Posts tagged Doula Support
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.

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155 | An Unexpected Arrival - Kelly Barnes

Yoga Instructor and traveling Occupational Therapist, Kelly Barnes shared her quicker than expected homebirth at 37 weeks. An experience she describes as "challenging, overwhelming, and rewarding all at the same time." Her expectations regarding when and how she would give birth were dismantled but the result was pure magic.

Kelly maintained an active lifestyle which included yoga and running throughout her pregnancy. Dual care with a certified homebirth midwife and OB. Envisioning a water birth was a focal point for Kelly as she embarked on her pregnancy. As a contingency, she enlisted dual care with a licensed professional midwife for the homebirth and an obstetrician to cover in case she needed to transfer from home.

Building up to her maternity leave, she loaded up on work to fully fund her maternity leave. As the nesting phase started to kick in she started to show signs of early labor. This sudden change caught Kelly off guard, and she wasn’t mentally or physically prepared for the baby to arrive. Her husband enlisted her sister to help her reconnect in mind and body to settle into the reality that she didn’t have weeks to prepare. Labor progressed as her husband scrambled to complete the homebirth checklist, thankfully, their doula was present to support her. The atmosphere shifted as her team slowly made their way to the home and set up the environment. Kelly managed labor with what was familiar to her, movement. She would live out her vision as she pushed her baby out.

Birth and motherhood are teaching Kelly that research is key, aligning with your care provider, and making informed choices.

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154 | The Other Side - Danielle Miller

In collaboration with Pacify Health, this month’s episodes will focus on the doulas. You’ll hear conversations with four Pacify Doulas, getting a chance to reflect on “ The Other Side” of birth. Today we meet Danielle Miller.

Danielle Miller was an established lactation counselor when the call to birth doula work pulled her in as a change agent supporting Black birthing people. She completed both birth and postpartum training, allowing her to build upon her skills. The first birth she attended felt like such an honor that she couldn’t believe she had waited to become a doula. The love for the work has determined her path, and feels purposeful. Witnessing babies come earthside has demanded she respect the process, not rush and allow.

Introducing virtual support to her practice with the Pacify app has further developed her skills to provide more mental guidance for her clients. Tapping into the ability to reach clients from wherever was uncomfortable but necessary. Now she embraces it as birth can call on mindfulness that connects with the body. Helping mothers and birthing people feel seen and heard during their pregnancy and labor is key to how they feel about their experience.

Danielle has coined the term “Pacify is the uber of doulas.” When her purple app lights up, she knows she’s about to connect with someone and can share information about birth. It provides an extra layer of protection for people not feel alone and helps them find their voice. The convenience of the app for doulas has helped her work/life balance. She is generally up with her newborn at night and has created a life for her family that allows her to support both in-person and virtually while being present at home.

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153 | The Other Side- Zoerina Ledwidge

In collaboration with Pacify Health, this month’s episodes will focus on the doulas. You’ll hear conversations with four Pacify Doulas, getting a chance to reflect on “ The Other Side” of birth. Today we meet Zoerina Ledwidge.

A college assignment captured Zoerina’s attention; it was a report on the maternal mortality rates in the DC area. She took into account the disproportionate findings regarding Black women. The report introduced her to the positive impact of doula support for birth. Zoerina discovered Mamatoto Village, where she was introduced to holistic perinatal care. After training there and attending births; she was instantly hooked. They offered opportunities to shadow experienced doulas at births and that helped build her confidence.

Zoerina balances the new ways of in-person and virtual support while anchoring in a holistic approach to birth. Initially, virtual support was tricky in developing a voice that was not in the birthing room with her first virtual client. There were lapses in communication now she feels like she has been able to get the kinks out. Letting go of her own expectations and allowing her presence alone to be the best thing she can provide for her clients. She helps her clients develop birth wishes instead of birth plans to ease their minds about what they want to happen; allowing them to surrender into the process.

Pacify’s virtual doula app has supported Zoerina’s passion for finding new ways to serve the black community. Because Pacify is available to all people with Medicaid in select states, it provides accessible care for Black people who may not be able to take on the expense. Over 50% of the doulas on the network are Black; culturally affirming and sensitive care is critical. This platform allows Zoerina and other doulas to answer questions that may not be addressed during prenatal visits regarding common discomforts and concerns. Many topics can be addressed during the doula calls; the importance of prenatal care, finding a doctor or midwife they trust, explaining the process of labor and birth, pain management and coping skills, bodily changes, and stress management are just a few.

A few takeaways from Zoerina - get a doula, there is a doula for everyone, and seek lactation support for infant feeding. Lactation consultants support formula feeding and breast/chestfeeding. Pacify offers both!

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152 | The Other Side - Yasmin Baskin

Yasmin had a natural inclination to work with babies at an early age. She thought she would be a gynecologist or pediatrician; the pain of seeing sick children shifted her career plans. She became a teacher instead, and her love for being an educator was helpful when choosing birth work. After training in birth and postpartum work, she included lactation and even explored a path to midwifery.

Working with Pacify has amplified the educational component of her doula experience. She can work with families through the app and can address prenatal questions and concerns. The ability to touch more lives via lactation and doula support through this medium blows her mind. It is not lost on her when she greets a Black or Brown parent who is excited to see someone who looks like them. Acknowledging parents that call Pacify that are Black and using doula support and breastfeeding resources is important to her.

When women have a baby, it may be the only time in their lives that people offer unsolicited help. Yasmin encourages new parents to ask about their family traditions surrounding birth and postpartum and for help with unexpected needs. Many cultures report healing practices about maintaining warmth in the birth giver's body and staying home in the first 40 days after birth. These traditions are major keys to Yasmin’s postpartum practice; she shares them with virtual and in-person clients.

Her doula journey continues to unfold; Yasmin is grateful to add her time with Pacify as priceless work. She feels supported by the team and valued as they provide a consumer-driven service and a space for doulas to make a difference for new parents and for their work to be deemed necessary.

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151 | The Other Side - Lare Ngofa

In collaboration with Pacify Health, this month’s episodes will focus on the doulas. You’ll hear conversations with four Pacify Doulas, getting a chance to reflect on “ The Other Side” of birth. Today we meet Lare Ngofa.

Free-Spirited, science-loving Lare is a birth and postpartum doula who entered the birth worker world when she caught her baby cousin at age 16. She deepened her knowledge of holistic pregnancy care through education and family conversations, but she waited to move forward in the work as she wanted to explore other avenues.

While working through her career choices, her mother was diagnosed with cancer. Lare shifted gears to care for her and her autistic brothers. Unfortunately, treatment would not heal Lare’s mother as she passed away after a brief hospice stay. Lare refocused her intentions on what family and work would look like; as she managed the waves of grief. Lare finally trained as a doula with the support of her cousin and has developed a practice that features intuitive and holistic care in the Los Angeles area.

Supporting families in-person and virtually allows Lare and other birth workers to be accessible to families who want their services. Doulas spend a lot of time educating families on their options and encouraging them to give birth without fear. Lare found that her clients teach her new techniques and advice as well. One client taught her the value of a focal point in the birthing space and reminded her that she told her, ”Surrender or be dragged; surrender to this process or be dragged through it.” The connection between doulas, birth givers, and new parents can vary based on personalities and individual needs. This unique relationship helps build trust and confidence for birth and the subsequent parenting journey. Doulas can only take credit for the role required of them and how they show up in sacred spaces.

Choosing to connect and open up about our experiences and concerns about pregnancy and birth is developed by taking the first step of reaching out to a known resource. Every call will not be a deep and emotional conversation, but every call is a human connection. Working with Pacify has added value to Lare’s doula practice; she is now accessible to people who may not be within her reach financially or geographically.

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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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136 | Receiving Energy from Water - Adenike & Brandi

Their pregnancy journey involved five tries with Intrauterine Insemination (IUI). After two unsuccessful attempts at home, they decided to get support at a specialized clinic. They had a Nigerian nurse practitioner during the first two tries at the clinic (Adenike is of Nigerian and Haitian descent). Still, it would be the fifth try to become pregnant ultimately.

For Adenike, the pregnancy itself would be pretty "straightforward" the most challenging part was managing her Sickle Cell Anemia. Individuals with this diagnosis can have low birth weight babies due to the birthing person cells being shaped differently and how their body carries oxygen. For Adenike, this meant the need to get red blood cell exchanges completed once a month. Due to Covid, she was attending these appointments alone, spending four to five hours getting blood pumped in and out of her body. While a tasking endeavor, Adenike expressed that care providers like to tell you what you can do with your body in terms of Sickle Cell care. That was not the route that she and Brandi wanted for her pregnancy and birth. They leaned into the research they had done and the support of their doula to ensure every step of the way, Adenike was able to support her body in the way she understood her needs.

Adenike's pregnancy was considered high risk due to her Sickle Cell diagnosis paired with other health concerns. Taking that into account, her maternal-fetal medicine (MFM) doctor (also Nigerian) discussed with Adenike and Brandi that it might be safest to have an induction at 38 weeks. As the time came around, they could push this time frame back as her body and baby were managing well. After their appointment and returning home, Adneike and Brandi settled into their nightly routine, with Brandi taking their dogs on a walk. As she stepped out, she noticed a drizzle of rain, along with a woman she hadn't seen before sitting about 20 ft away. Brandi shares in a greeting with her, and the lady exclaims, "You know it's raining outside!" throwing Brandi off a bit as it wasn't raining that hard. Continuing on her walk, she was baffled when she saw the lady get up and begin walking away into the distance with no known end. Returning home, she shared this interaction with Brandi, but they both shrugged it off as they went to bed, but soon after, Adenike felt a sudden sharp pain and gush from her waters breaking.

Labor would take its time, the rain increasing into a torrential downpour as they made their way to the hospital. As they moved through their birth, some shifts were required from their birth plan, along with hard discussions and push back from their care team. Through it all, Adenike stayed in tune with her needs, and when she was ready to push, she followed her intuition, bringing her daughter hearthside as the rain came pouring down a reminder they were covered and held.

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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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126 | Blocking Out the Noise - Charlene McCraney

Charlene read, watched, and listened to anything she could to prepare for her birth. Knowing all the negative messages surrounding the birth experience for Black women, she wanted to make sure she was educated for her birth. As she started learning how hormones and the body worked together and the cadence of physiological birth, the layers of fear she was holding onto started to peel back, solidifying her decision to have an unmedicated birth. Other things that supported her during this time included hiring a doula and guarding herself against any negative stories or news about childbirth to stay in a positive mindset.

Charlene described her birth as being "uneventful," so two days before the birth of her daughter, attending her routine appointment, she was thrown off that her blood pressure was elevated. It remained elevated throughout the visit, prompting her care provider to have her stay in labor and delivery for a while so they could monitor her. Considering the additional symptoms, Charlene was having - headache and seeing "sparkles" combined with a blood pressure that would not drop. The conversation shifted to signs of preeclampsia and her needing to be induced that day.

The initial shock of such a significant shift in her birthing plans caused for pause for her. Utilizing the "BRAIN" tool (Benefits, Risks, Alternatives, Intuition, Nothing) she had learned in her childbirth education class, Charlene was able to walk through the process of next steps feeling fully informed and focused on trusting her intuition. As she moved through her induction, the rest of her birth plan became just as important; she made sure to use hydrotherapy and movement. She was trusting her body, and as she exclaimed: "blocking out the noise" from her care providers about how to listen to her body. So when her daughter made it earthside, she was still happy that she could have her birth her way.

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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.

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117 | Staying Present - Annette Perel

Before the pregnancy of her son, Annette Perel had been a doula for about four years. Considering her experience from supporting other families, she was set on the plans for her birth and what she needed to do to prepare. Key aspects of that preparation included hiring a doula and midwife for her home birth, learning to become assertive in her communication to advocate for herself, and soaking in the joy of her pregnancy.

Not able to turn her doula hat off, Annette was sure that her son would be coming past his estimated due date. Thanksgiving evening, she was surprised as she began noticing some early signs of labor but pushed them off as she could move through contractions with ease. That night she was even able to sleep through them. Over the next two days, she would fall into a rhythm of working through manageable contractions throughout the day that would subside in the evening and morning. Annette and her son's father took that time to complete the last preparation before his arrival.

Moving into day three, labor would begin to shift and become more intense, Annette needing to lean into the support of her son's father and doula. Staying present in her birth was very important for her - an anchor that allowed her to connect with her baby and body, serving as a technique for managing labor and allowing her to trust herself. This would be vital as Annette delivered her baby into her own hands with the support of her doula and midwife, who was providing guidance via phone (as she was still making her way to Annette). A moment she describes as feeling "guided, protected, safe and exactly how that labor was supposed to happen."

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