By Lovetti Lafua
Nurse • Midwife • Biologist • Human Optimization Researcher

In Part I, we explored the evidence showing that well informed women have safer, more positive birth experiences. But knowing why information matters is only the first step. The real work lies in how we communicate.

Language, hierarchy, and power dynamics can unintentionally create barriers, silencing women and undermining trust. Here’s a practical guide for moving from a model of authority to one of true partnership.

The Role of Language: Words Shape Experience

Language is not neutral. It can either empower or intimidate. Medical jargon may feel efficient, but for many women, it creates confusion. If a woman does not understand, she may nod in agreement not because she consents, but because she feels unable to question.

Using plain, everyday language makes care accessible. For example:

• Instead of “hypertensive disorder,” say “high blood pressure in pregnancy.”
• Instead of “fetal compromise,” say “your baby may not be coping well.”

Simple shifts reduce fear and increase understanding.

The Hidden Influence of Hierarchy

Healthcare systems are traditionally hierarchical. Titles and uniforms can create distance. When a pregnant woman perceives her provider as “superior,” she may hesitate to ask questions, suppress fears, or agree to things she doesn’t want.

Midwifery, at its core, is relational care. When we position ourselves as partners rather than directors, we break down these barriers. Sitting at eye level, inviting questions, and validating concerns reduce hierarchy and increase collaboration.

How We Can Do Better: Practical Steps

Improving communication does not require more technology. It requires intentionality.

1. Use Plain Language Consistently: Avoid jargon. If you must use it, explain it clearly.
2. Normalise Questions: Actively invite them. Ask: “What concerns you most about this?”
3. Apply the Teach-Back Technique: Test your own clarity by asking: “Just so I know I explained it well, can you tell me what you understood?”
4. Reduce Hierarchical Signals: Sit down. Maintain open body language. Listen before advising.
5. Strengthen Cultural Competence: Offer interpreters and recognize that care must be both clinically safe and culturally respectful.

The Heart of Midwifery is Communication

Technology can monitor a heartbeat. Medication can treat a condition. But only respectful, clear communication can build the trust that leads to true safety.

Informing pregnant women isn’t about overwhelming them with data; it’s about equipping them with understanding. When women understand their bodies, their babies, and their choices, they step into birth with strength. And that is not just good practice. It is life-changing care.