What is 'When Push Comes To Shove'?

Doula Training

A certified online course

4 Days on zoom plus mentoring and free membership to our Doula Directory 

Midwife lifeboat
Birth Keeper Course

A fully comprehensive course to be a certified Birth Keeper. For midwives who want to focus on physiological birth, learn how to build a successful self employed business plus earning opportunities at WPCTS 

Online Antenatal course for parents-to-be

A very detailed antenatal course which covers birth physiology as well as your rights in childbirth. 

Find a Doula / Birth Keeper 

We have Birth Keepers all of the UK and globally. 

We are currently building our on website's directory. This means not all of our Birth Keepers have a profile yet. If you cannot find a Doula in your area using our directory, please email us.

When push comes to shove is a Hemel Hempstead based, EBE award nominated maternity service. Founded by Nickita Starck. We are an alternative maternity structure.  
We are NICE stakeholders and are associated with The World Council For Health We specialise in birth physiology and birth rights.
We provide outstanding birth education. From Doula services and online birth workshop programmes to Independent Midwife referrals and PSHE education for children. 
When Push Comes To Shove see you as an individual, not a statistic. The term 'Risk' is relative and we ensure quality education so you are able to understand why you are being labeled 'high risk' and what your choices are. 
We are an advocacy service set to ensure your wishes are respected during birth. Informed consent is key and sadly we hear all too many accounts of this not being practiced. We provide evidence based information so you can make an informed decision about your birth.
We also have a youtube channel. We interview many birth professionals such as Doctors, Midwives & Doulas. We even interview celebrities! Our podcast is available on itunes and spotify too. 


  • DOULA SERVICES - We can provide you with an experienced Doula wherever you are in the UK. Our Doulas are all certified and very knowledgeable. If you are on a low income we can offer a payment plan. ​​

  • ONLINE BIRTH WORKSHOPS - If you don't fancy a Doula but you are keen on the education, book our online course for the fraction of the price! 

  • PSHE- Education for children. We teach in Uniformed organisations such as Scouts and Girl Guides as well as offering a PSHE programme for schools

  • BIRTH RIGHTS ADVOCACY- We provide an excellent service for women who have been told they are 'not allowed' to birth how they wish. We provide families with evidence based information in order to make an informed decision about their birth. 

  • MIDWIFE REFERRALS - If you require an independent midwife or Birth Keeper, we can put you in touch with a midwife suitable for your needs. PLEASE NOTE There is currently no insurance for independent midwives to attend births! 

  • Women who are told they cannot have a home birth for reasons such as 

    • HIGH BMI​

    • LOW BMI





  • Women who are told they cannot have a vaginal birth for reasons such as




  • Women who are told they need to be induced for reasons such as 



    • GDM



We are raising the voice of birth by bringing the subject of birth into the mainstream narrative.  Birth effects everyone.  Along with the amazing single BREATHE AGAIN we are talking to as many people as possible about birth & birth choices on our growing YouTube Channel & we will begin filming the birth documentary in the Spring of 2021.

Raise funds for Independent Midwives to get the insurance needed to be able to get back to work

Make, record & release the amazing New Single, Breathe Again.

Available now for pre-order

To create an education program for young adults to understand the physiology of birth & all of the birth options available

Create an educational program suitable to be added to the current Sex Education Curriculum to help educate children about birth & choices in birth

Funded antenatal & postnatal education to women & birthing people throughout all stages of motherhood with non-biased, factual information

Create an Access Fund so even those in financial or personal hardships can have access to Independent Midwives & or Doula support if they so wish

Raise awareness for the right to choose where people birth & who they have at their birth

Using donated funds to build independent birthing units around the UK so anyone who wishes to, can access & use independent birth services outside of their homes if they wish to do so.