May you safeguard your own health and well being as vigorously as you safeguard the health and well being of the families you serve

Reverend Leslie Ahuvah Fails

Midwives Untethered Philosophy

The concepts of tethering and untethering are credited to midwives Susan Yount and Meghan Garland who developed them in their writing about practices that affect the normalcy of labor (Best Practices in Midwifery: Using the Evidence to Implement Change [2013], edited by B. Anderson & S. Stone, Chapters 10 & 11.)  We have adopted these concepts with their consent.  Our NRP is taught tethered to the umbilical cord and placenta for as long as those organs are functional.  At the same time we are untethering ourselves from the systems and cultures that drag down the best parts of human nature, and compassionate care.

Midwives, birth workers, caregivers, first responders-

From the beginning you have been the guardians of life…the guardians of all we hold dear, from birth unto death.

 As caregivers who have given birth, and beyond, our lives, and our hearts, we know that birth is meant to be a transformative, pivotal moment in the lives of every person present, from the parents, to the new baby, to the providers who witness and guard this sacred time.  We know that all healthcare is worthy of this sacredness, and the reverence given to birth should be afforded to all care.

Over the course of time healthcare has become tethered to practices that inhibit this connection to the most divine acts we know in this world. 

 Tethered-to machines and equipment that don’t meet the needs they were developed to meet, and often cause harm.

 Tethered-to practices that were developed to serve organizations to the detriment of the people within them, both providers and the people they care for.

 Tethered-to long held practices that lead to provider burnout, without any recognition of the deep humanity that it takes to do this incredibly difficult, rewarding, empowering work.

 Tethered-to outdated, unsupported modalities that lead to some of the worst rates of maternal morbidity and mortality in developed nations, and some of the highest rates of burnout and despair our professions have ever seen.

 Tethered-to cultural norms that keep those receiving care and those providing care unsupported, exhausted, and struggling to maintain health of body and mind.

 Tethered-to cultures that call on us to attack and belittle one another, in order to maintain the power structures and identity of ourselves and our own.

 We know that untethering from all of these unhealthy practices can help alleviate much of the stress, burnout, and uncertainty that plague midwives and others who attend birth, and to those who provide healthcare in general.  We know that it is well past time for someone to address the fact that no-one is guarding the guardians. 

 We believe by re-structuring how we approach healthcare, and  one another, we can change the world, one provider at a time. 

 

We want to partner with you to help bring about these changes in yourself, your practice, and your world.  We believe we can do this in small ways, by altering how we provide resuscitation, and big ways, by altering how we care for ourselves and others. We want to help you bring humanity back to your healthcare and your life, in turn bringing humanity back to the beginning of human existence, where we all served as guardians. 

Work in community, connect in community, flourish in community…

I loved that this seemed exactly suited to our needs at the birth center and that it offered realistic, hands-on, no pressure learning.

I’ve only ever taken NRP courses in the hospitals where I work but this course was so much more applicable for a community birth setting!

`Anonymous learner