Tiffany Williams, CNM

05/14/2026

A landmark global initiative has renamed Polycystic O***y Syndrome (PCOS) to Polyendocrine Metabolic Ovarian Syndrome (PMOS), reflecting current scientific understanding of this complex endocrine and metabolic condition affecting more than 170 million women worldwide.

Midwives recognize that PMOS is far more than a reproductive condition; it is a complex, lifelong endocrine and metabolic health issue that can affect physical, emotional, and reproductive well-being across the lifespan. This updated terminology reflects the holistic, person-centered care that midwives provide and supports earlier diagnosis, better treatment, and improved health outcomes for those affected.

05/13/2026

This should have happened a long time ago. PCOS, now PMOS, is one of my favorite things to treat. It’s also the most under diagnosed disorder due to its complex nature and lack of knowledge regarding the diagnosis and treatment.

“Lose weight” they say. It’s not that simple for someone with PCOS. And, not all patients with PCOS are overweight or obese.
Not all ovaries appear polycystic on ultrasound. Nor is it required for diagnosis.

FINALLY! Someone gets it. 🙌🏼🙌🏼
This makes my heart happy.

Polycystic o***y syndrome, or PCOS, has just been given a new name that experts say better reflects the nature of the condition.

05/10/2026

Many patients question Vitamin K at birth. THIS is why it’s one thing I recommend at birth.

US doctors are sounding the alarm that an increasing number are declining vit K at birth.

As doulas, we don't give medical advice, we share evidence-based info.

Vitamin K shot has been recommended since 1961 in the US. Vit K impacts the body's ability to properly clot and prevent bleeding.

Why? Vit K is a fat soluble vitamin humans do not produce and don't store well. Older infants can maintain vit k through diet.

Newborns have low levels as it doesn't transfer well from the pregnant person to the baby.

Human milk doesn't have high levels of Vit K.

Most infants' blood will clot even with naturally low levels, but some babies will not. We aren't sure which until bleeding occurs.

Why is vit k given to babies? In the 1930s, a Dutch scientist discovered vit k deficiency caused Haemorrhagic Disease of the Newborn (HDN), now named Vitamin K Deficiency Bleeding (VKDB) as it can occur after the newborn period.

Since 1961, we have over 60 years of data showing the vit k shot reduces the risk of VKDB. There is also data showing oral vit K reduces the risk, however, it has not shown to be as effective as the shot.

What is the risk of VKDB? The overall risk is low. However, once it occurs it can be life altering and even fatal. Classic VKDB is more common but often less severe. Late VKDB can be severe.

Among infants who do not receive the vit k shot: Risk of classic VKDB (first week of life), depending on the source is 0.25% to 1.5% of newborns (250 to 1,500 out of 100,000) or 0 to 0.44% (0 to 440 out of 100,000)

For late VKDB, no vit k: 4.4 to 7.2 infants out of 100,000 will develop late VKDB

One dose oral vit k at birth: 2.6 infants out of 100,000 will develop late VKDB

Oral vit k at least 3 doses in infancy: 0 to 0.9 infants out of 100,000 will develop late VKDB

Vit K at birth, anywhere from 0 to 0.4 infants per 100,000 get late VKDB. The shot doesn’t prevent every case of late VKDB, but most countries report incidence rates of 0 or close to 0.

So, should your baby get vit k?

Research shows it reduces the risk of VKDB.

Parents should look at the evidence, chat with providers, and make informed decisions for their child.

05/10/2026

Today, on Mother’s Day, I want to take a moment to honor all of the incredible mothers I’ve had the privilege of caring for throughout their journey to motherhood.

Thank you for trusting me during some of the most vulnerable, beautiful, and life-changing moments of your lives. From the first positive test, to anxious appointments, to joyful deliveries, and every moment in between — it has been an absolute honor to walk beside you.

Watching women become mothers, grow in confidence, and love their babies so fiercely is one of the greatest gifts of my career. Your strength, resilience, and unconditional love inspire me every single day.

To all the moms, moms-to-be, those hoping to become mothers, and those carrying the memory of children in their hearts — today, I celebrate you.

Happy Mother’s Day 💕

Love,
Your Midwife

05/07/2026

05/07/2026

Did you know babies have super tiny stomachs at birth?

If it doesn't feel like you have a lot of milk the first day it's because you're not supposed to. The first couple days is about telling your body baby has been born and you're ready for milk. And baby is getting tiny amounts of nutrient dense colostrum.

Because their bellies are tiny, they eat VERY frequently the first several days of life. The good news? This stage of breastfeeding isn't forever!

By day 10, they're able to comfortable consume 1
5-2oz at each feeding. This allows them to stretch time between feeds.

Over the next several weeks after a few months, they'll eventually reach peak volume and some babies might consume 2-5 ounces of breast milk. This is when babies are able to go longer between feeds.

Were you surprised by how frequently your newborn ate?

05/07/2026

Today’s vibe:

Literally living on caffeine and a prayer looking for buddy to lock arms with so we can skip down the yellow brick road in search of the wizard who MUST give me a new brain. This one is tired.

I really do love this life and the amazing physicians I work with.

04/24/2026

This one is for all the men out there. You are not alone. Someone else is hearing your same complaints. He just decided to turn all the complaints via text into a song. 🤣

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.