The MamasteFit Podcast

Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) break down what labor & delivery nurses do versus midwives, OBs, and some family medicine providers, including who typically handles low- vs high-risk care and which interventions midwives can’t do. They explain why some people choose midwives versus OBs, and note midwives can provide full-spectrum women’s health care. Roxanne outlines three midwife paths—CPM (apprenticeship plus education/exam; licensing varies by state), CM (non-nurse bachelor’s plus grad midwifery; limited states), and CNM (nursing degree to grad midwifery, boards, state licensure, collaboration requirements). They discuss clinical hour/birth requirements, costs, licensing logistics, and how Roxanne used ROTC and the GI Bill to pay for school, then end with a top tip: attend births (even on YouTube) to see if the calling is real.

00:00 Welcome and Episode Setup
01:17 Feeling Called to Midwifery
02:40 Nurse vs Midwife vs OB
07:15 Choosing Midwife or OB
13:06 Midwives Beyond Birth Care
14:54 Three Midwife Types Overview
15:47 CPM Path and Licensure
17:57 Unlicensed CPM Tradeoffs
22:13 Certified Midwife Route
24:19 CNM Training and Nursing Paths
29:06 Midwifery School Format and Clinicals
33:16 Clinical Skills and Birth Requirements
39:02 Clinical Volume Matters
40:04 Choosing the Right Provider
41:40 Certification Exam Reality
45:20 State Licensure and Reciprocity
48:46 Midwife Training Pathway
50:48 Costs and Barriers
52:52 Military Funding Options
58:49 Paying for Grad School
01:03:53 Labor and Delivery Nursing Route
01:06:08 Best Tip Attend Births
01:09:23 Wrap Up and Resources

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Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH

📧 Download our free birth prep circuit guide with six exercises to prepare your body for birth: https://mamastefit.com/freebies/prepare-for-birth-circuit/

Prepare for your birth with MamasteFit:

💻 Online Childbirth Education Courses
🏋🏻‍♀️ Online Prenatal Fitness Programming
🧘‍♀️ Prepare Your Pelvic Floor for Birth Course

Explore our prep for birth courses: https://mamastefit.com/prenatal-support
3rd Trimester Specific Prep Courses: https://mamastefit.com/fitness-programs/third-trimester/

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Freebies to Support Your Postpartum:
📩 Join our free early postpartum recovery course: https://mamastefit.com/freebies/early-postpartum-recovery/

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Recover after birth and return to fitness with MamasteFit: https://mamastefit.com/fitness-programs/postpartum/

💻 Postpartum Education Courses
🏋🏻‍♀️ Postpartum Fitness Programs

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Follow Us on IG at https://instagram.com/mamastefit

On this episode of The MamasteFit Podcast: Birth Stories, Gina (perinatal fitness trainer and doula) and Roxanne (certified nurse midwife) interview Destiny about her two births. Her first ending with an unplanned C-section in 2024 after laboring to 10 cm, pushing 1.5 hours, spiking a fever with concern for infection, and baby’s sustained high heart rate. Her second, a much faster VBAC just three weeks ago! For baby #2, Destiny had planned a repeat C-section because he was breech for weeks—until a last-minute ultrasound showed he’d flipped head-down, leading to a TOLAC with Pitocin, lots of movement (wireless monitors!), sudden transition, and a 15-minute unmedicated push. She shares postpartum comparisons, the importance of understanding why a C-section happened, limiting room “spectators,” and that unmedicated stitches plus a 45-minute intern tutorial is not the vibe.00:00 Podcast Welcome00:39 Meet The Hosts01:30 Destiny Joins01:41 First Birth Prep02:39 Late Pregnancy Recap04:13 Labor Begins05:18 Admitted And Monitored07:53 Epidural And Slowdown09:45 Pushing And C Section Call15:12 Recovery And Anxiety15:51 Second Birth Goals16:24 Breech Surprise Flip19:11 Tolac Induction Starts21:27 Pitocin And Hospital Checks22:22 Pitocin Starts Slow23:12 Hip Opening Moves24:17 Supportive Care Team25:27 Station Zero Progress27:49 Epidural Decision Talk28:58 Transition Hits Hard30:18 Chaotic Rapid Delivery34:11 Postpartum Recovery Win35:33 Advice After C Section38:41 Fast Labor Lessons40:58 Sutures and Boundaries42:31 Wrap Up and Resources____________🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour 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/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://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

Gina (perinatal fitness trainer/birth doula) and Roxanne (certified nurse midwife) discuss postpartum stress urinary incontinence—aka “surprise pee” during running, jumping, laughing, sneezing, or heavy lifts. The sisters and pros emphasize it’s common, not shameful, and NOT a required badge of motherhood. They explain key contributors: impact mechanics (shock absorption through ankles/knees/hips), pressure management (ribcage/diaphragm positioning and avoiding “reverse” breathing that increases downward pressure), and pelvic floor capacity (healing timelines—often not ready early postpartum, with many feeling better around 12–16+ weeks, improving over months). Quick fixes include stacking the ribcage, using a left-back/right-forward staggered stance for symptoms, and externally splinting the perineum when coughing/sneezing; for running, reduce “bounce,” increase cadence, use a slight forward lean, and consider run-walk intervals. They note non-orthopedic causes to rule out (UTI, neurologic issues, prolapse/urogynecology care) and recommend pelvic floor PT/OT, plus their return-to-running programs.00:00 Postpartum Leaking Overview00:35 Meet the Hosts01:24 Normalize Not Accept03:11 Why Leaking Happens07:38 Running Impact Mechanics10:46 Pressure and Breathing15:20 Healing Timeline Capacity21:50 Medical Causes to Rule Out24:47 Quick Fixes for Relief31:38 Long Term Strength Plan36:39 Wrap Up and Resources🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour 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/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://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

Gina (perinatal fitness trainer + birth doula) and Roxanne (certified nurse midwife) break down what a doula is—and definitely isn’t. A birth doula is a non-medical, continuous support person (think: labor coach, comfort measures, positions, partner guidance, emotional support, and helping you ask the right questions), not someone who checks cervixes, runs vitals, or makes medical decisions. They talk about how doulas can improve birth experiences and outcomes when integrated as part of the team, plus red flags like a doula (or any provider) trying to isolate you or create distrust. They cover affordability options, insurance quirks, and how doula “certification” works (including DONA training basics), plus ways new doulas can gain experience through agencies and continuing education.

00:00 Doula Basics Intro
00:30 Meet the Hosts
01:24 Doula vs Midwife
02:01 What Doulas Do Not Do
02:52 Continuous Labor Support
03:56 Emotional Physical Support
04:39 Communication and Advocacy
05:52 Midwife View on Doulas
08:10 Teamwork and Observations
10:02 When Doulas Are Excluded
12:08 Evidence for Doula Support
15:37 Red Flags When Hiring
19:34 Recap Doula Role
20:09 Advocacy Example IV Pole
21:26 Staying Calm Not Hostile
21:51 Monitoring Conflict Story
22:43 Doula Team Dynamics
23:17 Bridging Communication Gaps
24:22 Community Resources Network
25:33 Cost Insurance Options
29:18 Do You Need One
31:25 Becoming A Doula
33:03 Certification Process
36:05 Experience And Mentorship
36:58 Continuing Education Tools
39:45 Choosing The Right Doula
41:12 Final Recap And Next Steps

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🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour 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/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://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

Gina (perinatal fitness trainer and birth doula) breaks down why your pelvic floor isn’t a one-move wonder: hip and spine positions change pelvic floor tension, so deep squats, butterfly, and “all the Kegels” only hit part of the picture. She explains the pelvic floor as four quadrants (front/back, right/left) and shows how wide-stance + spinal extension biases the front, while knees-in/internal rotation + rounding targets the back—then zooms in on one-sided drills to address common hot spots (often right front overactivity and left back tension). She demos stretches like half-lunge/open hip shifts, adductor rock-backs, and hip-shift variations for tailbone/constipation/SI pain patterns, then pairs them with smarter strengthening: breath coordination, open-hip quad/glute work for posterior support, and hinge/adductor/hamstring/internal-rotation work for anterior balance. Bonus: programs and a YouTube demo/workout are available.

00:00 Pelvic Floor Beyond Kegels
00:26 Meet the Hosts
01:14 Pelvic Floor Quadrants Explained
02:07 Front Half Release Positions
05:05 Front Quadrant Stretches
09:30 Back Half Tension Relief
13:03 Strengthening With Breath
14:43 Strengthen Back Half Glutes
16:57 Strengthen Front Half Adductors
19:29 Asymmetries and Pro Help
20:36 Wrap Up and Programs

🎉 Grab Your Copy of Training for Two → https://amzn.to/3VOTdwHYour 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/coreStart reconnecting with your core and feeling strong again—safely and confidently.———📲 Follow Us on Instagram for Daily Tips + BTShttps://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