In this episode of The Birth Lounge Podcast, HeHe sits down with Bronx-based doula and Bridge Directory founder Emilie Rodriguez for a real conversation about the uncomfortable truths inside U.S. maternity care. They talk about why the system is failing families and why avoiding hard conversations only keeps things the same.

HeHe and Emilie unpack the debate around doula certification, why some doulas intentionally remain uncertified, and how certification can sometimes become a tool for control within hospital systems. Emilie shares how Bridge Directory is working to create a more accessible pathway that allows doulas to work within institutions and bill Medicaid while still honoring traditional training, ancestral knowledge, and doula autonomy.

They also dive into the difference between true informed consent and the watered-down version often called “shared decision making,” the role racism plays in obstetrics, and why it’s unrealistic to expect doulas to fix systemic problems they didn’t create. This episode explores accountability, transparency in maternity outcomes, and why community, mentorship, and ongoing self-reflection are essential in doula work.

Guest Bio:

Emilie Rodriguez is a Black traditional birth and postpartum doula and medical anthropologist. She founded Ashe Birthing Services, a team of BIPOC doulas serving over 400 families a year in NYC, and co-founded The Bridge Directory, a platform of perinatal providers and professionals of color creating a new standard of maternal health. They are on a mission to heal the disparities in healthcare from within by training institutions and providers, redefining expectations in care, and closing the access gap. As an active Bronxite and reproductive justice advocate, Emilie is deeply passionate about her community and perinatal health. She is also a leading expert in policy-level change, particularly in advocating for doula pay-equity and the development of accessible doula qualifications and standardization, as doulas begin to accept insurance in New York City and New York State.

Connect with Emilie:

https://www.ashebirthingservices.com/

https://www.thebridgedirectory.com/

https://www.linkedin.com/in/emilie-rodriguez11/

SOCIAL MEDIA:

Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/

BIRTH EDUCATION:

Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet…
Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone?
Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app-download-page

LINKS MENTIONED:

https://www.thebridgedirectory.com/

Ep. 435: Anti-racism in birthwork with Emilie Rodriguez