Our guest today is Rachael Rose, speech-language pathologist and owner of Creative Speech Therapy in Manhattan. We discuss the identification and treatment of tethered oral tissues (TOTs) in infants, more commonly known as tongue ties and lip ties, and their impact on feeding, speech, and overall development. Rachael explains the importance of early detection and intervention to prevent long-term issues, the importance of trusting parental intuition, the need for a supportive team approach, and the challenges parents face in getting proper diagnosis and treatment.

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Anastasiya and Eric share their candid journey to parenthood, from conceiving after long-term birth control and facing a surprise gestational diabetes diagnosis, to navigating a sudden job loss just days before their daughter’s early arrival. Their story unfolds with an unexpected start to labor in the Poconos, a fast and empowering unmedicated birth in Manhattan, and the vital role of partner support and childbirth education. They open up about the realities of postpartum life—addressing new parenthood’s emotional and practical challenges, breastfeeding struggles, and the process of finding themselves again.

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Jane & Sam, New Yorkers who met in San Francisco, share the story of their unmedicated, physiologic birth attended by midwives in a Manhattan hospital and supported by a doula. A year or so into being married, they decide to try to conceive with hopes of having a baby in the Year of the Dragon as Jane is Chinese-American. To their surprise, they get pregnant immediately after removing her IUD. Given Jane’s background having previously worked for a women’s healthcare tech company, she had learned enough about the maternal healthcare system to know she wanted to strategically position herself for a safe, unmedicated birth and to be well-supported by a doula. Jane also shares a bit about her breastfeeding journey and being well supported by two IBCLCs to be sure baby is thriving and to support her when she had some temporary initial nipple damage.

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