Since starting as a nurse in labor and delivery I have heard that this is not a service industry, not a hotel or restaurant as we are made to feel like servers sometimes. We know best about their care and birth plans, we will take care of them and they should just let us do our jobs.

As more and more women speak up about trauma during hospital births, about the lack of support in labor and postpartum, I have to vent about my perception of what we are doing as nurses and doctors that is missing the mark.

How can we truly incorporate patient-centered care, treating the WHOLE person (persons) during their time in the hospital with us, while maintaining safety, autonomy and dignity?

Listen in as I question the hospital system we have and the mentality that so many nurses and doctors have around women in the maternity hospital system.

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In this episode, Colette Wagholikar and Nicole Lange discuss the intricate relationship between trauma, mental health, and fertility. They explore how acupuncture can aid in fertility treatments, the importance of open communication with partners, and the emotional challenges faced during the journey to parenthood. The conversation emphasizes the need for a supportive community and the significance of celebrating small victories along the way. Nicole shares her insights on navigating pregnancy after fertility struggles and the impact of IVF on pregnancy outcomes, advocating for a holistic approach to women's health.

Nicole Lange is an acupuncturist and thought leader who's pioneered trauma-informed fertility care since 2006. She's leading the conversation around the shocking reality that nearly 50% of people in fertility treatment develop PTSD—regardless of whether they get pregnant. Nicole's revolutionary salutogenesis approach focuses on preventing treatment-induced trauma while improving conception odds through her evidence-based integration of nervous system science and Traditional Chinese Medicine.

Find Nicole:

https://lifehealinglife.com

https://www.youtube.com/@thebabyyouwant

https://www.instagram.com/notafixer/

Takeaways

• Trauma can significantly impact fertility and pregnancy outcomes.
• Acupuncture can help reset the body's hormonal balance and improve fertility.
• Mental health is crucial during fertility treatments and pregnancy.
• Open communication with partners is essential for navigating fertility struggles.
• IVF can lead to increased risks in pregnancy, but informed consent is key.
• Building a supportive community can alleviate feelings of isolation during fertility journeys.
• Celebrating small victories during the fertility process is important for mental well-being.
• Understanding the interconnectedness of physical and mental health can enhance fertility outcomes.
• Women often carry the emotional burden of fertility struggles, impacting their relationships.
• Education and awareness can empower women to make informed decisions about their fertility.

Chapters

00:00. Introduction to Fertility and Trauma

08:33. The Role of Acupuncture in Fertility

22:29. Understanding Trauma's Impact on Fertility

28:38. Understanding Salutogenesis in Fertility

30:54. Navigating IVF and Fertility Solutions

32:13. The Importance of a Holistic Approach

34:06. Emotional Challenges During Fertility Treatments

35:48. Radical Acceptance in Pregnancy After Infertility

39:01. Celebrating Small Wins in the Fertility Journey

43:19. Processing Emotions and Staying Present

46:17. Communicating with Partners During Fertility Challenges

52:39. Navigating Postpartum Challenges

54:45. Communicating Needs in Relationships

57:11. Setting Expectations for Parenting

59:15. Understanding Partner Dynamics

01:01:01. The Impact of IVF on Pregnancy

01:05:45 Balancing Evidence and Compassion in Care

01:08:25 Building a Supportive Environment for Parenthood

01:14:31 Outtro new edit.mp3

Keywords: fertility, trauma, acupuncture, mental health, IVF, pregnancy, women's health, support, community, holistic care

We are so proud to have the doctors behind The OB Hospitalist. Initially conceived to unite OB Hospitalists and help others in their field, cope with the challenges of being in healthcare, family, and juggling modern day challenges. Their audience has expanded to include nurses, midwives, sonographers, and anyone else passionate about delivering quality and meaningful women’s healthcare.

Our conversation covers the role of a hospitalist, or some call them laborists, in the hospital, the path of an OB to become one and how they are changing our maternal healthcare system. Hospitalist are the answer to safety concerns in the hospital and becoming more and more of the norm. And of course we touch on the doctor's view of a birth plan!

The highlight of our conversation is how we can build a successful team based on communication and how, even though it would take a lot of work, this type of birthing system could be a safer general practice throughout the United States.

Head over to their Instagram for updates and announcements for an amazing upcoming project!

IG: @theobhospitalist

Visit their link tree!

Takeaways

• An OB hospitalist is a board-certified OB-GYN who works in hospitals, providing care for patients without an OB-GYN.
• The role involves handling emergencies and ensuring patient safety during childbirth.
• Collaboration with nurses and other healthcare professionals is crucial for effective patient care.
• Work-life balance is achievable in hospitalist roles, allowing for personal time and family life.
• Building trust with patients is essential, especially when they meet their care providers for the first time.
• The healthcare system is facing challenges, including a shortage of private practice OB-GYNs.
• Patient autonomy and shared decision-making are vital in obstetric care.
• Communication between healthcare providers and patients can improve outcomes and satisfaction.
• The future of obstetric care may increasingly rely on hospitalists due to changing healthcare dynamics.
• New OBs should consider the fast-paced, collaborative environment of hospitalist work.

00:00

Introduction to OB Hospitalists

03:11

The Role and Responsibilities of OB Hospitalists

06:10

Pathways to Becoming an OB Hospitalist

08:50

The Current State of the Medical System for Birth

14:54

Building Trust with Patients

20:56

Communication and Teamwork in Maternity Care

27:51

Building Trust in Patient-Provider Relationships

29:48

The Future of Birth in Hospitals

31:36

Adapting to Change in Healthcare

33:38

Patient Autonomy and Birth Plans

36:45

Shared Decision Making in Obstetrics

48:40

Advice for Future OBs and Hospitalists