Overdue Newsletter

Overdue Newsletter

Addressing the tough topics surrounding pregnancy, childbirth, and aftercare. Aiming for improved health outcomes for every family.

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The Toxic Culture for Female Doctors

Jul 16, 2024 | lisarab.substack.com | Lisa Rab

In 1984, when my Aunt Sharon entered her OB/GYN at the residency at the University of Pennsylvania, the profession was changing. More than 60 percent of residents in the class ahead of her were women, and the American College of Obstetricians and Gynecologists had just elected its first female president. Today, of OB residents are female. Progress, right? Most of the people charged with delivering babies are now women.
Twenty Minutes of Mom Stuff

May 13, 2024 | lisarab.substack.com | Lisa Rab |Tommy Tomlinson

A couple of weeks ago, I was late for a book event with my friend . When I rushed in to give him a hug, I offered my best excuse. “I’m sorry, I still haven’t learned to factor in the 20 minutes of mom stuff that happens before I leave the house.” He smiled and told me to take a deep breath. But I still felt guilty, because guilt is part of the mom stuff. To support my reporting on maternal health, subscribe or upgrade to paid. In truth, I was late because I changed my outfit 18 times.
Emily Oster on Maternal Healthcare

Apr 17, 2024 | lisarab.substack.com | Lisa Rab

If you’ve been reading this newsletter for awhile, you know that I started from the premise that it’s far more dangerous to give birth now than it was for our parents. I came to this idea after six years of reporting on maternal health, and from reading Dr. Neel Shah, who wrote on the Harvard Health Blog in 2018, “Compared with their own mothers, American women today are 50% more likely to die in childbirth.”But any good journalist will tell you it’s important to question your assumptions.
The Breakdown

Feb 20, 2024 | lisarab.substack.com | Lisa Rab

Recently, I met a woman who had a terrifying birth experience. She hemorrhaged so badly after delivering her daughter that she could hear the nurses shouting, “Do you have a living will?” Sounds traumatizing, right? But it wasn’t for her. I also had a life-threatening complication after my son was born. But I was traumatized by the experience of being strapped to the operating table while doctors shouted around me, refusing to tell me what was wrong.
This is the Leaf

Jan 2, 2024 | lisarab.substack.com | Lisa Rab

“This is the leaf, this is the leaf, this is leaf that the Lord hath made!”My son is marching around the living room, waving a wilted plant, belting a hymn he learned at preschool. He’s singing with such gusto, I feel inclined to join him, but I don’t know the words.
CDC Denounces Disrespectful Maternity Care

Dec 6, 2023 | lisarab.substack.com | Lisa Rab

Before I was whisked off to the C-section I didn’t want, after 48 hours of induced labor I didn’t want, the doctor who would perform the surgery tried to calm my husband. “You have a choice,” he said, which only infuriated my husband more. What choice did we have? We had been told, roughly four hours earlier, that my labor had stalled and surgery was necessary. I asked for more time. My water had broken, and my cervix was 7.5 cm dilated. I thought my son’s birth was imminent.
The Miracle of Dutch Maternity Care

Nov 15, 2023 | lisarab.substack.com | Lisa Rab

Jennifer Abshire was 31 when she became pregnant with her first child, and had recently run a marathon. The California native was also living in Amsterdam, which is renowned for its unique approach to maternity care. The maternal mortality rate in the Netherlands is nearly six times lower than in the United States, according to a 2020 study by the Commonwealth Fund. Abshire visited her local doctor and, based on her low risk for complications, was approved for a home birth.
The Snuggle Trap

Oct 18, 2023 | lisarab.substack.com | Lisa Rab

“Wanna snuggle?” The voice pipes up from the darkness of the bedroom, where I can see the glow of my son’s pacifier hovering above the floor. I hoist him onto the twin bed we use for such occasions. Immediately, he tucks his head down in the “turtle,” his preferred sleeping position. I smell his breath, still sweet despite the sausages and pistachios he loves to eat. He reaches over to twirl my hair. “Remember when Charlotte pushed the swing and Ms. Margot’s phone was in it?” he asks.
'We Are Not Meant to Do It Alone'

Oct 11, 2023 | lisarab.substack.com | Lisa Rab

When Dr. Dorothy DeGuzman was training for her career in family medicine and high-risk obstetrics, she didn’t get much instruction on caring for mothers after they give birth. “You make sure she doesn’t hemorrhage and then you ask her if she wants birth control,” she remembers being told. “Then you see her in six weeks.”But her perspective changed 11 years ago, when she had her first child. “It opened my eyes to how difficult it is,” she says of being a new mom.
Dissecting the C-Section Rate

Oct 4, 2023 | lisarab.substack.com | Lisa Rab

As I was recovering from my traumatic birth experience, I met many other mothers who had Cesarean surgeries they didn’t want. These were people of various ages and backgrounds who all gave birth for the first time during the pandemic. So I wondered: What’s going on with the C-section rate? Roughly one-third of births in this country happen via surgery. What factors influence that decision? To be clear: Most new mothers do not undergo major abdominal surgery by choice.

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