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Birthing Instincts

Birthing Instincts

#476: Questioning the 2 cm Placenta Rule & A Remarkable Breech Twin Birth with Fadwah Halaby

Jul 29, 2026 · 1h 28m

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About this episode

This week, Dr. Stu welcomes Florida midwife Fadwah Halaby for an inspiring conversation about evidence, autonomy, and trusting physiological birth. Before diving into an unforgettable breech twin home birth, Stu takes a deep dive into another one of obstetrics' commonly accepted practices, the "2-centimeter rule" for low-lying placenta, and uncovers the surprisingly weak evidence behind it. Together, Stu and Fadwah explore how outdated conventions become hospital policy, why individualized care matters, and what happens when skilled providers support families instead of protocols. From twin growth charts to cord prolapse, patient autonomy, and the realities of home birth, this episode…