• K and Z started care with me in the first trimester of their first pregnancy. The morning of October 5th, 5 days before her due date, K sent me a text stating she had been having bloody show and contractions that were 4-8 minutes apart, lasting 90 seconds for the last two hours.  She was […]

  • K and N started care with me in the first trimester of their second pregnancy.  They had used me for their first pregnancy, and we were all hoping for a much different outcome for this little one’s journey.  You can read about her first journey here. K’s pregnancy progressed perfectly.  There were no signs of […]

  • R and B were surprised to find out they were expecting their fourth child when they were well into the second trimester.  R began care with a hospital provider, as I was set to be on vacation during her due window.  I told R if she was still pregnant when I got home, then I […]

  • R and A started care with me in the first trimester of their first pregnancy.  R did a fabulous job through out her entire pregnancy to do all the things to make things for the best for her pregnancy, birth, and baby. On September 6th at 41 weeks 3 days gestation, R came over for […]

  • S and J started care with me near the end of the first trimester of their first pregnancy.  S had a friend who recently had a home birth, and she was excited to be planning a home birth for her journey too. S came in at 40.6 weeks for her regular appointment.  We talked through […]

K and Z started care with me in the first trimester of their first pregnancy.

The morning of October 5th, 5 days before her due date, K sent me a text stating she had been having bloody show and contractions that were 4-8 minutes apart, lasting 90 seconds for the last two hours.  She was unsure if she should go to work this morning, in which I told her no.  It sounded like early labor, and that she should focus on preparing for the journey ahead.  We discussed that she should eat breakfast, take a walk, and check back in.

At 10am, K had finished her walk, and found her contractions were 3.5 minutes long, lasting 30-45 seconds.  We decided she would go into the office for an adjustment (K is a chiropractor), and then come over for an assessment.

K arrived at my place right at noon.  All vitals were normal, and contractions were coming every 3 minutes, lasting 35 seconds.  I did an exam and found K to be 3cm dilated, 100% effaced, and baby at a 0 station. I swept her membranes.  We were both surprised that her water was actually broken when she arrived.  K was unsure when that happened.  We discussed some positions to try at home, and when to call her doula and myself over.

K went to the grocery store, and then went home and napped.  Contractions became much stronger, and K decided to call her doula over at 330pm.

K’s doula, J, kept me updated from there.  By 530pm, J said it seemed like I should head over, as contractions were frequent and long.

I arrived a little after 6pm, and found K laboring on the birth ball.  At 630pm, I did an exam and found K to be 7cm dilated, 100 % effaced, and baby at a +1 station.  K decided she would like to try laboring in her bath tub while waiting for the birth pool to be ready.

K labored so calmly in the bath tub, while the birth pool was filling.  J played some music to help.

A little after 7pm, K moved to the toilet.  She was feeling a lot of pressure, and was beginning to get the shakes.  As soon as we heard the pool was ready, K readily moved to the waiting birth pool.

K moved to sitting in the birth pool at 722pm.  Her body was beginning to push on its own at the peaks.  K moved to leaning over the pool 15 minutes later, pushing more with each contraction.

I did an exam at 743pm, and found K to be 10cm dilated, 100% effaced, and baby at a +3 station.  I told K she could push with each contraction if she wanted.

K began to push with each contraction.  Baby did not like that a whole bunch, so we began to administer a homeopathic to help with oxygenation.  That worked beautifully.

At 8pm, K moved into semi reclining, and began to push while doing tug of war with the rebozo with J.  K was pushing powerfully, and we could see the head peeking on the perineum, but the baby wasn’t coming any further.

I suggested we get out of the pool and move to the birth stool to see if gravity helped bring baby down.  K agreed, and she moved to the birth stool at 821pm.

The birth stool was the magic spot. The head was staying visible on the perineum a few moments later.  The head was crowning at 833pm.  K did an excellent job of letting everything stretch, birthing the head a minute later, followed quickly by the rest of the body.  Baby was wrapped in his cord that I quickly unraveled, and brought him to K’s waiting arms.  He was here!

Welcome to the world Max, born earthside on October 5th, 2017 at 834pm, weighing in at 6lbs 6ozs, 20.25 inches long.  His mama was so poised and peaceful through her labor journey, and powerfully brought her sweet little one earthside in the comfort of her bedroom.  It was such a joy to serve this family!  #sacredjourneymidwifery

K and N started care with me in the first trimester of their second pregnancy.  They had used me for their first pregnancy, and we were all hoping for a much different outcome for this little one’s journey.  You can read about her first journey here.

K’s pregnancy progressed perfectly.  There were no signs of elevated blood pressure as we worked through the last weeks of pregnancy, which we were all so happy about!

Two days passed her estimated due date, K experienced contractions all night, that became 10 minutes apart, lasting 45-60 seconds in length by morning.  K was enthusiastic that it seemed like October 4th was going to be the big day!

Contractions seemed to be all over the place.  I chatted with K around noon, and she said she would feel good if I would come by after the appointment I was going into for an exam.

K’s doula arrived at 1230, and I arrived an hour later.  It was very hard to tell when contractions were happening.  K was determined to get things to strengthen, and was even discussing wanting her water broken to get things moving along.  I did an exam, and before I could check anything, K’s bag of water broke everywhere at 208pm.  K was overjoyed.  She wanted her water broken so badly, and knew that this would make her baby come.  I was surprised to find K to be 6cm dilated, 70% effaced, and baby at a -4 station.

The original plan was for me to head out after chatting and checking vitals until K needed me.  As soon as the exam was complete, labor very much kicked in!  Things went from barely recognizing contractions to contractions coming 3 minutes apart, lasting 60 seconds in length.  The rest of the birth team was en route.

K labored standing at her bedside, tearful as her doula provided counter pressure and hip squeezes.  As more of the birth team arrived, we were able to quickly get the birth pool up and supplies set up for delivery.

K requested an exam at 347pm, and was 8cm dilated, 90% effaced, and baby at a -1 station.  K stalled at 6-7cm with her last labor before her surgical birth, so this was huge!  Her body knew exactly what it was doing, and was doing it fast and furious!

K got in the birth pool a few minutes later, laboring on her hands and knees.  She said she could feel a lot of pressure in her vagina.  Things were intensifying, and we all took turns giving K words of encouragement and reminding her that anything different from last time is very positive.  This is a different baby and a different journey.

K moved to kneeling in the pool, and felt like she was needing to push soon.  At 430pm, she began to push at the peaks of contractions.  I did an exam at 440pm, and had a hard time feeling around, but said she was 9cm dilated, 100% effaced, and baby at a 0 station.  K was feeling scared with the intensity of things.  I encouraged K to blow through the labor waves, and the whole birth team encouraged her that these sensations were normal.

K did captain morgan’s with hip circles for several contractions at 445pm.  Big brother S came into the room around this point and continued to chant, “Get baby out!”  It was sweet.

K was still feeling some pressure, so we decided to do an exam at 511pm.  She was 8-9cm with molding on the baby’s head.  I recommended she get out of the tub and move to the bed in open knee chest to help things progress. K agreed.  Her doula provided counter pressure, while N stayed beside her and encouraged her through the process.

At 6pm, I did an exam and found K to be about 9cm, with a thick anterior lip.  K gave a practice push, but it was too painful for her for me to help and the cervix wasn’t moveable yet.  K moved back to the bedside, twerking with contractions.  She was weepy and unsure if she could do this much longer.  We continued to give her words of encouragement and calming herbs to help her through the end.

Behind the scenes, we began strategizing what emotional blocks K was dealing with, and who was going to try to help her break them down when.  K hired a second doula, Dr B, specifically to help her emotionally.  Dr B went into the bathroom where K was laboring in the shower at 630pm, and started talking with her through things.

K came out of the bathroom at 645pm, and said she wanted assisted pushing.  Contractions were coming every 2.5 minutes, lasting 60 seconds, and were strong in intensity.  We tried pushing for 15 minutes, when K abruptly stopped and said the baby was not going to come until she pooped.  K began drinking magnesium, and one of the birth team members went out for an enema per K’s request, as she felt that she had to poop to have this baby.  We did not know if it was truly a physical poop or a mental poop she needed to have, but we were game for helping her however she needed to have this baby.

K moved back into open knee chest, and cried.  She was debating whether and epidural would be a better idea. N and I talked to her, and reminded her all the reasons why she was at home and did not want or need the hospital.  Around 730pm, Dr B and my apprentice R did some one on one time until the enema arrived to try and break down what K was feeling inside.

K was hands and knees in the shower at 8pm, and ready for the enema to be administered.  Over the next 25 minutes, K had the enemas and was able to empty her bowels some.

K was completely ready to push at 828pm.  She was 9+cm, +1 station.  She requested doing tug of war since she had been with another client who that was effective for, and she just felt that that would help her with pushing. After a couple pushes, the cervix was reduced, and K was 10cm and baby at a +2 station.

K began pushing with everything within her.  She had renewed confidence.  At 847pm, she felt the baby’s head and was ecstatic that the baby would be here soon.

The head was visible on the perineum at 856pm.  R began using warm compresses and olive oil to help K’s perineum stretch.  The head was crowning right at 9pm.  K birthed the head into R’s waiting hands a minute later, followed by the rest of the baby the next minute.  He was here!

Welcome to the world Atlas, born earthside on October 4th, 2017 at 902pm weighing in at 8lbs 6ozs, 20 inches long.  K was amazing as she rocked her HBAC, and got the healing home birth she so desired.  I am so thankful I got to help her through both journeys, and that this journey was all she wanted and more.

#sacredjourneymidwifery

 

R and B were surprised to find out they were expecting their fourth child when they were well into the second trimester.  R began care with a hospital provider, as I was set to be on vacation during her due window.  I told R if she was still pregnant when I got home, then I would help her have her home birth.  R and B had been under my care for their third pregnancy, which you can read about here.

R waited for me, so we had plans for her to see me at my office the day after I returned for a prenatal visit.  At that visit, we planned for her home visit, if she was still pregnant, for in three days.  Unfortunately, R and B’s home was flooded during the hurricane, and they just moved into an apartment the same day I returned.

I arrived at R’s home for her home visit the morning of September 21st.  R was feeling anxious about her 41 week ultrasound the next day.  We talked through her fears, before moving into doing her vitals.  R had been doing home monitoring of her blood pressures, which had been normal.  However, we were starting to now see an upward trend.  After seeing the blood pressure, R said she wanted to do a natural labor encouragement to see if it would get things going, and not have to worry about having a hospital birth.  I went to my van for the ingredients for the herbal tea, and R drank that.  I then did an exam and a membrane sweep.  R was 2cm dilated, 50% effaced, and baby was at a -3 station.  I worked on her cervical scar tissue and did a sweep. I reviewed labor precautions with R, and then headed home.

Contractions soon began after I left.  R organized getting her kiddos to childcare so she could focus on herself and her journey.  Although regular, things stayed manageable and mild through out the day.

Around 7pm, a shift happened after they did a set of lift and tucks during contractions.  After talking for a bit, we decided I should head her way.  While I was en route, R sent a message letting me know her water had broken.

I arrived right at 8pm, and found R at her bed side, rocking and moaning with contractions.  I did an exam and found R to be 4cm dilated, 80% effaced, and baby at a -2.  Having been R’s midwife before, I knew that we might be at 4cm for a bit, but had a plan for when baby got low enough to do positions that would help.

While the birth pool was being filled, R decided to labor on her birth ball for a few contractions.  When the pool was almost ready, I suggested B helping R do another set of 10 lift and tucks with the rebozo since they seemed to have been effective earlier.  R agreed.  She wanted to do everything to make this baby come out at home!

R got into the birth pool at 940pm, first laboring on her knees, then moving to sitting.  Contractions were coming every 3 minutes, lasting 45 seconds.

R enjoyed laboring in the pool, continuing to alternate her position between kneeling and sitting.  An hour passed, and R was feeling a lot more pressure in her hips and bottom.  She was becoming more vocal with contractions.  As things continued, she asked B to speaking encouraging words over her.

Around 1115pm, R asked for an exam as she was concerned about the presence of scar tissue on her cervix still.  She was 5cm, 100% effaced, and baby at a 0 station.  I felt some molding on the baby’s head and some minor edema on the cervix.  I requested R to get out of the pool for a position change.  Things were very intense, and she was unsure of her strength, which B and I quickly reminded her that she was strong enough for this.

After hydrating and emptying her bladder, R got into the open knee chest position at 1130pm.  I reminded R that it would be uncomfortable, but 40 minutes in this position can work some magic at helping baby to further descend and dilate the cervix.  R was such a trooper.

I was helping drain some water out of the pool, when I was called back at 1150pm.  R said she was feeling some poopy pressure at the peaks.  I told her that was perfect.  I sat back with her, helping to encourage with each labor wave that she worked through.

1207am, a shift happened, and R stated, “Baby is coming down!” as she uncontrollably began to grunt at the peak.  She was almost at her 40 minutes, so I told her one more contraction like this, and we could change positions to have a baby.

The baby came tumbling down the birth canal, and R could not help but push at 1210am.  She moved out of open knee chest, and ended up flat on her back because she didn’t have time to do anything else.  The baby was crowning at 1211am.  After helping R adjust slightly, she brought her sweet boy earthside at 1215am.  He was very raveled in his cord, and it took me a minute to unravel him, but soon he was on his mama’s chest, exactly where she wanted him!  She did it!  She had her baby at home!

Welcome to the world, Orson!  Born earthside on September 22nd, 2017, weighing in at 8lbs 4ozs, 20.75 inches long.  Him and his mama worked beautifully together to have the home birth R had wanted for so long.  So happy things worked out for me to help R have this birth she desired!

#sacredjourneymidwifery

R and A started care with me in the first trimester of their first pregnancy.  R did a fabulous job through out her entire pregnancy to do all the things to make things for the best for her pregnancy, birth, and baby.

On September 6th at 41 weeks 3 days gestation, R came over for labor encouragement.  R had an ultrasound follow up the day before that suggested that it would be a good idea to work on having a baby.  R was ready, and agreed to getting things going.  I made R an herbal tea blend to drink while we talked and did vitals.  I found her cervix to be 3cm dilated, 80% effaced, and baby at a -1 station.  I swept her membranes.  I suggested R head home, eat lunch, and go for a nice walk and see where things went from there.

Things began to start fairly soon after R left my place.  She did everything I suggested, and decided later in the afternoon that she wanted her doula to come over.  Her doula chatted with me upon her arrival around 515pm, and I suggested trying lift and tuck and seeing what that would do to contractions.

Things became stronger and more active.  At 730pm, I was asked to come that way.

I arrived at 830pm, and found R laboring on the birth ball.  Contractions seemed regular and strong.  I did mom and baby’s vitals before asking R about an exam.

I did an exam right before 9pm, and found R to be 7cm dilated, 100% effaced, and baby at a 0 station.  Things were moving along nicely.

We began to prep the birth pool, while R alternated laboring standing while her doula provided hip squeezes and sitting on her birth ball.  Contractions were coming every 2.5 minutes, lasting 70 seconds.

R moved to the birth pool at 940pm, laboring semi reclining.  After a few minutes, she moved to her knees, while A was at her side offering support.  R labored so calmly through out her journey.

As 10pm came, R was beginning to feel some pressure, and we could see some bloody show on the floor of the pool.  She asked A to do counter pressure on her back to help with the pressure of baby moving down.

A got into the pool right before 11pm, and R moved into semi reclining against A for comfort.

R got out of the pool around 1130pm, and emptied her bladder and labored on the toilet for a couple contractions before returning to the pool again.  Contractions were coming every 3.5 minutes, lasting 90 seconds, and were strong in intensity.

I did an exam on R right before midnight in the pool, and found her to be 9cm dilated, 100% effaced, and baby at a +1 station.  She was getting close!  I recommended R try side lunging on her knees in the pool, doing hip circles during contractions to help get rid of the rest of the cervix.

R tried that for a few contractions, before moving to her hands and knees in the water to labor.

I noticed the baby having a deceleration during a contraction a little before 1am.  I did an exam soon after, and found R to have some cervical swelling and recommended she get out of the pool and into open knee chest to help the baby with dilating her cervix and giving the baby oxygen.  We also began giving R a homeopathic every 3-5 minutes to help give extra oxygen to the baby.  Things improved after the first couple of doses.

At 151am, R began pushing with my assistance to help the lip of cervix move over the babies head while in a semi reclining position.

R’s water broke during a contraction at 222am, and was so powerful it shot across the room and hit the bedroom wall!  It made us all laugh!  She was pushing so well.  Contractions were coming every 3 minutes, lasting 90 seconds.  R was 10cm, and baby at a +2 station.

R moved to pushing on her left side at 242am.  Baby was having occasional minor decelerations, but overall was handling pushing like a champ.

At 248am, R moved to hands and knees to push while leaning on pillows in her bed.  Shortly after 3am, baby was at a +3 station, and getting closer to making her appearance!

R moved back to semi reclining at 313am, and did tug of war with the rebozo with her doula to give some extra power to her pushing. During this time, R began to experience some awful leg cramps, and we all took turns trying to help give her some relief from the leg cramps.

The head was visible on the perineum at 330am.  I began using warm compresses and oils to help the perineum stretch and to minimize any issues with tearing.  The head was birthed at 354am, followed by the rest of her body at 355am.  Baby girl had gotten herself quite wrapped in her cord, so I unlooped her out of her cord upon delivery.  She was here!

Welcome to the world Eden, born earthside on September 7th, 2017 at 355am, weighing in at 7lbs 12ozs, 20 inches long.  Sweet Eden made her presence known with her powerful, sweet cries.  She definitely did not like anyone moving or messing with her after she was born.

It was such a privilege to help support this sweet couple as they worked so hard to welcome their first child into the world.  #sacredjourneymidwifery

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S and J started care with me near the end of the first trimester of their first pregnancy.  S had a friend who recently had a home birth, and she was excited to be planning a home birth for her journey too.

S came in at 40.6 weeks for her regular appointment.  We talked through a plan for 41 weeks.  S originally wanted to come the next day for labor encouragement, but I ended up at a birth with another mama, so we made plans for her to come the following day at 41.1 weeks.

S came over in the morning for a membrane sweep and tea.  She was excited because she woke with contractions at 3am that felt different and were coming every 10-15 minutes.  We were hopeful a membrane sweep and herbs would get her into active labor.  S was 1-2cm dilated, 80% effaced, and baby at a -2 station.  I recommended S and J get some lunch, go for a walk, and try a nap.

Contractions picked up nicely by the evening, coming every 3-4 minutes, lasting a minute long, but were relatively mild.  S and J walked, and ate dinner.  I recommended they try the abdominal lift and tuck before getting some sleep, which shifted her contractions to 5 minutes apart, lasting over a minute in length.

The next morning around 630am, S sent me a text that contractions were much stronger, coming every 5-6 minutes, lasting 1-2 minutes.  She tried to sleep as much as possible, but found it difficult at times.  She called her doula over to support her.

Things were all over the place with contractions through out the day.  We decided S and J should come back over for a check that evening.  J said contractions were still 5-6 minutes, lasting 1-2 minutes.  Contractions seemed mild, but much stronger than the day before.  We did another round of herbs and membrane sweep.  S had made good change since the day before.  Her cervix was now 4cm dilated, 100% effaced, and baby at -1 station.I encouraged S to try and get some rest, and reviewed when to call her doula back over, and when to call me over.

2am the next day, S called and said her water broke.  Seemed like all was normal, and she wanted to try and get some rest.  By 5am, she wasn’t able to rest well, and asked her doula to come back.  Her doula sent me a text at 630am, letting me know contractions were 4 minutes apart, lasting 90 seconds and there was some meconium in the fluid.  I let her know I would head over shortly.

I arrived at 730am and found mom and baby to be doing perfectly.  I did an exam at 745am and found S was 7cm dilated, 100% effaced, and baby at a 0 station.  S decided to labor in the shower, while I checked to make sure birth team were on the way.  We did not realize this little princess’s motto was slow and steady!

After the shower, S moved to laboring on her birth ball until my apprentice R arrived.  She decided to jump in and do lift and tuck with the rebozo for ten contractions.  During lift and tuck, contractions were coming every 4 minutes, lasting 2 minutes long.

S sat on the birth ball to rest her legs after, doing beautifully at eating and drinking.  Her play list got turned on at some point, which was one of the most lively play lists I had heard ever at a birth.  It helped her get some good hip movement on the birth ball.

After some time on the ball, S got up and started moving around the room, at one point salsa dancing with her talented doula.  S was doing beautifully at helping work her little girl down and out.

As 10am neared, we encouraged S to try captain morgan’s with slutty circles, alternating legs every three contractions to help open her pelvis.  She continued to move around the room, doing very active positions.  At 1130am, she decided she wanted to try and labor on her left side in bed, and see if she could get some rest.

After some rest, it was time to do an exam.  At 1pm, S was now 9cm dilated, 100% effaced, and baby at a +1 station.  We were excited at the wonderful progress!

The birth pool was being finished filling for S.  Meanwhile, my apprentice A did a series of lift and tucks for 10 contractions to help things along.  Contractions were 3.5 minutes apart, lasting 90+ seconds in length.

S got into the pool at 220pm, laboring in a sitting position in the water, before alternating to kneeling.  Contractions intensified, and S began to moan with contractions.  At 330pm, S was beginning to feel some rectal pressure with the peaks of contractions.

I did an exam around 4pm and found S to have an anterior lip left to her cervix.  S decided she wanted to attempt to push with me trying to hold the lip back, but I did not feel it was working so I encouraged S to continue to labor until the lip was gone.

S moved to hands and knees in the pool while J provided counter pressure on her sacrum.  Slowly we began to notice the contractions were fizzling out.  By 5pm, S was contracting every 10 minutes.

I talked to S about getting out of the pool and trying some things to get her contractions to pick up again.  S agreed.  Meanwhile, we began dosing her with homeopathy and using essential oils to see if we could strengthen her contractions again.  S moved around for a bit, then we helped her into open knee chest on the bed at 530pm for 40 minutes to see if it would shift things around.

While S was in open knee chest,  I discussed with J and birth team that S’s sacrum looked unusual to me, and I wondered if we needed to do some different releases and maneuvers to help get the sacrum to open and let baby down.  We worked out a plan of action so we were ready to introduce positions to S after open knee chest.

S moved to the toilet to labor, while we discussed our plan with S.  She was such a trooper, and game for whatever it takes to have a baby.  At 640pm, S’s doula did the side lying release with S on both sides.  Then she moved on to the sacral release.  Contractions were irregular, but generally coming every 6 minutes, lasting 60 seconds.

J offered a position idea to have S try tailor sitting on a heating pad to see if it would loosen things up. It was so sweet to see his tender interactions with her as he helped her in the whole labor, but particularly this position.

At 8pm, we did the last release before I was to do an exam, and begin pushing.  My apprentice R gloved up and began working on the coccyx and internal ligaments.  The funniest moment from the entire labor happened after when a rooky error resulted in a life time inside joke and new nickname for R.

I did an exam at 815pm, and S was 10cm dilated, 100% effaced, and baby at a +1 station.  Contractions were coming about every 10 minutes.  S agreed she was ready to try and push this baby out.  We tried some different herbs and homeopathics to see if her body would respond any differently.

S reclined into J’s strong arms for support as she pushed with my guidance in the bed.  After an hour, we tried pushing with S doing tug of war with the rebozo.  Contractions had picked up to every 5 minutes, lasting 60 seconds at this point.

We then started rounding the clock with positions with pushing.  S pushed on her left side for several pushed, then moved to hands and knees to push, and last on her right side.  When contractions would come, S would push with everything within her.

S moved to the toilet a little after 11pm, and pushed while spending some quiet time with J.  Right before midnight, she moved to the birth stool to allow gravity to help move baby down.

As midnight came, we moved back to the bed in semi reclining to push a couple more times doing tug of war so I could see if baby had moved down at all.  After a couple final pushes, I had the conversation with S and J that no one wanted to have.  Although mom and baby were doing great, and S had been pushing phenomenally, baby girl was not coming down and it was time to make the decision to transport.

S began prepping for a transport, while J verified what hospital near them was covered on their insurance.  I called the hospital and spoke to the hospitalist at 1am, before we headed that way.

Upon arrival, S and J were brought back, and no support people were allowed back with them.  After getting triaged in, they were taken to the OR right before 3am.  S was given the chance to push a few more times, before a cesarean was performed.

Welcome to the world Juliana, born earthside on September 6th, 2017 at 422am weighing in at 7 pounds.  We never would have imagined that the beginning of early labor to the finale would be 72 hours, but she took her mama on quite the wild ride.  S was powerful and strong through her birthing time, and we have lots of fond memories from what we all call the “party birth.”

#sacredjourneymidwifery

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