These articles were first published in Midwifery Today. Crossing Borders with Andrea by Sister MorningStar Andrea lives in Nicaragua and was pregnant in 2014 with her first baby. The hospital cesarean section rate in her area is 80%. All first-time mothers either schedule a cesarean or receive an episiotomy. Induction is recommended and standard at 39 weeks and required by 40 weeks. Andrea was healthy but confused by the standard of care in her country. Andrea has a friend in