Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations can support or discourage the promotion of women's birth choices.

Claire Feeley is a clinical midwife and researcher with over 13 years' experience in maternal, perinatal and infant health. Formerly the editor-in-chief of The Practising Midwife, Dr Feeley is now a lecturer and researcher at King's College London.

1.Introduction. 2.Rhetoric vs. Reality: The power of hegemonic birth practices. 3.Counter discourses; Resistance in action. 4.Moral Compromise and distress: Midwives' invisible wounds. 5.Psychologically safe work environments: Creating the conditions for fulfilment. 6.Stigmatised to normal practice: A new lens. 7.Shifting the lens: Towards a collective responsibility. 8.Appendices