Category

Native Cultural Connections

The Growing Movement of Indigenous Birthworkers in Montana

By Birth, Caregiving, Native American Initiatives, Native Cultural Connections

Written by Chelsea Bellon

Photos courtesy of Julianne Denny

 

In many Indigenous communities, birth is more than a medical event—it is a sacred ceremony, deeply rooted in tradition, community, and ancestral knowledge. While the term “Doula” is widely recognized today, its origins are tied to Western frameworks that may not fully capture the depth of Indigenous birthing practices. Long before Western society formalized the role of Doulas, Indigenous families, Elders, and community members played an essential part in supporting birth as a ceremony.

Today, many Indigenous communities use the terms Birthworker and Doula interchangeably, reflecting both historical traditions and contemporary roles. Birthworkers provide non-medical support before, during, and after childbirth, offering emotional, spiritual, and physical care. Birthworkers provide information around perinatal education, community resources, and advocacy support. Many consider this work a calling—”heart work” that centers ceremony and connection, creating a meaningful and supported start for both parents and baby.

Strengthening Indigenous Birthwork in Montana

Since the introduction of the Indigenous Full Spectrum Doula training to Montana’s Tribal communities in 2022, the movement of Indigenous Birthworkers has gained remarkable momentum. Trainings held across reservations have supported more than 80 Birthworkers, empowering those in both rural and urban communities throughout the state. Following training efforts supported by the Montana Obstetrics & Maternal Support (MOMS) program, newly trained Birthworkers sought continued education, mentorship, and community. In response, the Native American Initiatives (NAI) Program with Healthy Mothers, Healthy Babies – Montana (HMHB-MT) cultivated a space for growth, connection, and collaboration.

Through monthly gatherings, Birthworkers from across Montana have built a network to share successes, navigate challenges, and learn from one another. Under the leadership of NAI Program Director, Amy Stiffarm, the group has welcomed guest speakers and educators to help Birthworkers develop their skills and expand their impact.

  • Kendra Potter, a Birth Doula and Trainer from Missoula, has provided mentorship on balancing birthwork with family life and other job responsibilities.
  • Tina Begay of Redtail Accounting has shared insights on marketing, networking, and business growth for Birthworkers.
  • Diona Buck, representing the MOMS Program provided guidance and resources for Indigenous Birthworkers to engage and support families and elders in their communities. The Family Care Space initiative was formed to provide supplies for communities to create a breastfeeding and respite space for events such as pow wows, basketball games, health fairs, celebrations, and more. The Family Care space was intended to be led by the local Indigenous Birthworkers; 15 Family Care Spaces were sent out to rural and urban communities across Montana.
  • Most recently, the group welcomed Glenda Abbot, founder of the Indigenous Birth Justice Network in Canada, which now extends into Washington State. She introduced valuable perspectives on land-based birthing practices and the role of Birthworkers in community healing and revitalization.

Join the Indigenous Birthworker Network

The Indigneous Birthworker Network of Montana continues to grow, providing a space for Indigenous Birthworkers, past Doula training participants, and advocates to connect with a supportive community, access valuable resources, receive mentorship and advocacy to strengthen skills and expand culturally centered care. The Indigenous Birthworker Network of Montana fosters collaboration, ensuring Indigenous Birthworkers are recognized, supported and uplifted in their roles. The group meets every third Thursday of the month from 6:00 PM – 7:30 PM and welcomes those who are passionate about supporting Indigenous birthwork in Montana.

For more information or to join the meetings, contact Chelsea Bellon at chelsea@hmhb-mt.org.

Together, this network is strengthening the path for Indigenous Birthworkers, ensuring that birth remains a ceremony and community-centered care continues to thrive for future generations.

To find Doulas and Birthworkers near you, use the category “Doulas and Other Birth Professionals” on LIFTS!

linking infants and families to supports

HMHB in April Issue of Health Affairs

By Community Support, Maternal Mental Health, Native American Initiatives, Native Cultural Connections, Parenting

Behind the Scenes: A Strategy to Support Perinatal Mental Health By Collaborating With Tribal Communities in Montana (A note from our Executive Director, Stephanie Morton)

Hello HMHB Supporters,

I am elated to share that staff at HMHB authored an article that will be featured in Health Affairs, April issue on Perinatal Mental Health and Wellbeing.  You can link directly to the article and full April Issue (both are open access).

Led by Dr. Amy Stiffarm, PhD, MPH, Director of Native American Initiatives at HMHB, HMHB staff including myself, Dawn Gunderson, CLC, Program and Communications Coordinator and former Executive Director, Brie MacLaurin, collaborated with Nicole Redvers, Maridee Shogren, Terri Wright and Andrew Williams, to produce the article titled, “A Strategy to Support Perinatal Mental Health by Collaborating With Tribal Communities in Montana.” The article highlights work completed to include family-supporting resources on Reservations in Montana into the LIFTS Online Resource Guide (hmhb-lifts.org). This project was completed in partnership with HMHB and Dr. Stiffarm while she was a graduate student at the University of North Dakota in the Indigenous Health Program. Funding from the Montana Obstetrics and Maternal Support (MOMS) Program made it possible for the HMHB Team to fittingly engage Tribal communities in the process of mapping local resource relevant to pregnant and parenting families to be listed in the LIFTS Resource Guide.

The HMHB team is so appreciative of the funding, partnership and support that has allowed us to engage in this important work. Many of you have been key partners in this work and for that we are deeply grateful. Additionally, we are so thankful for the community members who shared their time and knowledge to improve the system of care for families in Indian Country in Montana. Please join me in congratulating Dr. Stiffarm and the team on this success. We are so proud to work with you all to continue to improve the health and wellbeing of Montana moms, babies and families.

Sincerely,

Stephanie Morton
Executive Director

 

Find Native Cultural Connections and other support in your community on the LIFTS Online Resource Guide at https://hmhb-lifts.org/.

Learn more about Dr. Amy Stiffarm’s work and our Native American Initiatives Program