Home Birth in the News

I was recently interviewed for a newspaper article about home birth. It was part of a full-page spread about out-of-hospital birth, and it turned out really well. It's very exciting to see natural birth getting more publicity, and I'm honored to be part of it.

From Hospital to Home

by Jessica Eyre

For Cherylyn, childbirth has been something of an evolution.

"From the beginning, I wanted to have natural childbirth without medication," Cherylyn said, "but I didn't know how to go about it."

Her first two children were born in a hospital, and Cherylyn got an epidural both times. With only the idea of wanting to do it without pain medication, Cherylyn said both times she didn't have the support or the knowledge on how to successfully do it.

For baby No. 3, Cherylyn found a doula, a trained person who provides emotional and physical support during labor and delivery. Together, they created a birthing plan.

"She worked with me in what I wanted and what I didn't want," Cherylyn said. For example, instead of a standard I.V., Cherylyn wanted a heparin lock. It gives access to a vein but does not require a bottle of I.V. fluid to be running.

"I didn't like being hooked up to wires," Cherylyn said. By having that freedom of movement, she could try different positions and walk around to help the progression of labor.

Another part of Cherylyn's birthing plan was having intermittent monitoring rather than constant monitoring. This, again, allowed Cherylyn to move freely around her hospital room.

She took her birthing plan to her obstetrician, who agreed with everything on it.

Baby No. 3 arrived without any medication.

"That was a wonderful experience, it was really beautiful," Cherylyn said.

Her doula was there with her, helping her focus and manage what she was going through.

Her fourth pregnancy went the same way, and she decided then that she wanted to become a doula herself.

While going through the training process of becoming a doula, she started reading course materials, and came across "The Business of Being Born," a documentary film about childbirth. It was this film that introduced Cherylyn to home birth as a safe, viable option.

"I realized I had more choices than I ever knew I had. So with her 5th pregnancy, "I knew that's what I needed to do," she said, referring to delivering at home.

Cherylyn found a midwife, who was a client of her husband, a massage therapist. Cherylyn said it is important when choosing a midwife, that you are comfortable with their credentials, experience and personality -- just as you would with a doctor.

There were similarities, but some big differences, between Cherylyn's prenatal care with her midwife and obstetritian.

The first prenatal visit was at Cherylyn's home, and subsequent visits were at her midwife's house. The prenatal schedule was virtually the same as her OB.

She did urinalysis and other tests, although Cherylyn chose to have an ultrasound and Group B Strep test at her doctor's office so it could be paid for by insurance.

A big difference for Cherylyn, however, was the approach her midwife took toward her health. Cherylyn has problems with anemia during pregnancy. Her iron levels were always low, even with a supplement.

"With my midwife, she talked to me about nutrition to help," Cherylyn said. While she still took an iron supplement, "for the first time ever, I didn't have an iron deficiency."

Another difference Cherylyn pointed out was the time she got to spend with the midwife at each appointment.

The midwife spent about 45 minutes with her each time, talking about good nutrition and her emotional well-being.

"She really connected with me on an emotional level, while still staying on top of my physical well-being," Cherylyn said.

When it came time for delivery, Cherylyn chose to deliver in a birthing pool, provided by her midwife, in her home.

During labor, midwives monitor the mother, they can administer oxygen if needed, they can break the mother's water.

"There are lots of things they can do at home," Cherylyn said.

But mostly, a midwife is there to make sure nature takes its course and the mother and baby are healthy on the other side of delivery.

When Cherylyn was delivering her baby, it was discovered that he was breech, meaning he was coming out feet first. While her midwife wanted to move her to the bed so she can turn the baby. But a second midwife who was there to help had a lot of experience with breech babies, and said Cherylyn could stay in the water and continue to deliver, and he was out within 10 minutes.

Cherylyn said the most interesting part of this experience was how the baby really worked with her body during delivery. Once his legs came out, he was kicking in the water. When his body came out, he was able to move his body around.

"He used his hands and his feet to push off to get his head out," Cherylyn said.

Certainly a delivery of this nature could have gone in a very different direction.

"If I would have had him in the hospital, I would have had surgery," Cherylyn said.

Cherylyn is now training to be a midwife, too, which she anticipates will take about five years.

The Babies Are Coming

Coming, April 16, 2010

Healthy Baby Bounty Bag Winners

And the winners of a Healthy Baby Bounty Bag are:

Brittany

and

Sara B.

Congratulations!

I'm contacting the winners to get their physical address. If I don't hear back within 5 days (by Thursday, March 18), I'll draw more names until we have 2 winners.

Midwifery Resources and Web Links

Midwives Alliance of North America - "In 1982, the Midwives Alliance of North America (MANA) was established as a professional organization for all midwives, recognizing the diversity of educational backgrounds and practice styles within the profession. Its goal is to unify and strengthen the profession of midwifery, thereby improving the quality of health care for women, babies, and communities."

Citizens for Midwifery - "Citizens for Midwifery is a non-profit, volunteer, grassroots organization. Founded by several mothers in 1996, it is the only national consumer-based group promoting the Midwives Model of Care."

Coalition for Improved Maternity Services - "The Coalition for Improving Maternity Services (CIMS) is a coalition of individuals and national organizations with concern for the care and well-being of mothers, babies, and families. Our mission is to promote a wellness model of maternity care that will improve birth outcomes and substantially reduce costs. This evidence-based mother-, baby-, and family-friendly model focuses on prevention and wellness as the alternatives to high-cost screening, diagnosis, and treatment programs."

Foundation for the Advancement of Midwifery - "The Foundation for the Advancement of Midwifery (FAM) is a 501(c)(3) non-profit organization dedicated to increasing access to midwifery in North America through education, research and public policy. Consistent independent research shows that expanding the midwives model of care in North America improves maternal and infant health outcomes, reduces unnecessary and costly medical interventions, and increases patient satisfaction. FAM receives its support from foundations, midwives, and those individuals who embrace the midwives model of care."

Mothers Naturally - "Mothers Naturally is a public education program from the Midwives Alliance of North America. The goal of Mothers Naturally is to increase the number of safe and positive births by educating and informing the public about natural birth options and empowering women to make pregnancy and birth choices appropriate for their lives."

The North American Registry of Midwives - "The North American Registry of Midwives (NARM) is an international certification agency whose mission is to establish and administer certification for the credential "Certified Professional Midwife" (CPM). CPM certification validates entry-level knowledge, skills, and experience vital to responsible midwifery practice. This international certification process encompasses multiple educational routes of entry including apprenticeship, self-study, private midwifery schools, college- and university- based midwifery programs, and nurse-midwifery. Created in 1987 by the Midwives' Alliance of North America (MANA), NARM is committed to identifying standards and practices that reflect the excellence and diversity of the independent midwifery community in order to set the standard for North American midwifery."

More Midwifery Links

A Midwife's Care Under Special Circumstances

by Kendra

"Brian and I decided to have more kids about a year ago. We didn't want to get pregnant again while in school, and I'd already tried to get on medicaid and had been denied so financially it didn't seem like a good idea. But the feeling wouldn't go away, it was time.

"I looked into the costs at a traditional hospital, but really I wanted to give birth naturally at home or a birthing center. I'd always wanted a midwife. I'd loved my doctor in Texas, but I wanted someone who sat with me, who knew what was going on every minute of my laboring process, who listened to all my concerns and didn't try to force anything medical on me. I wanted someone who looked at birth as a natural process, not a medical one.

"One problem, my husband REALLY liked hospitals, and really didn't like the idea of having a baby outside of one. I did some research, crunched the numbers, and like all smart women, I convinced him by making him think it was his idea (Ok, not really, but I did get him on my side). First, I got him to agree with me that it was indeed time to have another child, then I showed him the cost of different types of labor and delivery, and last I had him meet with a midwife at a birthing home. She was amazing, the birthing home was beautiful. She answered all our questions and was exactly what I wanted. Brian (after really looking at our finances) agreed!

"I got pregnant very quickly- especially after having dealt with infertility with the first two pregnancies. But I was able to get on Medicaid and my midwife didn't accept Medicaid. I was devastated. Financially I couldn't pay for something that I could get for free. Luckily, I found out about an office that had midwives and accepted Medicaid. I was very excited. I was back on course for finally having the natural birth I'd always wanted. I would only have to give in on one thing, the baby would be born in the hospital. I could deal with that.

"Enter heart problems... I'd always known that something wasn't quite right with my heart. But with each pregnancy I could tell the problem was getting worse. I mentioned this to my midwife and she recommended I see a cardiologist. I did, and I was shocked at the laundry list of problems I was presented with. Once again I thought I was going to loose my chance at a natural birth. But since there are OB's and midwives at the office I was going to, I was able to stay with my midwife as long as the doctors reviewed my charts. The doctors said I also needed to see a perinatologist. I went to see them, and I've decided that they are the worse pregnancy fear-mongers around. I went home from my first appointment thinking I was going to die (seriously.) They had misread my heart charts and thought one of the conditions I had (pulmonary hypertension) was much worse than it actually was. When this is the case, the mortality rate is 56%.

"Fortunately, a few days later I got a call from their office telling me they had talked to my cardiologist and I was not, in fact, dying. Oh, gee, thanks for getting back to me so quickly! Unfortunately, they were recommending I get weekly ultrasounds and non-stress tests. The midwives weren't allowed to go against the recommendations. As time went on I felt like nothing was going like I planned. At this point I made a very serious decision. After much thought and prayer, I decided that I wasn't going to have any more children. I'd always wanted at least four children, but I'd also always wanted to be the one raising my children. So I decided that after I had my son I was going to get a tubal ligation.

"I knew I wasn't going to go full-term, both my other children were born two weeks early. I tend to dilate and have contractions for about 3 months. So it was getting close to when I thought I was going to deliver. Some nights the contractions were so bad I thought for sure I was going into labor, but I'd wait it out and they'd go away. Once I went to the hospital to make sure, and the contractions stopped. A week later, I knew it was the real deal. Right on schedule, exactly two weeks early.

"We headed to the hospital at about 4 am and we were all checked in and hooked up at about 5 am. The thing I hate the most was the IV, but at the hospital they require all women delivering to have one. My midwife came and checked on me, I really did love her! She would come in and unhook things the nurses had done that I didn't want (too bad she couldn't take out the IV). Also, because I was getting a tubal after I delivered, I had an epidural. By this time nothing had really gone how I'd planned, so I had prepared myself to not be disappointed when I didn't deliver without drugs. Then, they decided to give me pitocin! I was not happy about this. I told them it wasn't a good idea because my babies come very fast. But they insisted because after I got the epidural my contraction pretty much stopped. They started the pitocin and then my baby's heart rate started dipping every three minutes- which confused the nurses since I wasn't having contractions... Then I checked the monitors on my stomach, and sure enough the one measuring my contractions was upside down! I fixed it and then the nurses saw that I was indeed having very hard and close together contractions.

"My midwife was with another woman during this (who was pushing). So after she was done with that delivery, she came in and took me off the pitocin. Then she stayed with me. I loved that. She pulled up a chair and talked with me, for about an hour. My dad called and while I was on the phone with him I was taking deep breaths. When I hung up I noticed my midwife getting her gear on and calling in the nurses. She said, "It's time!". I asked her if she was going to check me and she said she didn't need to, that she knew I was ready. When they put me at the end of the bed and lifted the robe, there was a little head, ready to come out. My midwife asked me if I wanted any of the equipment on me, and I said no, so she took off all the monitors. It was very quiet and peaceful. Very different from my other labors. After pushing for about 10 minutes, my sweet little boy was born. He was a bit bruised from coming out so fast, but to me he was perfect. Wesley Owen was born Nov 15th at 9:09am 6lbs 13oz. And even though so many things didn't go the way I'd originally wanted them to, I realized that I didn't care because I was holding my son and he was healthy and safe. That's what mattered."

Beth's Story

"When pregnant with my 1st daughter, I was already seeing an OB because of previous miscarriages, I never thought to use a midwife, nor had I given much thought to what I wanted in labour, I just knew I was anxious for a baby. I often felt rushed through my appointments and given very little time to ask questions, and my concerns were brushed aside. After taking prenatal classes, I decided I wanted a natural birth, and made this very clear on the birth plan I submitted to the hospital. My water broke before contractions started, and the hospital wanted me in there right away. Labour quickly started on its own, and although [I was] admitted at 8 am, I never met the OB on call until 7 pm that evening. While I was coping with the pain, I was quickly getting overwhelmed, and after repeated offers of medication and an epidural, I soon broke down while my nurse kept insisting I had hours and hours to go. Three hours later my baby girl was born after 40 minutes of pushing, narrowly avoiding an episiotomy, with a small tear, only needing a single stitch. An okay birth, but not what I wanted, I felt really disappointed that while the hospital asked what I wanted in my birth, they seemed to have little intention of helping me get it.

"My 2nd baby girl was born 22 months later. Silly me, I went back to the same OB, and felt even more rushed, and brushed aside during appts. A cesarean was scheduled at 38 weeks because my baby went into the transverse position. My OB refused to try to turn the baby, citing an 'inferior pelvis'. I was told it was impossible for the baby to turn on its own, and an immediate cesarean was necessary. The next day I reported for my cesarean, and was experiencing mild contractions, causing my OB to point out why this was so necessary. The resident asked to do an ultrasound to see the baby's positioning as she had never seen one in transverse before. My OB got really annoyed when she mentioned the baby appeared to be head down, until he checked for himself. Oops, those mild contractions were my little monkey baby changing position and going head down. I hopped off that bed, and went 2 more weeks before going into labour on my own, 1 day past my EDD. Labour was fast and hard. I had mild contractions that quickly got stronger. I was admitted to the hospital at 6 cm, my OB was on call, and decided he wanted my water broken right away to speed things up. He insisted I was silly to insist I didn't want it. I quickly found the contractions too strong to bear, and asked for an epidural. The anesthesiologist and my nurse got into a fight over my back while doing this and bickered among themselves for quite some time. Ten minutes after the epidural was done, my baby girl was born, in 2 pushes. No stitches, and no OB in the room. He was sleeping.

"Baby #3 was born 2 1/2 years later, and yep, silly girl I went back to the same OB. I was determined this time to do things the way I wanted, and had lots of questions of my OB, so I could be prepared. He told me that he didn't have time for my questions, as this was my 3rd baby, and I knew what to expect. I tried to switch to a midwife, but the practices near me were all filled up. I went into labour on my own early in the morning, mild contractions, but I felt I needed to get to the hospital quickly. I got the hospital early in the morning. [It was] very quiet on the floor, actually two nurses were asleep next to the admitting desk. I was 6 cms when I checked in. Twenty minutes later I insisted I needed to push, and was told it wasn't possible, but it was. I was fully dilated, but had to wait for the OB on call to wake up. She rolled her eyes, and asked what was taking so long for my next contraction to start, so I could push. Baby girl was born in 2 pushes, no stitches thankfully, and I finally got my natural birth. I was thrilled and felt great right afterwards. During my hospital stay, I noticed that I was pretty much left to my own, rarely having a nurse check on me and my baby. I figured it was because this was my 3rd baby, and I knew what I was doing, until I wondered why no one came in to release me. After asking at the desk several times when I was going to be able to go home. I found out they didn't know who I was. They had forgotten I was there, and then after doing a quick check, told me I couldn't be released because my blood pressure was too high.

"Two years later, baby #4, the day I found out I was pregnant I called my closest midwife practice hoping to get in. My family Dr. strongly encouraged it. I got in, and loved it from my very 1st appointment. I wasn't questioned about why I didn't want to have the triple screening done, and very few ultrasounds. My appointments were an hour long, and I could ask any question I wanted. I was asked questions and given choices about things I didn't even know I had choices about. A dating ultrasound revealed placenta previa, and my midwife phoned me at home and went over this with me, and what it could mean, when a later ultrasound revealed that it had corrected itself, she phoned me right away to tell me this too. Because I was Group b Strep positive with 2 previous pregnancies, I started taking a homeopathic regime in hopes to avoid it again. My midwife phoned me at home as soon as the test results came in to tell me that I did it, I was negative. At 35 weeks, my baby was still breech. I was given a homeopathic recommendation that worked immediately .We chose to have a home birth, with my 3 older daughters in attendance. This was strongly encouraged, however at 39 weeks it was felt that it would be better for me to be induced, which would mean a hospital birth. I did choose to go a different hospital than where my older daughters were born. My water was very low, and baby appeared to be in distress. My midwife spent over an hour on the phone with me explaining the induction process and phoned the hospital to see if they would make an exception and allow my daughters in to watch the birth. Their policy was no one under the age of 11 and my daughters were 6,4 and 2. The hospital bent the rules for us. Some complications arose during labour, and the attending OB had to be brought in. She told me that she respected my desire for a natural vaginal birth, and she was going to have the OR prepped just in case. She wanted me to try my hardest to push my baby out quickly, and that she too was going to do everything she could to get me the birth I wanted. I was only 6 cm, but she stretched my cervix the remaining 4 cms, and we got her out 5 minutes later, a healthy baby girl was born. I very narrowly escaped a cesarean again. I left the hospital 2 hours later with my midwives and went home to rest.

"I am currently expecting my 5th baby. This was surprise, and I was 3 months along before I knew I was pregnant, I was petrified that I wouldn't get into a midwifery practice. Fortunately, I did. I ask tons of questions at every visit, and I'm never rushed. They encourage me to bring my younger children to every appt. I am planning a home water birth again, with my daughters there to watch, and am very eager for my next experience :)"

More Midwifery Experiences From Real Women

From Lynn,

"My first pregnancy, I started in a group of 5 OBGYNs. When I told them that I was leaving to birth naturally in a birth center, I was told "Good luck. I wouldn't wish that pain on my most hated enemy." They also tried to scare me into rethinking birthing out of hospital. I'm glad I did not listen, because I went on to birth my daughter in a birth center, naturally with a midwife. I had my second baby at home with a midwife. Both experiences were wonderful!"

From Andrea,

"I am currently 30 weeks along with my first and using a midwife for a homebirth. When I compare the experiences my friends with doctors have versus my care the number one thing that stands out is the level of attention and pure just bonding I have with my midwife. Almost every visit is 2 hours long because we chat and get to know each other. My husband is with us every visit because she works around BOTH of our schedules. I have truly created a relationship with my midwife that is more than just routine medical care with a little standard chit chat. The other thing I love is I never feel I am bothering my midwife and I can call her about any little freak out or concern at literally any time. I don't have to wait till the morning if I have a concern at 8:00pm. Overall every meeting with my midwife just ensures even further that I have made the correct choice for my family."

A Doula's Perspective on Midwives

by Samantha

"I have not personally given birth, but am a DONA birth doula and working on becoming a CBE (Child Birth Educator). Where I grew up (southwest NH) midwifery and natural birth is the norm and it is what made what to get on this path. I grew up thinking childbirth was a normal event. Not one that needed to be induced or numbed. There was a free standing birth center at the end of my street and my favorite thing was to go on walks and see if the "new baby" sign was up and the info on it. All gynecological care I ever received as a teen and young adult was by a CNM, and she made me want to be proactive in my own health, instead of fearful. When I was 17, I went to a DONA training to become a doula and fell in love with birth.

"I moved to Chicago to get my Bachelors in Nursing and to attend midwifery school. Since being in IL I have worked with mostly OB's and it has been very disappointing with one exception. There is one OB I have worked with multiple times who is part of a group with four midwives. The way he practices compared to other OB's is night and day. He allows pushing in any position, he does not rush mom and lets her do things at her own pace. He allows dad to catch the baby all by himself if he wants, he is anti-circumcision and applauds parents for opting not to cut. C-sections are only for women and babies who are in true distress and he doesn't believe in pushing pain meds or time tables. When I asked him if this was his normal practice or only the practice when he is a CNM backup, he said that the CNMs showed him what birth should look like and he never looked back."

Experiences With Both Doctor and Midwife

by Nicole

"When my husband a I got pregnant with our first child we already had plans to use a midwife. It was something I had wanted to do for years because I don't like the hustle and bustle of hospitals with the possibility of going through several different nursing staff during shift changes and I also had a horrible experience with a spinal tap. When I was getting my tap done the doctor said don't worry its like an epidural (which I had never had one, so at the time it didn't mean anything to me). Well after the tap I ended up with a spinal migraine that left me incapacitated for about a week. The words of the doctor stuck with me... If the tap has similar side effects as an epidural and I was in my room in complete darkness for a week what would I do if I had an epidural for labor and I experienced the same thing? What about my baby and the bonding? It knew that an epidural was out of the question for me. So that is how I ended up wanting to use a midwife.

"I found my midwife through the place we took the Bradley birth classes. I see my midwife for all my prenatal care and I see a doctor for some of my prenatal visits as well. The reasons why I see both is one, being that if things don't go as planned for my home birth I would somewhat know who would be helping deliver my baby and two, is pretty much because it seems to make everyone I know feel better about my decision even though it shouldn't matter. The funny thing is that when you tell people that you see a doctor as a back up it makes them feel at ease even though my doctor really doesn't know me at all.

"From my experience seeing both my midwife and my doctor are 2 totally different things. With my midwife she gave me the time and patience and respect I was looking for. Every prenatal appointment we had was at least an hour long. She really cared about what was happening to my body physically and emotionally. She even wanted to make sure my husband was doing well during my pregnancy. She cared about us as a whole. Even though I felt very educated on pregnancy and child birth my midwife had so much information and real experiences to share that it was better than any reading I could have done. I learned so much from her.

"As for my doctor it is exactly what I try to avoid. It's chaotic and busy and I spend most of my time waiting. I usually end up waiting for at least 15 to 20 minutes before I get to go in a room. Then the nurse sees me first. She weighs me, takes my B.P. and a urine sample. The nurse asks me the usual questions. What meds are you on? Do you have any cramping, bleeding or abnormal discharge? Then she leaves and I wait in the room some more to see my doctor. When my doctor comes in she asks the same cramping, bleeding, discharge question that the nurse already asked me and she asks me how I'm feeling and if I have any questions. Then she measures my uterus and we listen the the baby's heart beat. Then that's it. I get about 5 to 7 minutes with my doctor and I'm on my way.

"I feel somewhat satisfied how the appointments go because I get everything else I want and need from my midwife. I do feel the sense of being rushed while I'm there and feel there is such a lack of personal touch. I also feel like the only information I would get from my doctor is if I brought in a list of questions. (which they wouldn't have that much time to answer anyway) I cant imagine not having a midwife who spends the time to help me learn and prepare as much as possible. I feel like there is so much information women don't get from their doctors unless the woman pursues it.

"I'm not against doctors or hospital births because I feel its important for a woman to do what's comfortable for her. From my experience I think too many women just trust their doctors and do whatever they say and that is not always the best way to go through pregnancy, labor, and delivery. I feel so many women may not being getting the opportunity to learn about birth and pregnancy and what their rights or choices or options actually are.

"I have an amazing relationship with my midwife. I consider my midwife to be a part of my family. She was there for me in all aspects of the most important time of our lives, not only for the pregnancy, labor and delivery but even for questions after the baby was born. I remember calling her a 12am in tears because I was having trouble nursing. I don't know anyone that can call their doctor at that time for that kind of question let alone even calling their doc at all. I tried calling my doctor once before for a question about my child. My daughter had a diaper rash we couldn't clear up. I just wanted to know if there were other creams or natural ways to help other than what we were already doing. Well when I called the nurse took my call and said "I can't give you suggestions without seeing it you need to make an appointment". So I called my midwife, she gave me two suggestions, I tried one and in 2 days the rash was gone.

"Everything I had imagined on how I would want my midwife to be and how I pictured my labor and delivery came true. It was the best experience I have ever had. I am pregnant with my second child right now and due February 7th. Again I see my wonderful midwife and I see the same doctor as well for the prenatals. I love seeing my midwife and love the interaction she has with my first daughter that she helped bring into this world. I am really looking forward to having another home birth with her again."

Home Birth Transfer Under a Midwife's Care - Emily's story

by Emily

"With my first son, I was twenty weeks pregnant before I found a homebirth midwife, an LM (Licensed Midwife) educated in Washington State. Previously, I had been seeing a group of midwives and OB's who were affiliated with my local hospitals birth center. Every time I went there, I was weighed, measured, and told my BP was too high. It would take several checks before it would come down. The first time I had an appointment with my MW, she had me weigh myself in the bathroom down the hall, then trusted me to tell her, and my BP was lower than it had been my whole pregnancy. I knew I'd found "the one."

"She was great during my labor. I had several family members there, but she didn't mind at all. When my water broke at 10 cm it was stained with meconium and my boys heart rate dropped significantly. We ended up transferring to the hospital. Her assistant rode in the back of her subaru with me, assuring me it would be fine.

"My MW ended up seamlessly taking over the role of doula once we got to the room. She would give suggestions for positions to push, and thought that having me push with every other contraction would help with the baby's HB. It helped immensely. She even whispered in my ear that the OB was looking at using the vacuum and to make my pushes really count. I can't imagine pushing for 2 1/2 hours without her there. After my Samuel was born, she stayed and helped me breastfeed. She and her assistants went back to my house with my mom and sisters and cleaned up my house.

"With my second son, we were able to rent a birth tub through her, though we didn't use it much. She had some great herbal remedies for when my blood pressure began to creep up a bit. She was fabulous during my labor when I had a OP(occiput posterior) baby, and my labor dragged on and on. I felt like I had put my whole self in her hands. And she took wonderful care of me. Sometimes people talk about not relying on anything but their own bodies during labor, but I never feel like that, I feel like I need some one with me who knows what they are doing, because I'm 22 and don't know anything but what I've read in books!

"When Matthew was born, I was standing up against the headboard of my bed and birthed his big body over an intact perineum. He came out and was floppy and white. My MW was amazing, immediately called 911 and began administering oxygen. His heart rate was strong and steady but he was reluctant to come around. I'd almost say it was like he passed out as he was born. He perked up just as they arrived. She had it under control, even when the EMT's arrived and completely ignored her authority and essentially "stole" my perfectly healthy son and transported him to the ER for an hour. The next day she went and gave them a lecture on home birth and her role versus theirs. She was awesome.

"She was a great mixture of professional and warm. She was like a doctor, in the way that she was full of information and had such a direct and strong way about her, but she was a midwife at heart, warm and willing to be leaned on."