Birth Preparation — View All

159 | Redemptive Reflection - Elizabeth Rocha

High school sweethearts Elizabeth and Luis started to build their family shortly after marriage. There was no family history of infertility, but after many conversations within their circle, they felt it was worth starting a family as soon as possible. After learning more about ovulation tracking, they were expecting their first child without any challenges.

Fear of birth was built up by not knowing enough about the process - education helped release this fear. They took childbirth education and prenatal yoga together, which also helped them bond in the experience.

When they arrived at the hospital for labor, Elizabeth started to feel the cascade of interventions taking away her voice. She felt disconnected from her body after receiving an epidural. The pushing stage was long, three hours long. The feelings of joy she expected when her daughter arrived earthside were replaced with relief. It was over. Their nursing journey started as painful as the baby had a lip tie. Elizabeth didn’t feel equipped with proper knowledge of breastfeeding and pumping. Their discharge felt overwhelming, and they would go home with a crying baby with minimal support. They hired three different lactation counselors and endured two lip tie procedures. Elizabeth was determined to have a nursing relationship with her daughter, and she did.

Elizabeth wanted something different for their second birth as she recalled her first pregnancy. This time she was diagnosed with gestational diabetes, which pushed her to make some health and nutrition changes as she worked through the initial shame she felt from the diagnosis. Sharing her diagnosis with friends and other birthing people helped her work through the emotions as others shared that they had endured the same. They hired a doula to provide additional support for managing the pregnancy and labor.

Labor was spontaneous, and she managed the contractions at home in a way that felt good and empowering. She isolated herself as labor progressed. Luis was more engaged during labor as he found his role this time. They would arrive at the hospital already 9.5 cm dilated with a cervical lip. She had created an environment to stay connected to her body with music and utilizing an eye mask during contractions. Elizabeth maintained her voice throughout her hospital experience. She asked questions and spoke up when she needed help. They welcomed their second daughter less than an hour after arriving at the hospital feeling joyful and empowered.

158 | A Journey of Intentionality - Janelle & Mivon Green

Janelle & Mivon perfectly timed their conception to align with their wedding day. They were able to share their pregnancy with their wedding guests as a sweet surprise.

The early stages of pregnancy were plagued with exhaustion and food aversions. Her midwife reminded her that the work of growing a baby was intense. This allowed Janelle to give herself grace for what she had considered “laziness.” Aligning their spirituality with their birth and parenting goals with the support of a spiritual doula helped them feel ready and calm.

After preparing for months through education, optimizing their physical health, and mental preparation, labor started one night, as it often does. A quiet moment of solitude brought Janelle gently into labor land as she practiced her breathing and tracked her contractions in the darkness. Eventually, they made it to the birthing center to determine progress and the next steps. Mivon, Janelle, and her mom started to create a peaceful environment and managed consistent contractions, and progressed through early labor. Time passed, and Janelle fell back into solitude when space allowed. During a heart rate check, the midwife captured a heart deceleration, and the baby's heart recovered quickly. More time passed, but her dilation had not changed, accompanied by another heart deceleration. The difficult conversation about the possibility of a hospital transfer was necessary. The midwife felt confident that the baby was ok and encouraged movement. Mivon and Janelle’s mother started to feel uncertain about their plans to stay at the birthing center. Janelle felt the shifts in the room. She trusted her intuition and stuck to the plan, and trusted in the midwife and Janelle. Prayer and shifting through position changes led to active labor and no more decelerations. Mivon’s hands would be the first to touch Baby Zara as Janelle pushed her out. Skin-to-skin started immediately with Janelle as they welcomed their child and the flood of emotions that would ensue.

Baby Zara would come earthside on her late uncle’s birthday, making her entry a blessing and a tribute. The term labor is fitting as the work for her to get here was intentional and intense.

Birth Center, PostpartumLaurel GourrierDecember 1, 2022Midwifery Care, Birth Preparation, Spiritual DoulaComment

149 | Love is in the Details ~ Oona-Ife & Anthony Olaiya Wright

Oona-Ife and Anthony were hosting friends at their home when they decided she should take a pregnancy test. She took the test because she had spent the night throwing up after a night of eating steak and butter pecan ice cream. They learned they were expecting a baby, and the news brought so much joy that they had to stifle their excitement from their guests. Anthony even snuck out of the house to shed a few tears as their lives were about to change in this season of expansion.

Despite a rocky start, Oona felt an abundance of self-love and support from her village, which left her with positive reflections regarding her pregnancy. Anthony made space during their journey to learn about what to expect during childbirth and was able to connect with other new and expectant fathers for support. He was intentional about his presence for prenatal visits and building relationships with their care providers.

Labor would gradually commence after a violent bout of nausea and vomiting one evening. Oona-Ife and Anthony would fumble around trying out some tried and true labor strategies that would end in a good laugh and an A for effort. Because they were having a homebirth they were in close contact with their doula and midwifery team about changes in contraction patterns, behaviors, and any concerns they had. As things picked up, their doula would arrive first to assess the scene and encourage them to call the midwife to the house. Laboring and birthing at home proved to be their best decision as it fostered comfort and ease that kept them calm. Despite some hiccups with their tub and a moment of familiar panic for those who needed to relocate during the transition, Oona-Ife would deliver their daughter safely in the water.

The midwives and doula would leave them to bond and care for their new baby and themselves. They would receive a caravan of support with family members arriving at different intervals to visit and provide care over the first month postpartum. Just as they started to get a rhythm at about eight days postpartum Oona-Ife would have severe headaches; she grew concerned regarding her own health. She would eventually go to the hospital for care after connecting with her midwife as her blood pressure elevated to dangerous levels. She would be diagnosed with Postpartum Preeclampsia and Covid-19. Thankfully, she centered her care and was able to heal with continued support from her family and providers.

142 | Lessons Learned - Vienna Fernandez

When pregnant with her first child, there was a sense of loneliness. She and her husband lived in a space that wasn't close to family, and working in the city meant a long commute for them—a distraction from being able to be present during her pregnancy. Vienna expressed that it wasn't something she was truly prepared for when reflecting on her birth prep. She knew she wanted to have an unmedicated birth, but when her water broke, and she arrived at the hospital, 4cm dilated, she realized there was much more to the experience than she knew about.

She felt like her care providers weren't communicating well with her throughout her labor about the shifts happening and the interventions provided. As her son was having trouble descending during the pushing phase, her doctor proceeded with an episiotomy and vacuum support - an end to an experience that felt rushed to Vienna and left her confused.

Vienna would hold this memory close when she became pregnant with her second child. From her son's birth, she knew that she hadn't got the support she needed and couldn't trust her care providers to provide the education and advocacy she wanted or deserved. With revelation would be tough as, during her 30-week appointment, they discovered her daughter was measuring small, and close monitoring was needed. Vienna fell into a space of self-doubt and fear and didn't know who to lean to for support. Again wanting an unmedicated birth and knowing somewhat what to expect, she asked all the questions during her birth. And was very vocal about what her body needed. While her daughter came into this world weighing less than 6 pounds, Vienna felt that her voice had been louder and heard in this experience.

Her third birth was the culmination of everything she had taken from her first two births. Navigating changes brought on by the COVID-19 pandemic and the unexpectedness of being pregnant, Vienna hired a doula to help support her. With this birth and pregnancy, she was able to be much more in tune with her body and how this birth would look and feel. Each one of her births had been a deep lesson. Not only in how she wanted her births to be but ultimately how she wants to show us as a mother and for herself.

Hospital Birth, COVID-19, PostpartumLaurel GourrierApril 8, 2022Birth Trauma, Healing, Birth Preparation, Postpartum SupportComment

140 | Reclamation - Jennifer Walton

“It’s not the baby. It’s you.” These are the words that Jennifer Walton would hear from her medical provider as he determined with a quick cervical check that she would need to deliver her baby via surgical birth. In fact, he later told her that she would never be able to deliver vaginally because a baby couldn’t fit through her pelvis. Jennifer didn’t want a c-section and made that clear to her provider. But the cascade of interventions and the lack of informed consent would send them into a spiral that left little room to catch up mentally to what was about to happen to Jennifer physically. There had been no complications or concerns, but a lull in labor would drastically alter Jennifer and her husband, Sean’s plans. Their first baby would be born healthy and strong, but the surgical birth trauma would linger into their postpartum world.

The Walton’s welcomed their second pregnancy with a young toddler to care for. Jennifer was determined that this birth would be different. The first pregnancy had been easy, and they had the rug pulled from under them in the twilight hours of labor. Jennifer was different; she had been fire tested and was prepared to put in the work to change the narrative that had been created about her body. The weight of her previous provider’s words was pressed into her psyche. She knew that she wanted a VBAC and stacked the deck to support her goal. Jennifer selected a new OB/GYN; she was a Black woman and made her feel supported and heard. Her friend introduced her to the term doula, and where she could find one, She connected with her perinatal support doula, Jessica Roach, at Restoring Our Own Through Transformation (ROOTT). ROOTT is a collective of concerned Black families, community members, advocates & interdisciplinary professionals dedicated to decreasing Black maternal & infant mortality in Ohio. The heart of their work is the commitment and rigorous training of their perinatal support doulas. Jessica educated her about her rights as a patient, guided her family through a healthy pregnancy, and helped strengthen their resolve for Jennifer to deliver their baby vaginally.

The fear of a uterine rupture would still linger in her mind, but with the support of her birth team, she moved forward with planning her VBAC. Jennifer recalled Jessica’s words in the midst of laboring at home, “Stop fighting your body and let this thing happen.” She did stop fighting her body. She let go of the defeating messages from her first pregnancy, surrendered to the process, and found her voice and strength. She gave birth to another healthy and strong daughter, accomplishing her VBAC.

139 | Birth Beyond the Status Quo - Ashlee Johnson

Ashlee Johnson's passion for birthwork grew from her first pregnancy and childbirth. She would bring forth life three times with a dedicated birth team. She welcomed being pregnant and can recall the first pregnancy as an enjoyable time despite hearing so many negative stories that people felt compelled to share with her. It would be a chance encounter, during her first pregnancy, with one woman that listened to her birth preferences and encouraged her to go for it. She let that affirmation set within her and committed to honoring her own plans.

This foundation would serve her throughout the births of her other two children. Ashlee and her husband prepared by attending birth classes and feeling fully supported in a birth center and homebirth care. She describes her births as amazing because she felt educated, had a positive attitude, and had a birth team that met her expectations. In the early postpartum days, breastfeeding was challenging due to latch issues. Yet, Having set up a solid support system, she overcame the learning curves, focused on her healing, and addressed her postpartum depression. For Ashlee, preparation is vital, expressing that no matter if birth plans shift, if you've prepared, you're in a better position to steer things your way.

134 | Making Peace with the Unknown - Ivory & Ernest Levert Jr.

For Ivory and Ernest a previous miscarriage had introduced a fear of pregnancy loss that loomed for a while. Their healing has enabled them to share their story with grace and humility. As the pregnancy thrived, Ivory and Ernest began to manage and prepare for childbirth. They hired a ROOTT perinatal support doula to support their pregnancy. They were able to start working with their doula in the critical stages of the first trimester and all the way through labor and immediate postpartum. Ivory always knew she wanted to work with a ROOTT doula and found it helpful to process her feelings and birth plans in the early stages with someone else.

Ivory utilized our podcast to listen to a slew of birth stories to learn what possibilities could present when labor started. An online childbirth education helped them learn even more about expectations and how labor could unfold. Ivory felt empowered with her newly gained knowledge. Ernest graciously shared that he was not emotionally invested in how the pregnancies would go, as he tends to stay in the now. His parenthood journey grew slowly as they got closer to their due date. Ernest started a grieving process of shifting his identity to make space for a new baby. Leaning into the voices of friends that are fathers, he learned to fill the gaps and help with managing stress for Ivory.

When labor started, Ivory texted her doula and Ernest that she was cramping. She wanted to stay active and decided to take a walk and spend some time with her husband at home as she wanted to stay relaxed. Contractions picked up, and they chose to report to the hospital to see how labor was progressing. Labor would go on longer than anticipated, but with the support of Ernest and their doula, Faith, Ivory endured. She gave birth to their daughter and immediately began her breastfeeding journey.

133 | Birthing in the Body - Gianna Fay

Gianna Fay, a Certified Nurse Midwife (CNM), tapped into herself as a resource as she ventured into her pregnancies. She also called upon people she had connected with along her journey as a birthworker. She started her first pregnancy living and working in Alaska. Gianna had access to the military base for care and where she worked. Allowing her to try out "centering pregnancy" at the base and thought it was a good option for them to allow her to "be the person pregnant." "Centering Pregnancy" is the process of having private physical exams completed by CNM's and doing all the other care as a group with other pregnant people. Other preparation included working out and curating a birth team to support her preferences. At the end of her third trimester, introspection through journaling and reading lots of positive birth stories (as a CNM, this helped clear her mind of all the things she sees daily). Gianna knew that she wanted to be in labor land, wanted to be a midwife and experience birth in her body with no interventions if possible.

After carefully planning and preparing for her pregnancy and labor support, she went into labor at 39 weeks three days with a huge gush of fluid in bed that woke her up. Labor moved faster than expected, and she welcomed her healthy son after managing her own choices.

Gianna and Evan discovered they were expecting again at the beginning of the Covid-19 pandemic. They would welcome their second child as an unexpected blessing after experiencing the joy of their first child's birth. They were no longer living in Alaska and transitioning into new roles and responsibilities. Gianna desired to birth in a natural birth center, especially as she met most of the criteria to qualify for a low intervention experience. But her fetal growth ultrasound indicated severe intrauterine growth restriction. A wave of emotions began to move through Gianna as her midwife brain and birthing person brain started to conflict. She sought a second opinion and started to utilize her resources again to manage her care. However, she had unintentionally pushed the first domino, leading to a cascade of interventions. She would have an induction that tested her patience and will. She did not experience labor land or even feel like she was in her body like her birth with Jacob. Gianna had to pause and reset before going further down the road of interventions. The reset worked, and baby Elijah was born healthy and was not small, which confirmed what she knew in her heart.

124 | Embracing Motherhood - Derikka Vaughans

Starting her first day of nursing school, Derikka Vaughans was surprised to find out that she had also started her journey through motherhood. She would take medical leave from school during her first trimester as navigating being sick and family stress would leave her a bit overwhelmed. Derikka expresses that, in full transparency, "I didn't get a chance to fully embrace pregnancy in the first trimester." and that with limited resources for women of color in her community, "I didn't really know what to expect from the experience." The most prep she had done was planning her baby shower.

So when Derikka started having mild contractions, she just attributed them to having gas. Her mom suggested to her that they could be contractions, and they should begin timing then. Throughout her labor, Derikka had to make shifts to her birth plan but reflected that an integral part of her story was when she was trying to decide about pain management. She had hoped to have an unmedicated birth, and it would be her dad who would allow her to find her voice and do what felt best for her at the moment. Speaking with him over the phone, Derikka explains that he spoke life into her, affirming her and her decisions. For her, she feels that if she had had more support like her dad's on her birth team, many things would have gone differently and that it wasn't until after the birth of her son that she felt educated about birth. She is now using her experience and knowledge to support other families in her community of Montgomery, Alabama, as a birth and postpartum doula.

Hospital Birth, PostpartumLaurel GourrierSeptember 16, 2021Birth Preparation, Doula of Color, Black Families Matter, Black DoulasComment

102 | Affirming Black Motherhood - Shanicia Boswell

Shanicia Boswell, a self-proclaimed serial entrepreneur, reflected on the birth of her daughter. She recalls feeling like getting pregnant at 22 was like getting pregnant in high school. Her friends were busy continuing their education and traveling. She remembered not feeling accepted or treated well due to being young, Black, and unmarried. She knew that she wanted an unmedicated water birth and discovered that her hospital did not offer that opportunity. Shanicia boldly changed providers at 28 weeks gestation to match her personal birth preferences. When labor ensued, Shanicia found herself in awe of the birthing process and the wonder of her own body. She safely rode the wave, and her labor produced a beautiful baby girl without complications. As postpartum began, Shanicia’s mother stepped in to provide in-home support and helped with the transition. She experienced the “baby blues” as her body and mind had to reconnect and take on a new life.

Shanicia has channeled her pregnancy and parenting experiences from the lens of a Black woman into a career. Her latest project is a pregnancy book, Oh Sis, You’re Pregnant: The Ultimate Guide to Black Pregnancy and Motherhood, that flows through all of the ways we can prepare our minds and bodies for childbirth and the forever postpartum period. There are African birth traditions, detailed health concerns that tend to affect Black bodies more frequently, space for Black women to see themselves, and there is joy - a joy that fits the occasion of the blessing of a new life.

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