This week on the podcast, Blyss and Stu take a hard look at what’s happening to the world of doula support as insurance and institutions move in. They’re joined by two seasoned doulas, Ivy Joeva and Shellie Poulter, who bring decades of experience advocating for women in birth. Together, they unpack how policy, regulation, and insurance reimbursement can quietly shift doula care away from individualized, relationship-based support and toward institutional control. They talk honestly about what’s gained, what’s lost, and why protecting the integrity of doula work matters if we truly want better birth outcomes.

About Ivy:

Ivy Joeva is a doula, coach, and educator serving women and couples seeking a conscious path to parenthood. She provides support throughout the childbearing year, including fertility coaching, holistic preparation for birth, postpartum recovery care, and counseling for all forms of pregnancy loss.

Rooted in a trauma-informed, mind-body approach, Ivy sees these transitions as opportunities for transformation and healing. A graduate of UC Berkeley and the Institute for Integrative Nutrition, Ivy became a doula in 2009 and serves clients across the United States and abroad.

Instagram: @IvyJoeva

Website: ivyjoeva.com

About Shellie:

Shellie trained in Osteopathic and Naturopathic medicine in 2005 and has been working as a doula/birth keeper and cranio-sacral therapist, mentor and lecturer for over 20 years. She teaches birthing biomechanics and trauma and birth rights informed, non-violent communication courses as well as co-hosting The Birth Untethered Podcast with former midwife and Birthkeeper Kemi Johnson. Shellie lives on a narrowboat with her family, exploring the English countryside whilst campaigning for human rights in birth.

Instagram: @theserenitydoula

Website: theserenitydoula.co.uk

References:

Culture Apothecary with Alex Clark: The Phenomenon Of Parents Opting Out Of Birth Certificates For Their Kids | Midwife Lindsey Meehleis

Dr. Pompa Podcast: What You're Not Told About Birth in the Hospital System with Dr. Stuart Fischbein

The Way Forward with Alec Zeck: Ep 213: The Corrupted World of Medicalized Birth with Dr. Stu Fischbein

The Way Forward with Alec Zeck: Ep 214: Exposing the Most Dangerous Childbirth Myths & Procedures with Dr. Nathan Riley

Discussed in This Episode

Role of Doulas in Individualized Care

Challenges Faced by Doulas

Insurance and Doula Services

Impact of Doula Support on Maternal Outcomes

Regulations and Restrictions on Midwives and Doulas

Navigating Hospital Policies as a Doula

Financial and Operational Challenges for Doulas

Advocacy and Support Strategies for Doulas

Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care

This show is supported by

Wholesome Organics Beauty Company | Go to wholesomeOBC.com and use the code INSTINCTS for 20% off your order.
WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order, or wenatal.com/birthinginstinctswnp for the new Protein + offer.
Christian Hypnobirthing | Go to christianhypnobirthing.com and use the code BI50 for 50% off the first three months of your monthly subscription.
Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
Girls Who Know | Go to girlswhoknow.com and use code INSTINCTS for 15% off

Connect with Dr. Stu and Blyss

Join our Patreon! patreon.com/birthinginstinctspodcast
Instagram: @birthinginstincts/@birthingblyss
Website: birthinginstincts.com/birthingblyss.com
Email: birthinginstinctspodcast@gmail.com
Podcast webpage: birthinginstinctspodcast.com

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#451: We are not packaging sausages - Why Doulas should remain independent with Shellie Poulter & Ivy Joeva