The Great Birth Rebellion

This episode gives a snapshot of the main global challenges that face women in their childbearing years and the midwives that care for them. In this episode, Mel covers what she learned from the International Confederation of Midwives conference in Portugal June 2026. The main global challenges include, the over-medicalisation of childbirth, a shortage of skilled midwives and the erosion of midwif...

In this episode Dr Melanie Jackson and Prof Hannah Dahlen explain The 5 BIG Induction studies that often get used to encourage the use of induction for suspected big babies, women over the age of 35 and over 41 weeks pregnant - The BIG BABY trail, The SWEPIS study, the ARRIVE trial, The INDEX trial and the 35/39 trial. If your clinician is using any of these studies and you want to look into them...

The concept of a rigid 40-week due date is one of the most deeply entrenched myths in modern maternity care. Today I cast a critical eye over the historical and mathematical flaws behind how Estimated Due Dates (EDDs) are calculated, and why treating day 280 as a strict deadline creates unnecessary interventions.  Related episodes to queue up next: Episode 181 - Induction of Labour Part 1 Episode...

Get practical ways to support recovery in the first 2 weeks after birth. Learn how to prepare your home for easier access to supplies, early breastfeeding patterns, and what to expect as milk comes in during the first few days. Expect huge emotional changes around day three, including crying and feeling overwhelmed, and discover how to distinguish these from postpartum depression and the rarer pos...

The first two weeks after birth have a lot going on… So I'm doing 2 episodes on it. Here you will learn what recovery can look like for both mother and baby. I discuss the wide range of postpartum experiences, the care gap that can exist after birth, and how support from midwives, nurses, GPs, partners, family, friends, and the wider community can help with feeding, recovery, and emotional wellbei...

Women with negative blood groups are routinely offered at least 3 doses of anti-D throughout pregnancy. The question is, what is anti-D, do you really need it? What happens if you choose not to take it? And how do you make wise decisions about anti-D. In this episode, Mel explains it all along with all the different tests and screening options that you can choose to help you make decisions about a...

Being pregnant may be the very first reason you’ve had prolonged exposure to the health care system. Interacting with the maternity care system can feel confusing and frightening and some women feel pressured and coerced into accepting testing, screening, treatments and medicines that they didn’t really want, but didn’t know how to say NO or negotiate other options. In this episode Mel shares her...

If you get a swollen cervix during labour, your care provider might recommend an epidural or caesarean section. There are many other things you can try before resorting to such extreme measures and this episode covers them all. Interestingly, there are no research papers AT ALL to substantiate any of the strategies to remedy a swollen cervix so it’s worth trying them all to see what works, if you...

If you’ve been diagnosed with pre-eclampsia, this is a must-listen episode to prepare you for the journey ahead. Mel continues the pre-eclampsia 2-part series by focusing on management, decision-making, and navigating the emotional toll of this acute illness.  This is part 2. Episodes 201 and 202 give a deep dive into what preeclampsia is, ways to prevent and diagnose it, and today we talk about w...

In this episode Mel casts a critical eye over the serious pregnancy complication of preeclampsia. She explains what pre-eclampsia is, how to diagnose it, how it develops and some strategies on how to prevent it. In this episode, you will also learn who is more likely to get pre-eclampsia so that preventative strategies can be targeted. Get your tickets to The convergence of rebellious midwives con...

The medicalisation spectrum is 101 when it comes to understanding how to plan pregnancy, birth and postpartum care. In this episode Mel explains the medicalisation spectrum with reference to where your care provider and chosen birth location would also fit along the spectrum. Mel discusses 2 birth philosophies and encourages you to explore where you sit, so you can match your philosophy to the res...

We know sun contains nutrients, vitamin D is one of the most well-known, but there are other health properties that are garnered from sunlight both directly on our skin and indirectly that are essential for health. Listen to see if you are harvesting what your body needs from the sun. You can learn more about todays guest Max Gulhane at  https://drmaxgulhane.com/ Click here to see Max’s Circadian...

Your circadian rhythm is part of a web of body clocks that keep your body ticking through the day and regenerating and repairing through the night. In this episode, medical doctor Max Gulhane explains the parts of the circadian rhythm and how to optimise them with appropriate light and dark exposure. He includes how to optimise eating times to improve your health through pregnancy, parenting and a...

Want to increase your chances of a low-intervention vaginal birth in hospital? Then this episode is for you! If you attend hospital to give birth, you have approximately a 50% chance of having a vaginal birth without an episiotomy, vacuum, forceps, or caesarean section. There are things you can do to increase your chances. This episode gives 5 clear strategies that you can implement today to make...

Dr Andrew Bisits, Australian Obstetrician, built a name for himself over his 40 year career as ‘the breech whisperer’ owing to his willingness to attend vaginal breech births, but there is more to him than his obstetric courage around breech birth. In this episode Mel interviews Andrew about his 40 year career and about his declaration that he has ‘resigned not retired’ from his work. At the age o...

Some items make a difference to your birth and postnatal experience. Have a listen to this episode to make sure you don’t miss something on your packing and preparation list for birth. A Full check list of the high powered hospital bag is available here to print and check off.  To prepare for your high powered hospital birth, get the guide to giving birth without pain medication so you and your ca...

Melanie welcomes back Dr. Kirsten Small, author of the book Monitoring Your Baby in Labor, an evidence-based guide to help you plan your birth , to delve deep into the culture, safety, benefits, and potential side effects of fetal monitoring during labour. How your baby will be monitored in labour has both risks and benefits and the decision is YOURS to make. In order to make an informed decision...

Precipitous labour and birth can be a real surprise if you were mentally preparing for a longer labour. Around 15% of women will have a labour that is less than 3 hours and these quick ones require a little bit of understanding and preparation to help you not become overwhelmed by it. There is often no time for pain management, you are on the ride! In this episode, Mel gives some strategies to hel...

I came up with this Mastitis protocol early in my career and it’s just always worked. For this reason I have had no inclination to update or change it, because it has proved it to be effective. In this episode I explain my protocol and provide a detailed list of what to do if you think you might have mastitis. My protocol has elements within it that are not aligned with some of the current guideli...

The umbilical has a purpose in the minutes following your baby’s birth. Leaving it intact enhances the health of your baby and assists in the transition to breathing air. In this episode, Mel explains what the cord does in the minutes following birth and what happens to your baby if this transition is interrupted. Mel also covers the special circumstances of collecting cord blood, what if your bab...

Often women are provided with too much medical intervention during pregnancy, birth and postpartum. How do we know when we actually need it? Or when it’s just part of the usual over-medicalised care routine? In this episode Mel offers some suggestions about which circumstances warrant obstetric care and looks at the research about which circumstances midwifery-led care would allow for more favoura...

The International Confederation of Midwives (ICM) shares that if 1 million more midwives provided care to women through their childbearing years, they would be healthier, happier and fewer women and babies would be damaged or die during their childbearing years. It’s time to stop pretending that Midwives don’t make a difference to outcomes for women and babies. Help us tell governments, regulators...

If you are planning a waterbirth, care for women using water, or you are just waterbirth curious, this episode is for you! You’ll also find this a handy episode for your birth support team so they know how to best help facilitate a waterbirth for you. In this episode we cover the risks and benefits of waterbirth and how to unlock access to one if you come up against resistance. In this episode Mel...

A rebellion can take many forms, for Diane Lockhart her brand of rebellion involved her reluctantly and somewhat accidentally opening a birth center in a Ugandan slum. Amani Birth Center has now been running for 10 years and Diane shares how they have managed to care for women without the loss of a single mother or baby at the birth center. Diane is a true midwifery rebel and she shares what you c...

Have you been told that your baby is too big or too small during your pregnancy? Do they want to induce you or give you a caesarean because your baby is too big or maybe it was too small? Are pregnant and have been told that your baby is too big or too small? In this episode Mel shared her Guide to giving birth without pain medication, you can get it here . This episode is sponsored by Poppy Child...