Rachel and Lucas welcomed their third child, this time a BOY, on June 23! Rachel was familiar with the road of induction since she had been induced for her first two births due to high blood pressure. She hoped to avoid it but knew that it was a possibility again. She also had experienced a postpartum hemorrhage and hoped to avoid that this time. But Rachel trusted her providers and knew with good support and some strategies in place she would have every opportunity to welcome a third baby in an unmedicated birth.

Like third babies do, Rachel’s uterus was very busy preparing in the final weeks, producing bouts of contractions and general discomfort. She’s also a busy mom so it’s not easy to sit much and rest like one might do with a first pregnancy! Her body set the stage for labor in the last weeks though, and she was dilated 3-4 cm at her last prenatal appointment.

With an induction on the calendar, Rachel tried to do “all of the things” to jump start labor beforehand, but none of it worked, although it might have helped lay some groundwork. The day of the induction there were no beds at the first call—a hurry up and wait experience that is typical of inductions--but a few hours later there was a call that a bed was ready, so Rachel and Lucas made their way in.

Rachel was dilated 4-5 cm with regular (but far apart) contractions at 9 minutes. Her midwife did a membrane sweep in the hopes it might move her into active labor along with the breast pump. The contractions got stronger and closer but remained irregular. A few hours later around noon Rachel was dilated 5 cm, but her labor wasn’t really coordinated yet. The plan was to break her water closer to 1:00 and hope that worked. Pitocin at a low dose was another option but Rachel hoped to avoid pitocin and go the most natural way with induction.

Rachel stayed quite active as she waited, even doing full low squats. She continued to chat pleasantly with us, hardly acting as though she was in labor. And when her midwife returned at 1:00 she broke her water. Rachel was still 5 cm, same as an hour before, but we expected her body would take off with active labor and big changes soon.

Rachel squatted and leaned over the Cub birthing chair and kept moving around to see if her body would get going with active labor. She even did lunges over the Cub on the bed in case her baby’s head might interface more directly with the cervix to dilate it and bring on stronger contractions. She was willing to do anything suggested and even some things she thought of on her own. She listened to her body and was not afraid to move it.

Rachel shared with us that her contractions were definitely stronger soon after her water was broken, but by all accounts, she was managing them well. It seemed a good time to have her try the shower so we dimmed the lights, added votives so she could focus on her body’s signals. Rachel stood on the shower, sat on the bench seat, and even lunged with her foot upon it. Her chatting lessened as she was drawn more inside herself for the last bit of labor. She might not have known it at the time, but the 20 minutes Rachel spent in the shower when she thought it felt “so good”, was when she went through transition!

In fact, Rachel had the wherewithal to tell Lucas and I towards the end of the 20 minutes, “It’s not long now. We’ll want to notify the midwife soon.” That’s when we let the nurse know and helped her out of the shower and back toward the bed after a quick potty stop. Her midwife arrived a few minutes later at 2:42 pm and confirmed at 2:47 that “baby is right here.” In fact, as Rachel recalls, her midwife said, “You’re a 10!” And Rachel responded with, “That means I can push?” She felt him descending as she breathed through two contractions. And then her midwife gently suggested Rachel push.

“Babe, I need chapstick,” was Rachel’s response before her first push. Lucas had it there in a flash. Rachel pushed through one contraction. Then Lucas applied chapstick to her lips, and with the next contraction Rachel reached her hand down to help ease her baby out as she growled her push. Rachel received her baby from her midwife’s hands, meeting Eli Melech Charles at 2:55 pm.

Eli tried to cry when he was halfway out! And once his body was born, he cried out in a high-pitched squeal. Rachel got a good look at her boy and noticed in a short time that he had the same toes as his sister. I love how parents see family resemblances in their newborn babies.

Rachel did not tear and as a result her midwife was finished soon after the placenta was out. There was plenty of time for a big hug! It was such a beautiful birth and a very gentle induction. And when I saw Rachel recently for our postpartum visit, she was still riding the high of the birth. She said it was perfect and everything she would have wanted. And as her doula, I can say the same about her as a client!

Welcome to the world, Maxson David Delano, born in the final minutes of June 2! This is my second time to serve as Jerica’s doula, so I was familiar with her understated way of laboring. But this was her third baby, and they have a reputation of being unpredictable. And this birth was a scheduled induction for postdates which also adds an extra layer of uncertainty on top of the already unpredictable nature of spontaneous labor.

It was a very busy day for birth but the staff worked diligently to get Jerica settled into a room as soon as one was available. She was dilated 2 cm, 60% effaced, and baby was -2. Jerica’s veins were a tricky stick, so getting an iv established required more than one try by more than one nurse, but eventually it was successfully established by an anesthesiologist. Working as a team they made it happen.

And over 6 hours after arrival, Jerica received her first dose of Cytotec. And then she waited. Jerica requested the breast pump to use in the hopes it would get things going as she waited for the next dose of Cytotec. Four hours later came the second dose, just past 6:00 pm. Jerica had some mild contractions that were close and short, but she could talk through them and knew they weren’t to the level of significant cervical change yet.  She sent David home to help settle the kids for bed.

By 9:00 pm, Jerica’s contractions were super close but still not very strong. She felt some pain in her lower back as well and considered walking around. I gave her some suggestions to ease the back pain and wondered if baby’s position was the cause. But within 30 minutes Jerica felt a shift in intensity that had me feel I should head to the hospital. She was worried I was coming too soon and preferred I want until she got checked so I waited.

At 10:20 pm she was checked and confirmed dilated 4 cm, still 60% effaced, and baby was still at -2 station. But even though the numbers didn’t seem like significant change had occurred, Jerica continued to feel pain in her back and thought they were getting more intense. She suspected it would be time to come soon so we felt it best I just head in. I left at 10:45 pm and arrived around 11:15.

Jerica was moaning through contractions that were close together. Of course, they had been close for hours, but had very recently turned the corner to active. She was standing by the bed, braced against it as she breathed through contractions. Her labor had taken hold in the 30 minutes since our call. She breathed and focused through each contraction and found the breaks shorter than the actual contractions.

Jerica felt like she had to use the bathroom, so she took a pit stop with David by her side. (Yes, I know this could mean a baby is coming but not even Jerica thought that was the case.) So, I went about setting up votives around the room to enhance the ambiance and didn’t hear her when she told David she was pushing, and then dismissed herself with “that’s can’t be right.” Jerica made her way out of the bathroom and back to the bed to lay on her side awhile. She requested David play her Hypnobabies scripts on the speaker, so he set that up as well. Then as she lay there, she said she felt her baby was coming but she wasn’t ready. Her nurse was casually setting up the delivery cart unaware that Jerica felt her baby coming, so we alerted her that Jerica felt the baby.

The nurse called for the doctor who was not in the building, so they had the hospitalist OB come in for delivery. Jerica was startled that she was actually pushing already, and she felt very overwhelmed. “I’m not ready,” became her mantra. And I met it with, “But your baby is ready. It’s okay to be overwhelmed by what you are feeling. It went so quickly!” The doctor came rushing in and got the deets from Jerica’s nurse. She hurriedly dressed in her paper suit and pulled the delivery cart up to the bed.

She lay on her side, and we supported her upper leg. The doctor watched as Jerica’s amniotic sac was born. She offered to break it but Jerica preferred she didn’t. With the next contraction, the sac was laying upon the bed like a water balloon cinched at the base. And it gently released fluid on its own. “I can’t do it,” Jerica insisted, right as she WAS doing it. We could see Jerica’s baby crowning in that moment and the doctor had David come to the end of the bed to help do the delivery! Jerica continued to tell us she wasn’t ready, but she pushed as if she most definitely was! The doctor patiently waited as Jerica pushed instinctively, following her body’s urges as she was ready. And once her baby’s head and shoulder was born, the doctor gestured for David to move in closer. The final push brought their baby into David’s hands, who was then instructed to place the baby onto Jerica’s belly. He was a bit shocked himself, so he paused for a moment of wonder before passing their newborn baby to his wife.

Maxon weighed in at 8 lb. 13 oz., the heaviest of his brothers, and measured 21 in. long. As Jerica processed the birth in that first hour or so, she told us she was scared and not ready. And she didn’t think she would make it for a long labor. So, her baby ended up coming the way she needed him to! David confessed that he felt like he might pass out right before the bag of waters was born, but he managed to stay upright. And Jerica tried to piece together when she was in transition. It must have happened on that bed and probably just lasted a couple of minutes!

It just goes to show that cervical dilation has no bearing on labor duration ever, but especially after the first baby. And Jerica’s intuition was far more compelling than any exam she received that day. I am so proud of her for advocating for what she needed in the waiting hours, and in the 90 minutes of active labor. She birthed with composure and grace just as I remembered from the birth of her second. And like before, she didn’t even look like she had given birth. Needless to say, Jerica is quite remarkable in more ways than one!

Maria and Kent welcomed their third baby girl on July 26! I’ll never forget when I first met Maria. She expressed to me that her first two births were less than ideal. She had two beautiful daughters whom she loved, but her birth experiences left her feeling a bit disappointed. She said, “I just want my ideal birth, and this is my last chance.” (No pressure!) We talked about how she wanted to FEEL her birth. She wanted to experience it differently than her others. Maria had a strong desire for natural childbirth and hoped to avoid Pitocin and an epidural. She enrolled in my 2-week refresher class to prepare the best she could, while simultaneously caring for her two young children. And perhaps most importantly, Maria chose providers who believed as she did that her body was strong and capable, and that birth was a natural process that didn’t necessarily need help. She also filled her mind with positivity and the strong belief in her body’s ability.

Maria felt a lot of uterine activity. Her body was gearing up for the big day with bouts of contractions that left Maria tired and wondering. Her cervix was changing week by week. At her 40-week midwife appointment she was dilated 4 cm. She agreed to a membrane sweep, but little came of it. Maria was patient and waited to see what her baby would do. Then a few days later, I got a text at 2:20 am that her water had broken. Since it was late (or early, depending on how you look at it), Maria tried to rest. Her midwife encouraged her to stay home and rest until her contractions picked up. 

About 2 ½ hours later, Maria reached out again with frequent contractions that kept her awake. Her midwife felt it a good time to head to the hospital. Within the hour, Maria was settled in her room and dilated 5 cm. She was breathing calmly through contractions but working. Since they detected meconium at the hospital, Maria would be on the monitor for the duration. She focused on her body and not the straps, and stayed positive. Kent went home to help with the bedtime routine but returned a short while later. And there was a FaceTime call or two as well. Maria’s baby was about to be a big sister! The thought can be mind boggling.

At this point it had been about 9 hours since her water broke and her contractions were not very strong yet. Her baby was in the OP position to boot so she might need some help to interface with the cervix. Maria’s midwife respected her desire to avoid Pitocin if at all possible, and instead recommended the regimen of an enema and a breast pump. Maria had some lab work that came back a little concerning so she would be relegated to the bed, in addition to the monitors. But Maria did not let this dissuade her from her goal of movement. Instead, she made good use of the bed, taking advantage of its various shapes and the squat bar to remain upright and mobile.

And the regimen worked! The enema and pump gave Maria’s uterus the little nudge it needed to kick labor into high gear. And things ramped up quickly. Maria labored over the birth ball on her hands and knees, rocking back and forth in the hope her baby might rotate. Then she labored on her side with the peanut ball between her legs. It was just past 2:00 pm and it was evident that her contractions were much stronger. Maria exhaled sighs as her uterus balled up with great intensity.

Twenty minutes later she was dilated 7 cm, 100% effaced, and her baby was at -2 station. There was also a forebag and her midwife broke it with Maria’s consent. The nurse set up the delivery table and Maria’s contractions were consistently 2 ½ to 3 minutes apart. They were in the sweet spot and would be meeting her baby soon.

By 3:12 that afternoon, Maria was doing a lot of bearing down at the peaks of her contractions. She moved to her hands and knees over the peanut ball since she felt like she was clenching on her side. Then at 3:22 she felt lots of pressure to such an extent that she had difficult differentiating between contractions. She was in transition, the place where it feels like there are no breaks! Maria gave herself a pep talk through each contraction, saying, “Ok, ok, ok, I’m ok, I’m ok.” At 3:29 she felt like she had to push, but as it turned out there was still time to labor down.

Maria was upright over the head of the bed and by 3:55 she was sitting up holding the squat bar. Her midwife returned to the room, quietly watching and waiting. An exam at 4:15 confirmed Maria was dilated 9 cm, but she wouldn’t be for long. She reached for Kent’s hand, and continued to breathe through each contraction, allowing the fullness of a low baby to relax and open her even more. And then it happened—Maria was pushing full stop. And she didn’t push long, less than 10 minutes. And as her baby’s head crowned, Maria yelled out in a visceral and powerful way! 

Her baby’s head was out, and the midwife moved the nuchal cord aside. But Maria’s baby didn’t slide right out. The shoulders were big and wide and required a lot of effort by Maria and her midwife as her baby made her way out. Maria was so overwhelmed with the sensation of her baby coming out that she screamed out. I looked her in the face and reminded her to push, and Maria returned that focus and pushed with equal measure of strength and yielding. And at 4:36 pm, Maria’s baby was born! With the baby in her hands, the midwife called out, “I need some help here,” as she hoisted Maria’s baby up toward her. Maria grabbed up her daughter with the strength of a warrior, for that indeed is what she was.

Oh the cheeks! And the shoulders! All the rolls! Baby Eleanor needed some breathing support at first as she transitioned to breathing air, but she came around quickly. It turns out she rotated out of OP at the very end and even though she was a chunky girl, because her mom yelled out and paused in her pushing as a result, she did not tear! And this baby girl weighed over two pounds more than her sisters! Eleanor weighed 10 pounds, 6 ounces and she measured 21 ¼ inches long. She had dark hair on her head that came down to her forehead, and she even had dark eyebrows to match. She was beautiful and perfect, and such a triumph in so many ways.

As things settled down and Maria began to process what she had done, she was awash in peace. She looked at me and with certainty told me she got her perfect birth. And how! Maria discovered what she always knew. And she did it in such a big way. (no pun intended) I am extremely proud of this woman! And I’m happy to say she is proud of herself too. 

Julia and Erich, repeat clients of mine, welcomed their second COVID baby on June 10, 2021! (Yes, you read that right! They welcomed their first baby just a few weeks into the pandemic!) Julia was well aware of the changes to hospital policy that followed in the wake of COVID-19. She had an unmedicated birth in the hospital, however she had a virtual doula, a mask on her face, mandatory COVID test, and hospital staff all decked out in layers of PPE. This time around she desired a less medical experience and she also wanted more choice. So she brought her birth to the place where she knew she would be most comfortable, feel safest, and make all of the decisions that were important to her. And that place was home.

Her second baby proved to be different in when she came as well, because she surprised her parents by coming weeks earlier than her sister did! Her first baby came 3 days before her due date, but baby #2 came over 2 weeks before her date. Her first labor text came after 10:00 pm on June 9. She was having contractions but they were far apart. By the next morning they had not subsided but were still spaced. Julia had an in-home appointment with her midwife that afternoon and she hoped to get more info then unless things picked up before.

Julia’s labor was confusing and she wasn’t quite sure what to make of it. She stayed hydrated and she even went through multiple rounds of the Miles Circuit to encourage her baby to move into an optimal position to help labor progress more regularly. And it was after the second round that her contractions jumped to every 3 minutes and longer and stronger. It was around 12:15 pm and I headed to her home. I arrived to find Julia laboring in various positions but battling her fatigue. She had been up most of the night already and the hardest work lay before her. The contractions spaced out which was actually a grace for it allowed Julia time to rest in between. Her midwife arrived for the appointment around then and was able to do an assessment and leave the equipment for pool setup. Julia got emotional with everyone assembled, and when her midwife asked about them, she confessed she was worried about her firstborn. Who would get her from daycare, when would she be home. She wanted her baby back home in the nest before welcoming her newest baby. Erich was on it and in minutes had made arrangements for a family friend to pickup big sister and get her home asap.

And within the hour, Julia’s labor picked up. This was no surprise since she had addressed her emotional hurdle. Julia labored in her shower while the pool was getting setup. Big sister was safe at home by 5:00 and Julia’s relief was clear as she exhaled and relaxed. Her contractions were requiring more of her, so she stayed upright so she could better cope and move how she needed. By 5:22 the tub was ready and Julia did not hesitate to get in. She naturally moved to her hands and knees, leaning over the edge of the tub with her contractions and exhaling audibly through the peaks. She stepped out for a bathroom trip and labored a few of her contractions there. But she returned to the tub where she desired to welcome her baby.

When she entered at 6:22 pm, an hour after she got in the tub initially, she was feeling pressure as though she would be pushing soon. She waited to feel the undeniable urge to bear down, but it was slow to come. By 6:40 she pushed more intently, shifting from hands and knees to sitting against the wall of the tub. Around 7:00 pm we heard Grandma put big sister to bed. Dinner, bath time, and now bedtime routines were completed. This might be the last thing keeping Julia from birthing. Just in case, I also offered her some sugar in case she was feeling weary. Julia was interested in a cervical exam and her midwife obliged, confirming she was fully dilated with a bulging bag of water. No wonder she felt so much pressure but pushing wasn’t quite happening. She pushed some on the bed using the rebozo to tug-of-war push with her midwife for a bit. Upright positions seemed to be in order, so I recommended Julia return to the shower to make use of the ledge so she could do standing lunges. Surely that would bring her baby’s head down to birth.

Julia returned to the tub at 8:25 pm and that’s when we really saw some progress. She pushed in a squat and after just one or two contractions her water broke. Then her vocalizations changed and we heard the unmistakable guttural sound of a baby coming. Her midwife shined a flashlight but didn’t quite see baby. We continued our words of encouragement, cold cloths, and all of the support. And then Julia leaned forward in silence and reached down for her baby! The midwife said, “Oh!” as Julia leaned back against the wall of the tub, baby in arms. It was 8:43 pm when Aurora Grace was born unbeknownst to the people present. It was a secret between her mom and God, just as it was intended.

Aurora cried out right away and a towel was gently rubbed on her back to keep the cries and breathing coming as well as keep her warm. Julia embraced her baby calmly and we marveled at how her baby flew under the radar and the flashlight pointed at Julia’s backside. Clearly she preferred not to be in the spotlight when she entered the world. The placenta came 10 minutes later and was placed in a bowl floating beside the mother-baby pair. When she was ready, Julia got out of the tub and proceeded to the bed where she would stay. Grandparents joined her and her mother’s “Wow! Wow! Wow!” said it all. A miracle had transpired upstairs all while they went about their day.

Next on the agenda was food so Julia placed her order and Erich set out on a mission to get it before closing time. Meanwhile, Aurora latched and had her first nursing session as Julia ate some snacks. All was well and there was no rushing any of it. In time, the midwife did the newborn exam so calmly. Homebirth babies rarely cry during the exam, believe it or not. And we confirmed that Aurora weighed in at 7 lb. 2 oz. and 18 ½ in. long. The midwives cleaned up and did some education, while I remained with Julia. And soon it was time to leave. Erich had returned with dinner and she had her parents at home to help. It was time to tuck in for the night. How lovely that she had nowhere to go and she was already home.

This birth was a timely reminder that even as a pandemic swirls about the world, birth can still be intimate and safe, and done at home. I was honored to serve this sweet family as they welcomed both of their babies just 14 months apart. Hopefully by the time they welcome any other babies the pandemic will be a thing of the past. One can hope!

Megan and Gokhan welcomed their son, Aslan Yusuf, before the sunrise on April 2, 2021. When I first met Megan, I was struck by her youth. She was the same age as my oldest child and the reality really hit me. I jumped to conclusions based on this and was so humbled and enlightened as I got to know her. She was bubbly and eager, and extremely motivated to welcome her son in the unmedicated birth she envisioned. She was also a student in my in-depth childbirth class, further building upon the innate knowledge of her body. Megan’s cervix made some changes late in pregnancy, thinning and opening before the first labor contraction, so that by her 39-week appointment she was 3 cm and 80% effaced. Her midwife sent her home with the compliment of being the most ready for labor of the many 39-week moms she had seen that day. Still, Megan realized this had no bearing on when she would welcome her son, so she remained open to whatever may come.

And just a few hours later I got a text. Megan was having “cramps” every 6 minutes or so, painful enough to give her pause. Were these from her exam? Or maybe for some other reason? They couldn’t possibly be labor just like that, could they? And of course, we all know that yes, they can. Six hours later, just past midnight Megan reached out with an update. The contractions were 5 minutes apart and very long and painful. It was so quick! So I recommended she call her midwife to get the recommendation of whether it was a good time to head in. The midwife confirned it was, and we met up at the hospital a short time later.

Megan breathed very calmly through her surges and her midwife was pleased to say she was dilated 5-6 cm with a bulging amniotic sac. This was a good place to be, for it meant that the longest most painstaking part of labor was already done. The more intense phase was coming. Megan received some iv fluids to help stabilize her baby’s heart rate and we applied some heat to her lower back as she sat through it. After the midwife checked in and left, Megan asked me about her pain medication options. But she did so with a slight smile. This was Megan’s transition. I assured her that by asking the question we could see she was very soon going to meet her baby. She never spoke another word of it. And neither did we.

The shower was the next stop but it didn’t last long. Megan needed to take a stop on the toilet as she felt some strong rectal pressure. And sitting right there her water broke! She retuned to the bed for a quick cervical update and her midwife declared her to be 9 ½ cm dilated at 4:07 am. Megan reclined in the bed because that felt right to her. And she gracefully allowed her body’s transition contractions wash over her as she started to feel the urge to bear down at the peaks. A fan (HER fan that she directed us to) and a cold washcloth were about all she needed in that moment. And by 4:45 she was full-on pushing side-lying.

Megan rolled over to her hands and knees and pushed over the birth ball. Her midwife leaned in closely to tell her that her baby was in the OP position and would need a bit more oomph in each push to descend and rotate. And Megan delivered. Literally. Megan pushed in a lunge and we could see her son’s dark hair shortly after. The midwife reached for the delivery cart, parking it at the foot of the bed. Then she donned her paper suit and took a seat.

Megan’s pushes were instinctive and strong and effective. Her son come tumbling into the world (and even rotated into the OA position) at 5:56 am! Daddy cut the cord and a quick workup confirmed he was just fine in spite of meconium in the fluid. Megan pulled her son to her and locked into his face. Then she looked about the room at each one of us to express her glee. She had done it! Just like she knew she could. Like we all knew she could. Aslan weighed 8 lb. 3 oz. and measured 21 in. long. He was wide awake, basking in his mother’s smell and sound, peering into her face, the one he already knew.

Watching Megan embrace her labor, actually relish it, was a beautiful reminder of the gift of birthing. It is an act of courage, strength, letting go, and ultimately of love. Megan may be young, but she is already so wise. She trusts her body and believes in herself. And it is no accident those same qualities make a marvelous mother. She taught all of us some things that night. And we will be forever blessed by those lessons. No matter what is happening in the world, babies are born and mothers are strong.

Sabrina and Chris welcomed their third child together, Bodi King Ro, on March 12, 2021, much to the excitement of his big sisters! This birth was completely different than the others, including being their only son whose gender was a surprise until birth. As you can surmise, this pregnancy occurred during the pandemic and Sabrina felt strongly that she wanted to have her chosen support people in attendance. She was not interested in the limitations of the hospital and also preferred to have her own babies nearby. This was achieved at her previous birth in the hospital for she had them asleep on a blowup mattress beside her birthing bed. However, this was not an option during COVID. Sabrina decided to welcome this baby in her own home where she felt safest and where her babies would be close.

Things proceeded without incident until the final weeks in which at an appointment her homebirth midwife noticed the baby’s heartbeat was less reactive than desired. She recommended an immediate NST at the hospital to determine next steps. Sabrina’s baby was tired, as they described it, and at 41 weeks they recommended induction. She was told to return that evening. However, when she returned there were no available beds. A call to another hospital yielded the same predicament, no beds. Her baby was cleared with a good NST and so she was sent home. Sabrina’s midwife came the very next day to monitor baby and Sabrina also had another NST at the hospital. That would be the plan—very close monitoring and a call to the hospital (or induction) if anything wasn’t right. This was a roller coaster of a ride for Sabrina who went from a homebirth to a hospital induction, and then to a possible homebirth, depending on baby. It was a challenge but she perfected the art of letting go and seeing what her baby had in store. It was all she could do and it would be the secret to being able to roll with her labor.

Just three days later, Chris texted me at 12:40 am to say that Sabrina was having regular contractions at 3-4 minutes apart already lasting over a minute. They started 45 minutes earlier and they were already going like gangbusters. Since this was Sabrina’s third birth and I had been at her previous births, I knew that she had a high pain tolerance and would be calm through pretty much all of it. Subtle signs would mean big progress so when Chris said she was stopping and bracing for her contractions I knew I’d be heading to their house soon.

Then about 10 minutes later, Chris texted to say that Sabrina’s water broke “all the way” and the labor was “getting really fast.” That’s all I needed and I was out the door. Things were escalating quickly and they had also contacted the midwives who were on their way to the house. I arrived about 20 minutes later at 1:15 am to find Sabrina on her hands and knees leaning against the bed. The midwives arrived one by one soon after, setting up their things and seamlessly drifting into Sabrina’s birth. They listened to the baby’s heartbeat regularly and it stayed strong, even better than the previous days as if baby wanted to show everyone that all was well.

Within the hour Sabrina felt a lot more pressure in her bottom and she required steady counter pressure from me and Chris. But no matter how deeply her labor drew her in, there was always a part of her that was tuned in to the monitor on the bed. The moment there was a peep from one of the girls Chris disappeared upstairs to calm them. Sabrina was surrounded in support so when Chris had daddy responsibilities, she was never alone. In fact, having him available to soothe the restless sleepers helped Sabrina to let go and labor.

By 2:22 we could hear Sabrina become more vocal with her contractions, and within 10 minutes we heard her familiar mantra of “okay, okay, okay,” which had been her landmark transition sign in previous births. We stayed close and applied steady pressure to her sacrum, reassuring her she was strong and capable and her baby was almost here. And in three minutes she said, “I feel the baby coming.” Her breath changed in that moment from a deep inhale and exhale to the catch in breath the precedes the urge to bear down. Sabrina pushed for maybe 10 minutes as her midwife sat at her bottom encouraging her, Chris lay beside her, and I sat nearby. Her other two midwives were attentive and saying words that uplifted and empowered her and in the midst of the support Sabrina opened and birthed her baby. First the head, and then the rest tumbled out at 2:41 am, just 2 ½ hours after her first contraction. The baby’s cord was wrapped around the leg twice and the ankle once but did not slow down descent. It might have explained the low heart rate detected a few days earlier but we will never know.

He cried robustly and was soon declared a boy and greeted with tears from his mother as she grabbed him upon her chest. Tears of love, elation, relief, and ultimate release that comes with giving birth. This journey had been rife with drama, the likes of which Sabrina never would have wanted. But even when she had resigned herself to an induction in the hospital, her baby’s journey to birth took a U-turn and had her meet him right at home where she had planned from the beginning. 

Bodi weighed 7 lb. 9 oz. and was nursing shortly after birth. One of his sisters woke up as well, sending Chris bounding back upstairs to settle her before coming back down to cut the cord. There was no rush to cut it though. Once delivered, the placenta remained in a bowl nearby in the meantime. It stopped pulsing naturally when Bodi was through with it. The first hour was magical and reserved for exclusive skin-to-skin between mom and baby. And even after the first couple of hours passed and it was time for the newborn exam, Bodi hardly cried as the midwife gently assessed him with a tender touch and soft-spoken words. It’s really beautiful how serene the newborn exam is at a homebirth. And it inspired some thought-provoking discussion about homebirth and what normal birth looks like when it is left alone, undisturbed.

Sabrina was challenged to let go of the reins in this birth. And that is not something that comes easily for her. But she was ready to do anything to insure her baby’s safe passage earthside, even if it meant an induction and interventions. But in the span of a few days, she had her baby safely in her arms, born at home in the unmedicated birth she had envisioned all along. In the midst of a pandemic and so much uncertainty, I’m so thrilled this couple was able to welcome their newest baby in the comfort and sanctuary of their own home. There is no better time for a homebirth, I say. Welcome to the world, Bodi King Ro! You are the prince in your family and the king of your mom’s heart.

Rachel and Bruce became parents on March 9, 2021 as they welcomed their daughter, Eliza Mae, in a most surprising and keep-you-on-your-toes-guessing-all-the-while sort of birth. They were educated and ready, having attended my in-depth childbirth classes. And Rachel was the oldest of 8 children so she had some insight into becoming a mother. But this would be her first go. And if we know anything about birth it is that we cannot ever know for sure how it will unfold.

Rachel’s guess date of March 1 came and went and she tried to remain calm and patient. I didn’t hear from her really until she was 41 weeks and looking at an induction in a few days if labor did not happen first. She wanted any tips for starting things up and I reminded her that nothing would do it if her body wasn’t ready, and encouraged the relaxation benefit of massage and discouraged the pressure of the massage starting labor. Exercises to optimize her baby’s position were wise as was going for walks and spending time with Bruce in the final days. Labor would start if it was time and it wouldn’t if it wasn’t. And all of the trying to get it to start wouldn’t help and would actually possibly delay labor even further from all of the stress. Rachel took the advice with plans to wait.

But less than 24 hours later the text came to my phone. It was 6:55 am on March 9 and Rachel had been feeling contractions for 3-4 hours that were finally regular, just not consistent. They were mostly not too strong so I encouraged her to rest as long as possible and only do the minimum to get through them until her body required more. She had an appointment at 2:30 for an NST and ultrasound and wondered whether she should go in. Meanwhile, the plan was to do the Miles Circuit to help baby settle into position, and use comfort measures as needed. Several more hours of inconsistent and not too strong contractions, and a call to her midwife confirmed she was to report to her appointment. Turns out she was dilated 4 cm, 80-90% effaced, and her baby was in the OP position. The ob also swept her membranes in the hopes it would get her labor into a more productive pattern. Rachel returned home and her contractions quickly escalated.

Even with steady and strong contractions, Rachel attempted another round of the Miles Circuit in the hopes her baby would move from OP to OA. She had been contracting all day and was ready to meet her baby. But with contractions only 2 ½ minutes apart, lasting a minute, there was not a lot of rest time between and Rachel still wasn’t sure. I recommended she call the midwife again and possibly head back to the hospital. After an hour of contractions at that interval, they spoke with the midwife who said to head back in.

The car ride was awful, but it always is awful in labor. And since Rachel had been laboring so intently over the phone, her midwife arranged for them to go straight to a room bypassing triage. Rachel was seen to her room and climbed upon the bed for an exam. Her midwife did the exam and said, “Well you’ll be glad to know you are fully dilated.” Talk about a shock! It was about 7:15 pm and Rachel had been there a few hours earlier dilated just 4 cm! 

Her nurse worked on admitting her into the system and preparing the delivery cart and everything else that needs to happen beforehand, while Rachel worked through very intense contractions all while laying for the requisite initial monitoring. Her water broke 10 minutes later at 7:27 pm and she was pushing a few minutes after that. A few minutes later Bruce texted me back to confirm I should come to the hospital. I left quickly and was there in 10 minutes but it would prove to be just a smidge too late…

Rachel was a great pusher and moved her baby quickly down to birth. The heart rate dipped too low for comfort and there was talk of maybe having to take measures to encourage a more rapid birth. Rachel wanted none of that and so instead she pushed like never before and her baby was crowning in no time. She pushed with such strength and brought her daughter into the world at 8:10 pm! She was born strong and vigorous after that initial cry, and I walked in the room one minute later to find Rachel clutching her newborn baby girl and trying to catch her breath. She was happy and relieved, I could tell that even from behind her mask. (Yes, she wore her mask while pushing. Amazing.) Eliza weighed 7 lb. 15 oz. and measured a lanky 22.5 in. long.

It was remarkable how much her labor changed in so short a time, bringing Rachel from 4 cm to birthed in just under 3 hours. But make no mistake, shorter is not easier. Not in childbirth. Rachel was a champion at stepping up to the task as her contractions ratcheted higher. And we’ll never know how Eliza managed to rotate in the end after being persistently OP, (Rachel’s erratic and slow to progress labor had OP written all over them), but we suspect Rachel’s diligence with the Miles Circuit had something to do with it. Or maybe it was the membrane sweep that intensified the contractions right when Rachel (and Eliza) needed it most. Perhaps it was the feeling and listening to her body that helped Rachel welcome Eliza far more than the knowing and doing that had led her up to that point. All of the red raspberry tea, pineapple, eggplant, spicy food, dates, etc in the world won’t coax out a baby who simply isn’t ready. It was patience and diligence that made all the difference. Congratulations on the surprising and wonderful birth of Eliza Mae! You rode the waves of your labor like a pro.

If birth teaches us anything, it is that it is ever new. The journey of this couple to meet their second child, was definitely a new experience. Dustene and Jarrod met their son, Nezrah Oliver, on February 17, 2021 in a birth that was about as opposite from their first as it could be. They were students in my childbirth class several years ago in preparation for the birth of their first child. And that labor was a long one, in part due to it being Dustene’s first labor, but even more so because that first baby was positioned in a less than optimal way. It spanned over 24 hours and left her feeling exhausted and needing the rest an epidural could provide. Truth be told, she described it as traumatic, and she hoped for a less anxiety inducing experience this time. She approached her second birth with an open mind knowing sometimes plans change, but also with a hopeful heart in knowing each birth journey is unique. They enrolled in my refresher class to prepare for this journey, which I applauded them for. It can be more challenging to carve aside time to immerse your mind in the upcoming birth when you have a toddler to take care of. Life is busy! But they found the time to commit to reacquainting themselves with the birth process, but also to learn how a second labor is often so different than the first. 

Dustene’s body was gearing up. She felt contractions and her baby dropped in a noticeable way. She felt the stretch of her round ligaments and everything was already so different than her first. Her body was contracting quite often the day or two leading up to labor. Her baby was low which might have been part of it, but she was busy mothering an active toddler as well. Plus, her uterus was gearing up for it had done this labor thing before! 

Then in the evening of February 17, 4 days before her due date, Dustene’s water broke. At least there was some confirmation of a tangible labor event! She called her midwives to let them know and then planned to feel her way through labor at home a bit. But her body had different plans. And so did her baby. Almost immediately, Dustene was breathing through strong and close contractions. They started closer than 3 minutes apart and grew quickly to a minute long. With grandparents at home to watch big sister, they were free to leave when they were ready. And an hour after her water broke, Dustene and Jarrod were on the way to the hospital.

I met them there and could tell that Dustene was much changed. She had the demeanor of a woman deep in labor, even though it hadn’t yet been 90 minutes since her water broke. She rode a wheelchair since the prospect of the walk was too much. And in hindsight she might have given birth on the way up! Her midwife was waiting for her in the labor and delivery unity, and we were all escorted straight to a room. Dustene got upon the bed immediately for a quick exam and to get a listen to her baby’s heart beat. And her midwife confirmed that she was indeed fully dilated! There was no time for the shower, no time to labor about the room. There was hardly time to listen to the baby and certainly no time to sign consents.

 Instead, Dustene rolled over to her hands and knees where she felt most comfortable and strong and she immediately began to follow her body’s instinct to push. It didn’t take long before her baby’s head was visible. Baby’s head was born and Dustene opened her right leg into a lunge to allow her baby’s shoulders to come. He was a big boy! And Nezrah Oliver was born at 9:10 pm, scarcely 15 minutes after his mom set foot in the room. He was passed through his mom’s legs into her arms. She was in shock at first. How incredible that he was already in her arms! And then she and her husband looked down upon the child that had hurried into their lives after such a wait. And they rejoiced and laughed over the sheer exhilaration of it all. 

Dustene lay back upon the bed and held Nezrah against her chest as it all sank in. He was crying out to show everyone he was breathing well. And we could see by his chunky body that he was a substantial weight. Turns out he weighed 9 lbs. and was 21 in. long! Jarrod cut the cord and the placenta came soon after. And it was shaped like a heart! Nezrah had a head full of hair and he was born alert, taking in the faces and sounds around him. He was latched to the breast that first hour and Dustene and Jarrod marveled over the stark difference between the birth of their son and the birth of their daughter.

I smiled to watch them piece it all together and was so glad to be able to say that I told them so. I hoped and prayed that Dustene would learn the ultimate lesson of birth that every single birth journey is different. And with that comes the opportunity to write a new story and create an association with birth as short and a pleasant surprise, rather than long and traumatic—a completely different sort of surprise. I was honored to see them through this second birth full circle, after journeying with them twice as their educator. Nothing compares to holding the space of a birthing woman. And I will forever be grateful you are a woman who invited me into that space!

Shelby and Ryan welcomed their second child, Jeffery Clay, on February 4, 2021. (Fun fact: He was the third birth I attended on that exact day. It was a record-breaking doula day for me!) After giving birth the first time, Shelby realized what she valued in her birth experience and what she would want to do differently. Shelby prepared her mindset by reading many books that reinforced her goal for an unmedicated childbirth, and she took the advice of her labor and delivery nurse friend, and set up an interview with a doula. (I was the lucky doula she met.) And we soon began our client/doula partnership.

Shelby sent me a text just before 8:00 pm on February 4. She knew I had been up the previous night at a birth and then attended another one right after, so she held off texting me until she was pretty certain she was in labor. The first text came through at 7:51 pm explaining some signs she had been seeing and feeling. She developed contractions low in her groin that incorporated her entire uterus. And she was trying to decipher if they were labor contractions or perhaps her uterine response to a membrane sweep that had occurred at her appointment earlier that day. Then two minutes later she texted to say that she was 99% sure her water JUST broke. She called and spoke with her midwife and with contractions already coming 5 minutes apart and getting stronger, they left for the hospital within the hour. We decided to meet there and go in on the “early” side (so we thought), to allow Shelby time and space to settle in and labor.

We arrived at virtually the same time and were able to walk in together, all three of us. Shelby was triaged and breathed and swayed with Ryan through intensifying contractions. She declined an exam since she was dilated 4 cm at her appointment the previous day and her water had broken. Shelby also sang through her contractions until she was no longer able to, which was around 10:30. Over the course of an hour in triage where she got an iv setup for antibiotics, spent some time on the monitor, answered all of the admission questions, and also breathed through contractions, and finally got an exam by her midwife, Shelby was dilated 7 cm! 

Her labor had definitely taken off like a shot and she felt her son’s head deep in her pelvis with each contraction. There wouldn’t be time to use the shower like we had discussed. Instead Shelby was staying in the moment coping with one strong contraction at a time. After laying in the bed for the monitoring, she took a trip to the bathroom, and then we moved the bed into the shape of a throne for a more upright labor position. Shelby leaned forward with each contraction and felt immense pressure down low. We put cold wet washcloths on her forehead and neck as her body heated up with the work of labor. 

Shelby moved to her hands and knees upon the throne bed and that’s where her baby really moved down. Ryan used a rebozo to lift Shelby’s belly, providing some relief from the intense pressure. And something about that position and where Shelby was in her labor made for a perfect combination to send her headlong through transition. She vocalized with her contractions and with no time to even fetch the squat bar she requested, Shelby crawled higher in the bed and labored sitting in a semi-squat on the bed through her contractions. She breathed in some peppermint essential oil to stave of the waves of nausea rode in on transition. And in no time it was clear that she was about to have a baby and her midwife needed to get dispatched quickly.

Shelby was involuntarily pushing and it didn’t take long. She cried out her power as she brought her baby down, and she even reached down to feel his head for herself. That only motivated her to push again and when she did his head was crowning. Shelby paused and blew out air as her baby crowned and it would be the reason she didn’t tear too. She pushed as her midwife encouraged her, and after his head was out the rest of his body came into the world. Jeffery Clay was born at 11:29 pm in the unmedicated birth his mom had been hoping for and prepared for. Her face was the picture of such joy! She cried and then she was elated, exclaiming, “I can’t believe I did it!” So much emotion was felt by both Shelby and Ryan as they took in the details of their son. They even noticed that he had a flattened nose like his big sister did, the result of a baby whose face is squished up against the uterine wall for a long time. Clay weighed 8 lb. 2.6 oz. and measured 20 ½ in. long. But they wouldn’t know those details until after the magic hour was over.

Clay was latched to his mom’s breast not long after birth, and Shelby coasted on the euphoria of the oxytocin as she tried to remember the timeline of her labor. It’s a difficult thing to do in the midst of that hormonal haze whose purpose is to dull the details and heighten awareness for bonding, so we helped. All told, Shelby was in active labor a total of maybe 4 hours. It’s really quite remarkable and encouraging how different each labor can be. And sometimes when it goes the way this one did, it has mom already thinking of her next birth! I was so proud of Shelby and honored to be there to stand beside her as she realized her strength. I knew she could do it!

Ashley and Wade welcomed their second beautiful baby girl, Jolene Renee on February 4, 2021. This birth was so different from the first, and believe it or not, was a bit more challenging for a few reasons. The biggest difference was the fact that the COVID-19 pandemic was in full swing. Initially, we weren’t even sure whether I would be providing doula services virtually or in-person. Thankfully, by the time Ashley was nearing full-term, doulas had been reinstated at her hospital as part of the birth team, not a visitor. This provided great relief to all of us. We had our prenatal visit, as is customary, and Ashley and Wade explained their rock-solid plan for big sister’s care during the birth. Grandma would be on an extended visit with them as the due date approached. Believe me, this alone helps to alleviate a huge potential stressor, and would allow Ashley to let go more easily for labor.

Still, she had weekly membrane sweeps at the end since that seemed to work for her first labor. But this baby was different and those sweeps didn’t get things going as soon as expected. In fact, Ashley remained pregnant a bit longer than her first pregnancy, making gradual movements toward labor in those final weeks. She was 1 cm dilated at 30 weeks, then 2 cm dilated on her due date. Ashley felt minor contractions that started at 2:00 am on her due date. They were erratic but persistent. By 5:20 that evening Ashley knew the contractions were regular but they were far apart at 20 minutes. So continued to ignore them and went along with her regular evening routine.

And just past 1:00 am everything had changed. Ashley’s contractions were not yet a minute long but they were very strong, requiring her full attention. They continued to intensify to just 2 minutes apart. And while they were still short, their intensity was enough to have Wade and Ashley head to the hospital. After her initial triage, she was confirmed 4 cm dilated. And while this was not as much as she had hoped, her first birth experience was a lesson in “ignore the numbers” since she zoomed from 4 cm to baby in a very short time.

 Some i.v. fluids came on board to help baby’s heart rate stabilize and it appeared to work. Wade did belly lifts to relieve Ashley of lower abdominal pressure as her baby worked to find her place in the pelvis. Something was a bit off in baby’s position since Ashley’s labor had been so protracted and erratic. So we encouraged Ashley into some positions that might help. Labor picked up quickly after arriving at the hospital, and Ashley was quickly drawn deeply into focus and listening to her body and intuition. And by 4:45 am she was dilated 5-6 cm, 70% effaced, and her baby’s head was still high at -2 station. 

And not thirty minutes later, Ashley’s body began to shake—a normal sign of the hard work and muscle fatigue that come with labor, but also a sign of transition. She thought her baby was coming soon and wanted an exam an hour after her previous one. She learned she was 6 cm and 90% effaced and it was not what she was hoping to hear. But Ashley forged ahead. And you know what she did? She lunged. She didn’t like it but she did it anyway! We thought it might encourage her sweet baby to rotate too.

But she had hit her wall and was ready for a change. Ashley asked her midwife to break her water. Yes, her midwife ended up coming on duty right as Ashley entered transition! She had her water broken at 7:00 am and her cervix opened rapidly from 8 cm to 9 cm. And with the very next contraction after that, Ashley was pushing! She pushed with such strength that she brought her baby down lightning fast. We watched as Jolene rotated one way and then the other, and got herself situated out of the OP position at the very last second! She came barreling into the midwife’s hands at 7:11 am on February 4, 2021! And she weighed 8 lb. and measured 20 in. long.

Ashley welcomed her second daughter like her first, in a birth free of pain medications. But so much of it was different! Her baby’s position likely delayed the onset of her labor and when it did, it made it take even longer. Then when the conditions were right, her body moved quickly to bring Jolene into the world, just as a veteran pelvis is known to do. Ashley hit a wall or two, and looking back she is still amazed she was able to do it, considering the added challenges she had this time. But we always knew she could. And in her wavering moments, Wade was her champion, speaking encouragement and strength to her without fail. And always having her back, literally and metaphorically. 

 Welcome to the world, Jolene Renee! May you always celebrate your birthday with a free Slurpee from 7-Eleven! And be sure your mom gets one too, why don’t ya. She certainly deserves it!!