Start Smart: Fertility - Pregnancy - Hormone Health
Start Smart is the podcast for the messy, beautiful side of early pregnancy—the symptoms, the surprises, and the stories no one talks about. Hosted by the CEO of Materna Health, Kristen Williams, we bring you real conversations with OB/GYNs, midwives, and moms navigating everything from positive tests to Hyperemesis Gravidarum, spotting, IVF, and first-trimester freakouts. Whether you're TTC, newly pregnant, or supporting someone who is, Pregnant-ish is here with facts, empathy, and zero judgment.
info_outline
The Mythology of Birth: A Conversation with Dr. Britta Bushnell
01/23/2026
The Mythology of Birth: A Conversation with Dr. Britta Bushnell
In this enlightening conversation, Dr. Britta Bushnell shares her insights on the transformative journey of parenthood, emphasizing the importance of mythology and psychology in understanding childbirth. She discusses the illusion of control that many expectant parents face, the significance of childbirth as a rite of passage, and the dynamics of family roles as new parents navigate their identities. Dr. Bushnell also highlights the critical role of partners during the birth and postpartum periods, advocating for the practice of receiving help and the power of storytelling in reframing birth experiences for healing and resilience. "Stories are how we remember." "Partners need to embody 'bank' energy." "Practicing receiving help is crucial." Chapters 00:00 Introduction to Dr. Britta Bushnell 02:58 The Illusion of Control in Parenthood 05:41 The Intersection of Mythology, Psychology, and Childbirth 11:52 Childbirth as a Rite of Passage 17:33 The Transformative Family Wheel 29:23 Partner Support During Birth and Postpartum 44:50 Reframing Birth Stories for Healing Keywords birth, parenthood, transformation, mythology, psychology, childbirth education, rites of passage, family dynamics, partner support, healing About Britta Bushnell Britta Bushnell, PhD, is a childbirth educator, birth advocate, and author known for her work on the neurobiology of birth and the mind–body connection in labor. She holds a doctorate in Mythological Studies with an emphasis in Depth Psychology, and she brings a unique, research-informed perspective to understanding how physiology, environment, and emotional safety influence birth outcomes. Britta is the author of Transformed by Birth, a widely respected book that explores how birth experiences shape women neurologically and psychologically. Her work bridges neuroscience, psychology, and childbirth education, helping parents and providers better understand how to support labor in ways that promote safety, confidence, and optimal outcomes. Through teaching, writing, and speaking, Britta Bushnell continues to challenge fear-based narratives around birth and advocates for care models that honor the intelligence of the birthing body and brain. About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www.maternahealthcare.com or reach out at Materna Healthcare on Social Media 📍 Instagram: @materna_health_ 🎵 TikTok: @maternahealthcare 💼 LinkedIn: Materna Healthcare We’d love to hear from you! Have a question, a story, or something you’d like us to cover? Reach out anytime, we’re listening. We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/39843310
info_outline
Iron Deficiency: A Silent Global Epidemic with Dr Michael Auerbach
12/14/2025
Iron Deficiency: A Silent Global Epidemic with Dr Michael Auerbach
In this episode, Dr. Michael Auerbach, a renowned hematologist and oncologist, discusses his extensive experience with intravenous iron therapy, debunking myths about its dangers and highlighting its efficacy. He shares insights on the importance of iron in pregnancy, the challenges of iron deficiency, and the need for updated guidelines in obstetrics. Dr. Auerbach also emphasizes the significance of proper iron supplementation and the impact of iron deficiency on global health. Takeaways Intravenous iron therapy is safe and effective, debunking myths of its dangers. Iron deficiency is a top global health issue, affecting over 3 billion people. Proper iron supplementation is crucial, especially in pregnancy, to prevent developmental issues. Dr. Auerbach has pioneered studies in iron therapy for various conditions, including pregnancy and chemotherapy-induced anemia. Iron deficiency is often overlooked in obstetrics, with many women undiagnosed due to outdated guidelines. The American College of Obstetrics and Gynecology has yet to adopt international guidelines for iron deficiency screening. Oral iron supplements can be ineffective and even harmful in certain conditions like inflammatory bowel disease. Dr. Auerbach advocates for universal iron screening and intravenous iron therapy for iron-deficient women. Iron deficiency can lead to significant health issues, including fatigue, postpartum depression, and developmental delays in children. Updated guidelines and awareness are needed to address iron deficiency effectively. Sound Bites Intravenous iron is safe and effective. Iron deficiency affects over 3 billion people. Proper iron supplementation is crucial. Iron therapy in pregnancy prevents issues. Outdated guidelines overlook iron deficiency. ACOG needs to update iron guidelines. Oral iron can be harmful in some cases. Universal iron screening is essential. Iron deficiency leads to health issues. Awareness is key to addressing iron deficiency. Chapters 00:00:00 Introduction and Background 00:00:00 Intravenous Iron Therapy 00:00:00 Iron Deficiency in Pregnancy 00:00:00 Challenges in Iron Supplementation 00:00:01 Global Impact and Guidelines Michael Auerbach, MD, FACP, is a board-certified hematologist and oncologist and an internationally recognized authority on iron deficiency anemia, including its management in pregnancy. A Clinical Professor of Medicine at Georgetown University, he serves on the American Society of Hematology Guidelines Committee and has authored more than 220 peer-reviewed publications, including multiple UpToDate chapters on iron deficiency. Dr. Auerbach is a pioneer in intravenous iron therapy, leading landmark educational sessions and the first U.S. prospective study of IV iron in pregnancy. For more information on Dr. Michael Auerbach you can find information at About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www. or reach out at . Follow us on instagram Materna Healthcare Social Media Instagram: TikTok: LinkedIn: We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/39405010
info_outline
Navigating Genetic Testing for Preconception & Early Pregnancy with Ushta Davar Canteenwalla
11/04/2025
Navigating Genetic Testing for Preconception & Early Pregnancy with Ushta Davar Canteenwalla
In this episode of Pregnant-ish, host Kristen Williams speaks with genetic counselor Ushta Davar Canteenwalla about the complexities of genetic testing during pregnancy. They discuss the importance of genetic counseling, the different types of genetic tests available, and the emotional and ethical considerations surrounding these tests. Ushta emphasizes the need for accessible genetic counseling and the benefits of preconception testing to help parents prepare for potential complications. The conversation highlights the advancements in prenatal genetic testing and the importance of informed decision-making for expecting parents. Genetic counseling is essential for informed decision-making during pregnancy. Many OBs do not work with genetic counselors, leading to gaps in information. Preconception genetic testing can provide valuable insights for future parents. Emotional support is crucial when navigating genetic testing results. NIPT is a non-invasive test with high detection rates but has limitations. Amniocentesis provides definitive answers but comes with risks. Advancements in genetic testing technology are rapidly evolving. Expecting parents should approach genetic testing with a positive mindset. Understanding family history can guide additional testing needs. Genetic counseling should feel like a supportive conversation, not a clinical obligation. About Ushta: Ushta is a board-certified genetic counselor with over 20 years of experience guiding individuals and families through their genetic health. In 2018, she founded FiND Genetics, a telemedicine consulting practice dedicated to making genetics more clear, accessible, and empowering. Her work spans reproductive, adult, and general genetics, as well as clinical operations, education, and mentorship. Previously, she led a collaborative fetal care center at Columbia University Medical Center and directed the national genetic counseling team at CooperGenomics. For more information on Ushta Davar Canteenwalla and Find Genetics you can find information at Join the priority list for her upcoming Prenatal Testing with Confidence workshop series: self-paced learning experience with ongoing live support from me to help you understand genetic testing in pregnancy. . And Follow Ushta on Instagram About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www. or reach out at . Follow us on instagram Materna Healthcare Social Media Instagram: TikTok: LinkedIn: We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/38896965
info_outline
Morning Sickness: Truths They Don’t Tell You About Hyperemesis Gravidarum with Charlotte Howden
10/06/2025
Morning Sickness: Truths They Don’t Tell You About Hyperemesis Gravidarum with Charlotte Howden
Hyperemesis Gravidarum is one of the most misunderstood and debilitating conditions in pregnancy. This episode brings to light the realities behind what many dismiss as ordinary morning sickness. Charlotte Howden, Chief Executive Officer of Pregnancy Sickness Support, shares her personal journey with HG and how it inspired her to lead the UK charity dedicated to supporting those affected. Together we explore the evolution of advocacy, the state of care and education, access to medication, and the promising research that is changing the future for women with HG. Chapters 00:00 Introduction to Hyperemesis Gravidarum (HG) Awareness 03:16 Charlotte's Personal Journey with HG 06:04 The Evolution of Pregnancy Sickness Support Group 08:49 Misconceptions Surrounding HG 11:37 Current State of HG Care and Education 17:21 Access to Medication and the Postcode Lottery 22:03 Emerging Research and Future Treatments for HG 28:38 How to Get Involved and Support HG Advocacy 33:02 Introduction to the Journey of Pregnancy 33:03 Support Systems in Early Pregnancy About Pregnancy Sickness Support Pregnancy Sickness Support is a UK-based charity dedicated to improving the experience and alleviating the suffering of those affected by pregnancy sickness and hyperemesis gravidarum (HG). Mission & Purpose They exist to champion the needs of people who experience nausea and vomiting during pregnancy (NVP) or HG, and to empower healthcare professionals by promoting evidence-based research and standards of care. Their work encompasses: Operating a free helpline and peer support services Educating and connecting sufferers, caregivers, and professionals with reliable information Raising awareness of the condition at a public and clinical level Encouraging and participating in research to better understand, treat, and support HG History & Growth Originally established in 2002 as a charitable trust, the organisation grew out of earlier clinical research into pregnancy sickness led by founders such as Dr Barnie-Adshead and Dr Gadsby. Over time, PSS has expanded its staff, services, and scope—including launching a counselling program in early 2023. Team & Leadership PSS is supported by a combination of paid staff, volunteers, advisors, and trustees. Charlotte Howden is Chief Executive Officer, having joined in August 2023. About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www. or reach out at . Follow us on instagram @materna_health_ 📱 Materna Healthcare Social Media Instagram: https://www.instagram.com/materna_health_ TikTok: LinkedIn: We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/38474965
info_outline
Two Generations, One Battle: Hyperemesis Gravidarum
09/01/2025
Two Generations, One Battle: Hyperemesis Gravidarum
In this episode of Pregnant-ish, host Kristin Williams engages in a heartfelt conversation with Katherine Heimos, PhD, and her mother, Debra, about their experiences with Hyperemesis Gravidarum (HG). They discuss the challenges, emotional toll, and the importance of support systems during pregnancy. Katherine shares her journey of transforming her struggles into advocacy and education for others facing HG, emphasizing the need for understanding and specialized support. The conversation highlights the generational impact of HG and the significance of sharing stories to foster connection and healing. Takeaways Katherine and Deborah share their personal experiences with HG. The emotional toll of HG includes feelings of guilt and inadequacy. Support from family is crucial during the challenges of HG. The relentless nature of nausea can be more debilitating than vomiting. Sharing stories of HG can help others feel less alone. The importance of specialized support for HG warriors is emphasized. Building a diverse support system is essential for managing HG. Proactive approaches can help prevent the spiral of HG symptoms. Maternal well-being should be prioritized during and after pregnancy. The journey of advocacy can transform personal struggles into support for others. Chapters 00:00 Introduction to Hyperemesis Gravidarum Advocacy 01:22 Personal Experiences of HG: A Mother and Daughter's Journey 02:41 Navigating the Challenges of HG During Pregnancy 05:29 The Emotional Toll of Hyperemesis Gravidarum 10:43 The Role of Support Systems in HG 15:59 Understanding the Intergenerational Impact of HG 17:51 The Importance of Sharing Stories and Vulnerability 21:27 Navigating the Challenges of Hyperemesis Gravidarum 25:40 The Role of Support Systems in Overcoming HG 28:55 The Importance of Understanding and Empathy 32:35 Building a Strong Support Network 36:53 Transforming Pain into Purpose 40:11 Introduction to the Journey of Pregnancy 40:12 Support Systems in Early Pregnancy About Dr. Kathryn Heimos, PhD Dr. Kathryn Heimos, PhD, is a dedicated HG mentor, advocate, and educator, whose mission stems from both professional training and lived experience with hyperemesis gravidarum (HG). Through her work, she helps guide pregnant and postpartum individuals affected by this incredibly difficult condition toward health, empowerment, and resilience. You can reach Kathryn on her instagram page @hgmentor or on Linkedin What She Offers Mentorship & Guidance Personalized support for navigating pregnancy and motherhood before, during, and after HG, helping women feel seen, heard, and cared for. Educational Advocacy As both an educator and HG survivor, Dr. Heimos brings compassion, authority, and a wealth of knowledge to her advocacy work. Accessible Support Through her Instagram presence, she actively invites people to book free HG mentorship and strategy sessions, fostering community-based care. About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www. or reach out at . Follow us on instagram @materna_health_ 📱 Materna Healthcare Social Media Instagram: TikTok: LinkedIn: We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/38039865
info_outline
Fertility Facts with Dr. Barry Perlman, Board Certified Reproductive Endocrinologist
08/04/2025
Fertility Facts with Dr. Barry Perlman, Board Certified Reproductive Endocrinologist
In this episode, Materna Healthcare welcomes Dr. Barry Perlman, a board-certified reproductive endocrinologist at Damien Fertility Partners. Known for his ability to translate complex medical topics into accessible, often humorous content, Dr. Perlman shares his philosophy of care and the importance of meeting patients where they are—whether in the office or online. With a calm, grounded approach, Dr. Perlman reminds listeners that no matter what challenges arise, patients should never feel alone. From first symptoms to fertility treatment decisions, he aims to make healthcare both approachable and supportive. Sound Bites "You can have as much sex as you want." "It's okay to come talk to us." "You're not alone in this process." Chapters 00:00 Introduction to Fertility Myths and Questions 01:12 Understanding Infertility and When to Seek Help 04:48 The Impact of Age on Fertility 06:16 Egg Freezing: Timing and Considerations 08:38 Natural Ways to Improve Fertility 11:41 Recognizing Signs of Fertility Issues 13:49 The Role of Male Fertility in Conception 15:25 Endocrine Disruptors and Their Effects 17:58 The Truth About Birth Control and Fertility 20:36 First Steps to Seeing a Fertility Doctor 22:43 Exploring Fertility Treatments Before IVF 25:23 Insurance Coverage for Fertility Treatments 28:19 Success Rates of IVF and Factors Involved 30:07 The Future of Fertility Treatments 32:55 Understanding IUI: A Step Towards Conception 37:00 Choosing the Right Fertility Doctor 39:09 Support and Community in the Fertility Journey About Dr. Barry Perlman: Dr. Barry Perlman is a board-certified reproductive endocrinolgist specialiszing in condtions such as PCOS, male factor infertility, ovarian aging, and fertilty preservation. He is a physician with a passion for demystifying medical care and supporting patients through every step of their journey. Known for his engaging presence on social media, Dr. Perlman blends clinical accuracy with compassion and wit, making health information more relatable and accessible to a broad audience. Follow Dr. Perlman on social media to explore his latest educational videos and get answers to commonly asked medical questions. Visit www.damienfertilitypartners.com or follow @damienfertilitypartners on Instagram for evidence-based fertility content and support. About Materna Healthcare: Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need. Learn more at www. or reach out at . Follow us on instagram @materna_health_ 📱 Materna Healthcare Social Media Instagram: TikTok: LinkedIn: We'd love to hear from you!
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/37662315
info_outline
Early Pregnancy Symptoms: Morning Sickness, Spotting, Headaches,
07/08/2025
Early Pregnancy Symptoms: Morning Sickness, Spotting, Headaches,
Summary In this episode of Pregnant-ish, hosts Kristen Williams and Kristin Mallon, CNM Certified Nurse Midwife delve into the complexities of early pregnancy, addressing common symptoms, concerns, and the importance of preconception care. They discuss the normalcy of spotting, cramping, nausea, and fatigue, while emphasizing the significance of hydration and prenatal vitamins. The conversation also highlights the need for preconception visits to prepare for pregnancy and manage potential complications effectively. Takeaways Most women first realize they are pregnant when they miss their period. Spotting is common and often not a cause for concern. Cramping is a normal symptom in early pregnancy. Nausea affects 80-85% of women during early pregnancy. IV hydration can significantly alleviate nausea and fatigue. Fatigue is a prevalent symptom in pregnancy, often mistaken for other conditions. Increased discharge is typical during pregnancy due to hormonal changes. Folic acid is crucial and should be taken three months before conception. Preconception visits can help identify potential issues before pregnancy. Headaches can be managed with proper nutrition and hydration. Chapters 00:00 Introduction to Early Pregnancy Symptoms 02:46 Understanding Spotting and Bleeding in Early Pregnancy 05:39 Cramping: What’s Normal and What’s Not? 08:28 Managing Nausea and Vomiting in Early Pregnancy 11:18 The Role of Hydration and Nutrition 14:26 Recognizing Hyperemesis Gravidarum 16:56 Fatigue in Early Pregnancy: Causes and Solutions 19:48 Discharge During Pregnancy: What’s Normal? 30:04 Understanding Pregnancy Discharge 31:03 The Importance of Prenatal Vitamins 38:11 Preconception Visits and Testing 42:20 Managing Headaches During Pregnancy 50:25 Common Pregnancy Symptoms 55:21 Navigating Medical Concerns During Pregnancy 59:08 Introduction to the Journey of Pregnancy 59:09 Support Systems in Early Pregnancy Like & Follow Us: Subscribe to catch every episode! Follow us on social media for the latest updates, behind-the-scenes content, and insights on maternal healthcare innovation: LinkedIn: Connect with us at for professional updates and industry news. TikTok: Join the fun at for quick tips and engaging content. Facebook: Like our page at to stay in the loop. X: Follow @MaternaHealth for real-time updates and conversations. Instagram: Check out for inspiring stories and visuals. YouTube: Subscribe to Materna Healthcare for in-depth videos and resources. Share Your Story: Have a maternal healthcare experience or idea to share? DM us on Instagram or X, or tag us with #MaternaHealth to join the conversation! Rate & Review: Loved this episode? Leave us a 5-star review to help others discover the show. Stay Informed: Visit our website to learn more about our mission to revolutionize maternal care. Get Involved: Want to collaborate or learn how Materna Healthcare is making a difference? Reach out via LinkedIn or email us at to explore partnerships or opportunities.
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/37334930
info_outline
Hyperemesis Gravidarum Warrior Turned Mentor with Dr. Kathryn Heimos
06/14/2025
Hyperemesis Gravidarum Warrior Turned Mentor with Dr. Kathryn Heimos
KeywordsHyperemesis Gravidarum, HG, pregnancy, maternal health, mental health, support systems, advocacy, early pregnancy care, emotional wellbeing, healthcare challenges SummaryIn this episode of Pregnant-ish, host Kristen Williams speaks with Kathryn Heimos, a two-time survivor of Hyperemesis Gravidarum (HG). Kathryn shares her personal journey through the challenges of HG, emphasizing the emotional and mental toll it takes on expectant mothers. She discusses the importance of proactive care, the need for supportive healthcare teams, and the role of personal advocacy in navigating the complexities of HG. Kathryn also highlights the significance of having a strong support system and finding purpose in adversity, ultimately aiming to empower other women facing similar struggles during pregnancy. Takeaways Hyperemesis Gravidarum (HG) is often misunderstood and dismissed. The emotional and mental challenges of HG can be as severe as the physical symptoms. A strong support system is crucial for navigating HG. Proactive care and education can significantly improve outcomes for HG warriors. Personal advocacy is essential in the healthcare system for proper treatment. Mental health complications can arise from the treatment of HG. Sharing experiences can empower others facing HG. It's important to recognize that pregnancy is not always beautiful or easy. Maternal wellbeing directly impacts child health and development. Finding purpose in adversity can help in the healing process. Sound Bites "She saved my life." "HG is real and it is brutal." "It's okay if it's hard." Chapters 00:00 Introduction to Early Pregnancy Challenges 00:00 New Chapter 00:00 Navigating the Emotional Rollercoaster 00:12 Introduction to Hyperemesis Gravidarum Advocacy 02:03 Understanding Hyperemesis Gravidarum 04:39 The Dual Battle: Physical and Emotional Challenges 06:49 The Importance of a Support System 08:30 Navigating Mental Health Complications 10:46 Transforming Adversity into Advocacy 11:47 Proactive Management in Second Pregnancy 15:34 The Role of IV Fluids and Medication 19:34 The Impact of Support and Understanding 23:08 The Need for Compassionate Care 27:49 Finding Purpose in Pain 30:12 Empowering Others Through Shared Experience 37:44 Support Systems in Early Pregnancy Thank you for joining us for this episode of Pregnat-ISH. We’re passionate about transforming maternal healthcare, and we’d love for you to stay connected with Materna Healthcare as we continue this journey. Here’s how you can engage with us, share your thoughts, and join our community: Like & Follow Us: Subscribe to catch every episode! Follow us on social media for the latest updates, behind-the-scenes content, and insights on maternal healthcare innovation: LinkedIn: Connect with us at for professional updates and industry news. TikTok: Join the fun at for quick tips and engaging content. Facebook: Like our page at to stay in the loop. X: Follow @MaternaHealth for real-time updates and conversations. Instagram: Check out for inspiring stories and visuals. YouTube: Subscribe to for in-depth videos and resources. Share Your Story: Have a maternal healthcare experience or idea to share? DM us on Instagram or X, or tag us with #MaternaHealth to join the conversation! Rate & Review: Loved this episode? Leave us a 5-star review to help others discover the show. Stay Informed: Visit our website to learn more about our mission to revolutionize maternal care. Get Involved: Want to collaborate or learn how Materna Healthcare is making a difference? Reach out via LinkedIn or email us at to explore partnerships or opportunities.
/episode/index/show/6408181b-30ee-4059-8411-91fd7c57072a/id/37012415