Mother of Thousands Midwifery

03/17/2026

The American College of Nurse-Midwives has released an updated Clinical Bulletin "Intermittent Auscultation for Fetal Heart Rate Surveillance" now available as an open access and member resource in 'sHealth
This Clinical Bulletin reviews the evidence supporting intermittent auscultation and provides clear recommendations for technique, interpretation, and documentation. In Canada and the United Kingdom, IA is the preferred method of fetal surveillance for individuals who enter labor at term without medical or obstetric conditions associated with uteroplacental insufficiency or increased risk of fetal acidemia. The American College of Obstetricians and Gynecologists likewise affirms that IA is acceptable for patients without complications.
The evidence base is clear: for appropriately selected individuals, intermittent auscultation is associated with equivalent neonatal outcomes compared with EFM and fewer cesarean and operative vaginal births. Operative births carry additional risks for both birthing people and newborns. IA also facilitates mobility, comfort, and physiologic labor progress, while supporting continuous labor support practices that are themselves evidence-based.
The bulletin outlines practical, implementation-ready guidance. IA should be used according to defined criteria, including clear parameters for when to convert to EFM. Recommended techniques include multiple-count methods (e.g., listening for 6 seconds and multiplying by 10, repeated several times), which appear more accurate than single-count approaches. Listening through contractions, rather than only between them, improves detection of periodic or episodic changes that may warrant escalation. Documentation should use approved terminology and reflect both auscultated characteristics and the broader clinical context of labor.
This updated Clinical Bulletin was developed under the guidance of ACNM’s Research and Standards Committee and reflects interdisciplinary collaboration and expert review. Authors: Kristen Ostrem-Niemcewicz CNM, DNP, FNP-BC, Jessica Holm CNM, MSN, Lisa Kane Low CNM, PhD
For clinicians, educators, administrators, and policy leaders, this resource provides research-grounded guidance to support safe, evidence-based, and autonomy-respecting intrapartum care.
Available now at JMWH.org

03/08/2026

Happy International Womens Day to you and your village and to the Matriarchs. To the girls’ girls, to the teachers and the students, to the healers and the wounded, to the waymakers and the aspired. To the women who prioritize gathering in support of community over gossip and competition. To the mothers and their mothers and their grandmother who watch over them as they journey together to magnify their lineage. May we continue to unite in support of one another, may we be unafraid to hold each other through our differences, may we continue fighting for what’s right and for what is good; even when it’s hard. 👩🏼‍🦱👩🏻‍🦱👩🏽‍🦱👩🏾‍🦱👩🏿‍🦱

📸:

03/06/2026

03/02/2026

I haven’t introduced myself in a long time so I just wanted to say hi to any newcomers because I’m not on social media very often 👋🏽

I’m Nicolle, a Florida Licensed Midwife living my wildest dream of serving the Central Florida community. As a Puerto Rican midwife, I am passionate about bringing traditional midwifery back into our communities through cultural traditions, holistic and herbal support, education and informed consent, and family-centered care every step of the way. It is one of my life’s greatest honors to carry on my family’s legacy of midwifery. ✨

I became a midwife after witnessing how medical systemic racism interferes with quality and timely care for Black families. It is crucial for me to move with kindness and an understanding that everyone deserves to feel heard, respected, and cared for. From the beginning to the end, I am here to support you as your midwife, your community member, your neighbor, and your friend. 🤎

📸:

03/01/2026

As Black History Month comes to a close, the irony is not lost on me that Black History is still actively being erased. That American Midwifery is still being gentrified by the day; glorified by social media instead of preserved in its traditions by those who created them. That Black Midwives and families are still having to have conversations that are way more important than what stroller brand is nicest or which birthing tub is cuter. Not just during Black History Month, but every single day.
It’s really not hard to treat your neighbor with the same love you’d give your family. Despite every obstacle, love persists. Each day is an opportunity to work towards creating a world where everyone can be their authentic selves without the fear of judgement from the person across from them 🤎

📸:

01/15/2026

😅😅 what a way to start 2026! *insert silent scream before taking action to work around obstacles, just like all midwives do*

In these situations, typically midwives will send out messages to their clients to advise them of the outage with a back up plan on how to get in touch with them in case a concern arises or labor is happening. We’ve always got a back up plan for the back up plan to keep you and your baby safe!

Luckily, we have AT&T 🤪 but, of course, we are praying that everyone on call was able to support their families and that no families or babies were negatively affected as a result of the outage.

12/31/2025

While I am grateful to do what I love, 2025 was a really tough year for me in my personal life and so I was excited to hop on this trend to remind myself of the good that came from it! I greatly look forward to 2026 and all of the adventures that will come with it. Thank you to every family that has trusted me to support them in any way, shape, or form this year, I do not take that trust for granted. 🫂🫶🏽

Photos as always by the forever talented