Posts tagged Intrauterine Growth Restriction (IUGR)
133 | Birthing in the Body - Gianna Fay
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.

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COVID-19, Hospital Birth, PostpartumLaurel GourrierBlack Midwives, Certified Nurse Midwife, Induction, Intrauterine Growth Restriction (IUGR), Tearing During Birth, Birth Preparation, Maternal Mental HealthComment
121 |Aligning Care - Dr. Petagaye English
121 |Aligning Care - Dr. Petagaye English

Dr. Petagaye English graciously joined us to share her experiences with pregnancy and birth. Her pregnancy would challenge her health and wellness and desire to be a "model patient." Because Petagaye is a physician, her provider did not follow AGOC recommendations which would have helped release her from being her own caregiver. There is a difference between being your own advocate and being charged with monitoring your own vitals and determining when you need additional care. Petagaye deserved to have a provider who took medical history into account every step of the way. She changed providers but still found herself back under that physician's care in postpartum. A birthing person deserves care that allows them to take off the hats they wear every time they enter a space to be cared for. Her provider honed in on issues that didn't match Petagaye's concerns and missed vital information that ultimately led her to change providers at 32 weeks gestation. Her new provider was focused and attentive to her medical care and monitored her closely. She was eventually scheduled for an induction.

The labor process proved stressful as her pregnancy had been shrouded with medical issues beyond her control, leaving her feeling robbed of some of the joys of pregnancy. Leading up to her delivery, she experienced anemia, hypertension concerns, and intrauterine growth restriction. She would deliver her baby after 40 hours of labor. But because her baby was smaller than average, she stayed in the hospital longer for bilirubin treatment and blood sugar monitoring. Unfortunately, she would return to the hospital for postpartum preeclampsia under the doctor's care she had fired at 32 weeks.

Dr. English credits her pregnancy challenges with shifting her practice in the care of her patients. She never wants anyone to feel the way she did during her pregnancy. She spent so much energy trying to be a "model patient" that her care from other medical professionals was neglectful and dismissive. Her advice is not to be afraid to seek care from somewhere else if the care you are receiving does not match your research and preferences.

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Hospital Birth, COVID-19, PostpartumLaurel GourrierInduction, Preeclampsia, Fibroid Awareness, Intrauterine Growth Restriction (IUGR), Hypertension, Anemia, Birth AdvocacyComment
41 | Inner Strength - Kayla Lucas
41 | Inner Strength - Kayla Lucas

Kayla Lucas shared her experiences with both of her sons, being diagnosed with hyperemesis, which made pregnancy physically challenging as she worked to stay healthy and maintain good nutrition and having un-planned inductions. While neither experience was what she expected, she describes them as helping her dig within herself to find a voice to advocate for herself, her strength and determination. Aspects she hopes to encourage others to use in their own birthing experiences.

Postpartum depression would mire her experience as a mother in the months after her birth. She sought support through therapy and was able to come out of it after becoming pregnant again. Kayla's grandmother helped her by acknowledging what her granddaughter was going through. She opened her home to her for respite during the day and watched her son during therapy sessions. Her family gave her time, space, and resources for a time to herself to help relieve anxiety. Kayla wants women to connect with themselves to build self-trust before pregnancy to help them be self-advocates in their care. Find your voice, speak up, and be heard.

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Hospital Birth, PostpartumLaurel GourrierInduction, Hyperemesis, Intrauterine Growth Restriction (IUGR), Postpartum Depression, Village SupportComment