Posts tagged Birth Plan Shifts
137 | Birthing Joyfully Through the Unexpected - Beatriz Gutierrez
137 | Birthing Joyfully Through the Unexpected - Beatriz Gutierrez

A seemingly normal pregnancy was quickly unraveled when Beatriz received the news that she had preeclampsia. She had been managing a plan to birth at home with a hospital-based midwife to support any medical challenges and a homebirth midwife to support the birthing space she wanted. At the top of the list item was a midwife that spoke Spanish, as her husband is a monolingual Spanish speaker. Unfortunately, her blood pressure (BP) readings at 36 weeks with the homebirth midwife were too high, causing her to refer Beatriz to the hospital for care. She would no longer be eligible for a homebirth after it was confirmed that protein was present in her urine. Not only did her plan fall apart, but she no longer felt she would have the safety of her home because she was scheduled for an induction at 37 weeks. The homebirth midwife accompanied her and her husband for the induction, and she helped her manage the interventions. She didn't know how much she would need to self-advocate, but things took a turn as her care provider didn't align with her preferences.

The messaging Beatriz had received from people in her circle had focused on a healthy baby arriving safely. Beatriz wanted to uphold the same priority level to how her baby would arrive safely. She went home for a couple of days by signing an AMA (Against Medical Advisement) form. Beatriz saw herself heading towards a surgical birth, and she pushed pause on the induction.

During this time Beatriz leaned into her own source as she communicated with her homebirth midwife monitoring her own BP and baby's heart rate at home. When she noticed a rise in her BP, she reported back to the hospital and started the induction over. The conversation of breaking her water came up again, but she refused and stated that she would wait for the next nurse on shift to check her cervix. The new midwife told her that the baby was too high and it would be dangerous to break her waters. Beatriz felt defeated as labor progressed slowly, even flirting with a cesarean just for it to end. But she had the love and support of her husband and sister and would eventually push her daughter out safely. She was no longer having to fight because she accomplished her goal while maintaining herself and the newborn child's health. She was able to have a hospital birth, but on her terms, at her pace, with a birth team that supported her fully. Most of her birth and postpartum team were Latina women who heard her and answered the call.

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Hospital Birth, PostpartumLaurel GourrierHome Birth Transfer, Induction, Midwifery Care, Latina Midwives, Against Medical Advisement (AMA), Medical Harrassment, Birth Plan Shifts, Birth InterventionsComment
132 | Trusting the Surrender ~ Aureyl Pitts-Thomas
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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COVID-19, Hospital Birth, Loss, Postpartum, Cesarean BirthLaurel GourrierROOTT Doulas, Doula of Color, Black Doulas, Doula Support, Black Birth Matters, Maternal Mental Health, Birth Plan Shifts, Trust Birth, Surgical BirthComment
113 | Embracing Change - Charlotte Shook
113 | Embracing Change - Charlotte Shook

By 40 weeks gestation, Charlotte had not started labor, and her provider was supportive in honoring waiting for any interventions until 41 weeks and not beyond 42 weeks. She found herself feeling anxious about the possibility of induction and the cascade of interventions. Fortunately, Charlotte’s body had spontaneously started labor, and her doula and doctor helped comfort her and ease her into the labor. Charlotte knew her membranes had ruptured but did not believe she was experiencing surges (contractions). She went to see her doctor after having ruptured membranes for 24 hours at her doctor’s request. Surprisingly, there was no physical evidence of progress in the labor, and the cascade of interventions began - cervical ripening, Pitocin, two epidurals, all over three days. Finally, her body relaxed and began to respond to the interventions. She called in her doula as they had managed virtual support due to Covid protocols at the hospital. After an hour of pushing, Charlotte was able to grab her baby and pull him out as he peacefully entered the world.

Postpartum sleep deprivation marked the experience once they went home. Charlotte made sure to step out for fresh air for walks with her husband. Family and friends were supportive by preparing and paying for meals and some limited in-person support. After a 12-week family leave, her husband returned to work, and things shifted for Charlotte and her son. He started having latch issues and losing weight. They tried a chiropractor, allergen tests (for dairy), and two lactation consultants. The second lactation consultant could meet “in person” and was the most helpful in addressing the issues.

Charlotte encourages birth preparation, and despite the shifts in her labor plans, she still used many techniques to center herself. She learned about all of the possibilities beforehand and offered herself grace to mourn the loss of the experience that she wanted.

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Hospital Birth, PostpartumLaurel GourrierSpontaneous Labor, Induction, Birth Plan Shifts, Postpartum Mental Health, Postpartum Support, Hypnobirth