In this episode, Augustine sits down with Rafia Islam, a midwife from Bangladesh with eight years of experience spanning refugee camps, mentorship roles, and one of Dhaka's busiest labor wards. Rafia walks us through her training, her path from data collector to midwife, and what a 12-hour night shift with 13 deliveries actually looks like.
The conversation turns to the realities shaping birth in Bangladesh: a cesarean rate as high as 80% in some private hospitals, the financial incentives driving unnecessary surgery, and the coercion many families face in the delivery room. Rafia also shares why midwives are legally barred from home birth in Bangladesh, how the country's neonatal mortality rate has dropped dramatically since 2000, and a harrowing memory of delivering a baby during a hospital fire.
This is a candid look at what it means to fight for autonomous, respected midwifery care in a system still learning what a midwife is for — and a reminder that no matter where you practice, the work of holding space for birth looks remarkably the same.
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What is Midwifery Wisdom Podcast ?
Welcome to the Midwifery Wisdom Podcast
This podcast is your go-to resource for practical education, thoughtful insights, and relevant conversations tailored to modern midwives.
Each week, we bring fresh content and engaging guest speakers to explore key themes in midwifery, including:
Advocacy, business, and clinical skills
Self-care and professional growth
Current issues shaping midwifery today
Listen to meaningful stories and essential advice from leading midwives working to elevate care for families across the globe. Gain clarity, encouragement, and actionable guidance to support your business, practice, and personal life.
Wherever you are in your journey, the Midwifery Wisdom Podcast is here to empower you. Together, we strive to make midwifery the gold standard of care worldwide.