Cassaundra Jah, midwife, advocate, consultant

07/09/2026

🗣️URGENT CALL TO ACTION! 24 Hours to Reach the Oregon Supreme Court.⏰

Scan the QR code to support this legal case.👆

For years, the Oregon Health Authority (OHA) has used administrative rules to arbitrarily deny Medicaid coverage for care at licensed freestanding birth centers to people who are within licensed midwife (LM) scope and, otherwise, entitled to birth center services. These exclusions include categorically denying coverage to anyone who has ever had a prior cesarean or when a client declines certain screenings or tests — refusal which is allowed under Oregon law.

VBAC is one example of this broader issue. In May 2026, the Oregon Court of Appeals ruled on the prior-cesarean exclusion in Haugen/Norvell v. Oregon Health Authority, upholdingOHA’s blanket exclusion of coverage for VBACs on the basis of a 1971 case that allowed state Medicaid agencies to refuse coverage for abortion services. 

This decision misread the 2010 changes to the Affordable Care Act (ACA) that do not allow state Medicaid agencies to refuse coverage for specific services, including birth center services.

The National Foundation for Certified Professional Midwives (NFCPM), our sister 501(c)(6) organization, is taking this on as a project (more to come on all things NFCPM!). We intend to fund a petition asking the Oregon Supreme Court to review this decision. Filing that petition costs $15,000 in attorney and court fees and an additional $5,000 for an amicus curiae — and they have TODAY to raise a minimum total of $15,000. A generous donor has already pledged $5,000 — but only if we can raise the remaining $10,000 from our community first.

DONATE NOW! Help us defend midwifery and birth center access. Scan the QR code. In solidarity.💛

06/26/2025

PSI’s Q***r & Trans Parent Support Group is FREE and open to all members of the LGBTQIA+ community who are expecting, adopting, and/or parenting from pregnancy to four years postpartum. This group is intended for gestational, non-gestational and foster or adoptive parents. This group is open to all parents from pregnancy to four years postpartum who are part of the LGBTQIA+ community. The group leaders are peer facilitators who are also part of the q***r and trans community. You are not alone, and we welcome you to our group space ❤️🧡💛💚💙💜

View the schedule and register for one of our FREE support groups at bit.ly/FindSupportGroup!

11/27/2024

11/17/2024

10/26/2024

📣 Midwives save lives.

A new paper from World Health Organization (WHO) shows that investment in midwifery models of care is key to improving outcomes and experiences of care through pregnancy and childbirth. Despite being an evidence-based, cost-effective model to improve maternal health, midwives are significantly underutilized around the world.

🔗 Learn more about the case for implementing midwifery models of care: https://bit.ly/3A2b8aT

10/06/2024

Human reproduction is commonly portrayed as a gigantic marathon swimming event in which the fastest, fittest s***m wins the race and prize of fertilising the egg. Yet another male dominated fantasy about the creation of life. The notion that human s***m once ej******ed, begin a frantic race to reach the egg has completely overshadowed the real story of reproduction.

A 2020 study revealed that in fact there is a communication system between the EGG and s***m. The egg has the ability to repel certain s***m with a molecular mechanism causing them to swim slower and also attract certain s***m by releasing a chemoattractant helping them move faster. Cervical mucus call L- Mucus helps filter out any low quality s***m, Bye Boy!

In the study Fitzpatrick is quoted "Follicular fluid from one female was better at attracting s***m from one male, while follicular fluid from another female was better at attracting s***m from a different male…. This shows that interactions between human eggs and s***m depend on the specific identity of the women and men involved."

Once SHE makes her choice and the s***m begins to pe*****te the egg, the egg then releases a chemical response that causes all of the other s***m's heads to pop off. Yep, mass decapitation. ⠀

And to keep things in perspective, the male s***m is the smallest cell in the human body while the female egg is the largest, who run the world?

📄:Fitzpatrick, J. L. et al 2020 chemical signals from eggs facilitate cryptic female choice in humans Proc. R. Soc.

I'm on Instagram as https://www.instagram.com/wildmoon_doula

www.wildmoondoula.com

*Due to multiple messages I’ve received I feel the need to share that this is a process of the egg discerning for genetic compatibility and NOT a conscious process! 🙄

10/06/2024

Ruby Jackson, a 23-year-old student has developed an app, "Melanatal," to address gaps in the recognition of maternal and neonatal conditions

09/25/2024

09/16/2024

HAPPY BIRTH 🌺 CENTER 🌺 WEEK 🌺!!

Repost from 🌿

TEDx has recognized our Executive Director, Nashira Baril, by selecting her talk as one of the most important ideas worth sharing.

Nashira’s talk is a compelling vision of the transformative potential in childbirth when we reimagine healthcare. Drawing from her personal experiences and pioneering leadership, she illustrates how liberated healthcare—unbound by racism and capitalism—can profoundly impact lives and communities.