Born Free Method: The Podcast

Nathan Riley
Born Free Method: The Podcast

The institutions and individuals who run the world would like you to believe that you are powerless. That there's nothing you can do to improve the wellbeing of your family. That you aren't smart enough to understand shmancy science stuff. That eating and living well is too hard for most...so why try? That exercising your rights to informed consent and refusal is irresponsible. That having a birth on you terms, in your own home would be incorrigible. That pregnancy is a disease and childbirth is a medical procedure. That your symptoms are "all in your head". That cervical cancer is an inevitable consequence of HPV infection. They're wrong. Welcome to your revolution. nathanrileyobgyn.substack.com

  1. Tracking your sex hormones at home with the Mira Hormone Monitor

    MAR 28

    Tracking your sex hormones at home with the Mira Hormone Monitor

    Dr. Sarah Pederson is founder of Vera Fertility where she uses Naprotechnology and a restorative reproductive health approach to find and treat the root cause of hormone imbalances and infertility. Rose MacKenzie is the Clinical Manager at MiraCare.com, where she assists healthcare professionals in effectively integrating Mira's hormone monitoring tools into their practices. Rose is well-equipped to provide education and support to providers and fertility awareness educators. Additionally, Rose brings nearly a decade of experience as a natural family planning instructor, specializing in the Marquette and Sympto-Thermal Methods. For more information about Mira: 1. Introduction to Mira video (produced for practitioners but also valuable for non-practitioner) 2. Book a meeting with Mira staff (for providers) 3. 20% discount code: BELOVED20 Episode is available for listening on all podcast platforms AND you can watch our interview and walk through the case studies presented if you check out the episode on Youtube.Notes for this episode are found on SubstackWork with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by RealMovieScores / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 8m
  2. Oxytocin, Orgasm, and Love - An interview with Sue Carter, PhD, the world's expert on the "love hormone"

    MAR 28

    Oxytocin, Orgasm, and Love - An interview with Sue Carter, PhD, the world's expert on the "love hormone"

    I recently completed a 3-part essay series on Oxytocin versus Pitocin®. In Part 1, I focused on oxytocin and its activities throughout the conception and childbirth continuum. Part 2 focused on the increased use of synthetic oxytocin (Pitocin®) in the conventional, hospital-based maternity care model. Part 3 focused on the potential detrimental effects of the nearly ubiquitous use of Pitocin® in U.S.-based childbirth, considering that 98% or more of birth are happening within hospitals.Well, my guest in this interview is the world’s expert on Oxytocin. Sue Carter, PhD, has a laundry list of accolades. She spent most of her career as a professor of medicine at the Universities of Virginia and Indiana. A quick Pubmed search is very revealing…Dr. Carter is the real deal. And her research into Oxytocin was extremely helpful to this series of essays and my own appreciation for this magical molecule. This interview was also conducted as a community call with the Born Free Method community members. So there is also some live Q&A action. (If you aren’t familiar with the Born Free Method, it’s the most comprehensive childbirth education program on the planet. In fact, it’s so unique that it’s not fair to even categorize is “childbirth education”. It’s a part of a childbirth revolution.)Notes for this episode are found on SubstackWork with Nathan:Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by RealMovieScores / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 43m
  3. MAR 23

    How did I become such a pesky thorn? Meet Joanne Riley, RN, MHA, my mother, the original disruptor

    My mother started nursing at age 20, and she was fired more than once for standing up to physicians who strayed from the path. She and I were often at odds during my formative years, during which she verifies what many already know about me: I was a pain in the ass for my teachers and preceptors over the years. I was curious and often demanded deeper reasoning behind the answers I was expected to give in my many years of education. When I was fired for blowing whistles after completing my training, she wasn’t surprised. She was also concerned for me, but not because of my disruptive tendencies but rather as a consequence of her own ordeals as a health care professional who put her own job in jeopardy innumerable times over the course of her illustrious career. In this beautiful conversation with my mother, the original disruptor by the same name, we cover: Her direct experience with the corruption of informed consent and coercion (and the consequences of calling it out) Her Pediatric ICU experience and how it informed her fears around parenthood My birth story (and my sister’s) and the challenges of giving birth without the support of a partner Corruption in clinical trials and the consequences of whistleblowing Her reflections on the COVID moment through the lens of her years of experience in every facet of healthcare How her influence and integrity as a health care professional ultimately influenced my own experience as a physician and general pain-in-the-ass Born Free Method: The Podcast is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Notes for this episode are found on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by RealMovieScores / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 47m
  4. Preterm Labor: Prevention and Management

    FEB 4

    Preterm Labor: Prevention and Management

    This summary covers:- Prediction and Prevention of Spontaneous Preterm Birth - Practice Bulletin #234 - Published August 2021- Management of Preterm Labor - Practice Bulletin #171 - Published October 2016 Prediction and Prevention Five Pearls * PTD at * History of PTD is the greatest risk factor for PTD in a current pregnancy * Progesterone supplementation can be considered regardless of history of PTD * In patients w/ singleton pregnancy and history of PTD, cerclage should be offered if CL * Omega 3s, low-dose aspirin, lifestyle modification, and smoking cessation are also important considerations in decreasing our national PTD rate Background * rates of preterm delivery in the U.S. has been pretty stable * "Although risks are greatest for neonates born before 34 weeks of gestation, infants born after 34 weeks of gestation but before 37 weeks of gestation are still more likely to experience delivery complications, long-term impairment, and early death than those born later in pregnancy" * risk factors for PTD: prior PTD (1-2x ↑ risk), short cervical length (if no history of PTD; if prior history), vaginal infection in pregnancy, vaginal bleeding in pregnancy, UTI in pregnancy, or periodontal disease in pregnancy (treatment of any of these won't normalize risk, though), low maternal BMI, smoking, substance abuse, and short inter-pregnancy interval * in case you were wondering, history of LEEP of CKC for cervical dysplasia has not been found to be a risk factor after all according to ACOG but there are studies that support this (and my own direct clinical experience reflects the alternative) * White women have the lowest rate (9.3%), Hispanic women (10%), American Indian and Alaskan native (11.5%), Native Hawaiian and Pacific Islander (11.8%), with highest rates seen among black women (14%) Who should be screened and how? * the purpose of screening is to identify patients in whom intervention will be helpful * really the only patients who qualify for screening are those with a history of prior PTD, PPROM, multiple gestations, but ACOG feels it’s reasonable to screen universally as 5% of all women could potentially give birth preterm * a systematic review looked at 14 studies and found that: “a cervical length less than 25 mm before 16-24 weeks of gestation had a sensitivity of 65.4% for preterm birth before 35 weeks of gestation, with a positive predictive value of 33.0% and a negative predictive value of 92.0%. Sub-analysis of the studies that included only women whose risk factor was prior spontaneous preterm birth found a similar sensitivity and a positive predictive value of 41.4%” * get a baseline transvaginal ultrasound (TVUS) and repeat this evaluation every 1-2 weeks to assess for change (limited data on time interval) * measure three times, and go with the average * "fetal fibronectin screening, bacterial vaginosis screening, and home uterine activity monitoring have been proposed to assess a woman’s risk of preterm delivery" and none of them have panned out as useful predictors of PTD in asymptomatic women * recent data suggests that it might actually be cost-effective to universally screen for shortened cervix in patients without history of PTD (study 1, study 2), but, for now, ACOG states it's reasonable to offer but not necessarily recommended universally When and how to prevent PTD? No history of PTD * Extensively studied as a means to reduce the risk of preterm birth in asymptomatic women with a singleton pregnancy, short cervix, and no prior preterm birth. * a meta-analysis of five randomized trials of vaginal progesterone versus placebo in patients with a singleton pregnancy, a short cervix, and no prior preterm birth was performed, including patients from the 2019 OPTIMUM (Does Progesterone Prophylaxis to Prevent Preterm Labour Improve Outcome?) trial who did not have other risk factors, and standardizing the threshold definition of shortened cervix at 25 mm or less for their analysis. Patients treated with vaginal progesterone had a significantly reduced risk of any preterm birth before 34 0/7 weeks of gestation (14.5% versus 24.6%; RR, 0.60; 95% CI, 0.44–0.82), spontaneous preterm birth before 34 0/7 weeks of gestation (RR, 0.63; 95% CI, 0.44–0.88), neonatal respiratory distress, and neonatal intensive care unit admission. The meta-analysis authors calculated that 14 patients would need to be treated to prevent one spontaneous preterm birth before 34 0/7 weeks of gestation. * Vaginal progesterone is recommended for asymptomatic individuals without a history of preterm birth with a singleton pregnancy and a short cervix. 200 mg per vagina nightly is the best studied regimen History of PTD: * Before the PROLONG trial (2020), a metaanalysis was published in 1990 that showed demonstrable evidence of the benefits of 17-OH-P in preventing recurrent PTD, which led to a large multicenter RCT of 463 patients. They were randomized to receive either 250 mg 17-OHPC IM or placebo, starting between 16 0/7 and 20 6/7 weeks of gestation. Administration of 17-OHPC reduced the rate of preterm birth before 35 weeks of gestation by one third, leading ACOG and SMFM to recommend this intervention universally to women with history of PTD. * Then came the PROLONG trial, which evaluated the efficacy of 17-OHPC 250 mg intramuscular injection weekly compared with placebo on preterm birth and neonatal morbidity among women with a singleton pregnancy and prior spontaneous preterm birth. Large, international, multicenter double-blind RCT. 1740 women randomized (of 1877 eligible). No statistical difference found in the two primary outcomes of preterm birth before 35 0/7 weeks of gestation or maternal/neonatal outcomes. * On April 5, 2023, the FDA withdrew its approval of 17-OHP for prevention of preterm birth as a result of the PROLONG trial * Data comparing vaginal to IM progesterone supplementation continues to roll in, so no definitive conclusions can be made yet * In the meantime, SMFM discourages clinicians from using IM 17-OHP off-label * Recommended to screen cervical length every week from 16-24 weeks and to offer cerclage if it measures * it may be more cost effective to forego cervical shortening screening altogether in those without this history Cerclage * Short cervix found on ultrasound: uncertain effectiveness in patients with a short cervix and no history of preterm birth. However, there is evidence of potential benefit in patients with a very short cervical length (* Open cervix on physical exam: Individuals with cervical insufficiency based on a dilated cervix on a digital or speculum examination at 16 0/7–23 6/7 weeks of gestation are candidates for a physical examination-indicated cerclage (but data is mixed) * unclear if 17-OH-P plus cerclage are additionally helpful together compared to either intervention alone * An interesting side note: there’s no evidence, per say, that suggests that it’s a terrible idea to place an US-indicated cerclage after 23 6/7 weeks; this is merely “expert opinion” * Because cervical insufficiency traditionally is defined as painless cervical dilation in the 2nd trimester, this restriction presented no issue when viability did not begin until the 3rd trimester and indeed may have arisen to discourage the treatment of patients with threatened preterm labor with cerclage * But now that we have better means of keeping 23+ weekers alive in the NICU, it seems that little investment has been made to prevent babies from coming super early * What if a specific institution doesn’t have the full capacities for keeping these very preterm babies alive? Should we not then consider an early 3rd trimester cerclage? Why not? Very little data to continue this conversation…(much of this is paraphrased from a bada$$ article that was recently published in the Green Journal) Notes on cerclages... There are three indications: * Ultrasound-indicated: what we've already described * History-indicated: cerclage placed at conclusion of first trimester and after prenatal screening has been completed in patients with cervical insufficiency * Physical exam-indicated (e.g. rescue cerclage): option if cervical dilation >2cm is visualized on speculum exam or ultrasound There are three techniques (all call for Mersilene suture): * McDonald: performed vaginally under regional anesthesia using the purse-string technique at the cervicovaginal junction; bladder emptying is recommended, but mobilization is not required * Shirodkar: performed vaginally under regional anesthesia using purse string technique after emptying and mobilizing the bladder * Transabdominal: performed laparoscopically or open, placing the suture in purse-string fashion at the cervicoisthmic jxn (**will require c-section); recommended if vaginal placement is determined not possible or if cervix is too short that vaginal effort is unlikely to be successful If a patient has a cerclage in place and presents in active labor, you must remove the cerclage to avoid cervical laceration, which can lead to outrageous brisk bleeding (you can't stop active labor) Other options * if birth was preterm due to other comorbidities, low-dose aspirin has been demonstrated in some studies to prevent preclampsia and thus prevent indication for iatrogenic preterm birth * tighter control over BPs in cHTN may also decrease our PTD rates * presence of funneling hasn't been found to significantly influence the risk of PTD * "indomethacin or antibiotics, activity restriction, or supplementation with omega-3 fatty acids have not been evaluated in the context of randomized trials for women with short cervical length, and are not recommended as clinical interventions for women with an incidentally diagnosed short cervical length." * stop smoking * omega 3 fatty acids show some promise (2018 Cochrane review) * decreasing allostatic load (think: improve our racist, inegalitarian society) * treat UTIs and vaginal infections when they arise *

    1h 8m
  5. Lahnor Powell, ND, MPH

    12/12/2024

    Lahnor Powell, ND, MPH

    Dr. Powell is a naturopathic physician with her master’s degree in public health. She’s a doula, as well, as she has a wealth of knowledge when it comes to interpreting stool analyses and supporting the gut in pregnancy and postpartum. We met when I called Genova Diagnostics for support in interpreting a client’s GI Effects stool analysis. Now we’re friends, and I wanted to share her with the world. Speaking of stool analyses, the reason that I prefer GI Effects is because I have run all of the major stool analyses (GI-Map, GI360, etc.), and GI Effects found several problem areas that were missed by the others. GI Effects gives you an impression of the degree of inflammation in the gut, pancreatic function, gut flora, presence of parasites, and digestion and absorption of proteins/fats/carbs. Plus, when I started running these analyses on clients, I loved that I was able to arrange for consults with Genova consultants to go deep into the results. In this conversation, Dr. Powell teaches me about: * What can a stool analysis tell you about your health? * What is the optimal frequency and consistency of poop? (We say poop a lot in this episode…try to get over it) * What might reflux or bloating tell you about your gut function? * How do you select a probiotic? * What role does diet play in gut health? * What role does the gut play in hormone health? * How can you optimize gut function in pregnancy and postpartum? * Chiropractics and gut function * Calcium D-Glucarate, vitamins, fermented foods, milk thistle, and more… We go deep in this one. Enjoy. Find Lahnor Powell, ND, MPH on Instagram. Her practice is called Okana Care. Notes for this episode Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Training Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 21m
  6. 11/26/2024

    Kelly Ruef, ND

    I’ve been interpreting DUTCH tests for a few years, and it seems that the rabbit hole gets deeper and deeper. If you work with women as a practitioner, you need at least be aware of DUTCH. Using urine metabolites (DUTCH Complete and Cycle Mapping) or salivary metabolites (DUTCH Cortisol Awakening Response), I am able to get a bird’s eye view of how the adrenals, ovaries, and liver are working in sync to support the overall wellbeing of my female clients from the standpoint of hormone production and detoxification. No test is perfect, but a multiple-day collection is nearly always superior to lab draws in my functional medicine practice. Kelly Ruef, ND, is one of the clinicians on-staff at DUTCH, and she helps people like me interpret client results. On a recent call, I invited her to come share some insights about DUTCH with you, and this is the conversation that ensued! Enjoy! Here are some sample reports for DUTCH Complete, DUTCH Cycle Mapping, and DUTCH Cortisol Awakening Response in case you want a visual aid as you listen to this conversation! Notes for this episode are found on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Training Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 16m
  7. Tony Ebel, D.C.

    11/01/2024

    Tony Ebel, D.C.

    I invited Tony Ebel, DC, interactive chiropractor and founder of PXDocs, to come speak to my Born Free Method community members because he’s brilliant. But he’s not just brilliant, he’s also awesome. Tony is the sort of guy with whom I could enjoy a bourbon and talk about my vulnerabilities as a father, the cult of medicine, and difficulties in my relationship. He’s a regular guy… But from this regular guy, I’ve gained some incredible insights about what he calls the “perfect storm”. When I say insights, I mean validation. We met through an Instagram post that I posted a year or so ago in which I presented the story of a woman who had a child with autism spectrum disorder, and she was asking me if thought that perhaps a hypoxic injury in her birth could have caused the autism. While I don’t believe that a hypoxic injury alone could be responsible (and proving that would be impossible), I did consider the influences of the myriad of other stressors put on little babies and whether these stressors, in combination, might overwhelm an already fragile nervous system within a baby that experienced relative hypoxia during childbirth. Tony jumped on that post, and we’ve been friends every since. I soon found myself on one of his live webinars where he discusses how the combination of environmental toxins, poor co-regulation with the parents (e.g. long NICU stay), subluxation during birth, or the myriad of issues related to cesarean birth might impact a child’s lifelong health. And even better: what to do about it. You might be thinking, “What business does a chiropractor have in speaking about birth?” Well, like other chiropractors who have come on the podcast such as Elliot Berlin, Lindsey Cantu, and Kaleb Valdez, these practitioners often have to fix the problems that we generate through our overly-interventive approach to childbirth in the conventional model. They are sounding an alarm…and we have been slow to respond. There was a recent post on another OBGYN’s Instagram page meant as an eye-roll in response to another chiropractor’s suggestion that perhaps cesarean birth might impact how the sutures of the fetal skull and its orientation around the vertebral spine through the atlas and cervical spine might impact a child’s health. I commented with the suggestion that perhaps we should listen to what he has to say rather than discount is completely carte blanche because he isn’t an OBGYN. I got trashed. But I ask Tony about this hypothesis in this interview, and he unpacks it beautifully. Perhaps there is a reason that baby’s do better - on average - when born vaginally versus abdominally? What do we have to lose through consideration of the myriad of issues that c-section might cause, especially given that we can all agree that 37% of babies being born in our country by c-section is problematic? In this conversation with Dr. Ebel, we also discuss the ideal timing and frequency of newborn chiropractic care (spoiler: immediately), issues with vertebral joint subluxation, the neuroendocrine-immune (NEI) system, PANDA/PANS, and laying a healthy foundation for our kiddos through proper nutrition and life modification. Disclaimer: This episode is not meant to demonize c-sections or OBGYNs. It’s a call to action to reserve the operating room for only the necessary cesareans…and most of the c-sections women are undergoing aren’t necessary. And often they were provoked by a laundry list of interventions, perhaps also unnecessary in most cases. If you had a c-section - or end up having a c-section - Tony has some advice for you, too! This interview was conducted in front a live audience with Born Free Method Community members, so there’s also a lively Q&A throughout the conversation. Our community gets back-stage access to all of these interviews. Consider joining us so that you don’t miss out! Find Dr. Ebel and his cadre of awesome practitioners at PXDocs.com. Check out his amazing podcast “ExperienceMiracles™”, on which I was a recent guest. And you can learn more about him on Instagram. I just launched a special program that starts in 7 weeks, which is directly related to nervous system regulation. Your body is an instrument, and the sounds that it creates can have a host of influences on your physiology, which is ever-the-more-important in childbirth. This 40-day 1st chakra chanting program start in January, and it’s a courageous collaboration with Maryn Azoff, of Vocal Transformation. Learn more about this program HERE. We are limiting the spots to 100 people (a couple counts as one). When you are ready to enroll, go HERE. Notes for this episode are found on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Training Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Born Free Method: The Podcast is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    56 min
  8. Miscarriage and Pregnancy Loss: What's Egg Quality Got to Do With It?

    10/30/2024

    Miscarriage and Pregnancy Loss: What's Egg Quality Got to Do With It?

    This story is often the same. Positive pregnancy test. Excitement.Go to your OBGYN.Sterile, crinkly paper.Phallic probe in the vagina.Then you wait…What do you see, doc? Is there a heartbeat? Is everything ok?Even in your 20s, your fecundity, a fancy term for “the likelihood of conceiving on any given cycle”, is around 20%. Instagram and Facebook would have you believe otherwise, but the fact remains: not every pregnancy goes the distance.Is something wrong with me, doc?What did I do wrong? ”Oh no, honey,” the good doctor says, “This happens all the time. Just keep trying…”You wipe up all of the goo and get dressed, holding back the tears until you’re safely in your car, shielded from all of the happily pregnant couples in the waiting room.While miscarriage is relatively common, it hits harder when it happens again, and again, and again, especially when you aren’t given any tools or insights as to why or how it keeps happening to you. Your mom told you that you were special, but you don’t want to be special in this way. I’m joined today on the podcast with the two founders of WeNatal, my preferred prenatal vitamin company. In this conversation, they’ll speak to the void in conventional maternity care that leaves so many couples feeling hopeless and unsupported by their doctors, and they have a product that might be a step in the right direction…WeNatal offers his and her prenatals, fish oil, and a new “egg quality” supplement, and I’ve been passing them all out like candy to my Born Free Method community members and others who seek me out for guidance. Using THIS LINK, with any prenatal purchase, they’s throw in a bottle of their DHA Plus (fish oil) at no charge. Their egg quality supplement contains five potent mitigators of oxidative stress: acetyl L-carnitine, Coq10, PQQ, NAC, and ALA. When combined with a sound prenatal, this supplement provides every reassurance that you are doing everything in your power from a supplement standpoint to improve the quality and function of your precious eggs. And the same goes for the guys and their sperm… If you’d like comprehensive support from pre-conception through postpartum, check out the Born Free Method. When you enroll, you score free samples of WeNatal’s his/her prenatal vitamins, and you get lifetime access with direct support from me and Sara Rosser, CPM, my co-creator. Lifetime. Access. Direct. Support. There’s nothing like it.Sara and I have a free pregnancy loss program that we are offering as well in the event that you want some support specific to your loss, miscarriage, or ongoing challenges with pregnancy. Notes for this episode are found on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Born Free Method: The Podcast is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    47 min
    4.2
    out of 5
    329 Ratings

    About

    The institutions and individuals who run the world would like you to believe that you are powerless. That there's nothing you can do to improve the wellbeing of your family. That you aren't smart enough to understand shmancy science stuff. That eating and living well is too hard for most...so why try? That exercising your rights to informed consent and refusal is irresponsible. That having a birth on you terms, in your own home would be incorrigible. That pregnancy is a disease and childbirth is a medical procedure. That your symptoms are "all in your head". That cervical cancer is an inevitable consequence of HPV infection. They're wrong. Welcome to your revolution. nathanrileyobgyn.substack.com

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