Posts in Cesarean Birth
173 | The Journey Pregnancy App - Courtney Williams

Our guest, CEO of Emagine Solutions Technology Courtney Williams, is the creator of The Journey Pregnancy App. The app enables patients to vital signs during pregnancy and then transmits this information in real-time and creates a record. Beyond that it issues a call to action for users to contact their providers when they enter vitals that are out of bounds based on ACOG standards. This technology was developed after Courtney experienced Postpartum Preeclampsia, a rare condition that occurs when you have high blood pressure and excess protein in your urine soon after childbirth. She was already working in maternal health technology.

Courtney’s pregnancy started in 2019; she gave birth at the height of the first wave of the pandemic in 2020. The pregnancy started well; she ate right and worked out daily. But the gym access stopped due to the pandemic - unfortunately, this was a major stress reliever for Courtney. She also utilized acupuncture with a naturopathic provider. Eventually, she lost access to that support due to growing concerns due to the pandemic. It had been helpful for morning sickness; this was another hit to her emotional support.

A week before the childbirth, Courtney's son measured big and they were scheduled for a surgical birth; which she was ok with because it eased her uncertainty. Unfortunately, the hospital would not allow her doula to be present. Courtney’s husband was her sole support during the birth and everything went well as they welcomed their son. In the hours and days after the birth, her body started swelling. Courtney presented with a headache and pronounced chest pain five days postpartum. She attempted to contact her provider but did not get a response; she decided to go to the emergency room, where she was diagnosed with Postpartum Preeclampsia. After returning home, she needed to report to her doctor’s office multiple days in a week for blood pressure readings. This brought about challenges in their breastfeeding/pumping journey. Courtney was surprised that there wasn't technology to ease the challenges for new parents to go to frequent appointments during the early phases of postpartum.

We will save ourselves. We have everything we need within ourselves to rebuild birth better. Being active participants in our care, engaging providers who acknowledge and respect our voices, and equipping ourselves with innate knowledge and an understanding of how our unique bodies respond to pregnancy are key components in creating safer, joy-filled birth experiences.

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171 | Along the Road to Healing - Stacee & Shawn Shannon

Stacee describes her current state of being as her motherhood era. She has birthed two of their children with her husband, and to look at them now you would have no clue what it took to get here. Conception did not come easy. Childbirth brought its challenges. Postpartum complications nearly ended it all. Stacee and Shawn’s family was forged in the fire. Stacee and her husband, Shawn, held strong to not only each other but to their dream of adding to their family as well.

While Shawn and Stacee’s story details two live births, their first pregnancy ended in a miscarriage. A miscarriage that has allowed Stacee to be empathetic of those who have endured similar experiences. She talked about the feelings of isolation and loneliness that is matched with the mystery of miscarriages. The inexplicable loss of a child whose life is not yet deemed viable and the lack of compassion in medical settings as it’s happening.  

Welcoming a new life into the world is a joyous occasion, but the postpartum period can bring about various health complications for mothers. While many women and birthing people experience a smooth recovery after childbirth, it’s essential to be aware of potential challenges and seek timely medical attention when needed.

Excessive bleeding after childbirth, known as postpartum hemorrhage, can be life-threatening. Healthcare providers closely monitor mothers for signs of hemorrhage and may intervene with medications or, in severe cases, surgical procedures to control bleeding. Stacee found herself faced with this after her first birth. Her immediate postpartum journey started with stabilizing her daughter's blood sugar levels which led to the discovery that she had a rare condition that not only needed special treatment but a specific medical team an hour away from where they lived. They took a medical flight, while Stacee was barely able to acknowledge any of her own needs. During that trip, as her daughter was getting the help she needed at a pediatric hospital; Stacee eventually went to the hospital next door for her own care. They discovered that she still had sponges inside of her from her surgical birth and was having a postpartum hemorrhage. 

Pause. Breathe. Sit.

The emotional enormity of a near-miss affects everyone in the family. Stacee is here to share her story. Shawn is here to share his vantage point of their story. Their babies are here to love their mother. Stacee and Shawn’s words carry the weight.

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164 | A Sigh of Relief - Jenni & Bryson Moore

Creatives Jenni & Bryson had built a life together, centering their work in music and writing before their baby girl joined the family. Their pregnancy journey started with extreme nausea for Jenni. She sought medical support for her discomfort and found relief in prescription nausea medication. Jenni was interested in midwifery care but was “risked out” due to blood pressure issues. However, she was able to find medical providers that met her needs.

Deep-seated fear surrounding dying during childbirth under the care of hospital providers had settled into Jenni’s psyche. Routine prenatal appointments left her second-guessing the information she received from her providers. Jenni reached out to other Black medical and birth professionals for reassurance and additional information. The challenges of being a pregnant Black woman felt mentally heavy, constantly trying to read between the lines and discern information for accuracy. She found herself being very direct when with her care providers as she needed an induction. Jenni was concerned about a pulmonary embolism as she saw it in the media as a common cause of death or challenges during childbirth. She discussed a plan of care if she developed clots before consenting to her subsequent surgical birth.

Jenni and Bryson chose a surgical birth after a prolonged, four-day induction. The surgery was a shift from her vision but ended up being the most positive and relieving part of her labor and birth story.  Jenni felt good after her birth in terms of pain management. Once her body calmed down when they were at home, she could feel the sleep deprivation in conjunction with breastfeeding challenges. Their daughter had screaming fits that led them to call the nurse for support; that night, their nurse explored the idea of one night of baby formula. Jenni gave herself permission to rest by using supplemental formula for the night. Bryson ventured out in the middle of the night to purchase a can. However, when he returned to the house, all was well, and their baby girl had nursed. The reassurance of having a backup plan to feed their baby gave them some relief and peace. Their breastfeeding journey has been enjoyable for Jenni and their baby girl.

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157 | A Redemptive Birth - Celia Bouza & Whitley Mingo

Celia Kelly Bouza and her husband, Terrell, welcomed two children in the last three years, while managing their busy careers at ESPN. Leading up to their son Axel’s pregnancy, they were met with a PCOS diagnosis for Celia and a miscarriage. The provider was supportive and helped them manage fertility support, and their journey was off to a great start.

However, upon arriving at the hospital, the nurses didn’t provide the support she had expected. There was a series of heart decelerations and position changes that led to an emergency surgical birth (belly birth) Things happened so quickly that the staff forgot to bring her husband along. He made it just in time as the surgery commenced.

After fertility challenges conceiving the first child, Celia and Terrell had no problems when they decided to expand their family again. Celia decided to hire a doula for additional support for her second pregnancy. She had experienced a dismissive provider about her extreme nausea early on, prompting her to change the medical team. Celia found her doula Whitley after a quick Instagram search. Whitley was forthcoming about her inexperience with VBAC as she met with Celia and offered her referrals to additional doulas. However, Celia felt they were the perfect fit due to her humility and their instant connection. This pregnancy through a few curve balls as they managed placenta previa, a slight increase in protein in the urine, and a couple of high blood pressure reads. The placenta previa would resolve itself but the other two issues led to an induction that triggered PTSD from her first birth experience.

Celia, Terrell, and Whitley arrived at the hospital for the induction. They were armed with deep knowledge of her medical records from Axel’s birth, empowered to make informed decisions, and a strong desire to have a redemptive birth.

After a rocky start, Whitley helped create an environment to help Celia relax and rest. That space of peace would be interrupted as her dilation and progress didn't match her expectations as the induction went on. The spiral started, and Celia’s mood shifted; her doula helped her recenter and reclaim her power in that moment of deep discouragement. They made some decisions about pausing the Pitocin and starting an epidural. The epidural placement did not go as expected. The anesthesiologist denied her reality when she told him it wasn’t working. She effectively banned him from her care team. The epidural was fixed, and she started to feel relief. Celia got her redemption by way of VBAC; despite the baby having a “true knot” and meconium present in the amniotic fluid, there were no complications. Celia was also able to find a space in healing about the loss of her mother in the same hospital she had just given birth in. A true story of redemption that has allowed her to feel a sense of wholeness.

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143 | The Journey, the Pain , the Promise - Brittany Turner

Before meeting her partner Tony, Brittany Turner didn't think it would be possible for her to have children. After suffering three miscarriages, she had been on a journey to understand the cause of her losses. There is undergoing bloodwork, genetic testing, and numerous ultrasounds, with no definite answer. So when she and Tony decided they were ready to expand their family together, they were pleasantly surprised when she became pregnant. But having both experienced the loss of children, they both were carrying an immense amount of anxiety, at times causing tension between them.

At 34 weeks pregnant - the longest pregnancy she had carried, Brittany noticed that her Braxton Hicks contractions were coming quite frequently. There was an uneasiness that something wasn't right that she was holding. Brittany decided that she would sit with the feeling throughout the night and see how she felt in the morning. But in the morning, the contractions and feelings were still there, accompanied by a small amount of bleeding. Sharing this with Tony, they both decided going in for monitoring would be best.

They did not expect that monitoring would shift to the need for an emergency surgical birth. Brittany reflected that nurses began rushing into her room without warning, explaining to her that due to her son's heart rate dropping, they were going to need to take her to the operating room (OR). Having to be entirely under anesthesia, the last thing Brittany remembers is saying a prayer to God to keep her and her son safe. She awoke, wondering what had happened and where her baby was. And when she was reunited with Tony, he placed their son on her chest - her son placed his little hand on her cheek. A sign that Brittany says was her son telling her that her prayers were answered, and they were ok.

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132 | Trusting the Surrender ~ Aureyl Pitts-Thomas

Having had a chemical pregnancy before, Aureyl held onto a lot of fear about her health and its correlation to how this pregnancy would continue. Not feeling supported by her care provider, she reached out to two of her dear friends who also happened to be doulas at the time with the local doula organization Restoring Our Own Through Transformation (ROOTT). This additional layer of support gave her the tools to switch to a new care provider that was perfect for her family. Her doula also guided her in managing her hyperemesis gravidarum diagnosis. In a conversation with her doula, she realized that she had to address the fear she had about her body. Her doula explained that she couldn't "operate in both." She had to be either affirming that she was truly capable or sit alongside the fear. Aureyl realized she had to do the work and shared from then that her pregnancy and birth would have a theme of continued surrender - surrendering to her body, words, and thoughts about what her experience should be.

On Sept. 13th, 2020, around midnight, Aureyl went to the bathroom and noticed some fluid with a pink tinge. Having done in-depth prep with her doula about what to expect when labor began, Aureyl was pretty confident her waters had broken. She informed her doula, her family, and care provider and went back to bed to try and rest. The following day with the support of her doula, they tried to help labor progress with movement, continued to monitor the amount of fluid she was losing (as she had a small leak), along with her temperature and baby's heartbeat. After 24 hours of this routine, they decided to head to the hospital. The hospital birth team informed Aureyl she would need to get a cervical check to confirm that her waters had broken and how her body was progressing. This check was extremely painful for her, and after hearing that she was only 1cm dilated, she expressed feeling a sense of deep discouragement, and the tinges of distrust of her body began rising again. Discussing options with her birth team, she decided to rest, and as she continued to move through her birth, the trust of surrendering she had put in her pregnancy would still ring true.

Aureyl had to ask herself to surrender to the shifts of her birth; this included the support of Pitocin to help her progress. The guidance from her doctor in getting an epidural to ease her distress with cervical checks and the later part of her labor was supportive. And ultimately, meeting her baby on Sept. 15th through a surgical birth was what was aligned for them. Reflecting on her experience, Aureyl indicates that she could be at peace with each of those decisions as they were all made on her terms. And she looks back on her experience in awe of how beautiful it was for her.

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129 | Victorious Together - Chelsea Butler

Chelsea always knew that her first child would be a son. However, she couldn't predict the circumstances of when she would become pregnant. A global pandemic would bring her aspirations of acting to a screeching halt as production stopped. She shifted gears as she needed to prepare for caring for herself and a new baby. Emotional issues developed as her relationship with her partner deteriorated. She felt alone. Depression set in, and conflict with friends and family grew.

Elevated blood pressure, news that the baby was determined to be large for his gestational age, and gestational diabetes concerns overshadowed her birth plan hopes. Her provider started discussing a surgical birth before she had an opportunity to labor. She disagreed with her OB/GYN's preeclampsia diagnosis and decided to change from hospital birth to a birth center that could support her plans. The midwives at the birth center agreed to accept her for care. She didn't feel connected to them or fully confident about the birthing space, but she pushed forward as it seemed like a better option than the hospital.

Chelsea's membranes ruptured, and she contacted the birth center. She was told to rest and give herself time, and she eventually went in to have her fluid tested for amniotic fluid. After two days of leaking and intense back pain, she contacted the midwives, and they told her to wait again. She reported to the birth center on the third day, and her rupture was confirmed. However, she had not dilated despite feeling like her body had completed a lot of work. She kept herself active and wanted to use water therapy to support her comfort. She would manage the labor, but her cervix did not dilate. She would eventually transfer to the hospital to manage the rest of her labor. The hospital shift was challenging mentally and physically. Chelsea reached ten cms and immediately started to push even though her son was still high in her pelvis. A surgical birth became her last option, and it was quickly discovered that her baby had swallowed meconium and had fluid in his lungs. In addition, she had nearly hemorrhaged. She reflected on the intensity and degree of interventions in the hospital; everything she had wanted for her birth had crumbled. She felt disconnected from the people caring for her and the space she was in.

Carrying all of the trauma home with her new baby would be a rollercoaster. Therapy and group support have helped. She has also connected with the women in her family to help build her connections and heal. Healing comes one day at a time with intention.

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106 | A Peaceful Surprise - Shay & Joshua

An unexpectedly easy pregnancy led Shay and Joshua through a journey of exploration and intention setting that would create a backdrop for a pregnancy and birthing experience that would be become a love letter for their daughter.

Shay and Joshua chose to announce their pregnancy to a few select people. They managed to keep their happy secret despite Shay's work on social media that often finds her sharing much of her personal life. Their journey to parenthood was marked by detailed preparations that included observing other families, nutrition planning, hiring a doula and midwife, and taking deep dives into researching what felt right for them.

Their family learned that all of the best intentions could not stop a global pandemic from shifting aspects of their birth plan, like having a doula present in the hospital. But they were already determined to focus on the "controllables," as Shay coined it. They managed to labor at the hospital but shifted to surgical birth. Since giving birth, Shay has become more aware of her own needs and openly communicates with Joshua. She has been able to lean into his care and ask for it when needed. Communication has been the key to managing their new parenthood journey.

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104 | Choosing Joy - Dadriaunna Hayes

Dae joined us to share her beautifully intertwined birth stories of loss and joy reclaimed. She experienced the unexpected loss of her first child during the early part of her third trimester. She began a healing journey that included therapy, where she started journaling. The process proved therapeutic and taught her how to make space for herself and rebuild her trust in God.

Dae worked through the waves of grief and discovered she was pregnant again; this time, it was during a pandemic. She gathered her team, created an active morning routine, and simply chose to enjoy the pregnancy. They planned for a birth at home and put in the work to make it happen by hiring a midwife and doula. After managing through over 20 hours of labor, they decided to transition to the hospital. She continued to labor without progressing and found herself at peace at how birth would unfold and welcomed her son via surgical birth.

Dae has adopted a belief of motherhood as a joyous experience. She has developed a community online that has centered the scripture referencing beauty for ashes. She is now holding space for women who have experienced some form of loss and want to exchange that grief for a new experience of joy and beauty.

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92 | Better Than I Planned - Ashley Shepard

Knowing her mother's birth stories - all of her children's birth from start to finish being 4 hours, Ashley envisioned she would have a similar experience. So when her water broke three days after her estimated due date, she arrived at the hospital ready for the journey to be swift. Settling into the hospital at 9 am, Ashley was 2cm dilated, and by the afternoon, was told had progressed to 8cm. To her surprise, once her doctor arrived and did a cervical exam, she expressed that Ashley was only 5cm. Ashley was, of course, disappointed but knew that she had to stay in a serene and positive mindset. As she labored through the day and progression remained in the same spot, Ashley, her husband, and birth team tried many options, finally deciding that her son's arrival would be a surgical birth.

Leaving the hospital and returning home was tough; Ashley was managing her physical healing from a surgery she hadn't expected, working through nursing challenges and also the mental toll of this new transition. Creating with food had always been an outlet for Ashley; during her pregnancy, she prepared ready-made meals for postpartum that would be easy for her and her husband to make—having food in this way assisted with her body recovery and recovery mentally. But even with that, Ashley felt like she wasn't allowing a release for her thoughts or feelings from having postpartum anxiety and baby blues. Not finding what she needed, she decided to create a guided journal. A space that she could communicate her feelings with no pressure or judgments. A safe space serving as self-care, a reminder that as a birthing parent, "you are important.." and all parts of you "have a space in your baby's life."

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87 | A Mother's Work - Oriel McKinney

Oriel started her pregnancy as being relatively normal and without issues. Her and her husband prepared by taking all of the new parent classes with excitement and curiosity. Her story took an abrupt shift when her blood pressure started increasing, and she found herself being treated with medication and was not aware of the cause.

The issues with high blood pressure found her needing additional advocacy by her mother, an experienced nurse. Her mother refused to allow her daughter’s health issues to be brushed off or delayed treatment. She shared how her treatment shifted as her language matched those of the medical field. She was admitted to the hospital for further monitoring, which led to an emergency surgical birth at 33 weeks, as her baby didn’t pass the assessments.

Oriel had a feeling of Deja Vu as she carried her second child. Things were going well, and she treated herself to a maternity shoot as she surpassed the 33-week mark. However, she was met with more blood pressure challenges and needed to deliver her daughter just short of being full term at 36 weeks.

Challenges with preeclampsia marked both pregnancies and influenced some postpartum life changes that have led the way for a healthier life for Oriel. She shared her journey as a NICU parent and how she never paused for her healing, as is common for parents with special needs children. Now Oriel stands by scheduling time for herself and has the support of her partner to honor it. Listen in for a story about the incredible power of advocacy and resilience.

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72 | Collective Resolve - Erica Butler

Erica Butler, founder, and Sex Educator for Happ E. SexTalk, an education consulting company focused on challenging the media and cultural messages pertaining to female sexuality, body image, and sexual pleasure – specifically the historically negative and hypersexualized images of Black female sexuality. Erica shared her birth story with us, discussed her work and its importance in reproductive health and justice.

She opened up about both of her pregnancies. The first pregnancy was without complications and only mild nausea but eventually led to an emergency surgical birth. Her personal connection to a local doula organization, ROOTT, allowed her and her husband to envision birth with a new lens during her second pregnancy. Despite her best plans and she was met with placenta previa that would lead to a scheduled surgical birth. The delivery went well, but the postpartum experience was met with low blood sugar levels, lactation issues, medical provider issues, and anxiety. Erica and her husband, David, leaned into their own strength and village for support to help them.

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70 | Life is Generous - Nicole Cole

After having a surgical birth with her first son, Nicole knew her second birth; she wanted her journey to look different. That started with finding a black midwife, a black doula, and birthing with a care team that would treat her under a holistic mindset, her needs and wants always being the lead. Yet, unexpected events of the world would cause Nicole to make some shifts. Soon after her state's shutdown due to COVID-19, the midwife practice she had been seeing indicated that they couldn't keep their doors open and their families would need to find a new practice.

A tip from her prenatal masseuse encouraged her to seek out doula support. There was an instant connection between her and Fatima, and in hearing Nicole's struggles to find a care team she trusted, she backed Nicole in reaching out to the GW midwifery group late in her pregnancy was worth trying. Nicole stayed her course, and things began moving into alignment. At 32 weeks, she began her care with GW, and the day before her son’s arrival she was introduced to Anayah Sangodele-Ayoka, CNM, a black midwife from the practice. The care from her felt so familiar, a connection not only for her health concerns but also to just who she was.

When her son's birth came around, she felt her birth team fully encouraging and cheering her on. Everything she had done to prep had come full circle to have a VBAC. She shares from her story for others moving through their journey, "set your intentions, believe it's going to happen, and don't be afraid to change."

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65 | Two C-Sections, Two Sons, One Mom in Progress - Gelise Littlejohn Thomas

After a perfect first pregnancy, Gelise discovered she was experiencing preeclampsia symptoms that led to an emergency surgical birth. She was never given the diagnosis, but complications during the induction process led her down the road to a surgical birth. The second pregnancy started with Gelise accepting that anything could happen during pregnancy. She had learned from the first experience that birth was unpredictable. She attempted a VBAC that led to another surgical birth.

Gelise’s postpartum period with both of her pregnancies included a beautiful journey with breastfeeding and bonding. She shares her extended nursing periods and the lasting impacts with us. Listen in for a story about overcoming expectations and moving forward with what you can control.

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40 | Paving a New Way: Against the Grain - Codie Elaine Oliver

Codie describes her pregnancies and births as a full-circle experience. With their first child Codie and Tommy had planned to birth in a birth center, a turn of events would have them shifting to have a home birth, supported by midwife Heather Schwartz and student midwife Kim Durdin. As we know, birth plans change, and Codie went from a homebirth to a transfer to a hospital with an epidural and a c-section.

While she was ecstatic to have a healthy baby and be a mother, a thought that did linger in the back of her mind was that those who said this would be her story were right. When she found out, she was pregnant the second time, and with twins, there was a mix of excitement but also fear that she wouldn't be able to have a VBAC (Vaginal Birth After Cesarean). From the beginning, she was intentional about her support and ultimately built an empowering birth team, with care providers who supported her in trusting and believing herself to do that.

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37 | Bringer of Light - Anique & Ali Russell

The theme of this year's Black Maternal Health Week is, Centering Black Mamas: The Right to Live and Thrive - we feel that Anique and Ali's birth story aligns beautifully. When they found out they were pregnant, Anique and Ali wanted this birth experience to be different. They became intentional about their preparation. Researching birth outcomes for black women, being clear on Anique's health, receiving support from a black care provider, and support from a black doula. That intentionality provided them the tools and confidence to find power in their voices and their family's story.

"Our daughter's name means Bringer of Light. During my second pregnancy, I gained peace with my birthing process. I learned so much information regarding black maternal health, what it means to have a doula, my body, and a wonderful breastfeeding journey thus far! I feel I have a light that I am ready to pass on to other mama's!!" - Anique

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26 & 27 | I Am a Parent ~ HunterDae Little-Goodridge

HunterDae describes themselves as a black, queer, non-binary, fat proud parent. This is who they are, and these identities are important to their existence and interactions with the world around them.

When HunterDae became pregnant with their twins, it was a spiritual awakening. They realized they had received double the blessing and were now carrying three hearts. What their care provide saw was an individual that was checking off all the boxes for a high-risk pregnancy. This narrative continued into HunterDae's birth story.

As you listen to their story, you realize how imperative it is that when we are caring for individuals through their parenthood journeys that we acknowledge their lived experience. Care cannot be a one size fits all, and it has to come from a place of understanding the whole person.

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18 | Tatia - Shared by Maddy Oden

This is a story about loss - In memory of Tatia Oden French & Baby Zorah

We had the honor of having Tatia's mother Maddy Oden to share Tatia's story with us. Maddy and her family knew that they didn't want others to go through the same experience. From their loss, they developed the Tatia Oden French Memorial Foundation in March 2003 to continue Tatia's memory and provide education to others.

This experience highlights the importance of informed consent, the medicalization of birth specifically with the induction drug Cytotec and infant/maternal mortality. We hope that as you listen, you don't sit in fear from their story, but instead take in the information, share it with others and help extend the mission of the foundation.

We can't control birth, and we can't predict outcomes, but we can gather information to ensure decisions are lead by our informed voices!

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15 | Age Ain't Nothing But A Number - Derrin Moore

If you are a birthing person at the age of 35 or older, you have probably heard the term advanced maternal age. In this episode, we meet Derrin Moore, 42-year-old mama, who didn't let this term or categorization determine how she created her family.

Being a gymnastic and circus instructor coach, she felt fit and kept working until she couldn't. She hired a doula and sought out additional support. Derrin's birth did not go exactly as she planned and that's ok, that's birth. From her story, we realize how impactful society's view on our expectations of our bodies can be. To all the cesarean birth parents, you, your body and your birth journeys are powerful!

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02 | Taking Charge - Caitlin Kelley

Today’s episode features Caitlin Kelley, sharing her successful VBAC (Vaginal Birth After Cesarean). With her first daughter’s birth, Caitlin and her husband envisioned an unmedicated and vaginal birth experience. Due to a number of factors, this was not the case and Juniper was born via emergency c-section. Caitlin ensured that for her next birth she was well educated to have a different experience, focusing on education, tools, and support for an unmedicated VBAC. Using that knowledge and the support of a doula, Caitlin was able to give birth to Lou in the way she hoped for.

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