Joni Edelman: “We shouldn’t be seeking permission and approval in childbirth”

Joni Edelman is a registered nurse who began attending births when she was 18, then lived out a career in hospital birth, transitioned to hospice care, and then eventually found her way to traditional midwifery. She calls herself a “holistic attendant” due to the reality that terms like “midwife” and “birth attendant” are now the property of the state. That seems like a bold statement, but in effect it means that the state can dictate what a “midwife” can or can’t do, without any consideration perhaps for what birthing families in that state desire out of their care team. This is where the ongoing licensure debate has some teeth. On the one hand, proponents for licensure might argue that licensure offers an avenue by means of which a person trained in the skills of midwifery can practice without fear of being jailed for practice of a profession without a license. On the other hand, opponents of licensure may argue that licensure often comes with unreasonable restrictions to the practice of midwifery, which may be the oldest “profession” in the world alongside prostitution. Way back when, there was no need for labels, licensure, and regulatory influence. A woman doing what is now called “midwifery” would be doing so out of necessity in service to her clan, community, or tribe. She may not have even been charging money (not that that’s a problem), because the tribe was small enough for her to serve this function and have her needs met. She learned her skills through other elders in her community, and, whether she wished it or not, would ultimately become the most experienced living caretaker of birthing women over her lifetime. But nowadays, with human society being as complex as it must be to serve hundreds of millions of people through equality and equity, and with economics of inequality, a midwife must find their place through the myriad regulations and other red tape that would otherwise have been vested to a woman with a calling to this “vocation” through lived experience alone. This has led us to an impasse in our current state of affairs, where high-quality midwives are being prosecuted for deaths for which they aren’t responsible and other credential holders are walking away from tragedies hiding behind the protections of their credentials. My conversation today with Joni attempts to provide some grounding to the challenges of birthwork which are paralleled by the challenging to birthing families who wish to proceed with childbirth with any degree of autonomy. And if we truly believe in autonomy, how does abortion fit into this conversation? We touch on that, too…Find Joni at her website or on Instagram

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