『Pulling Curls Podcast: Pregnancy & Parenting Untangled』のカバーアート

Pulling Curls Podcast: Pregnancy & Parenting Untangled

Pulling Curls Podcast: Pregnancy & Parenting Untangled

著者： Hilary Erickson
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 Join Hilary Erickson, RN BSN and mom to three as she tackles the subjects you NEED To know about. We will untangle the sticky parts of pregnancy, parenting, home life and even some travel. As an expert in all these areas -- Hilary knows NO ONE IS AN EXPERT, but people sure give it a good try and make the best choice for their family.Copyright © 2019 · by Erickson Creative LLC 人間関係 子育て
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  • Informed Consent During Pregnancy: Knowing Your Rights - 261

    Informed Consent During Pregnancy: Knowing Your Rights - 261
    2025/06/16
    In this episode of The Pulling Curls Podcast, Hilary welcomes certified nurse midwife Juli Pyle to dive into the topic of informed consent in labor and delivery. Together, they break down what informed consent really means, the key components every patient should know, and how it plays out during childbirth. Juli and Hilary share personal stories from both sides—provider and patient—highlighting why these conversations matter and how they can empower you to make the best choices for your birth experience. Whether you're planning your first delivery or looking to better understand your options, this episode provides practical tips for having more effective, respectful discussions with your care team. Big thanks to our sponsor The Online Prenatal Class for Couples -- if you want to learn to communicate better, it is the class for you! Today's guest is Today's guest is Juli Pyle (she/her) a certified nurse midwife who practices at a community hospital in rural Pennsylvania. Juli was a stay at mom for many years to five children before deciding to return to school to pursue a degree in nursing. She graduated from Colorado Mesa University with a bachelors of science in nursing degree in 2016 and then began her nursing career as a labor and delivery nurse. She quickly discovered that this was her true passion (as she had suspected since having her own children) and quickly gained a reputation for professionalism, compassion and expertise among colleagues and patients. She then returned to Frontier Nursing University to complete a Master's degree in Nursing with an emphasis in midwifery. In 2020, she graduated and began as a certified nurse-midwife at a small community hospital in central Pennsylvania where she has been since that time. Her focus as a CNM is to provide evidence-based education to all birthing families, give true autonomy and informed consent throughout their time with her and to share love, understanding, empathy and true shared-decision making. When not immersed in the birthing world, she enjoys spending time refinishing furniture, gardening, raising and breeding different types of chickens, hiking and vacationing with her family. Links for you: Julie's previous Episodes: The Best Providers for Your Baby’s Arrival: A Deep Dive with CNM Juli Pyle -- Episode 204 What Your Providers Think When You’re in Labor with CNM Juli Pyle – Episode 189 Timestamps: 00:00 "Informed Consent Importance in Medicine" 04:20 Balancing Patient Communication and Time 09:24 Respectful Informed Consent Dynamic 10:29 Patient Choice in Labor Induction 14:06 Informed Consent for Episiotomy Decisions 18:17 Informed Consent for Induction 22:31 Labor Induction and Position Choices 25:56 Documenting Risk in Patient Decisions 29:16 Holistic Prenatal Care Approach 32:33 Nurses' Role in Informed Consent 35:45 Patient Communication with Providers 37:21 Importance of Informed Consent Keypoints: Informed consent in labor and delivery is a crucial and often misunderstood part of medical care, emphasizing the patient's right to understand and make decisions about what happens to their body.There are five main components of informed consent: patient understanding, absence of coercion, full disclosure of risks/benefits/alternatives, the right to decline, and documentation of the discussion.Time pressure, provider biases, and regional/cultural differences often affect how effectively informed consent is communicated in hospitals.Patients are encouraged to ask, at any point, for the risks, benefits, and alternatives to a procedure—it's their right, even for routine interventions.Some medical staff may overwhelm patients with information, while others may inadvertently minimize discussion; finding the right balance to suit each patient is key.Regional culture, age, language, and personal preference play huge roles in how much information patients want or are comfortable with during labor and delivery.Informed consent isn’t just for major decisions like C-sections or epidurals—it can and should apply to things like cervical exams and labor positions, even in less formal, conversational ways.Declining a recommended intervention (e.g., breaking water, episiotomy, induction) is absolutely an option for patients, and the birth experience should support their decision, barring emergency situations.The benefits of midwifery care are highlighted, including a more holistic and consistent approach to informed consent and labor support, but ultimately provider style matters more than title.Good communication and shared decision-making between providers and patients help prevent birth trauma and litigation, reinforcing the importance of patients feeling informed and respected during their birth experience. Producer: Drew Erickson Keywords: informed consent, labor and delivery, childbirth, induction, epidural, c-section, certified nurse midwife, obstetrician, patient rights, shared ...
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    38 分
  • Vacuums, Forceps and Birth: What Every Parent Should Know About Assisted Deliveries - 260

    Vacuums, Forceps and Birth: What Every Parent Should Know About Assisted Deliveries - 260
    2025/05/21
    Curious about assisted deliveries? In this episode of The Pulling Curls Podcast, Hilary Erickson, The Pregnancy Nurse®, sits down with Dr. Tori O'Daniel, a board-certified OB GYN, to demystify vacuum and forceps deliveries. They explain when and why these tools might be used, how they work, the differences between them, and what you can expect if your delivery needs a little extra help. They also bust some common myths and share real-life experiences (including Hilary’s own forceps story), plus get honest about risks, benefits, and postpartum recovery tips. Whether you’re prepping for birth or just want to be informed, this episode has all you need to feel more confident about your options. Big thanks to our sponsor Laborie, makes of the Kiwi® Complete Vacuum Delivery System: https://www.laborie.com/product/kiwi/ Today's guest is DDr. Tori O’Daniel. She is a Board-Certified OB/GYN whom has been practicing for 14 years. For the past 11 years she has been an OB/GYN Hospitalist in OKC, Oklahoma. Dr. O’Daniel is the Medical Director for the OB Hospitalist and women’s services. She also is the Medical Director for Women’s Health Services at Mercy Hospital. She instructs educational classes and facilitates the OB Emergency Simulations for the nurses and physicians within her department. As an Adjunct Faculty at Oklahoma State University, she is the Director of the Medical Student Clinical rotations at her institution. She has been actively involved in the Society of OB/GYN Hospitalists (SOGH) for the past several years. She co-chaired the Simulation committee in 2020 & 2021 and Co-Chaired the ACM 2022 & 2023. She currently serves on the Board of Directors. Dr. O’Daniel is passionate about education and advocating for women’s safety in health care. Thus, she actively teaches across the country about vacuum assisted deliveries, treating post partum hemorrhage and other OBGYN Emergencies. Links for you: Previous episode sponsored by Laborie (#246) about plus size moms in labor: https://www.pullingcurls.com/246-plus-size/ Timestamps: 00:00 Assisted Delivery and Labor Mechanics 03:22 Assisted Vaginal Delivery Options 06:26 Decline of Forceps in Deliveries 10:38 Vacuum-Assisted Delivery Explained 13:54 Vacuum Procedure Timing Guidelines 16:10 Assessing Delivery Options and Pelvic Adequacy 19:26 Challenges in C-section Deliveries 23:15 Forcep Use in Obstetrics 25:50 "Consent Challenges in Childbirth Decisions" 31:43 Forceps vs. Vacuum Delivery Risks 33:16 Birthing Risks: Maternal and Fetal 37:24 Considerations for Assisted Vaginal Delivery 39:56 Navigating Birth Plan Conversations 44:07 Normalize Asking for Help 46:57 Flexible Tubing Revolutionizes Vacuum Use 49:15 Flexible Neck Vacuum for Childbirth Keypoints: Assisted deliveries involve using tools like vacuums or forceps to help a baby out during vaginal birth, usually when there’s exhaustion, fetal distress, or a tricky position.The difference between forceps (which look like fancy salad tongs) and vacuum devices (like the KiwiVac) was explained—with forceps generally having a higher risk for maternal tearing, while vacuums can be safer for the mother but have their own set of risks for baby.Forceps use is becoming rare in the US, and many younger doctors are not trained in both tools; most providers specialize in one over the other.The vacuum method, such as the KiwiVac, doesn’t just involve pulling—the device helps rotate and flex the baby’s head to ease passage through the pelvis, working in tandem with the mother’s pushing effort.Not every provider can use both vacuums and forceps, and midwives in the US generally use vacuums regionally; outside the US, like in Europe, midwives may use vacuums more routinely.Assisted deliveries make up less than 5% of births, so most people will not need them, but knowing about the process can reduce fear if the situation arises.Before offering assisted delivery, doctors must ensure the baby is low enough, the mother’s pelvis is adequate, and water is broken—these tools can’t compensate for a truly “stuck” baby or incomplete dilation.Vacuums and sometimes forceps can even be used during C-sections if the baby is deeply engaged or in an awkward position, to help bring the baby up through the uterine incision.Consent and clear communication are vital—sometimes decisions have to be made quickly, so it helps when patients have discussed these possibilities in advance with their providers.The episode emphasized not to fear assisted deliveries—they’re tools to reduce C-sections and make births safer when used by skilled, well-trained professionals, and advances like the KiwiVac improve outcomes for both moms and babies. Producer: Drew Erickson Keywords: assisted delivery, vacuum-assisted delivery, forceps delivery, Kiwi Complete Vacuum Delivery System, OB GYN, labor and delivery, childbirth, maternal exhaustion, fetal distress, ...
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    52 分
  • Kick Counts Made Simple: FAQs, Expert Tips, and Why It Can Save Babies’ Lives - 259

    Kick Counts Made Simple: FAQs, Expert Tips, and Why It Can Save Babies’ Lives - 259
    2025/04/23
    In this episode of The Pulling Curls Podcast, Hilary Erickson, RN, is joined by Kimberly Iceberg from Count the Kicks to answer common questions about tracking your baby's movements during pregnancy. They discuss why kick counts matter, how to use the Count the Kicks app, what to do if you notice changes in your baby’s movement, and how kick counting can give you peace of mind while supporting stillbirth prevention. The episode also covers tips for handling complications like an anterior placenta and offers advice for communicating concerns with your healthcare provider. Big thanks to our sponsor The Count the Kicks App -- It is free and available in 20+ languages. Start using daily at 28 weeks or 26 weeks if high-risk or pregnant with multiples. It makes doing a daily kick count easy. 77% of app users report that using the app helped decrease their anxiety about the well-being of their baby. 84% said it helped to increase their feelings of bonding. The app can be a great way to involve your partner or your baby's older siblings. Download the app here: https://countthekicks.org/download-app/ Today's guest is Kimberly Isburg. She is the Communications Director for Healthy Birth Day, Inc., the nonprofit that created the Count the Kicks stillbirth prevention program. She is a mom of two boys and a firm believer in the power of Count the Kicks. She's on a mission to make sure all expectant parents know about kick counting in the third trimester of pregnancy. Links for you: When to start kick counts: https://www.pullingcurls.com/when-start-kick-counts/ The importance of kick counts: https://www.pullingcurls.com/podcast-bonus-kick-counts/ Timestamps: 00:00 "Pregnancy & Parenting Insights Podcast" 05:38 Pregnancy App Tracks Baby Movement 09:24 Mindful Baby Movement Tracking 10:14 Importance of Monitoring Fetal Movement 14:01 Pregnancy Health Concerns 18:50 Assessing Fetal Movement with Anterior Placenta 20:30 Baby Movement Tracking Eases Anxiety 23:16 Monitor Fetal Movement with Anterior Placenta 25:59 Kick Counts Start at 27 Weeks 31:01 Labor Nurses' Challenges and Solutions 33:03 Third Trimester: Key Time for Testing 35:48 "Daily Kit Counts Benefit Health" Keypoints: The episode features Hilary Erickson, RN, and guest Kimberly from Count the Kicks, diving into frequently asked questions about fetal kick counts during pregnancy.The Count the Kicks app is highlighted as a free, easy-to-use tool available in over 20 languages, designed to help expectant moms track their baby's movement and identify normal patterns.Kick counting involves tracking any fetal movement (kicks, rolls, pokes, jabs, swishes) except hiccups, focusing on pattern consistency over time rather than comparing to a fixed standard like "10 kicks in 2 hours."It’s recommended to begin daily kick counts at the start of the third trimester (around 26–28 weeks), which is when babies typically establish a recognizable movement pattern.Every baby—and pregnancy—is different; the key is to learn what’s normal for your individual baby instead of comparing to others or strict timeframes.Count the Kicks app allows for note-taking, monitoring movement strength, and creating a graph for clear visualization of your baby’s movement history—helpful for discussing with healthcare providers.Changes in a baby's movement pattern (either slower or faster) should always be reported to a healthcare provider, as they can indicate potential problems with either baby or mom's health.Kick counts are proven to help reduce stillbirth rates, with research cited showing a 32% drop in Iowa after the practice was widely encouraged with Count the Kicks.Hilary and Kimberly address common concerns such as anxiety related to kick counts, babies described as "lazy," and complications like an anterior placenta, encouraging open communication with providers.Both emphasize kick counting as an empowering, bonding daily ritual—useful not only for peace of mind but as a practical safeguard for mom and baby, and encourage listeners to download the app and make daily tracking part of their routine. Producer: Drew Erickson Keywords: kick counts, fetal movement, Count the Kicks app, anterior placenta, pregnancy monitoring, stillbirth prevention, third trimester, baby movement patterns, contraction timer, prenatal care, high risk pregnancy, labor and delivery, amniotic f
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    37 分

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