest Bio:

Dana Zhaxylykova is a microplastics researcher and science communicator passionate about environmental, sustainability and microplastics. She shares educational content on Instagram as @dankazh, where she breaks down complex topics like plastic pollution, and microplastic exposure for a wide audience. Dana has published scientific work on microplastics in Kazakhstan and co-authored research on faster microplastic detection methods in Germany. Through her social media platforms, Dana reaches a global audience of over 150,000 followers, translating science into stories that inspire real change. Her work has been featured on BBC, CNN, Al Jazeera, and ELLE US, and she is also the co-founder of MicroplasticFree, an innovative app helping people identify and reduce microplastics in everyday products.

 

Check out Dana’s microplastic free app here! 

 

SOCIAL MEDIA:
Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/ 

Connect with Dana on IG:  https://www.instagram.com/dankazh/reels/

BIRTH EDUCATION:
Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app-download-page

LINKS MENTIONED:
Grab HeHe’s low tox baby registry guide here: 

https://www.thebirthlounge.com/registry