When Pregnancy Doesn't Follow the Expected Path
If you've been told your baby is breech or you're expecting twins, you may have already discovered how quickly the conversation can change. What once felt like a straightforward pregnancy can suddenly become a series of recommendations that feel less like options and more like instructions.
Questions become more complex. Opinions become stronger. Recommendations are often shaped not only by your pregnancy, but also by the experience of the provider, the birth setting, and the resources available.
These pregnancies do deserve thoughtful assessment and careful planning. But they also deserve curiosity. Every woman and every pregnancy is unique, and every recommendation should be shaped by both the realities of the pregnancy and the woman living it.
Although this page focuses on breech and twins, the skills involved don't exist in isolation. Studying variations of birth has deepened the way I understand physiology, fetal position, movement, and the unfolding of labor more broadly. Most of the births I attend are beautifully ordinary ones, but birth doesn't always tell us ahead of time which skills we may need.
My goal isn't simply to help you choose between options. It's to help you understand the pregnancy you're living in well enough to make thoughtful, informed decisions.
The sections below offer a glimpse into the questions that continue to shape my approach to breech and twin pregnancy.
Breech Birth
For many women, discovering that a baby is breech changes the conversation around birth very quickly. Too often, the focus shifts immediately toward correcting baby's position or planning a cesarean, leaving little space to understand the pregnancy more fully.
My approach begins with curiosity. Why is this baby breech? Is there something influencing baby's position? Is there something useful to work with, or is this simply where this baby has settled?
My background in hands-on bodywork made these questions especially compelling to me and led me toward teachers who approached breech with curiosity rather than simply correction. Breech has since become a focused part of my midwifery practice. I continue developing my skills through hands-on training, simulation, mentorship, case review, participation in the larger breech community, and the practical experience of caring for breech pregnancies and attending vaginal breech births.
In many settings, the options offered for breech birth are shaped not only by the pregnancy itself, but also by provider experience, birth setting, policies, and available resources. I believe understanding those distinctions is an important part of informed consent.
I want women to have room for the full conversation, including the possibility that turning baby may not be the only path forward.
Twins
Twin pregnancy is another area of particular interest within my midwifery practice.
Part of what first drew me to twins was their natural overlap with breech birth. In many twin pregnancies, one or both babies may be breech, and that reality often has a significant impact on the options families are offered.
Much of my interest in both breech and twins comes back to the same thing: preserving options. Not every family will make the same decisions, but I believe families deserve access to good information, thoughtful support, and a meaningful range of choices when navigating these pregnancies.
Twin pregnancies bring additional considerations, and thoughtful assessment throughout pregnancy helps us understand the particular pregnancy rather than treating all twins as though they carry the same circumstances.
Rather than applying a single approach to all twins, I believe each family deserves care that reflects their circumstances, values, and goals.
Bodywork & Baby Position
My work with breech and twins naturally led me to pursue additional training in bodywork, fetal positioning, and the relationship between movement, soft tissues, and birth.
A baby's position exists within the larger environment of the mother's body. Maternal comfort, movement, previous injuries or surgeries, soft tissue balance, and the nervous system all contribute to the environment a baby is growing within. Working with those relationships can support comfort in pregnancy while creating more room for the body to adapt.
This work isn't about forcing a particular outcome. It's about working with the mother's body, baby's position, and the space between them in a way that supports movement and adaptation when useful.
For women who would like to explore helping a breech baby rotate, I also offer dedicated Breech Release Sessions, combining soft-tissue work with gravity, movement, changing angles, and gentle hands-on assistance to support rotation without forcing baby through a turn.
→ Learn More About Breech Release Sessions
Within my midwifery practice, however, hands-on work is simply one of many tools I may use. Sometimes that includes soft tissue work, positional suggestions, or body balancing during a prenatal visit. Other times, the most appropriate care is simply observation, conversation, or allowing the body to continue adapting on its own.
And Most Babies Are Head Down…
Of course, most babies are head down, most pregnancies aren't twins, and most births unfold without anything particularly unusual happening.
The curiosity that draws me toward breech, twins, bodywork, and fetal positioning is the same curiosity I bring to uncomplicated pregnancies. I want to notice how you're feeling, how baby is settling in, what patterns are emerging, and whether anything actually needs our attention.
There is value in understanding variation, but there is also tremendous value in understanding normal physiology well enough to trust it. Sometimes good midwifery means having the skills to navigate something unusual. Just as often, it means recognizing that everything is unfolding beautifully and leaving well enough alone.
Every Pregnancy Has a Story
No two pregnancies are exactly alike.
If you're navigating a breech pregnancy or expecting twins, and this approach to birth feels like home to you, I'd love to hear your story.
Every consultation begins with curiosity and honest conversation. From there, we can explore whether home birth is the right fit for your pregnancy and your family.