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Ashlee Johnson's passion for birthwork grew from her first pregnancy and childbirth. She would bring forth life three times with a dedicated birth team. She welcomed being pregnant and can recall the first pregnancy as an enjoyable time despite hearing so many negative stories that people felt compelled to share with her. It would be a chance encounter, during her first pregnancy, with one woman that listened to her birth preferences and encouraged her to go for it. She let that affirmation set within her and committed to honoring her own plans.
This foundation would serve her throughout the births of her other two children. Ashlee and her husband prepared by attending birth classes and feeling fully supported in a birth center and homebirth care. She describes her births as amazing because she felt educated, had a positive attitude, and had a birth team that met her expectations. In the early postpartum days, breastfeeding was challenging due to latch issues. Yet, Having set up a solid support system, she overcame the learning curves, focused on her healing, and addressed her postpartum depression.
For Ashlee, preparation is vital, expressing that no matter if birth plans shift, if you've prepared, you're in a better position to steer things your way. Using her own experiences and skills as a birthworker she created Birth Class in a Box - a carefully curated childbirth class that comes to you! We fell in love with the concept and decided to join her affiliate team. Use our unique PROMO CODE: BSiC and receive $10 off your purchase. Check out this great resource here.
Resources:
Birth Class in a Box | childbirth education tool
During a global pandemic, Ashley and Adrian would welcome their first child while living in the United Arab Emirates (UAE). The safety and travel restrictions limited their access to their family, causing Ashley to feel immediately dependent on her doctor. Despite being inclined to more natural resources for medical support, she felt that pregnancy made her want to stick to what the doctor said they needed. Ashley started to shift back to her first thoughts about her health, rooted in natural medicine. An unmedicated birth would be explored to match their personal preferences. She and Adrian weren't sure if a natural birth could be possible, as they didn't know if they could or if Ashley could endure it. After careful consideration, they hired a doula hoping to have support with their birth plan. Cesarean birth, epidurals, and a fear of dying in childbirth were the only knowledge Ashley started with as she and her husband started their first pregnancy. Their doula educated them about pregnancy and childbirth, which helped dismantle her fears and feel more empowered. The quest for knowledge began, and when Ashley shared mind shifts with her doctor, there was also a shift in the doctor's countenance toward's their birth plan. The doctor was dismissive and resistant to her preferences and started fear-mongering tactics to alter their plans. Adrian shared that he felt angry during the doctor's appointment because they had intentionally researched and devised their birth plan. He settled himself, and he felt his family was losing control of the situation. The birth team had to change, and it did change; they found a new doctor and hospital that could meet their needs.
Pregnancy became more challenging as their household tested positive for Covid-19 at 37 weeks gestation. A new fear presented itself, as she prayed the baby would not come while she was feeling sick and too tired to care for a newborn. Thankfully Adrian was asymptomatic and could complete the baby preparation tasks, and Ashley would feel better when she went into labor. Another issue did arise as her doctor attended to a family emergency, and they didn't know if she would make it back for the delivery.
When labor day arrived, Ashley tuned in with herself and listened to her body as they managed the day. Nesting set in, and Ashley emailed her birth plan to the hospital as early labor began. She prepared her hair for delivery, as Black women do in preparation for a new baby. She labored at home with the support of Adrian and her doula throughout the next 23 hours. They decided to check in at the hospital and soon discovered that everyone on her service had a copy of her birth plan. Ashley would explore her options for comfort measurements with her supportive birth team. The labor had drawn out so long that exhaustion shifted her mindset, and Adrian hit his daddy doula stride to help her overcome. He stepped out in the hallway to talk to the nurse to support the plan. Ashley found herself in a meditative state as she wrestled with the tiredness of her body and the intensity of labor. She would grapple with decisions that were altering her birth experience that didn't reflect her true wishes. Calmness came from sinking within and tapping into God as a source that allowed her to go through it. She began pushing without prompting or permission. Ashley allowed her body to lead and deliver her son into the world after 32 hours of labor. She was amazed by her strength and the process of childbirth.
The ride home from the hospital made space for anxiety to surface in Ashley, and the tears began to fall. She centered herself with a talk with her mother and shared her feelings with Adrian. She gave a name to her experience after her body experienced trauma. They would manage postpartum as a team, both basking in the wonderment of Ashley's strength and courage and their commitment to their growing family.
A seemingly normal pregnancy was quickly unraveled when Beatriz received the news that she had preeclampsia. She had been managing a plan to birth at home with a hospital-based midwife to support any medical challenges and a homebirth midwife to support the birthing space she wanted. A top of the list item was a midwife that spoke Spanish, as her husband is a monolingual Spanish speaker. Unfortunately, her blood pressure (BP) readings at 36 weeks with the homebirth midwife were too high, causing her to refer Beatriz to the hospital for care. She would no longer be eligible for a homebirth after it was confirmed that protein was present in her urine. Not only did her plan fall apart, but she no longer felt she would have the safety of her home because she was scheduled for an induction at 37 weeks. The homebirth midwife accompanied her and her husband for the induction, and she helped her manage the interventions. She didn't know how much she would need to self-advocate, but things took a turn as her care provider didn't align with her preferences.
The messaging Beatriz had received from people in her circle had focused on a healthy baby arriving safely. Beatriz wanted to uphold the same priority level to how her baby would arrive safely. She went home for a couple of days by signing an AMA (Against Medical Advisement) form. Beatriz saw herself heading towards a surgical birth, and she pushed pause on the induction.
The hospital midwife called a few days later while she happened to be on a call with her therapist at the same time. The hospital midwife told her she was pretending she didn't have preeclampsia but wanted to provide her support. Beatriz asked her what she could provide at that point with her midwife, stating that the call felt like a trap and reminded her she was risking her baby's life. The conversation was hard and Beatriz leaned into her own source as she communicated with her homebirth midwife monitoring her own BP and baby's heart rate at home. When she noticed a rise in her BP, she reported back to the hospital and started the induction over. The conversation of breaking her water came up again, but she refused and stated that she would wait for the next nurse on shift to check her cervix. The new midwife told her that the baby was too high and it would be dangerous to break her waters. Beatriz felt defeated as labor progressed slowly, even flirting with a cesarean just for it to end. But she had the love and support of her husband and sister and would eventually push her daughter out safely. She was no longer having to fight because she accomplished her goal while maintaining herself and the newborn child's health. She was able to have a hospital birth, but on her terms, at her pace, with a birth team that supported her fully. Most of her birth and postpartum team were Latina women who heard her and answered the call.
Adenike and Brandi have a strong connection with their ancestor's presence in their lives. So when they decided to expand their family, they weren't surprised when they showed up, guided, and protected them during the birth of their daughter.
Their pregnancy journey involved five tries with Intrauterine Insemination (IUI). After two unsuccessful attempts at home, they decided to get support at a specialized clinic. They had a Nigerian nurse practitioner during the first two tries at the clinic (Adenike is of Nigerian and Haitian descent). Still, it would be the fifth try to become pregnant ultimately.
For Adenike, the pregnancy itself would be pretty "straightforward" the most challenging part was managing her Sickle Cell Anemia. Individuals with this diagnosis can have low birth weight babies due to the birthing person cells being shaped differently and how their body carries oxygen. For Adenike, this meant the need to get red blood cell exchanges completed once a month. Due to Covid, she was attending these appointments alone, spending four to five hours getting blood pumped in and out of her body. While a tasking endeavor, Adenike expressed that care providers like to tell you what you can do with your body in terms of Sickle Cell care. That was not the route that she and Brandi wanted for her pregnancy and birth. They leaned into the research they had done and the support of their doula to ensure every step of the way, Adenike was able to support her body in the way she understood her needs.
Adenike's pregnancy was considered high risk due to her Sickle Cell diagnosis paired with other health concerns. Taking that into account, her maternal-fetal medicine (MFM) doctor (also Nigerian) discussed with Adenike and Brandi that it might be safest to have an induction at 38 weeks. As the time came around, they could push this time frame back as her body and baby were managing well. After their appointment and returning home, Adneike and Brandi settled into their nightly routine, with Brandi taking their dogs on a walk. As she stepped out, she noticed a drizzle of rain, along with a woman she hadn't seen before sitting about 20 ft away. Brandi shares in a greeting with her, and the lady exclaims, "You know it's raining outside!" throwing Brandi off a bit as it wasn't raining that hard. Continuing on her walk, she was baffled when she saw the lady get up and begin walking away into the distance with no known end. Returning home, she shared this interaction with Brandi, but they both shrugged it off as they went to bed, but soon after, Adenike felt a sudden sharp pain and gush from her waters breaking.
Labor would take its time, the rain increasing into a torrential downpour as they made their way to the hospital. As they moved through their birth, some shifts were required from their birth plan, along with hard discussions and push back from their care team. Through it all, Adenike stayed in tune with her needs, and when she was ready to push, she followed her intuition, bringing her daughter hearthside as the rain came pouring down a reminder they were covered and held.
Resources:
Hale’s Medications & Mother’s Milk | a manual of lactational pharmacology
Sickle Cell Anemia Disease | sickle cell anemia Facebook support group led by Adenike
Serene Journey Births | doula education and support in the Northern Virginia, Washington DC and Maryland areas
Dr. Vernette Kountz holds many titles, but she sums it all up as just "Black girl magic trying to create a legacy." As the mother of seven children - three biological, two bonus girls from marriage, and having birthed as a surrogate to twin girls in 2018, she has a pretty dynamic outlook on motherhood. This has been impacted by her call to birthwork; wearing so many hats within it; she's creating community support for others and herself.
With many stories to share, Dr. Vernette reflected with us on her most recent birth, her seven-month-old son Hudson. Understanding her birth experience with him began way before now. At sixteen, she got pregnant; however, her family was adamant that the choice to be made was termination. This decision would include a deep grieving process but set the stage for the subsequent important choices in her life. When she got pregnant again at 20, her mindset was clear; she was keeping this baby, the beginning process of finding her voice, especially in her womb.
Dr. Vernette had always known she had a calling to surrogacy, even before the birth of her first son - because she had "took life from her womb," she "wanted to give life." Working with a surrogacy agency, she was clear about the parameters of her surrogacy journey; staying clear about them allowed her to build an authentic relationship with the fathers of the twins. Upon meeting each other, they all immediately aligned, and in building a relationship that felt true for the three of them, she is still involved in the girl's life, with periodic calls and check-ins. Most notably, her surrogacy journey was the turning point for her about being intentional in setting intentions for the journey of carrying and birthing life. So in September 2020, when she became pregnant with her son Hudson she had a solid template to work from in building her birth team and navigating her pregnancy and birth.
Her birth team included her doula, birth photographer, three black midwives, and a friend serving as a maternal figure (filling the space of her mother and godmother who had passed). She shared the sentiment with all of them that she needed "to be mothered" for this journey. Throughout the birth, they did this, a moment that she recalls vividly is laboring in the birth pool, and whenever she reached out for support or comfort, there was always someone there. That support gave her the freedom to listen to her body - laboring on the toilet, utilizing movement, and when she felt the need to push, doing it without hesitation. Following the guidance of her midwife, she took a deep breath and pushed Hudson out. The final push to a birthing journey free of limitations!
Resources:
Atlanta Birth Center | Atlanta’s only birth center providing a safe and welcoming alternative to hospital birth
Dr. Vernette Maternal Wellness | prenatal & pediatric chiropractor, celebrity birth worker (doula & childbirth educator), author and International speaker
20/20 Mom | visionaries for the future of maternal mental health
Ivory and Ernest welcomed their baby girl to their family this year as they managed the uncertainties of life as the pandemic has waged on. They opened up with us to share their journey through childbirth and the lessons they learned from their individual and coupled experiences.
A previous miscarriage had introduced a fear of pregnancy loss that loomed for a while. Their healing has enabled them to share their story with grace and humility. As the pregnancy thrived, Ivory and Ernest began to manage and prepare for childbirth. They hired a ROOTT perinatal support doula to support their pregnancy. They were able to start working with their doula in the critical stages of the first trimester and all the way through labor and immediate postpartum. Ivory always knew she wanted to work with a ROOTT doula and found it helpful to process her feelings and birth plans in the early stages with someone else.
Ivory utilized our podcast to listen to a slew of birth stories to learn what possibilities could present when labor started. An online childbirth education helped them learn even more about expectations and how labor could unfold. Ivory felt empowered with her newly gained knowledge. Ernest graciously shared that he was not emotionally invested in how the pregnancies would go, as he tends to stay in the now. His parenthood journey grew slowly as they got closer to their due date. Ernest started a grieving process of shifting his identity to make space for a new baby. Leaning into the voices of friends that are fathers, he learned to fill the gaps and help with managing stress for Ivory.
When labor started, Ivory texted her doula and Ernest that she was cramping. She wanted to stay active and decided to take a walk and spend some time with her husband at home as she wanted to stay relaxed. Contractions picked up, and they chose to report to the hospital to see how labor was progressing. Labor would go on longer than anticipated, but with the support of Ernest and their doula, Faith, Ivory endured. She gave birth to their daughter and immediately began her breastfeeding journey.
Ivory and Ernest shared that virtual communities, childbirth education courses, and educating themselves about the possibilities in changes with her health were critical in feeling empowered. Their commitment to work together through their courses and with their doula helped them manage their journey to parenthood.
Resources:
The Power of Now | a guide to spiritual enlightenment
Mama Natural Birth Course | online & in-person childbirth education classes
Upper Cup Coffee Company | coffee shop located in Columbus, OH
What to Expect App | pregnancy & parenting mobile app
Sponsors:
Restoring Our Own Through Transformation (ROOTT) | reproductive justice organization
ROOTT is a collective of concerned Black families, community members, advocates & interdisciplinary professionals dedicated to decreasing Black maternal & infant mortality in Ohio. ROOTT’s mission is to comprehensively restore our collective well-being through collaboration, resource allocation, research & re-empowerment, in order to meet the needs of Black parents & families. If you and your family are planning, pregnant, or in your postpartum period, please reach out to ROOTT at www.roottrj.org. Financial assistance is available. You can also connect with ROOTT at 614-398-1766 or email [email protected]
Gianna Fay, a Certified Nurse Midwife (CNM), tapped into herself as a resource as she ventured into her pregnancies. She also called upon people she had connected with along her journey as a birthworker. She started her first pregnancy living and working in Alaska. Gianna had access to the military base for care and where she worked. Allowing her to try out "centering pregnancy" at the base and thought it was a good option for them to allow her to "be the person pregnant." "Centering Pregnancy" is the process of having private physical exams completed by CNM's and doing all the other care as a group with other pregnant people. Other preparation included working out and curating a birth team to support her preferences. At the end of her third trimester, introspection through journaling and reading lots of positive birth stories (as a CNM, this helped clear her mind of all the things she sees daily). Gianna knew that she wanted to be in labor land, wanted to be a midwife and experience birth in her body with no interventions if possible.
After carefully planning and preparing for her pregnancy and labor support, she went into labor at 39 weeks three days with a huge gush of fluid in bed that woke her up. Labor moved faster than expected, and she welcomed her healthy son after managing her own choices. However, Gianna quickly noticed the shift in the room while her CNM was touching her perineum. Gianna turned back to her midwife brain; her CNM explained that she had a 4th-degree tear and needed to go to the operating room for repair. Her nurse brought baby Jacob to the operating room to initiate nursing, which was unexpected, but she was grateful for the provision. The immediate postpartum period was rocky, but her perineum tear healed better than she expected. Three months after giving birth Gianna, Evan, and Jacob drove nine days from Alaska to Michigan to start a new adventure.
Gianna and Evan discovered they were expecting again at the beginning of the Covid-19 pandemic. Gianna had planned a birthday trip to go back to Southern California and noticed she hadn't gotten a period. The day before leaving, she took a pregnancy test and confirmed their family was expanding again at six and a half months postpartum. They would welcome their second child as an unexpected blessing after experiencing the joy of their first child's birth. They were no longer living in Alaska and transitioning into new roles and responsibilities. Gianna desired to birth in a natural birth center, especially as she met most of the criteria to qualify for a low intervention experience. But her fetal growth ultrasound indicated severe intrauterine growth restriction. A wave of emotions began to move through Gianna as her midwife brain and birthing person brain started to conflict. She sought a second opinion and started to utilize her resources again to manage her care. However, she had unintentionally pushed the first domino, leading to a cascade of interventions. She would have an induction that tested her patience and will. She did not experience labor land or even feel like she was in her body like her birth with Jacob. Gianna had to pause and reset before going further down the road of interventions. The reset worked, and baby Elijah was born healthy and was not small, which confirmed what she knew in her heart. But she had coupled her knowledge of the medical system, her husband's feelings, and her self doubts after learning she had not been taking care of herself as well this time around, which all factored in her decision to move forward with the induction.
The pandemic made developing postpartum support challenging. The addition of having a toddler created new challenges that they didn't experience before. Her mother-in-law and sister were present as Evan traveled overseas with Covid-19 protocols extending the time frames. Returning to Gianna and his family, healthy communication and mental health support proved to be the tools they needed to get into a groove as a family of four.
Connect With Gianna:
Midwifay (Gianna Fay) | childbirth prep and consulting services
Midwifay Youtube Channel
Midwifay Private Facebook Group
Resources:
Birthing from Within | childbirth education, resources and doula services
Midwifay (Gianna Fay) | childbirth prep and consulting services
Aureyl describes that when she found out, she was pregnant, and when her body began confirming, it was two different time frames. Late in 2019, her husband got a stomach bug while traveling, which resolved itself within a day. Aureyl started feeling sick a few days later and thought she had caught the same bug her husband had. Yet even after returning home from their trip, she was still feeling unwell and very nauseous. Her husband suspected she was pregnant, and after taking a couple of home pregnancy tests, it set in that she didn't have a stomach bug, but their family was expanding.
For Aureyl though, her nausea and vomiting never subsided. Having had a chemical pregnancy before, Aureyl held onto a lot of fear about her health and its correlation to how this pregnancy would continue. Not feeling supported by her care provider, she reached out to two of her dear friends who also happened to be doulas at the time with the local doula organization Restoring Our Own Through Transformation (ROOTT). This additional layer of support gave her the tools to switch to a new care provider that was perfect for her family. Her doula also guided her in managing her hyperemesis gravidarum diagnosis. In a conversation with her doula, she realized that she had to address the fear she had about her body. Her doula explained that she couldn't "operate in both." She had to be either affirming that she was truly capable or sit alongside the fear. Aureyl realized she had to do the work and shared from then that her pregnancy and birth would have a theme of continued surrender - surrendering to her body, words, and thoughts about what her experience should be.
On Sept. 13th, 2020, around midnight, Aureyl went to the bathroom and noticed some fluid with a pink tinge. Having done in-depth prep with her doula about what to expect when labor began, Aureyl was pretty confident her waters had broken. She informed her doula, her family, and care provider and went back to bed to try and rest. The following day with the support of her doula, they tried to help labor progress with movement, continued to monitor the amount of fluid she was losing (as she had a small leak), along with her temperature and baby's heartbeat. After 24 hours of this routine, they decided to head to the hospital. The hospital birth team informed Aureyl she would need to get a cervical check to confirm that her waters had broken and how her body was progressing. This check was extremely painful for her, and after hearing that she was only 1cm dilated, she expressed feeling a sense of deep discouragement, and the tinges of distrust of her body began rising again. Discussing options with her birth team, she decided to rest, and as she continued to move through her birth, the trust of surrendering she had put in her pregnancy would still ring true.
Aureyl had to ask herself to surrender to the shifts of her birth; this included the support of Pitocin to help her progress. The guidance from her doctor in getting an epidural to ease her distress with cervical checks and the later part of her labor was supportive. And ultimately, meeting her baby on Sept. 15th through a surgical birth was what was aligned for them. Reflecting on her experience, Aureyl indicates that she could be at peace with each of those decisions as they were all made on her terms. And she looks back on her experience in awe of how beautiful it was for her.
Sponsors:
Restoring Our Own Through Transformation (ROOTT) | reproductive justice organization
ROOTT is a collective of concerned Black families, community members, advocates & interdisciplinary professionals dedicated to decreasing Black maternal & infant mortality in Ohio. ROOTT’s mission is to comprehensively restore our collective well-being through collaboration, resource allocation, research & re-empowerment, in order to meet the needs of Black parents & families. If you and your family are planning, pregnant, or in your postpartum period, please reach out to ROOTT at www.roottrj.org. Financial assistance is available. You can also connect with ROOTT at 614-398-1766 or email [email protected]
Joining us for her second birth story share, Erica Maddox came back with a whole new set of skills as an experienced birth worker, allowing her to show up for herself in a way that helped her create an experience that helped her heal. Erica was a teen mom when she experienced early delivery with her first child. Twelve years later, she would deliver her son early, but she prepared herself for that happening, as she asked to have her cervix measured throughout the pregnancy. Awareness and preparation proved to be critical components of having the birth she wanted.
Labor would be intense and quick, but it was familiar, and Erica had called her sister to the home as she made preparations for her oldest child, whom she hadn’t planned for, to be there. Erica was intentional about not shifting the plan or boundaries with her daughter in which she had not prepared for that role. She and the baby went to the hospital, accompanied by her sister. Erica shared that she had delivered the baby at home and was coming to be checked out. The hospital staff greeted them with lots of questions and astonishment. They were ready to start their protocols, but Erica made them pause and advocated to maintain their bonding time. They relaxed a bit once they knew she was a birth worker. Her self-advocacy allowed her to maintain a gentle transition of environment for her and her newborn.
In the spirit of intentionality, Erica created a plan for her postpartum care to protect her mental and physical health. Building a healthy support system has been the key to developing a healthy family structure for their family. Removing the superwoman persona and allowing her world to shift and change as needed with grace is proving to be the best practice.
Resources:
Trac-E Doula RI (Erica Maddox) | birth, labor and postpartum doula support
BSiC Ep. 16 Healing | Erica Maddox first birth story
A journey of many places and re-focus on perspective about her work and life, Rokhaya decided to see how life would be in Jamaica. With the help of a friend who happened to be a travel agent, Rokhaya made arrangements for her first visit there, one of those being set up with a tour driver. This tour driver would end up being her husband, and come March 2nd; they would be forced to make lasting roots in Jamaica due to the pandemic.
With a history of irregular menstrual cycles, Rokhaya decided to download an app to help her track them better. In early December, she was surprised to get a notification that her cycle was three days late. Ignoring it for a little bit, but with time passing and no change, Rokhaya and her husband found out they would be expecting on Christmas day. Restrictions from the pandemic would require a 14-day quarantine and needed to get the COVID vaccine if they decided to travel back to Canada. Wanting to wait out her options, Rokhaya paused on that decision. With her first trimester having some challenges, her doctors recommended she should not travel if possible. Moving into her second trimester, she focused on preparing for her birth, but by the time things began reopening, she was past the point of travel being safe, and Jamaica became the place their birth story would occur.
Rokhaya knew that birthing in Jamaica wouldn't necessarily have a "birth plan," midwives and doulas were not allowed, and the day of her birth, her husband would not be allowed to be present. Preparing for this, Rokhaya made sure her birth would include:
Five days past her estimated due date, Rokhaya began having light contractions about 7-9 minutes apart. With things progressing quickly, Rokhaya and her husband decided to head to the hospital. Upon being admitted, Rokhaya was 6cm, and her water broke shortly after. Reflecting on her birth, Rokhaya thought her son would have come earlier than he did. She had done so much work on focusing on coping with the pain; she couldn't listen to her body that her baby was ready to come earthside. It wasn't until the nurse told her her baby's head was out that she focused, and within three pushes, "prince" Ali was born.
In the immediate postpartum, Rokhaya felt comforted by the community of women she was surrounded by - as, in Jamaica, there aren't separate quarters, and the women all stay together. Ali was born unresponsive, and after having a couple of seizures, the doctors wanted to keep him for monitoring. For Rokhaya, she could not have her golden hour and was discharged without him for ten days. The first 6-7 weeks were hard for her, navigating her healing, Ali's recovery, and breastfeeding. She and her husband found that when they were able to listen to Ali, the better they did, being able to communicate and figure out what he needed allowing them to find their footing in parenthood.
Resources:
HypnoBirthing | classes for parents who strive for gentle, calm, and natural childbirth
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