Hospital Vaginal Birth with Long Transition during Omicron Wave of COVID

When Caitlin became pregnant in 2021 she hoped COVID restrictions would be minimal however, her husband was not allowed to attend many of her prenatal visits. At 20 weeks she was diagnosed with placenta previa which luckily resolved, albeit late, at 36 weeks. She stayed active throughout her pregnancy by hiking, rock climbing and bike commuting. She went into labor a week before Christmas at 41w4d, shortly after developing gestational hypertension. To her surprise, labor progressed quickly. Her husband and sister-in-law provided loving support. However, since it was the peak of the Omicron variant she received minimal support from hospital staff. Her labor stalled in the transition phase which lasted over 5 hours. After most pain management strategies were either unhelpful or intensified her pain, Caitlin opted for an epidural. This reduced her pain to a point where she could again cope and she quickly became fully dilated.  After some scares about the baby’s heart rate, she delivered a healthy boy exactly 12 hours after labor started. 

Caitlin Smigelski Bio

Caitlin is a pelvic physical therapist in Portland, Oregon who specializes in obstetrics and transgender health. She has a Certificate of Achievement in Obstetric Physical Therapy and is a faculty member of the American Physical Therapy Association Academy of Pelvic Health. She and her husband love being active outdoors and look forward to showing their son the beauty of the PNW. You can connect with Caitlin on Instagram at @caitsmig


SNP Therapeutics

Today’s episode is sponsored by SNP Therapeutics, makers of the Genate Test. Based on over 16 million dollars in NIH grants, and more than 30 years of nutrition and genetic research, SNP Therapeutics is leading the charge in the field of prenatal, precision-nutrition genetic testing.

SNP Therapeutics is committed to providing accurate and usable information to help mothers provide the best possible nutrition to their babies through The Genate Test: a prenatal, precision-nutrition, genetic test that offers personalized dietary adjustments and supplement recommendations based on your DNA. 

You can rest easy knowing that your prenatal nutrition has been optimized by tailoring it to your genetic code. Find peace of mind about your prenatal nutrition with the Genate Test by SNP Therapeutics. Learn more at and Use code BIRTHHOUR15 for 15% off your order.


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