Between Contractions

Amsy Dees + Stephanie Dawson

Between Contractions is a real, honest space where we talk about the hard stuff—between the hard stuff. Hosted by Amsy Dees, a certified birth and postpartum doula and Stephanie Dawson, a board-certified lactation consultant, this podcast brings together expert insight and real-life experience. Each episode is filled with practical tips, thoughtful conversations, and authentic stories designed to empower families as they navigate pregnancy, birth, and the postpartum journey.

  1. 5d ago

    #33 - Carlee's Story — Breech, Unexpected Labor & Learning to Ask for Help (Part 1)

    This episode, Amsy and Stephanie sit down with Carlee Castro for the first of a two-part conversation about her journey through pregnancy loss, a breech baby, a scheduled C-section that didn't go as planned, and the postpartum experience that taught her more about herself than she ever expected.  Carlee and her husband Shane had a five-year plan. House, stable cars, babies. They moved fast — and by 2023 were trying to start their family. What followed were two pregnancy losses before their son arrived: one at eight weeks with a heartbeat that came in at 75, and one chemical pregnancy that was gone before she even made it to the doctor. By the time her son was born, Carlee had already learned things about grief, advocacy, and resilience that most people don't encounter until much later.  The pregnancy: Beautiful, by her own account — especially with the perspective that comes from loss. She was large from the beginning (her son was nearly 23 inches at birth), rarely sick, and genuinely loved being pregnant. Until 36 weeks, when he was found to be transverse. The scheduled C-section conversation began — and Carlee was angry.  "I said, I do not want a C-section. That was the very last thing I'd ever want."  She spent weeks doing handstands in the pool, trying spinning babies techniques, willing him to move. He didn't. And with time, she made peace with it.  The birth: Just as the C-section was scheduled and the plan was in place — she went into labor. What followed was a cascade of unexpected events including pre-eclampsia, magnesium treatment that left her unable to open her eyes without the room spinning, and one of the hardest nights of her life: alone in the hospital, on mag, unable to see, having dropped her call light and her phone, hearing other moms give birth next door, trying to dial an extension she couldn't read to reach a nurse who didn't come for two hours.  "I would have sat there in silence until my husband got there the next day."  It was also — unexpectedly — the beginning of learning to ask for help.  On building a care team: One of the most meaningful threads of this episode is Carlee's reflection on what she wishes she'd had in place before birth — therapy, chiropractic care, lactation support — and how finding the Swan Collaborative after the fact changed everything. The difference between Googling at 2am while pumping every two hours, and already having a trusted team who knows who to refer you to.  Tune in next week for Part 2 — breastfeeding challenges, partnering through the hard stuff.    Find Amsy Dees  Website: ⁠amsydeesdoula.com⁠  Instagram: ⁠@amsydees.doula⁠  Find Stephanie Dawson  Website: ⁠growlakeland.com⁠  Instagram: ⁠@grow.lakeland⁠   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #33 - Carlee's Story — Breech, Unexpected Labor & Learning to Ask for Help (Part 1)
  2. Aug 6

    #32 - Our Dream Hospital: A Wishlist from Two People Who've Seen Too Many That Fall Short

    There's a new hospital opening locally, and everyone wants to know: does it have tubs? Does it have showers? Is it actually going to be different? Amsy and Stephanie took that energy and ran with it — building out their full dream hospital wishlist, room by room, from labor and delivery all the way to the doula lounge they desperately need someone to build.  Some of this is realistic. Some of it is aspirational. All of it is overdue.  Labor & Delivery rooms:  Built-in soaking tubs in every room — large, comfortable, with a place to lean, a seat, and yes, a cup holder  Walk-in showers big enough to sit in with a birth ball, with multiple shower heads including a rain shower  Adjustable dimmable lighting, twinkle lights, and Galaxy projectors — or full LED projection ceilings showing stars, oceans, or fields of flowers (the technology exists, people)  Plus-size friendly beds that are actually long enough, because the current ones are not  Yoga mats, birth balls, peanut balls, birth stools, and birthing stools in every single room — not one shared set for the whole unit that may or may not be inflated  Mounted labor support bars and rebozo hooks for squatting, hanging, and leaning  Wireless fetal monitors that actually work, with a real option for intermittent monitoring for those who want it (continuous fetal monitoring is associated with increased C-section rates)  Soundproofed rooms — because hearing someone else's labor or a baby crying when you're just starting out or recovering from a C-section without your baby is genuinely harmful  Staffing & culture:  Midwifery-led units for low-risk laboring people, which is how most uncomplicated births should be managed  Spinning Babies trained nurses — or at minimum, some kind of physiological birth training so staff know how to use positioning to get babies into optimal alignment  C-section experience:  Maternal-assisted C-sections available for those who want them — where mom scrubs in, puts on sterile gloves, and delivers her own baby out of her abdomen. Not for everyone, but for those who want it, it can completely transform the experience  Clear drapes as an option for those who want to see without being fully hands-on  Skin-to-skin as the default, not something you have to ask for  The newborn exam done where mom can actually see it — not behind a drape or in a separate room with a window  Partners and doulas in the OR the entire time, including during the spinal placement  Postpartum:  Lactation support that doesn't disappear when you go home — in-hospital IBCLCs are great, but what happens at day five when you're on your own?  A culture that genuinely treats doulas as collaborative members of the birth team, per ACOG's own recommendations  For doulas specifically (Amsy's personal wishlist):  Badge access so she's not waiting in a security line when someone is crowning  A dedicated doula lounge with a bed and a massage chair for those long overnight labors when mom is sleeping but she can't leave  A 24-hour cafeteria that delivers, because the current situation of everything closing at 2am and reopening at 6am leaves a significant gap during the exact hours when most babies are born  A comfort cart stocked with coping tools — wooden combs, twinkle candles, a Galaxy projector, essential oils — for families who don't have a doula bringing those supplies  Amsy is drafting the email to hospital administrators. We'll keep you posted.  Find Amsy Dees  Website: ⁠amsydeesdoula.com⁠  Instagram: ⁠@amsydees.doula⁠  Find Stephanie Dawson  Website: ⁠growlakeland.com⁠  Instagram: ⁠@grow.lakeland⁠   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #32 - Our Dream Hospital: A Wishlist from Two People Who've Seen Too Many That Fall Short
  3. Jul 30

    #31 - Pitocin Demystified: What It Is, What It Does, And Why You Might Use It.

    Pitocin might be the most fear-mongered medication on the internet right now. Every corner of Instagram and TikTok seems to have a take that boils down to: never, ever do it. And while some of that concern is valid, Amsy is here to push back on the idea that it's simply bad — because like most things in birth, the truth is a lot more nuanced than a hot take allows for.  This episode is a thorough, no-nonsense breakdown of what pitocin is, when and why it's used, what the real risks are, and — importantly — what you always have the right to say about it.  What is pitocin? Pitocin is a synthetic form of oxytocin — your body's natural labor hormone, also known as the love hormone. They're chemically identical, but they don't act on the body the same way. The key difference: pitocin doesn'tcross the blood-brain barrier, which means your brain doesn't release the natural surge of endorphins that oxytocin would trigger. No endorphins means no natural pain relief — and no "love hormone high." Instead, you just get the contractions. Strong ones. Which your body may read as pain and fear, triggering stress hormones that work against you.  When is it used?  Augmentation — to strengthen or speed up contractions that are already happening but aren't progressing labor effectively  Induction — to create contractions when labor hasn't started on its own  Postpartum — to help the uterus clamp down after delivery and prevent postpartum hemorrhage, which is one of the leading causes of maternal death in the US  Why do pitocin contractions feel worse? Two reasons: no endorphins (see above), and the contractions themselves are medically titrated — designed to hit hard and frequent, without the natural ebb and flow your body would create on its own. They tend to peak faster and linger longer than natural contractions, with less recovery time in between.  What you always have the right to do:  Ask why pitocin is being recommended and what the alternatives are  Request that it be turned down if contractions feel too intense or too close together  Withdraw your consent at any time — even if you agreed to it earlier, even if you signed something  Know that if pitocin is turned off rather than down, it typically has to be restarted from the lowest dose, which can prolong the process — that's useful information when making the decision  On postpartum pitocin: This one surprises a lot of people. Most hospitals around here will give pitocin after delivery as a standard practice to help prevent postpartum hemorrhage. You can ask questions, and you can decline — but be prepared for a conversation, especially if any bleeding is occurring. It's worth knowing the difference between active management (pitocin, fundal massage, cord traction) and expectant management, and asking your provider what their standard practice is postpartum.  The bottom line: Pitocin is a tool. A useful one, in the right circumstances. The goal isn't to avoid it at all costs — it's to understand it well enough to make an informed decision, ask good questions, and know that you have a say in every step.    Find Amsy Dees  Website: ⁠amsydeesdoula.com⁠  Instagram: ⁠@amsydees.doula⁠  Find Stephanie Dawson  Website: ⁠growlakeland.com⁠  Instagram: ⁠@grow.lakeland⁠   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #31 - Pitocin Demystified: What It Is, What It Does, And Why You Might Use It.
  4. Jul 23

    #30 - The Kids Ask The Hard Questions

    We're doing something a little different for Episode 30. Amsy and Stephanie handed the microphone to their kids — ranging from age 5 to 12 — and let them ask every question they've ever had about babies, birth, and what their moms actually do for a living. The result is exactly as chaotic, adorable, and surprisingly insightful as you'd expect.  Questions from the kids, answered by the experts:  "How long does it take to make a baby?" — Hayes, age 7, probably meant how long does it take to grow one. The answer: longer than nine months when you actually count it all up, and significantly underappreciated.  "Does it hurt to have a baby come out of your belly?" — A surprisingly nuanced answer about C-sections, recovery, and yes, there is an epidural for that.  "Where does milk come from?" — Stephanie breaks it down in the most kid-friendly way possible: food becomes tiny Legos in your blood, the breast tissue collects them, builds them into the perfect food for a baby, and delivers it when the baby latches or mom pumps. Genuinely a great explanation for any age.  "Does it hurt to feed a baby?" — Paige, age 5 asks the very practical question! It's not supposed to. And if it's anything more than chapped lips, that's when you call a lactation consultant.  "How many times do you have to change a diaper?" — Too many. But in the first week, 5–6 wet diapers and 3–5 poopy diapers a day is a good sign that feeding is going well.  "How do you become a doula?" — Reese, age 12 (who had to be convinced this was cool enough to participate), asked the question that launched a genuine answer about training, certification, and what the path actually looks like.  "How long do you stay in the hospital?" — Depends on the birth, but they will eventually kick you out.  "How do people pee in the hospital?" — Micah, age 6, needed to know. The answer about whether nurses actually have time to pee sparked its own conversation.  "What is the potential for a miracle?" — Franklin, age 9, went deep. We don't have a transcript of the full answer but we respect the question enormously.  This one is a keeper. Share it with a kid in your life who's been asking questions you're not sure how to answer — or just listen for the pure joy of it.  Find Amsy Dees  Website: ⁠amsydeesdoula.com⁠  Instagram: ⁠@amsydees.doula⁠  Find Stephanie Dawson  Website: ⁠growlakeland.com⁠  Instagram: ⁠@grow.lakeland⁠   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #30 - The Kids Ask The Hard Questions
  5. Jul 16

    #29 - Storm Season, Babies & What to Do When Plans Fall Apart

    Florida parents, this one is for you — but honestly, wherever you live and whatever weather you're bracing for, this episode applies. Amsy and Stephanie are back together this week to talk about something nobody really thinks through until they're in the middle of it: what happens to your birth plan, your feeding journey, and your newborn when a storm rolls through?  The answer is: a lot can go sideways. So let's talk about it now, while you still have power.  Feeding during a storm:  If you're breastfeeding, the good news is you are a self-contained feeding unit — no power, no equipment, no problem. But stress and dehydration affect supply, so staying hydrated and fed matters more than ever  For pumping parents, power outages are a real logistical challenge — car adapters are an option, but that plan falls apart fast when gas runs low. A manual pump as a backup is worth having  Formula prep requires clean water, which requires power to boil — and bleach, which you need to have stocked before the storm, not after  Important and not widely known: do not give babies under 6 months plain water, even in the heat. Breast milk and formula already contain the hydration babies need, and water can actually be dangerous for young infants  If you have a freezer full of pumped milk — it can stay frozen longer than you think if the freezer stays closed. Ice crystals present? Still fine to use  Birth plans and storms:  This is where it gets real. If you are due during hurricane season, you need a backup plan for your backup plan:  Roads may be impassable — EMS doesn't run during active hurricanes, and neither can your doula  Your chosen hospital an hour away may be in the storm's direct path — know where the closest safe option is  Home birth families need to know: if roads are unsafe, your midwife may not be able to reach you either  If you're in early labor as a storm approaches, talk to your provider about whether going in sooner makes sense rather than waiting  If you end up delivering at home in an emergency:  Amsy shares an emergency birth guide from Orlando midwife Jennie Joseph — and it's worth having saved before you ever need it. Key points:  First, make sure it's actually labor — drink water, time contractions, don't panic Find a safe, quiet, private space Do not cut or tie the umbilical cord — leave it intact, the placenta can follow naturally, and a professional can cut it later with proper equipment Skin to skin immediately, keep baby warm, encourage breastfeeding to help maintain a firm uterus.If baby isn't breathing, clear mucus from nose and mouth and give gentle rescue breaths Links to Hand Expression Techniques: https://www.mayabolman.com/videos/v/handexpression Link to Jennie Joseph's Giving Birth In An Emergency Guide: https://docs.google.com/document/d/e/2PACX-1vRPB5LRwVteL4x7amslD4WY9haRAqemoI5M91YaNhQe5PaHrT9T3nJCCRg59ecYTCzNyA70z0yYMggp/pub?urp=gmail_link Link to CDC Safe Guards for Milk: https://www.cdc.gov/breastfeeding/php/guidelines-recommendations/feeding-your-child-safely-during-a-disaster.html Find Amsy Dees  Website: ⁠amsydeesdoula.com⁠  Instagram: ⁠@amsydees.doula⁠  Find Stephanie Dawson  Website: ⁠growlakeland.com⁠  Instagram: ⁠@grow.lakeland⁠  DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #29 - Storm Season, Babies & What to Do When Plans Fall Apart
  6. Jul 9

    #28 - Dr. Kristen Kleponis: Your Pelvic Floor Called — It Needs a Word

    Amsy is joined by Dr. Kristen Kleponis, a pelvic floor physical therapist, co-owner of Wonderfully Made PT, and co-founder of Swann Collaborative. If you caught Dr. Arielle's episode a few weeks back, you already know this practice — and this conversation is the perfect companion to that one.  Here's the thing about pelvic floor PT: most people either don't know it exists, think it's just for people who pee when they sneeze, or assume the whole appointment is immediately an internal exam and opt out before they even begin. Dr. Kristen is here to set the record straight.  What actually happens at a pelvic floor PT appointment: It doesn't start where you think it starts. Before anything internal happens, Dr. Kristen is looking at posture, movement, body awareness — things most of us have never thought about in relation to our pelvic floor. The internal assessment is part of it, yes, but it's a thorough, whole-body approach, not something to be afraid of.  Who should go: Everyone. Pregnant? Go. Postpartum? Go. Think you're fine? Go anyway. The pelvic floor is involved in pushing a baby out, recovering from birth, returning to exercise, and about a thousand other things that affect daily life — and most people don't think to address it until symptoms are hard to ignore.  Kegels are not always the answer: One of the most important things in this episode — a tight pelvic floor is not a strong pelvic floor. If you're struggling to push a baby out, the last thing you need is a floor you've been over-tightening for months. Sometimes the work is actually about learning to release and relax, not squeeze harder.  On prolapse: Something is falling out of your vagina and you think you need surgery immediately? Probably not. Pelvic floor PT is often the first and most effective line of treatment for prolapse — and for many people, it resolves or significantly improves symptoms without ever needing an operating room.  On insurance — an honest conversation: Dr. Kristen and the Wonderfully Made team are out-of-network, and they explain why: insurance reimbursement models push providers toward shorter appointments, higher patient loads, and in some cases, having interns do the actual hands-on work while a doctor "oversees." By the time you've paid 8–10 insurance copays at a clinic like that, you could have seen a specialist for fewer, more effective visits. It's a broken system — and it affects every corner of perinatal care, not just PT.  Check out the podcast Dr. Kristen recommended: Birth Healing Summitt Podcast: https://podcasts.apple.com/us/podcast/birth-healing-summit-podcast/id1669091905 https://open.spotify.com/show/4j0uOT3e3p7q4sUYShpkZb?si=045bfcfec9c94477  Find Dr. Kristen Kleponis & Wonderfully Made PT Website: wonderfullymade-pt.com Instagram: @wonderfully.made.pt Find Amsy Dees Website: amsydeesdoula.com Instagram: @amsydees.doula Find Stephanie Dawson Website: growlakeland.com Instagram: @grow.lakeland DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #28 - Dr. Kristen Kleponis: Your Pelvic Floor Called — It Needs a Word
  7. Jul 2

    #27 - Why Prenatal Lactation Assessments Matter More Than You Think

    In this episode, Amsy talks with Stephanie about a service that's often overlooked until it's too late: the prenatal lactation assessment. The core idea is simple but powerful — it's so much easier to build a plan for feeding success before a baby is in your arms than to troubleshoot it in the fog of those first days postpartum.  Why do this before birth?  A prenatal assessment gives you the chance to identify and address potential feeding challenges while you still have the time and headspace to act on them — including:  Breast anatomy considerations like flat or inverted nipples, or a history of breast surgery, trauma, implants, or reductions  Underlying health conditions that can affect supply, including PCOS, insulin resistance, and thyroid dysfunction  A history of low supply with previous children  The two-bucket framework:  Stephanie breaks lactation issues down into two categories:  Mechanical — things like tongue tie, oral motor dysfunction, infrequent latching, or pumping with the wrong flange size  Hormonal — underlying health conditions that signal to the body it needs to prioritize survival over milk production. The body will always protect the parent first; if it senses a "famine," it won't divert energy toward making milk. Often, simple nutrition changes, movement, and properly managing conditions like thyroid dysfunction can shift that signal and support supply.  Timing matters: Stephanie now recommends an initial assessment around 28 weeks (right after the gestational diabetes screening) to allow time to actually implement changes — followed by a second visit around 34–36 weeks to cover positioning and latch mechanics, which are easier to retain closer to delivery.  On including partners: A recurring theme — partners play a real, trainable role in supporting feeding, beyond just being present. Stephanie often has partners physically look down at the baby during a latch to understand positioning from the baby's perspective, so they can spot and gently correct issues at home. She's also candid that the old "wait until six weeks to introduce a bottle" advice is outdated — by the time most families come in for an appointment, baby has already had a bottle, often well before three weeks, with no negative impact on breastfeeding.  A key distinction: There's a real difference between a partner saying "it's okay if breastfeeding doesn't work out" as a way to relieve pressure, versus actively supporting the work — practicing oral motor exercises, learning positioning, showing up to appointments. Reassurance is kind, but active support is what actually helps a parent meet their goals (or pivot with peace, not trauma, if the goal changes).  On Stephanie's "Better Than Basics" class: Rather than another standard breastfeeding 101 class focused solely on the benefits of breastfeeding, this course dives into the realities families actually face — formula, bottles, pumping, and returning to work — and the relational side of feeding in a modern world.  Find Amsy Dees Website: ⁠amsydeesdoula.com⁠ Instagram: ⁠@amsydees.doula⁠ Find Stephanie Dawson Website: ⁠growlakeland.com⁠ Instagram: ⁠@grow.lakeland   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #27 - Why Prenatal Lactation Assessments Matter More Than You Think
  8. Jun 25

    #26 - Building Psychological Capital for Pregnancy, Birth & Beyond

    In this episode, Amsy and Stephanie introduce a concept they think every parent needs in their toolkit: psychological capital. This isn't about toxic positivity or pretending everything is fine — it's about building the real, practiced emotional resources to keep going, ask for help, adapt when plans change, and recover when things don't go the way you expected. The good news? These are skills, not personality traits. You can practice your way into a less stressful parenting journey.  The HERO framework:  Hope — Not "everything will go perfectly," but believing so deeply in your goal that you have multiple paths to get there. If your only path to feeling empowered during birth is an unmedicated delivery, an unexpected induction can leave you feeling like you failed. Building hope means recognizing there are many ways to feel empowered — even when the details change.  Efficacy — The ability to trust in yourself. Believing you have what it takes to handle what's in front of you, make informed decisions, and advocate for yourself and your baby, even in unfamiliar or scary situations.  Resilience — The ability to recover after setbacks, which are incredibly common in this season of life: birth trauma, NICU stays, painful feeding journeys, unexpected weaning, loss, postpartum struggles. Resilience is built through realistic self-talk ("this is hard and I'm still learning" instead of "I'm failing"), supportive relationships, and community — texting a trusted person instead of isolating (or asking ChatGPT). Rewriting your story over time — asking what you learned, how you advocated for yourself, what support helped — is a powerful resilience-building exercise.  Optimism — The belief that there is a light at the end of the tunnel: the baby will not be colicky forever, you will sleep again, hard situations are not permanent or all-defining. Like the other pillars, optimism is a trainable skill — which matters because chronic stress, sleep deprivation, trauma, and isolation naturally pull people toward worst-case thinking.  Download the HERO Prenatal Homework PDF: PRENATAL HERO HOMEWORK PLAN.pdf Putting it into action — small, SMART goals:  The hosts circle back to the idea that big transitions are best handled one bite at a time. When setting goals, make them SMART:  Specific  Measurable  Achievable  Relevant  Time-oriented That might look like: "I'm going to call the therapist and see if I can get on the schedule" instead of "I need to fix my mental health." One feeding at a time. One honest conversation about boundaries. One phone call.  Why it matters: Pregnancy, birth, feeding, fertility, and early parenting are deeply vulnerable experiences layered with exhaustion, identity shifts, physical recovery, and pressure to do everything right. Psychological capital won't make that season easy — but it gives you something to stand on when it gets hard. Find Amsy Dees Website: ⁠amsydeesdoula.com⁠ Instagram: ⁠@amsydees.doula⁠ Find Stephanie Dawson Website: ⁠growlakeland.com⁠ Instagram: ⁠@grow.lakeland   DISCLAMER: The views shared on this podcast are our own and do not represent any specific organization. This podcast is intended for educational and informational purposes only and is not a substitute for medical advice. Please consult your healthcare provider for guidance specific to your care.

    #26 - Building Psychological Capital for Pregnancy, Birth & Beyond

Ratings & Reviews

5
out of 5
12 Ratings

About

Between Contractions is a real, honest space where we talk about the hard stuff—between the hard stuff. Hosted by Amsy Dees, a certified birth and postpartum doula and Stephanie Dawson, a board-certified lactation consultant, this podcast brings together expert insight and real-life experience. Each episode is filled with practical tips, thoughtful conversations, and authentic stories designed to empower families as they navigate pregnancy, birth, and the postpartum journey.

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