The Juna Women Podcast is a weekly discussion where Juna Founder, Sarah Kuhn, talks to Moms about their health, work, parenting, and all the different ways they’re keeping it together.

This is Episode 030, Choosing Your Prenatal Care: Midwives, Doulas, and OBs with Tanya Tringali.

In this episode, Sarah talks with Tanya Tringali, Program Director at Pebble. Tanya is a Certified Nurse-Midwife with 20 years experience in Maternal – Infant health. She has cared for thousands of women over the years and has caught nearly 1,200 babies. Tanya talks a little about the history of midwifery and the differences in scope of practice between care with a midwife vs care with an OB.

They also also talk about the postpartum care model in the US and how the Pebble Complete Care Program seeks to bring more support to moms in the 4th trimester.

Listen To This Episode

Show Notes

02:05 – Tanya shares her story of getting pregnant at 19 years old and how her experience with Prenatal Care led her to become a Midwife.

12:47 – Tanya talks about Pebble, which is one-on-one, comprehensive, managed care through the fourth trimester. They partner you with a dedicated postpartum medical expert to oversee your recovery from birth and successful transition to motherhood.

22:18 – Sarah and Tanya talk about how important it is to take care of “Mom” after birth.

23:30 – Sarah asks about Midwifery and the differences between OBGYNs and Midwives.

25:31 – The history of midwifery throughout cultures.

28:35 – The difference between a Doula / Midwife / OBGYN.

33:25 – A deeper dive on the differences between a Midwife and OBGYN.

33:57 – What is the standard of care for prenatal care? Many are based on science and evidence and nothing differs between Midwives and OBGYNs in the standard of care.

36:48 – The general public assumes that Midwifery is focused on natural childbirth, really the Midwives care deeply are about informed choice. The reasons midwives spend so much time talking to their clients is to make sure they are making the choice that’s right for THEM.

42:40 – Do midwives provide any pain relief medication or epidurals?

55:25 – The difference in postpartum care and time in the hospital with a birth center VS hospital.

59:31 – Insurance only pays for 1 postpartum visit. That’s the standard of care.

About Tanya Tringali

Tanya is a Certified Nurse Midwife and Advisor to Pebble Parents. She has been in full-scope practice for over 12 years providing gynecological care, working closely with pelvic floor physical therapists, and caught nearly 1200 babies in that time as a Certified Nurse Midwife.



IG: @PebbleParents

Discount code: Get $200 off the Complete Care Program by using code JUNA200

Additional/helpful links:

What is a midwife?

ACOG Committee Opinion: Optimizing Postpartum Care

physiologic birth

To find a wide array of practitioners that have an expertise in the core and pelvic floor:

To find a midwife: and click on find a midwife

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