What if the way we care for new mothers is all wrong?

Not just lacking. Not just outdated. But built on a model that misses the heart and soul of what postpartum truly is — and what it could be.

When I was a home birth midwife, postpartum care was the care. I'd visit mamas and babies at home five or six times in the first few weeks. We’d talk about everything — from latch to lochia, sleep deprivation to soul shifts. It wasn’t "extra." It was essential.

It’s part of why I went into medicine, because as a midwife I saw too often, how in this precious, vulnerable, formative window for mothers and babies - care just disappeared for the mother after the baby was born. A first visit may have been 6 or 8 weeks after the birth, by which time mothers were struggling alone with overwhelm, breastfeeding challenges, or worse, anxiety, depression, isolation, and sometimes they’d given up breastfeeding because they had no support. And when they did get care, all too often they had to sit in waiting rooms, a baby and toddler often in tow, waiting for an appointment only to get 15 minutes with a doctor whose had no idea to support mothers postpartum.

This week on On Health, I’m joined by my long-time colleague and kindred spirit Dr. Eva Zasloff — a fellow family physician, artist, mother, and fellow revolutionary in postpartum care — to talk about the radical simplicity and profound necessity of caring for mothers in their homes, in their own rhythm, and on their own terms.

Inside the Episode We Talk About:

The surprising (and heartbreaking) truth about conventional postpartum visits
Why 20-minute clinic appointments can do more harm than good
Eva’s bold leap from family doctor to founder of Tova Health — a home-based, whole-person care model serving over 600 families
The “twilight zone” of early motherhood — and how we can hold space for it
What home visits offer that clinic visits never can
Why postpartum depression and anxiety are often symptoms of a broken system
The healing power of birth stories, coconut oil massages, and Zoom mama circles that make a difference

What Eva is doing with Tova Health, and what I’m doing with The Mama Pathway, are not just beautiful experiences for mothers— they’re necessary for maternal health. It’s a return to wisdom we’ve always known. And it’s a model I dream of seeing in communities everywhere.

If you’re a doula, a midwife, a family doc, or a mama (or someone who loves one), this episode will touch you deeply — and perhaps inspire you to bring this care into your own community or at least raise your awareness about the importance of listening to, being with, and supporting new mothers.

Loved this episode?

Share it with a friend, sister, or doula. Leave a review. Join us on Instagram @DrAvivaRomm and let us know what postpartum care has meant for you. And if you’re dreaming of a better way — whether you’re a practitioner or a mama — I see you. And this episode is for you.

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to avivaromm.com/mama-pathway to learn more

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