He Was One of the Best OBs in the Country. Midwives Taught Him What He Was Missing.

In this episode of What They Don't Tell Us, I sit down with Dr. Stuart Fischbein, a veteran obstetrician who trained at one of the busiest residency programs in the country and spent decades inside the hospital system before stepping away to practice and teach a different model of care.

This conversation is about birth. Not the version of it most of us have seen in movies or heard about from friends, but what the data actually says, what different models of care actually look like, and what questions are worth asking before you make your decisions.

Dr. Fischbein walks us through how the cascade of interventions develops, what the midwifery model of care looks like in practice, and what a large-scale European study found when it compared outcomes across home births and hospital births. We also talk about the role fear and liability play in clinical decision-making, what happens in the minutes immediately after birth, and why he believes informed consent is one of the most important things a pregnant woman can advocate for.

We also cover epidurals, breech delivery, twin births, delayed cord clamping, and the small post-birth interventions most hospitals treat as routine.

I am 8 months pregnant recording this. I came into this conversation with questions. I left with a much clearer sense of what I wanted to understand and ask for in my own birth.

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