When I walked out of my first prenatal with a homebirth midwife, I knew this was something to which everyone should have access. I wanted to find a way to make midwifery care more accessible to the Northern Neck of Virginia. It would be a big task, as the area presents special challenges. The only hospital on the Northern Neck closed its labor and delivery unit in 2004. A standalone birth center opened in 2010, but closed the next year due to financial challenges.

This past year, two labors I attended benefited (meaning we avoided a cesarean each time) from a technique shared over a hundred years ago by Dr. Walcher. The first of these mothers labored for her third homebirth after four previous cesareans. She’d had a hard time getting her first baby into her pelvis (lying in bed) and was given a c-section at 3 cm and then she had three more cesareans in following years. Umm hmm. So, I was honored to help at her first homebirth, her fifth child. He also took a long time to engage. Beginning posterior, a variety of positions eventually got him through. Her second homebirth occurred after a long latent phase but before her midwife arrived.

Gigliola, a veteran midwife now in her 80s shares stories with author Lindy Joy Cummings about her long midwifery career in Papua New Guinea and other remote parts of the world.