20. Delivering Truth: An MD’s Response to Fear-Based Birth

In this episode, Dr. Tony Ebel interviews Dr. Stuart Fischbein, an experienced obstetrician who has worked both in the traditional hospital setting and as a home birth doctor. They discuss the problems with the current medicalized model of prenatal care and birth, and how it often leads to unnecessary interventions, anxiety, and poorer outcomes for mothers and babies. Dr. Stu emphasizes the importance of the midwifery model of care that focuses on empowering women and supporting physiological birth. The doctors also talk about how early birth practices and environment shape a child's lifelong health by impacting their nervous system and microbiome development.

Key Topics Covered:

• 00:00:29 - Dr. Tony introduces Dr. Stuart Fischbein and his background working in both hospital and home birth settings 
• 00:05:27 - What led Dr. Stu to choose obstetrics as his specialty 
• 00:11:08 - Doctors discuss the longitudinal relationships they build with families in their practices 
• 00:15:36 - The maternal-fetal medicine model of care that treats every pregnancy as high-risk 
• 00:19:22 - Dr. Stu's perspective on what has gone wrong with the medical model of birth 
• 00:28:25 - Using outcomes to evaluate the success of the medical model of obstetrics 
• 00:32:58 - Dr. Tony's realization of how the prenatal and birth environment shapes a child's nervous system and sets the stage for chronic health issues 
• 00:39:26 - The importance of proactive prenatal preparation to avoid getting sucked into the medical fear-based model 
• 00:50:40 - Fiduciary duty of doctors vs hospital administrators and the resulting conflicts of interest 
• 00:57:09 - Dr. Tony's closing thoughts on saving individual families by helping them find empowering, supportive care providers 
• 00:58:10 - Dr. Stu's advice to question consensus and "expert opinions", and instead look at actual outcomes 01:02:15 - Where to find Dr. Stu's work and resources he offers for parents and professionals

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