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maternal health Archives - Healthy Mothers, Healthy Babies: the Montana Coalition

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

Celebrate National Home Visiting Week: April 21 – 25, 2025

By Early Childhood, pregnancy

National Home Visiting Week is almost here!

The week of April 21–25 is a time to spotlight the essential role home visiting programs play in strengthening Montana families during pregnancy and early childhood.  Whether it’s offering early nutrition and lactation support or simply providing encouragement and guidance during those overwhelming early days, the impact of home visiting is tremendous.

What Is Home Visiting?

Home visiting is a voluntary, evidence-based service that connects trained professionals—like nurses, social workers, and child development specialists—with expecting parents and families with young children. These programs provide coaching, education, and emotional support tailored to each family’s unique needs.

Why It Matters

Studies consistently show that home visiting leads to:

  • Improved maternal and infant health
  • Increased school readiness
  • Strengthened parent-child relationships
  • Reduced instances of child maltreatment
A Thank You to Montana’s Home Visitors

We want to take this opportunity to express our deepest gratitude to the home visitors across Montana who show up every day to support families. Your dedication creates ripples of positive change that last a lifetime. Thank you for the care, compassion, and consistency you bring to your work.

Home Visiting Frequently Asked Questions

(As featured in the 2024 issue of LIFTS magazine, alongside real family stories highlighting the life-changing impact of home visiting.)

What is a home visiting program and how can it benefit my family?

Home visiting is a voluntary, proven support and coaching service that strengthens families through pregnancy and early childhood. Trained home visitors, such as nurses and early childhood specialists, work with expecting parents and caregivers of young children, to build parenting skills and connect families with needed services to support optimal physical, social, and emotional child development.

Who can participate in a home visiting program?

Eligibility for home visiting programs varies by program, but some are available regardless of income or background. Currently, not all areas in Montana have the same access to home visiting programs, but statewide work is being done to change this!

Can both parents participate in the visits?

Absolutely! Home visiting programs encourage the involvement of both parents. Mom, dad, grandparents, siblings and any caregiver who is important in the child’s life are usually welcome to participate!

How do I sign up for a home visiting program?

The best way to sign up for home visiting is to reach out to a local program near you. You can use the LIFTS Online Resource Guide to find home visiting sites across Montana by typing in “home visiting” in the Search feature. If you have trouble locating one, please call the LIFTS Warmline at (406) 430-9100 for assistance.

What happens during a home visit?

During a home visit, the visitor will provide personalized support based on your family’s needs to increase your competence and confidence in parenting. This may include discussing your child’s development, answering parenting questions, providing lactation support, offering health and safety tips, and connecting you with community resources.

Is there a cost to participate in a home visiting program?

Most home visiting programs are offered at no cost to families. They are often funded by state or federal programs, non-profits, or community organizations.

What if I’m not able to have someone visit my home or I don’t have a home?

Home visiting programs are designed to be supportive and non-intrusive. If you have concerns, you can discuss them with the program coordinator to find a solution that works for you, such as virtual visits or meetings in community spaces like a library or coffee shop.

Will the program help with special needs or high-risk situations?

Yes. Home visitors are trained to support families in various situations, including those with special needs or who are experiencing high-risk circumstances. They can connect you with additional support and services as needed, such as medical case management by nurses for medically fragile children.

About the Montana Home Visiting Coalition

At Healthy Mothers, Healthy Babies, we’re proud to collaborate with the Montana Home Visiting Coalition, a network of home visiting professionals working together to advocate for families across the state.

Founded in 2021, the coalition was created in response to the growing need for expanded funding and equitable access to home visiting services. Despite strong evidence showing a high return on investment, waiting lists remain long, and many families are left unserved due to current funding limitations.

The coalition’s mission is to:

  • Expand home visiting availability statewide
  • Secure sustainable funding at both the state and federal levels
  • Ensure all Montana families have the opportunity to thrive

To learn more about home visiting in Montana or to find a program near you, visit hmhb-lifts.org and search “Home Visiting.”

 

7th Annual Perinatal Mental Health Conference Recap

By Community, Community Support, Maternal Mental Health, Perinatal Substance Use Disorders, Self-care

The HMHB team is grateful for the opportunity to reflect on the 7th Annual Perinatal Mental Health Conference. Returning to in-person convening, we valued the chance to connect face-to-face with participants, speakers, partners, exhibitors, and sponsors. We also enjoyed moments of virtual connection and were thankful to balance in-person and online options for people working across the state of Montana to support perinatal mental health. Our heartfelt thanks go to everyone who gathered in person or online to make this event meaningful.

Perinatal Mental Health 101

The conference kicked off in September with two bonus Perinatal Mental Health 101 sessions led by Dr. Samantha Greenberg. These foundational sessions provided valuable insights for individuals new to the perinatal mental health field or those looking to deepen their understanding of the basics. Dr. Greenberg’s content remains accessible to all on the HMHB website.

 In-Person Conference

On October 15-16, the in-person conference was held at the Delta Colonial Hotel in Helena, MT, where over 150 attendees joined for learning, connection, and sharing. Presenters thoughtfully crafted sessions on topics ranging from lived experiences in perinatal mental health to doula work and pelvic floor health. We are deeply thankful for the panelists who kindly shared their insights, lived experiences, and expertise. In a community engagement poster session, twelve groups from across Montana shared about their impactful, community-based work supporting perinatal mental health.

Keynote speaker, Dr. Pooja Lakshmin, offered insights on Real Self-Care from her bestselling book—a reminder of the importance of self-care for those dedicated to caring for others.

Another memorable moment was the screening of the documentary film SILOED, followed by a panel led by Director Hazel Cramer. This discussion covered the journey of making the film and thoughtful (and sometimes funny!) conversations among participants surrounding mental health.

 Virtual Advanced Training Sessions

Two days of virtual learning took place on October 22 and 24, covering Perinatal Substance Use and Perinatal Nutrition. These sessions featured local and national experts, allowing attendees to continue engaging and connecting through our virtual platform, Whova. You can explore the full conference agenda here.

 We Can’t Wait for Next Year!

We are already excited to start planning our 8th Annual Perinatal Mental Health Conference! To stay updated on next year’s conference dates and content, please subscribe to the HMHB newsletter or follow us on Facebook and Instagram.

 Thanks to Exhibitors!

Thanks to Sponsors!

pmhc SPONSORS

Thanks to Our Event Manager!

We also wanted to share our gratitude for our amazing Event Manager, Anna Strange. This event wouldn’t have been the same without her kindness, creativity and attention to detail.

We are grateful to all who participated for their support and contributions to this event!