Episode Details
Back to EpisodesHow Breech Birth Exposes Hospital Dysfunction with Dr. Stuart Fischbein MD | #136
Description
What if the skills that make breech and twin birth safe have been intentionally erased from modern medicine?
In this episode, we sit down with Dr. Stuart Fischbein, an OB-GYN and longtime advocate for physiological birth. After nearly three decades in hospitals and over a decade attending home births alongside midwives, he’s become a leading voice in reteaching the lost art of vaginal breech and twin delivery. Together, we dig into how this knowledge disappeared, what replaced it, and why practitioners are no longer taught to trust birth.
Dr. Stuart exposes the ripple effects of fear, policy, and profit that shape today’s obstetric system. We look at the flawed studies that reshaped global practice, the quiet politics behind “standard of care,” and the consequences of replacing skill with surgery. There’s a reason breech birth became a lost language, and a growing movement to relearn it.
You’ll Learn:
[00:00] Introduction
[03:17] Why the medical system stripped doctors of individuality and decision-making power
[12:05] How one flawed study reshaped global birth practices overnight
[19:59] Who qualifies for vaginal breech birth
[31:33] When “hands off the breech” isn’t enough
[36:46] How doctors rationalize ignoring evidence that contradicts hospital policy
[40:52] The hidden conflicts of interest behind vaccine and medication recommendations
[56:36] Why hospitals prioritize liability and revenue over individualized, physiological care
[01:03:41] Rediscovering birth as a human experience
[01:08:25] When medicine loses its humanity
Resources Mentioned:
Fearless Pregnancy by Stuart Fischbein, Victoria Clayton, and Joyce Weckl | Book
Twin Home Birth by Fischbein, S. | Article
Breech Birth At Home by Fischbein, S. and Freeze, R. | Article
“Home Birth” With An Obstetrician by Fischbein, S. |
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