11/21/2025
A midwife colleague once told me that when others ask her opinion of me as a midwife, she simply replies, “She’ll keep you safe.” At first, I wondered about that response. But after some reflection, I realized what a profound compliment it truly is. To me, those words mean that I am seen as a midwife who can be trusted—someone whose deepest priority is the wellbeing of mothers and babies. And honestly, that is exactly who I strive to be.
Transfer rates are often viewed as a negative mark for homebirth midwives, but I’ve always been honest: I am not “homebirth at all costs.” My promise is, and always will be, to keep moms and babies safe within the scope of my practice and the limits of what I can responsibly control. There are clear lines I won’t cross. There are moments when my gut tells me it’s time to go. And when that happens, we go.
Transfer is not a failure—it’s a tool. It’s part of responsible, compassionate, safe care. So yes, please ask me about my transfer rate. I’m proud of the decisions I’ve made, proud of the discernment I practice, and proud of the work I do every day to protect and support the families who trust me with their birth stories.
I try my damndest to never wait for that red flag. 3 yellow flags and we are transferring. 1 yellow perks me up, 2 yellows have me on guard, 3 yellows, we must go in. Might my transfer rate be a bit higher then others? Maybe. Some years for sure...others not so much. The key (my key) is to listen to my gut (some may call that the Holy Spirit). The end game is mom and baby being safe. Is there trauma? Yes, sometimes, but homebirth is not the be all end all. Hospitals and OBs are there for when we need them and I am grateful.