Tiffany Williams, CNM

04/11/2026

Catch your favorite midwife in the Chalmette parade, row 3 neutral ground side.

04/10/2026

03/13/2026

A Day in the Life of a Midwife

It started like a normal day.

It was my husband’s birthday. Dinner plans were made. My son was coming home. Everything was perfectly lined up for a calm, predictable day.

Then my iPhone said:

Ding ding.

“I think my water broke.”

My response: “Head on in to Labor & Delivery.”

Inside my head: Please baby… not today.

Mom arrived and sure enough — water broken. Baby looked great. Mom looked great. Baby was head down and doing exactly what babies should do at term.

The only problem?

No contractions.

Which, honestly, isn’t unusual. Term prelabor rupture of membranes happens in about 8% of pregnancies.

When I examined her, there was still a forebag. Basically a second bubble of water just hanging out like it had no real plans for the evening. So we left it alone.

No unnecessary exams.
No rushing the process.

Because midwives know something very important:

Sometimes the best intervention is patience.

She was given time.
Time to eat.
Time to move.
Time to walk the halls.
Time to let her body lead.
She was educated on the risks and was allowed to make her decision.

Why?

Because in birth, mom is the captain of the ship. I’m just there to help navigate.

Hours passed.

Later… and later… and later…

Still no labor.

Eventually the forebag broke on its own — clearly it got tired of waiting too — but contractions still weren’t interested in showing up.

At that point mom decided she was ready for Pitocin.

And just like that, the train left the station.

Labor picked up quickly, just like I expected. She got her epidural, settled in, and things moved right along.

Then sometime in the early morning hours…

Ding ding.

“She’s almost complete.”

That message is medical code for:
You might want to hurry.

By the time I arrived she was ready to push. A few minutes later, with some strong pushes and a lot of determination, she delivered a beautiful baby boy.

And when I say he looks like his dad…

I mean he looks like someone took dad, shrunk him down, and ran him through a very high-quality 3D printer.

Mom did incredible.
Baby did perfect.

And me?

Well… I may have been a little late to clinic. Another baby was coming right behind this one.

But tiny humans that aren’t even mine usually dictate how my days go.

And that’s just another day…

in the life of a midwife. 👶

FACTS: Term prelabor rupture of membranes (Term PROM) is when the water breaks before the onset of labor. When this happens there are factors to consider that guide management. Is there an increased risk of infection, yes. If positive for Group B Strep, antibiotics should NOT be delayed. While induction is recommended if labor does not start shortly after arrival. The choice of expectant management is also appropriate. This is because 80% of women will go into labor in 12 hours and 95% will go into labor by 24 hours.
This is only appropriate with both mom and baby are stable and the mother has been educated on the risks.

03/13/2026

To provide high-quality care, midwives must be supported, respected and integrated within
a functional health system. Wondering what you can do to help in America? Visit our action center today and send a letter to your Congress member.
https://www.votervoice.net/ACNM/Home

02/27/2026

Pregnancy had been approached with intention from the very beginning. This mother didn’t leave things to chance—she immersed herself in learning, attended classes, and leaned into evidence-based guidance through sources like American College of Nurse-Midwives and Evidence Based Birth. Together with her midwife, she created a thoughtful birth plan—one that reflected not just her preferences, but her values. And importantly, it included space for the unexpected.

As her due date drew closer, she prepared her body and mind. Daily walks, hydration, intentional positioning—each step aligned with what she and her midwife had discussed. She trusted the process, even when waiting felt long.

Labor began quietly, then stretched on. Early labor tested her patience, but she remained grounded. She was supported continuously—her doula, deeply knowledgeable and reassuring, and her husband, steady and present. As labor intensified, exhaustion crept in. She made the decision to go to the hospital—not out of fear, but out of deep awareness of her body’s needs.

With guidance from her midwife, she accepted therapeutic rest. It was a pivotal moment—choosing rest instead of pushing through. And when she woke, her body had done incredible work: she was 8 centimeters dilated.

The room transformed into a space of calm strength. Lights dimmed. Music played softly. The scent of lavender and clary sage filled the air. Her support team remained close—offering hip squeezes, counterpressure, encouragement. Her labor unfolded just as she had envisioned: supported, respected, and hers.

She labored with her bag of waters intact until she felt ready. When she asked, her midwife honored that request. Labor continued to progress.

Then, an unexpected turn.

During an exam, her midwife discovered that her baby wasn’t presenting as planned. Instead of the crown of his head, his face was leading the way—a rare and unpredictable position. In that moment, everything shifted.

But not the support. Not the respect. Not the care.

Her midwife and collaborating physician stood beside her—not over her—offering options, time, and space to process. She was not rushed. She was not dismissed. She was included. They even tried techniques inspired by Spinning Babies, including a forward-leaning inversion, hoping to encourage baby to rotate.

But this little boy had his own plan.

And she, with clarity and strength, made the decision to move forward with a cesarean birth.

What followed was not a failure of a plan—but a powerful example of what true, patient-centered care looks like.

A mother who was informed, prepared, and deeply supported.
A doula and partner who never left her side.
A midwife who honored her autonomy at every turn.
A physician who collaborated with patience and respect.

And a baby—stubborn in his entrance, but absolutely perfect in every way.

She may not have had the delivery she originally envisioned. But she had something equally, if not more, important:

She had a voice.
She had choices.
She had a team who listened.

And she had a birth story defined not by how her baby arrived—but by how she was cared for along the way.

Make this a single image with all of the characters, who are Caucasian. Use the elements in the story to create the environment and ambiance. The setting is the hospital birth room.

02/26/2026

Why UTIs and Vaginal Infections Are More Common in Menopause

As women go through menopause, estrogen levels drop. This change can affect the va**na and urinary tract in ways that make infections more likely.

What Happens in Menopause
• Vaginal tissues become thinner, drier, and more fragile.
• The balance of healthy bacteria in the va**na changes. Normally, “good” bacteria help prevent infections.
• The urethra and bladder are less protected, making it easier for bacteria to cause urinary tract infections (UTIs).

How Vaginal Estrogen Can Help

Vaginal estrogen comes as a cream, tablet, or ring and works directly on the va**nal tissues. It helps by:
• Thickening and moisturizing the va**nal lining
• Restoring healthy bacteria
• Lowering the risk of infections, including UTIs and bacterial vaginosis
• Improving dryness, irritation, and discomfort

Safety and Use
• Vaginal estrogen is low-risk because it mostly stays in the va**na with very little absorbed into the body.
• It is a safe and effective first step for managing va**nal symptoms and preventing recurrent infections.
• Your provider can help you choose the form and schedule that works best for you.

Tip: Using va**nal estrogen consistently, even when you don’t have symptoms, helps prevent infections over time.

02/21/2026

Imagine this…

It’s Mardi Gras Day in Louisiana. The streets are alive—king cake in one hand, beads flying through the air, music thumping so hard your soul starts two-stepping without permission.

Enter: a 90s hip hop dance team (yes, THE vibe, the energy, the cardio nobody asked for but everybody needed) absolutely shutting down the parade route. We’re talking full-out, sweat-dripping, calorie-incinerating magic.

And me?

Out there in my Bad Mom uniform and Dunks like I had something to prove.

I turned down for WHAT.
I warned innocent bystanders to watch my shoes.
I tooted it up with Kane and Able like rent was due.

Basically—if you saw me, no you didn’t.

Then…plot twist.

From parade route chaos → straight to the delivery room.

Because babies don’t care about Mardi Gras.
Babies say, “Laissez les bons temps rouler…RIGHT NOW.”

So I swapped beats for heartbeats, Dunks for scrubs, and walked into L&D where mama was like, “Surprise! We doing this TODAY! I asked her to wait. She said no.”

And baby?

A whole Mardi Gras princess.
Not waiting. Not hesitating. Ready for her grand entrance like she had a float to catch.

Delivery was beautiful. Mom showed OUT—true queen energy. Calm, strong, unstoppable.

And me? Just standing there with a full heart thinking…

How did I go from dancing in the streets to catching a whole human in the SAME DAY?!

Only in Louisiana. Only on Mardi Gras. That Bad Mom - Midwife Life.

One day. Two callings.
Danced in the streets. Caught a baby.

And honestly? I’d do it all over again 💜💛💚

02/06/2026

Catch your favorite midwife on the route this weekend.
Eve - Row 9 passenger side!

02/01/2026

First week of Mardi Gras came in cold like it had an attitude, but the vibes? HOT. ❄️🔥 Somewhere between a second line and a fetal monitor, four babies decided this was their moment. While Krew of Titans floats rolled, The Bad Moms That Dance hit the parade route and Louisiana ‘99–2000 hip-hop rattled the streets (Cash Money takin’ over for the 99 and the 2000, obviously), a hospital birthing room became the most exclusive parade route in town.

Picture it: beads flying outside, legs flying inside. Mommas in labor timing contractions to the bassline, bands playing so loud the babies probably heard Juvenile say “HA” before they heard their own cry. The dads? Full hype crew. One fanning, one holding a leg, one yelling “YOU GOT THIS” like it was the Super Bowl, and at least one asking the midwife if the baby was coming before or after the next float passed. Priorities.

And the midwife—worn out, under-caffeinated, but absolutely in her element. Catching babies by day, catching the beat by night. She stepped out between deliveries, scrubs still on, to hit a quick two-step in the street because when the DJ drops your song, self-care is mandatory (You better hype your bestie up). Then right back upstairs like, “Alright mama, let’s push—on 3, like we practiced.”

By the end of the week: four babies born, four mommas crowned queens, dads promoted to official roadies, and one midwife walking on pure king cake and pride. The babies? They didn’t care about the cold, the chaos, or the music. They just showed up like, “Where the king cake at?” Mardi Gras will do that to you—whether you’re on a float, on the dance floor, or making the grandest entrance of all. 🎭💜💛💚

01/19/2026

Current Status: Back from the dead. 🧟‍♀️➡️👸

The past two weeks have been a blockbuster movie that started with a plot twist two weeks ago. I attempted to pin my life's chaos on last January's 'Snow-mageddon' and humans' tendency to hide from the cold TOGETHER, but apparently, that's not a valid excuse anymore - what a buzzkill.
❄️🚫

I've lost count of how many tiny humans I helped into this world during that time. My schedule? Chaos. My social life? A distant memory. 🏃‍♀️💨👶 No wonder the birth stories didn't get documented.

I have a habit of saying, 'I'll be there... unless I'm at a birth.' The universe decided to take me up on that challenge. I scheduled fun, the babies scheduled arrivals. Guess who won? Every. Single. Time. 🛑🍼

But honestly, I wouldn't have it any other way. This is the life I signed up for and Im here for it.

I wasn't just Sleepless in Louisiana; I was Sleepless Everywhere. I felt like a human version of a 'Low Battery' warning. 🪫🆘

BUT HERE'S THE THING: After an epic 11-hour sleep marathon, I returned to the land of the living on Thursday. Or maybe it was Friday.🏆💤

The bags under my eyes have been unpacked, my brain cells have reassembled - not sure they're getting along, though - and I'm officially back in the game. 💅

✨ So, world, watch out. I'm caffeinated, conscious, and ready to do it all again. Maybe give me five minutes, though.

01/19/2026

Last night: Mardi Gras season kicked off in Arabi, and this midwife chose chaos —in the best way possible. I danced the night away with my Bad Moms That Dance sisters to straight-up 90’s hip-hop jams. All the classics we usually bust out on the parade route… plus a few extra songs that definitely required knee braces and questionable life choices. Outfits on point, sweat dripping, joy at maximum capacity. Mardi Gras muscles were activated.

This morning: same midwife, different costume. Scrubs on. Hair questionable. An energy drink and Sirrinchi king cake latte mandatory.

I started the day with a laboring mom who got exactly the birth she wanted. Labor was uncomfortable (because duh, labor), but she was an absolute rockstar. Her nurse? Also a rockstar. Teamwork was elite. Vibes were intense. There may have been moments where we were not friends—because birth is a wild, antagonizing journey like that—but by the end, we were absolutely besties again.

And then… a beautiful baby girl made her grand entrance into the world. 💕

From dancing to 90’s hip-hop in Arabi to catching a baby the next morning—this is peak Mardi Gras energy and peak midwife life. Tired. Sore. Happy. And honestly? I’d do it all again.

01/17/2026

I’ve received a few messages from some of you on Facebook messenger inquiring about scheduling an appointment.

You can schedule through MyOchsner - probably the easiest.

The office IS NOT close to Slidell Memorial Main or at Slidell Main. It’s the office building in front of Slidell Memorial East Campus.

😘 See you soon.