Episodes

  • BTS: Paracetamol, Pregnancy and Autism: What Parents Need to Know

    BTS: Paracetamol, Pregnancy and Autism: What Parents Need to Know
    Jun 29 2026

    In this episode of Baby Tribe Shorts, Afif and Anne tackle the anxiety caused by recent headlines linking paracetamol use in pregnancy with autism, ADHD and intellectual disability. They walk through a major Lancet systematic review and meta-analysis, explaining why the best-quality evidence, especially sibling comparison studies, does not support a causal link between paracetamol use in pregnancy and these neurodevelopmental outcomes.

    The episode also explains why paracetamol remains the recommended first-line option for pain and fever in pregnancy, why untreated fever can itself be harmful, and why earlier studies may have suggested a risk because of confounding, recall bias and the reasons people take medication in the first place. The key message for parents is clear: use paracetamol when needed, at recommended doses, and don’t let fear-driven headlines make pregnancy harder than it already is.

    https://www.thelancet.com/journals/lanogw/article/PIIS3050-5038(25)00211-0/fulltext
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    14 mins
  • BTS: Should Everyone Be Induced at 39 Weeks?

    BTS: Should Everyone Be Induced at 39 Weeks?
    Jun 22 2026

    In this episode of Baby Tribe Shorts, Afif and Anne take a closer look at one of the most influential obstetric studies of the last decade: the ARRIVE trial.

    The trial is often used in conversations about elective induction at 39 weeks, especially for low-risk first-time mothers. But what did it actually show? Did induction improve outcomes for babies? Did it really reduce C-section rates? And what happens when the findings of a carefully controlled clinical trial are applied to busy real-world maternity units?

    Afif and Anne break down the design of the trial, including who was included, how the induction and expectant management groups were managed, and why the distinction between internal validity and external validity matters. They discuss the key findings, including the lack of significant difference in neonatal outcomes, the reported reduction in C-section rates, and the importance of patience, staffing, careful selection, and clinical context when translating research into practice.

    This is not an anti-induction episode. It is an episode about nuance. Induction at 39 weeks may be a reasonable option for some women, but the ARRIVE trial does not mean that every low-risk pregnancy should automatically end at 39 weeks. As always, the real question is not just “what did the study show?” but “does this apply to this person, in this hospital, with these resources, and these priorities?”

    Link to Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1800566
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    20 mins
  • 134: Baby Gadgets, Gimmicks and Red Flags

    134: Baby Gadgets, Gimmicks and Red Flags
    Jun 15 2026
    This week on Baby Tribe, Afif and Anne take a closer look at the baby products being marketed to exhausted parents, from sleep pods, reflux pillows and weighted sleep suits to formula prep machines, nasal aspirators, rectal wind devices, baby monitors, walkers and bouncers. The episode is not about shaming parents for buying products that promise help. It is about asking better questions before clicking “add to cart”. Does the product support safety, or does it introduce risk? Is it solving a real problem, or selling reassurance to tired parents? And does it follow the basic principles of safe sleep, safe feeding, safe movement and sensible monitoring? With practical advice, plenty of honesty, and a healthy suspicion of pastel-coloured nonsense, this episode gives parents a simple framework for deciding what is useful, what is unnecessary, and what should probably stay out of the cot, the bottle, the buggy, or the baby’s holes. https://www2.hse.ie/babies-children/first-aid/choking-in-babies/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    53 mins
  • 133: The Freebirth Movement: Choice, Risk and Accountability

    133: The Freebirth Movement: Choice, Risk and Accountability
    Jun 8 2026
    In this episode of The Baby Tribe, Afif speaks with Irish Times journalist Ellen Coyne about her reporting on the rise of freebirth in Ireland: giving birth without a midwife, doctor or trained medical professional present. Ellen discusses what led her to investigate the movement, the concerns raised by senior midwives, the lack of clear data around unassisted births, and how online communities can frame freebirth as empowering while failing to fully engage with the risks. After the interview, Afif and Anne debrief the issue from neonatal and obstetric perspectives. They explore why some women may feel drawn away from maternity services, including previous trauma, poor communication, lack of continuity of care and fear of intervention. They also examine the role of social media, doulas, birthkeepers and unregulated advice in shaping decisions during one of the most vulnerable times in a woman’s life. This is not a conversation about shaming women. It is about safety, autonomy, trust and accountability. Birth trauma is real. Consent matters. But real empowerment is not being left alone with risk. It is having accurate information, respectful care and skilled support available when things change. Birth is not a purity test. There is no gold medal for suffering. https://www.irishtimes.com/health/2026/06/06/free-births-in-ireland-concern-grows-for-women-choosing-births-without-medical-help/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    51 mins
  • 132: Bad Science in a Pretty Font - Caesareans, Risk and Birth Misinformation

    132: Bad Science in a Pretty Font - Caesareans, Risk and Birth Misinformation
    Jun 1 2026
    In this episode of The Baby Tribe, Afif and Anne take on one of the most emotionally charged topics in maternity care: caesarean birth. Online birth content often presents two true statements side by side: caesareans carry more risk than vaginal birth, and caesarean rates are rising. The implied conclusion is often that unnecessary caesareans are harming women. But is that a fair interpretation of the evidence? Afif and Anne unpack why context matters, especially the concept of confounding by indication: the idea that the reason someone receives an intervention is often linked to the outcome being measured. Using a NICU analogy, they explain why comparing caesarean outcomes with uncomplicated vaginal births can be deeply misleading. They also discuss planned versus emergency caesareans, absolute versus relative risk, the risks of doing nothing, and why both hospital maternity care and private birth care can carry their own biases. The episode includes a breakdown of a 2023 systematic review and meta-analysis comparing planned caesarean delivery with planned vaginal delivery in randomized trials. This is not an episode about promoting caesareans or dismissing vaginal birth. It is about evidence, nuance, and helping women recognise the difference between informed consent and fear-based messaging. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    35 mins
  • 131: Alcohol, Pregnancy and Breastfeeding: No Shame, No Myths, Just Biology

    131: Alcohol, Pregnancy and Breastfeeding: No Shame, No Myths, Just Biology
    May 25 2026
    Alcohol, pregnancy and breastfeeding are surrounded by myths, slogans and a fair amount of internet nonsense. In this episode, Afif and Anne look at what alcohol actually does before conception, during pregnancy and while breastfeeding. They discuss paternal alcohol exposure, fetal alcohol spectrum disorder, the “sober enough to feed” slogan, pumping and dumping, beer and milk supply, and the misleading comparison between breastmilk and orange juice. No shame, no panic, just biology. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    37 mins
  • 130: Vitamin K at Birth: The Tiny Injection Social Media Got Wrong

    130: Vitamin K at Birth: The Tiny Injection Social Media Got Wrong
    May 18 2026
    In this episode, Afif and Anne take a deep dive into vitamin K at birth and the growing wave of misinformation surrounding it online. They explore why newborn babies are naturally low in vitamin K, how clotting works, and what vitamin K deficiency bleeding (VKDB) actually is. The discussion covers the differences between intramuscular and oral vitamin K, why the injection remains the most reliable protection, and the devastating consequences VKDB can have, including brain bleeding and death. Along the way, they unpack some of the most common myths circulating on social media, from claims about “toxins” and cancer to misconceptions around breastfeeding and “natural” birth. As always, the episode combines evidence-based medicine with honesty, humour, and practical conversations about how healthcare professionals and parents can navigate fear, risk, and misinformation together. Learn more about your ad choices. Visit megaphone.fm/adchoices
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    32 mins
  • 129: When Baby Sleep Advice Becomes Dangerous

    129: When Baby Sleep Advice Becomes Dangerous
    May 12 2026
    In this episode of The Baby Tribe, Afif speaks to BBC journalist Divya Talwar about her investigation into unsafe advice given by some self-described baby sleep experts. Divya explains why the BBC pursued the story, what parents told her, and how exhaustion, social media credibility and gaps in postnatal support can leave families vulnerable to advice that may conflict with safer sleep guidance. After the interview, Afif and Anne debrief the key issues: normal infant sleep, back-to-sleep guidance, clear cot spaces, front sleeping, loose bedding, breathing monitors, reflux and allergy claims, and how parents can judge whether someone offering sleep advice is properly qualified and working within safe boundaries. This episode is not about blaming tired parents. It is about helping families find support that is safe, evidence-based and honest about its limits. BBC Documentary: https://www.bbc.com/news/articles/ce84e1vn1l2o Safe co-sleeping: https://profafif.substack.com/p/co-sleeping-all-you-need-to-know?r=4l3k10 Learn more about your ad choices. Visit megaphone.fm/adchoices
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    36 mins