Birth Rights, Medical Bills & Maternal Advocacy with Andi Orwoll, Esq In this powerful episode of MaternalRx, Dr. Danielle Plummer sits down with Nevada attorney and founder of Your Legal Doula, Andi Orwoll, to discuss the often-overlooked legal and financial realities families face during pregnancy, birth, and postpartum recovery. From navigating IVF paperwork and unexpected C-sections to battling insurance denials and understanding birth rights, Andi shares how her own journey into motherhood inspired her to create a legal advocacy practice specifically for pregnant and postpartum families. This conversation explores the intersection of maternal health, patient advocacy, legal protections, informed consent, workplace rights, and the emotional toll of navigating the U.S. healthcare system during one of life’s most vulnerable seasons. In this episode, we discuss: - Why birth rights matter - The legal gaps in maternal healthcare - Insurance denials and surprise medical bills - IVF, fertility care, and the hidden administrative burden - Informed consent and patient advocacy during labor - The Pregnant Workers Fairness Act (PWFA) - The midwifery model of care vs. traditional obstetric care - Maternal mental load and postpartum vulnerability - Why tracking medical records, bills, and receipts matters - Navigating medical bills and insurance appeals Key Takeaways: “Policy never overrides your rights.” Andi explains how many patients are intimidated in medical settings and may not realize they have the legal right to informed consent, respectful care, and bodily autonomy during pregnancy and birth. Birth experiences matter. Even when outcomes are medically positive, the emotional and psychological experience of birth can have lasting effects. Advocacy, education, and support can profoundly shape those experiences. The paperwork burden is real. Pregnancy often comes with overwhelming administrative tasks: insurance appeals, billing disputes, maternity leave paperwork, provider reimbursements, and more — all during an emotionally and physically vulnerable time. Midwives, doulas, OBs, pharmacists, and lawyers all have a role. Maternal healthcare works best when it’s collaborative. This episode highlights the importance of interdisciplinary support systems for pregnant families. Track everything. One of the biggest practical pearls from this episode: keep copies of: - Medical bills - Insurance explanations of benefits (EOBs) - Receipts - Appointment dates - Correspondence with insurance companies - Workplace accommodation requests Documentation can make all the difference if problems arise later. About the Guest: Andi Orwoll is a Nevada-licensed attorney and founder of Your Legal Doula, a legal advocacy practice focused on supporting families navigating pregnancy, birth, postpartum recovery, workplace accommodations, and healthcare systems in the United States. Inspired by her own experience with IVF, an unexpected hospital birth, and overwhelming postpartum paperwork, Andi created Your Legal Doula to help families understand their rights and confidently advocate for themselves during pregnancy and birth. * Follow Andi: - https://yourlegaldoula.com/ - Instagram @yourlegaldoula About the Host: Danielle Plummer is a pharmacist, antepartum doula, and founder of Obstet-Rx. Through education, advocacy, and pharmacogenetics, she helps women navigate hyperemesis gravidarum and manage medications through complex pregnancy-related conditions. * Follow Danielle: - www.HGPharmacist.com - linkedin.com/in/daniellerplummer Memorable Quotes “We are not playing. We are here to have the birth experience that we want.” “Policy never overrides your rights.” “The most important work you are doing during your perinatal season should not be paperwork.” “The way we are treated during birth matters.” Resources Mentioned https://yourlegaldoula.com/ https://hgpharmacist.com/ Pregnant Workers Fairness Act (EEOC): www.eeoc.gov/ Disclaimer: This podcast episode is intended for educational and informational purposes only and does not constitute legal or medical advice. The opinions expressed are those of the speakers and do not reflect the views of their employers or affiliated organizations.
