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

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

July 29, 2026 · 1h 28m · Episode 476

About this episode

Dr. Stu and midwife Fadwah Halaby discuss the 2 cm placenta rule and share insights from a remarkable breech twin birth.

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 Together, Stu and Fadwah explore how outdated conventions become hospital policy, why individualized care matters, and what happens when skilled providers support families instead of protocols.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 challenges assumptions while celebrating the art and science of physiological birth. About Fadwah Fadwah has worked as a nurse since 1992 (34 years) in various areas such as home health, ER, and L&D. For the past 20 years she has worked as a Nurse Practitioner, Certified Nurse Midwife - 8 years in a busy OB practice facilitating hospital birth and office gynecology, and 12 years in her independent home birth practice. She has assisted over 2000 babies to be born with about 700 of those in the…

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