This last episode of American Dreams: Reproductive Justice is about the best practices for achieving healthy pregnancies and births, and that involves working together.

We spoke to Dr. Saraswathi Vedam with The Birth Place Lab, a division of the University of British Columbia. This lab conducts research and helps provide equitable access to reproductive care. As stated on their website, the lab focuses on four sections of reproductive care: person-centered measurement of equity, quality, and safety; (2) designing and implementing accountability tools and systems; (3) improving health professional education on anti-oppression, anti-racism, and cultural safety; and (4) expanding representation in the perinatal research and clinical workforce.

We also spoke to Rosanna Davis, the President of CAL Midwives. CAL Midwives is an association of licensed midwives who provide reproductive care to patients and fight for reproductive justice in the state of California.

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American Dreams: Reproductive Justice is co-executive produced and hosted by Erika Washington, powered by Make It Work Nevada. The podcast is co-executive produced, written, and edited by Carrie Kaufman of Overthinking Media LLC. Music by Wil Black of Black Gypsy Music, with The Flobots. Artwork by Brent Holmes.

Ashlee Hernanz Alvarez was 18 when she had her first daughter, Mimi. She was on Medicaid, and went to the only public hospital in Southern Nevada. She was not treated well. The labor and delivery nurses were understaffed, her doctor was not around, and when a fill-in doctor walked in, he treated her as if she was disturbing his night. Ashlee describes the birth as "savage." For her second birth four years later, Ashlee turned to a midwife. Her experience was far better. She got to watch comedy when her labor started, so she would be distracted by laughter. She got to use her oils and her birthing ball. And she caught her baby herself, as the midwife was cupping her hands as a back-up.

These choices are not ideal for everyone, but birthing at home used to be the norm. Until professional medicine took over. We talk to Ashlee, her midwife, Jollina Simpson, and sociologist Alicia Suarez about the history of home birth, and why and how it's making a comeback.

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American Dreams: Reproductive Justice is co-executive produced and hosted by Erika Washington, powered by Make It Work Nevada. The podcast is co-executive produced, written, and edited by Carrie Kaufman of Overthinking Media LLC. Music by Wil Black of Black Gypsy Music, with The Flobots. Artwork by Brent Holmes.

Three women tell the stories of their traumatic experiences giving birth.

Amy Courts Koopman wanted a natural birth, despite a family history of pregnancy complications. She was in good health, but the pregnancy was tricky. Her birthing in-hospital midwife didn't read the notes in her chart. She was at one of the premiere hospitals in the U.S.

Brenda Zamora got pregnant at 18 with no insurance and working two jobs. She knew her diabetes was a complication to her pregnancy, but the high-risk clinic didn't flag anything. She gave birth at 30 weeks. Her daughter was born with a litany of issues, and would face multiple surgeries.

Erika Washington was giving birth to her second child. She went to the hospital and told the doctor to call her regular OB. They didn't. Instead they disbelieved she was in labor and sent her home with Ambien. She gave birth delirious and, as a 23-year-old Black woman on Medicaid, was accused of taking drugs and assumed to have no prenatal care.

These stories are told as one, with no narration. Might wanna grab your Kleenex.

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American Dreams: Reproductive Justice is co-executive produced and hosted by Erika Washington, powered by Make It Work Nevada. The podcast is co-executive produced, written, and edited by Carrie Kaufman of Overthinking Media LLC. Music by Wil Black of Black Gypsy Music, with The Flobots. Artwork by Brent Holmes.