What Does It Mean to Be a Midwife Today?
I’ve been travelling and mostly unplugged these past weeks, but I keep dipping back into the True Midwifery online community to feel its pulse. And every time, I’m reminded how rare it is to find a space that runs on love, trust, and discernment. It’s not that we all agree. Far from it. We come from different trainings, traditions, and ways of working. But there’s a deep respect for one another’s paths — and in the birth world, that’s something precious. Lately, our upcoming Study Spiral has stirred up some big feelings for me around the topic of modern-day witch hunts. And I keep coming back to this: so often, they are about women not trusting each other. Turning on each other to feel safe, or to keep our footing in a system that doesn’t truly support us. In birth work, it’s the same old pattern — patriarchy’s favourite trick: divide and rule. The Splintering of Our Roles One way this shows up is in the way we’ve created countless “safe” titles so we can be allowed to serve mothers and babies. Birthkeeper. Doula. Traditional Birth Attendant. Once, all of these roles were simply what it meant to be a midwife — a person who stood beside the mother and baby through the threshold of birth. Now, we’ve been split and split and split again. With every division, we’re more restricted, more regulated, more over-specialised… and less able to offer the full, holistic care mothers and babies actually need. A Lesson from the Anamaboya I was reminded of this when I sat with the Anamaboya — the traditional Shona midwives in Zimbabwe. I shared with them the different titles we see nowadays, and they looked at me with quiet confusion, as if I’d just asked for a different word for love, or for water. “What do you call yourselves?” I asked. “Anamaboya,” they said simply. Midwife. Grandmother. Their qualification? Being called to the work by God. A dream.Their gift? Deep humility. Trust in birth. A willingness to learn. The knowledge that their true work is to love the mother. Who Decides? Not long ago, an empirical midwife I met offered me a definition I’ve been holding close: A midwife is a midwife when recognised as such by her community. It’s such a simple sentence, and yet it pulls at so many threads — identity, authority, recognition, belonging. For me, this is not about deciding on one definition. It’s about opening the conversation and letting the questions breathe: Who gets to decide what a midwife is?How does language include… and exclude?And how might our own divisions be keeping us from serving mothers and babies as fully as we could? I’d love to explore these questions together in our upcoming Study Spiral. With love,Ruth Join this month’s Spiral → true-midwifery1.teachable.com/p/true-midwifery-study-spirals Last Spot in the Birth First Aid Course (starting 2...
Read MoreReturning to the Source: Sitting Again with my Mentors in Birth
Fifteen years ago, as a student midwife and doula, I was beginning to question my place in the world of birth work. Though the language of “trusting birth” was everywhere, the practices I witnessed told a different story. Coaching, managing, intervening—whether subtle or overt—seemed baked into even the most “natural” birth environments. I felt uneasy, isolated, and uncertain. At that time, I found myself drawn again to the writings of Michel Odent. His words gave shape to something I instinctively felt but couldn’t yet articulate: that birth, as an involuntary process, cannot be helped—only protected. I searched to see if he had written anything about doulas and discovered something unexpected: a doula course in London, taught by Michel and a woman named Liliana Lammers. It was happening just days before I was due to attend a birth in Edinburgh. I changed my travel plans. Those three days became a turning point in my life. I remember the feeling of finding my teachers—my mentors. Sitting in circle with Michel and Liliana, I experienced a kind of cellular realignment. Their presence, their stories, their science, their reverence for undisturbed birth helped clarify and confirm everything I had been feeling. It was like being handed a compass. That experience birthed something else too: my book, The Basic Needs of a Woman in Labour, was a direct attempt to capture and share the essence of what I received from them. Over the years, I’ve had the honour of reconnecting with them—teaching alongside Michel, attending their online courses, and most recently, sitting with them in person again in Amsterdam. But now, with Michel having just turned 95, and his public teaching naturally becoming more rare, each opportunity to sit at their feet feels even more precious. This weekend, I’ll be supporting the upcoming Paramana Doula Course, and I’m filled with both reverence and joy. It’s open to anyone who wishes to protect and honour the physiological process of birth—from doulas to midwives to anyone called to this path. Whether you are just beginning or coming full circle, I warmly invite you to join us. Paramana Doula CourseWith Michel Odent and Liliana Lammers12–14 July 2025 | OnlineRecordings available for all participants True Midwifery community members receive a 10% discount.To book: moonfeather7@gmail.com | +44 7443 656855 And as a gift to honour this return, my book The Basic Needs of a Woman in Labour will be available as a free Kindle download during the course dates (12–14 July):https://mybook.to/basicneedsENG With love and trust in the birth...
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