Bariatric-Geriatric Pregnancy, Induced Labor, and Unmedicated Birth, with Mandy Alexander

Mandy Alexander got pregnant at 40, having had bariatric surgery 7 years before that. During pregnancy, she worked through her fear of childbirth and ended up with the unmedicated and collaborative birth experience she was looking for. However, breastfeeding was a whole other beast. Mandy was prepared for many difficulties, but not that her body may just not make milk. Go listen.


Listen directly through our website player, or however you usually listen to podcasts.


What we talked about:

  • Her bariatric surgery 7 years before pregnancy
  • Finding love, getting married, getting pregnant, all in two years
  • “I’m comfortable with surgery. Give me a cesarean.”
  • 180-degree turn, and figuring out how to prepare
  • Figuring out how her bariatric circumstances affected her pregnancy care
  • The Glucose Tolerance Test after bariatric surgery and “dumping syndrome”
  • Overcoming the fear of the unknown
  • Then, the baby was breech!
  • Doing all the things to “flip a breech,” plus a New Kids on The Block concert
  • High blood pressure at 39 weeks
  • Being heard during the induction decision-making process
  • Cervidil does the trick: full-blown labor with contractions, shakes, feeling cold
  • In and out of labor land
  • “She’s right there!”
  • “Stop telling me how to push.”
  • The unexpected finger in the anus
  • An onslaught of breastfeeding difficulties
  • Meeting with a doctor in lactation (after many IBCLCs)
  • Realizing when to stop

Trying to turn her breech baby: inversion on ironing board, moxibustion on her pinky toe, preparing for an External Cephalic Version


Resources mentioned and other helpful links*:


Deep in labor


Related Birthful episodes:


First family picture

A few weeks later

Nursing struggles with a SNS system

Before her bariatric surgery



Courtesy of Mandy Alexander

About Mandy Alexander

Mandy Alexander and her husband Jason have been married since July 2018, in May of 2019 they welcomed their daughter, Hazel Ruth. Mandy works as a sign language interpreter in Indianapolis. In her free time, she enjoys traveling, scuba diving, camping, and roller coasters. She can’t wait to do all those things with her new family!






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Title music:Vibe Aceby Kevin MacLeod, from the Free Music Archive / CC BY (edited for length).

Sponsorship music:Air Hockey Saloon” by Chris Zabriskie, from the Free Music Archive / CC BY (edited for length).

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