Celebrating Black History

February is Black History Month, and we will be taking the month to learn about anti-racism for the future as well as black history. We believe that learning about history from the perspectives of those who lived it is important if you can, and we LOVE the amazing resources that are available now in our community as well as nationally. In our line of work, black history is especially important for many reasons, one of which we’ll talk about in this post.

Before 1900, most babies were born at home into the hands of midwives, and the black granny midwives were a massive part of that legacy. In a country that continues to profit off the labor of stolen lives, this legacy of maternal and infant care is one that especially deserves to be celebrated. When chattel slavery was still legal in this country, midwifery was a skill that made a slave more desirable for purchase:

Smithsonian Open Access

Midwives were the connection between birthing families and the care they needed, and black midwives were often the only people who reach families where they were with congruent care tailored to their needs. That included when the birthing families were still in chains. When the US outlawed the importation of any further slaves, midwives helped usher the souls who would be chained to build our economy too. What a conflicted challenging life they were forced to lead. Even after the end of slavery, black midwives traveled the rural areas that doctors wouldn’t or couldn’t.

Smithsonian Open Access

When they could, black women continued to help their communities by attending medical school like Dr. Sarah Loguen Fraser who was the 4th African American female doctor in the United States. She specialized in obstetrics and pediatrics, and mentored black midwives too. Black communities held each other together throughout history here in the United States despite exploitation, oppression, and violence.

Smithsonian Open Access

Black midwives like Susie Cary, and her daughter Amanda Cary Carter after her, continued to help catch the babies in their communities, long after hospital birth became the norm amongst those who could afford it. Eventually, through a concerted public relations campaign that utilized racist tropes (such as dirty and uneducated) traditional black granny midwives were pushed out of practice. There are museum exhibits to explore and books to read now about their history. My to-read list includes these 2 currently: The Archaeology of Mothering & Birthing a Movement.

The most important thing to me about history is that we can learn from it. That means both that we can try to avoid repeating the mistakes of the past, but also that we can benefit from the wisdom of the experience of others. As an anthropologist, I firmly believe that truly understanding history from the viewpoint of the oppressed and those not in power is especially important, and that makes black history top of the list in the United States for so many reasons. I specifically chose the featured image on top there because it is a colorized version of a black and white picture from a time in history that my parents can tell me stories about now; they lived it. History is a weaving together of multiple narratives and artifacts to find the truth in our past, all the while acknowledging that we are still very much impacted by the events we can only read about and observe through these things.

Keep learning. Stay curious. Interrogate your assumptions. We’ll keep doing so too!

Spinning Babies Training Opportunity

This training will change the way you think about helping pregnant people!

Mark your calendar, because we are soooo excited to announce that we are hosting a Spinning Babies training for birth professionals on Saturday March 12, 2022!!

If you’re already excited…

follow this link to go get registered ASAP!

If you need more information:

Spinning Babies is a unique approach to birth developed by midwife Gail Tulley that uses movement and positioning to help humans birth babies more easily. You can read so much more about the approach on the website, but I am here to tell you that I have been a HUGE fan of SB ever since I first became a doula. I regularly use many of these techniques like side-lying release & shake the apple tree! The SB website is one of my go-to sources, and honestly I’m so excited to get to do some hands-on learning with the widely traveled and revered trainer Tammy Ryan.

I love the approach of figuring out how technology and nature can work together to make birth better. I’ve been dreaming of getting a training here in Evansville! I know we’re going to have great interest from nurses, midwives, doulas, chiropractors, doctors, and so many more who can benefit from learning these techniques and upping their skills to help even more. I would be absolutely happy to talk to you about why I think this is an important training for Evansville, IN especially!

Don’t wait!

Spots will be limited to 30 participants for this one day training! There is an early-bird discount of course. We would LOVE to see you there if you are a birth professional nearby. (Psst, if you’re coming in from out of town, let us know and we’d love to meet you too!) We’re excited to host this event for our birthing community here in Southern Indiana!!

Home Birth in Evansville, IN

Home birth is an option here in Evansville, and I love attending home births as a doula. This post will help you think through some of the considerations.

As a doula, I often get asked about home birth here in Evansville, IN. There are plenty of myths and misconceptions about home birth, midwives, and doulas, and plenty has been written on these. My purpose with this post is to give you Evansville area specific resources and a little bit of advice too. As always, I am happy to chat with anyone who has questions about home birth here, and about my experiences as a doula at home births as well.

Choosing Home Birth

There are plenty of reasons that people choose to birth at home. Currently, I am fielding concerned messages about the safety of the hospital and visitor policies. We haven’t seen a restriction of zero visitors here yet, but it could come in the future. One important fact: only low risk parents are able to choose home birth. That means if you have any risk factors such as insulin controlled diabetes or placenta previa, then you are not a candidate for home birth. The good news is that 85% of pregnant people are considered low risk!

Finding a Provider

There are currently 2 home birth midwives that serve the Evansville area: Michelle Sanders, CPM & Jennifer Williams, CPM. They are both Certified Professional Midwives who carry emergency supplies such as oxygen & medicine to stop bleeding. Both are newborn CPR trained, very experienced, and have local assistants in Evansville. They both hold prenatal meetings at their office spaces around 2 hours away. I believe they are both doing virtual visits currently because of the concerns about COVID-19.

Both midwives also require you to have a parallel care provider. That means if you hire a home birth midwife, you will still need to have another provider with hospital privileges such as an OB or family doctor. There are not many providers locally who are able to openly support home birth. That may be changing, but I am also happy to talk to you about which providers we have found to be supportive. It is important that you have an open and honest conversation with all of your healthcare providers about your wishes and plans for your birth.

Cost

Home birth is not cheap. It is also not covered by most insurance companies. You can ask your insurance about a “gap exception” for covering the cost of your midwife. The midwives are not able to bill your insurance, and you should expect to pay your midwife out of pocket and then to perhaps be reimbursed from your insurance company. Some people may be able to use their HSA or FSA for these costs, but again you should consult your individual company.

In addition to the cost of the midwife, you also need to factor in the cost of either renting or purchasing a birth tub and supplies for it if you want one. You will also need to purchase other supplies; your midwife will give you a list. I always recommend getting more towels than you think you would ever need and that you don’t mind throwing away if necessary.

Other Considerations

  • If you are thinking about a home birth, call early! Both of the midwives who travel here get busy very quickly, so don’t wait to contact them.
  • Study up on childbirth and coping techniques! You will want to know what to expect even more at a home birth. I will have a blog post up soon about online childbirth education options.
  • Unassisted Birth or Free Birth is not an option you should choose lightly. If this is something you are thinking about, please reach out to us so we can talk to you about some of the things you might want to consider. Home birth with a midwife and free/unassisted birth are NOT the same thing.

Home Birth Doula

I love being a doula at home births. I have worked with both of the above mentioned midwives. My job as a doula is very different than their job as a midwife. I have balanced on the end of a bed while holding my client in a supported squat position as she pushed her baby out. One client gave birth sitting on my lap. I’ve poured warm water over one clients back as a she labored in a birth pool for hours. As a doula at a home birth, my job remains to help my client ask good questions, move around, be more comfortable, & be emotionally supported. We doulas always try to fill in where we are needed, no matter the location. I often arrive before the midwife and their assistant. I am there to help you.

Reach Out

If you are thinking about home birth in the Evansville area and want to talk about your options, please reach out to us! I love talking about my home birth experiences. Birthing at home might not be the right choice for everyone, but it is an option here. I have spent the last 6 years gathering resources, making professional connections, and learning all I can to help support families in all kinds of birthing situations. I would be happy to talk to you about all of your options.

Midwives in Southwest Indiana?

Evansville needs midwives to support healthy birthing families!

Southwest Indiana needs midwives, and the lack of them here is surprising. It is frustrating for me as a doula for several reasons. Our area deserves to have midwifery options, especially as midwifery care has proven benefits for patient satisfaction, cost, and birth outcomes.

What does the landscape look like for people searching for midwifery care here? We currently have two Certified Professional Midwives that travel here for home births, one from Bedford and the other from Bloomington. However, home birth is not an option for everyone. In 2019, we only have one Certified Nurse Midwife catching babies at one Evansville area hospital.

So what is the big deal? Midwives are experts in normal pregnancy and birth. According to the Midwives Alliance of North America “all midwives are trained to provide comprehensive prenatal care and education, guide labor and birth, address complications, and care for newborns.” Midwives are not surgeons, and all obstetricians are, which fundamentally changes the way that they approach your care. The Midwifery Model of Care “whether practiced in clinics, private homes, hospitals or birth centers, has at its core the characteristics of being with women, listening to women, and sharing knowledge and decision-making with women” (MANA). Midwives expect pregnancy and birth to be normal and watch out for signs that pregnancy, labor, and delivery might need intervention. That is not the same approach as an Obstetrician, and if you want to read more about the comparison or some social science research about this I highly recommend this book and especially this article and this one too from Robbie Davis-Floyd. She is the most renowned anthropological expert when it comes to this stuff!

Midwives have also been proven time and time again to be linked to better outcomes for their patients. People who use midwives for their care are THREE TIMES more likely to be satisfied with their care when compared with obstetrician-led care. Midwifery care has also been shown to be the most cost effective care in the hospital setting.

Who cares? Well, I do, and I’m not alone. I chose midwifery care for myself when I delivered my babies in Cleveland. As a doula, I regularly get asked for recommendations about providers, and I can’t even count the number of disappointed people I have talked to when I tell them that there is only one midwife here in town available to catch babies in one hospital. There are plenty of factors that go into choosing a provider, including insurance, location, practice style, personality, and so much more. While one midwife is certainly better than none, people choosing to birth here surely deserve more options. We need more midwives in Southwest Indiana.

For a little comparison, just down the road in Owensboro, KY there are 4 Certified Nurse Midwives catching babies at the hospital. Owensboro has a population of around 60,000. Evansville has a population of >115,000! If we include the populations of the surrounding 5 counties (Gibson, Posey, Spencer, Vanderburgh, & Warrick) We have a local population of over 320,000 people, and we know that there are people traveling here from Northern Kentucky, Eastern Illinois, and even further counties in Indiana to give birth, and they aren’t even included in that population count! Not every pregnancy and birth here needs to be attended by a surgeon. Yes, family practice physicians are also an excellent option, and there are some great ones here, but midwifery care is more specialized and has a different approach than the medical model of birth.

Southwest Indiana needs midwives, and we have some currently working to complete their training. As I sit writing this I know three midwives who are currently in school and planning to practice here when they graduate. Two will be Certified Nurse Midwives who catch babies in the hospital and one will be a Certified Professional Midwife who attends home births. Growing families deserve options for their care, and these midwives will be an amazing addition to our community when they are finished with their training. I can’t wait for the day when birthing families in Southwest Indiana have more midwives to support them as they grow.

Have you ever considered hiring a midwife instead of a physician for your pregnancy, birth, and postpartum care?

Doula? A do what now?

Midwives and doulas have very different jobs!

One of the most common misconceptions that I run into as a doula is that people think that we are the same as midwives. While I have worked with some really great midwives in my time as a doula, and LOVED having midwives catch my own 2 babies, I do not want to be a midwife or be confused for one. Doula care can compliment midwifery care very well, but we certainly do not replace a midwife.

As a doula, I do a whole lot of things that can improve your pregnancy, labor, delivery, and immediate postpartum. I help you ask more (and sometimes better or more specific) questions prenatally and think through all those decisions about what you want for your delivery before it is actually the big day. I help you practice different comfort techniques and even help you know exactly what things you actually need to have for your birth and immediate postpartum period either at the hospital or home. I hold hands and help people move around, sometimes with all kinds of wires attached to them. I push on your lower back, squeeze your hips, and massage your hands during labor. I help you to the bathroom and comfort you through the challenges of labor and deliver with all kinds of affirming words. I will let you squeeze my hand and listen to the changes in your voice and demeanor for clues on how I can better help you. I do not doula the same for any two births, as each one presents its own unique set of circumstances.

Midwives provide care for healthy pregnant people prenatally, during labor and delivery, and postpartum. They approach birth differently than an Obstetrician, but essentially do all the medical things an OB can do other than surgery. Midwives view birth as a normal process and often practice watchful waiting while expecting everything to be perfectly normal and fine instead of trying to prevent things from going wrong through action. It can seem a very subtle difference in philosophy, and not all midwives take this approach, but this is the midwifery approach generally to pregnancy and birth.

  • A short and completely non-comprehensive list of things a midwife can do that I do not as a doula:
  • Check your vital signs like blood pressure and temperature
  • Order labs
  • See you for in-office prenatal visits (monthly, biweekly, then weekly)
  • Check your cervix
  • Catch your baby
  • Give you stitches
  • Check your fundal height after delivery
  • Order and administer medication

If you want to learn more about midwives, this link is a good place to start.

If you would like to learn more about doulas, you can read about us here. I would also LOVE to talk to you about my services! You can contact me through this website, via email, phone, or message me on social media–whatever you are comfortable with is fine with me. You can read reviews from previous clients and check my availability at this link as well if you would like.

I love helping my clients navigate pregnancy, birth, and postpartum, and have more than five years of experience as a doula at both hospital and home births. I have worked with some amazing midwives and OBs too. I have been to 8 different hospitals as a doula and learned all about their policies and who has which equipment. I know which cabinets have the towels and where to find the emesis basins. More than that though, I support my clients however they want to be supported, because each one is different and each situation demands different techniques and approaches.

Someone once asked me what the #1 most important quality is for a good doula. That was easy for me to answer: EMPATHY! What I may lack in midwifery clinical skills, I make up for in compassion and listening skills. Midwives and doulas can work really well together and there is definitely room for both in your chosen birthing space!