My name is Antonio Sierra and I am a Consultant Midwife in the NHS. I commenced my career in healthcare in 2002. My clinical and research interests lie on promotions of physiological birth, advocacy and clinical education. I support the multidisciplinary team in clinical practice using the four pillars of consultancy: clinical and professional leadership; expert practice; service development; research and evaluation; and education and professional development. I lead on the implementation of Better Births, as well as VBAC and Birth Options clinics. My current research interests focus on addressing health disparities amongst the LGBTQ+ community during childbirth.