Posts Tagged ‘midwives’

5 Reasons Your Midwife Wants You to Hire a Doula

Wednesday, May 1st, 2019

partner supporting laboring woman in birth pool

Not only does evidence tell us a doula can have measurable benefits for both mothers and their babies, but their intangible benefits are also felt every day by those who hire them for their expert support.

Doulas are fast becoming standard-of-care, as they should. Women have always surrounded women in their childbearing year, from girlhood on up. We know that new mothers in America are too isolated. Society leaves us alone to manage a never-ending list of “shoulds” between hectic schedules, separation of families, and age segregation. 

People often ask me if home birthing families really need a doula. My answer is nuanced. I don’t believe every family “needs” a doula. Some families have support and help. Their own extended family, their religious community, or a close-knit community of friends may provide the needed community. Those families may not “need” a doula.

However, I do believe that every family would benefit from a doula. This is because a good doula will always add to the experience what is needed, and guard the space from that which is not. Even in a home birth setting. 

Additionally, if a family lacks anything in the way of support, then a doula is absolutely a necessity! She is worth every penny you pay her, and more. A doula’s positive influence cannot be overstated. I am overjoyed when I hear that a mother has chosen to add a doula to her support network.

Here are 5 good reasons to hire a doula if you are planning a midwife-attended home birth:

 

1: You are a first-time parent or a VBAC client.

A first-time mom’s labor is likely to take longer than a woman has labored before. If you have had a cesarean, there may be some additional emotional blockages related to your prior experience that you need to overcome in labor. There is nothing wrong with either of those things. We don’t worry a bit about longish labors. As long as you and your baby are laboring well together, we are content to wait.

However, we often will not come to stay until active labor is well-established. There are a couple of reasons for this. One is because we need to be as well-rested as possible in order to maintain you and your baby’s health and safety during the labor and birth process. Our choice will often be to sleep while we can. This allows us to maintain our ability to make critical decisions that require a clear head. 

The other reason we don’t want to arrive too early in labor is that your uterus may not want us there! Your body knows when your care provider is watching, and it may get very shy–slowing or even stopping the process until the nosy midwife is out of sight and mind. I have seen it several times, both in my years as a doula and as a midwife. 

This is where doulas save the day! They are much more able to come in early labor and stay. They will help you relax, rest, eat, drink, stay distracted and let your labor unfold in its own good time. Doulas are experts in peer support, and as such, their presence rarely interferes with the natural labor process, and we often see much more efficient early labors in mothers who have doulas. 

 

2: Doulas are kind of a birth fairy.

They come into the birth space, read the room, and are able to fit themselves in wherever they are needed. Perhaps your partner feels bit overwhelmed trying to get the pool set up while supporting you, so your doula takes over pool duty so your partner can focus on you. One of the kids wakes up, so your doula is able to stay with you while your partner comforts a child and puts them back to sleep (or vice versa). You and your partner are rocking your labor just fine, and your doula snaps a few intimate photos. Sometimes, she walks the dog, feeds a child, updates the family phone chain, and updates the midwife. Whatever the need is, your doula will have a magical ability to fill it intuitively. 

 

3: Doulas can read your labor like a book.

Sometimes parents have a hard time deciding when to call the midwife to come in labor. Especially if they are first-time parents, have had a previous hospital birth (or cesarean), or were induced in a previous labor. No matter how much we discuss those “when to call” moments prenatally, some parents will doubt their ability to assess what warrants a phone call or will be so absorbed in labor, they no longer think about it. You can assign your doula the task of updating the midwife as needed, so you don’t have to break your concentration to do it. Plus, doulas know the clinical lingo and can communicate in concrete terms that your midwife will easily understand and acknowledge.

 

4: Comfort. Comfort. Comfort.

As a midwife, I do care about your comfort in labor, because I understand its correlation with health, well-being, and safety on multiple levels. However, I think more about how long it’s been since I listened to heart tones, rather than whether or not you need your hips squeezed. Not to mention charting. (Oh! the paperwork! *dramatic faint*) Midwives offer as much comfort as we can in the context of our primary responsibilities, but doulas are all about comfort. All the comfort. All the time. Comfort for the sake of comfort, in a very uncomfortable process! Comfort is a doula’s primary responsibility. You really can’t beat that.

 

5: Community Support.

As another midwife so aptly pointed out, your choices in midwives may be much more limited than your choices in doulas. Whether you are a woman of color, from a faith community, LGBT, or some other minority group, finding a doula who aligns more closely with your values and needs can help round out your care and make your experience much better than it otherwise would have been.

Pretty much any experienced midwife is going to have the skill set and competence you need in order to stay low-risk, healthy, empowered, and safe. Your community doula can help you create a beautiful, meaningful experience around your childbearing year through comfort, education, and learning to speak your needs effectively to your midwife (who will be learning right alongside you). The more trust that can be built among the members of your chosen support network, the better off you and your baby will be, and community doulas are key to this for many families.

Birth local. Hire a midwife. Then, hire a doula

You won’t regret it.

 

Did you hire a doula for your home birth? Why or why not? What was your experience?

 

So You’re In Early Labor. Now What?

Monday, April 24th, 2017

 

One night, you are awakened from slumber at the beck and call of your compressed bladder. No, wait. That’s not it. There’s a crampy tightness that feels familiar. Where have you felt that before?

Menstrual cramps! It feels crampy. Weird. You decide to get up and move to the bathroom. After a few minutes, you get back and bed and feel more cramps. Hm. Weird.

Could this be it? It could be! This is it! You’re finally in early labor!

You know this because the contractions are coming, no matter what you do. You’ve had a big glass of water. You’ve gotten up to pee. You’ve had a snack. You’re content to let the rest of your house rest while you anticipate the birth day to come.

So you’re in early labor. Now what?

You think back to what your midwife told you, and you remember that she gave you several things to do during this slow building time.

  1. Let Your Midwife Know. As soon as you know you’re definitely in labor, she’ll want to know. She or her assistant might swing by to check on you and baby, or just triage you over the phone, depending on what’s happening and your needs.
  2. Rest. This is not the time to try and “get things moving” by taking a long walk, doing nipple stim, or anything else that is supposed to speed things along. This is the time to conserve energy. If you can talk through your contractions, you can sleep through them.
  3. Eat & Drink. Whatever time your labor starts, eat normally. One good meal is often enough to sustain you through the work to come. No food is off-limits, though it’s wise to keep in mind that you may throw up, so avoiding choking hazards or harsh foods might be a good idea. Comfort foods are wholesome, nourishing, and encourage happy hormones. Also, keep drinking. Water, juices, herbal teas that you enjoy, smoothies, and broth are all great candidates. Whatever sounds good.
  4. Do Life. There is no reason to put off that quick trip to the store to get milk and bread, or going to the movies. There is no reason to go out if you didn’t plan to, but just going about your day, doing your best to ignore what’s happening. At this point, it’s really no big deal, and it helps your progress if you can be content, happy, and moving.
  5. Distract Yourself. Sometimes, especially when it’s your first baby, it’s so hard to keep your mind off your contractions. But the rule of thumb is that you must ignore them until they demand all of your attention, whether you like it or not. Conserving energy in early labor is paramount! Don’t use breathing or coping techniques from your classes yet either. They contribute to the sense of time, and can make you far more tired than you need to be. Instead, watch funny movies, go to the park, go out on a date with your partner, bake a birthday cake, start a slow cooker meal for after the birth, or call a friend to chat.

I like to tell people to “be in denial” about their labor until their labor gets all up in their face! Just take care of yourself, pretend like everything is normal, that nothing is going on, and let your body keep the secret just a little while longer. You will be shouting to the world in your own way soon enough, so save your breath. Smile. 

“To move into active labor, a woman must give up ideas of how she thought labor might be; in other words, she must surrender.” ~Elizabeth Davis in Heart & Hands

Open up to the path your labor has chosen, and surrender time.

Grace & Peace,
Tiff

Your Job Must Be So Fun!

Tuesday, August 23rd, 2016

baby looking at title, your job must be so fun
This is the most common response I get when I share with someone what I do for a living. When I share that I’m growing into midwifery.

If all we did was snuggle babies and drink margaritas, I suppose this statement might be true.

But this job isn’t all baby snuggles, and it rarely involves even a chance at a margarita.

Fulfilling? Yes.

Rewarding? Absolutely.

Fun? Not so much.

That word, in fact, minimizes what midwives do. It reduces it to the same level of a weekend hobby. Is there joy in this work? More often than not, yes. While the joy inherent in this work is a big part of what sustains a midwife in the long haul, there is so much more to it. There is a hidden side of midwifery that many don’t see or understand, and it is this hidden side that flashes before my eyes when someone comments that my job must be “so fun.”

This is not a job anyone signs up for to have fun. This is a job we sign up for because we are compelled. It is an irrevocable call on our lives.

As Desirre says, “It’s a calling that follows you around until it catches you.” We often don’t even realize it’s our calling until one day we awake to the startling discovery that we cannot escape what we are meant to do. And what we are meant to do is to be “with woman.”

We are meant to be midwives.

Like the “witches” and wise women of old who quietly served women and their babies with dignity and a deep knowledge passed down over time. It is our inheritance, and it carries with it the weight of responsibility, accountability, and power. The calling of midwifery is inescapable for those who hear it, and insurmountable for those who only wish to.

It is “fun” for no one.

There is, however, fun within the work. Laughter and joy are bricks in the foundation, and this work could not be done sustainably without them. The joy of watching a father’s eyes light up at the first sound of that pattering heartbeat. The laughter when big sister has to have her tummy measured too, or big brother insists on helping us hold the Doppler.

Of course, there’s the ultimate culmination of joy, the crowning glory, when that slippery wet tiny human is lifted into a mother’s arms, ready to meet the great wide world. The moment heaven itself pauses to rejoice at another everyday miracle.

The arrival of a new soul on Planet Earth is no small thing. It is a great mystery and marvel, and it is midwives who have always been there, very near the heart of it all, acting as ushers and servants making way for the tiny new being and his mother to step into life together.

Fun?

No.

Miraculous, joyful, powerful, fulfilling, important? Yes.

Ultimately, this work is eternal, impacting future generations forever. And that is a weighty thing, not to be taken on for anything less than a deep and abiding call.

Grace & Peace,
Tiffany
Student Midwife

This is where your pregnancy comes in!

Monday, May 4th, 2015

childbirth classes
We at Preparing for Birth are always striving to be more and more relevant to our clients and students, and we cannot do that without input from you! We are starting up the ol’ blog again, but we would rather not write about anything that you are not interested in. Of course, we want to cover new ground as more and more new evidence and information come to light, but it’s always nice to revisit topics that are key to you, our readers.

So, would you be so kind as to share in the comments what topics you are most interested in reading more about? Here are some ideas to get you started:

 

  • Doulas: Labor, antepartum, postpartum, and more.
  • Informed consent and conscious agreement.
  • Pregnancy myths debunked.
  • Home birth and midwifery.
  • Client and student birth stories.
  • Photos and videos.
  • Podcasts.
  • Book and product reviews.
  • Birth art/poetry/music.
  • Childbirth education.
  • Tips, tricks, and hacks for pregnancy, labor, birth, postpartum, and newborns.
  • Babywearing.
  • Breastfeeding myths.
  • Pregnancy fitness.
  • Pregnancy & special food needs (vegan, paleo, etc).

What else would you add? This is where you come in! Leave a comment, and share what you would like to read about here!

Student Midwives Learning

Tuesday, March 31st, 2015

This is how we do it! My turn on the bed!

This is how we do it! My turn on the bed!

The skills needed to become a competent midwife are seemingly infinite. There doesn’t seem to be an end to what we need to learn, academically and practically speaking. The academic part is relatively easy. It comes from reading, study groups, online student midwife chats, watching videos, and good mentors. Where does the practical side come from? How do we actually learn to do what we are reading about? Book knowledge only goes so far, after all. Especially for the skills that involve a certain level of social intimacy with our clients, such as vaginal exams.

Simply put, we gain the skills through practice. Practice is a close second, and then after that, practice rounds it out.

Yet, it doesn’t seem fair to “practice” on clients. Rather, we practice on one another until we have mastered the skill, then we can transfer that practical knowledge to our clientele much more safely and professionally.

How does it look here at Preparing for Birth, among my fellow students? Our preceptor came up with a great idea to give us a chance to apply our academic skills practically. Once a month, we have a scheduled four-hour block of time to discuss, learn, and implement skills. This month, we learned to do speculum exams, PAP smears, and bimanual exams. This required some chatting and warming up first, since it’s a rather intimate skill set, then we all washed properly, gloved up, and took turns on one another. We had another midwife with us, as well as her student, so it was a sizable group.

There was a lot of laughter, affirming language, encouragement, correction, and guidance. I came away feeling confident that I have a good starting point with those skills, and I am really looking forward to practicing again, and honing the skills to a fine, sharp point. The above picture is from our skills day — a rare glimpse into the world of student midwifery. As I lay there, I could not resist the opportunity to take this shot, and share it. These women are powerhouses, and I am so glad to be a part of such a community!

We are student midwives, with our preceptors, walking an incredible and humorous road paved by generations of women who have gone before. We learn best in community. We are not islands. We are a a village. Together, we learn, we grow, we change, and we improve, all to serve women and their families a little better everyday.

Grace & Peace,
Tiffany

Doulas Benefit Care Providers, Too.

Monday, October 28th, 2013

Image credit: apperson.com/support

I’ve written a lot about the measurable benefits of trained labor support for women and their families, which is important. However, I believe firmly that doulas have great potential to benefit care providers and staff as well. As one more important piece of the birthing puzzle, doulas can either add to or detract from the big picture of any birth they attend.

When a doula is at her best, when she understands her role and her scope of practice, she brings freedom, communication, and peace to the place of birth.

Part of my Scope of Practice as a CAPPA-certified Labor Doula reads as follows:

During labor and birth, the labor doula provides the mother and her partner with physical, emotional, and informational support. She facilitates and promotes self-advocacy, informed choice, and effective communication between the family and care providers. She seeks to foster a cooperative, respectful, and positive atmosphere with all members of the birth team so that the mother can birth with confidence. (emphasis mine)

What does “effective communication” look like at a birth?

It looks like a bridge. A sturdy, well-built bridge that begins with openness, humility, and an extended hand from the doula to the staff member or care provider that does not interrupt their conversation with the client.

It’s remembering that the client chose her care providers just as much as she chose her doula.* That fact alone should elicit basic human respect from the doula toward those caring for her client. Period. Regardless if that respect is returned or not. Doulas do no one any good unless we do our best to leave those chips on our shoulders at home. We do best when we take the high road, and treat everyone on the birth team with dignity and respect.

Side note: respect doesn’t mean agreement or likeability. It simply means getting along, and choosing to work together toward a common goal: The safety and health (physical, mental, and emotional) of both mother and baby.

When a doula sees herself as an integral part of the birth team, and understands that everyone else there has their place (as long as her client chose them), there are a lot of benefits she has to offer to the care provider and staff she is working with.

Among those benefits:

  • Added perspective–Doulas can often get very creative when coming up with ways to help a labor progress effectively before medical interventions are truly needed. Care providers often appreciate suggestions that don’t interfere with safety, and that seem to help the mother.
  • Someone labor-sitting–Care providers are rarely available to labor sit as long as a doula can. Even home birth midwives may not have as much opportunity to do so, and usually arrive later in labor than a doula would. This means that a doula can fill in the provider and staff on what has been going on, what tricks have been tried, and things that may be relevant to improving her client’s care. The doula can often provide clarification where the mother’s or partner’s recollection is fuzzy. This helps the care provider have a more accurate picture of how labor is going.
  • Continuity of care for patient–This is one of the hardest things to provide as a care provider. Nurses, doctors, and hospital-based CNM’s change shifts–no matter what. Even home birth midwives may have to send a backup if two births are happening simultaneously. The doula provides one continuous thread of care, and we all know that this works out to better quality care in general. Also, can bond more quickly with the new people on shift, making her care easier for the staff and/or care provider, as they have to spend less time establishing trust.
  • Bridge of communication with patient–Doulas teach their clients to ask good questions, relevant to their own care, and how to understand the answers they’re given. This helps the client to build trust in her chosen provider, which makes caring for her easier for the care provider. A doula’s presence should facilitate togetherness at a birth, not a sense of “us vs. them.”
  • Extra set of hands–As much as care providers love to do hands-on care, many times they are simply not able to do so. Doctors, nurses, and even home birth midwives and their assistants, can easily get bogged down by charting, checking and setting up needed equipment, and (in hospitals) caring for other patients. This is as it should be, since the safety and health of the mother-baby dyad rests on their shoulders. Any non-clinical care they get to do is icing on the cake. Doulas have no such worries impeding their care. Non-clinical care is their only focus.Therefore, care providers are able to focus solely on their number one priority: the health and safety of mom and her baby.

I know that the above benefits are really more indirectly beneficial to the care provider. However, when there is benefit to the birthing woman, there is benefit to her care provider as well. The patient load of most OB’s is such that it can be extremely difficult for them to individualize care. After all, the care provider has as little time, per appointment, to get to know their patient as the patient has to get to know them.

Therefore, if there is any way for a doula to help build bridges, encourage their client to ask good questions, and utilize whatever time they have with their care provider, it enables and empowers the care provider to do what they want to do most: Provide evidence-based, individualized, humane care to their patients. This results in good feedback for them, and encourages them to be more open to the next client asking questions or wanting something different than the basic standard of care.

In short, the presence of a doula can mean heightened communication, empowerment, and a positive experience for everyone on the birth team, not just the mother.

*I understand that many women only have very limited, or no choice, when it comes to their care provider, due to geography, local/state laws, financial constraints, or other factors. Still – they ultimately still have chosen their care provider, rather than birthing unassisted at home. Therefore, they are placing some modicum of trust in that care provider. I appreciate feedback on this.*

Care providers: How often do you work with doulas? What do you appreciate most about good doulas? What tips might you offer to doulas who are still learning, or who need to understand your perspective better? What ideas do you have to foster better relationships between clinical and non-clinical professionals?

Thanks for reading!

Grace & Peace,
Tiffany

A Glimpse of the Homebirth Difference

Tuesday, May 1st, 2012

A client of mine had her home visit from me this morning. It coincided, on purpose, with the 36 week homebirth visit from her midwife. I cannot say enough how lovely the experience really is.

My client was asked many pertinent questions about her physical and emotional health; her stress levels and what she’s doing to cope; her nutrition, hydration, and rest; and what she was hoping to have on hand at the birth for her comfort. Everything from essential oils, to where the birthing pool would be, to checking the availability of all of her supplies was covered. Then, oh joy! the midwife listened to the baby, and we got to stand in silence and awe of the precious sound.

I was delighted when my client allowed me to palpate her belly, under the supervision of the midwife and intern midwife, to get an idea of baby’s position.

Everything about this appointment was professional, warm, friendly, thorough, and centered on the mother – my client.

For a whole hour of her day, my client got to experience attention and love being centered on her and her baby. She got to be loved at the beginning of her busy day.

It was beautiful, and I can’t think of a single hospital experience — no matter how kind and warm the nurses are — that equals the time devoted to my homebirth clients. What a privilege to be a part of the journey of those who choose this “road less traveled.”

Grace & Peace,
Tiffany

From the Cheap Seats to the Choir Loft

Tuesday, March 20th, 2012

Image Credit: oxfordbaptist.com


As a certified “birth junkie,” it’s easy to preach to the choir. What can be difficult is getting new members to join. I think a lot of that is due to society’s general lack of knowledge about birth, and the entrenched medical mentality that is so difficult to overcome. Difficult, but not impossible.

I also think it’s partially due to over-zealousness on our part, as birth advocates. How we communicate about home birth is far more important than we think.

There are quite a few acquaintances and friends of mine who have chosen the lesser-worn path of midwifery and home birth care, at least in part, because of my influence.

I have been called a “home birth evangelist” by some. It was meant as a compliment, and I don’t mind the association.

I’ve been asked how I “do” that.

The short answer is: “I don’t really know.”

However, there are some things I know I don’t do.

For one, I don’t walk around with a copy of Ina May Gaskin’s Guide to Childbirth, hitting people over the head with it and screaming that home birth is the only way to birth heaven. Whatever “birth heaven” is.

I don’t wield statistics in favor of home birth like a weapon, with the goal of hacking to pieces any naysayer who would stand in my way.

I don’t preach that home birth is the magical panacea to all birth dilemmas.

Half the time, I don’t even bring it up unless it comes up naturally.

So, how on earth did I “convince” the women I did to choose home birth?

Well, I didn’t.

There is simply no way I can “convince” anyone to do anything. I can barely convince my children to make their beds; I cannot convince anyone that home birth is right for them, no matter how much I want to.

All I try to do is to meet women where they are in the moment.

My method isn’t super-scientific either. I didn’t even know I had a method until I tried to write about it. For better or worse, this is essentially how I operate:

I follow hunches that tell me when women are open to exploring other options they may not have been aware of. I follow hunches that tell me when all they want is someone to listen, and I keep my trap shut.

When the hunch tells me they’re open, I share how home birth might alleviate some of the difficulties they are dealing with in their particular circumstances, and offer to refer them to a midwife if they would like. I do this by asking them questions.

“How do you feel about talking to a home birth midwife about _________?” is the primary question that leads to a great conversation in which I find out more about what she wants in her birth experience, and why. The more questions I ask (especially those open-ended ones), the more I know whether or not sharing the home birth option is the right way to go.

I have learned to try to really hear the heart behind the stories women share with me. And, when I really listen, I often find that choosing a home birth would likely be a great way for these women to meet those needs they have that aren’t getting met in the medical model they’re currently under.

I think it boils down to the simple fact that I have something to offer that I can believe in, and that I am real and honest with women.

I have found that I can open doors for people that they didn’t even know existed. Even if they choose not to step through that particular doorway, they now have the option to do so, and therefore, become more active participants in their care. And a woman who is an active participant in her care is a well-served, happy woman with a beautiful outcome, no matter where she births.

Ultimately, I think my “home birth evangelism” works because women know that my desire isn’t to increase the number of home births — though that would be cool — but that I truly want them to fully understand all their options, and that I believe in them to choose the very best for themselves and their babies, regardless of what their actual decision ends up being.

They know that no matter what, they have a friend and supporter in me, and that is what leads them to take me seriously, and oftentimes, to take the plunge into the birthing pool in their living room.

Of course, once they experience their home birth, they become “evangelists” themselves, singing the merits of this fantastic, realistic, safe option to their friends and families in their own new-found voice of strength!

That, I think, is how we reach the people in the cheap seats, and bring them into the choir loft.

For me, it’s about genuinely caring, learning to listen and gauge a woman’s need, and educating sensitively the women I meet. It’s about balancing between that place where I don’t care how people react to me, and meeting women where they are. What does it look like for you? What can you do, today, as a birth advocate, to soften your message without compromising the facts?

Grace & Peace,
Tiffany

All We’re Really Trying to Say

Tuesday, December 20th, 2011

There is a misconception I have noticed among the general population in regards to birth professionals who advocate for the kind of birth outlined in the above photo. How surprised they are when they learn that doulas, childbirth educators, and midwives are actually all for advances in technology and care. We just desire that practice be driven by evidence, not by the shiny new toy.

Let me explain.

I think part of the misunderstanding lies in the belief that because birth professionals outside the medical profession unapologetically share what is scientifically verifiable to be the healthiest norms for mothers and babies, that we are therefore against hospitals/technology, etc. Nothing could be further from the truth!

Speaking for many like myself, what we really desire are two things: 1) True cooperation between hospitals, doctors, and midwives, so that women and their babies get the best, individualized care, and 2) Practices based on the most scientifically sound evidence, rather than the shiniest new toy or convenience for the care provider, or any other reason than the medically verifiable health and well-being of the mother-baby dyad.

Cooperation between the medical establishment and midwifery care isn’t an either-or proposition. Advocating for normal childbirth does not equal opposition to hospitals and all they offer.

Normal birth and all that it implies is a truth with a solid foundation of evidence – nothing more, nothing less. It is not a commentary on any individual woman’s story. It is not a value judgment on the choices made by any woman. Every birth experience is valid, and has inherent value. Every birth is still a miracle. Birth is always sacred and special , no matter how the precious little ones make their appearance.

Every birth is ours, as women, to own and learn from. The planned cesarean is no less valid than the natural home birth so many birth professionals support and love.

Information shared about normal birth is what it is: statements of fact, backed up by evidence, and fueled by an undeniable passion for helping women empower themselves to make truly informed decisions regarding the care of themselves and their babies.

A passion to change the world.

To change the world through loving women and their families, and building bridges of communication between women and their chosen care provider. If we can do those two things, the rest will follow so much more easily than if we tried to force it.

To accomplish the change we are advocating for, we need to speak. Out loud. About unpleasant, but truthful subjects.

And we need to do it all through the filter of love and compassion.

I encourage you to take our words to heart if you can. If it’s too painful – speak out. Find out why it hurts so much to hear about another beautiful home birth. You matter. Your voice matters.

Thanks for hearing me out.

Tiffany