Podcasts about Midwifery

Every doula experiences it. The ups and downs of client inquiries and bookings are a normal part of running a doula business. Some months are full, while others feel uncomfortably quiet. There is often a natural ebb and flow of doula work, and it is important to stay grounded when things slow down. What can you do during slower seasons to remain productive and focused? You may start by reflecting on your current marketing strategy and identifying what is working and what needs improvement. Or maybe it's time to refresh your website and social media to reconnect with your community. There are many powerful steps you can take to strengthen your business and support long-term growth. If you have ever felt anxious during a quiet stretch, this conversation is for you. Tune in to learn how to make the most of the downtime and come back stronger.

Hosts Shiphrah and Susanna sit down with Sophia Ortiz, an independent midwife based in Corfu, Greece, to explore what it truly means to walk the path of midwifery.With over a decade of experience and more than 100 births attended, Sophia brings a deep reverence for birth as both a physiological marvel and a spiritual rite of passage. She shares how her journey—from drama school to midwifery school in the UK, to her current work supporting families in Corfu—helped her realize what she had always known deep down: she is and has always been a midwife.Learn more about Sophia on her website: https://www.birthingwisdomcorfu.com/

This is the 70th birth story and it's shared by Haley mum of 2 living on Awabakal country. After a traumatic first caesarean with her first baby Nora, Haley eventually chose to hire a private midwife and plan her homebirth and vaginal birth after caesarean with baby Remy. Haley shares her pregnancy journey, her labour at home and ultimately the decision to transfer into hospital, which ended up resulting in a second caesarean. Haley's story really is incredible, whilst we laugh a lot, this story really shows how valuable private midwifery care can be as it really influenced how amazing her experience was, despite everything, finding herself for the second time having a surgery she didn't plan to have. In this episode we do talk about birth trauma in reference to her first birth so please be mindful when listening. I hope you enjoy this story as much as I do. Resources: Support the showConnect with me, Elsie, the host :) www.birthingathome.com.au @birthingathome_apodcast@homebirth.doula_birthingathome birthingathome.apodcast@gmail.com

Ep. 17 Part 1 | Sustainable Midwifery: boundaries, clear expectations & abundance - Dani Daughtry by Sofia Scheuerman

In this powerful episode, hosts Shiprah and Susanna sit down with Adelaide Adubouffour—renowned Perineal Specialist Midwife and founder of Peri Health London—to talk about one of the most overlooked aspects of postpartum care: perineal trauma.Drawing from her work at West Middlesex University Hospital and nearly a decade of teaching and clinical leadership, Adelaide shares why perineal health matters, how we can improve outcomes for birthing people, and what inspired her to create a globally recognized training program for midwives and doctors.If you care about pelvic floor integrity, respectful repair, and empowering providers to do better, this is a conversation you won't want to miss.Learn more about Adelaide's work here:https://perihealthlondon.com/

Your favorite Buzzkills are BACK with a pod that is gonna knock your dang socks off. Lizz and Moji break down healthcare carpetbagger Dr. Oz's latest EMTALA bullshit. The Grifter-In-Chief's administration made it clear this week that they're coming full force for a 2022 guidance that mandated hospitals provide EMERGENCY abortions. It's giving “Make America Flatline Again.” PLUS: we dive into fresh, steaming hot pile of Texas trash as cops in the Drone Star State scoured over 80,000 license plates to track down ONE abortion patient. Spoiler alert: the story is fishmarket funky. OH, and shoutout to Illinois for delivering some GOOD abobo news this week! Ahh... an abortion win, we've missed you, old friend. GUEST ROLL CALL! The incredible Dr. Shelley Sella, OB-GYN and the first woman to openly provide abortions later in pregnancy, joins us to gab about her new book, Beyond Limits: Stories of Third-Trimester Abortion Care, and show some big love with us as we celebrate the legacy, humanity and contributions of her friend and colleague, Dr. George Tiller. Who's delivering the much-needed serotonin boost this week? Chanel Ali—comedian, actor, and writer, and former AAF staff writer is in the house! Chanel kikis with us about how she uses humor to make lemonade… even when life has handed you some particularly fucked up lemons. Plus, she may or may not be spilling the frijoles about her upcoming SOLO SHOW! Scared? Got Questions about the continued assault on your reproductive rights? THE FBK LINES ARE OPEN! Just call or text (201) 574-7402, leave your questions or concerns, and Lizz and Moji will pick a few to address on the pod! Times are heavy, but knowledge is power, y'all. We gotchu.  OPERATION SAVE ABORTION: Sign up for virtual 2025 OSA workshop on August 9th! You can still join the 10,000+ womb warriors fighting the patriarchy by listening to our past Operation Save Abortion pod series and Mifepristone Panel by clicking HERE for episodes, your toolkit, marching orders, and more. HOSTS:Lizz Winstead IG: @LizzWinstead Bluesky: @LizzWinstead.bsky.socialMoji Alawode-El IG: @Mojilocks Bluesky: @Mojilocks.bsky.social SPECIAL GUESTS:Dr. Shelley Sella IG: @doctorshelleysella Bluesky: @doctorshelleysella.bsky.socialChanel Ali IG/TikTok: @ChanelAli GUEST LINKS:Dr. Shelley Sella's WebsiteDr. Shelley Sella's “Beyond Limits” Book: Upcoming EventsWATCH: “After Tiller”Chanel Ali's WebsiteSee Chanel Live NEWS DUMP:Democrats Set Out to Study Young Men. Here Are Their Findings.Far-Right Texas Lawyer Faces Detailed Sex Misconduct Allegations in New LawsuitKansans Challenge Constitutionality of State Law Nullifying End-Of-Life Choices of Pregnant WomenBill Ensuring Medication Abortion Access Amid Uncertainty With Trump's FDA Heads to PritzkerTrump Just Checked off Another Project 2025 Goal: Letting Pregnant People Die in ERsA Dystopian Surveillance Fear Has Become Reality in Texas EPISODE LINKS:What to Know About George Tiller, a Kansas Abortion Provider Assassinated by Anti-abortion ExtremistADOPT-A-CLINIC: Hope Clinic's Wishlist6 DEGREES: Adrien Brody Feels for the RatsSIGN UP 8/9: (VIRTUAL) Operation Save Abortion at Netroots 2025 BUY AAF MERCH!Operation Save AbortionSIGN: Repeal the Comstock ActEMAIL your abobo questions to The Feminist BuzzkillsAAF's Abortion-Themed Rage Playlist SHOULD I BE SCARED? Text or call us with the abortion news that is scaring you: (201) 574-7402 FOLLOW US:Listen to us ~ FBK Podcast Instagram ~ @AbortionFrontBluesky ~ @AbortionFrontTikTok ~ @AbortionFrontFacebook ~ @AbortionFrontYouTube ~ @AbortionAccessFrontTALK TO THE CHARLEY BOT FOR ABOBO OPTIONS & RESOURCES HERE!PATREON HERE! Support our work, get exclusive merch and more! DONATE TO AAF HERE!ACTIVIST CALENDAR HERE!VOLUNTEER WITH US HERE!ADOPT-A-CLINIC HERE!EXPOSE FAKE CLINICS HERE!GET ABOBO PILLS FROM PLAN C PILLS HERE!When BS is poppin', we pop off!

As doulas, when it comes to communication, what we say and how it's heard are not always the same. Words shape how clients feel, respond, and make decisions. Asking questions that begin with "why" can unintentionally sound like judgment, even when your intent is neutral or supportive. Doulas often believe that it's our job to make sure clients are making informed choices. In truth, our responsibility is to our clients, not for them. It is not our role or responsibility to decide what a client wants or needs to know. But doulas often offer information without asking what the client wants to know or inquiring in a non-judgmental way how they came to a decision, especially surrounding topics like induction or elective cesareans. This episode unpacks the critical difference between what we mean and how our words are interpreted. If you want to strengthen your communication, reduce misunderstandings, and support clients with more clarity and compassion.

Licensed midwife Sophia Henderson and her apprentice in training Carissa Rose share their wisdom and experience about midwifery care. We discuss the differences between midwifery care and other obstetric clinicians, dispel myths, and reflect on the importance of individualized, empowered support during this life transition.  Learn more: Born Wild MidwiferyResources:To learn more about me and my reproductive & integrative psychiatry clinic helping patients across California, please visit - AnnaGlezerMD.comTo sign up for the Fellowship in Reproductive & Integrative Psychiatry, please visit:  PsychiatryFellowship.com. 

On this episode of The Birth Geeks, we sit down with Katie Shannon, a certified nurse midwife and entrepreneurial powerhouse. Katie takes us through her inspiring journey from grad school to running her own successful home birth practice in the DC metro area. She shares lessons on building a business, finding balance, overcoming burnout, and the importance of partnering with the right people. Katie gives us a behind-the-scenes look at serving diverse clients and navigating licensing challenges, proving that with passion and dedication, you can create a thriving, meaningful business that truly supports families. Don't miss these insights on resilience, growth, and redefining care.

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*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, homicide, maternal loss, mature and stressful themes, sexual assault, disordered eating. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Sources: American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Authorities explain lack of charges in Fort Mill birthing center deathhttps://www.charlotteobserver.com/news/local/crime/article23277849.html Births in the United States, 2022https://www.cdc.gov/nchs/products/databriefs/db477.htm A brain-dead woman's pregnancy raises questions about Georgia's abortion lawhttps://www.npr.org/2025/05/21/nx-s1-5405542/a-brain-dead-womans-pregnancy-raises-questions-about-georgias-abortion-law A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Constructing the Modern American Midwife: White Supremacy and White Feminism Collidehttps://nursingclio.org/2020/10/22/constructing-the-modern-american-midwife-white-supremacy-and-white-feminism-collide/ The Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ Direct Entry Midwives Across the Nationhttps://www.networkforphl.org/wp-content/uploads/2023/05/Direct-Entry-Midwives-50-State-Survey.pdf FDA raids Miami birth center; Placentas, medical records confiscatedhttps://mommyblawg.blogspot.com/2009/01/fda-raids-miami-birth-center-placentas.html Fort Mill birthing center closes following third child deathhttps://www.wbtv.com/story/28083972/fort-mill-birthing-center-closes-following-third-child-death/ Exhibit Recognizes African American Midwiveshttps://infocus.nlm.nih.gov/2010/02/05/exhibit_recognizes_african_ame/ Health E-Stat 100: Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023.htm#:~:text=In2023%2C669womendied,rateof22.3in2022 Hemolytic disease of the newbornhttps://medlineplus.gov/ency/article/001298.htm The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwives Home Births in the U.S. Increase to Highest Level in 30 Yearshttps://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20221117.htm Honest Midwife Bloghttps://honestmidwife.com/ International School Of Midwiferyhttps://www.mapquest.com/us/florida/international-school-of-midwifery-531273160 March of Dimeshttps://www.marchofdimes.org/peristats/about-us March of Dimes, Delivery Method https://www.marchofdimes.org/peristats/data?dv=ms&lev=1&obj=9®=99&slev=1&stop=86&top=8& March of Dimes, Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=InthefirstfullyearofTexas%27sstateabortionban,15 Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortality Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery Necrotizing Fasciitishttps://my.clevelandclinic.org/health/diseases/23103-necrotizing-fasciitisNew Pregnancy Justice Report Shows High Number of Pregnancy-Related Prosecutions in the Year After Dobbshttps://www.pregnancyjusticeus.org/press/new-pregnancy-justice-report-shows-high-number-of-pregnancy-related-prosecutions-in-the-year-after-dobbs/#:~:text=Thereportdocumentsthati,%2Cpregnancyloss%2Corbirth. North American Registry of Midwives (NARM)https://narm.org/ Physician Suicidehttps://www.acep.org/life-as-a-physician/wellness/wellness/wellness-week-articles/physician-suicide Preeclampsiahttps://my.clevelandclinic.org/health/diseases/17952-preeclampsia Preeclampsia: Signs & Symptomshttps://www.preeclampsia.org/signs-and-symptomsRace Maternal Mortality in the U.S.: A History of Midwiferyhttps://wmberks.pages.wm.edu/2023/04/30/race-maternal-mortality-in-the-u-s-a-history-of-midwifery/ The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reasons Obstetricians Are At High Risk For Claims Of Medical Malpracticehttps://www.gilmanbedigian.com/reasons-obstetricians-are-at-high-risk-for-claims-of-medical-malpractice/#:~:text=Overall%2Cabout85%25ofOB,about95%25ofthetime. The Regulation of Professional Midwifery in the United Stateshttps://midwife.org/wp-content/uploads/2024/09/Jefferson-2021-Regulation-Professional-Midwifery.pdf She said she had a miscarriage — then got arrested under an abortion lawhttps://www.washingtonpost.com/investigations/interactive/2024/abortion-law-nevada-arrest-miscarriage/ She was accused of murder after losing her pregnancy. SC woman now tells her storyhttps://www.cnn.com/2024/09/23/health/south-carolina-abortion-kff-health-news-partner South Carolina Department of Public Health, Midwifery Licensinghttps://dph.sc.gov/professionals/healthcare-quality/licensed-facilities-professionals/midwifery-licensing#:~:text=DPHlicensesmidwivesinaccordancewithRegulation,inadditiontootherprescribedrequirementson State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Reproductive Health in the United Stateshttps://thegepi.org/state-of-reproductive-health-united-states/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Maternal Mortality and Morbidity Review Committee and Department of State Health Services Joint Biennial Report 2024https://www.dshs.texas.gov/sites/default/files/legislative/2024-Reports/MMMRC-DSHS-Joint-Biennial-Report-2024.pdf Uses of Misoprostol in Obstetrics and Gynecologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC2760893/ Vicarious trauma: signs and strategies for copinghttps://www.bma.org.uk/advice-and-support/your-wellbeing/vicarious-trauma/vicarious-trauma-signs-and-strategies-for-coping Vital Signs: Maternity Care Experiences — United States, April 2023https://www.cdc.gov/mmwr/volumes/72/wr/mm7235e1.htm#:~:text=Discussion,%2CHispanic%2Candmultiracialmothers. 2022 Direct Entry Midwives Fact Sheethttps://www.dshs.texas.gov/sites/default/files/chs/hprc/publications/2022/DirectEntryMidwife2022FactSheetA.pdf *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:https://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

message me: what did you take away from this episode? Ep 96 (http://ibit.ly/Re5V) Qorinah ES Adnani on navigating a midwifery journey from rural Indonesia to being an emerging global midwifery leader@PhDMidwives #research #midwifery  #education #Indonesia #unpad @universitaspadjadjaran #healthinequities #publichealthresearch link - t.ly/IkiuJ What drives someone to leave everything familiar behind to pursue education in a language they've never spoken? For Qorinah Estiningtyas Sakliah Adnani, it was a deeply personal mission born from tragedy.When Qorinah lost her mother at just 13 months old, the experience silently shaped her childhood in rural East Java, Indonesia. Decades later, this loss would fuel her extraordinary journey to strengthen midwifery education across Indonesia's 17,000 islands and beyond.In this powerful conversation, Qorinah reveals the remarkable path that took her from a small village to becoming the first in her family to pursue doctoral education. With stunning candor, she describes learning English from scratch, improving her IELTS score from 4 to 6.5, and relocating to New Zealand for PhD studies – all while colleagues back home mocked her ambitions as impossible.The conversation explores Indonesia's established midwifery continuity of care model, where one midwife serves an entire village, creating intergenerational relationships rarely documented in research literature. Qorinah's groundbreaking work bringing these practices to international attention has earned her recognition among the world's top 2% of scientists.Perhaps most inspiring is her discussion of resilience through setbacks – from language barriers and homesickness during her PhD to returning home only to face career obstacles that ultimately led to new opportunities at one of Indonesia's premier universities and as the first Asian midwife visiting scholar at Yale.This episode isn't just about midwifery or academic achievement. It's about how determination, supportive communities, and what Qorinah calls "greed and commitment" can transform personal loss into global impact. Whether you're facing seemingly insurmountable barriers or seeking inspiration to pursue your own impossible dreams, this conversation reminds us that with persistence, even the most challenging journeys can lead to extraordinary destinations. Support the showDo you know someone who should tell their story?email me - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on various socials as @thruthepinardd and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5V

Hey guys, On this episode we have Jessie who works for ICE Group, who is the firm I spoke to back in February about making the move to Australia.  If you are thinking of making the move to Australia, or just want a chat to know about your options, get in touch with the guys at ICE. They are so lovely, and so helpful!! All the information is below: Email - nurse@icegroup.ie Phone - +353 91 475100 Website - www.icejobs.ie/healthcare-recruitment/midwifery-nsw/  If you get in contact with the guys please mention MAMAS MIDWIFERY or use this specific link: https://www.icejobs.ie/healthcare-recruitment/midwifery-nsw/?utm_source=momma&utm_medium=podcast&utm_campaign=mommapod&utm_id=podcast Enjoy! Liv x

*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, maternal loss, mature and stressful themes.*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Center for Black Maternal Health & Reproductive Justice:https://blackmaternalhealth.tufts.edu/Center for Black Maternal Health & Reproductive Justice Instagram:https://www.instagram.com/cbmhrj_tufts/Center for Black Maternal Health & Reproductive Justice Facebook:https://www.facebook.com/CBMHRJTufts/Center for Black Maternal Health & Reproductive Justice LinkedIn:https://www.linkedin.com/company/cbmhrjtufts/Sources: Addressing Transportation Barriers to Improve Healthcare Access in Arizonahttps://repository.arizona.edu/handle/10150/674794 Advancing Health Equity and Value-Based Care: A Mobile Approachhttps://info.primarycare.hms.harvard.edu/perspectives/articles/mobile-clinics-in-the-us-health-system#:~:text=Mobileclinicsareaproven,thecriticalweeksafterbirth American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Birth Centers in Massachusettshttps://baystatebirth.org/birth-centers A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Clinical outcomes improve when patient's and surgeon's ethnicity match, study showshttps://www.uclahealth.org/news/article/clinical-outcomes-patients-surgeons-concordanceThe Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ 'Father Of Gynecology,' Who Experimented On Slaves, No Longer On Pedestal In NYChttps://www.npr.org/sections/thetwo-way/2018/04/17/603163394/-father-of-gynecology-who-experimented-on-slaves-no-longer-on-pedestal-in-nyc Governor Healey Signs Maternal Health Bill, Expanding Access to Midwifery, Birth Centers and Doulas in Massachusettshttps://www.mass.gov/news/governor-healey-signs-maternal-health-bill-expanding-access-to-midwifery-birth-centers-and-doulas-in-massachusetts#:~:text=GovernorHealeySignsMaternalHealthBillCExpanding,ExecutiveOfficeofHealthandHumanServices Governor Murphy Signs Bill Establishing Maternal and Infant Health Innovation Centerhttps://www.nj.gov/governor/news/news/562023/approved/20230717a.shtml Helping Mothers and Children Thrive: Rethinking CMS's Transforming Maternal Health (TMaH) Modelhttps://www.milbank.org/quarterly/opinions/helping-mothers-and-children-thrive-rethinking-cmss-transforming-maternal-health-tmah-model/#:~:text=TheTransformingMaternalHealth(TMaH)Model&text=TheTMaHModelfocuseson,midwiferyservicesanddoulacare The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwivesInfant Health and Mortality and Black/African Americanhttps://minorityhealth.hhs.gov/infant-health-and-mortality-and-blackafrican-americans#:~:text=In2022%2Ctheinfantmortality,Figure2 Legislature Passes Comprehensive Maternal Health Billhttps://malegislature.gov/PressRoom/Detail?pressReleaseId=136Life Story: Anarcha, Betsy, and Lucyhttps://wams.nyhistory.org/a-nation-divided/antebellum/anarcha-betsy-lucy/Management of Postpartum Hemorrhage in Low- and Middle-Income Countries: Emergency Need for Updated Approach Due to Specific Circumstances, Resources, and Availabilitieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC11643001/#:~:text=EtiologyandRiskFactorsof,insufficienttreatment%E2%80%9D%5B50%5D March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal deaths and mortality rates by state, 2018-2022https://www.cdc.gov/nchs/maternal-mortality/mmr-2018-2022-state-data.pdf Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=In2023%2CTexas'smaternalmortality,suffermaternaldeathin2023 Maternal Mortality in the U.S Declined, though Disparities in the Black Population Persisthttps://policycentermmh.org/maternal-mortality-in-the-u-s-a-declining-trend-with-persistent-racial-disparities-in-the-black-population/Maternal Mortality Is on the Rise: 8 Things To Knowhttps://www.yalemedicine.org/news/maternal-mortality-on-the-rise Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortalityMaternal Mortality Rates in the United States, 2021https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm#:~:text=In2021%2C1%2C205womendied,20.1in2019(Table) Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery National Counsel of State Boards of Nursinghttps://www.ncsbn.org/North American Registry of Midwives (NARM)https://narm.org/ Outcome of subsequent pregnancies in women with complete uterine rupture: A population-based case–control studyhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.14338#:~:text=outcomesarerare.-,1INTRODUCTION,experienceacompleteuterinerupture.&text=Completeuterineruptureisdefined,completeruptureofthemyometrium Pregnancy-Related Deaths: Data From Maternal Mortality Review Committees in 36 U.S. States, 2017–2019https://www.cdc.gov/maternal-mortality/php/data-research/mmrc-2017-2019.html Preterm Birthhttps://www.cdc.gov/maternal-infant-health/preterm-birth/index.html#:~:text=Pretermbirthrates&text=In2022%2Cpretermbirthamong,orHispanicwomen(10.1%25) Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Themhttps://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reducing Disparities in Severe Maternal Morbidity and Mortalityhttps://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/#:~:text=Severemorbidityposesanenormous,ofseverematernalmorbidityevents State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Telehealth Before and After the COVID-19 Pandemichttps://pmc.ncbi.nlm.nih.gov/articles/PMC9035352/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ U.S. maternal death rate increasing at an alarming ratehttps://news.northwestern.edu/stories/2024/03/u-s-maternal-death-rate-increasing-at-an-alarming-rate/Which states have the highest maternal mortality rates?https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/ Why Equitable Access to Vaginal Birth Requires Abolition of Race-Based Medicinehttps://journalofethics.ama-assn.org/article/why-equitable-access-vaginal-birth-requires-abolition-race-based-medicine/2022-03 Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    Telemetry monitoring during labor is becoming more common in hospital birth settings. Yet many doulas may not be familiar with how it works or how it differs from traditional continuous electronic fetal monitoring.   In this episode, we explore telemetry monitoring, how it functions, and the potential benefits it offers for mobility and comfort for laboring clients. We also discuss hospital policies, common limitations, and how to support clients in understanding their options when telemetry is available or when it is not.   As doulas, having a working knowledge of telemetry can help us better advocate for client preferences, support informed decision-making, and provide more effective physical and emotional support during labor.   Join us for a practical and informative conversation to help you feel more confident navigating this type of monitoring in your birth support work.

Certified nurse-midwife Gila Zarbiv speaks candidly about the unique model of care that midwives offer — from pregnancy to postpartum — and why she believes Israel must give women greater access to midwives outside the hospital.

In this episode of The Netmums Podcast, Wendy and Alison are joined by Leah Hazard, an NHS midwife, author, and advocate for maternal health. Leah shares her journey from television to midwifery, revealing the profound impact her own experiences of motherhood had on her career choice. As we delve into the realities of maternity care, Leah discusses the emotional toll of being a midwife and the importance of self-advocacy for expectant mothers. The conversation covers: - The Journey to Midwifery: Leah's transition from a career in television to becoming a midwife, driven by her own challenging experiences during childbirth. - The Reality of Midwifery: the fulfilling moments of connection between midwives and their patients, alongside the stress and burnout that can accompany working in the NHS. - Breaking the Silence on Mental Health: addressing mental health challenges faced by healthcare professionals, and Leah's own struggles with anxiety and burnout. - Advocating for Yourself in Maternity Care: practical advice for expectant parents on how to advocate for themselves during pregnancy and birth. - The Reality of Early Parenthood: the often-overlooked transition from pregnancy to parenting, and the need for honest conversations about the challenges of early motherhood. - Embracing the Teenage Years: Leah's insights on parenting teenagers; cherish the journey and don't fear the transition. Stay connected with Netmums for more parenting tips, community support, engaging content: Website: netmums.com / Instagram: @netmums  Proudly produced by Decibelle Creative / @decibelle_creative

Dr Analila Valencia,Analila Valencia, ND, LAc is eager to assist her patients in living a healthier life. Her services are available to people who want to improve their quality of life and feel empowered with their health. She focuses on sports injuries, musculoskeletal pain, skin rejuvenation, aesthetics, IV nutraceuticals, intermittent fasting and acupuncture. She is currently receiving training on pelvic floor therapy and visceral manipulation. Her approaches to wellness is based on lifestyle changes such as movement, mindfulness and metabolic resilience. She introduces her clients to various complementary and alternative therapies to facilitate peak physical performance by incorporating supplements, nutraceutical intravenous therapies and regenerative injection therapies. Dr. Valencia stays current with the latest research to ensure that her patients get the most recent evidence-based practices for their health. Dr. Valencia has always loved the science behind health and well-being. While serving her country in the US Navy she worked as an emergency medical technician and a physical therapy assistant. She realized the importance of food and exercise when she worked with her fellow military colleagues. After getting an honorable discharge, she continued nourishing her interest as an undergraduate studying cell and molecular biology and taking food science electives at California State University, where she earned her Bachelor of Science degree with Honours in 2009. From the start of her academic studies, she pursued biochemistry research in several laboratories. She spent two years examining how human diseases arise from problems at the molecular level, presenting her research at scientific conferences. After graduating, Dr. Valencia switched her focus from viewing the body as more then chemical pathway but as a holistic healing entity. She realized that the mind, body and spirit interact to create a state of balance. She completed a Master of Science in Oriental Medicine and a Doctor of Naturopathic Medicine degrees at the National College of Naturopathic Medicine in Portland, Oregon. She also became certified in Applied Kinesiology, Midwifery and is a Wilderness First Responder. Committed to expertise, she has pursued a variety of training through conferences focusing on nutrition, anti-aging, and regenerative therapies. Dr. Valencia further completed a three year residency through Bastyr University in Seattle, Washington.Dr Analila Valencia Links:Website: https://www.dranalilavalencia.comDr Steph's Links: Tiktok: https://www.tiktok.com/@drstephpeacockInstgram: https://www.instagram.com/drstephpeacock/Sunlighten: https://www.facebook.com/HealthyGutCompany/ code: DRPEACOCK AirDoctor: https://stephaniepeacock.com/affiliate-airdoctorAquaTru: https://stephaniepeacock.com/affiliate-aquatruProlon: https://stephaniepeacock.com/affiliate-prolonWork with me: https://stephaniepeacock.com/Subscribe to my newsletter: https://stephanies-newsletter-c410d1.beehiiv.com/subscribe

When talking about maternity care, Midwifery-led continuity of care models—whether through private midwives or public systems like Midwifery Group Practices (MGP)—are broadly recognised as the evidence-based gold standard for maternity care in Australia. This approach is associated with better outcomes for mothers and babies, including lower intervention rates, higher rates of breastfeeding success, and greater satisfaction with the birthing experience. Yet, only 2.1% of births in Australia involve private midwives. In this episode, No Place Like Homb guest host, Kath speaks with Midwife, Rachel Wilson about Private Midwifery–the gold standard of Maternity care.More details for anyone looking into private midwife services;Home birth Australia, Directory of private midwives offering home birth services; https://www.homebirthaustralia.org/midwives.html#victoriaDoula compiled private midwife directory;https://www.birthed.com.au/private-midwife-directoryThere is also a Facebook group called ‘Find a Homebirth Midwife Australia'.Prospective parents looking for a private midwife who is accredited to provide shared care with a public hospital, can look up their hospital's 'Shared Care Affiliates List.' RWH shared care affiliate list map:https://www.google.com/maps/d/viewer?mid=1TZucAlqervLbPkltX8VVz89wt5pZC-5k&femb=1&ll=-37.88365720000001%2C145.00585099999998&z=10Monash Health shared care affiliate list:https://monashwomens.org/wp-content/uploads/2025/05/Shared-Maternity-Care-Suburban-List.pdf

Send us a textUltrasounds offer essential insight into maternal and fetal health—but interpreting the findings and knowing what to do next can feel overwhelming for midwifery students and new graduates. In this episode of The EngagED Midwife, Cara and Missi take a deep dive into the most common (and most confusing) ultrasound findings in OB/GYN practice. Whether it's a low-lying placenta, a thickened nuchal fold, or an unusual fetal measurement, we'll break down what it means, when to consult, and how to manage it. Practical, focused, and rooted in real clinical scenarios—this is your go-to guide for making confident, evidence-based decisions in practice. #TheEngagEDMidwife #UltrasoundInPractice #MidwiferyEducation #OBGYNultrasound #NewGradMidwife #ClinicalConfidence

Send us a textUltrasounds offer essential insight into maternal and fetal health—but interpreting the findings and knowing what to do next can feel overwhelming for midwifery students and new graduates. In this episode of The EngagED Midwife, Cara and Missi take a deep dive into the most common (and most confusing) ultrasound findings in OB/GYN practice. Whether it's a low-lying placenta, a thickened nuchal fold, or an unusual fetal measurement, we'll break down what it means, when to consult, and how to manage it. Practical, focused, and rooted in real clinical scenarios—this is your go-to guide for making confident, evidence-based decisions in practice. #TheEngagEDMidwife #UltrasoundInPractice #MidwiferyEducation #OBGYNultrasound #NewGradMidwife #ClinicalConfidence

Jael Henry, my sister-in-law and Doula! Jael grew up in South Florida and now lives in North Carolina. Jael is a graduate of North Carolina A&T (go Aggies!) with a Bachelors in Sociology and a concentration in Business Management. After giving birth to her son in 2020, Jael began passionately persuing educating herself and parents-to-be about the resources available for pregnancy and birth. Jael is a certified Doula committed to nurturing the journey of new life. With each birth, Jael brings faith, strength, and unwavering support, ensuring that your family's story begins with love and guidance.In this episode, we discuss Jael's Doula business, Embrace Birthing, and her personal journey to motherhood.Connect with Jael HenryYoutube: https://youtube.com/@embracebirthing?si=qq8DtGX8emam8g3XInstagram: https://www.instagram.com/embrace.birthing?igsh=dWQ3Nno1emJrY2VpConnect with me --> https://drmatmonharrell.bio.link/Music "By the Wayside" provided by Podcastle Become a member at https://plus.acast.com/s/themindfulpharmd. Hosted on Acast. See acast.com/privacy for more information.

Low amniotic fluid, or oligohydramnios, is a topic doulas are likely to encounter in our work with clients, especially during the third trimester. Doulas and clients often question what low fluid levels mean, how they are diagnosed, and the clinical considerations involved. It is important for doulas to understand risks associated with low amniotic fluid, potential causes, and the treatment options care providers may offer. We also discuss how this diagnosis can influence birth plans and what doulas should keep in mind when supporting clients through these decisions. Tune in for an in-depth conversation designed to strengthen your knowledge and help you better support clients navigating this complicated situation.

Episode 67 is shared by Amy who lives on Gubbi Gubbi country in Queensland. Amy shares her two homebirth stories, which includes one in a publicly funded hospital homebirth program and then her second with a private midwife. We chat about her experiences with both models, her episiotomy  and then her fear around tearing, her desire for a water birth and so much more. Please make sure to share this episode or any others you've listened to, whether it's wth friends, or on social media, or leaving a rating or review. All of it helps to get the word out there that homebirth is an option! Resources:Free Antenatal Classes from Core Floor Restore Dr Andrew Bisits One-on-one midwife care linked to lower risk of premature birthAustralia's breech baby whisperer (ABC)Intrapartum CTG monitoring in breech presentationBirth Time: The Documentary Catherine Bell - Birth MapLael StoneBirth is Magic Kids Book for HomebirthSupport the showConnect with me, Elsie, the host :) www.birthingathome.com.au @birthingathome_apodcast@homebirth.doula_birthingathome birthingathome.apodcast@gmail.com

We're talking about business evolution: how growth, learning, and new services shape the future of your brand. Your doula business won't look the same in a year or two as it did on day one. But that's a good thing! Your marketing should reflect every step forward, from your first client to expanding your services. Updating your website, social media, and printed materials is essential as your business evolves. A brand refresh, whether that's a new logo, a change in business name, updated colors, or a shift in messaging, is also likely as you grow. Tune in for real-world insight on aligning your image with your current position so potential clients see the full value of all you have to offer.

In this powerful episode, we sit down with Lori Barklage, founder of Birthing Peace Within, to explore how unresolved trauma shapes our births—and how healing it can transform generations. Lori shares her own story of a traumatic hospital transfer at 42 weeks, the arrest of her midwife, and how her personal healing journey inspired her to help others do the same. Her perspective blends trauma-informed midwifery with ancient wisdom and energy work, offering a deeply compassionate path for parents and birth workers alike.What You'll Learn:​ How Lori's traumatic birth experience shaped her midwifery journey​ Why some providers unknowingly treat clients from their own trauma responses​ How secondary trauma in birth is often actually primary trauma​ What it means to be “beholden to trauma” and how to get free​ Why some families choose unassisted birth not out of desire, but trauma-driven fear​ The RISE UP Method and how it helps shift generational patterns​ How to use “The 4 Whys” to get to the root of fear in pregnancy and birthGuest Bio:Lori Barklage is the founder of Birthing Peace Within, where she helps families heal their traumatic births in order to better nurture future generations. Her understanding that healed people heal people is the driving force behind her work. Her sessions blend cutting-edge science with ancient wisdom to teach tools for healing intergenerational and epigenetic trauma.Lori trained under Kam Yuen and Tapas Fleming and developed the RISE UP Method for personal compassion and trauma healing. Formerly an instructor at Ancient Art Midwifery, Lori carried forward the school's legacy when founder Carla Hartley retired in 2016.She is passionate about:​ Breaking unhealthy energetic ties​ Dispelling myths that trauma defines us​ Teaching how to reclaim energy and power through neutrality and conscious investment​ Understanding and dismantling trauma loops in the birth worldYou can find her at:​ Website: BirthingPeaceWithin.com​ Facebook: Birthing Peace Within​ Hashtags: #BirthingPeaceWithin #AAMidwiferyRecommended reads:​ The Universe Fucking Loves Me by Sara Arey​ The Neutrality Exercise Workbook by Nekole ShapiroLinks and Resources Mentioned:​ BirthingPeaceWithin.comIf this episode touched something in you, please share it with a friend or leave us a review. If you're a birth worker or parent looking to heal trauma and shift generational patterns, reach out—we'd love to hear from you.Connect with us:@sophiabirth@bayareahomebirth@bornwildmidwifery#BirthingPeaceWithin #AAMidwiferyStay Wild

Donna Ockenden is a former clinical midwife who led the Ockenden Review which revealed, at the time, the biggest maternity scandal in NHS history. Published in 2022, the review highlighted serious failings in maternity care at the Shrewsbury and Telford Hospital NHS Trust which contributed to the deaths of more than 200 babies and nine mothers.Donna grew up in the village of Aberaman in the Welsh Valleys. She experienced a complicated childhood which included a period living in a homeless shelter along with her mother and four siblings. She is also a survivor of sexual abuse and believes her background helped her develop a tenacity and determination which she went on to apply to her work.She completed her nursing training in Swansea and Neath and trained as a midwife at the Portsmouth School of Midwifery. In 2015 she became Senior Midwifery Adviser to the Chief Executive of the Nursing and Midwifery Council (NMC). In May 2022 she was appointed chair of the independent review into maternity services at Nottingham University Hospitals NHS Trust which will be published next year. It is already the largest investigation into a single service in the NHS, hearing evidence from over 2,000 families so far.Donna lives in Chichester with her two cats.Details of organisations offering information and support with child sexual abuse or child bereavement are available at bbc.co.uk/actionline.DISC ONE: We've Only Just Begun - The Carpenters DISC TWO: Bye Bye Baby - Bay City Rollers DISC THREE: Ukulele Lady - Ethel Merman DISC FOUR: Isn't It Amazing - Hothouse Flowers DISC FIVE: If Only - Hazel O'Connor DISC SIX: I Can See Clearly Now - Hothouse Flowers DISC SEVEN: We'll Keep a Welcome - Harry Secombe DISC EIGHT: Francesca - Hozier BOOK CHOICE: Jane Eyre by Charlotte Brontë LUXURY ITEM: Red lipstick CASTAWAY'S FAVOURITE: I Can See Clearly Now - Hothouse FlowersPresenter Lauren Laverne Producer Paula McGinley

Send us a textThinking about when to take your midwifery boards? Cara and Missi dive into the art of timing on this episode. They cover essential exam prep strategies, discuss the importance of self-assessment, and help you determine if you're truly ready to showcase your skills. From managing test anxiety to understanding the nuances of exam readiness, Missi and Cara help you make the best decision for your journey to certification. #DeliverEDExamPrep #ReadySetTest #AsSoonAsYouAreReady #IndividualizED #GuidED #ReviewED #TSwift

In 2018, Amanda Chandler became the first licenced black Certified Professional Midwife in the state of Indiana, and in 2020 the first in Kentucky. Amanda is a trailblazer, nature lover, and birth geek extraordinaire. In this episode we talk about how closing rural hospitals' OB units impacts her work as a community midwife, her path to midwifery, career trajectory, challenging state policies, and so much more. I could think of no better way to celebrate Black Maternal Health Week than celebrating with the brilliant Amanda Chandler CPM. 

Are homeopathic medicines safe?   In this episode, you will learn about Beau's wonderful adventure when she was exposed to homeopathy, as well as her success stories on how she was able to have really fantastic outcomes when practicing homeopathic remedies. In addition, she offers tips on how to fast advance your home prescribing skills if you are new to homeopathy.   About my Guest: Beau Wilson is a mum of three, a midwife, a childbirth educator and a homeopathy enthusiast. She has a Bachelor of Midwifery and a Masters in Primary Maternity Care and is currently studying to become a homeopath. Beau is now offering practical and holistic pregnancy, childbirth and early parenting education to mums to be in Perth, Western Australia.    Check out these episode highlights: 01:56 - Does homeopathy actually help 04:00 - The evidence of the positive effects of homeopathy 06:20 - Homeopathic remedies can treat conditions such as prolapse and hemorrhoids 09:00 - Common illnesses at home that can be treated with homeopathy 17:32 - Beau's journey to becoming a midwife and how she made the decision 28:07 - How to improve your home prescribing abilities quickly if you're new to homeopathy   Find out more about Beau and connect with her on https://www.birthtobaby.com.au/ https://www.instagram.com/birthtobabyaus/   If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode.   Join my Homeopathy Hangout Podcast Facebook community here: https://www.facebook.com/groups/HelloHomies   Here is the link for my free 30-minute Homeopathy@Home online course: https://www.youtube.com/watch?v=vqBUpxO4pZQ&t=438s   Upon completion of the course - and if you live in Australia - you can join my Facebook group for free acute advice (you'll need to answer a couple of questions about the course upon request to join): www.facebook.com/groups/eughom

In this eye-opening episode of Our Forever Smiles, Laura sits down with Dariyon Mendoza, a mom of three who proudly calls herself a “crunchy cleft mom.” Dariyon challenges the notion that a cleft diagnosis automatically means a high-risk pregnancy, sharing her journey of advocating for natural births and creating the birth experience she wanted—despite her baby's diagnosis. She opens up about her own home birth experience and her mission to empower other moms to know that they have options. Tune in for an empowering conversation about informed choices, trusting your body, and redefining what's possible in cleft-affected pregnancies. Links and Resources: Patreon Subscription Tiers for Exclusive Content Our Forever Smiles Merch Store NC Cleft Mom FB Group __________________________________________________________________________ Today's sponsor is sienna dawn media Integrated Marketing Agency  sienna dawn media is more than just a marketing agency—they are your partners in progress. Their mission is simple — to alleviate marketing bandwidth, allowing creative business owners to focus on what they set out to do: create. sienna dawn media empowers creatives to thrive without the burden of managing their own social media and marketing campaigns. So, if you're ready to set sail toward new horizons, let sienna dawn media chart the course and steer your business toward success. Visit siennadawnmedia.com.

For Black Maternal Health Week, we celebrate the important work that Black midwives do in their communities. In this week's show, we'll hear a conversation about how one woman followed her calling to midwifery in a story brought to us by the podcast Re:Work from the UCLA Labor Center. GUEST: Kimberly Durdin, licensed midwife and co-founder of Kindred Space LA and the Birthing People Foundation.   The post The Calling: Black Midwifery appeared first on KPFA.

Many birth workers assume teaching childbirth education is just for labor doulas. Yet postpartum doulas can benefit just as much from teaching childbirth and newborn-related classes. Offering newborn care education can be a game-changer for postpartum doulas looking to grow their client base. Teaching a newborn care class allows you to connect with expecting families before their baby arrives, demonstrate your expertise, and build trust early on. You'll help potential clients understand what postpartum doula support looks like and why it's so valuable in those early weeks. In this episode, we explore the importance of an informative and engaging class that encourages families to seek continued support. Tune in to discover how education can be a strategic and impactful way to build your postpartum doula business.

Keywords: childbirth, prenatal yoga, birth story, pregnancy complications, birth stories, parenting, postpartum, holistic health, labor support, postpartum experience, midwifery care, birth trauma, motherhood In this episode of the Resilient Birth podcast, hosts Justine Leach and Sarah Adelmann welcome Ashley Herrera, a certified yoga teacher specializing in prenatal and postnatal yoga. The conversation explores the complexities of childbirth, acknowledging that while the physiological process can be simple, it is not always so; moreover, the emotional and mental aspects are often not easy either. They discuss the duality of birth experiences, the impact of complications during pregnancy, and the importance of support systems. Ashley shares her personal journey through IVF and birth trauma, and the challenges she faced during her pregnancies, highlighting the need for empowerment and advocacy in the birthing process. In this conversation, Ashley Herrera shares her profound birth story, highlighting the critical role of support during labor and postpartum when her daughter was diagnosed with an issue with her heart necessitating a change of birth plan. She discusses the challenges faced in switching from a birth center to hospital environment, the importance of having a supportive team, and how these experiences shaped her transition into motherhood. The conversation also delves into the emotional and physical aspects of labor, the significance of connection to baby, and the lasting impact of trauma. Takeaways: Childbirth is a simple physiological process but can be physically and emotionally complex. Support systems are crucial during pregnancy and childbirth. It's important to honor both the simplicity and the challenges of birth. The connection between parent and child can remain unwavering despite complications. Finding moments of joy can help navigate fear and uncertainty. Empowerment comes from reclaiming choices during the birthing process. Emotional preparation is as important as physical preparation for childbirth. Every birth story is unique and valid, regardless of complications. The journey of parenthood involves continuous self-growth and learning. It's okay to feel a range of emotions during the birthing experience. Asking for what you need in labor is essential. The hospital environment can feel alien and restrictive. Practicing through movement and sound can help prepare for labor. Postpartum experiences can be affected by birth trauma. Midwifery care provided comfort and reassurance after birth. Advocating for your needs is important for both mother and baby. Sound Bites "The body knows how to birth." "One moment can thieve your hope." "It's okay to feel all the feelings." "We flipped the narrative on it." "We got our power back." "I had to ask for everything" "I could conquer the world" Chapters 00:00 Introduction to Resilient Birth Podcast 00:58 The Complexity of Childbirth 04:11 The Duality of Birth Experiences 06:53 Navigating Complications in Pregnancy 13:58 Finding Beauty Amidst Fear 16:57 Empowerment Through Support 24:07 The Journey of Induction and Advocacy 25:11 Navigating Labor: The Role of Support 28:06 The Birth Experience: Challenges and Triumphs 32:17 The Power of Support in Birth 37:01 Creating Connection in Prenatal Classes 42:04 Postpartum Journey: Trauma and Healing On the Resilient Birth podcast, Justine and Sarah explore the impact of trauma across the perinatal period, from trying-to-conceive to pregnancy, from childbirth to postpartum and parenting. Through an inspirational quote that drives our weekly conversations about trauma and healing, Justine and Sarah explore topics such as birth trauma, parenting as a survivor, and finding healing with vulnerability and compassion that support birthing people and birth professionals. Each week, listeners leave with takeaways to utilize in their lives and/or clients. Justine and Sarah hold the stories they share with honor and respect with the hope to impart knowledge, increase understanding, and bear witness to this challenging topic. Sarah is a licensed mental health counselor, educator, and mom of three. She walks with a story of trauma from before and as a result of her perinatal experience. Justine supports survivors of trauma through perinatal coaching and childbirth education. As well as being a mother of three, she holds a Ph.D. on representations of consent and sexual violence and is currently working towards a Masters in Counselling. Learn more about Sarah and Justine's trainings: https://www.resilientbirth.com/workshops Ashley Herrera is a certified yoga teacher, specializing in prenatal and postnatal yoga, a mother of two, and a passionate advocate for empowering parents on their unique pregnancy and birth journeys. Inspired by her own transformative experiences, Ashley dove deeper into her work to support expectant parents through both in-person offerings in Calgary, AB, Canada, and online programs like the Confident Labor Prep Program and From Bump to Birth prenatal yoga series. Currently training as a Birthing from Within childbirth educator and doula, Ashley will also complete the Spinning Babies® Certified Parent Educator Training this Spring, further enhancing her ability to guide parents toward confident, connected births.

Some call birth risky. Others know it's a normal bodily function. Today, we're dismantling the fear-based narratives surrounding birth with a podcast favorite—Dr. Stuart Fischbein (Dr. Stu). He began as a mainstream obstetrician with over 35 years of experience, but eventually discovered a whole new approach to birth after working with midwives. (You can hear more about his story in episode 13 of this podcast.) Since then, he's attended hundreds of home births, published peer-reviewed studies on breech, twin, and out-of-hospital births, and now travels the world teaching physiological birth and informed consent. Let me tell you—he's the voice you want to hear when it comes to a balanced and healthy perspective on both the risks and the natural design of birth. In this episode, we're diving into some of the hottest birth topics every woman needs to know—covering what's true, what's fear-based, and the science to back it up. From the political layers of modern maternity care to the financial incentives, routine interventions, and the myth of “high-risk” pregnancies—this episode will challenge what you've been told. It's time to trust your body, question the system, and reclaim your right to birth on your own terms.  In this episode, you'll learn: • Why pregnancy isn't a medical emergency—and how fear is used to control outcomes. • What the research really says about knots and tangled cords around the baby's neck.  • How interventions like epidurals and constant monitoring can disrupt natural birth. • Why informed consent is often overlooked in hospital settings. • How to plan ahead, find a supportive provider, and protect your birth choices.  This isn't anti-doctor—it's pro-mother, pro-education, and pro-truth.

Send us a textThis is the second episode in a 3-part mini series about exploring creative education, both as a noun and a verb; new ways of thinking about assessments, grading and ungrading with 3 brilliant educators who work and teach in the spaces of communication, design, creativity, art and art therapy. In this episode, you'll hear from researcher, educator, designer and artist, Rupsha Mutsuddi, about her upbringing in a variety of school systems and the ways it's led to her current path. You'll hear about the unique interdisciplinary nature of Rupsha's cohort in the PhD in Global Health program at York University and how they use grades to support students through a pathway of their choice using a pass/fail model. Rupsha shares how important it is for designers to be able to articulate their value, the benefits of iteration and the importance of staying in the divergent stage of thinking for longer than we think we have to. Finally, you'll hear ideas about encouraging vs. stifling creativity in the classroom.I'm all about interesting projects with interesting people! Let's Connect on the web or via Instagram. :)

In today's episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about pushing during labor and practicing birth work while pregnant. The conversation begins with a deep exploration of various techniques for pushing during labor, focusing on whether to hold one's breath ("purple pushing") or to breathe through contractions. They go on to unpack their personal experiences as midwives and mothers, sharing firsthand insights from the intersection of their profession and their maternal lives. Tune in for a warm, humorous, and informative talk that supports and educates expectant mothers through the journey of childbirth. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Join us to meet Katelyn Costley! Katelyn is a licensed midwife and the executive director of Vashon Island Midwifery, an organization providing personalized and accessible reproductive, pregnancy, childbirth, and postpartum health and education services to birthing families on the island. Katelyn shares her journey into midwifery - inspired by her own personal childbirth experience - and her vision for a more personalized, holistic model of reproductive care for people and families. Join us to hear Katelyn's personal ties to Vashon, her insightful reflections on island life, and all the ways she and her team support our community every day.Katelyn's website: https://www.vashonislandmidwifery.comInstagram: @vashonislandmidwifery

The power of listening is one of the most valuable skills a doula can have. Listening involves more than just hearing words—it's about creating space where clients feel genuinely seen, heard, and understood. It is how deep, intentional trust is built, and it strengthens the doula-client relationship. When clients feel safe to unmask and share openly, real connections form, which allows us to create a judgment-free space, allowing clients to express their fears, preferences, and emotions without shame. This trust becomes the foundation for meaningful support throughout pregnancy, birth, and postpartum.  In this episode, we discuss practical ways to refine your listening skills, avoid common pitfalls, and ensure clients feel validated and supported. Tune in to learn how the power of listening can transform your doula practice and deepen your impact.

*Content warning: death, infant loss, pregnancy and birth trauma, medical trauma, medical neglect, racism*Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources ABC's new show, Familicide: https://www.familicide.net/Melissa Espey-Mueller's North Dallas Doula Associates:Website: https://www.northdallasdoulas.com/ Instagram: https://www.instagram.com/northdallasdoulas/ Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texas:https://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:Best Doulahttps://bestdoulatraining.com/ CAPPAhttps://cappa.net/training-certification/ DONA Internationalhttps://www.dona.org/ Madriellahttps://madriella.org/ ProDoulahttps://www.prodoula.com/ American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america CDC, Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023.htm CDC, Working Together to Reduce Black Maternal Mortalityhttps://www.cdc.gov/womens-health/features/maternal-mortality.html Geospatial distribution of relative cesarean section rates within the USAhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9284873/ In Mexico, Midwives Offer Care Rooted In Ancestral Traditionhttps://www.pih.org/article/mexico-midwives-offer-care-rooted-ancestral-tradition Insights into the U.S. Maternal Mortality Crisis: An International Comparisonhttps://www.commonwealthfund.org/publications/issue-briefs/2024/jun/insights-us-maternal-mortality-crisis-international-comparison?utm_source=chatgpt.com March of Dimeshttps://www.marchofdimes.org/peristats/about-us Maternal Mortality and Maternity Care in the United States Compared to 10 Other Developed Countrieshttps://www.commonwealthfund.org/publications/issue-briefs/2020/nov/maternal-mortality-maternity-care-us-compared-10-countries National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Womenhttps://pmc.ncbi.nlm.nih.gov/articles/PMC9713108/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ US Has Highest Infant, Maternal Mortality Rates Despite the Most Health Care Spendinghttps://www.ajmc.com/view/us-has-highest-infant-maternal-mortality-rates-despite-the-most-health-care-spending What is a freebirth?https://www.pregnancybirthbaby.org.au/what-is-freebirth *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This podcast episode contains potentially triggering content related to sexual trauma, including discussions of abuse, assault, and recovery. Listener discretion is advised. In this episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about home birth after cesarean (HBAC) and trauma-informed care in birth. They unpack the risks, safety considerations, and holistic midwifery support for those planning a VBAC in a home setting, as well as compassionate strategies for birthing with PTSD, vaginismus, or a history of sexual trauma. Learn how individualized midwifery care fosters empowerment, informed choice, and a deeply supportive birth experience. Whether you're exploring out-of-hospital birth, postpartum healing, or holistic prenatal care, this episode is filled with insight and encouragement for your journey. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Client reviews shape your doula business. But how do you request them, use them effectively, and respond to negative feedback professionally? Doula work is deeply personal. Families invite us into one of the most intimate times of their lives, trusting us to provide support. Because of this, building and maintaining an emotional connection is essential. Clients need to feel safe, seen, and supported—and that trust often translates into the reviews they leave. One common challenge doulas face is finding the best ways to ask for reviews. Once you have the reviews, you need to determine where to showcase them to build trust and attract clients. Also, don't forget to turn this positive feedback into a powerful marketing tool to grow your business. But what if you get a bad review? Don't panic! Instead, take control, manage your reputation, and respond professionally and confidently. Join us to learn how to use client reviews to strengthen relationships, build trust, and grow a thriving doula business!

We're still on a break from the Midwifery Wisdom Podcast but will be back with new episodes in just a few weeks!In the meantime, enjoy these clips from the Q&A section of our latest Teachable e-course, Preventing and Treating Hemorrhage.This in-depth course is perfect for anyone looking to refresh their knowledge and stay up to date on the latest hemorrhage management protocols in the community birth setting.Resources:Preventing and Treating Hemorrhage E-CourseBoundaries for Birthworkers E-Course

Welcome to Part 2 of our 'Postpartum Realness' series! In this episode, we dive into the raw and transformative postpartum experience, sharing real stories from our listeners about what surprised them most after birth. From sleep deprivation and breastfeeding struggles to postpartum mental health and the emotional duality of new parenthood, we explore the highs and lows with honesty and compassion. As midwives, we also discuss how the holistic midwifery model supports parents through these challenges, offering insights into newborn bonding, maternal recovery, and the importance of community care. Whether you're planning a home birth, seeking postpartum support, or simply curious about midwifery care, this episode is for you! If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Providing postpartum support in a hospital setting comes with unique challenges and important considerations. Unlike postpartum care in the client's home, hospital-based postpartum care requires doulas to navigate medical staff interactions, hospital policies, and the ever-changing needs of new parents in those crucial first hours and days. There are some important things doulas need to keep in mind when supporting families in the hospital. From understanding the hospital environment and advocating for client comfort to managing expectations and setting boundaries, we discuss how to provide meaningful support while respecting the clinical setting. Join us as we share practical insights on how to offer effective, compassionate in-hospital postpartum care—ensuring families feel supported, informed, and confident as they transition into parenthood.

*Content warning: pregnancy, birth, infant & pregnancy loss, medical negligence, medical trauma. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Amy Giles' Birth Center & Bio:Allen Midwifery & Family Wellness: https://allenmidwifery.com/ Amy's Bio: https://nursing.baylor.edu/person/l-amy-giles-dnp-cnm-cne-facnm *Sources:After a C-section, women who want a vaginal birth may struggle to find carehttps://www.pbs.org/newshour/health/c-section-vbac-vaginal-maternal-health American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Cardiac conditions in pregnancy and the role of midwives: A discussion paperhttps://pmc.ncbi.nlm.nih.gov/articlesC-Section Rates By Hospitalhttps://www.leapfroggroup.org/sites/default/files/Files/C-Section-Graphic-final.pdf March of Dimeshttps://www.marchofdimes.org/peristats/about-us Midwifery Education Accreditation Council (MEAC)https://www.meacschools.org/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Postpartum Hemorrhagehttps://www.chop.edu/conditions-diseases/postpartum-hemorrhage Postpartum Hemorrhagehttps://my.clevelandclinic.org/health/diseases/22228-postpartum-hemorrhage Practice profile of members of the American College of Nurse-Midwives. https://pubmed.ncbi.nlm.nih.gov/9277066/ Salary and Workload of Midwives Across Birth Center Practice Types and State Regulatory Structureshttps://pubmed.ncbi.nlm.nih.gov/35191600/ State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Administrative Codehttps://texreg.sos.state.tx.us/publicTexas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Thyroid Disease & Pregnancyhttps://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S22 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Midwife or mid-husband? That's a common question on social media posts highlighting the work of the very few men who help women to deliver babies. Midwifery is a profession that has traditionally been dominated by women. Less than 1% of people registered as midwives globally are men. According to research conducted by the University of Northampton in the UK, 19 countries have no men registered as midwives and five countries legally prohibit men from being midwives.In today's Africa Daily podcast, Alan Kasujja speaks to 63-year-old Robert Aule, a man who has helped to deliver more than 500 babies over the last four decades in one of the most remote regions in Kenya. Could the recruitment of men help to deal with the shortage of midwives?

In today's episode, midwives Sarah and Charli dive into the raw, real, and often surprising realities of the postpartum experience. From physical challenges like constipation and breastfeeding difficulties to emotional hurdles like isolation, sleep deprivation, and relationship stress, this candid conversation normalizes the highs and lows of life after birth. With insights from our Instagram community and practical advice rooted in holistic midwifery care, Sarah and Charli offer warmth, wisdom, and reassurance for new parents navigating the fourth trimester. Tune in to feel seen, supported, and connected in your postpartum journey—whether you're planning a home birth, exploring holistic birthing practices, or already in the thick of newborn life. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Becoming a parent is a profound transformation, filled with both awe and responsibility. Midwife Lindsay Meehleis, with over two decades of experience, joins the conversation to reveal the deeper wisdom of birth, the power of intuition, and the ways medical intervention has shaped modern childbirth. Through personal reflections and expert insights, we uncover how birth is not just a medical event but a sacred rite of passage — one that requires trust, advocacy, and a return to natural wisdom. From the role of fathers in the birthing process to the cultural fears surrounding childbirth, this episode is a call to reclaim birth as an intuitive, empowering experience that shapes not only our children but our own personal growth. For the past 22 years, Lindsey Meehleis has worked in Healthcare, being called into Birthwork 20 years ago and having witnessed thousands of women birth their babies. Trained traditionally and licensed through the Medical Board, she quickly learned that what is needed in the magic and mystery of birth and death can't be found in a book. She weaves "Great Grandma Wisdom" into our modern world. She has witnessed a drastic shift in Healthcare since 2020 and looks forward to co-creating a new future of what true medicine always was. She gets down to the nitty-gritty of LIFE and everything it brings while illustrating the power that we have within, showing that birth, life, and death are pivotal rites of passage that deserve to be held in sacred deep reverence. —Instagram: https://www.instagram.com/lindseymeehleis/  —Website: https://www.theremembering.com/  Resources: —Ready to transform your relationships? Download The Relationship Toolkit for free and learn the 5 essential skills to thrive in love and life! https://go.markgroves.com/relationship-toolkit-podcast   —Ready to stop chasing emotionally unavailable people? Download your free guide to break the cycle and call in the relationship you crave: https://go.markgroves.com/unavailable-people-opt-in-podcast  —Learn the connection between Attachment Styles, how it affects the Nervous System, AND how you can heal it: .https://go.markgroves.com/nervous-system-opt-in-podcast  If you want to dive deeper into Mark's content, search through every episode, find specific topics we've covered, and ask him questions, go to his Dexa page: https://ask.markgroves.com This episode is sponsored by: —Cozy Earth: Use code MARK for 40% off sitewide at http://www.cozyearth.com —IIN: Use code MARKGROVES20 for 20% off ALL courses from IIN & Chopra at http://bit.ly/MARKIIN —Mighty Networks: Go to http://www.markgroves.com/mightynetworks to learn how you can create your own community! Contact us at podcast@markgroves.com for sponsor product support, questions, comments, or just to say hello! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Darrell Martin is an OB/GYN with four decades of expertise in women's health and the author of the bestselling memoir “In Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth Rights.” In this episode, Dr. Martin and Meagan walk down memory lane talking about differences in birth from when he started practicing to when he retired. He even testified before Congress to fight for the rights of Certified Nurse Midwives and for patients' freedom to select their healthcare providers! Dr. Martin also touches on the important role of doulas and why midwifery observation is a huge asset during a VBAC.Dr. Martin's TikTokIn Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth RightsDr. Martin's WebsiteCoterie DiapersUse code VBAC20 at checkout for 20% off your first order of $40 or more.How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. We have Dr. Darrell Martin joining us today. Dr. Martin hasn't really been in the OB world as of recently, but has years and years and over 5000 babies of experience. He wrote a book called, “In Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth Rights.” We wanted to have him on and talk just a little bit more about this book and his history. That is exactly what he did. He walked us down memory lane, told us lots of crazy stories, and good stories, and things they did along the way to really advocate for birth rights and midwives in their area. Dr. Darrell Martin is a gynecologist, a dedicated healthcare advocate with four decades of expertise in women's health, and the author of the bestselling memoir, “In Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth Rights.” His dedication to patient care and choice propelled him to testify before Congress, championing the rights of Certified Nurse Midwives (CNMs) and advocating for patients' freedom to select their healthcare providers. A standout moment in his career was his fervent support for nurse-midwifery in Nashville, Tennessee, showcasing his commitment to advancing the profession. Additionally, Dr. Martin takes great pride in having played a pivotal role, in like I said, more than 5,000 births, marking a legacy of life and joy he has helped bring into the world.Our interview was wonderful. We really walked down what he had seen and what he had gone through to testify before Congress. We also talked about being safe with your provider, and the time that he put into his patients. We know that today we don't have the time with our providers and a lot of time with OBs because of hospital time and restricting how many patients they see per day and all of those things. But really, he encourages you to find a provider who you feel safe with and trust. I am excited for you guys to hear today's episode. I would love to hear what your thoughts were, but definitely check out the book, “In Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth Rights.”Meagan: Okay, you guys. I really am so excited to be recording with Dr. Martin today. We actually met a month ago from the time of this recording just to chitchat and get a better feel for one another. I hung up and was like, “Yes. Yes. I am so excited to be talking with Dr. Martin. You guys, he has been through quite the journey which you can learn a lot more about in more depth through his book. We are going to talk right there really quick. Dr. Martin, welcome to the show. Can we dive into your book very first? Dr. Darrell Martin: Surely. Thank you. Meagan: Yeah. I think your book goes with who you are and your history, so we will cover both. Dr. Darrell Martin: Okay, okay. Meagan: Tell us more. Darrell Martin's book is “In Good Hands”. First of all, I have to say that I love the picture. It's baby's little head. It's just so awesome. Okay, we've got “In Good Hands: A Doctor's Story of Breaking Barriers for Midwifery and Birth Rights.” Just right there, that title is so powerful. I feel like with VBAC specifically, if we are going to dive into VBAC specifically, there are a lot of barriers that need to be broken within the world of birth. We need to keep understanding our birth rights. We also have had many people who have had their rights taken away as midwives. They can't even help someone who wants to VBAC in a lot of areas. A lot of power is in this book. Tell us a little bit more about this book and how it came about. Dr. Darrell Martin: Well, the book came because of patients. As I was heading into my final run prior to retirement, that last 6-8 months, and I use that term, but it shouldn't be patient. It should be client because patient would imply that they have an illness. Occasionally, they do have some problems, but in reality, they are first the client wanting a service. I thought my role as to provide this service and listen to them about what that was and what they wanted to have occur. In response to the question of what was I going to do when I retired, I just almost casually said, “I'm going to write a book.” The book evolved into the story of my life because so much of the patients and clients when they would come to me were sharing their life, and they were sharing what was going on in their life. Amazingly, it was always amazing to me that in 3 or 4 minutes of an initial meeting, they would sometimes open up about their deepest, darkest secrets and it was a safe place for them to share. I always was blown away with that. I respected that. Many times there were friends of my wife who would come in. I would not dare share a single thing notwithstanding the fact that there were HIPAA regulations, but the right thing was they were sharing with me their life. I thought, “I'm going to turn that around as much as I can by sharing my life with them.” It was an homage to that group of individuals so I would like them to see where I was coming from as I was helping them. That was the goal. That was the intent. Secondarily, for my grandchildren and hopefully the great-grandchildren that come whether I'm here or not because including them with that was the history of my entire American heritage and my grandfather coming over or as we would call him Nono, coming over to the United States and to a better place to better a life for his family. Our name was changed from Marta to Martin at Ellis Island. I wanted that story of his sacrifice for his family and subsequently my uncles' sacrifice and my parents' sacrifice for the priority they placed on families. That was for my children as well and grandchildren. There were a lot of old pictures that we had that we pulled out and that didn't occur in the book because there wasn't enough money to produce a lot of those pictures into the book, but they will be there in a separate place for my kids and grandkids. It was a two-fold reason to do the book. It started just as a narrative. I started typing away. The one funny ironic, and I don't know if ironic is the right word, story as I was growing up, is that people as my why I become an OB/GYN. I'm sure this was not the reason, but it's interesting as I reflected that growing up, it was apparently difficult for my mother to have me. I was her only child. She always would say I was spoiled nice, but I was definitely spoiled. When she was mad at me, the one thing she would say, and I didn't understand it until much later when I was actually probably in medical school, was that I was a dry birth and I was breech, and I just ruined her bottom. When she really got aggravated occasionally, she would say those little words to me as I was probably a teenager. Then on reflection, I became an OB/GYN so I really understood what she was saying then. Meagan: It was interesting that you said the words “dry birth” because my mom, when my water broke with my second, she was telling me that I was going to have this dry birth. She was like, “If you don't go in, you're going to have this dry birth.” So many people I have said that to are like, “What? I have never heard of that in my entire life,” and you just said that, so it really was a thing. It really was something that was said. Dr. Darrell Martin: Yes. It was a term back then in the late 40s to late 50s I guess. Meagan: Crazy. So you were inspired. You decided to do the OB route. Tell us a little bit of how that started and then how you changed over the years. Dr. Darrell Martin: Well, when I was in med school, and I went to West Virginia University Medical School, principally, it was fortunate because I would say in retrospect, they were probably lower middle class. I had the opportunity to go to West Virginia. Literally, my tuition per semester was $500. Meagan: Oh my gosh. Dr. Darrell Martin: My parents didn't have to dig into money they didn't have. They never had to borrow any money, so I was fortunate. I did have a scholarship to college. They didn't have to put out the money with the little they had saved. The affordability was there and never an issue. I went to West Virginia, and in my second year, I guess I connected a little bit with some of the docs and some of the chair of the department in West Virginia, Dr. Walter Bonnie, who I didn't realize at the time had left. He was the chairman of Vanderbilt before he was the chairman of West Virginia so now I understand why he was pointing me to either go to Vanderbilt or to Duke. I think I'm fortunate that I went to Vanderbilt. In spite of everything that happened, it was the path I was supposed to take. I did a little rotation as a 2nd-year medical student with some private OBs. I was just amazed. I was enthralled by the intervention of the episiotomies I observed. I said, “Well, you're going to learn how to sew.” What really struck me was that I went into this. I still can picture it. It was a large room where there were probably four or six women laboring. They had almost one of the baby beds. They had the thing where you can pull up the sides so someone couldn't get out of the bed. I couldn't figure out why someone in labor was like this. There was a lady there. I'll never forget. She had been given scopolamine which is the amnesiac which was often used where women sometimes don't even know where they are. They don't even have memory of where they are. She was underneath the bed on all fours barking like a dog. I asked him, “Why are you not going to let her husband in here?” They were saying things they probably shouldn't say under the influence of these crazy drugs. It made me start thinking even from that point on, “Why are they doing this? Why are they zapping them so much in the way of drugs?” Then I didn't see or understand fetal monitoring. We didn't have it at West Virginia. It came in my residency. It had just come in the first year prior to that, and the new maternal-fetal head at Vanderbilt brought in fetal monitoring. He had done some of the original research with Dr. Han at Yale. What I was doing a medical student during my rotations was sitting at the bedside. That's what we as medical students were responsible to do. Sit at the bedside. Palpate the abdomen. Sit with the fetoscope, the little one you stick around your head and put down, and count the heartbeats. We would be there six or eight hours. We were responsible for drawing all of the blood, but more importantly, we were there observing labor. Albeit, they weren't allowed to get up, but it was just the connection and I loved that connection. I loved that sense of connecting with people, and then that evolved into you connecting with them when they come back for their visits. I've had quite a few people who I've seen for 20, 30, 35 years annually. That became a much more than just doing a pelvic exam, blah, blah, blah. It became a connection. It was a communication of, “What's going on in your life? What's happening?” Meagan: A true friendship. Dr. Darrell Martin: Yes. Meagan: It became true friendships with these parents and these mothers. I think that says a lot about you as a provider. Yeah. That makes us feel more connected and safe. Dr. Darrell Martin: Yeah. I desperately miss that. I still miss that as a vocation and that connection. I would look forward to it. I would look on the schedule, “Who's coming in?” I could remember things about them that we would deal with for 15 years or more. One client of mine who, we would begin by, “How are you doing?” We would still go back to when her son was at a college in Florida and was on a bicycle and got hit and killed. We were relating and discussing that 15 years later. It was a place where she knew that we would go back to that point and talk a little bit about her feelings and it's much more important to me. If everything's fine doing a breast exam and doing a pelvic exam, listening to the heart and lungs, that's all normal and perfunctory. It's important, but what's really important is that connection. My goal also was, if I could, to leave the person as they went out the door laughing and to try to say something to cheer them up, to be entertaining, not to make light of their situation if obviously they had a bad problem, but still to say as they would leave with a smile on their face or a little laugh, but the funny one, I still remember this. We had instituted all of these forms. It would drive me crazy if I went to the doctor. We had all of these forms with all of these questions. They were repetitive every year. You just couldn't say that it was the same. She came in. She was laughing. She said, “These forms are crazy. It's asking me do I have a gun at home?” I said, thinking about it, in my ignorance, I hadn't reviewed every single question of these 15 pages that they were going to get. I'm sure it was about depression and to pick up on depression if they have a gun at home. She laughed. She said, “The young lady who was asking me the questions said, ‘Do you have a gun at home?' I said, ‘No, I have it right here in my purse. Would you like to see it?'” Meagan: Oh my gosh. Dr. Darrell Martin: So it was just joking about how she really got the person flustered who was asking the question. Sometimes we ask questions in those forms that are a little over the top. Meagan: Yeah. What I'm noticing is that you spent time with your patients not even just to get to know them, but you really wanted to get to know them. You didn't just do the checked boxes and the forms. It was to really get to know them. We talked about finding a good practice last time. What does that look like? What can we do? What are things to do? What is the routine that is normal for every provider's office or is there a normal routine for every provider's office? From someone coming in and wanting an experience like what you provide, how can we look for that? How can we seek that?Dr. Darrell Martin: Well, what you're saying and particularly when it evolves into having a chat, is first trust. you want to trust your provider. If you don't trust, you're anxious. We know that anxiety can produce a lot of issues. I would often tell a client who was already pregnant let's say as opposed to what should be done before they get pregnant. I would say they are getting ready to take a big test, and that test is having a baby. I said, “It's like a pass/fail. You're all going to pass. What do you want to have happen? You need to be comfortable and learn as much as you can and have people alongside you that you trust so that it is a great experience.” The second one, I'm sure you've seen this is that sometimes you just worry that people get so rigid in what they want, and then they feel like a failure if it doesn't happen. We want to avoid that because that can lead to a lot of postpartum depression and things that last. They feel like a failure. That should never happen. That should never happen. They should understand that they have a pathway and a plan. If they trust who's there with them, what ends up happening is okay. It's not that they've been misled which is then where the plan is altered by not a good reason maybe, but it's been altered and it really throws them for a loop. Meagan: Yeah. Dr. Darrell Martin: I think in preparation, first they've got to know what their surroundings are. They start off. Ideally, someone's thinking about getting pregnant before they get pregnant. I've had enough clients who, when we start talking about birth control, and I'll say, “Are you sexually active?” “Yes.” “Are you using anything for birth control?” “No, I don't want to use anything for birth control.” I said, “Do you want to get pregnant?” “No.” I said, “Well, that's not equal. A, you're not having intercourse and B, you're not using anything, so eventually, you're going to get pregnant. You need to start planning for that outcome, but the prep work ahead of time is to know your surrounding. You've got to know what you know and you've got to know what you want. You really should be seeking some advice of close friends who you trust who have been through and experienced it in a positive way. You've got to know what your town where you live is like. Is there one hospital or two hospitals? What are the hospitals like?” Someone told me one time that I should just write a book about what to do before you get pregnant. Meagan: Yeah, well it's a big deal. Before you get pregnant is what really can set us up for the end too because if we don't prep and we're not educating ourselves before, and we don't know what we're getting into, we don't know our options. That can set us up for a less-ideal position. Dr. Darrell Martin: Yeah. I think that's where the role of a doula can come into play. I hate to say it this way, but if they're going to go to the provider's office, they're not going to get that kind of exchange in that length of time to really settle in to what it is what that plan is going to be like. To be honest, most of the providers are not going to spend the time to do that. Meagan: Mhmm, yeah. The experience that you gave in getting to know people on that level is not as likely these days. OBs are limited to 7-10 minutes per visit?Dr. Darrell Martin: That's on a good day probably. Meagan: See? Yeah. Dr. Darrell Martin: You're being really kind right there. You're being really kind. It's just amazing. Sometimes you're a victim of your own success. If you're spending more time, and you're involved with that, then you've got to make a decision in your practice of how many people you're going to see. If you're seeing a certain amount, then the more you see, what's going to happen to them? You have control of your own situation, but then often you feel the need to have other partners and other associates, and then it gets too business-like. Smaller, to me, is better. The only problem with small with obstetrics is we know that if it's a solo practice, for example, someone will say, “I'm going to this doctor here because I want to see he or she the whole time.” I say, “You've got to think about that. Is that person going to be on-call 365 days a year?” Then what happens later on in the pregnancy when that becomes more of a concern to the client, they'll ask. They'll say, “Well, I'm on-call every Thursday and one weekend out of four.” They freak out. They get really anxious. “What's going to happen? I just know you.” They'll say, “I'm on-call on Thursday. I do inductions on Thursday.” So it leads into that path of wanting that provider. So then to get that provider, they're going to be induced. And we know that that at least doubles the rate of C-sections, at least, depending on how patient or not patient they are.Meagan: I was going to say they've got this little ARRIVE trial saying, "Oh, it doesn't. It lowers it. But what people don't really know is how much time these ARRIVE trial patients were really given. And so when you say that time is what is not given, but it's needed for a vaginal birth a lot of the times with these inductions.Dr. Darrell Martin: Yes, yes, if the induction is even indicated to begin with because the quality assurance, a lot of hospitals, you have to justify the induction. But it doesn't really happen that way. I mean, if there's a group of physicians that are all doing the same thing, they're not going to call each other out.Meagan: Yeah.Dr. Darrell Martin: It's just going to continue to happen is there're 39 weeks. I love how exactly they know how big the baby's going to be. But even more importantly, how big can this person have? I mean, there are no correlations. There are no real correlations. I can remember before ultrasound, we were taught pelvimetry. the old X-ray and you see what the inner spinous distance is, but you still don't know for sure what size has going to come through there.Meagan: Oh right. Well, and we know that through movement, which what you were seeing in the beginning of your OB days in your schooling, they didn't move. They put them in the bed. They put them in a bed and sat them in the bed. So now we're seeing movement, but there's still a lack of education in position of baby. And so we're getting the CPD diagnosis left and right and being told that we'll never get a baby out of our pelvis or our baby's too large to fit through it, when in a lot of situations it's just movement and changing it up and recognizing a baby in a poor position. An asynclitic baby is not going to have as easy as a time as a baby coming down in an OA, nice, tucked position. Right?Dr. Darrell Martin: Exactly. Exactly. There was the old Friedman Curve and if you went off the Friedman Curve, I was always remarked it's 1.2 centimeters, I think prime at 1.5 per hour. But I can never figure out what 0.2 two was when you do a pelvic exam. What is that really? Is the head applied against the cervix? So it's all relative. It's not that exact. But no, I think that if a person could find a person they trust who knows the environment, I think that's where the value of a really good doula can help because they're emotionally connected to the couple, but they're not as connected as husband and wife are or someone else.Meagan: Or a sister or a friend.Dr. Darrell Martin: Yes. And that may be their first shot at that sister of being in a room like that other maybe her own child. It's nice to have someone with a lot more experience that can stand in the gap when they're emotionally distraught, maybe the husband is. He's sweating it out. He's afraid of what he's going to say sometimes. And then she's hurting and she needs that person who can be just subjective to  stand in the gap for her when they're trying to push the buttons in the wrong direction or play on their emotions a little too much.Meagan: Yeah. I love that you pointed that out. We actually talked about that in our course because a lot of people are like, "Oh, no, it's okay. I can just hire my friend or my sister." And although those people are so wonderful, there is something very different about having a doula who is trained and educated and can connect with you, but also disconnect and see other options over here.So we just kind of were going a little bit into induction and things like that. And when we talked a couple weeks ago, we talked about why less is better when it comes to giving medicine or induction to VBAC or not. We talked about it impeding the natural process. Can you elaborate more on that? On both. Why less is more, but then also VBAC and induction. What's ideal for that? What did you use back then?Dr. Darrell Martin: Well, we're going back a long time.Meagan: No, I know, I know.Dr. Darrell Martin: We're going back a long time. See, that would be like what you just did was give me about three questions in one that would be like being on a defensive stand on trial. And then you're trying to figure out where the attorney going, and he sets you up with three questions in one, and then you know you're in trouble when he does that.Meagan: I'm finding that I'm really good at doing that. Asking one question with three questions or five questions?Dr. Darrell Martin: Yes.Meagan: So, okay, let's talk about less is more. Why is less more?Dr. Darrell Martin: Well, first of all, you can observe the natural process of labor. Anytime you intervene with whatever medication-wise or epidural-wise, you're altering the natural course. I mean, that to me it just makes sense. I mean, those things never occurred years ago. So you are intervening in a natural course. And you then have got to factor that in to see how much is that hindering the labor process? Would it have been hindered if you hadn't done that? If you'd allow them to walk, if you allowed them to move? The natural observation of labor makes a lot more sense than the intervention where you've then got to figure out, is the cause of the arrest of labor, so to speak, is it because of the intervention or was it really going to occur?Meagan: Light bulb.Dr. Darrell Martin: Yes.Meagan: That's an interesting concept to think about.Dr. Darrell Martin: Yeah. And you want to be careful because it's another little joke. I say you just don't want to give the client/patient a silver bullet. Often I've had husbands say, "Well, they don't need any medicines." You have to be careful what you're saying because you're not the one in labor. But I wouldn't say that quite to them. But they got the picture really quickly when their wife, their spouse, lashed back out at them.Meagan: Yeah.Dr. Darrell Martin: So you can come over here and sit and see how you like it. I can still remember doing a Lamaze class with Sandy, and we also did Bradley class because I wanted to experience it all. She was the first person to deliver at Vanderbilt without any medication using those techniques. And when we would do that little bit of teaching, I can remember doing that when they would try to show a guy by pinching him for like 30 seconds and increasing the intensities to do their breathing, maybe they should have had something else pinched to make them realize-- Meagan: How intense.Dr. Darrell Martin: Yeah. How intense it isMeagan: Yeah.Dr. Darrell Martin: We can't totally experience it. So we have to be empathetic and balance that. And that's where, to me, having that other person can be helpful because I'm sure that that person who is the doula would be meeting and with them multiple times in the antepartum course as opposed to they go into labor and if there's a physician delivery, chances are their support person is going to be a nurse they've never met before or maybe multiple ones who come in and out and in and out and in and out, and they're not there like someone else would be. To me that's suboptimal, but that's the way it works. And I observed the first birth. I didn't tell the people at the hospital for my daughter-in-law that I was an obstetrician.Meagan: And yeah you guys, a little backstory. He was a doula at his daughter-in-law's birth.Dr. Darrell Martin: Yes. But her first birth did not turn out that well at an unnamed hospital. She didn't want to come to my practice because they weren't married that long and that's getting into their business a little bit. Plus, she lived on the north side of town and I was on the south side. So she chose, a midwifery group, but the midwife was not in there very much. I mean, she was responsible. They were doing probably 15 to 20 births per midwife.Meagan: Wow.Dr. Darrell Martin: They were becoming like a resident, really. They were not doing anything a whole lot differently. And then she had a fourth degree, and she then, in my opinion, got chased out of the hospital the next day and ended up turning around a day later and coming back with preeclampsia. I heard she had some family history of hypertension. I had to be careful because I'm the father-in-law. I'm saying, "Well, maybe you shouldn't go home." And then she ends up going back. And she didn't have HELLP syndrome, but she was pretty sick there for a day or two. That was unfortunate because she went home, and then she had to go right back and there's the baby at home because the baby can't go back into the hospital. And so her second birth, because it was such a traumatic experience with the fourth degree, she elected to use our group and wanted one of my partners to electively section her. She did the trauma of that fourth degree. That was so great. So she did. But obviously, she had a proven pelvis because she had a first vaginal delivery. And then she came to me and she said, "I want to do a VBAC." And so I said, "Oh, that's great." And so one of my partners was there with her, but my son got a little bit antsy and a little bit sick, so he kind of left the room. I was the support person through the delivery. That was my opportunity to be a doula. And of course, she delivered without any medication and without an episiotomy and did fine. Meagan: Awesome.Dr. Darrell Martin: And a bigger baby than the one that was first time.Meagan: Hey, see? That's awesome. I love that.Dr. Darrell Martin: Yes.Meagan: So it happens.So we talked a little bit about midwives, and we talked about right here "A Doctor's Story of Breaking Barriers for Midwifery". Talk to us about breaking barriers for midwifery. And what are your thoughts one on midwives, but two, midwives being restricted to support VBAC?Dr. Darrell Martin: Okay, that's two questions again.Meagan: Yep. Count on me to do that to you.Dr. Darrell Martin: I'll flip to the second one there. I think it's illogical to not allow a midwife to be involved with a VBAC. That makes no sense to me at all because if anybody needs more observation in the birth process, it would potentially or theoretically actually be someone who's had a prior C-section. Right? There's a little bit more risk for a rupture that needs more observation, doesn't need someone in and out, in and out of the room. The physician is going to be required to be in-house or at least when we were doing them, they were required to be in house and there was the ability to do a section pretty quickly. But observation can really mitigate that rush, rush, rush, rush, rush. I've had midwives do breeches with me and I've had them do vaginal twins. If I'm there, they can do it just as well as I can. I'm observing everything that's happening and they should know how to do shoulder dystocia. One thing that you cannot be totally predictive of and doctors don't have to be in the hospital for the most part in hospitals. Hopefully, there probably are some where they're required, but it makes no sense and they're able to do those. So if I'm there observing because the hospital is going to require that, and I think that's not a bad thing. I never would be opposed or would never advocate that I shouldn't be there for a VBAC. But I think to have the support person and that be the midwife is going to continue and do the delivery, I think that's great. There's no logic of what they're going to do unless that doctor is just going to decide that they're going to play a midwife role and that they're going to be there in that room. They're advocating that role to a nurse or multiple nurses who the person doesn't know, never met them before, and so that trust is not there. They're already stressed. The family's stressed. There are probably some in-laws or relatives out there and they say, "Well, you're crazy. Why are you doing this for? Why don't you just have a section?" Everybody has an opinion, right? So there's a lot of family. I would observe that they're sitting out there and we've got into that even back then that's a society that some of them don't want to be there, but they feel obliged to be out there waiting for a birth to occur. Right. When four hours goes by, "Oh, oh, there must be a problem. Why aren't they doing something?" You hear that all the time. I try to say, "Well, first labor can be 16 to 20 hours." "16 to 20 hours?" and then they think, "I'm going to be here for that long."Meagan: Yeah.Dr. Darrell Martin: So there's always that push at times from family about things aren't moving quickly.Meagan: Right.Dr. Darrell Martin: They're moving naturally, but their frame of reference is not appropriate for what's occurring. They don't really understand. And so that's the answer. Yes. I think that it makes no sense that midwives are not involved. That does not make any sense at all.So the first part of the question was what happened with me and midwives?Meagan: Well, breaking barriers for midwifery. There are so many people out there who are still restricted to not be able to support VBAC. I mean, we have hospital midwives here in Utah that can't even support VBAC. The OBs are just completely restricting them. What do you mean when you say breaking barriers for midwifery and birth rights?Dr. Darrell Martin: Okay, what I meant was this is now in late 1970, 79, 80. And I'd observe midwifery care because as residents, we were taking care of individuals at three different hospitals, one of which was Nashville General, which was a hospital where predominantly that was indigent care, women with no insurance. And we had a program there with midwives.Dr. Darrell Martin: And so we were their backup. I was their backup for my senior residency, chief residency, and subsequently, as an attending because I was an attending teaching medical students and residents and really not teaching midwives, just observing them if they needed anything, within the house most of the time, principally for the medical students and the junior residents. But I saw their outcomes, how great they were. I saw the connection that occurred. We didn't have a residency program where you saw the same people every time then. It was just purely a rotation. You would catch people and it just became seeing 50 or 75 people and just try to get them in and out. But then you observe over here and watch what happens with the midwifery group and the lack of intervention and the great outcomes because they had to keep statistics to prove what they were doing. Right? Meagan: Yeah, yeah. I'm sure. Dr. Darrell Martin: They were required to do that, and you would see that the outcomes were so much better. Then it evolved because a lot of those women over the course of the years prior to me being there and has evolved while I was there, I was befriended by one midwife. She was a nurse in labor and delivery who then went on to midwifery school. We became really close friends. Her family and my family became very close. They had people, first of all, physicians' wives who wanted to use them and friends in the neighborhood who wanted to use them, but they had insurance and people that had delivered there who then were able to get a job and had insurance and wanted to use them again, but they couldn't at the indigent hospital. You had to not have insurance. So there was no vehicle for them in Nashville to do birth. We advocated for a new program at Vanderbilt where they could do that and at the same time do something that's finally occurring now and that's how midwives teach medical students and teach residents normal birth because that's the way you develop the connection that moves on into private practice is they see their validity at that level and that becomes a really essentially part of what they want to do when they leave. They don't see them as competition as much. Still, sometimes it's competition. So anyhow, at that point, our third hospital was relatively new. The Baptist private hospital run by the private doctors where the deliveries at that point were the typical ones with amnesiac, no father in the room, an episiotomy, and forceps. So when we tried to do the program, the chairman-- and we subsequently found some of this information out. It wasn't totally aware at the time. They were given a choice by the private hospital. Either you continue to have residents at the private hospital or you have the midwifery private program at Vanderbilt. But you can't have both. If you're going to do that, you can't have residence over here. So they were using the political pressure to stop it from happening. Then I said, they approached myself and the two doctors, partners, I was working with in Hendersonville which is a little suburb north of town. We had just had a new hospital start there and we were the only group so that gave us a lot of liberties. I mean, we started a program for children of birth with birthing rooms, no routine episiotomies, all walking in labor, and all the things you couldn't do downtown. Well, the problem was we wanted midwives in into practice but we didn't have the money to pay them. We were brand new. So we had a discussion and they said, "Well, we want to start our own business." And I said, "Oh." And I kind of joked, I said, "Well that's fine, I can be your employee then." And that was fine for us. I mean, we had no problem being their consultant because someone asked, "Well, how can you let that happen?" I said, "We still have control of the medical issues. We can still have a discussion and they can't run crazy. They're not going to do things that we don't agree with just because they're paying for the receptionists and they're taking ownership of their practice." So they opened their doors on Music Row in Nashville.Meagan: Awesome.Dr. Darrell Martin: But as soon as that started happening and they announced it, at that time, the only insurance carrier for malpractice in the state of Georgia was State Volunteer Mutual which was physician-owned because of the crisis so they couldn't get any insurance the other way a physician couldn't unless it was through the physician-owned carrier. Well, one of the persons who was just appointed to the board was a, well I would call an establishment old-guard, obstetrician/gynecologist from Nashville. And he said in front of multiple people that he was going to set midwifery back 100 years, and he was going to get my malpractice insurance. He was going to take my malpractice insurance away.Meagan: Wow.Dr. Darrell Martin: For practicing with midwife. And that was in the spring of the year. Well, by October of that year, he did take my malpractice insurance. They did.Meagan: Wow. For working with midwives? Dr. Darrell Martin: For risks of undue proportion. Yes. The Congressman for one of the midwives was Al Gore, and in December of that year we had a congressional hearing in D.C. where we testified. The Federal Trade Commission got involved. The Federal Trade Commission had them required the malpractice carrier to open their books for five years. And what that did was it stopped attacks across the United States. There were multiple attacks going on all across the country trying to block midwives from practicing independently or otherwise. And so from 1980-83, when subsequently a litigation was settled, the malpractice carrier, including the physicians who were involved, all admitted guilt before it went to the Supreme Court. I went through a few years there and that's where you see some of those stories where I was blackballed and had to figure out a place where I was going to work. I almost went back to school. This is a little funny story. I was pointed in the direction of Dr. Miller who was the head of Maternal Child Health at Chapel Hill University of North Carolina. I didn't realize that then two months later, he testified before Congress as well because he wanted me to come there. I interviewed and then I would get my PhD and do the studies that would disprove all the routine things that physicians were doing to couples. I would run those studies. It was a safe space. It was a safe place, a beautiful place in Chapel Hill. So he told me, he said, "You need to meet with my manager assistant and she'll talk to you about your stipend, etc." Now I had three children under four years of age.Meagan: Wow, you were busy.Dr. Darrell Martin: Well, the first one was adopted through one of the friends I was in school with, so we had two children seven months apart because Sandy was pregnant and had like four or five miscarriages before.Meagan: Wow.Dr. Darrell Martin: So I had three under four. So she proceeded to say, "Well Dr. Martin, this is great. Here's your stipend and I have some good news for you." I said, "Well, what's that?" He said, "Well, you're going to get qualified for food stamps." That's good news? Okay. So I'm trying to support my three children and my wife. I said, "I can't do that. As much as I would love to go to this safe place," and Chapel Hill would have been a safe place because it would have been an academia, but then I had to find a place to work. So it was just how through my faith, it got to the point where know ending up in Atlanta, I was able to not only do everything I wanted to do, but one of the midwives that I worked with, Vicki Henderson Bursman won the award from the midwifery college. And the year after, I received the Lewis Hellman Award for supporting midwives from ACOG and AC&M. But we prayed. We said, "One day we're going to work together." And this was 1980. In 93, when we settled the lawsuit, we reconnected. I was chairman of a private school, and we hired her husband to come to Atlanta to work at the school. Two weeks, three weeks later, I get a call from the administrator of the hospital in Emory who was running the indigent project at the hospital we were working at teaching residents. They said that they wanted to double the money. Their contract was up and they wanted double what they had been given. So the hospital refused and they asked me to do the program. We didn't have any other place to go. And then what was happening? Well, Rick was coming to Atlanta, but so was Vicki. So Vicki, who I hadn't worked with for 13 years, never was able to work, came and for the next 20 years, worked in Atlanta with me. And we did. She ran basically the women's community care project, and then also worked in the private practice. And then the last person, Susie Soshmore, who was the other midwife, really couldn't leave Nashville. She was much, much more, and rightly so, she was bitter about what happened and never practiced midwifery. Her husband was retiring. She decided since they were going to Florida to Panama City, that she wanted to get back and actually start doing midwifery, but she needed to be re-credentialed. So she came and spent six months with us in Atlanta as we re-credentialed her and she worked with us. So ultimately we all three did get to work together.Meagan: That's awesome. Wow. What a journey. What a journey you have been on.Dr. Darrell Martin: Yeah, it was quite a journey.Meagan: Yeah. It's so crazy to me to hear that someone would actively try to make sure that midwifery care wasn't a thing. It's just so crazy to me, and I think it's probably still happening. It's probably still happening here in 2024. I don't know why midwives get such a bad rap, but like you said, you saw with the studies, their outcomes were typically better. Dr. Darrell Martin: Yeah.Meagan: Why are we ignoring that?Dr. Darrell Martin: Doctors were pretty cocky back then. They may be more subtle about what they do now because to overtly say they're going to get your malpractice insurance, that's restricted trade.Meagan: Yeah. That's intense.Dr. Darrell Martin: Intense. Well, it's illegal to start with.Meagan: Yeah, yeah, yeah, right?Dr. Darrell Martin: If you attack the doctor, you get the midwife. They tried to attack the policies and procedures. That was the other thing they were threatening to do was, "Well, if you still come here, we're going to close the birthing room. We're going to require women to stay flat in bed. We require episiotomies. We require preps and enemas." Well, they wouldn't require episiotomies, but certainly preps and enemas and continuous monitoring just to make it uncomfortable and another way to have midwives not want to work there.Meagan:  Yes. I just want to Do a big eye-roll with all of that. Oh my goodness. Well, thank you so much for taking the time and sharing your history and these stories and giving some tips on trusting our providers and hiring a doula. I mean, we love OBs too, but definitely check out midwives and midwives, if you're out there and you're listening and you want to learn how to get involved in your community, get involved with supportive OBs like Dr. Martin and you never know, there could be another change. You could open a whole other practice, but still advocate for yourself.I'm trying to think. Are there any final tips that you have for our listeners for them on their journey to VBAC?Dr. Darrell Martin: Well, pre-pregnancy that next time around, we know very quickly that the weight of the baby is controlled by heredity which you really essentially have no control over that including who your husband is. If he's 6'5", 245, their odds are going to be that the baby might be a little bigger. However, you do have control what your pre-pregnancy weight is, and if you get your BMI into a lower range, we know statistically that the baby's probably going to be a little bit smaller, and that gives you a better shot. You don't have control of when you deliver, but you do have control of your weight gain during the pregnancy and you do have control of what your pre-pregnancy weight, which are also factors in the size of the baby. So control what you can control, and trust the rest that it's going to work out the way it should.Meagan:  Yeah, I think just being healthy, being active, getting educated like you said, pre-pregnancy. It is empowering to be educated and prepared both physically, emotionally, and logistically like where you're going, and who you're seeing. All of that before you become pregnant. It really is such a huge benefit. So thank you again for being here with us today. Can you tell us where we can find your book?Dr. Darrell Martin: Yeah, it's available on Amazon. It's available at Books A Million. It's available at Barnes and Noble. So all three of the major sources.Meagan:  Some of the major sources. Yeah. We'll make sure to link those in the show notes. If you guys want to hear more about Dr. Martin's journey and everything that he's got going on in that book, we will have those links right there so you can click and purchase. Thank you so much for your time today.Dr. Darrell Martin: Thank you. I enjoyed it and it went very quickly. It was enjoyable talking to you.Meagan:  It did, didn't it? Just chatting. It's so fun to hear that history of what birth used to be like, and actually how there are still some similarities even here in 2024. We have a lot to improve on. Dr. Darrell Martin: Absolutely, yes. Meagan:  But it's so good to hear and thank you so much for being there for your clients and your customers and patients, whatever anyone wants to call them, along the way, because it sounds like you were really such a great advocate for them.Dr. Darrell Martin: Well, we tried. We tried. It was important that they received the proper care, and that we served them appropriately, and to then they fulfill whatever dream they had for that birth experience or be something they would really enjoy.Meagan:  Yes. Well, thank you again so much.Dr. Darrell Martin: Okay, thank you. I enjoyed talking to you. Good luck, and have fun.Meagan: Thank you.Dr. Darrell Martin: Bye-bye.Meagan: Thank you. You too. Bye.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands