Birth Choices

Alice Godfree and Elysia Hansen

The Birth Choices podcast uncovers the choices available to you in pregnancy and birth. By showcasing personal stories of birth choices — interviewing women and birthing people about how they chose and experienced their model of care, and speaking with experts in each of these domains, we aim to leave you feeling informed, able to make autonomous decisions, and ultimately confident in your innate ability to birth.  https://www.instagram.com/birthchoices_

  1. 04/22/2025

    20: Sammy's HBAC — from unplanned caesarean section with private OB to homebirth with private midwives + doula

    In this episode we speak with Sammy Veall, artist and former yoga teacher and studio owner, about the contrasting pregnancy and birth experiences of her two boys. Sammy shares her experience of an unplanned caesarean in a private hospital under obstetric care, and how that experience shaped her decision to have a homebirth after caesarean (HBAC) with private midwives for her second son. Sammy speaks beautifully about the ripple effects of her positive and transformative birth experience on not only her mothering, but career and life choices more broadly.  A content warning — Sammy speaks openly about a non-consensual stretch and sweep late in pregnancy with her first baby, and the physical and mental impact this had on her both in the lead up to and during that labour, as well as in preparing to birth again. We discuss epidurals, and the impact of that loss of sensation for Sammy, physically and emotionally. Sammy speaks about the importance of following your own instincts and listening to your own inner voice, of choosing a care provider that not only aligns with your wishes for birth, but the preparatory work you are doing.  She shares her experience of care from a private midwife and doula in pregnancy, and how those relationships, and that of her husband, supported her through her own crises of confidence in the lead up to labour, as well as through the intensity of her labour and physiological birth of her baby and placenta at home.  02:59 Initial visions for birth and choosing her first care provider 06:13 First pregnancy 08:21 Stretch & sweep leading into labour  12:07 Epidural and unplanned caesarean 18:38 Postpartum experience and coming to terms with first birth experience 24:07 Preparing for a second birth, working through previous trauma 26:46 Navigating societal and family’s views on homebirth and HBAC 28:00 Choosing private midwifery care 31:39 Choosing doula support  38:21 The onset of labour 53:58 Postpartum experience and support 56:37 Empowerment beyond birth   Links: MAMA Midwifery Practice MAMA Midwifery Birth Class - VBAC Rhea Dempsey’s Birth Debrief & Embracing the Intensity birth course Jo Askham doula

    1h 1m
  2. 09/18/2024

    18. Paramedic & student midwife Ruth's birth stories — choosing midwifery-led care within a private hospital followed by private midwifery care and a speedy homebirth

    In this episode we speak with paramedic and fellow student midwife, Ruth, about her experience of choosing her care provider and place of birth in her first and second pregnancies, receiving care from private midwives with admitting rights in a private hospital in Brisbane, and then after being unable to find that same model in Melbourne, choosing to birth at home with the support of private midwives (and an unofficial backup plan with a supportive OB). Ruth talks us through her marathon first labour, and how morphine (while deviating from her plan) allowed her to get the rest she needed before birthing her first daughter in the pool.  Ruth speaks so eloquently about her experience, including of postpartum haemorrhage and the experience of having a big and otherwise well baby in the special care nursery. For her second birth, after being unable to find a similar model of care, Ruth chose to birth at home with private midwives.  She takes us through that decision and the considerations given her history of PPH, and the fast but intense labour and waterbirth of her second daughter. We talk about the experience of continuity, the experience of good postpartum care both in hospital and then at home, and the importance of thinking about what you want out of birth and choosing your care providers and place of birth with that in mind. Links: Study comparing outcomes among women who begin labour intending to birth at home vs those intending to give birth in hospital: Reitsma, A., Simioni, J., Brunton, G., Kaufman, K., & Hutton, E. K. (2020). Maternal outcomes and birth interventions among women who begin labour intending to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses. EClinicalMedicine, 21, 100319. https://doi.org/10.1016/j.eclinm.2020.100319Kindred Midwifery, Obstetrics & Gynaecology (Ruth's Brisbane care providers)MAMA Midwives (Ruth's Melbourne care providers)

    1h 50m
  3. 08/12/2024

    16. Care provider choices for First Nations women and babies — an interview with Res McCalman

    In this episode we speak with Res McCalman, a Ballardong woman, midwife and researcher who is part of the team responsible for the Baggarrook Yurrongi culturally inclusive caseload midwifery pilot program, a project which implemented continuity of midwifery care for First Nations women and babies at three key maternity sites in Victoria (with plans for expanded rollout). In this episode Res speaks about the choices available for Aboriginal and Torres Strait Islander women and those having a First Nations baby in Victoria, and the importance of offering culturally responsive, strengths based care (and how that is defined). Res speaks about the importance of listening to women’s experiences of care beyond the statistics, some of the findings from her and her team’s research, as well as what birthing on country is and how those models of care seek to recognise and reintegrate the rich history of birthing practices that existed before colonisation. This is a must-listen for anyone working in the maternity space, as well as for those seeking to understand more about care provider choices for First Nations women and babies.  Links: Read more about the Baggarrook Yurrongi program here, and the study via the Lancet here Res McCalman — Research output (where you’ll find the papers she discussed, including "Safe, Connected and Supported in a Complex System" and more)Pregnant in Victoria and seeking a referral to one of the caseload programs? Read more about Baggarook at The Womens’ (Parkville), Galinjera at Joan Kirner (Sunshine), and  Nangnak Wan Myeek Program at Mercy (Heidelberg).Find out where your local Koori Maternity Service or Aboriginal Maternal Child Health Service is at this link.   Molly Wardaguga Institute for First Nations Birth Rights (Charles Darwin University) Visit our birthchoices directory of care provider and service offerings for First Nations mothers and babies across Australia (and please let us know of any programs we have missed!)

    52 min
  4. 07/30/2024

    15. Kyla’s birth story — physiological birth with private OB + doula

    In this episode we speak with Kyla about her experience of navigating her choice of pregnancy care provider, and deciding to birth in a private hospital under the care of an obstetrician, with doula support. Coming from the US, Kyla was drawn to the possibility of public maternity care and also knew from her research that midwifery-led care was appropriate for her and her hopes for birth.  Kyla’s pregnancy took place in the time of ongoing COVID restrictions and changes to pregnancy care, which meant that for her booked hospital, all appointments were by telehealth until well past 20 weeks. It was at this point that Kyla chose to reconsider her care provider and place of birth, and with the guidance of Sarah from @nurturedbirthmelbourne, decided to engage a private OB who was supportive of her desire to have a physiological birth, then engaging a birth doula for additional emotional and physical support. Kyla talks us through how she ensured that her OB was the right fit for her, and her experience of going well past her “due date” — feeling the social pressure but good in herself and support from her care provider to wait until she went into spontaneous labour at just shy of 42 weeks. She speaks positively about how doula support enabled her to labour at home before presenting to hospital ready to push her baby out, continuing to use her TENS machine as her main comfort measure. Kyla’s story is a great example of knowing your options and seeking out a care provider and the kinds of support that you want, no matter what category they fall under.  Links: Birth education via MAMA Birth with Confidence by Rhea DempseyCare provider choices

    57 min

About

The Birth Choices podcast uncovers the choices available to you in pregnancy and birth. By showcasing personal stories of birth choices — interviewing women and birthing people about how they chose and experienced their model of care, and speaking with experts in each of these domains, we aim to leave you feeling informed, able to make autonomous decisions, and ultimately confident in your innate ability to birth.  https://www.instagram.com/birthchoices_