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Birth isn’t predictable. As much as you prepare, there may be some surprises along the way.
In this episode, we walk through what it looks like when labor needs medical support. From inductions and Pitocin to C-sections and assisted deliveries, we’ll cover what’s involved and how those decisions unfold in real time.
This episode is about making those interventions feel less mysterious and a little easier to understand—so you can feel informed and confident in whatever path your birth takes.
Birth with Babylist brings together trusted experts and parents who’ve lived it to break down what happens before, during, and after birth—without fear-mongering or shaming. Hosted by journalist, author, and mom of three Jo Piazza. New episodes every Thursday.
Jump to Key Topics
Inductions
(2:33) What an induction is and when it’s medically recommended versus elective. Plus, the differences between cervical ripening with medication or a balloon catheter, starting Pitocin and breaking your water.
C-sections
(13:28) Why a C-section might be recommended during labor, including for fetal heart rate concerns or a cervix that stops dilating, and what the operating room experience can look and feel like
Assisted delivery
(24:33) The two types of assisted vaginal delivery tools (forceps and vacuum), how they work and when they might be recommended
Featured Experts
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Molly Lepic, DO is an obstetrician-gynecologist at UW Health and a clinical assistant professor in the Department of Obstetrics and Gynecology at the University of Wisconsin School of Medicine and Public Health. She provides comprehensive reproductive and pregnancy care, including prenatal and postpartum care, labor and delivery, and family planning across all stages of life. Dr. Lepic’s care philosophy centers on shared decision-making, clear communication, and helping patients understand their options.
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Florencia Segura, MD is a board-certified pediatrician and fellow of the American Academy of Pediatrics. She joined Einstein Pediatrics in Northern Virginia in 2018 and previously practiced at the Children’s Hospital of Philadelphia. Dr. Segura has a special interest in newborn care, childhood nutrition, eczema management and adolescent health. A dedicated educator and children’s health advocate, she mentors medical students, contributes to major media outlets and supports SUDC awareness and research through the SUDC Foundation. You can follow her at @drflorenciasegura.
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Sindhu Srinivas, MD, MSCE is a Professor of Obstetrics and Gynecology and Executive Director of the Hospital of the University of Pennsylvania Cedar Avenue. She completed her medical training and fellowship at UPenn, where she now serves as Associate Chief Medical Officer for Quality and Safety. As a Maternal-Fetal Medicine specialist, Sindhu focuses on high-risk pregnancy care and eliminating health inequities through innovative research and system-level advocacy. Nationally, she serves as the President of the Society for Maternal-Fetal Medicine.
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Laura Hanks, MD, is an ob-gyn at UW Health and a clinical assistant professor at the University of Wisconsin in Madison. She offers full-spectrum obstetric and gynecologic care, including support for transgender patients and gender-affirming procedures. With special training in robotic surgery, she also treats complex conditions like endometriosis and fibroids. When she’s not with patients, she’s likely on a rugby field or exploring Madison. You can follow her at @drhanks_at_ur_cervix.
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