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OHMI Midwives Homebirth midwives, Shelly Varelli, and Lisa Baldwin, serving Toledo, Ohio and surrounding areas.

“Community birth is growing—but access still depends heavily on who can pay. Nearly four in ten birth-center families pa...
10/23/2026

“Community birth is growing—but access still depends heavily on who can pay. Nearly four in ten birth-center families pay out of pocket, showing why genuine birth-choice equity requires funding to include access to public and private pay resources, sustainable insurance and Medicaid reimbursement.”

New national snapshot highlights birth-center access and payment barriers

U.S. policy/data brief — published October 20, 2026

The Commonwealth Fund reports that freestanding birth-center births increased from 0.23% of U.S. births in 2004 to 0.62% in 2024; homebirths increased by a similar proportion. However, access remains highly uneven, and the number of centers is not keeping pace with demand.

Most strikingly, 39% of birth-center families paid out of pocket, compared with 3% of hospital families. Medicaid financed 18% of birth-center births versus 41% of hospital births. The report identifies inadequate reimbursement—including reduced or absent payment after intrapartum transfer, as a major sustainability barrier.

Why it matters for OHMI “Bridging Birth”: This provides current national support for what you are already seeing locally: interest in community birth does not translate into access when Medicaid participation and reimbursement are inadequate. It is useful for grant proposals, stakeholder conversations, and explaining why sliding-scale care alone cannot solve structural access problems.

Limitations: This is a descriptive policy brief, not clinical outcome research. Birth-center statistics exclude planned center births that transferred before delivery and should not be generalized to planned homebirth or used to establish clinical eligibility.

🔗 https://www.commonwealthfund.org/publications/issue-briefs/2026/oct/current-state-freestanding-birth-centers-united-states

10/23/2026

Graduation day!

10/22/2026

This cannot be ignored.

10/20/2026

10/17/2026

Clients be like…

10/08/2026

Leaders in Lactation: Dr. Katie Hinde
December 2, 2025
Barbara L. Philipp, MD
Dec 02, 2025

"“In 2008, Katie Hinde stood in a California primate lab staring at hundreds of milk samples. Male babies got richer milk. Females got more volume. Science had missed half the conversation.

She was a postdoctoral researcher at the California National Primate Research Center, analyzing milk from rhesus macaque mothers.

For months, she’d been measuring fat content, protein levels, mineral concentrations. The data showed something she hadn’t expected: monkey mothers were producing completely different milk depending on whether they’d given birth to sons or daughters.

Sons received milk with higher concentrations of fat and protein – more energy per ounce. Daughters received more milk overall, with higher calcium levels. The biological recipe wasn’t universal. It was customized.

Hinde ran the numbers again. The pattern held across dozens of mother-infant pairs. This wasn’t random variation. This was systematic.

She thought about what she’d been taught in graduate school. Milk was nutrition. Calories, proteins, fats. A delivery system for energy. But if milk was just fuel, why would it differ based on the baby’s s*x? Why would mothers unconsciously adjust the formula?

The answer shifted everything: milk wasn’t passive. It was a message.

Hinde had arrived at this question through an unusual path. She’d earned her bachelor’s degree in anthropology from the University of Washington, then completed her PhD at UCLA in 2008. While most lactation research focused on dairy cattle or developing infant formulas, Hinde wanted to understand what milk actually did in primate mothers and babies.

At UC Davis, she had access to the largest primate research center in the United States. She could collect milk samples at different stages of lactation, track infant development, measure maternal characteristics.

She could ask questions that had never been systematically studied.

Like: why do young mothers produce milk with more stress hormones?

Hinde discovered that first-time monkey mothers produced milk with fewer calories but higher concentrations of cortisol than experienced mothers. Babies who consumed this high-cortisol milk grew faster but were more nervous and less confident. The milk wasn’t just feeding the baby’s body—it was programming the baby’s temperament.

Or: how does milk respond when babies get sick?

Working with researchers who studied infant illness, Hinde found that when babies developed infections, their mothers’ milk changed within hours. The white blood cell count in the milk increased dramatically—from around 2,000 cells per milliliter to over 5,000 during acute illness. Macrophage counts quadrupled. The levels returned to normal once the baby recovered.

The mechanism was remarkable: when a baby nurses, small amounts of the baby’s saliva travel back through the ni**le into the mother’s breast tissue. That saliva contains information about the baby’s immune status. If the baby is fighting an infection, the mother’s body detects the antigens and begins producing specific antibodies, which then flow back to the baby through the milk.

It was a dialogue. The baby’s body communicated its needs. The mother’s body responded.

Hinde started documenting everything. She collected milk from over 250 rhesus macaque mothers across more than 700 sampling events. She measured cortisol, adiponectin, epidermal growth factor, transforming growth factors. She tracked which babies gained weight faster, which were more exploratory, which were more cautious.

She realized she was mapping a language that had been invisible.

In 2011, Hinde joined Harvard as an assistant professor. She began writing about her findings, but she also noticed something troubling: almost nobody was studying human breast milk with the same rigor applied to other biological systems. When she searched publication databases, she found twice as many studies on erectile dysfunction as on breast milk composition.

The world’s first food—the substance that had nourished every human who ever lived—was scientifically neglected.

She started a blog: “Mammals Suck...Milk!” The title was deliberately provocative. Within a year, it had over a million views. Parents, clinicians, researchers started asking questions. What bioactive compounds are in human milk? How does milk from mothers of premature babies differ from milk produced for full-term infants? Can we use this knowledge to improve formulas or help babies in NICUs?

Hinde’s research expanded. She studied how milk changes across the day (fat concentration peaks mid-morning). She investigated how foremilk differs from hindmilk (babies with bigger appetites who nurse longer get higher-fat milk at the end of feeding). She examined how maternal characteristics—age, parity, health status, social rank—shaped milk composition.

In 2013, she created March Mammal Madness, a science outreach event that became an annual tradition in hundreds of classrooms.

In 2014, she co-authored “Building Babies.”

In 2016, she received the Ehrlich-Koldovsky Early Career Award from the International Society for Research in Human Milk and Lactation for making outstanding contributions to the field.

By 2017, when she delivered her TED talk, she could articulate what she’d discovered across a decade of research: breast milk is food, medicine, and signal. It builds the baby’s body and fuels the baby’s behavior. It carries bacteria that colonize the infant gut, hormones that influence metabolism, oligosaccharides that feed beneficial microbes, immune factors that protect against pathogens. More than 200 varieties of oligosaccharides alone. The baby can’t even digest them—they exist to nourish the right community of gut bacteria, preventing harmful pathogens from establishing.

The composition is as unique as a fingerprint. No two mothers produce identical milk. No two babies receive identical nutrition.

In 2020, Hinde appeared in the Netflix docuseries “Babies,” explaining her findings to a mass audience. She’d moved to Arizona State University, where she now directs the Comparative Lactation Lab. Her research continues to reveal new dimensions of how milk shapes infant outcomes from the first hours of life through childhood.

She works on precision medicine applications—using knowledge of milk bioactives to help the most fragile infants in neonatal intensive care units. She consults on formula development, helping companies create products that better replicate the functional properties of human milk for mothers who face obstacles to breastfeeding.

The implications extend beyond individual families. Understanding milk informs public health policy, workplace lactation support, clinical recommendations. It reveals how maternal characteristics, environmental conditions, and infant needs interact in real time through a biological messaging system that’s been evolving for 200 million years—longer than dinosaurs.

Katie Hinde didn’t just study milk. She revealed that the most ancient form of nourishment was also the most sophisticated. What science had treated as simple nutrition was actually a dynamic, responsive communication between two bodies—a conversation that shapes human development one feeding at a time.” (1)

References

Text and photo taken directly from The Two Pennies — On Facebook

https://thelactationcollege.substack.com/p/leaders-in-lactation-dr-katie-hinde

10/07/2026

This is homebirth. And we really do love what we do.

The waiting. The work.
The hands that hold and support.
The quiet moments in between.
The laughter. The tears. The surrender.
And finally… meeting the little person everyone has been waiting for!!!

Its is a privilege to be invited into these spaces—to witness families, right where they feel most comfortable. 🏡✨

10/05/2026

🚨Being a homebirth midwife does NOT mean we oppose clinical or medical care.

We support homebirth, informed choice, and families who prefer to limit unnecessary screening, testing, or intervention. We also recognize the essential role of medical care when it is needed.

✨As homebirth midwives, we want to be clear: we often support families who prefer to limit unnecessary screening, testing, or intervention, preserving informed choice… this does not mean we oppose medical care.

We are not trying to talk anyone out of a medically necessary induction, cesarean birth, or other intervention. These options have an essential place in maternity care.

Our role is to assess each pregnant person and their baby, build relationships that understand their values and desires, present information informed by evidence, knowledge, and intuition. We explain available options (whether we provide them or not) to include benefits, risks, uncertainties, and, when necessary, a transfer of care. When we recommend a course of care, we explain why.

Making a recommendation and respecting autonomy can and should happen together. The pregnant person ultimately decides what care they consent to.

We aim to present information fairly, without cherry-picking evidence or using fear or pressure to steer anyone toward our preferred outcome. We know how to critically evaluate peer-reviewed, evidence-based research by considering its methods, context, limitations, and study population, not just its conclusions. 🥸

Discussing a screening, or pros and cons of a routine intervention is not the same as dismissing its value when it is needed. Sharing a study is not a recommendation for every pregnancy.

The goal is for each person to have the information, support, and space to make decisions about their care, and to feel respected when they do. 🧡💜❤️

📞 2 AM: “Hi!! I think I’m in labor!” (Cheerful enough to host a morning show.)Your midwife: “Great. Try to sleep.”You, t...
10/05/2026

📞 2 AM: “Hi!! I think I’m in labor!” (Cheerful enough to host a morning show.)

Your midwife: “Great. Try to sleep.”

You, three contractions later: “Birth pool: inflated. Playlist: queued. Entire contact list: alerted.” 😂

Listen. We get it. You’ve waited MONTHS for this. Something is finally happening, and we’re telling you to… go to bed?!

But early labor doesn’t always mean it’s time to launch the full birth production.

You don’t need to climb every staircase, bounce through breakfast, or turn your living room into a labor boot camp.

If you’re comfortable, rest while you can. 🧡

✨ Sleep if you can—even quiet rest counts.
✨ Eat something.
✨ Drink some water.
✨ Watch something funny.
✨ Put your phone down.

And partners? Your job is not to ask, “Was that another one?” every seven minutes. Get a snack. Be cool. 😂

Keep your midwife updated according to your team’s plan. We can be excited with you AND tell you to go back to bed. Both are part of the job.

This is also why childbirth education matters. Knowing what early labor can look like, and what your support person can actually DO, helps you feel prepared and to stay calm when the excitement hits.

👇 What did YOU do in early labor? Call your midwife? Rest peacefully, or immediately become the event coordinator for your own birth?

🎧Have a listen to podcast as they dive into the five big studies that have moved the needle to minimize risk [The BIG BA...
10/05/2026

🎧Have a listen to
podcast as they dive into the five big studies that have moved the needle to minimize risk [The BIG BABY trail, The SWEPIS study, the ARRIVE trial, The INDEX trial and the 35/39 trial].

I will be listening with we a keen, evidence-based ear to further understand them and use them to inform decisions around induction of labor. If you also listen, let me know what you think below ⬇️

Podcast Episode · The Great Birth Rebellion · May 25, 2025 · 1h 14m · Video

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4231 Monroe Street, 1B
Toledo, OH
43606

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