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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.

Cesarean Birth, Hospital Birth, Postpartum, VBACLaurel GourrierNovember 17, 2022Surgical Birth, VBAC, PCOS, Nuchal Cord, True Knot, Black Doulas, Black OBGYNComment

122 | To the Moon & Back - Alicia Tetteh

Alicia Tetteh joins us for a second time after sharing her twin birth with us in Episode 57: The Body Holds the Score. Alicia and her husband, Solomon, discovered they were expecting their third child during the pandemic shutdown of 2020. Luna was a surprise for them but came with a new and experienced version of Alicia.

Alicia started with a previous hospital for care but added midwifery support as she considered birthing at home. After garnering support from Solomon, she began planning an intentional homebirth with a Black midwife for the pregnancy. Despite finding a Black midwife, she had difficulty finding Black birthers who had experienced a homebirth to offer additional support. They worked towards preparation for the birth by reading and leaning into the midwife to answer her questions.

Alicia admits that there were some unrealistic expectations about laboring at home that didn’t match the visuals in her mind or on social media. Labor started after a family walk through a petting zoo. When they arrived home, Alicia found herself unable to relax and move through the pain of the contractions. Her choices regarding food, music, and creating her environment ranked high on what she was thankful for. She contributes Solomon and Jesus for her ability to deliver their baby girl at home without medication. Her previous twin birth was a surgical delivery, and she had been numbed through the physical feelings of delivery.

Preparation for birth was high on the list; however, postpartum planning took a backseat. Alicia found herself unprepared, despite the memories of her twin birth recovery. The physicality of birth was heavy on Alicia’s body. There was support from family, friends, and their doula in the first couple of weeks. After the first month, sleep routines and managing twin toddlers took over their world. Solomon and Alicia have managed their “new normal” with teamwork and genuine co-parenting. Alicia wants moms to maintain their sense of self and have an identity outside of motherhood that helps them experience the joys of life.

103 | Extending Grace - Ashly White

Ashly was 18 years old when she was pregnant and birthed her first child. Reflecting, she expresses that she didn't know much, either about the preparation or what her experience could be like. Ashly and her partner flowed through, just trying to figure it all out. Her birth would include many shifts, and one that she felt lost in was bringing her baby earthside with a surgical birth.

When she began expanding her family again, she knew she wanted and deserved a different story. The moment she and her husband found out they were expecting, she began building her birth team - this included a doula from a local organization ROOTT and a black OB. The three of them worked together and filled in the gaps for each other when one couldn't hold a particular space for her. The support from her birth team surrounded her in not only care but also her whole family, allowing them to support Ashly in having the VBACs she had envisioned.

Throughout her journey, Ashly had to learn to extend grace to herself. In the moments that seemed out of her control, but especially in the moments that made her feel whole, and in each new stage of postpartum, she knows that has to be at the core - working on who she is outside of her kids, sharing " If I'm not whole, then what I'm giving them isn't the best of me." This being the part of her journey requiring the most grace.

Hospital Birth, VBAC, PostpartumLaurel GourrierMay 13, 2021VBAC, ROOTT Doulas, Black OBGYN, Black Families Matter, Black DoulasComment

96 | Surrendering to the Process - Chanel Hogue

When pregnant with her second child, the physical aspects of the journey were familiar. Still, Chanel knew to prepare herself for the unfamiliar fully, and she would need to educate herself and build a birth team that she could trust, which would fully support her in moving forward with a VBAC. And while moving through those parts, she would also find that her personal healing would be just as important, this pregnancy being a light for that and teaching her patience and the power of releasing control.

Since her son had arrived early, Chanel was convinced that she would have the same experience for this pregnancy. At 41 weeks and one day, Chanel was starting to feel challenged mentally, but contractions would start developing some consistency, and she took that time to rest and move throughout her day. Their doula supported them in the early shifts and then transitioning to the birth center as things intensified. The birth centered provided Chanel with a sense of peace. Feeling like the "center of attention," which made her "feel covered, and protected and safe." A pivotal moment she expresses during her birth was as she was shifting into transition, feeling fatigued she took to solitude in the shower. She was spending an intimate moment in prayer with God, asking and reflecting on strength to continue. The moment she recalls fully surrendering - her baby arriving soon after.

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."

63 | Conquering the Fear of Birth - Jessica Johnson

Jessica shared her empowering VBAC birth experience after having a surgical twin birth. She and her husband decided to enlist the support of a doula for the third pregnancy. They reached out to a local organization, ROOTT, to hire a Black Perinatal Support Doula - who would be knowledgeable about the unique needs of Black women and families in birthing spaces and help her navigate her desire to have a VBAC. Their doula helped them go back and better understand how things shifted and how they could make this birth different. She also supported her in understanding her nutritional needs better to reduce preterm birth, decrease the chances of hemorrhaging, and later naturally induce her labor once she was term.

The third delivery was different in that Jessica was informed of all of her options and could choose what felt right for her at the time. Her doula met her at home as her labor progressed and helped her with positional changes to help the baby come down. After laboring through her typical day as long as she could, she finally arrived at the hospital and was 7cm (active labor). The doctor arrived when her baby was crowning and requested that she turn around to deliver her baby. She refused and continued to push her baby out in an upright position on her bed; he adjusted to her desire. Jessica had accomplished her VBAC without an epidural with the support of her birth team! After all of her birthing experiences, Jessica deemed herself a "Birthing Expert," and we whole-heartedly agree.

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.

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.

Hospital Birth, VBAC, Cesarean BirthLaurel GourrierDecember 17, 2017DoulaComment

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