An Afro-Indigenous (Full Spectrum) Doula + Wedding Officiant Practice by Athena Gabriella Guice

For Healthcare Professionals & Clinicians

Birthers of Civilization works alongside the people and institutions shaping maternal health outcomes — not against them, and not for them. With them, when they are ready to be accountable.

Power built in community, accountable to it.

You did not enter this field to harm anyone. But the system you were trained in was not built to protect Black and Indigenous birthing people — it was built around them, often without them. We know that gap is not always visible from the inside.

We work with providers, nurses, midwives, and clinical teams who want to close that gap — not through performative cultural competency trainings, but through real accountability to the communities most harmed by obstetric racism and reproductive coercion.

This work is led by someone who has done it at scale. As Senior Program Coordinator of the Organizing & Advocacy Network for a leading national reproductive health access organization, Athena spent two and a half years leading 15+ chapters across the Eastern and Central regions, supporting chapter engagement developing clinician-advocates, and aligning regional campaigns with national policy priorities. This isn't theoretical. We know how clinicians organize, where institutions resist, and what actually moves a system.

Doulas are perinatal health workers — not an accessory to care. The same way community health workers build trust and continuity that clinical systems alone cannot, doulas hold relationships with birthing people that extend before, through, and after the clinical encounter. When clinicians understand and integrate this relationship instead of working around it, outcomes improve — and so does trust between patients and the institutions meant to serve them.

We also bring clinicians and care teams the Pre(natal)-Up™ — our reproductive justice-rooted family planning tool — as a resource you can offer patients directly. It gives families a shared framework for the social, emotional, and structural conditions shaping their reproductive health, before crisis arrives. For providers, it opens conversations your appointment time was never built to hold.

Our pathway for healthcare institutions:

  1. Listen & Assess — We meet with your team to understand your current practices, protocols, and where obstetric racism and reproductive coercion show up — named specifically, not generically.

  2. Train & Integrate — We train your clinicians and staff on doula integration, community health worker principles, and family justice and abolitionist frameworks — what they mean for your institution, practically, not just philosophically.

  3. Build & Sustain — We help you build lasting accountability structures: real feedback loops with the communities you serve, ongoing doula partnership, and tools like the Pre(natal)-Up™ embedded into your patient care pathway.

We are not interested in optics. We are interested in outcomes — and in providers willing to be uncomfortable long enough to change them.

If your institution is ready for this work, reach out. We will tell you the truth about what we see — and what it will take. Book a consultation to talk about consultancy rates.

Stay updated with Birthers of Civilization: "We birth babies, ideas, and civilizations."
Accountable to community. Built for generations. (Proverbs 31: 10-31)