Complex Birth Theory and Technique | indiebirthmidwiferyschool.org

Student Work

Complex Birth Theory and Technique

May 18, 2022

we need more midwives - Podcast episode
How julie became a midwife
Money, Midwifery and Abundance
Now Trending:
We're Maryn + Margo

We are mamas and birth workers who decided to do birth differently– and bring others along with us. We are kind, fun to work with, and great at (lovingly) calling people on their bullshit when necessary. With 11 children and 16 years of midwifery between us, we’ve learned a thing or two along the way, and Indie Birth is our space to share it all with you.

hello,

The student midwife primer
Grab our free guides!
The Beginners Guide to Radical Midwifery

Student: Elizabeth D

My feelings around complex birth are…complex. I’m excited to provide the option of
support to women who fall outside of commonly set parameters for homebirth and
have in the past served VBACs, one set of twins, a couple breech babies, and many
long labors and mothers in their forties.

I am the only option for midwife-supported breech or twin birth within a couple hours drive, and I feel confident that I can provide skilled care in collaboration with my mentors. I don’t have a lot of experience with either of those variations, but I have training in both.

Last year I took Breech Without Borders breech birth course, and that, combined with the study I’ve done over the last ten years and now this course, has increased my confidence and made me more open
to attending planned breech birth for the right person.

Last year a woman in my community wanted me to care for her at home during the birth of her mono-mono twins. This led me into deep study on twins and I called several twin homebirth experts around the country, who were very generous with their time. It really gave me more confidence about twin birth in general, though I ultimately advised against delivering mono-mono twins at home. That situation is a good example of my conflicting feelings about complex births.

I want women in my community to have support for almost any decision their make about their births and their babies. I believe they have that right. I also believe I have the right to decline to be involved in births that I think have a high potential to develop complications beyond what I can help with at home. It feels difficult to strike a balance between two attitudes, the first summarized as “I’m in charge and if this deviates from my protocols or community stand of care, I’m out of here” and the second as “I will be present and support you no matter what you choose, even at the expense of my own health and safety.”

In the case of the twin birth last year, the mother was planning to stay home and give birth unassisted if I
wasn’t willing to help her, and I really struggled with the idea of her giving birth alone when I could support them. Who am I to say what is “too complicated”? Birth is never 100% safe and considering the other option was fairly abysmal care in a hospital, why should I refuse to care for her?

On the other hand, my agreeing to be present does indicate my support, and I felt uncomfortable. I also couldn’t ignore the fact that these were diagnosed mono-mono twins who had already been under the care of an obstetrician for some time, so in the event of a transfer for any reason there would probably be an investigation launched into the family and anyone involved.

In the end the decision was made for me because, once I shared with her the advice I received from the twin experts I called, she made the decision to give birth in a hospital setting. While I’m still struggling to balance my needs and those of my community, I am excited to continue gaining experience with more complex pregnancy/birth/postpartum situations. I am very grateful to have mentors and more experienced midwives who have generously given me their phone numbers and encouraged me to reach out any time I need guidance.

I hope to be that person for others someday.

+ show Comments

- Hide Comments

add a comment

Leave a Reply

Your email address will not be published.

so hot right now

Meet the duo behind the Indie Birth Midwifery School

We are mamas and birth workers who decided to do birth differently– and bring others along with us. We are kind, fun to work with, and great at (lovingly) calling people on their bullshit when necessary. With 12 children and 18 years of midwifery between us, we’ve learned a thing or two along the way, and Indie Birth Midwifery School is our space to share it all with you.

Read Our Story

Margo and Maryn

The Beginner's Guide to Radical Midwifery

learn more

mini-course

Become a Midwife Pronto!

Register here

free webinar

What to Do Next

© Indie Birth 2022  |  Design by Tonic  |  Copy + Customization by The Website Workroom

Want student midwife goodies and magical Midwifery info sent straight to your inbox?

Indie Birth offers radical midwifery perspectives and resources for powerful birthing women and aspiring birth workers. We provide educational courses, inspirational content, and coaching.

SEND Us A NOTE >

Head to the blog >

@Indiebirth >

follow along 
on Instagram: