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.

Midwife Marion Toepke McLean discusses the most essential midwifery skill of them all: to be able to recognize and support normal birth and to keep it normal.

Just as we are learning about human nature from new perspectives, we are also at a turning point in our understanding of human births. Until now, the focus has been on mechanical difficulties. Countless textbooks have reproduced drawings showing the size and the shape of the fetal skull in relation to the maternal pelvis as a way to explain why the birth process cannot be easy in our species. If the main reasons for difficulties were mechanical, how to explain that, occasionally, women who are not special, from a morphological perspective, have their first baby easily within a few minutes, while others need a caesarean section after one or two days of tough labour?