AROM, birth center, birth team, Cervical Checks, cervical dilation, Degrees of vaginal lacerations, Epidural, Episiotomy, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, hospital birth, Labial tears, Labor, Long hours, Long Labor, Midwife, Midwife's Assistant, Newborn, Nurse, OB, optimal fetal positioning, Patient Safety, start-and-stop contractions, Trauma, trauma informed care, Vaginal Exam

November 2nd, 2019: LABORING TOGETHER

You know what’s super fun as a midwife? Watching both parents work as a team to meet their baby.  The laboring person tells us what they need. The partner shows up creatively and intentionally, despite being nervous or feeling a little lost.  Laboring Together is a specialized intensive for couples who desire an unmedicated birth… Continue reading November 2nd, 2019: LABORING TOGETHER

birth center, birth team, Cervical Checks, cervical dilation, Failure to Progress, Fear, First Baby, Home Birth, hospital birth, Labor, Long Labor, Midwife, Midwife's Assistant, OB, Patient Safety, Pelvic floor, start-and-stop contractions, Vaginal Exam

The Beautiful and Mysterious Resting Phase

"OHMYGODIWANTTOPUUUUUUUSH!!!!" This was Zoey's second baby and second planned home birth. She was 37 years old, had an uncomplicated pregnancy, and had been in fairly meandering labor - contractions maybe 4-5 minutes apart, at their most frequent, since 2 AM. Her last cervical check, at 4 AM, had her at 4 cm. Her sudden announcement… Continue reading The Beautiful and Mysterious Resting Phase

birth team, Home Birth, Labor, Midwife, Midwife's Assistant, Patient Safety

The Birth of Monroe

https://vimeo.com/333679042 Monroe is her mama’s second baby born at home. They are watched over by Dad, Big Brother, a close family relative, and two licensed midwives. (Be ready for inspiring and graphic images of a normal, vaginal birth.) Thanks to Rebecca Coursey at A Wondered Life for the beautiful footage and to my laboring client… Continue reading The Birth of Monroe

birth center, birth team, Co-Dependency, Home Birth, hospital birth, Labor, Long hours, Long Labor, Midwife, Midwife's Assistant, Nurse, OB, Patient Safety

Gambling with Safety: Hours Worked and Quality of Care

On April 16th, 2019, Washington Senator Maureen Walsh (R) stated she didn't support a bill that would give nurses mandatory, uninterrupted rest breaks. Her hesitation was rooted in her belief that in districts like hers, where hospitals are small (fewer than 25 beds), nurses have plenty of down time, and thus are not in need… Continue reading Gambling with Safety: Hours Worked and Quality of Care

birth center, birth team, Cervical Checks, cervical dilation, Co-Dependency, Epidural, Failure to Progress, Fear, First Baby, Home Birth, hospital birth, Labor, Long Labor, Midwife, Midwife's Assistant, optimal fetal positioning, Sexual Abuse, Trauma, trauma informed care, Vaginal Exam

Long Labors, Part 3: Psychosocial Strategies

Long Labors, Part 3: Psychosocial Strategies, is a follow-up and final installment to Long Labors, Parts I and 2. Meredith Westin Photography When a client is having a very long labor, I tend to assume mechanical challenges are the direct cause and problem-solve on that basis, first. Many emotional and spiritual forces can arise during… Continue reading Long Labors, Part 3: Psychosocial Strategies

AROM, Cervical Checks, Epidural, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, Labor, Long Labor, Midwife, Midwife's Assistant, optimal fetal positioning, start-and-stop contractions, Vaginal Exam

Long Labors: Part 2, Physiologic Strategies

Meredith Westin Photography Long Labors: Part 2 is a follow-up to Long Labors, Part I. We don't need to feel entirely helpless when labor lasts a long time. The following physical strategies can help shift challenging labor patterns and keep a person's strength up: Consider that you may not be in labor at all. Start-and-stop contractions… Continue reading Long Labors: Part 2, Physiologic Strategies

Cervical Checks, Failure to Progress, Fear, Fetal Malposition, First Baby, Home Birth, Labor, Long Labor, Midwife, Vaginal Exam

Long Labors, Part 1: But Why?!

Meredith Westin Photography Last year I had an astounding cluster of long* labors**. We're talking two, three, four days of mother's stated experience of painful contractions, plus one nearly five day induction in the hospital for a medical indication.  A couple of the planned out-of-hospital births played out in their intended location. Several transitioned into… Continue reading Long Labors, Part 1: But Why?!