Midwifery Wisdom Podcast

Martha Redpath, a CNM turned burnout and boundaries coach, joins Augustine to talk about what happens when the people who hold space for everyone else run out of space for themselves. Martha traces her path from home birth CNM in Vermont to founder of Provider Space Coaching — a pivot that came out of her own reckoning with alcohol, burnout, and eventually grief after losing her husband.The conversation moves through the state of community-based midwifery today (closures, legal exposure, the pressure CPMs face that CNMs often don't), the martyrdom culture baked into midwifery training, and what it actually looks like to teach boundaries as a clinical skill rather than a personality trait. Martha and Augustine also get into nervous system regulation, the difference between CNM and CPM entry points into boundary-setting, and why the ability to disappoint people — kindly and clearly — might be the most underrated skill in this profession.Key TopicsMartha's path: nursing → home birth CNM in Vermont → 10 years in a small hospital birthing center → burnout, alcohol, and the pivot to coachingThe current landscape for community-based midwives: closures, lawsuits, board investigations, and the Texas trend of using public social media posts as testimony against midwivesHistorical spikes in home birth rates (Ricki Lake's documentary, the ACA, COVID) and where rates stand nowCNM vs. CPM pathways into professional boundary-setting — and why CPMs often enter the field less boundariedThe martyrdom/"lone cowboy" culture in community-based midwifery, and generational shifts around itMartha's coaching framework: strengths-based reflection across eight life domains, nervous system regulation, "tiny habits," and discomfort resilienceGrief as a parallel thread to birth work, following the loss of Martha's husbandThe value of one truly safe confidant ("marble jar friends") for midwives carrying constant on-call stressResources Mentioned:Martha's coaching practice: providerspacecoaching.com — sliding scale fees, one-off debrief calls, and a six-week burnout package built around The Big Life JournalStudent Midwife's Keepsake Journal — the HIPAA-appropriate documentation journal mentioned in the mid-episode ad, with space for 100 birth records and built-in compliance guidance

When high-profile cases like Lindsay Clancy hit the news, public fear and sensationalism surrounding Postpartum Psychosis (PPP) spike—making clinical clarity and lived experience more vital than ever. In this special re-released episode, we sit down with Aaisha Alvi, author of "A Mom Like That: A Memoir of Postpartum Psychosis." Aaisha is a two-time PPP survivor who navigated severe hallucinations, delusions, and several medical dismissals before finally receiving life-saving psychiatric treatment.Community birth workers, midwives, and doulas are often the primary line of defense in the first 14 days postpartum. In this conversation, we break down:* The clinical differences between Postpartum Depression (1 in 5) and Postpartum Psychosis (1-2 per 1,000).* What hallucinations and delusions actually look and feel like from the inside.* Why calling PPP "rare" leads to dangerous medical dismissals in emergency rooms and clinics.* Exact red flags, key phrases, and emergency protocols birth workers must use when advocating for a client in crisis.CONTENT WARNING: This conversation includes discussion of severe perinatal mental health crises, intrusive thoughts, and psychiatric emergencies. RESOURCES & LINKS:• Learn more about Aaisha Alvi & grab her memoir: https://www.aaishaalvi.com• Follow Aaisha on Instagram: @AaishaAlviWrites• Postpartum Support International (PSI): Call or text 1-800-944-4773 | https://www.postpartum.net• National Suicide & Crisis Lifeline: Call or text 988• Explore Midwifery Wisdom courses & resources: https://www.midwiferywisdom.com

In this episode, Augustine sits down with Dr. Koen Deurloo, a Dutch gynecologist at the Diakonessenhuis in Utrecht and the first physician in the Netherlands to perform a maternal-assisted cesarean (MAC) — a technique that lets the birthing parent help lift their own baby from the incision during a planned cesarean. What began as a single patient's request in 2018 has grown into a practice Dr. Deurloo has now performed more than 200 times, and one he freely shares with hospitals around the world.This conversation goes far beyond the surgical technique. Dr. Deurloo talks candidly about the home births of his own two daughters and how that experience shaped his respect for the midwifery model of care, learning to ask "why" instead of overriding a patient's choice, and building one of the most collaborative OB-midwife relationships in the Netherlands — a country where roughly 90% of pregnancies start with midwifery-led care. He shares research on women who request care outside standard guidelines, why the "dead baby card" says more about a provider's own trauma than about safety, and how he trains residents, midwives, and doulas to work from a shared goal instead of competing silos.Dr. Deurloo is also the author of Door de ogen van een gynaecoloog ("Through the Eyes of a Gynecologist"), a collection of 35 stories from his clinical life.Whether you're a physician, midwife, doula, or student, this episode offers a rare, first-hand look at what it looks like when a high-risk hospital system chooses trust and autonomy over rigid protocol — and how that shift actually happened, person by person.In this episode we cover:The story behind the first maternal-assisted cesarean in the Netherlands and how the procedure has evolved since 2018What selection criteria Dr. Deurloo uses for MAC, and why he doesn't offer it routinely to every patientHow the Dutch maternity system integrates first- and second-degree midwives with hospital-based obstetric careDr. Deurloo's research on women who request birth outside clinical guidelines — and what happened to their outcomesReframing the "dead baby card" as a signal of provider trauma, not patient riskHow to build trust between physicians, midwives, and doulas without changing the actual clinical carePractical advice for starting pilot programs and finding your "pioneers" when introducing new practices into a hospital systemResources & Links: 🔗 Follow Koen on Instagram for MAC photo series and behind-the-scenes footage: www.instagram.com/kldloo

In this rerun of the Midwifery Wisdom Podcast, Augustine sits down with Elke and Charlotte to tackle a timely question: how does technology help—or hinder—midwifery practice? From cybersecurity risks and data privacy to the practical tools shaping daily care, the conversation dives deep into both the promises and pitfalls of modern tech.You’ll hear candid stories about electronic charting, breaches, and the financial risks small practices face, balanced with a hopeful look at innovations like handheld ultrasounds, continuous glucose monitors, and integrated lab tools. The trio also explores how midwives can harness social media and AI—like ChatGPT—to expand influence, streamline documentation, and amplify their voices in a system that too often silences them.Whether you’re tech-curious, tech-cautious, or somewhere in between, this discussion reminds us that while technology can never replace the human essence of midwifery, it can support us in practicing more safely, efficiently, and visibly.Interested in learning more? Augustine will be teaching a course on AI and Midwives at this year's WARM conference. Sign up on our website www.midwiferywisdom.com

In this week’s episode of the Midwifery Wisdom Podcast, host Shiphrah Israel sits down with Zaire Sabb—Clinical Herbalist, Traditional Midwife, Registered Nurse, and founder of Mystic Momma Herbals.Zaire shares her remarkable journey from pediatric cardiac transplant nursing to apprenticing with grand midwives in Georgia and herbal masters in Nigeria, weaving together clinical knowledge, traditional midwifery, and holistic herbalism. She discusses the vital difference between community herbalists and clinical herbalists, how unresolved emotions can manifest physically in the body, and why reclaiming herbal wisdom is essential for reproductive health and sovereignty.We also dive into her new book, Herbal Harmony: A Comprehensive Guide to Using Herbs to Help with Reproductive Health, which empowers readers to better understand their bodies, advocate for themselves in medical spaces, and pass on generational wisdom to their families.✨ Topics we cover:The path from allopathic nursing to traditional midwiferyWhat sets a clinical herbalist apart from community herbalismThe role of emotions, trauma, and lifestyle in reproductive healthEveryday herbs growing in your own backyardPractical steps to begin your herbal journeyHow Herbal Harmony helps bridge the gap between patients and providers📖 You can find Herbal Harmony on Amazon and at https://www.mysticmommaherbals.com/Join Midwifery Wisdom Skool—your all-in-one membership for courses, community, and NARM prep for $69/month. Unlock 12+ classrooms inside as you level up: https://www.skool.com/midwiferywisdom.

In this episode of the Midwifery Wisdom Podcast, host Shiphrah Israel sits down with Satori Shakoor - a master storyteller, story director, and coach whose gift for weaving words was born from generations of Black women in the Jim Crow South. Raised listening to her Alabama and Mississippi elders transform everyday events into epic tales, Satori learned to speak the language of storytelling with the power to teach, warn, entertain, and inspire.Satori brings that same storytelling magic to a topic too often shrouded in silence: menopause. From her acclaimed film Confessions of a Menopausal Femme Fatale to her advocacy with the Michigan Women’s Commission, she shares her deeply personal journey through perimenopause, menopause, and post-menopause—illuminating the emotional, physical, and societal challenges along the way.This conversation explores the gaps in medical training that leave women unsupported, and the transformative self-discovery that can emerge in this life stage. With humor, heart, and unflinching honesty, Satori reframes menopause not as an ending, but as an opening to deeper self-awareness and freedom.🎧 Listen now to discover:Why most doctors get only one hour of menopause training—and what that means for women’s healthThe emotional and physical realities of perimenopause and menopauseHow storytelling can break stigma and build communityThe urgent need for advocacy, awareness, and accessible careResources & Links:Watch Confessions of a Menopausal Femme Fatale on Amazon Prime, Apple TV+, or Google PlayLearn more about Satori on her website www.satorishakoor.com

In this week’s episode, Augustine connects with fellow midwife and world traveler, Allison, for a deep and expansive conversation about what it really means to live at the edge of reality—whether supporting births or crossing oceans. From an unexpected career shift out of accounting to midwifery school in New Zealand, and from practicing in Canada to captaining a sailboat across the Pacific, Alison shares how curiosity, courage, and midwifery magic have shaped her wild and winding path.This conversation is part of a larger theme we’ve been exploring this month in our ongoing webinar series Midwifery on the Move where we explore what it really means to live a mobile midwifery lifestyle. We’ve been talking about the beauty, the complexity, the ethics, and the practical steps to working around the world.✨ If this episode sparks something in you, know that it’s not too late to join the webinar and explore what traveling midwife life might look for you. Sign up today on our website www.midwiferywisdom.com

In this special episode, we’re stepping beyond borders — and beyond our usual programming — to bring you a snippet from our Midwifery on the Move webinar series.Host Augustine Colebrook is joined by two extraordinary traveling midwives: Katrina, a licensed midwife and educator who began her international work in India, and Jata, a neurodivergent advocate and researcher who has practiced in Tanzania, the UK, Australia, and more.This series explores what it really means to bring midwifery across cultures: The beauty and challenge of practicing globally Cultural humility vs. cultural competence How travel shapes us personally and professionally Navigating ethics, expectations, and impactIf you’ve ever dreamed of taking your midwifery work on the road — or you’re just curious about what’s possible — this conversation will inspire, challenge, and expand your view.Want more? This episode is just a taste of our four-part Midwifery on the Move (8 CEU) webinar. Sign up now to get the full recordings, handouts, and join us live on August 6 and 11, 2025 for the final sessions.Links: 🎧 Learn more & register for the webinar → https://midwiferyonthemovewebinar.eventbrite.com 📌 Follow us on Instagram → www.instagram.com/midwiferywisdom