In mainstream portrayals of birth, a woman’s water breaking signals an emergency — a frantic rush to the hospital. But what happens when the waters open… and the birth unfolds slowly, with reverence and trust?
In this episode, Karina is joined by her midwife, Fadwa, to share the sacred story of a five-day birth journey. Together, we explore the nuanced terrain of risk assessment by both mother and Birth Keeper, the deep listening required in physiological birth, and the seasoned wisdom that guided them through.
Fadwah Halaby, APRN, CERTIFIED NURSE MIDWIFE, has given birth six times at home and raised 5 more children over the years through her rich blended family experiences. She has lived in the mountains of Colorado and also enjoys the sunny lifestyle of South Florida. She is a Nurse Practitioner with a specialty in Midwifery (CNM). She has a BS with an emphasis in Nutrition from The Evergreen State College in Olympia, WA. In the 1980’s and 90’s she studied childbirth education and then received homebirth training in Colorado. Her certificate in Nurse-Midwifery is from Frontier School of Midwifery and Family Nursing, 2005 (now Frontier Nursing University).
Along the way, she worked in several Emergency Rooms and Labor and Delivery units. Once she completed midwifery school, she worked for a very busy, local OB/GYN group of 5 midwives and 4 MDs. She assisted over 1600 women to give birth at 2 hospitals in Palm Beach County (West Boca Medical Center and Bethesda Hospital East, now Baptist Health) and frequently saw over 500 women in the office every month.
She is confident that when supported in a physiologic manner, pregnant people will birth gracefully, with freedom into the loving embrace of their families. Her confidence in women led her to founding Birth Equity Resource, a 501c3 that offers home births to women who otherwise may not be able to afford them and to lessen the disparity in care for women of colour.https://www.gofundme.com/f/midwife360-the-love-fund@midwife360
Karina is a mother and student of pregnancy, birth and motherhood. She first learned about home birth in 2017 and studied to become a birth doula after a dear friend got pregnant in 2019. She knew that this remembrance and spark was in preparation for when she got pregnant and gave birth. After giving birth to her daughter, Liberty, having her waters ruptured for more than 5 days, having the support of her trusting birth team, she knew that she wanted to share her story with the world and mamas one day.[email protected]
A foundational understanding in the conversation of birth is that, safety isn’t determined by a specific circumstance, rather the context in which the circumstance presents.
Examples of this could be a nuchal chord, freebirth, breech presentation, or in this case: a prolonged rupture of a mothers waters. It is near impossible to determine the safety or risk levels of these circumstances without context, which is why blanket statements like “hospital birth is the safest option” or “vaginal birth after a caesarean is never safe” are problematic.
Every birthing circumstance is as unique as a fingerprint and holds with it a set of risks that is specific to the situation at hand. To say, for example, that “a mother must go to the hospital after her waters have been open for 24 hours due to risk of infection” is overly simplistic and does not allow space for the presenting nuances. In this story, with the guidance of seasoned midwife Fadwa, we witness a thoughtful and grounded process of risk assessment honouring the uniqueness of this birth.
This is a conversation about time, understanding, and honouring the body’s rhythm — an invitation to reimagine what’s possible when filling a birth space with trust and wise women.
Pour yourself a cup of tea, cozy up with a blanket, and maybe grab a box of tissues as you snuggle in for today’s chat with BIRTH: The Middle Way.
With reverence,
Emma Cardinal & Sami Love
** We would like to highlight an error on this episode at 72:36 where Sami references a birth story in Canada, in which a family navigating loss is woven in a court case with Gloria Lemay (Canadian unlicensed midwife & birth advocate), "Then we have, you know, the story of like Gloria Lemay right now that’s going on and… you know, the parents were aware that there was a risk, that there was a breech baby and sought that care. And then in whatever she did or didn’t do in the birth space, they still pursued pressing charges when the baby passed away.”
— It has come to our attention that the truth of the court case is: the B.C.'s College of Nurses and Midwives are the ones pressing charges on behalf of the Crown; the family who tragically lost their beloved baby has not pressed charges.
You can read a CBC article here
We also intend to have the mother on our podcast so she may share the deepest truth of her story, as only she is able to.
This truly illustrates the importance of compassionately listening to a woman’s birth story from her — not a news article, a friend, or a bystander.
We apologize for this mis-spoken-information, and still stand with our intentions of being humbly human in this space. As always, we are doing our best to speak and be of service from a place of integrity; offering this apology and disclaimer is one of the ways we are standing in truth, humility, and transparency with our humanness.
We hold this mother, baby, and family with the deepest respect and reverence, as well as the mystery that are the threshold spaces of both life and death.
Books referenced in this episode:
Spiritual Midwifery By: Ina May Gaskin
Eve: How the Female Body Drove 200 Million Years of Human EvolutionBy: Cat Bohannon
Understanding Value Based HealthcareBy: Dr. Christopher Moriates, Dr. Neel Shah, Dr. Vineet Arora
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