The Great Birth Rebellion · Dr Melanie Jackson

Episode 190 - When do I NEED an obstetrician?

·1 hr 17 min·8 clips
Obstetrician Michelle O'Donnell believed his own profession was wrongly trying to lay claim over the full pregnancy and birth experience.
Dr. Melanie Jackson analyzes when obstetrician involvement is medically necessary versus unnecessary in maternity care, citing extensive research showing better outcomes for low-risk women under midwife-led models. She outlines specific medical complications that warrant obstetric expertise and critiques systemic over-reliance on medical intervention.

As heard by us

A clear, pro-midwifery discussion of when obstetric care joins the team.

The discussion stays centered on when midwifery-led care should bring in an obstetrician. Melanie Jackson frames referral as the point where another clinician joins the team, not a handoff that erases the primary provider.

Read the full review in PlayNext →

Why you'd press play

You want the line between midwife-led care and obstetric referral.

Read the full recommendation in PlayNext →
Listen to the show on