E3 Show Notes

ACT 1

Joya Lewis: So I began doing research, and I found other birthing centers, but they were really far.

[MUSIC: Mikhail Galkin – Unlock]

And when I did find some in LA, when I put in my address, because I’m located in South Central, they said they wouldn’t serve this area. I was out of the radius. 

 

KF: Joya Lewis was on a mission. She was in her 20s and expecting her first child with her husband. 

Even before her pregnancy, she hadn’t had great experiences in hospitals in Los Angeles, where she lives. 

So she wanted something different in her prenatal care. To find a provider that would really care for her and her growing family. 

 

Joya Lewis: So I prayed on it. And right before I was about to lose hope,

[SFX: Typing]

 I ended up seeing a YouTube video. 

[SFX: Typing ends on final keyboard click]

And it was Kimberly and Allegra. And it was mentioning what they do.  

 

KD: We’re both licensed midwives. We also are lactation consultants. 

AH: We’re located in south Los Angeles which is one of the hardest hit areas for maternal mortality. 

 

KF: And that’s how she found Kindred Space LA. 

 

AH: There are no other birth providers in this community. It’s just us. 

[MUSIC: Mikhail Galkin – Unlock fades down and out]

 

I’m Kaytura Felix. You’re Listening to Deep Care. 

[MUSIC: Show ID]

A podcast about the Black community midwives transforming Black families and futures.

[MUSIC: Show ID runs and fades out]

 

KF: Less than 2 percent of births happen in communities outside the hospital. These births can happen at home, like for Monica and Brittney, who we met in Florida. And they can also happen in a birth center, like Kindred Space LA. 

[MUSIC: Jazzy keyboard improv loop]

 

In our research, birth centers stood out to me. For one, they are led by midwives. And two, they use a collaborative model of care. 

At Kindred Space, birthing families receive deep care from their midwives. But they also get connected to doulas, medical providers at partner hospitals, and other families who go to the center. 

These groups become part of a circle of support that ripples out into the community.

And that kind of care runs on partnership. That’s what defines collaborative care. 

[MUSIC: Jazzy keyboard improv loop ends]

 

KF: Joya’s midwife is Kimberly Durdin, a co-founder of Kindred Space LA. 

[MUSIC: Sparkle Brightly – Paul Lawler]

 

Kimberly is a magnetic woman. During my time with her, I watched as she made everything and everyone around her sparkle. She stays busy, and has worked in this field for a long time.

 

[KIM COLLAGE: I like became a lactation consultant eventually and then got a job at Howard University Hospital, helped Dr Michael Young….(duck under) 

 

KF: Hearing her share her early birth worker years… It seems like she’s connected to every Black maternal health organization there is. 

 

Kimberly Durdin: (duck back up)  I got to help them  open their first lactation center, i worked there for a while, I was affiliated with an organization called the African-American Breastfeeding Alliance, the woman who had that organization was one of my oldest and dearest friends…. (duck under)

 

KF: In many ways, Kimberly has been on a lifelong journey leading to midwifery. And hearing her family story, it feels like it was bound to happen. … At least, that’s how Kimberly’s own mother, Ms. Selma Durdin, sees it…   

[MUSIC: Sparkle Brightly – Paul Lawler fades out]

 

Selma Durdin: I get a little emotional when I recall this whole time of growth and Kim reaching this dream. 

 

KF: This commitment to care is in Kimberly’s blood, in the very DNA of her family. 

 

Selma Durdin: In particular, I remember two young women who were going through very hard times and had had babies and were struggling trying to care for their babies and my mother took them in to help guide them. 

Selma Durdin:  And little did we know, and I was a young girl then, but in that time when my mother was helping young women (chokes up)…that one day her granddaughter would be a midwife doing the same service and reaching out to families in a much, much bigger way…

 

KF: That bigger way is Kindred Space. Together with her co-founder and fellow midwife Allegra Hill, Kimberly leads a team of midwives and assistants. And they’ve invested in training up a new generation of Black and brown birthworkers.  

[MUSIC: Downtown LA – Luke Sanger]

 

It’s incredible to see what they’ve been up to, how they serve families like Joya’s. But first, let me tell you how this whole thing got started… 

 

ACT 2

KF: In 2018, Kimberly and Allegra opened their first birthing space. They worked out of an office building right on the border of L adera Heights and Inglewood, two predominantly Black and Latino areas in South LA. 

 

Kimberly Durdin: And it was so beautiful because people would walk over. People were like, “I just live right around the corner.” They’d walk over, and it’s like, “Yes, that’s what we wanted.” 

 

Nationally, only 5-6% of birth centers are owned or operated by people of color. The original Kindred Space was small, but it was a big deal to have a community space like that. 

Especially at a time when all people were talking about was, as Kimberly says,

 

Kimberly Durdin: Maternal mortality, maternal mortality, maternal mortality, maternal mortality. And it was just kinda like, oh well this is how it is. 

 

She had HAD it with hearing about the negative statistics at conferences, in media, from her peers…hardly anyone was talking about solutions. Opening the doors to Kindred Space meant doing something about the problem. 

And setting up shop in South LA made their space accessible to the communities they wanted to reach and needed their service.

 

Joya Lewis: Especially how Kindred Space serves South Central, that’s the biggest thing.

[MUSIC: Downtown LA – Luke Sanger fades out]

 

JL: Because it’s so hard being a black birth person. And then it’s even harder being a black birth person and you’re low income, so that’s extremely important.

 

KF: Joya didn’t want hospital care for her pregnancy. But it seemed like that was the only care she could access or afford. 

After she found Kindred Space online, she dreamed of getting care there. But the reality was, they had a waiting list and she wasn’t high up on it. 

At the time, Joya was enrolled in WIC, a federal program helping low-income families access food and healthcare. She told her counselor she wanted a home birth. 

They connected her with resources that could actually get her into Kindred Space and help cover her birth. It changed everything.

[MUSIC: Stems from Aves – Sunshine]

 

Joya Lewis: Black midwifery is our saving grace to Black mothers. // It’s just bringing us back to our roots. 

 

KF: But as excited as Joya was to be switching to community midwifery, some family members were a lot more skeptical.

 

Joya Lewis: So they were kind of on the fence because they’re used to the traditional medical system, and they didn’t really know– they had never heard of Kindred Space or really knew what they were about. And then they were like, “Oh, you’re paying for it out of pocket” or whatever. “You could  just use your Medi-Cal,” and stuff like that. But I was like, “This is definitely worth it to pay out of pocket.” If they could actually experience the type of care that I was getting, they would see how worth it this is. 

 

KF: We learned from our study that comprehensive midwifery care, prenatal, labor and delivery, and postpartum, can cost between five and eight thousand dollars. But that  may not include lab tests and birthing supplies.

Insurance coverage varies greatly state by state. For community midwives, the coverage is often poor. And even when it’s covered, it is poorly reimbursed. 

That kind of cost could price out families seeking care,

[MUSIC: Stems from Sunshine – Aves fade out]

 so Kimberly and Allegra knew Kindred Space had get creative.

 

Kimberly Durdin: How can we keep the cost of care low, lower it for people who are paying out of pocket? 

 

KF: Kimberly and Allegra decided on the group model of care. 

[MUSIC: Sounds and Dreams – Andy Quin]

Midwives lead group discussions for birthing people who are all delivering around the same time. They cover pregnancy, childbirth, lactation, and postpartum.

Group visits last around 90 minutes, replacing the con ventional 10-15 minute one on one with a provider. 

During these visits, families leave the discussion for belly checks or private consultations. 

Seeing clients together alleviates two big stressors, particularly for the families. For one, it decreases the cost of services. 

Clients can expect to pay between 2 and 5 thousand dollars for their overall care. That cost is still out of pocket, but Kindred Space also offers payment plans. 

And second, the group model lessens families’ isolation. It allows them to get to know each other, and to build community with other pregnant people.

The model works because facilitators like Kimberly, are experts in making clients feel comfortable with each other, and with their changing bodies.

 

Joya Lewis: Meeting Kimberly, she has such a warm, inviting spirit, and she’s very mothering. So it just feels like you’re talking to a family member [laughter] most of the time Like, helping me let my guard down, to let you know, “This is your safe space. You’re okay. Don’t worry about it.”

[MUSIC: Sounds and Dreams – Andy Quin ends] 

 

I really appreciated that in my appointments if I had any questions like, “Why is my baby always on the right side?” Even if it seemed, to me, a silly question, she would always be open to you know, giving you knowledge and helping you understand yourself and your body more throughout pregnancy.

KF: With Kindred Space, Joya’s whole world expanded. Not only  did she have access to Kimberly, Allegra, and their full midwifery staff at the center, but so did her husband.  

[MUSIC: Spellbinding – Vince Gabriel] 

 

Joya Lewis: I felt umm, like when we would go to our doctor’s appointments to see our OB, they would always exclude him. He would ask questions, and they would be like kind of disrespectful. Sometimes they would just ignore him and just talk straight to me like he’s not even there. I’m like, “He’s the father of my child. If he has a question too, he should be treated just as well as I am. You should have the same amount of concern because we’re in this together.

 

KF: But with the midwives at Kindred Space, it was never like that. 

 

Joya Lewis: They made us feel like a family by including us both in the experience and holding space for us both.

 

KF: Around pregnancy and childbirth, men are too often treated like ‘second-class citizens’. This is especially true for Black men who are too often stereotyped as absent, despite their documented involvement. 

Research shows us time and again that when dads are involved, the whole family benefits. Black community midwives like Kimberly Durdin understand this. 

 

Joya Lewis: He’ll be like, “Oh, I’m not trying to take up the space too much.” He was like, “Because I know you’re pregnant, so I kind of try not to say too much.” 

[MUSIC: Spellbinding – Vince Gabriel fades out] 

 

Joya Lewis: So during that time, she was always asking him questions like, “How are you feeling being a new dad?” She was always suggesting the Donuts with Dads support group. 

 

KF: When it comes to the community building that Kindred Space does, Donuts with Dads…[pause] (smile) is a perfect example.

Kimberly recruited her son-in-law to start hosting a weekly support group for partners of Kindred Space clients. They called it Donuts with Dads. 

 

Kimberly Durdin: I was holding mom’s groups weekly. And Allegra was like, “We need something for the dads.” I’m like, “Yeah. We do.” 

 

They called it Donuts with Dads.

[MUSIC: Walz – Major Warren]

 

The way Kimberly tells it, the morning of their first meeting was iconic.  

 

Kimberly Durdin: And then we start to see dads come. And let me  tell you something. It was a sight. They were dressed, dressed to the nines. They were proudly pushing their babies, coming with all the accoutrement. I mean, and the babies look great. It was amazing. And literally, we’re in tears watching these beautiful Black men, Black and Brown men and White men  come into this group. 

 

KF: With the success of that meeting, Kimberly knew she had to ask the moms a few questions…

[MUSIC: Major Warren – Walz pauses]

[SFX: Mic feedback]

 

Kimberly Durdin: Did you get everything ready for them?” Because everybody looked too good. 

[MUSIC: Major Warren – Walz continues]

 

The dads had time to dress themselves. I mean, the moms come to the mom’s group. They fall into the door like, “Oh.” I mean, moms come practically in their bathrobe because they’re doing everything. But the dads were dressed. The babies were dressed. Everything was set. But the moms got the babies ready, and the dads dressed themselves, but hey, however it happened, it was amazing.” 

 

KF: When I think of the ripples, the downstream effects of deep care, I think of this story. It stuck with me long after I left LA.   

Many of the birthing people we spoke to in this study were transformed by their experience of midwifery care. 

So why not the fathers, the partners? The midwives hold the whole family, and they’re helping these families hold each other. 

[MUSIC: Major Warren – Walz fades under and out]

 

KF: Kindred Space’s entire practice is based on bringing birthing families together. So you can imagine how the the COVID-19 pandemic nearly upended it all

[MUSIC: Liron Meyuas – Wings]

 

Kimberly Durdin: So then you start hearing, “Well, don’t meet in groups of more than 100 people.” I ” But then it turned into like, “Don’t be in groups of more than 20.” Then it turned into like, “Don’t be in groups of more than 5.” So [4032] and I are like, “Wait a second. 

 

KF: They paid their rent for one more month and waited to see how things would unfold. 

 

Kimberly Durdin: And once we fully understood what was happening with the pandemic, we decided to close the space, but so many things happened at the same time.

 

KF: For years Kimberly had been dreaming up what a bigger birth space could look like. Their office space was great, but they were outgrowing it. 

And with the pandemic, demand for home births was increasing. They needed more space. Which meant they also needed more money. 

 

Kimberly Durdin: I hate begging for money.” And I just kept putting it out of my head, putting it out of my head. And then finally, it was just like that little voice got so loud. I’m like, “Okay, God, [laughter] dang!” And I created a GoFundMe and I posted it on Mother’s Day.

Kimberly Durdin: I made it for like 300,000, and we got like $4,000. We were like, “Ooh, this is exciting. People are sending us money.” ….And then George Floyd got killed. 

[MUSIC: Liron Meyuas – Wings ends]

 

KF: George Floyd, a 46 year old father and Minneapolis resident, was murdered by the police in broad daylight, in 2020. 

It sent shockwaves around the world.

What hit me so hard about his murder was that it was so brazen. It happened in a public space. 

It was captured on video. It brought the racism that’s always present – but lurking – out into the open. 

KF: And it mobilized the country around racial justice. With my family, I took to the streets and protested. 

[MUSIC: Stems from Big – WEARETHEGOOD] 

 

Kimberly Durdin: Matter of fact, we call our garden George’s Garden because out of that tragedy came– a lot of folks got really activated and they wanted to help some kind of cause. 

 

KF: In one weekend, Kindred Space’s instagram account jumped from a couple hundred followers to 5 thousand. 

The people who answered the Kindred Space fundraiser weren’t just showing support, they were taking action. They were connecting the dots. 

They understood that the same racism that enables police to murder Black people in broad daylight also allows doctors and nurses to disregard Black people in childbirth. 

This racism is systemic and we need new systems to counter it. People understood that, and saw Kindred Space as an answer to the call. 

[MUSIC: Stems from Big – WEARETHEGOOD ends] 

 

By 2022, Kimberly and Allegra had raised enough money to move into a bigger building, starting a new chapter of Kindred Space. Kindred Space 2.0. 

[MUSIC: stems from Aves – Magnify]

 

 The opening was a real group effort. 

 

Kimberly Durdin: We kept figuring out ways to keep our costs down, but also have the community involved. So we had lots of community support, lots of volunteerism. People that love gardening came out. We had a paint day, and we had midwives and doulas that came out and painted our walls. It was like barn raising. 

 

KF: This is where I first met Kimberly. In the Hyde Park neighborhood of South Central. Kindred Space now stretches about half a block. 

Outside, there’s a huge mural of Black and Brown femmes lounging. Inside, the comfy couches and decor are all earth-tone. It feels like the warmest invitation to stay and relax.

In the back, there are two private rooms with a bed and a tub where families give birth. And there’s also space for community classes. 

Kindred Space doesn’t just connect and educate people, they also provide practical resources. They have a self-serve donation table with daily essentials.

 

Joya Lewis: So to go to Kindred Space, not only be seen– and they’re sending me home with a care package. I have food. I have fresh groceries. I have clothes for my baby who’s not even here yet. Even diapers because of the beautiful donation table that’s always available. So yeah, it was extremely resourceful way more than I feel like your money’s worth. You get 10 times as much as what you pay for. It’s just a beautiful thing. The doors are always open.// Because that’s what we need. Cause it doesn’t stop after you have a baby. The care never stops. 

[MUSIC: stems from Aves – Magnify fade out]

 

ACT 3

KF: The kind of care I saw at Kindred Space or throughout this study is unlike how I was trained, or how we see birth on TV. 

It would be easy to describe this kind of care as radical or new. But really this practice goes way back. Midwifery is, after all, one of the oldest professions in the world.  

[SFX: Wind and chimes]

 

Enslaved women were the original grand midwives in the US, bringing their knowledge of birthing from Africa to American soil. 

They cared not only for other enslaved women but for poor white women, and sometimes the plantation mistress. They provided the main form of prenatal care in this country until the 1900s. It was the most affordable, accessible and culturally attuned care available for Black, immigrant, or rural women.

[SFX: Wind and chimes]

[SFX: Horns]

 

At the turn of the 20th century, the federal government began collecting census data more closely. 

Those numbers revealed that babies and their mothers were dying at alarming rates. At the same time, doctors realized attending births could be lucrative for their own practice. 

[MUSIC: Cloud Caller – Daniel Dor, Semo]

 

So, even though studies at that time proved the safety of midwife-assisted birth, the medical establishment blamed midwives for the high death rates. 

They described midwives, particularly Black grandmidwives, as superstitious, ignorant and unhygienic. 

They created a new field of practice, nurse-midwifery. It required formal training unlike traditional midwifery, which was passed down by apprenticeship. 

And with federal legislation and funding, they pushed for midwives to be licensed and certified. These standards targeted Black grandmidwives in the South.

They required that grandmidwives be supervised by nurses, who were often white and less experienced. All of this was happening during the Jim Crow era, a period of intense racial discrimination and terrorism against Black people.

At the start of the 20th century, midwives and physicians attended births in equal numbers. By the end, midwives attended about one percent of births. 

As we can see, these tactics severely restricted community midwifery. It delegitimatized the practice and stripped them of their autonomy. 

[MUSIC: Cloud Caller – Daniel Dor, Semo fades out]

[SFX: Wind and  quieter chimes]

 

It pushed midwives out of the profession or sent them underground. And it robbed generations of families from receiving their care, love and support. 

[SFX: Fade out chimes, wind]

 

Now, today, we are living with the legacy of that disinformation campaign. It makes sense why so many of us don’t know about that history of community care. 

And it could explain why the community midwives in our study said they often felt hostility or indifference from doctors.  

 

MC: I think a lot of American obstetrics is biased against midwifery.

 

KF: This is Dr. Emiliano Chavira (cha-VEE-ruh), Milo. He’s a board certified maternal fetal medicine specialist of 20+ years focusing on high risk pregnancies. He collaborates with Kindred Space, offering his service to clients that need it. 

 

MC: In other countries, midwifery plays a much more significant role in maternity care, and it’s really normalized and part of the healthcare system.  

MC: The structure that we have in the United States, where midwifery is not really as big a part, is an outlier. 

 

KF:  Early on in his career, Dr. Milo worked alongside nurse midwives. And it gave him an appreciation of the differences between doctors’ care and midwives’ care. 

 

MC:  A physician is trained in what I have come to think of as a pathology-based model of care where your your assignment is to address all the problems that can happen. How do you treat the diabetes in pregnancy? How do you treat a preeclamptic seizure? How do you treat a postpartum hemorrhage? And it’s all the problems, the problems, the problems, the problems.

//

And so you come to conceptualize the pregnancy sort of as a problem waiting to happen. And that’s your orientation toward pregnancy and childbirth.

//

The issue of honoring the sacred nature of birth and empowering the mother is not part of the training of a medical obstetrician.

 

KF: For Dr. Milo, this is what makes the work of midwives and obstetricians so complementary. 

Midwives can provide holistic care and support to the mothers, and the OBs can provide care when more specialized problems arise. 

 

MC: I cannot do what Kimberly does. The solution is there needs to be more Kimberly Durdins so that everybody can get that kind of care. The footprint of midwifery in this country just needs to grow.

[MUSIC: Andre Ceccarelli – X]

 

KF: Dr. Milo is right. We need more Kimberlys, more Kindred Spaces, more opportunities for deep and collaborative care.

As much as we need to scale up the number of midwives in this country, we also need to hold on to the ones we have.

Community midwifery is tough. On the body, mind and spirit. There are sleepless nights, early mornings, long hours on call. 

And that’s without a lot of government and institutional support. It all adds up.

For Kimberly, rest often looks like one weekend off a month. It looks like meditation, swimming, and regular prayer sessions. 

Not to mention spending time with her children and grandchildren. 

The slowing down, the recharging, the recovering from caring for clients, is so important. 

Because the work of a Black midwife isn’t easy.

And that’s something Ms. Selma worries about for her daughter and for the other Kindred Space midwives. 

[MUSIC: Andre Ceccarelli – X fades out]

 

Selma Durdin: It’s in our blood, I believe. Going back to the time of slavery. and the stories of slavery, you see the woman as such a strong, strong source for surviving and getting through that time. They bore the children, and they worked in the fields, and they dealt with the cruelty that they were subjected to. And they did it with such strength, and they did it from day to day.

Selma Durdin: I pray for my daughter’s strength because we know that she has a very demanding role, and it requires a lot of her. 

[MUSIC: Dream Space – Andy Quin]

So my prayers began as a mother to embrace Kim, to hold her up, to support her throughout this journey. And she knows. She knows in her heart that those prayers are there.

 

KF: Ms. Selma is so much more than just Kimberly’s mother. She’s been a witness to this dream, an active supporter, a cheerleader for everyone at Kindred Space. 

 

Selma Durdin: every time a birth is announced at Kindred Space, I offer a prayer for that baby and its family welcoming him to the world. And it’s such a glorious feeling to pray that prayer and know that God is going to protect that family, keep them healthy, and carry them throughout their lives. The feeling that I get when a baby is born, it’s as though it’s my own grandchild. 

 

KF: In Kimberly Durdin’s work at Kindred Space, I can see the loving legacy of her mother, Ms. Selma. 

 

And Selma’s mother, and the Black midwives that came before — and will come after. 

[MUSIC: Dream Space – Andy Quin fades out]

 

KF: Between Kim Homer in Florida and Kimberly Durdin in LA, I am able to see more and more what’s possible for Black families! 

[MUSIC: Gentle Theme]

 

The work is real, the vision is beautiful, and my heart is full. 

 

For our next episode, we travel to the Midwest, where a baby is about to be born.

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22. U.S. Census Bureau. “HISPANIC OR LATINO, AND NOT HISPANIC OR LATINO BY RACE.” Decennial Census, DEC Redistricting Data (PL 94-171), Table P2, https://data.census.gov/table/DECENNIALPL2020.P2?g=160XX00US0636546.