Schedule a Visit Today

Schedule your appointment today. We have availability beyond what is listed on the calendar…

If you are a professional looking to network or meet with Jodilyn, or would like to schedule her to come and talk at your event or school, you can call directly at 901-471-1606 or contact to schedule by email.

If you would like to talk with Jodilyn about midwifery services,  you can call or text (901)471-1606 to schedule a meet and greet.

If you have an urgent question please call 206-340-7467 and follow the instructions on the voicemail.  Your call will be returned within 10 minutes.

Step One:  Meet the Midwife!

Step Two:  Schedule Your Initial Visit

After establishing care you can book your Regular Prenatal Visits online.

5 P’s from the VBAC Playbook: Lessons for Every Pregnancy

These 5 P’s have come to us by way of families who have been down incredibly difficult roads and have emerged wizened. You can use their wisdom to jump into your own best health and birth outcomes.

Parents who have birthed by cesarean often talk about what they didn’t know for their first birth.  By the time we meet, there is normally some recognition that they didn’t know because they didn’t access the information they could have. This is said without judgement of self or other.  We all do the best we can in the moments we have to navigate decisions.  But the list of “I didn’t know…” is a common thread in our prenatal conversations and VBAC support groups.  Every expecting family can use the lessons these families have grown to embrace.

“Preventing the Primary C-Section” is a phrase used in research that demonstrates the fallout from a first birth that falls into the 20-60 percent of all American births (depending on where you live) that end in an operative delivery.  Some cesareans are necessary, this is not an article slamming those of us who’ve had surgical births.  Regardless of origin, the data clearly shows that we tend to struggle with a host of problems as a result of that surgery. These extend well beyond the first baby and can have severe impact on the health of future pregnancies. (As a midwife who has cared for many, many VBACing moms, the data collected does not reflect the emotional and mental health implications, which is a whole other book we want to write book we need to write, or maybe just a blog post–check back frequently).

The American College of Obstetricians and Gynecologists put out a consensus statement called, “Safe Prevention of the Primary Cesarean Delivery” in which they state:

A large population-based study from Canada found that the risk of severe maternal morbidities––defined as hemorrhage that requires hysterectomy or transfusion, uterine rupture, anesthetic complications, shock, cardiac arrest, acute renal failure, assisted ventilation, venous thromboembolism, major infection, or in-hospital wound disruption or hematoma––was increased threefold for cesarean delivery as compared with vaginal delivery (2.7% versus 0.9%, respectively).  (source) There also are concerns regarding the long-term risks associated with cesarean delivery, particularly those associated with subsequent pregnancies. The incidence of placental abnormalities, such as placenta previa, in future pregnancies increases with each subsequent cesarean delivery, from 1% with one prior cesarean delivery to almost 3% with three or more prior cesarean deliveries. In addition, an increasing number of prior cesareans is associated with the morbidity of placental previa: after three cesarean deliveries, the risk that a placenta previa will be complicated by placenta accreta is nearly 40%.  (source)

The most important moment of your pregnancy might be right now.  Did you just skim that last paragraph–assuming that these things won’t happen to you?  Take a deep breath, exhale, and know that with some preparation and education the one single thing during your pregnancy or birth that you can be assured of is that nothing in your birth experience happened because you made the choice not to face it, grapple with it, ask questions about it, become educated and engaged with your provider about it.  Take a step into becoming a highly informed consumer.  It is your right.  Pregnancy and birth are the first links in a long and multi-string chain of decisions and consequences that you will make for yourself as a parent and for your baby.  Approach with curiosity, flexibility, and a mindset that you can learn all you need to know.  Sink into the idea and the belief that you can rely on that knowledge along with your inner wisdom to forge your way into parenthood. Don’t relinquish your power by standing by, looking the other way, or ignoring the questions and ideas in your mind.

So let’s get to it.   The explanation with these is intended as a starting point for you to begin your exploration of the options–if you have questions ask them!! Ask people you know and trust, read books that are evidence based or thoughtful and inclusive.  There is no one answer that is right for everyone and your answers might change as your pregnancy progresses.  That’s normal, act on your education and knowledge!  Don’t be afraid to ask in the comments and we can identify some resources together.

The 5 P’s that can help Prevent that Primary Cesarean birth:

Place
I know, this is not the first item you might expect to find on this list.  But for planning your birth, you need to work backwards.  The place you want to birth determines what kind of provider and even specifically which provider you can choose.  Hospital, Birth Center, Home birth?  Where do you imagine yourself when you meet your baby?  Who is around you?  What does it sound like?  If you are unfamiliar with out of hospital birth options, take a gander at this great book for a stress-free introduction to it all.  If it is a hospital, take a look at their cesarean section rate.  A huge percentage of your birth will be impacted by where you are and the system at work there.  In a hospital the protocols and procedures generally determine the way that a provider acts.  If the hospital has high rates of intervention you should expect that to effect your experience.  Some would argue that certain hospitals have high rates because they see high risk patients.  Guess what?  We believe what we will see long before we actually see it.  If the experience is that women fall apart and need saving during labor, one might ask how much of the beliefs and behaviors affect outcomes for all women who birth there. It is not born of neglect or bad intention, but we know what we know what we know what we know.  And we do, what we know.
Model of Care
Your provider has been trained in a specific way–and they have adapted their training and developed their own style.  There’s no way to know what you’re getting until you ask.  Typically speaking you can get all of the same tests and screens from and OB or a midwife (nurse or licensed).  The focus of care differs with each provider–the time, approach to education, resource-sharing, and commitment to shared-decision making will all vary.  What do you want?  Go and meet with a few different providers who offer births at the location of your choosing.  The right fit will be clear after three interviews for most families.
Participate
Not to ring a bell too many times in one blog post.  You can go back and read why it is so important to take active, intentional steps to become a highly informed consumer.  If you don’t hesitate to ask what comes on the turkey sandwich and tell them what you like and don’t like at a restaurant, you certainly need not hesitate to ask what to expect from your care, state your needs as they arise, and switch providers if something is not working well, or you get an impending sense of discomfort.  Read, gather, discuss, bring your ideas to your visits, ask all the questions, tell all the ideas you have–it all matters so so much.  Taking the step into your strength as an informed consumer will change your life.  It will also show you if you have a provider who will engage with you on mutual terms.  This is not about fighting or being obstinate, it is about learning and engaging in the learning process with a person who should be a great teacher for you.
Prevent
Your pregnancy is a time to set up the environment of your body for optimal health.  A lot of people approach chronic conditions during pregnancy with the mindset that if we can just “get through this time” we can work on it after the baby.  But you are laying the brickwork for how you feel everyday.  You don’t have to suffer.  You don’t have to greet your baby in anything less than vigorous good health–find a provider who will approach you as a whole person and a mother, not just a vessel that needs to stay together just enough to support the life of your baby.  You are your baby’s health–the chances are that if you don’t feel well, the placenta isn’t going to get the life support it needs to do what it is designed to do for all the days your baby needs it.  You are the soil, sun, and water of your baby’s growing physical and mental health.  Rich in nutrients, full of energy, and supported with just enough of all of the building blocks–not too much or too little, you can grow a healthy, full term baby.
Predict
A provider who pays attention to you and the messages your body is giving will better offer care that answers the prediction of what might happen next.  This can be long-term:  something in your health you want to work on that you feel is at a tipping point.  Labs that come back that can be corrected before they get out of control.  Or it can be short term.  A provider who knows you will believe you and act immediately if you have a sign or symptom that is a red flag.  A provider who knows you knows your family health history and will work closely with you to see into the future and offer solutions and resources to support you in writing the health story you want for your and your baby’s life.
The more healthcare consumers approach their healthcare as consumers with consumer rights the more providers feel like this applies to them. 
These 5 P’s have come to us by way of families who have been down incredibly difficult roads and have emerged wizened.  Families can use their wisdom to jump into your own best health and birth outcomes.
What have your best moments been as a healthcare consumer?  What advice would you give other families as they prepare for pregnancy and birth?

The Link between Justice and Health

…Our health is the launching pad which allows us to reach our full potential. Healthcare that actually improves health, protects access to the opportunity to participate in the economic, social, political, and personal lives of an individual’s community and world…

If you are new to the idea that health, healthcare, and justice are linked:  here is the fundamental reason we all need access to high quality healthcare:

Our health is the launching pad which allows us to reach our full potential.  Healthcare that actually improves health, protects access to the opportunity to participate in the economic, social, political, and personal lives of an individual’s community and world.

Beyond this, there are of course complicated, systemic and overt drivers that prevent communities from participating in the political, social, economic, and personal lives of their community and world.  I am not here to say that those aren’t  real, impactful and destabilizing for the individual.  But without health, those determinants play second fiddle.  With health, the engagement of identifying problems and solutions becomes a discussion and a possibility from within a community.

In today’s world where inflammation, insulin resistance and adrenal dysfunction are deeply tied to each other and the way we–or whether or not we manage to–integrate and recover from stress, this is more true than ever before.

Let’s look together at a dramatic example:  Before I knew to offer education for this, I watched immigrant women who had arrived in America in the year prior to their pregnancy, continue to eat the same diet they had in their home country with one exception.  The ingredients were American.  The flour refined and void of the fiber naturally found in the food they grew up eating.  These women disintegrated before my eyes and their health became almost exactly like the health of most women coming from whole lifetimes of American poverty and the “typical” American diet.  In fact, the occurrence of maternal child outcomes taking a nosedive within the first generation of arrival in America has been well documented, though not well explained. How is it possible that women arrive from developing, or even war-torn nations and their health declines?!

The women I saw developed persistent fatigue which made work a complete drag and engaging with their family a lost art.  Mostly, when asked, they ascribed it to the difficulty of being away from family.  But their sense of their vigor and their actual blood glucose levels told a different story.  Interestingly no one blamed pregnancy–they had all grown up where pregnancy was viewed as a normal, active, and healthy time in a woman’s life.

During a home visit, one of the families cooked us dinner and it was there that as I chatted in the kitchen with the mom while she prepared the food that I saw what I came to demonstrate in my practice as the one of the Real Culprits.  With guidance to find imported flours–and to eliminate the processed American foods–blood glucose levels returned to normal.  The extra belly fat melted away as the muscles could once again absorb the insulin being delivered by the pancreas instead of creating a toxic and hostile environment from which each woman was supposed to work full time, care for her family, establish herself in a new home with all of the stress that moving brings, and support the activities at her church or community center (or both).  This food was not so slowly and ever so surely poisoning these women and their babies, who often grew so big that despite well supported labor and best practices, were born by cesarean section at alarming rates.  This was true for first time moms who naturally carry a higher risk of cesarean birth, but also for 2nd, 3rd, and 4th time moms who had healthy vaginal births as part of their health history.

I combine catered education about nutrition with stress reduction strategies at each prenatal visit for every family.  Have a mom bring in a picture of her pantry if you can’t do a home visit.  Frame it is a starting point, not a place to drip shame, fear, and humiliation into her life.  Let’s learn together–have her teach you about her life, her stress, her nutrition, her loves.  Rich or poor, immigrant or 4th generation American. Everyone receives education that meets them where they are at and responds to their life in that moment.

One of the more important maternal/child health results of addressing these deep needs of mothers is that babies grew to be the right size for their mother’s body.  That is a reduction in healthcare costs in the tens of thousands per mother/baby. It reduces so many immeasurable personal costs and so very many short and long term healthcare costs.  A healthcare actuary could have some good solid fun with seeing the numbers all the way through.  It lends to the potential for each baby to be born to a mom ready to mother physically and engage mentally, because they feel good, they feel energized, they feel like themselves.  Even in a foreign country.  Even with a minimum wage job when they are actually qualified mathematicians, accountants, doctors, or teachers.  Even when they miss their family and are learning a new language. Even when they want to somehow muster the  capacity to attend night school to learn a new trade or earn a new certificate so that they can move into a life of opportunity for themselves and their children. 

**an interlude for all of you now fuming advocates from the world of the threat of a big baby  = cesarean birth.  Let me save you from skipping the rest of this article so you can leave an inflamed comment.  This is not that.  These babies are at real risk–their pancreas having been tested and pushed beyond its limits while en utero, they develop a lot of brown fat around the cheeks and shoulders, and are usually 1-4 pounds heavier than mom’s other babies.  These are not the robust babies who could have been born vaginally if mom had providers who knew to use positioning and time to aid in a healthy birth.  They look very, very different than a baby who is just born a big healthy baby.  None of those babies are included in this observation** [also, I love you for the work you do educating mothers about how to use their bodies to birth their babies and demanding that providers get with the program written so many thousands of years ago]

Back to the blog…

The model of healthcare delivery I offer is wrapped in listening and free from standard time constraints.  And still, I almost missed it.  It took listening, observing, and participation in the lives of the families I serve to find this connection.  It took nothing at all for me to apply the lesson to every pregnant woman who came through the door.

If we want to use our privilege as healthcare providers to launch families onto a platform where they can begin to see that opportunity funded by energy, vitality, and good health is different than opportunity funded by the massive domino effects of refined foods and stress without recovery–the disability of diabetes, cardiovascular failure, endocrine implosions, adrenal fatigue–well, we are in the perfect position to do so.

What do you do to offer healthcare that promotes justice?  Do you want to learn more about offering this kind of healthcare?  Are you a healthcare consumer who has or has not received personalized care?  Share your story!