Pushed Into Free Birth: What Happens When Choice Runs Out with Fiona O’Shaughnessy
1 hr 3 min Video
What happens to birth choice in Australia when the midwife insurance exemption ends on 31 December 2026? In Episode 16 of The Birth Series, Keshia Tognazzini talks with doula, birth educator and Hygieia Health advocate Fiona O’Shaughnessy about where things stand in the birth world right now. Fiona explains the insurance issue facing second midwives. If second midwives can’t afford to attend births, primary midwives can’t attend home births either. That could leave women with only two options: a highly medicalised hospital birth, or a free birth they may not have chosen. They also talk about how the media covers free birth and the people who support it. They look at the gap between the headlines and what really happens in the community. They talk about birth trauma and the NSW inquiry: more than 4,000 people made submissions, it made 43 recommendations, and Fiona says only one has been implemented. And they ask why systemic problems keep being blamed on women, doulas and birthkeepers. Fiona also shares the story of Hygieia Health. The charity is dedicated to preventing and healing birth trauma. In August 2026 it opened Hygieia House in the Northern Rivers, a community hub for education, birth, postpartum and support for birth workers. Its long-term vision is an independent birthing hospital, “in our lifetime.” In this episode: Why the midwife insurance exemption matters, and why the issue is about choice, not home birth How a lack of options can push women into free birth for the wrong reasons The midwife shortage and the toll of being on call How the media portrays free birth, stillbirth and birth workers The extremes in birth culture, and the large middle ground most families are in Hygieia House: what it offers, who it’s for, and where it’s heading Why separating mothers and babies makes no sense, and what the evidence says “It’s not a people problem, it’s a system problem” How you can get involved: rallies, screenings and events 🗓️ Upcoming events Allo...