Breech & Twins
Some of the work that interests me most involves situations that don't always follow the expected path.
Breech presentation and twin pregnancy are often treated as reasons to narrow options. While these situations do deserve thoughtful assessment and careful decision-making, they are not automatically emergencies, and they are not all the same.
Over time, I've developed a particular appreciation for the questions these pregnancies invite us to ask. Why is this baby breech? What factors may be influencing position? What support might be helpful? What is unique about this pregnancy, this baby, and this family?
Rather than beginning with the assumption that variation is a problem to be fixed, I begin by trying to understand what I'm seeing.
Breech Birth
Breech presentation has become one of my primary areas of interest and continuing education.
I have pursued additional training through Breech Without Borders, Dr. Stu's breech and twin programs, the Born Free Breech & Twins Conference, hands-on breech workshops, and ongoing study with providers who continue to preserve and teach breech skills.
Much of my most influential breech training has come through Nicole Morales of ReStory Birthwork. Over the years I sought out multiple opportunities to learn from her, completing Breech Release Bodywork training, Spinning Babies® Aware Practitioner Training, Breech Basics (twice), and Birth From the Inside Out.
Nicole's work has had a significant influence on how I think about breech. As both a midwife and bodyworker, she brings an unusual depth of understanding to the relationship between maternal position, fetal position, movement through the pelvis, and the mechanics of birth. Her attention to detail and willingness to question assumptions has shaped much of my own approach. She remains one of my most valued teachers and mentors.
My interest in breech has grown far beyond formal trainings. Over the years, I have intentionally sought out opportunities to learn from experienced breech providers, participate in ongoing discussions with midwives across the country, and continue developing the practical skills and judgment that breech birth requires. In many ways, breech itself has become an apprenticeship within my broader midwifery education.
My interest in breech extends beyond the mechanics of birth itself. Breech babies often teach us something about the relationship between the baby's position, the mother's body, and the environment in which pregnancy and birth are unfolding.
What first drew me to breech was the baby itself. What kept me there was realizing how much it teaches us about birth as a whole. The same principles that influence a breech baby often influence head-down babies as well. Position, movement, balance, adaptation, and the relationship between the baby and the pelvis matter in every birth. Breech simply has a way of making those relationships easier to see.
Over time, that curiosity expanded beyond fetal position alone. The nervous system, soft tissues, movement patterns, daily habits, previous injuries, stress, and the ways our bodies adapt to life all influence pregnancy and birth in ways that are often overlooked. Breech has a way of bringing many of those relationships into focus.
Part of what motivates me is the desire to help preserve options for families. As vaginal breech birth has become less common, many women are never offered a meaningful conversation about alternatives to cesarean birth. Even among providers who continue to support breech birth, options are often more limited for first-time mothers. I believe women deserve accurate information, skilled support, and the opportunity to make informed decisions about their care.
I believe women deserve accurate information, skilled support, and the opportunity to make informed decisions about their care.
Twins
Twin pregnancy is another area that continues to hold my attention.
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 accurate information, skilled support, and a meaningful range of choices when navigating these pregnancies.
Twin pregnancies do carry additional considerations, and careful assessment remains important throughout pregnancy. My approach begins with ongoing conversation, individualized planning, and careful attention to the unique details of each pregnancy.
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 into additional training focused on baby position, comfort in pregnancy, and the relationship between soft tissues, movement, and birth.
As a Spinning Babies® Aware Practitioner, I incorporate positional awareness, movement, and hands-on support when appropriate. This may include simple adjustments, soft tissue work, or suggestions that help improve comfort and support the body's ability to adapt during pregnancy and labor.
This work is not about forcing a specific outcome. It is about creating conditions that allow the body and baby to work together more effectively.
Much of this perspective eventually led me toward specialized work with breech presentation. While many people think of breech primarily as a baby-position issue, breech often invites us to look more closely at the relationship between the baby, the body, movement, soft tissues, and the nervous system.
For families navigating a breech pregnancy, I also offer dedicated Breech Release Sessions focused on creating space, reducing restriction, and supporting the body's natural adaptability.
→ Learn More About Breech Release Sessions
Within my midwifery practice, however, hands-on support is typically woven into care rather than offered as a separate or routine service. Sometimes that may involve positional suggestions, soft tissue work, or hands-on support during a prenatal visit. Other times it may not be needed at all.
A Thoughtful Approach to Variation
Some providers are drawn to predictability.
I've always found myself more interested in understanding why things are unfolding the way they are.
Breech presentation. Twins. Positional challenges. Labors that don't follow a predictable script.
These situations often require a little more observation, a little more flexibility, and a willingness to stay curious.
That curiosity has shaped much of my continuing education and remains one of the things I enjoy most about this work.
If you're navigating a breech pregnancy, expecting twins, or simply looking for a provider who is comfortable with variation and complexity, I'd be happy to connect and talk through your situation.