E74: People, Place, and Policy: Birth's Hidden Players

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Birth is influenced by three major stakeholders with different objectives: the birthing people, the birth place, and the policies governing care. Understanding the "Three P's" helps expectant parents navigate their birth journey and identify where their interests align with the larger healthcare system.

• Birthing people want safety, support, a voice in their care, and a positive, meaningful experience
• Hospitals focus on clinical safety while balancing risk management, efficiency, standardization, and resource allocation
• Insurance companies prioritize cost management but share interests with families in reducing unnecessary interventions
• Birth centers often have more alignment with birthing people's objectives than hospitals do
• Doulas create value by improving outcomes in ways that benefit both families and insurance companies
• Even within large healthcare systems, families can make requests that personalize their care
• Human connection and compassionate care significantly impact the birth experience

Please reach out today and make a human connection. Do something kind for someone nearby – whether a stranger or someone you know – and you won't regret it.

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Show Credits

Host: Angie Rosier 
Music: Michael Hicks 
Photographer: Toni Walker
Episode Artwork: Nick Greenwood 
Producer: Gillian Rosier Frampton
Voiceover: Ryan Parker