In recent decades, black women have generally shunned midwifery, a tradition among slaves from Africa. Now there are signs it is making a comeback.
was a key reason for switching to a home birth. As the coronavirus hit last spring, when Ayoola was around five months pregnant with her first baby, she was already frustrated with her obstetricians in Martinez, Calif. She didn’t like their system of rotating providers, to whom she felt she constantly had to reexplain herself. The last straw was being told to shop for a home blood pressure monitor. They were sold out everywhere.
On Aug. 1, Ayoola delivered her son Oluwatayo at home in Fairfield with her husband, Daré, and her mother at her side, following a 29-hour labor supervised by Jordan and her partner, Anjali Sardeshmukh. “At the hospital, I’d probably have had a C-section,” said Ayoola, who described her home birth as “an amazing, empowering experience,” worth every penny of the out-of-pocket $4,500 the couple paid for it — a discount, based on their insurance and income, from Birthland’s typical $6,500 fee.
Cost is a major barrier for poor people to access out-of-hospital births. Medicaid, the federal-state health insurance program that covers many low-income pregnant women, pays for home births in only a handful of states. Since 2015, these have included California, but reimbursement is low, and bureaucratic requirements make it difficult for most midwives to accept Medi-Cal, California’s Medicaid program.
Jordan led a free-standing birth center in San Rafael that was the first in California to accept Medi-Cal when it opened in 2016.
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