Interview: Words from a Midwife

For International Midwives’ Day, we wanted to shine a light on the work of midwives. We met with Hortense, who, after eight years at the Les Bluets maternity hospital in Paris, now works independently in Bordeaux within the “Tribu du Bonheur.” In addition to being a midwife, she is also a sophrologist and acupuncturist, offering women a holistic approach to care.

First of all: why is it called a “sage-femme” in French?

The term “sage-femme” refers to the knowledge (“wisdom”) one has about women and everything related to women’s health. It is the art of midwifery. Contrary to common belief, the word “woman” here refers to the patient, not the professional (a man practicing this profession is therefore also called a “sage-femme” or “midwifery practitioner”).

Can you see a midwife even if you are not pregnant or planning to have a baby?

Yes — and more people should know that! Midwives are specialists in women’s health from puberty through menopause. They can handle your gynecological preventive care: contraception, Pap smears, painful periods, urinary tract infections, or cycle disorders. They work closely with gynecologists and will refer you if a condition goes beyond their area of expertise. Often, they are a more accessible alternative to booking an appointment with a gynecologist.

Is it normal not to enjoy being pregnant?

Absolutely — and that is completely okay. Pregnancy is a huge hormonal, physical, and psychological transformation, and everyone experiences it differently. Hormones, which we cannot control, can deeply affect the experience. Pregnancy also often brings unconscious emotions and memories to the surface. Some people even say that one pregnancy equals ten years of therapy because of how much it can reveal about your own story or your relationship with your mother. If you are not feeling well, do not hesitate to seek support and talk about it.

What scares you the most in the delivery room?

What is most intimidating are emergencies and unexpected complications that are beyond our control. However, everything possible is done to avoid them, and midwives work closely as a team with gynecologists to handle these situations when needed.

The craziest anecdote

Hortense remembers a birth during her internship in French Guiana. A woman came running down the hallway, and the baby arrived “like a cannonball.” The newborn was so slippery that Hortense caught the baby at the very last second before they hit the floor. An incredibly intense and fast moment that has stayed with her ever since.

Taboo question: does everyone really poop during childbirth?

That’s THE question everyone asks themselves! And if it happens, it is actually a very good sign. During labor, the body naturally empties itself. Physiologically, the rectum is located right behind the vagina: when the baby moves downward, it presses against it and empties what is there. It shows that the baby is in the right position and that you are pushing effectively. Midwives are completely used to it — they clean everything up discreetly, and often the mother does not even notice. If this really stresses you out, you can ask for an enema, but most of the time nature handles things perfectly on its own.

Is it bad if I do not want to breastfeed?

Not at all. Although breastfeeding has many benefits for the baby, the most important thing is that you feel good. A baby will be much happier with a relaxed and fulfilled mother giving a bottle than with a mother who forces herself to breastfeed, feels guilty, or suffers through it. It is a personal decision that you can discuss with your co-parent if you wish. You can also change your mind at the last minute or choose alternatives such as mixed feeding or pumping. The important thing is to listen to yourself and get informed with your midwife so you can make the decision that feels right for you.

A huge thank you to midwives

It is a fascinating profession filled with meaning — even if it is intense and sometimes difficult. Supporting women in their health, helping couples on their journey into parenthood, and being present during these life-changing moments is an incredible privilege. As Hortense says:

“We give ourselves completely… and that’s exactly what makes us passionate about this profession.”