The UK’s leading sovereign birth organisation

                              Birth is powerful. So are the women who protect it.

When Push Comes to Shove trains doulas, supports families, and advocates for women facing pressure from the system, built on sovereignty, informed consent, and the courage to stand outside when we need to.

Three Ways We Can Support You

Find where you fit

MOST POPULAR

Train as a doula

IPHM accredited training built on deep inner work, physiological birth knowledge, sovereignty, and a community that stays with you.

FOR FAMILIES

Prepare for your birth

Courses, doula services, and education for pregnant women and families who want to birth on their own terms,  in the system or outside it.

ADVOCACY

Facing pressure from the system?

Social services, safeguarding, or pressure around your birth choices — we support women who need an advocate in their corner.

WHAT WE STAND FOR

The Free Thinking
Maternity Organisation

The only maternity training body in the UK fully aligned with the freedom movement, informed consent, and a woman’s right to birth on her own terms.

Contact us

Nickita Starck - When Push Comes to Shove Founder

The Creator

Nickita Starck

Nickita Starck is founder of When Push Comes To Shove – the fastest growing alternative maternity structure in the world.

WPCTS is an EBE award nominated organisation dedicated to empowering women while working closely with The PHA.

Nickita founded the organisation in 2021 when independent midwives in the UK lost their insurance to practice. This was the last hope for women to have autonomy over their birth.

“Since day One Nickita has been like a beacon of light for me at a time when I desperately needed it. Feeling lost within the world of midwifery as it currently stands, I found myself feeling lost and without direction.Nickita was so lovely and kind and reassuring and helped me to at least have hope that there definitely is another way….

Her courses introduced the world of being a birth assistant, guardian in such a beautiful way and she introduced us to everything from looking after ourselves, first and foremost and figuring how we use our Gifts to assist our ladies and just understanding the beauty of natural birth and our ability to be with women as we had always wanted to.

Nickita’s course is a Godsend and I would highly recommend her course to open up yourself to the fact that there really is another way.
Simply Amazing”

Beverley, Birth Assistant Course Participant

“Since day One Nickita has been like a beacon of light for me at a time when I desperately needed it. Feeling lost within the world of midwifery as it currently stands, I found myself feeling lost and without direction.Nickita was so lovely and kind and reassuring and helped me to at least have hope that there definitely is another way….

Her courses introduced the world of being a birth assistant, guardian in such a beautiful way and she introduced us to everything from looking after ourselves, first and foremost and figuring how we use our Gifts to assist our ladies and just understanding the beauty of natural birth and our ability to be with women as we had always wanted to.

Nickita’s course is a Godsend and I would highly recommend her course to open up yourself to the fact that there really is another way.
Simply Amazing”

Beverley, Birth Assistant Course Participant

“Since day One Nickita has been like a beacon of light for me at a time when I desperately needed it. Feeling lost within the world of midwifery as it currently stands, I found myself feeling lost and without direction.Nickita was so lovely and kind and reassuring and helped me to at least have hope that there definitely is another way….

Her courses introduced the world of being a birth assistant, guardian in such a beautiful way and she introduced us to everything from looking after ourselves, first and foremost and figuring how we use our Gifts to assist our ladies and just understanding the beauty of natural birth and our ability to be with women as we had always wanted to.

Nickita’s course is a Godsend and I would highly recommend her course to open up yourself to the fact that there really is another way.
Simply Amazing”

Beverley, Birth Assistant Course Participant
Woman on laptop contacting when push comes to shove

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