A World of Confusion and Fog
This chapter explores how, unknown to Lovie, an underground home birth movement has quietly thrived in North Carolina in the several decades since the passage of the 1983 midwifery bill outlawing the practice of lay midwifery. This chapter also chronicles the founding in 1992 of a master’s level midwifery training program at East Carolina University in Greenville, a program that brought certified nurse-midwives (CNMs) into the eastern part of the state to train, teach and work. Two CNMs, Laurie Irwin-Pinkley and Maj-Liz Downey, befriend Lovie and facilitate her connection to the North Carolina chapter of the American College of Nurse-Midwives (ACNM). Lovie is flattered by their recognition of her as a pioneer but befuddled by the changes in her profession that make it difficult for her to identify completely with the younger nurse-midwives. Lovie tries and fails to understand her place in the new midwifery landscape.