Preparing for birth-some excellent resources!

Preparing for birth-some excellent resources!

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I love collecting birth resources-be it books, DVD’s, magazines, articles-you name it! The only problem is, with the limited amount of “extra” time I have (or don’t have!), I don’t always get a chance to preview and read the resources I collect right away. And I find myself hesitant to pass along information to clients and friends that I haven’t read or previewed myself.

    This winter I’ve found myself in the remote hills of Arkansas, with more time on my hands than usual, as my husband is teaching at a small winter Bible School for young people. Keeping the children occupied is my main job here, but with the absence of our usual activities and schedule AND having all our meals provided, I’ve enjoyed the chance to finally dig into some of the resources that have been sitting on my shelves at home waiting for me to get to them.
    So, with that introduction, I want to mention a few EXCELLENT resources that would be worth any of you expectant moms, or anyone wanting to learn more about birth, to take time to watch or read. I can’t believe I’ve had these around this long and didn’t realize what treasures they were!
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The first one I’ll mention is the Parent Class DVD by Spinning Babies teacher Gail Tulley. I’ll confess that this one I have recommended to clients as I’ve taken one of her classes in person myself, and know she has alot to offer. But I didn’t realize how many jewels were in this educational presentation! It was a great refresher to me as a midwife, as Gail does and excellent job of teaching you how to help “make room” for your baby in your pelvis, and help your entire body to function more efficiently with less discomfort. The only drawback with this DVD is that, while she is teaching this class to a participating group of expectant couples, she does get fairly technical with some of her explanations. But in the long run it is helpful, as I think it helps you to get a better idea of WHY some of her positional suggestions and exercises help to eliminate certain issues. Using a great variety of teaching aides, examples, charts and object lessons, Gail shows you how exactly the uterus, baby, brain and body all work together, and how you can help. This would be great DVD for an expectant couple to watch together, or for any midwife or doula to watch in order to give you some great ideas of how to help your clients through specific issues and achieve better positioning for babies. It is well worth the $ you would need to invest, in my opinion! You can find out more about Gail, and purchase this DVD here.
    Next in my pile of resources was a book by Ina May Gaskin. If you’ve been in the childbirth realm long, you’ll recognize this name as one of the most famous midwives in the USA. Ina May has been practicing since the 1970’s, and is probably most well known for her involvement with births on “The Farm” in rural TN. People have come from all over the world to have their babies in this community that has come to be known for it’s amazing work with natural childbirth. I’ll admit that while I’ve appreciated many of the things I’ve read or heard taught by Ina May, I was still a bit skeptical of her book “Guide to Childbirth”. I think I was expecting it to have a real “back to earth” or “hippie” type flare, which I know can turn off families who are looking for evidence-based and scientific information on preparing for birth. I was in for a big surprise! Ina May’s Guide to Childbirth has been amazing. Written in an easy-to-read manner, it is full of so much helpful information. Starting with birth stories to help women realize that birth is both natural and do-able, it then proceeds to teaching you about the things you really need to know about how your body works, how to care for yourself during pregnancy, how to understand tests and the “whys” behind them, helpful suggestions for choosing both caregivers and birth locations, ways to prepare for labor, and the list goes on. I love her honest, down-to-earth style of writing, yet all of her information is based on evidence, research, and studies, and she includes citations and information for further study. If you are wanting just one book to help you understand pregnancy and prepare for birth, this one is it. And it’s not just for moms planning to birth at home-there is information in this book that would help anyone to be better prepared and ready for the amazing experience of labor and delivery.
    The last resource I’ll mention here is a DVD that was given to me by one of my clients. She had purchased it during her last pregnancy, and wanted to pass it on to other moms when she was done with it. “Practicing for an Active Birth”  is basically a childbirth class presented by Instructor Neri Choma by Birth Coach Method. While Neri could probably be a bit more dynamic in her teaching style (I’d suggest watching 30 min. at a time-the DVD is about 2 hrs. and 15 min. long), she does a very good job of helping  you to understand the process of labor and the terms used to talk about each stage, and gives couples LOTS of great position and relaxation techniques. Using charts and models, she helps you to learn how to visualize what is happening during each stage of labor, and how you might be able to help facilitate comfort and relaxation during each stage, working together as couples. While I think that it is best for couples to take a live childbirth class whenever possible, this would be an excellent option for those who might not have that opportunity in their area.
    I personally feel like much of preparing for a great labor and birth involves understanding how your body works so you are not tensed with fear of the unknown. If you KNOW what is happening, understand WHY you are experiencing certain sensations, and have IDEAS for what to do and when, you and your partner will be able to relax and work together much better. Moms (and dads!) that are prepared tend to do much better emotionally and physically through the marathon of labor. I would strongly recommend you look into any or all of these resources as ways to prepare for a wonderful experience of bringing your baby into the world.
    I’d love to hear about what worked for you. Do you have any favorite resources you would care to share with others? Tell us about it in the comments! And consider sharing  this post with your pregnant friends to help them hear about ways they can prepare for labor and birth from the comfort of their own home.
2016 Highlights for Gentle Delivery

2016 Highlights for Gentle Delivery

What a year 2016 turned out to be! I’m very thankful for the many clients I was privileged to work with, and for the many special memories that were made. When it comes to births, 2016 was extremely unpredictable, and I’ll be thankful if 2017 isn’t quite as adventurous. We had one very early baby, one very late baby, a set of twins, a baby that came so fast we didn’t make it in time (!), and about everything in between. 🙂

A few highlights and items of interest from the past year:

– Great birth team and back-up midwife:

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Rose Marie, Lynelle & Myself with twins!

I was grateful to have the ongoing help of my current student, Lynelle Martin, as well as the help, support and back-up services of Midwife Rose Marie Spicher. These ladies are great to work with! Since relocating to PA several years ago, I have really missed the network of midwives that I used to assist and work with, and Rose Marie has been such a blessing to fill this niche. I’m grateful to know that clients are in caring, capable hands during the times I need to be off-call or out of town.

 

– Opportunities to further my education: Attending one day of Midwifery Today’s International Conference in Harrisburg, PA was a great way to meet up with other

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Bridge Certificate 

midwives, listen to lectures on issues and complications during labor, and make new friends in the midwifery world. I also had the opportunity to attend the Midwives Alliance of PA Educational Retreat, where we spent two days learning about a variety of subjects such as congenital heart defect screening, perinatal mood disorders, atypical findings in newborn exams, and more. Updating my Neonatal Resuscitation Certification and CPR at the local Mt. Nittany hospital is always a great way to get better acquainted with the closest hospital in my area, and I enjoy the learning opportunities these occasions afford. Finally, towards the end of the year, I submitted the needed proof of 50 hours of continuing education credits in certain areas (pertaining specifically to emergency and complications during labor and immediate postpartum) and applied for and received my “Midwifery Bridge Certificate”. This ensures that my education and training as a Certified Professional Midwife are also up to the standards set forth by the International Confederation of Midwives to ensure competent and qualified care for women.

– Addition of CCHD screening at postpartum home visits: 

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Trying out the Pulse Oximeter

One new requirement for midwives providing out-of-hospital births in PA is that of submitting Critical Congenital Heart Disease screening result along with newborn blood screening test. This year Gentle Delivery added a Pulse Oximeter to our kit, and we’ve been successfully performing this test on all of our babies since this fall. We’re happy to be able to try to offer our moms and babies a full range of services-did you know that free hearing screenings are also now available for our clients?

 

– First Public Event: “Birth Expo 2016” & “Why Not Home?” Film Screening 

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Celebrating Birth Expo 2016

We are attempting to help educate the public on the full variety of choices they have locally when it comes to birth-this includes support (such as doulas), care providers (CNM’s, CPM’s and OBGYN’s), choice of birth location, and resources that help them to succeed in parenting (such as breastfeeding and babywearing). With these thoughts in mind, Gentle Delivery hosted the first “Birth Expo” for Centre County in July 2016. We were very excited about the support of over 30 businesses and birth professionals that came together for the day, and we’ve received alot of positive feedback from parents who found out about resources they didn’t know were available in this area. Viewing the new film “Why Not Home?” also provided a way for more families to hear about the option of home and midwife-attended birth. The big question now is whether to host something similar in 2017…if we did, would you be interested in helping to make it happen? Please contact me with your interest!

– New Resources in the Library

The library in the prenatal office continues to grow, with more books and resources added in 2016. Some of my personal favorites include “Redeeming Childbirth” by Angie Tolpin and “Your Best Birth” by Rikki Lake. Check out the list of Recommended Reading  to see all of the titles available for clients to check out.

– Gift bag for Newly Expectant Moms 

Helping moms to connect with local support services and resources is something we are passionate about! Due to being located in a university town, many of the families we interact with don’t have any family or previous connections in the area. One way we have attempted to help with this is by giving each family who comes in for an initial interview a free bag full of samples from natural-minded companies, coupons, and lots of cards, brochures and information from many area birth professionals and mommy/baby-centered support groups and businesses. If you or your business would like to be included in this welcome bag, send us an email or message and let us know!

– Our own special gift to new babies… instagramcapture_ee2d01d4-3eb4-45ec-8440-8612375dcf01

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And while not necessarily “important” news, we’ve had fun giving our babies in 2016 special onesies to commemorate their big event! I have fun taking the time to make each of these little shirts for our babies, and clients in 2017 can also look forward to this little “thank you” gift that we pass on to our families.  img_0348

Thank you for allowing us to serve you all in 2016, and blessings to each of you as you head into the new year! Remember, too, to follow this blog for future updates, “like” us on Facebook to receive current info and informative articles (Gentle Delivery), and watch for our photos of new arrivals on Instagram @gentlemidwife . We’d love to keep in touch!

 

 

 

Preparing for Cold Season: Pregnancy-safe Remedies to Stock in Your Medicine Cabinet

Preparing for Cold Season: Pregnancy-safe Remedies to Stock in Your Medicine Cabinet

img_4329As we head into the fall and winter months, I thought it might be a good time to mention a few of my favorite pregnancy-safe cold and flu remedies. During pregnancy, the extra demands on  your body combined with a suppressed immune system make for a greater chance of picking up an unwanted virus. But there are things you can do to help boost your body’s immune system, and to be ready to battle off a cold at the first sign or symptom!

One question I get asked often is whether or not there are medicines you can take safely during pregnancy, especially to help with fever or cold symptoms. As a general rule, you want to avoid ibuprofen (found in Advil or Motrin), but acetaminophen (Tylenol) is okay for occasional use, as long as you stay away from the cold combinations marked as “multi-symptom” (these are too strong for pregnancy). But I would strongly suggest that you really do reserve any type of medications as only an emergency remedy (like needing relief so you can be at the family wedding, for instance!), as there are still conflicting results in the medical literature, and you certainly want to be extremely careful about what you putting into your system during such a crucial time in your baby’s growth and development.

But did you know there are some really good natural ways to fight off a cold? Here are some great remedies…and let me note here that I am in no way affiliated with any of these particular brands or companies-in other words, I’m not being paid to pass this information on to you!

  • Extra Vitamin C: I like to keep a high-potency Vitamin C (such as the Ester C picture) in the cabinet for the times when I feel a cold coming on. Taking several thousand miligrams a day for a couple of days will help give your immune system a needed boost!
  • Emergen-C: these little packets that you mix into water to create a fizzy drink can really give you some extra energy during those days you feel tired and down from being sick. Full of extra B vitamins, other vitamins and needed minerals, these are great to keep around for emergencies.
  • Infant Immune Booster from Mountain Meadow Herbs is a combination of Elderberry and Echineacea in a glycerin base, and is safe for use during pregnancy, as well as being safe to give your little ones.
  • Immune Boost for Pregnancy by Wishgarden Herbs is a gentle combination of specific herbs that help to boost your immune system while still being pregnancy-safe.
  • Garlic-lots and lots of garlic! Garlic is a great way to fight off a cold, and you can take it by capsule, or eat it straight. This is one remedy, though, where everyone will know what you’re doing. 🙂
  • Elderberry Syrup: you can purchase this on Vitacost.com (my favorite place to purchase supplements that are reasonably priced!), and take it regularly whenever you feel the need.
  • And finally, when you (or your little one!) are struggling with a cough, here is my favorite natural cough syrup: Olba Natural Cough Syrup. I was delighted to find this one, and I can tell you that it really does work! Sweetened with honey and full of herbs, it is a great addition to your medicine cabinet.

So, here’s wishing you a healthy fall…and hoping these suggestions can be a help if you find yourself down with a cold or needing an extra immune boost. What are your favorite natural and/or pregnancy safe remedies for illness? I’d love to hear about it! Thanks for taking a minute to share this post with your friends!

Celebrating Birth Expo 2016 Photo Report

Celebrating Birth Expo 2016 Photo Report

Thanks to each and everyone who helped to make the Celebrating Birth Expo a success! With over 30 different services, care providers and businesses sponsoring the event there was a great variety of information, goodies and prizes! If you attended and have helpful feedback for possible future events, I’d love to hear from you. Here’s a few photos to give you a glimpse into our day:

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Some of my fantastic helpers for the day…couldn’t have done it without Beth and Hannah!

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Getting everything set up and ready….

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Gift bags for each of the attendees to carry their goodies in

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My junior helper-she just HAD to attend the Birth Expo, too! 

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Gentle Delivery’s display and welcome table

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The cafe all ready to serve refreshments

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Heidi Loomis, CNM giving comments after the film screening

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In the auditorium getting ready for the screening of “Why Not Home?”

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The Calvary Harvest Fields location was a lovely place to host this event…

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Lots of fantastic displays and community interaction! 

I thoroughly enjoyed the opportunity to see many of “my” babies, and am grateful for the opportunity to learn more about what our community has to offer new and expectant families. In case you missed it, I’ll post a link to the event page where you can see a list of all the sponsors, along with their contact info and/or websites. If you’re interested in a future event like this, send me an email with your thoughts and comments. Thanks!

Celebrating Birth Expo & Why Not Home? Screening

An invitation to attend…

An invitation to attend…

Gentle Delivery Childbirth Services first Celebrating Birth Expo!

Ever since relocating to State College, I’ve wondered what could be done to help moms in this area become more aware of their birth options and support services available to them. Many of the families I work with have moved here in relation to work or studies at Penn State University,  they don’t have family or friends nearby, and aren’t sure how to connect with or find out about the resources that this area has to offer. It’s my hope that this event will enable these moms to be introduced to area doulas, childbirth educators, midwives, lactation consultants, massage therapists, chiropractors, and more…and help to raise awareness of the availability of midwifery care and homebirth through the screening of the new film “Why Not Home?”.

Collages2I would love to see you there! Please help us to spread the word by inviting your friends and family to attend. Perhaps you’re looking for a fun activity to do with your mommy friends…or perhaps you’d like to know more about working with midwives…or perhaps you’re interested in promoting birth options in this area…or perhaps your a new mom or expecting mom, and you want to learn more about what this area has to offer…whatever the case, this event should be a great experience-and there will be chances to win great prizes and sample products at the vendor displays! Come and spend the morning with us!

To find out more about the sponsors helping to make this event possible, check out the website page here. And to RSVP for your free spot, check out the Eventbrite page. Feel free to invite your friends using the Facebook event page.

Feel free to check out the trailer for “Why Not Home?” here.  Here’s a quote from the director of the film, which will give you some background on what the film is all about:

I grew up hearing the story of the doctor and the surgical procedure that saved my life and my mother’s (I was breech, delivered by cesarean section). I never considered that I might give birth outside of a hospital–until I got pregnant.

At that time I had been a nurse for five years and a nurse practitioner for three. Home birth wasn’t part of my culture and wasn’t something my training had directly addressed. Prompted by a colleague’s experience, I started researching, asking questions, and considering my options in and out of the hospital. It was based on that research that I decided I wanted to pursue a home birth. As a low risk mom, it seemed I had the best chance of a safe and uncomplicated natural birth in my own home surrounded by people I knew and trusted. Some of my family and colleagues disagreed.

The decision wasn’t easy to talk about. It’s such an emotionally charged topic. Everyone has an opinion and a story to tell.

Since then I’ve met more health care providers, doctors, nurses, and midwives, who chose to give birth at home. These are not the women most Americans picture when they imagine a home birth mom. These professionals have direct and sometimes daily experience with the risks inherent in birth. Like all women, they wanted a safe birth, yet unlike 99% of women in the US, they chose to give birth at home. This is their story.

Too often polarization occurs on the topic of home birth. By focusing on hospital birth providers who choose home birth, I hope to bring a voice of moderation to the discussion. Together, we can move toward real improvements to maternity care in hospitals and at home.

What if the choice of where to give birth wasn’t limited by cost or insurance coverage, fear or misinformation? What would change if families had access to the care provider of their choice in the setting that best fits their unique needs and values? It’s worth at least asking, “Why not home?” 

This looks like it will be an exciting day, and I hope to see you there!

 

News & Updates from Gentle Delivery!

News & Updates from Gentle Delivery!

There have been lots of things happening around here this spring, and I thought it would be good to give you all some updates on exciting new developments at Gentle Delivery Childbirth Services. Here’s a brief summary of assorted news items…take a minute to check out what is going on!

  • Addition of Pulse Oximetry Screenings for Critical Congenital Heart Defects (CCHD):

My new Pulse Oximeter just arrived in the mail last week, and I’m excited to be offering at-home CCHD screenings in keeping with PA legislation. These screenings have been mandatory in hospitals since Act 94 was passed in 2014, and this year midwives are being asked to join in reporting these screening results. This is a simple, non-invasive test that I will perform at the home postpartum visit within 24-48 hrs of your baby’s birth. To find out more about the testing, click here.

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Matthias helping me try out the new pulse oximeter!

  • New Apprentice for 2016!

As some of you know, I’ve been working on confirming a regular assistant/student, and I’m glad to be able to introduce you to Lynelle Martin. You can find out more about her by clicking on the “Current Assistants/Students” page, and those of you with babies due this year will be meeting her as she helps out with prenatals once a month and attends home visits.  She recently finished her Neonatal Resuscitation Certification, giving clients the added benefit of two CPR and NRP certified attendants at births.

  • Midwifery Today Conference:

I’m looking forward to writing up a more detailed report about some of the things I learned as I attended a day of the Midwifery Today Conference in Harrisburg, Pa. I enjoyed lively conversation with Lynelle and Rose Marie (another midwife I want to introduce you all to at a later time!) on the drive down, and was encouraged as I visited with many other midwives from all over the country-including Kathy, the midwife who delivered several of my siblings and was instrumental in getting me started in this field. Midwifery conferences tend to attract an extremely diverse group of midwives (ranging from Amish to Hippie and everything in-between!), and there are so many things to learn from each one. The added benefit is more CEU’s that I am required to get each year in order to keep my certification.

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Lynelle, Myself and Rose Marie after a long day at the conference!

  • YourWaterBirth.com Account Set Up:

I now have an account with Your Water Birth, a business offering affordable waterbirth and homebirth supplies, and if you are a client you can contact me for a code that will give you a 10% discount on your order! While there is a very affordable option in State College for those wishing to rent a birth pool, this company offers a great deal for those wishing to purchase their own pool and supplies. Check them out!

  • Travel Dates for Winter 2017

Just giving you all a heads up that my family will be taking a 3 week trip to the Midwest from Jan-Feb 2017 in order for my husband to teach at a Bible School for young people. We’re excited about the opportunity, and I will be glad to give you referral information if you are looking for a midwife over that time. For those who like to plan ahead, here’s your chance! <smile>

  • Advertising Cards Available:

I recently printed up some post-card sized advertising cards that contain contact information, a testimonial and information about the CPM certification. These will be on display at the area kids’ consignment sale at the end of April, but if you would like some yourself to pass out to friends, family and/or local home-birth-supportive businesses, I’d be happy to provide you with a stack!

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  • New Babies:

And lastly, no update is complete without a few pictures of sweet spring babies! Blessings as you enjoy the lovely spring weather that is here at last!

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Nothing like a peaceful newborn!

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so sweet and tiny

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Ready to call it a night and tuck everyone into bed!

Do I Need a Doula if I’m Planning a Homebirth?

Do I Need a Doula if I’m Planning a Homebirth?

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So you’ve heard of the advantages of having a doula with you if you’re planning a hospital birth. The positive aspects include such things as: continuous support that doesn’t change shift, possibility of laboring in the comfort of home knowing someone will help you decide when it’s time to go in, someone who can help you and your spouse keep perspective and act as a liaison with the medical staff, a friendly person to call directly with questions during those last days before labor, and the list goes on. All of these things sound good, but if you’re planning a home birth, then you don’t need all this, right?!? You already know who your caregiver will be, you’re staying in your comfy home, your midwife will provide support and perspective, and you can call your midwife directly…which means that a doula is totally unnecessary, correct?!? Well, that’s a question I hear often, and I wanted to take some time to explore how a doula can actually be a great benefit at a homebirth, as well. If you’re trying to decide whether or not you want to add a doula to your birth team, hopefully this post will give you some help, and maybe even answer some of the questions you have.

To get some input on this subject, I contacted several different groups of midwives, doulas and birthworkers, and asked them to tell me from their experience how homebirths could benefit from doula support. Their responses were very helpful, and provided the bases of what I am going to share below.

When it comes down to it, a midwife and doula offer to distinctly different services. While both are attempting to provide women with personalized, professional care, they are coming at it from two different angles. A midwife’s job is to help ensure that mom and baby both maintain the low-risk status. She is concerned with providing a safe, professional and knowledgeable environment to women seeking out-of-hospital births. This means that she must put mom and baby’s safety first-which sometimes means that she will have to stop providing labor support in order to monitor heart tones, for instance.  There are also those times when the midwife will need to conserve energy in order to maintain the needed mental and physical alertness needed for the actual delivery, which may mean not being able to constantly apply back pressure for hours on end! For some mamas, especially those who appreciate privacy, a midwife and her assistant may be all that she needs in order to feel supported and cared for, but there are others where this may not feel like enough. As a midwife myself, I seek to provide labor support whenever I can, but I am also always acutely aware of what is going on medically. The role of a doula is that of providing consistent emotional support and physical support. Because she does not have to be responsible for the medical aspects of birth, she is free to focus on helping the couple work together, and helps mom to achieve the space and birth atmosphere that she desires, without distraction.

At a homebirth, a doula can:

  • Give valuable input and educational support during the prenatal period.
  • Provide early labor support, and help the couple decide when it’s time to call the midwife to come.
  • Free dad up to focus on mom by paying attention to other details (like keeping the tub water warm, setting up the bed, changing linens as needed, keeping birth atmosphere tidy, etc.).
  • Keep mom and dad fed and hydrated.
  • Help the birth team to remember mom’s preferences-whether it’s the desire for quiet and privacy, or a certain music playing at a certain time, she keeps everyone aware of what mom wants.
  • Help with comfort measures such as massage, positioning techniques, etc.
  • Provide positive encouragement about progress and what is happening.
  • Give mom support during pushing, especially for those families where daddy wants to catch, and mom still needs support by her head that is focused on HER.
  • Assist with childcare as needed, especially if children are present for the birth.
  • Help the mom to feel an extra measure of help and support, through extended availability before and after, and checking on mom’s emotional well-being during the initial postpartum period.
  • Protect and nourish the new family’s space as nursing and bonding are taking place.

A doula is especially beneficial when:

  • A mom is expecting her first baby or is planning a VBAC. The potential for prodromal labor and/or need for extra physical and emotional support make a doula an especially good choice for these moms! For the same reasons, moms who have a history of long labors may also find a doula an excellent addition to their birth team.
  • Mom is lacking other support systems. For single moms, or those who have no family or close friends nearby, a doula can be a tremendous asset in providing a consistent, dependable support person during the pregnancy, labor, delivery and postpartum periods.
  • When using a very busy midwife, or if your midwife has travel plans over the time you are due. If you know there is a good possibility that you may be using your midwife’s backup, then having a doula whom you have already connected with can help make that a smooth transition, as you won’t have to totally “start over” with your birth team.
  • If your chosen midwife usually practices solo (without an assistant). In these cases, it may be hard for her to provide consistent labor support, as she will have many responsibilities to stay on top of.
  • When mom knows that she needs extra hands and extra support. Some moms prefer quiet, privacy and extreme “hands-off” during labor, while other moms know that they would relax better when surrounded by encouragement, positive input, touch, massage, etc.
  • If you’re planning to have your children present at the birth, and don’t have a specific care-giver for them. This can allow dad to spend time with mom or with the other children, and know that no one is being neglected!

So, to tie all of these comments up, you can see that a doula can be a lovely complement to a planned home birth. The moms who have experienced doula care at a homebirth made comments such as “I wouldn’t do it any other way”, “it was the ultimate support group”, “I gained a trusted friend”, “My doula could be someone my midwives could never be (though my midwives were awesome and perfect for me)…All her energy and focus went to me, she had no other obligations”, “she provided a different perspective”, “the little things made a big difference…her doing things that allowed my partner to stay with me was key”. The midwives who have had doulas present at births say, “Doulas are worth their weight in gold, literally!”, “The women who have both feel SO supported”, “Having a doula…helps to share the load, and each individual has something different to bring to each unique situation”, “Doulas provide a different type of connection”,  “I think there are some births where there is plenty of work for many hands…and some where there isn’t”.

All that said, I do want to underline the fact that each mother and each birth is unique. While having a doula can make your birth experience even more special, I totally understand that it is not the choice for everyone. For some mamas a more private, intimate and quiet birth environment with as few people as possible is better.  And this is totally okay. It’s one of the beautiful things I appreciate about the option of birthing at home…the birth team can be personalized to suit the preferences of the individual mom. Each mom/couple has to figure out what is right for them, as this is what will enable them to relax and give birth in the best way. The goal of this article is not to make you feel like you HAVE to hire a doula! But for those who have wondered if a doula could be beneficial, my hope is that you now have a better picture of how a doula can fit in to your homebirth plans, and how this option can make a mama feel even more supported.

Did you use a doula for your homebirth? Or have you been a doula at a homebirth? I’d love to hear about it! And if you’re looking for a doula, be sure to check out www.doulamatch.net in order to find out about doulas offering services near you! For those living in central PA, I’d be glad to refer you to some excellent doulas who serve the surrounding areas.

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The Peaceful Birth of Talitha ~ Part 2

The Peaceful Birth of Talitha ~ Part 2

Here is the promised second part to Talitha’s birth story. If you want the background leading up to where this story begins, click here.

By this point in the afternoon, the noise from downstairs was almost constant, as Chris was doing his best to finish the basement project up by evening.  Lucy had called telling us that their ETA was around 8pm, and just ecstatic to hear there was a good possibility that she might get to be around to see her nieces’ birth (we had told her before that we would love for her to be there, but also told her not to get her hopes up, as there were still two weeks until the due date. I think she prayed pretty hard!). I think it was around 5 or 6 that I went ahead and took a dose of castor oil, hoping that it might help things move along in order to have a baby by morning. We were just getting ready to sit down for supper around 6:30, when Rose arrived at the door-she thought she’d just come hang out, and check in on us! During supper, she noted that I was having to breathe through contractions pretty consistently, to which I replied that “I can still talk through these so I’m trying not to notice them”. She just smiled.  Chris ended up clearing out of the basement around 8pm (Joel finally told him he’d better just clear out-he hardly had time to finish the project after waiting so long to start in the morning!), giving us about 20 min. to sweep, dust, and start getting the bed ready, when Daniel & Lucy arrived at 8:15. Lucy assured me that she could make the bed.  By now I was starting to notice the contractions, so I took Rose to see where baby things were, and we talked more about where we were planning to do the birth, etc. We opted to “camp out” on the main floor, as Daniel was going to be banished to the basement, and we were hoping the toddlers would sleep through the birth in their own beds upstairs. One huge blessing of home birth is the ability to be flexible with the birth location! (oh, and we became more flexible as the evening wore on…)

At 9pm, I felt that release of pressure and felt the trickle that made me think my water had broken…and sure enough, the next contraction confirmed that! Now THIS felt like the “real deal”, and I knew I didn’t have much time before needing a place relax free from distraction. I told Joel that it might be a good idea for the children to go to bed (they were still super excited about the arrival of their aunt and uncle), and he caught the drift, and hustled them off to bed. Daniel disappeared, and it didn’t take real long for our living room/fireplace room to be transformed into a birthing room! Joel had borrowed a large air mattress which he set up in front of the wood stove, and Rose & Lucy got all the supplies out and in good order. I found it most comfortable to sit on the ball, as it helped to be able to move and relax at the same time.

I had always dreamed about having lovely music playing while I labored, and during my pregnancy had been very blessed by the “Sleep Sound in Jesus” CD by Micheal Card. Joel so sweetly made sure to put it on, and I can still remember how special it was to meditate on some of those lovely songs between and during contractions. The mood of the room was so peaceful, with the lamps turned low, Rose & Lucy quietly chatting in the corner, Joel holding my hand (and not minding my squeezing him…during labor I DO NOT want to be touched, but I sure need his hand to squeeze!), and these sweet songs filling the air. The one in particular that stood out to both of us was “Even the Darkness is Light To Him…the lyrics that kept repeating in my mind were “so you are safe as the light grows dim, even the darkness is light to Him…The Father above does not slumber or sleep, He wakefully watches our ways, then there’s no reason for you to weep…would not Jesus safely keep…?” Even though it was intense, it was also amazing to me to feel so at peace and at rest, after so many events, activities, responsibilities, etc. that had taken place those last weeks and months.

Time seems to stand still during labor, or at least you lose all ability to gauge time. I think I spent about 45 min. or so laboring on the ball, and feeling grateful that this time I had a chance between contractions to completely relax and prepare for the next one (so unlike my previous birth!), even though they were coming about every 2-3 minutes.  Joel would encourage me, Lucy would ask questions about labor and birth, we’d all chat for a little bit, and then another one would hit. Although I have such peaceful memories, I’m also struck with the fact that I vividly remember thinking “this is the hardest work I have ever done in my LIFE…how on earth can women forget how hard it is to have a baby?!” So there is one perspective on the roller coaster of emotions in labor! Another thing, that when I’m not in labor I can laugh about, but the one piece of instruction that stands out the most to me from all my years of working with other midwives and childbirth educators, the thing I remember is “if your lips are loose then your cervix is too”. I can’t remember who said it, but it sure is practical! For some reason, that is a point I can focus on, trying to keep my face muscles loose, and thinking about how it means everything else is loose and open, too.

Sometime between 10:15-10:30, I all of a sudden wanted to go to the bathroom. Once again, you’d think I’d know, but when Rose asked if I thought it was time to push, I told her that surely things weren’t that far yet, and that I was positive this was just a result of the castor oil. She looked skeptical, but being the sweet midwife that she is, she just said to go ahead. As I moved to the bathroom, Joel left to get something in the kitchen. Once I sat down, I felt one massive contraction coming on, and immediately needed his hand. After several extremely intense back-to-back contractions, there was that massive feeling of pressure, and instant change in tone. At this point, Joel strongly encouraged me to move off the toilet…and I’ll admit that inside I was thinking that that was a totally crazy suggestion…lots of babies are born on the toilet…and how on earth can I move now?!?  However, Rose had quietly brought in the birth stool, and when I saw it next to me it looked possible to move, which we did as soon as the next contraction was over. I can honestly say that I don’t find pushing enjoyable…it’s like the last sprint in a long race, and I wonder if I’m going to be able to do it…but within 2-3 contractions, our little Talitha entered this world at 10:46pm. Only 1 hr. and 46 min. after my water broke and active labor started-and the castor oil wasn’t even necessary!  She seemed a bit stunned, and took a bit to pink up and really cry…I kept rubbing her over and pinching her toes and telling her to breathe…Rose commented that I sure couldn’t quit being a midwife, could I? Once she gave a good long cry I held her close, and was amazed-she was no little baby, and she had a lovely head of dark hair!

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Less than an hour old here, I think!

The remainder of postpartum went well…I moved from the bathroom (seems like births have a habit of happening in the tight, small quarters of the house!) and snuggled into the temporary bed set up in front of the cozy woodstove (that night was one of the coldest we had that winter!), then Rose did the newborn exam. Even with all my determination to grow a smaller baby (her brother had been 9#), and all my attempts to eat a strict diet and exercise regularly, this baby girl weighed 8#15oz, and that at a good 2 weeks early! And no, my dates weren’t off! Big

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Yoanna meeting her sister

sister Yoanna got to come down and kiss the baby, and her eyes full of awe were so sweet as she gazed on her little sister. After some food, and an absolutely lovely shower, I was packed off to my own bed upstairs. The ladies had the house looking normal again, Rose headed home (by now the snow had stopped, and the snow plows had gone through), and we enjoyed the pampering of Aunt Lucy for the next 4 days. Having her around to entertain the toddlers, cook meals, clean the house, and take care of all the little details was a tremendous blessing, and another gift from God.

Talitha Shalom means “Little Girl of Peace”, and it’s our prayer that she will embody this name as she grows, and that her life can be filled with God’s peace…just like the night of her birth was!

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The children meeting baby the next morning

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Three little ones to nurture!

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Capturing her expressions

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Dear Aunt Lucy and Uncle Daniel!

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Less than 24 hours old!

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Mama has her hands full!

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Talitha with baby E-the one I caught just two days before my birth…this was their first time at church!

The Peaceful Birth of Talitha ~ Part 1

The Peaceful Birth of Talitha ~ Part 1

Note to my readers: I kept thinking I’d get this story written long before now, but I finally finished it just before my baby turns one. How time flies! My apologies on the length…there were so many details that had to be shared to give the background, but if you aren’t interested in those, just wait for the actual “birth story” coming soon!

When I sit down to write out the story of Talitha’s birth, the subject that continually comes to mind is that God answered prayer. Seriously. The winter of 2015 was unlike any I have ever experienced to this date, full of stretching in areas physically, spiritually, and emotionally. In order to understand part of the picture of how so many things came together in order to make her birth the peaceful event that it was, bear with me as I give you some background to that cold February night…

My husband, Joel, has served with All-Nations Bible Translation for many years, and earlier in 2014 the decision had been made to build a training base in the State College area, just 2 miles or so from our home. It would take too long to recount the ways God opened doors for a location, permits, funds, etc, but suffice it to say that, as generally happens with construction projects, this one had taken much longer than expected before all the red tape was completed in order to begin building. Which translates into the “crunch” time beginning while I began my last trimester of pregnancy, even though it hadn’t initially been planned that way. While I was not helping with construction J, it was our responsibility to make sure the volunteers had coffee, snacks for break, lunch, and sometimes even a place to stay along with breakfast and supper. Joel had tried to get help in for this, but to make a long story short, nothing worked out-though he was able to get a number of churches and interested individuals to help with some of the food prep, in order to reduce my load. I will admit that these months were HARD. When I’m pregnant, I’m extra emotional, uncomfortable, unsocial, and ready to be DONE. To add hostessing, food prep, and all the effort that goes into that to having two toddlers to care for, all the while dealing with pregnancy issues stretched me beyond what I thought I was physically able to handle. Oh, and I should mention that our small church community (made up of about 7 families) had THREE pregnant mamas, two major moves, a house renovation project AND health issues during the last two months of my pregnancy. But God gave strength, and we pressed on, reminding ourselves that at least the construction project wasn’t something that was going to be repeated!

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How the building project looked in January…so much snow that volunteers had to be taken up the lane in a 4 wheel drive vehicle!

Besides the building project, I also was committed to delivering babies! The “last” baby I had on my radar before my own was due the end of January. When I took on this sweet couple, it was with the idea that January would be my “rest month”, as Joel was actively lining up help for the month in order for me to prepare for our baby. I also figured that since there were a solid 5 ½ weeks between this mamas due date and my own, this also should be no problem. Well…sometimes God has other plans in mind! I started getting a bit nervous about how all of this was going to work out when I began having preterm labor signs of my own around 33 weeks. When I realized that I was beginning to dilate, and that baby was settling lower and lower, we seriously reduced my time on my feet, which helped to slow the contractions. I began praying that God would help baby wait at least until this other baby came…and that baby wouldn’t come before we could do it at home. We figured out a workable plan in which I would sit with my feet up after every hour or two of work, which helped to keep things at bay, though I started wondering if we’d be meeting our baby sooner rather than later. But back to babies…the one due in January was not to be my “last” one after all! One of the ladies in our church, who is a good friend, had some things come up which made their family feel like perhaps the midwife they had chosen was not a good fit for them. While I do not normally get involved with a situation such as this (there’s often a deeper reason when a couple and midwife part ways late in pregnancy, and it’s not something to delve into without concern), we had a close relationship with this family, and felt like we needed to help them out. Incidentally, this mama was due the same week as I was, and we had been neck-to-neck throughout our pregnancies, though she was convinced she’d deliver first, as her babies tended to come early. We lined up a back-up, just in case, as there was the real possibility we’d both be in labor at the same time…

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Getting things ready for baby sister to arrive!

So all of that brings us to the first week of February. At this point, I’m still having contractions whenever I ‘m on my feet for awhile, and I’m waiting on two babies before my own can come. It’s the kind of situation where you keep saying, “Okay, Lord, let’s see how you’re going to work all this out…” 🙂 In the middle of all this, we started a renovation project in our basement…we had help to do it, and wanted to have the basement ready by the time my mom came to help after our birth, and I didn’t want to be dealing with dirt, dust and noise with a newborn, so we dug in. There were times I cried-like when the heater came on in the basement and spewed concrete dust all through the house…but the guys made great progress throughout that week, and one afternoon a sister from church came over to help me clean. After waiting about 10 days from his due date, the “January baby” came…and I felt like it was a direct answer to prayer to have a clear night for travel (no snow and ice on the road) and a straight-forward, relatively short labor, complete with a healthy baby. I felt a huge sense of relief, too, as that was one more responsibility off my shoulders, allowing me to feel more prepared for my own baby.

By the time the third week of February began, my friend and I were wondering who was going go first. I had reached that point where one is chronically uncomfortable, but so had my friend. That Sunday night she went into labor (just 3 days after moving into her newly renovated  house…talk about cutting it close!), and early Monday morning I was called over, helping them to welcome a baby girl within an hour or two of my arrival. Once again, God was gracious, giving them a lovely birth, with no issues that would have been challenging for this very-pregnant midwife to take care of! This week were also trying to finish up the renovation in our basement, as Joel’s sister, Lucy, and her husband were supposed to be arriving that week in order for Daniel to do some trim work at the ABT project. So I napped around construction noise, and felt grateful that meals at the ABT project were being taken care of by another church family who had moved into our community just the week before (remember my mention of two moves over this time?!).

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Baby E around 24 hrs old…this was the day before my own baby came!

Another aspect of uncertainty surrounding this birth also had to do with the availability of my own midwife. Our dear friend, Rose, had been involved with our previous two births, and we really wanted her for my midwife again this time. For each birth, God answered specific prayer related to her availability, and this time was no exception! She was working down in Lancaster, and while she had permission from her employer to head our direction when needed, my last labor hadn’t given us a lot of warning-and Joel was not in a hurry to do a solo birth again! I had also been hoping to have my student, Emily, involved, even thinking that at least she’d get some good practice if Rose couldn’t make it in time. But she was already committing to attending her next midwifery class in Maine, which was scheduled to take place the last two weeks of February. So we prayed, and committed the situation to the Lord, knowing that He would work it all out somehow…but not knowing exactly who would be a part of our birth team.

Tuesday night, the 17th/18th, I slept fitfully, being awake for several hours with contractions. While intense enough to keep me from sleeping, they wouldn’t get any stronger, and I kept wondering at what point I should be calling Rose to come. When morning finally arrived, I was tired and discouraged. By this time I had experienced many uncomfortable nights with little sleep and lots of contractions, and wasn’t sure how much longer I could survive physically and mentally. After so many hours of consistent, time able contractions through the night, finding myself at only 4cm was so disappointing…surely things should be happening by now! Joel was so understanding, and after giving me time for a good cry on his shoulder, he sent me for a long, relaxing bath, after which he put me back to bed to see if I could sleep. He then proceeded to tell our friend who was working in the basement to wait to come for several hours. I know this seems like an unrelated detail, but it played into the events of the rest of the day!  I was able to sleep in the quiet house, and once I woke up refreshed, Joel told Chris to come back-we found out that Daniel & Lucy were coming that evening, instead of waiting for the next day-so we needed the basement for them to sleep in!

I still look back on that Wednesday as a gift. Up to that day, my life had been so full, the schedule so tight, so many urgent, pressing things to take care, running from here to there. No time for reflection, or for that mental preparation that is so helpful when facing something like labor. Even after having had two natural births, I found myself fighting fears of a different type this time. Nightmares of having to be taken to the hospital, because I couldn’t take the pain. Wondering if I could mentally cope with whatever might come in labor. Every time I would voice those fears, my husband would remind me that they weren’t coming for the Lord, and that I needed to trust in Him, and resist those fears. Yet having a day in which to reflect, and be able to gear up mentally for labor was something I needed in order to be prepared. Joel encouraged me to take the day “off”, and he even suggested taking our little family out for lunch. It’s one of those sweet memories I have…our last outing as a little family of 4, enjoying some relaxed time together at the local Chinese buffet. Talking about when the baby might come, and the children soaking up the time with mommy and daddy.

Contractions continued to come and go throughout the day, and Joel (wisely) wondered if it might not be a good idea to touch base with Rose. He really didn’t want her to be very far away if things did start to happen! Rose informed me that she was off work the rest of the week, and was thinking of heading up to her family’s place in order to do some study, and be closer to us in case baby decided to come. I went for a walk in order to get some fresh air and sunshine (though a storm was brewing), and found contractions very strong and intense while walking, though they would slow down again whenever I would sit. Around this time, Joel and I discussed whether or not I should consider taking castor oil. While we didn’t want to interfere with God’s timing of this birth, we also knew that I was physically very run down, and we were concerned about how I would handle more DSC_0632csleepless nights should things continue. After talking with Rose again, and finding out that she was studying at a nearby restaurant, as she felt from the tone of my voice earlier that she should be close by (and a snow storm was predicted for later on in the evening!), we decided to try castor oil if things didn’t move forward on their own. The mind-body connection is amazing, as contractions began to pick up again after just knowing that Rose was 2 miles away!

To be continued….

Some Recommended Reading

Some Recommended Reading

As we’ve headed into a new year, I’ve been taking the time to update old records/files/paperwork, etc. One of the fun things I’ve updated is my current library list. While the internet can be an excellent resource for many topics, I still enjoy a good book that can stay on my nightstand, or be read while I nurse baby (one of the best things about having a nursing baby is getting guilt-free time to sit and read a book!). This past year I was introduced to a number of books that I had not read before, and I thought it’d be fun to share a few of those titles to you, in case you’re looking for something new to read!

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One of the library shelves in my office

  • Ina May’s Guide to Breastfeeding by Ina May Gaskin: I found this jewel at a thrift store this summer, and picked it up just because of Ina May’s name. It’s a great resource to have on hand if you’re wanting some extra help or information on breastfeeding issues. One thing I appreciated was that she actually dove into the issue of tongue-ties causing nursing difficulties, which is something that many manuals on breastfeeding overlook. Overall, this book was a great easy-to-read book that I would recommend adding to your home library!

 

  • Pushed: The Painful Truth about Modern Maternity Care by Jennifer Block: This book is not your “feel-good-warm-and-fuzzy” type, but if you’re in to making informed choice, and understanding the politics and protocols that go on behind the scenes, especially here in the US, this is an eye-opener. Jennifer explores the history behind different changes to the maternity care scene, how insurance companies dictate much of hospital’s protocols, how our lack of understanding our bodies and understanding the normal function of birth contributes to the rise of interventions, the limitations in so many areas of good alternative care options, and more. While it can be a bit depressing at times, it was definitely educational, and helpful in understanding risks vs. benefits of different medical choices.

 

  • The Official Lamaze Guide: Giving Birth with Confidence by Judith Lothian: While this one has been around for awhile, I had never taken the time to pick it up and read through it. I found that it really wasn’t all about a particular “method” for birth, but more about understanding how your body works, and how to work with it. Clear, concise information written in an easy-to-read style, with birth stories to boot.

 

  • Cut, Stapled, and Mended: When One Woman Reclaimed Her Body and Gave Birth on Her Own Terms After Cesarean By Rosanna Rosewood: This one deserves a disclaimer-while the story was fascinating, I don’t recommend or agree with everything this mama pursued in her quest for a VBAC. However, this book helped me to understand many of the challenges that brave VBAC mothers must make as they recover, heal, and prepare for birth from an emotional, spiritual and physical standpoint. I found it valuable as I seek to help mothers who desire a VBAC without having personal experience.

 

Besides the mentioned books, I’ve encountered a few new resources that I would heartily recommend:

  • Spinning Babies DVD’s: The Parent Workshop & Daily Essentials. Gail Tully, the instructor of these DVD’s and the brains behind the Spinning Babies website, has so many tips, suggestions and information to offer-and it all helps to make pregnancy more comfortable, understand your body, and encourage baby to be in good postion…which ultimately helps your labor, birth and recovery to go so much smoother! If you haven’t spent time on Gail’s website, it’s worth looking in to!

 

  • VBAC:Know the Facts by Jen Kamel: Jen has compiled an immense volume of research and facts surround VBACs, and presents them in a fascinating seminar that can be taken online or attended live. This 6+ hour seminar addresses subjects such as myths, actual research results, how and why different hopsitals have different protocols, what complications can increase risks (and how to avoid some of them!), and the list goes on and on. If you are considering a VBAC and have questions, or just want to learn more about the subject, this would be a very worthwhile investment. I learned so much from it!

 

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More books…and they don’t all fit here, either!

This past year I had a friend who contacted me-she was newly pregnant, lived in another state, and wanted to know where to start in figuring out what she wanted for her pregnancy, birth, caregiver, etc. What a list of questions! And where do you start?!? So I’ve been on a quest to find factual, evidence-based information to help new moms in making decisions and sorting through all the myriads of opinions and information. If you have a resource that was particularly helpful to you, I’d love to hear about it! Feel free to comment (below), leave a message on the facebook page, or send me an email at: gentlemidwife@gmail.com. I’d love to hear from you!

And if you want to check out my updated Recommended Reading/Library List, feel free to look at it here:  https://gentlemidwife.wordpress.com/recommended-reading/  Remember, clients have access to this library as part of their maternity care package!