Ashlee Hernanz Alvarez was 18 when she had her first daughter, Mimi. She was on Medicaid, and went to the only public hospital in Southern Nevada. She was not treated well. The labor and delivery nurses were understaffed, her doctor was not around, and when a fill-in doctor walked in, he treated her as if she was disturbing his night. Ashlee describes the birth as "savage." For her second birth four years later, Ashlee turned to a midwife. Her experience was far better. She got to watch comedy when her labor started, so she would be distracted by laughter. She got to use her oils and her birthing ball. And she caught her baby herself, as the midwife was cupping her hands as a back-up.

These choices are not ideal for everyone, but birthing at home used to be the norm. Until professional medicine took over. We talk to Ashlee, her midwife, Jollina Simpson, and sociologist Alicia Suarez about the history of home birth, and why and how it's making a comeback.

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American Dreams: Reproductive Justice is co-executive produced and hosted by Erika Washington, powered by Make It Work Nevada. The podcast is co-executive produced, written, and edited by Carrie Kaufman of Overthinking Media LLC. Music by Wil Black of Black Gypsy Music, with The Flobots. Artwork by Brent Holmes.