When I walked out of my first prenatal with a homebirth midwife, I knew this was something to which everyone should have access. I wanted to find a way to make midwifery care more accessible to the Northern Neck of Virginia. It would be a big task, as the area presents special challenges. The only hospital on the Northern Neck closed its labor and delivery unit in 2004. A standalone birth center opened in 2010, but closed the next year due to financial challenges.

The happy little secret is that there are doctors throughout the world who either are already practicing in ways congruent with the midwifery model or are eager to learn how. I’m not wringing my hands over how few and far between they are, but rather exalting in the fact that some exist and that they are listening to what the midwifery world can teach them. Their presence doesn’t eclipse what midwives contribute, but enhances the birthing world by giving even more birthing women the opportunity to encounter a professional who will attend them with respect and patience. Besides, who among us couldn’t benefit from consultation with or backup from a supportive doctor?

In January 2010, I was asked to help the Teso Safe Motherhood Project in Soroti, Uganda, develop their family planning program. Family planning is important to safe motherhood; it can decrease maternal mortality and morbidity and help people have healthier families.

Shalon Irving died on January 28, 2017, from complications of high blood pressure and heart problems. She left behind a four-week-old baby girl. Shalon, 36 years old, was an epidemiologist and commissioned officer in the US Public Health Service (USPHS) at the Centers for Disease Control and Prevention (CDC).