The Be Well Baby Podcast

Dr. Emily Spaeth

The questions you're asking... answered. What should I really be asking my doctor during pregnancy?How can I balance trusting my intuition and following medical advice?What if things don’t go as planned—how do I stay grounded?What’s the difference between pain and suffering during labor?What really happens after birth—the part no one talks about?Will my body ever be the same?When should my baby roll, crawl, or sit—and when should I stop Googling it?Should breastfeeding be painful—or is that a sign something’s off?How do I return to work without losing myself—or my career identity?How do we find intimacy again when I’m touched out and exhausted?How do I stay connected to joy and possibility, even when pregnancy or postpartum feels hard?Who am I now that I’m someone’s mother?Who cares if my baby hates tummy time? These are the things nobody tells you about pregnancy, birth, and postpartum... Treat your pregnancy, birth, and postpartum like grad school—because you deserve to be completely prepared. On The Be Well Baby Podcast, we ask all the hard questions of your providers so you don't have to figure this out alone. Hosted by Dr. Emily Spaeth: a Doctor of Physical Therapy, Board Certified Lactation Consultant, and certified trauma-informed professional who trains other providers, this isn't your typical pregnancy podcast. From posture in pregnancy to feeding your baby to baby development to postpartum recovery, pelvic floor health, sex after birth, and navigating your career and identity; we dive deep into the topics nobody talks about openly—until now. You'll discover what high-achieving women actually need to know about pregnancy, birth, and the fourth trimester. No fluff. No surprises. Just the evidence-based information, honest conversations, and real preparation that helps you feel confident, capable, and genuinely ready for this pivotal season of your life. Whether you just found out you're pregnant, you're planning to return to work, navigating matrescence, or managing the incredible changes ahead, this is your space to get prepared, feel supported, and maybe even know more than your doctor does. Ready to approach this season with intention? Follow @bewellbabypdx on Instagram Facebook and TikTokJoin our email list - Notes from the Nest - for a good time!

  1. Sep 30

    How to Write a Birth Plan That Actually Works with Nina Spears of Baby Chick®

    Your birth plan isn't a contract with the universe. It's a flow chart. In our Season 1 finale, doula and Baby Chick founder Nina Spears shares how to write birth preferences that prepare you for the birth you actually get. Nina has supported over 800 families in person and attended more than 350 births over 15 years. She's the author of The Baby Chick Guide to a Positive Pregnancy and built Baby Chick into one of the most trusted pregnancy, birth, and postpartum resources out there. In this conversation, we talk about: Why a birth plan should be a flow chart, not a wish listHow "birth rehearsals" help you and your partner prepare for the what ifsWhat a doula actually does (and why we're not there to replace your partner)Why the invisible load starts the moment you see a positive pregnancy testPractical ways partners can share the load during pregnancy, from booking the prenatal massage to researching car seatsWhat catches partners off guard in the first days postpartum 💛Why every pregnant person needs to unlearn being a "good girl" and a "good patient"Connect with Nina: Website: baby-chick.com Instagram: @thebabychick Thank you for 50 episodes! 🎉 Season 2 is coming soon with shorter episodes built around the question every parent asks at least once a day: Who cares? Until then, go back and listen to Season 1 from the beginning. If this episode helped you, share it with a pregnant friend or their partner, and leave a rating and review. It helps more families find the show. Your host: Dr. Emily Spaeth, PT, DPT, IBCLC, is the founder of Be Well Baby®, a multidisciplinary perinatal and infant care practice in Portland, Oregon. She's spent her career helping families feel supported through pregnancy, feeding, and early development, starting in the NICU and spreading that expertise all over her community. Emily's mission is to change the way people think about preparing for having a baby, this podcast is part of that. Stay connected while we're on break: Join Notes from the Nest, the Be Well Baby newsletter, to get practical support for pregnancy, feeding, and your baby's development, plus the first listen when Season 2 drops. 💌 www.bewellbaby.org/#notes If you'd like to schedule a virtual pregnancy or lactation visit visit www.bewellbaby.org/book-now

  2. Sep 23

    What Your Gut Is Telling You About Your Pelvic Floor with Dr. Val Brown

    Pelvic floor physical therapist Val explains the surprising gut-pelvic floor connection, from bloating to bladder leaks, and how to spot the signs. Most people don't think to connect their digestion with their pelvic floor, but Dr. Emily and pelvic floor physical therapist and functional nutrition practitioner Dr. Val Brown explain why the two are deeply linked. In this episode, they cover surprising symptoms that point back to gut health, from crumbling nails to hearing your heartbeat on your pillow at night, the connection between hypermobility and digestive issues, how the nervous system controls digestion and absorption, and why bladder leaks might have more to do with your diet than you think. Val also shares simple, doable shifts anyone can make to support better digestion and a healthier pelvic floor, starting tonight. What You'll Learn in This EpisodeWhat functional nutrition is and how it differs from typical dietitian careSurprising symptoms (nails, eyebrows, sleep) that point to gut and hormone imbalancesHow chronic stress and the nervous system affect digestion and absorptionThe connection between hypermobility, EDS, and digestive issuesHow bladder and bowel habits relate to pelvic floor healthOne small, doable shift to improve digestion starting todayAbout Dr. ValVal is a pelvic floor physical therapist and functional nutrition practitioner with nearly two decades of experience across pelvic health, neurology, orthopedics, and chronic pain. She brings together clinical training and lived, embodied understanding, having walked her own path from disconnection back to herself, which shapes how she shows up for her clients: not just as a clinician, but as someone who understands what it actually takes to trust your body again. Val's work integrates structure, sensation, and nervous system regulation as one system rather than separate interventions, with no fixed protocol. Instead, she teaches clients how their bodies actually work so they can learn to trust and respond to them in real time. She is the creator of the Vital Access Method, a framework centering the pelvic floor across conditions including hip and back pain, digestion, perinatal health, hypermobility, and more. About Dr. EmilyDr. Emily Spaeth is a physical therapist, IBCLC, certified neonatal therapist, and founder of Be Well Baby, a multidisciplinary perinatal and infant care practice in Portland, Oregon. Be Well Baby can help you prepare for an empowered birth, and offers the most comprehensive healthcare for tongue ties & torticollis. Emily is also the founder of the Perinatal Business Alliance, bringing healthcare providers to connect and collaborate so that we can change perinatal healthcare for the better! Learn more: bewellbaby.org A Note on This EpisodeThis podcast is for educational purposes only and isn't a substitute for personalized medical care. If you're experiencing pelvic floor symptoms, digestive issues, or disordered eating, please reach out to a provider you trust. Enjoyed The Episode?Leave us a review, it genuinely helps other families find this podcast. And if you know someone dealing with bloating, leaks, or gut issues that they haven't connected to their pelvic floor, send this one their way.

  3. Sep 17

    Relationships After Baby: The Piggy Bank Theory with Miranda Bayard Clark

    Struggling to stay connected after having a baby? Licensed counselor Miranda Bayard-Clark shares real tools for rebuilding your relationship postpartum. Having a baby changes everything, including your relationship with your partner. In this episode, Dr. Emily Spaeth talks with licensed counselor and relationship coach Miranda Bayard-Clark about what really happens to couples after baby arrives, and how to protect your connection through it. They cover rebuilding rituals after a baby, managing resentment and mismatched expectations, setting boundaries with extended family, and recognizing postpartum depression and anxiety from a partner's perspective. Miranda also introduces her "piggy bank theory," a simple framework for keeping your relationship's emotional reserves full before conflict hits. If you're expecting, newly postpartum, or just trying to reconnect with your partner after the fog of early parenthood, this conversation is full of practical tools for marriage after having a baby that you can start using tonight. What You'll Learn in This EpisodeWhy "preparental" conversations matter as much as premarital onesHow to rebuild connection rituals after a baby disrupts your routineTools for navigating conflict and resentment between new parentsHow to recognize postpartum depression and anxiety symptoms in your partnerWhat to say (and avoid saying) when your partner is struggling postpartumSetting healthy boundaries with extended family after babyAbout Miranda Bayard-ClarkMiranda is a Licensed Professional Counselor (Oregon #C4122), Gottman-trained Bringing Baby Home educator, and founder of Love After Lullabies, a coaching practice and podcast helping couples navigate the transition to parenthood. She holds a Master's in Counseling Psychology from Lewis & Clark College and has been in private practice since 2012, supporting adults and couples through life transitions and mental health challenges. Miranda lives in the Pacific Northwest with her partner and their two daughters. Learn more: loveafterlullabies.com About Dr. Emily SpaethDr. Emily Spaeth is a physical therapist, IBCLC, and certified neonatal therapist, and founder of Be Well Baby, a multidisciplinary perinatal and infant care practice in Portland, Oregon. Be Well Baby offers in-home physical therapy, occupational therapy, speech therapy, lactation support, craniosacral therapy, and infant massage for families navigating pregnancy through early parenthood. Learn more: bewellbaby.org A Note on This EpisodeThis podcast is for educational purposes only and isn't a substitute for personalized medical or mental health care. If anything in this episode brings up something you're struggling with, especially around postpartum mental health, please reach out to a provider you trust.

  4. Sep 9

    Two OTs Are Changing The Way Hospitals Support Breastfeeding: Here's What Their Research Shows

    Were you asked if you wanted to breastfeed? Emily sits down with Dr. Julia Farrell (OTD, IBCLC, OHSU Doernbecher, Pacific University adjunct) and Dr. Jairrah Godsil (OT, IBCLC, Children's Mercy Hospital) to talk about their mixed-methods research study on how occupational therapists support direct breastfeeding for medically complex infants. Julia and Jairrah share what pulled each of them into lactation work, walk through their survey and focus-group findings, and unpack the three major themes that emerged: holistic intervention, clinical challenges, and role expansion. The conversation covers what "direct breastfeeding" actually means clinically, why bottle-feeding swallow studies don't translate to breastfeeding safety, the systemic gaps that lead to missed breastfeeding opportunities, and what expecting parents can do to advocate for themselves before and during birth. Key Topics CoveredHow Julia and Jairrah's individual research interests (feeding therapist education and medically complex dyads) merged into one combined studyThe finding that OTs with breastfeeding certifications were significantly more likely to intervene at the breast — and what that says about gaps in standard allied health trainingTheme 1 — Holistic InterventionTheme 2 — Clinical ChallengesTheme 3 — Role ExpansionMissed breastfeeding opportunities: the systemic and logistical reasons babies and parents miss early feeding windows, from lack of a documented feeding plan to delayed skin-to-skin after cesarean birthPractical advice for expecting parents: making a breastfeeding plan (including a backup plan), and considering colostrum harvesting in pregnancyGuest BiosDr. Jairrah Godsil, OT, IBCLC is an occupational therapist and International Board Certified Lactation Consultant who specializes in neonatal intensive care (NICU), and infant feeding/breastfeeding. She provides occupational therapy services in the neonatal, cardiac, and pediatric intensive care units and inpatient/outpatient swallow studies at Children’s Mercy Hospital in Kansas City, Missouri. She received a Bachelor of Arts in Psychology at the University of Missouri-Kansas City (UMKC) in 2012, Master of Occupational Therapy in 2015 at the University of Texas Health Science Center (UT Health), and Post-Professional Doctor of Occupational Therapy at Creighton University in 2023. She actively volunteers for the American Occupational Therapy Political Action Committee (AOTPAC) and serves as the AOTPAC Ambassador of Kansas. She actively participates in research to support neonatal development and feeding. She is inspired to help others and has had experience with breastfeeding and feeding issues.   Dr. Julia Farrell, OTD, IBCLC has practiced as an occupational therapist for 28 years. Julia has specialized in supporting families whose children have pediatric feeding, eating, and swallowing disorders since 2004 and has been an IBCLC since 2018. She is currently an Assistant Professor in the Department of Pediatrics’ Institute on Development and Disabilities at Oregon Health and Science University’s Doernbecher Children’s Hospital. In her academic work, she is instructor of record for the breastfeeding elective at OHSU’s School of Medicine and an adjunct instructor at Pacific University’s Occupational Therapy School. Clinically, she works in the Multidisciplinary Feeding Clinic Doernbecher Children’s Hospital, where she prioritizes supporting parent-child interactions to bolster parental confidence and self-efficacy in safely and responsively feeding their child. In addition to her paid positions, Julia volunteers with Feeding Matters and serves as the Legislative and Advocacy Co-Chair for the Occupational Therapy Association of Oregon.

  5. Sep 2

    "Wait and See" Isn't a Diagnosis with Dr. Emily Spaeth

    "Wait and See" Isn't a Diagnosis: Baby Head Shape, Torticollis & Feeding Delays | Be Well Baby Podcast Season 1 is wrapping up soon, and before Dr. Emily Spaeth steps away to prep Season 2, she's sharing a preview of what's coming: shorter episodes with one topic to care about. In this preview, Emily digs into a pattern she sees constantly in her work as a physical therapist and lactation consultant: parents being told "it's fine, don't worry about it" about things like head shape, body asymmetry, and feeding struggles, when a specialist's trained eye would catch something worth addressing early. Emily breaks down three common examples (asymmetry, head shape, and feeding), explains why general pediatrics isn't built to catch every narrow, specific issue, and makes the case for why the first year of a baby's life is a window where small things are still small — and easy to fix. She also gives listeners a first look at Be Well Baby's brand-new Multidisciplinary Clinic, a low-pressure, community-style clinic launching September 11th in Portland, Oregon. What You'll Learn in This EpisodeWhy "it's fine, it'll even out" isn't always the full story on baby asymmetry, hitch-crawling, or head-turn preferenceThe current torticollis screening guidelines most pediatricians haven't caught up on yetHow a flat spot can quietly progress into a helmet conversation — and how to catch it earlierWhy feeding struggles aren't always just "practice," and when to look deeper at alignment and oral functionWhy pediatricians are experts in reassurance and rule-out, not in narrow specialties like infant bodywork or lactationThe difference between "not an emergency" and "nothing to look at" — and why that middle space mattersA first look at Be Well Baby's new Multidisciplinary Clinic: what it is, who it's for, and how to join the first session on September 11thMultidisciplinary ClinicBe Well Baby's new Multidisciplinary Clinic brings together an expert in infant development and a lactation consultant in the same room, at the same time, so families get both feeding and developmental perspectives in one visit. It's designed for families who are brand new to Be Well Baby and want a low-commitment way to get a screening, as well as families who've already completed a package of visits and want a check-in on new questions as their baby grows. First clinic: September 11th at 10:30 AM Location: Be Well Baby, Portland, Oregon Resources & LinksLearn more or book with Be Well Baby: bewellbaby.orgFollow along on Instagram: @bewellbabypdxMultidiscipinary Clnic: www.bewellbaby.org/clinicInterested providers: Perinatal Business Alliance, connecting perinatal providers across Portland Metro and Southwest Washington - www.bewellbaby.org/perinatal-business-alliance About Be Well BabyBe Well Baby is a multidisciplinary perinatal and infant care practice in Portland, Oregon, founded by Dr. Emily Spaeth, PT, DPT, IBCLC, CNT, TIP. The team offers in-home and office visits for physical therapy, occupational therapy, lactation support, and craniosacral therapy for families navigating life with a new baby. This episode is for educational purposes only and is not a substitute for personalized medical advice.

  6. Aug 26

    How to Build Confidence for Birth (and Trust Your Body) with Sivan Dirks

    In this episode, Dr. Emily Spaeth sits down with Sivan Dirks, an acupuncturist, herbalist, and birth doula who specializes in prenatal, postpartum, and pediatric care. Sivan is the director of Wise Mama Collective and runs her own acupuncture practice, Rose City Baby. Sivan path into birth work started organically. Clients kept asking her to be at their births long before she was trained as a doula. Through her own three pregnancies, including a cesarean birth and a VBAC, she developed a deep understanding of what actually builds confidence in labor: not blind trust, but real knowledge of how the nervous system works. In this conversation, Emily and Sivan talk about: Why "just trust your body" isn't enough on its own, and what real confidence is built on insteadHow the nervous system acts as a "doorway" to birth, and why interrupting it is so much easier than supporting itThe difference between sympathetic and parasympathetic states, and why birth is fundamentally a deactivating processA simple breathing tool you can use right now to create more choice and calm in stressful momentsWhy every provider interaction that leaves you scared or anxious is a communication failure, not a reflection of youHow to start reconnecting with your own inner wisdom, even outside of pregnancyOne of the most powerful moments in the episode: Sivan shares a quote that's stuck with her for years — between stimulus and response, there is space, and in that space, we have choice, and in that choice, we have freedom. She unpacks what that means physiologically and how it applies directly to labor, parenting, and everyday life. Connect with Sivan: Wise Mama Collective - https://www.wisemamacollective.com/ Resources mentioned: Be Well Baby - www.bewellbaby.org Oura Ring (Emily's sleep and recovery tracker) - https://ouraring.com/raf/aeac336b38?utm_source=user&utm_medium=iac_raf&utm_type=alwayson-cvr&utm_campaign=2026RAF&utm_variant=2026_raf_dec

  7. Aug 19

    Respond, Don't React: Sleep Training Your Baby with Felicia Nassif

    If you've ever found yourself Googling "why won't my baby sleep" at 3am, this episode is for you. Felicia Nassif is a pediatric registered nurse with over 17 years of trauma and pediatric care experience, a certified lactation educator, parent coach, and pediatric sleep consultant. Through her practice, Conscious Living Coaching, she helps mothers build confidence, improve sleep, and create sustainable routines rooted in nervous system regulation. In this conversation, Emily and Felicia talk about: Why nervous system regulation, not technique, is the real foundation of sustainable sleepFelicia's own journey through sleep deprivation, co-sleeping guilt, and being diagnosed with cystic fibrosis and hypermobile Ehlers-Danlos syndrome as an adultThe sleep cues parents miss (and why waiting until your baby is rubbing their eyes is already too late)Safe co-sleeping and why refusing to talk about it openly can actually make things less safeWhy moving feeding to the start of the bedtime routine (instead of the end) can change everythingResponding versus reacting, and learning to trust your baby's ability to self-settle Felicia's program, The New Mom Reset, is for families who are done Googling and ready for a plan! Visit Felicia's website: felicianassif.com Book a free discovery call with Felicia: https://calendly.com/felicia-nassif/45min Follow Felicia on Instagram: @felicianassif More About Your Host Emily Spaeth is a Doctor of Physical Therapy, International Board Certified Lactation Consultant, childbirth educator, and founder of Be Well Baby® in Portland, Oregon. With extensive NICU experience and training in craniosacral therapy, she leads a team providing home-based health care for families navigating the tricky parts of pregnancy and postpartum. Emily is also a professor and offers mentorship and continuing education courses for professionals so that she can effect systemic change! She is also a mother of three and passionate about helping families move from surviving to thriving. If this episode helped you, please send it to someone who's pregnant, postpartum, or supporting someone through birth — and if you have a minute, leaving a review helps us reach even more families. Thank you for being here.

  8. Aug 12

    The Art of Doing Less: Reading Your Baby's Cues with Dr. Dairian Roberts

    Sometimes parents want to know what to do to help their baby develop. I get it — I've wondered the same thing. And although there are so many ways we can help, sometimes the answer is to do less, observe more, and enjoy more. Dairian is a dear friend of mine, and she'll forever go down in history as my inspiration and bravery booster to start Be Well Baby®. Dr. Dairian Roberts is a licensed occupational therapist with over 10 years of experience and an International Board Certified Lactation Consultant. She's the owner of Humbled by Motherhood (I know I was), where her approach blends OT, lactation support, and manual therapy into holistic, evidence-based care for families. She also founded The Lactation OT Platform where OTs, PTs, and SLPs learn about breastfeeding and chestfeeding, and where I am honored to have my continuing education courses living!  In this conversation, we talk about: Learning your baby's cues, from cries to yawns to the "humming" sound that signals it's time to sleepWhy doing less can be more: how overstimulation affects a baby's developing brain, and what a quiet, unstructured morning actually gives themThe difference between an overstimulated baby who cries and one who shuts down and looks like they're sleepingBottle aversion: what's really going on when a baby refuses, and how it differs from a baby who simply doesn't know how yetDairian's work in USC's Lifestyle Redesign doctorate program and how it's shaping the way she thinks about habit change for postpartum familiesWhat it means to be an adult learner as a new parent, and why care plans need to meet families where they areThe reminder that struggling with something new is a sign you're learning, not failingFind Dr. Dairian Roberts Work with Dairian: www.humbledbymotherhood.comLearn more about Dairian's continuing education platform for clinicians www.LactationOT.comMore About Your Host Emily Spaeth is a Doctor of Physical Therapy, International Board Certified Lactation Consultant, childbirth educator, and founder of Be Well Baby® in Portland, Oregon. With extensive NICU experience and training in craniosacral therapy, she leads a team providing home-based health care for families navigating the tricky parts of pregnancy and postpartum.  She also hosts the Beyond Birth Blueprint (http://www.bewellbaby.org/beyond-birth-blueprint) an online birth and postpartum educational community available to families across the country—so no matter where you are, you have access to support, resources, and connection. Emily is also a mother of three and passionate about helping families move from surviving to thriving. We have restructured Beyond Birth so that you can access it so easily. We close the doors at the end of September. I can’t wait to meet you on the inside!  Our mission is to fundamentally shift healthcare could look like for pregnancy, postpartum, and babies. Please help us spread the word by leaving a review! Every review matters! If this episode helped you, please send it to someone who's pregnant, postpartum, or supporting someone through birth. Thank you for being here. 🤍

5
out of 5
9 Ratings

About

The questions you're asking... answered. What should I really be asking my doctor during pregnancy?How can I balance trusting my intuition and following medical advice?What if things don’t go as planned—how do I stay grounded?What’s the difference between pain and suffering during labor?What really happens after birth—the part no one talks about?Will my body ever be the same?When should my baby roll, crawl, or sit—and when should I stop Googling it?Should breastfeeding be painful—or is that a sign something’s off?How do I return to work without losing myself—or my career identity?How do we find intimacy again when I’m touched out and exhausted?How do I stay connected to joy and possibility, even when pregnancy or postpartum feels hard?Who am I now that I’m someone’s mother?Who cares if my baby hates tummy time? These are the things nobody tells you about pregnancy, birth, and postpartum... Treat your pregnancy, birth, and postpartum like grad school—because you deserve to be completely prepared. On The Be Well Baby Podcast, we ask all the hard questions of your providers so you don't have to figure this out alone. Hosted by Dr. Emily Spaeth: a Doctor of Physical Therapy, Board Certified Lactation Consultant, and certified trauma-informed professional who trains other providers, this isn't your typical pregnancy podcast. From posture in pregnancy to feeding your baby to baby development to postpartum recovery, pelvic floor health, sex after birth, and navigating your career and identity; we dive deep into the topics nobody talks about openly—until now. You'll discover what high-achieving women actually need to know about pregnancy, birth, and the fourth trimester. No fluff. No surprises. Just the evidence-based information, honest conversations, and real preparation that helps you feel confident, capable, and genuinely ready for this pivotal season of your life. Whether you just found out you're pregnant, you're planning to return to work, navigating matrescence, or managing the incredible changes ahead, this is your space to get prepared, feel supported, and maybe even know more than your doctor does. Ready to approach this season with intention? Follow @bewellbabypdx on Instagram Facebook and TikTokJoin our email list - Notes from the Nest - for a good time!

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