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 Advertising Inquiries: https://redcircle.com/brands