Posts tagged Birthing During COVID
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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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.

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138 | A Journey of Unwavering Submission - Ashley & Adrian Cleckley

During a global pandemic, Ashley and Adrian would welcome their first child while living in the United Arab Emirates (UAE). The safety and travel restrictions limited their access to their family, causing Ashley to feel immediately dependent on her doctor. Despite being inclined to more natural resources for medical support, she felt that pregnancy made her want to stick to what the doctor said they needed. Ashley started to shift back to her first thoughts about her health, rooted in natural medicine. An unmedicated birth would be explored to match their personal preferences. She and Adrian weren't sure if a natural birth could be possible, as they didn't know if they could or if Ashley could endure it. After careful consideration, they hired a doula hoping to have support with their birth plan. Cesarean birth, epidurals, and a fear of dying in childbirth were the only knowledge Ashley started with as she and her husband started their first pregnancy. Their doula educated them about pregnancy and childbirth, which helped dismantle her fears and feel more empowered. The quest for knowledge began, and when Ashley shared mind shifts with her doctor, there was also a shift in the doctor's countenance toward's their birth plan. The doctor was dismissive and resistant to her preferences and started fear-mongering tactics to alter their plans. Adrian shared that he felt angry during the doctor's appointment because they had intentionally researched and devised their birth plan. He settled himself, and he felt his family was losing control of the situation. The birth team had to change, and it did change; they found a new doctor and hospital that could meet their needs.

Pregnancy became more challenging as their household tested positive for Covid-19 at 37 weeks gestation. A new fear presented itself, as she prayed the baby would not come while she was feeling sick and too tired to care for a newborn. Thankfully Adrian was asymptomatic and could complete the baby preparation tasks, and Ashley would feel better when she went into labor. Another issue did arise as her doctor attended to a family emergency, and they didn't know if she would make it back for the delivery.

When labor day arrived, Ashley tuned in with herself and listened to her body as they managed the day. Nesting set in, and Ashley emailed her birth plan to the hospital as early labor began. She prepared her hair for delivery, as Black women do in preparation for a new baby. She labored at home with the support of Adrian and her doula throughout the next 23 hours. They decided to check in at the hospital and soon discovered that everyone on her service had a copy of her birth plan. Ashley would explore her options for comfort measurements with her supportive birth team. The labor had drawn out so long that exhaustion shifted her mindset, and Adrian hit his daddy doula stride to help her overcome. He stepped out in the hallway to talk to the nurse to support the plan. Ashley found herself in a meditative state as she wrestled with the tiredness of her body and the intensity of labor. She would grapple with decisions that were altering her birth experience that didn't reflect her true wishes. Calmness came from sinking within and tapping into God as a source that allowed her to go through it. She began pushing without prompting or permission. Ashley allowed her body to lead and deliver her son into the world after 32 hours of labor. She was amazed by her strength and the process of childbirth.

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130 | Birth Rooted Overseas - Rokhaya Ndiaye

With a history of irregular menstrual cycles, Rokhaya decided to download an app to help her track them better. In early December, she was surprised to get a notification that her cycle was three days late. Ignoring it for a little bit, but with time passing and no change, Rokhaya and her husband found out they would be expecting on Christmas day. Restrictions from the pandemic would require a 14-day quarantine and needed to get the COVID vaccine if they decided to travel back to Canada. Wanting to wait out her options, Rokhaya paused on that decision. With her first trimester having some challenges, her doctors recommended she should not travel if possible. Moving into her second trimester, she focused on preparing for her birth, but by the time things began reopening, she was past the point of travel being safe, and Jamaica became the place their birth story would occur.

Five days past her estimated due date, Rokhaya began having light contractions about 7-9 minutes apart. With things progressing quickly, Rokhaya and her husband decided to head to the hospital. Upon being admitted, Rokhaya was 6cm, and her water broke shortly after. Reflecting on her birth, Rokhaya thought her son would have come earlier than he did. She had done so much work on focusing on coping with the pain; she couldn't listen to her body that her baby was ready to come earthside. It wasn't until the nurse told her her baby's head was out that she focused, and within three pushes, "prince" Ali was born.

In the immediate postpartum, Rokhaya felt comforted by the community of women she was surrounded by - as, in Jamaica, there aren't separate quarters, and the women all stay together. Ali was born unresponsive, and after having a couple of seizures, the doctors wanted to keep him for monitoring. For Rokhaya, she could not have her golden hour and was discharged without him for ten days. The first 6-7 weeks were hard for her, navigating her healing, Ali's recovery, and breastfeeding. She and her husband found that when they were able to listen to Ali, the better they did, being able to communicate and figure out what he needed allowing them to find their footing in parenthood.

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128 | Mothering the Mother - Megana Dwarakanath

Megana knew that she wanted a family, and before meeting her husband, she had even considered taking on the role of parenting without a partner. But soon after moving to a new city, she met her husband; they fell in love and began discussing expanding their family. They both wanted to have two kids before Megana got a bit older and had planned to start trying to conceive after getting married. But their March 2020 wedding was canceled due to the beginnings of the COVID-19 pandemic, leading them to move forward with a small ceremony and begin trying to conceive in May.

As a healthcare worker (pediatrician), Megana was aware of the studies around birthing folks in her field having two times the rate of infertility than others. Many of her friends in residency with her had shared their struggles with infertility. With that in mind, she was emotionally prepared to have some struggles of her own with conceiving but was grateful that she was pregnant within three months of trying. The beginning of her pregnancy was layered with many parts. They were going to be moving cross country; she had lost both her grandparents, dealing with the pandemic and also working through the pandemic and didn't fully have care established where they were moving; Megana describes that time as "surreal."

Amongst her birth preparation, she was journaling, reading, and listening to positive birth stories and remained active, running up to her 39th week of pregnancy. Her due date came and went, making Megana uneasy as she knew she was losing time from her maternity leave. Her jobs maternity leave policy would give her 12 weeks, and she had already begun using some time waiting on the arrival of her baby. Taking that into consideration, Megana elected to support her progress with an induction. Induction included two doses of misoprostol, moving her quickly into intense labor. Reviewing all her options and managing the frequency and intensity of her contractions, which had started putting her baby in distress - Megana decided to have an epidural to provide them some rest and allow her body the space it needed to continue to progress. After about an hour and a half of pushing, her daughter was born. Megana did suffer from a 2nd/3rd-degree periclitoral and labial tear, which would impact her in ways she wasn't prepared for.

Within her great support village, Megana's sister would be the guiding light in helping her navigate all the new transitions. The reality of how debilitating her tear was, combined with the level of rest she needed and what maternity leave entailed for caring and bonding with her daughter Megana was falling into a postpartum anxiety/depression cycle. With the support of her sister, they established some concrete strategies to guide her through this time and enable her healing.

Megana's journey with an extremely short maternity leave due to the American Board of Pediatrics policies has led her to be a driving force for changing maternity leave policy. She wrote an oped that has changed policies in her department and has a postpartum group for other South Asian women to discuss some of the cultural misogyny and expectations they contend with. Check these essential resources out in the show notes.

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127 | Friendship to Family - Giánni & Ron

Giánni and Ron expanded their family in 2019 and 2020, welcoming two beautiful daughters to fortify their new marriage. They were already parents building their blended family, but these pregnancies connected all of the dots and allowed them both to journey through the highs and lows of creating a new life together. They were both interested in having mature and intentional pregnancy experiences.

The first pregnancy was without complications, and Giánni was able to have the labor and delivery she had hoped for. Upon learning she was pregnant again shortly after her birth, Giánni and Ron paused and carefully considered if and how they would move forward with this pregnancy. She had made plans for her life's next steps and knew that committing to bring forth another life could prompt her to delay some of her dreams. They chose to maintain the pregnancy as their family members had recently endured the loss of an infant due to stillbirth. They felt called and chosen to accept this gift.

Giánni's second pregnancy occurred as the pandemic was shifting the daily lives of everyone. It brought health challenges that would make the pregnancy hard on her physically and mentally - including not knowing if Ron would be present for the birth. He had fallen ill around the same time as her induction and was admitted to the same hospital. She had the support of her ROOTT doula but was thankful that Ron would be discharged, joining her for the birth of their child within a couple of hours of her delivery. She would continue to have to monitor her health to stabilize her blood pressure with the support of the doctor and doula as they continued postpartum care.

Vulnerability was and has been the key to working as a team and building a solid foundation for their family. Ron articulated the need for fathers to have spaces to come without pretense or thought about who they are, their occupations, or social status. He also acknowledged the need for partners to create space for their wives to have time for themselves to recharge and work on their dreams. Giánni and Ron were able to come to each other with their needs by defaulting to the friendship they had before marriage. Giánni exclusively breastfed, and she found herself often feeling "touched out." Ron stepped in to help with researching and supporting Giánni until she was able to build herself up as well. Balancing four children proved to be challenging as they all needed something different from their parents. Breakdowns come, and they have kept up their communication and are persevering.

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97 | Trusting the Power of Intuitive Listening - Jefri & Aigbokhai

For Jefri prepping for birth mentally, emotionally, and spiritually was of high importance. Tapping into her intuition and "reconciling her relationship with pain" based on conscious and unconscious thoughts around it. She wanted to be able to trust herself throughout her whole journey, an aspect of preparation that was key for Aigbokhai as well—finding a way to stay out of his own head so that he could be "in the moment, present and available" to support Jefri in whatever way she needed.

When labor began, Jefri felt as though it wasn't time. As things started picking up, she still disregarded the shift but followed her body's request for movement as she worked through contractions. After some time, she found herself returning to the toilet, her body signaling to her that their baby would be arriving soon.

With a sense of haste, she instructed Aigbokhai to call their midwife, and they both began hurriedly preparing for the baby to come. With their midwife still a bit of way from their home and things moving fast, they placed her and Jefri's mother on facetime. Both of them providing support and encouragement as the baby began crowning. And with another two contractions, their son was born into Jefri and Aigbokhai's hands.

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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.

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