Episode 14: Queer Midwifery ft. Ray Rachlin LM, CPM, CLC
Certified Professional Midwives (CPMs) are a “fast-growing segment of the midwifery profession in the United States today. Certified Professional Midwives are trained and credentialed to offer expert care, education, counseling, and support to women for pregnancy, birth and the postpartum period,” according to the North American Registry of Midwives. As of 2016, there are a little over 3,000 CPMs practicing. According to the Journal of Midwifery and Women’s Health, “planned midwife-led home births in the United States show outcomes that are congruent with the best available data from population-based, observational studies that evaluated outcomes by intended place of birth and perinatal risk factors. Low-risk women experienced high rates of physiologic birth and low rates of intervention without an increase in adverse outcomes.” This study contains almost 17,000 low-risk home births with positive health outcomes. In December 2014, a controversial decision was made to Midwives Alliance Core Competencies. The model of care was revised, gender inclusive language to better reflect the diversity of midwives and the clients they serve, according to Midwives Alliance of North America. This week, we chat with Ray Rachlin about how to create a safe prenatal, postnatal and birthing experience for LGBTQI and nonbinary folx. Ray is a Licensed Midwife (LM), Certified Professional Midwife (CPM), Certified Lactation Counselor (CLC), and the President of the Pennsylvania Association of Certified Professional Midwives. Their practice, Refuge Midwifery, is currently based in Philadelphia, PA.
Meet Ray Rachlin
Besides being an intellectual and compassionate badass, Ray Rachlin is the founder of Refuge Midwifery. Ray is a Licensed Midwife (LM), Certified Professional Midwife (CPM), Certified Lactation Counselor (CLC), and the President of the Pennsylvania Association of Certified Professional Midwives. They trained as a birth doula with DONA (2010) and a postpartum doula with Ancient Song (2010) and later CAPPA (2011). They also hold a BA in Political Science, Urban Studies, and Labor Studies from Queens College, City University of New York. Ray is creating change in the concept of family planning and birthing by increasing accessibility to queer and transgender folx. Ray works with each and every client to decrease financial burden, particularly with queer and transgender people of color (POC). Ray and their cohert offer classes, trainings, events, and shadowing opportunities. For more information about Ray and Refuge Midwifery, click here.
Medical Studies and Publications
Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009, Cheney et al ***Non-inclusive of LGBTQI and nonbinary people in study
Development and Validation of a National Data Registry for Midwife‐Led Births: The Midwives Alliance of North America Statistics Project 2.0 Dataset, Cheyney et al. ***Non-inclusive of LGBTQI and nonbinary people in study
Sacred Vessel, Dr Angela Carter, Portland, OR
Jaqxun Darlin, CPM, LDM, Oakland, CA
MAIA Midwifery and Fertility, Seattle, WA
Family Equity Counsel, Supplies fiscal and legal support for LGBTQI and nonbinary individuals and families
Birth For Everybody, Advocacy Organization