Carla Viles’ story is one of circling back—through loss and redemption, apprenticeship and partnership, intuition and listening. From snowy nights in Eugene with her children decorating a Christmas tree while she birthed at home, to the weight of responsibility at difficult births, she has carried the thread of midwifery with quiet strength. Now, as she slowly winds her practice down, Carla reflects on the legacy of her work and the wisdom she hopes to pass on. Her path reminds us that wisdom often comes not only through books or training, but through dreams, stories, and the tender act of bearing witness.

Carla Shares:

• Her own birth stories: a traumatic breech cesarean, a redemptive VBAC in Oregon, and the eventual joy of peaceful home births
• Training in Eugene’s early pre-licensure midwifery community
• Why she chose to remain unlicensed in Oregon, holding sacred space for VBACs
• Stories of breech, twins, and the burden—and blessing—of responsibility
• Spiritual midwifery: intuition, dreams, and the unseen guidance at birth
• The power of listening and the healing that comes from knowing a mother’s story
• Reflections on how midwifery has shifted—through licensing debates, changing standards around VBAC, the rise of technology and prenatal testing, the influence of fear in birth culture, and the growing role of doulas in home birth spaces
• What it means to step back, retire, and place family at the center once more

Mentioned in This Episode:

• Daphne Singingtree — A longtime educator in plant medicine and midwifery based in Eugene, Oregon. Daphne founded midwifery schools, authored training guides, and played a key role in shaping direct-entry midwifery and legislation in the state.
• Ina May Gaskin (Spiritual Midwifery) — Known as “the mother of authentic midwifery,” Ina May helped launch The Farm Midwifery Center in Tennessee and revitalized homebirth in the U.S. Her classic Spiritual Midwifery, now in its fourth edition, interweaves birth stories, practical support, and a spiritual vision of natural childbirth.
• Elizabeth Davis (Heart & Hands) — A certified midwife and educator, Davis’s Heart & Hands: A Midwife’s Guide to Pregnancy and Birth (5th ed., 2019) is a foundational resource for birthworkers and parents. It covers physiological birth, hands-on support techniques, pain mediation, postpartum recovery, and breastfeeding.
• Margaret Charles Smith (Listen to Me Good) — An Alabama midwife whose decades of experience yielded unforgettable birth stories. Listen to Me Good: The Life Story of an Alabama Midwife shares her rural midwifery work across shifting medical landscapes. She was inducted into the Alabama Women’s Hall of Fame.
• Nancy Wainer Cohen & Lois J. Estner (Silent Knife) — Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean (VBAC) (1983) is a landmark guide for VBAC parents and providers. Cohen was a leader in cesarean-prevention advocacy; Estner was a VBAC mother and breastfeeding counselor.
• Rahima Baldwin Dancy — A pioneering direct-entry midwife since the 1970s, Rahima authored Special Delivery, founded Informed Homebirth, trained in Waldorf early education, co-directed The Birth Center in Michigan, and continues teaching across generations on birth, parenting, and eldercare.
• Exaggerated Sims (position) — A semi-prone, lateral birthing posture used for comfort and fetal repositioning. In this position, the birthing person lies on their side with one leg extended and the upper hip/knee flexed between 90° and more—often helpful for aiding fetal rotation. See an illustration and further details here.
• Castor Oil — A traditional, natural method used for inducing labor via cervical ripening. A 2022 systematic review and meta-analysis found that oral castor oil is associated with significantly increased labor induction rates (Relative Risk ≈ 3.27) and higher prevalence of vaginal delivery—without reporting serious adverse effects. You can read the study here.
• Jan Tritten — The founder and longtime editor of Midwifery Today magazine and its conferences. Jan became a home-birth midwife in 1977 after a transformative second birth. She was recently interviewed for this series, and her full episode will be released next week.

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