Nurse Midwife and birth advocate. Upholder of tradition. Pronatalist. Servant of Christ, family, and community. Homemaker. DM me for women’s healthcare!
I am so so excited to announce I have officially opened my own private practice, ✨including telehealth ✨as a nurse midwife!!
🥳
I am located in Clark county Washington and possess both Oregon and Washington licenses!
Why does the birth center have a cesarean rate of 2.7%
while the hospital has a cesarean rate of 38%?
Is it gross malpractice? Fear? Unnecessary interventions?
After spending the last month working with hospital midwives and obstetricians, here are my conclusions:
I’m officially a mother!!!!!
Please give all your best mama advice for this sleepy sore lady in bed snuggling her newborn and basking in all the awe and wonder of brand new life.
Normalize sipping bone broth and taking spoonfuls of honey during labor instead of having fluids pumped through a needle into your vein by a beeping machine
Young ladies: move your hips, dance, sway, squat, stretch, crawl, frolic, sit butterfly or criss cross applesauce
The more mobile your hips the easier it will be to birth
I’m literally always swaying my hips are never stagnant
Anybody else want their marriage to be extraordinary and timeless and passionate with late night philosophy chats where he makes you coffee in the mornings and you serve him candle lit steak dinner and you slow dance in the kitchen and you have a picnic on Sunday after church?
Imagine if your husband paid some other guy to take you out to dinner every week. You’d be furious and feel neglected.
That’s literally what daycare is like for your kids. They want a relationship with YOU and you’re paying some randos to be a stand-in parent for _ hours a week
If your wife is sad, you 100% have the power to make her feel better! Just hold her and tell her how proud of her you are and how lovely she is and how you’re so grateful for the joy she brings to your life!
How can some men have this power and choose to not use it???
This is a story that happens every day in hospitals around the country. Has this happened to you? So many women share this birth story, it is not their fault. The medical establishment lied to them. There were so many things that could have been done differently
Postpartum tip for second/third/fourth etc time mamas: make sure guests visiting you and the new baby come prepared to greet big siblings first, especially ages 1-3, and have them say “do you want to show me your baby sister/brother? You must be so proud!”
Husbands: the last month of your wife’s pregnancy should feel like another honeymoon for her.
Fill the home with tender love and affection, romance, closeness. This is NOT the time for stress, anxiety about labor, arguing about the nursery, frustrations about money.
Why are so many men aged 26-36 still living their life at an 18 year old maturity level? Independent and self directed but incapable of real sacrifice, directional planning, empire building, leading their families, settling down, changing the world??
Women aren’t attracted to older men they’re attracted to resources.
If you plan to get rich and marry when you’re 40, you won’t find true happiness in your marriage.
You’ll marry a woman for her looks and she’ll marry you for your resources.
You won’t be loved for you.
Girls PLEASE marry a man with little sisters they make such good husbands 😌
Men with only brothers are so sus bc the only lady they knew well growing up was their mama. Men should learn from the age of 5 that they should take care of woman, not just be taken care of BY woman
Feeling my daughter flutter inside me for the first time is the most powerful emotional experience of my life. I can’t handle how much love I’m feeling for her and for my husband I can’t breathe it’s like a panic attack but with love.
1. Most importantly lack of education through the prenatal period. Women come in to the hospital in labor, and don’t know anything about labor. They want to be admitted at 2cm, want an epidural by 3cm, and have been failed by their providers for not helping them prepare for labor
to facilitate a positive vaginal birth experience. Where did it go wrong? Who’s advocating for this mama? What could her providers have done differently?
Compared to birth center prenatal care, that delves deep into preparing for birth physically, emotionally, and spiritually, through hour long appointments and helping women gain understanding of the process and the power and mystery of childbirth.
You get to the hospital around midnight. You’re only 3cm.
They hook you up to a fetal heart rate monitor, and tocometer, which are attached to a machine.
You can’t walk around, squat, or lunge to help baby descend.
It’s amazing how many women in their 20s have asked me “wait so what IS labor actually?” When they find out it’s not always water breaking and rushing to the hospital screaming.
How has this deeply intimate and primal understanding of our own bodies been lost to young women?
3. Ignoring holistic health counseling, BMI > 30, severe nutritional deficiencies and lifestyles that predispose women to preeclampsia, diabetes, inadequate protein intake causing difficult cervical dilation, poor uterine stamina, ineffective pushing, tearing, and hemorrhage.
The nurse has you in a hospital gown and puts in an IV “in case” and you can’t eat or drink “in case.”
White bright fluorescent lights at 3am when the nurse checks you, your hormones, internal clock, and stress response are all confused. She says you’re “only” 4 cm and sighs.
and fail mothers who desire a safe and low intervention vaginal birth. Yes, by the time a mom has preeclampsia, a failed induction, chorioamnionitis, arrested labor, and fetal decels, she needs a cesarean.
Could a better model of care led to a different outcome?
I think so.
Conclusion of the story:
It’s not direct medical malpractice cutting a bunch of unnecessary cesareans. Most cesareans, by the time they occur, are necessary interventions. The root causes are system level issues that trace back to the first prenatal appointment
A med student comes in at 5am and asks when your last menstrual period was. 🤨
You’re uncomfortable and asking for an epidural. The anesthesiologist takes 2 hours to get around to you, and it takes them 2 tries. Ouch.
Versus birth center care that spends a lot of time counseling on prenatal nutrition for mom and baby far beyond the OTC prenatal vitamin garbage, identifying nutrition deficiencies, counseling on ancestral diet and encouraging exercise, chiropractic care, + functional medicine.
Isn’t it crazy how a girl can hear someone say something negative about her body 10 years ago and they never forget it and it still keeps them up at night?
Versus birth center birth, where we encourage the body to go into labor naturally through 42 weeks, admission > 6cm, full mobility, undisturbed labor and privacy, continuous support with a single midwife and assist who you know and trust, and a calm, quiet, dark environment.
The OB and anesthesiologist want you to consent to c section. You’re exhausted, hungry, weak, and can’t move. Why won’t baby come? What’s wrong with me?
Your body’s stress hormones are your worst enemy in labor and prevents your cervix from dilating.
You now have a heart rate monitor, tocometer, epidural catheter, Foley catheter, and IV catheter connected to you from all sides and you can’t move.
Your stress hormones are on overdrive and the machines are beeping. You’re hungry and feeling weak.
and an overstimulating and stressful environment, with beeping machines, frequent interruptions, bright lights, cervical checks, pressures for intervention, annoyed staff, lab draws, requirements for dilation progress, and restricted food intake.
My MIL told me a few weeks ago that my 3 week old baby “must not nurse whenever she wants” and that going on and off the breast was “frantic for her nervous system” and that I should try putting her on the dryer when she’s crying.
My MIL deadass just told my husband on the phone that it’s time for us to put an end to the baby “controlling us” and that sometimes he just “needs to cry it out.” He’s five months old tomorrow.
I want to start my own private practice where I don’t just do prenatal care births and postpartum care, but where I do wholistic lifelong women’s healthcare from teaching young girls about their bodies to fertility counseling to support through menopause and beyond 🧵
3. Long labors. Causes include offering elective inductions anytime after 39 weeks and mandatory inductions at 41 weeks, admission < 6cm, immobility caused by epidurals, heart monitors, IVs, and laboring in bed, shift change every 12h with no trust and rapport with your care team
Now your legs are numb. You can’t control your bladder so they put in a foley to collect urine. You can’t move and you start to feel itchy all over from the nerve block.
The epidural causes your blood pressure to drop suddenly.
We forgot that birth is a deeply and powerfully romantic and sacred experience for both the man and the woman.
Men: gaze lovingly at your wife in labor. Brush her hair gently out of her face. Kiss her flushed cheeks. Light a candle. Don’t you realize what this woman is doing?
One of the best things about being pregnant is you can just be like “the baby wants chocolate covered strawberries” and your husband buys you strawberries and chocolate that same day and within an hour you’re snackin
You hear the nurse outside your door say “yeah, we’re gonna pit her finally.”
Now you have a new nurse and new OB because it’s day shift.
Your contractions are intense with very little rest in between. The baby’s heart rate looks worse. Your stress hormones are going crazy.
My MIL texted chastising me for not keeping cereal in the house for her son, I’m “depriving him”
1. He’s a grown man and can buy himself cereal if he wants it
2. He knows his days are 100x better starting with eggs
3. I’ve done more good for his gut in 1 year than you jn 27
You’re anxiously watching the heart rate monitor wondering if baby is OK.
OB comes to talk to you. It’s been hours and your labor has stalled at 6cm. They want to give you pitocin because you’re not dilating fast enough.
I know all you pregnant mamas have heard of centimeters dilation, effacement, and station. But have you heard the term “labor land”?
The midwife’s best secret on how we monitor your progress in labor:
Whoops I made a pot of red raspberry leaf tea and I accidentally added ginger, cloves, allspice, heavy cream, and a tablespoon of brown sugar and now it’s way too yummy
The nurse checks on you frequently because baby’s heart rate isn’t ideal anymore since you have low blood pressure. She hooks you up to 1 liter of IV fluid.
I was birth assist for a surrogate birth last night. I’m conflicted morally on surrogacy and seeing it up close clarified a few things for me on why… on one hand, if someone is infertile, and you can afford it, maybe it’s better to have a surrogate than not have a family? But…
So a colleague of mine got a job as a midwife at a hospital. She loves to help facilitate natural birth. Week 2 on the job, a woman is pushing in triage and is begging to get out of the bed. My colleague helps her stand, and the mom pushes her baby out standing (cont.)
💡I bet a huge difference between women who expect a lot of help with housework vs women who joyfully serve in their marriage is how hard their husband is working!
When my husband is grinding at work, on yardwork, house projects, building things, fixing things, it is SO EASY to
All I want is to stay home, make babies, make bread, make cheese, make butter, grow tomatoes, and make a grilled cheese sandwich with the bread cheese butter and tomatoes for my babies.
Is this too much to ask?
If you’re using your breasts, which are literally sacred, to manipulate men into giving you money and attention over the internet, you’re desecrating your body, stealing from your potential future husband and child, you’re stealing many mens time, resources, and self respect …
4. Epidural rate of 90% especially in early labor increases interventions like pitocin, AROM, IUPC, FSE, poor mobility, pushing on your back with stirrups, guided pushing with the Dr’s fingers pulling your vagina apart to help baby descend and instructing you to hold your breath
Versus birth center birth, where we help you cope with non pharmacologic pain management like hydrotherapy, massage, meditation, and breath work, so your body can begin to push instinctively when ready and much more effectively in birth positions that allow full pelvic mobility.
I see most first time moms push for about an hour, maybe 2 if baby’s position is unfavorable. I have never seen an unmedicated mom push for 4 hours or be diagnosed with arrested descent, I never need to tell a mom how and when to push, and I pretty much never hear decels.
My husband said even though I’m not pregnant yet I have to take really good care of myself bc I’m still holding all his future babies in my tummy and that’s actually true 🥺
So I made it to my due date!!!
It’s amazing how completely I understand and normalize that babies can and are born 41-43 weeks with all my birth clients
and yet my family and community can still stress me out the second I hit my due date about WhY aReN’t YoU iN lAbOr?? Also
5. Hospitals are icky places with lots of infections. The chorioamnionitis rate at our hospital is usually around 10%, and IV antibiotics are tossed around like candy. Longer admissions, more checks, and more invasive procedures all contribute, and cause dysfunctional labors.
to bear down which can cause drops in baby’s heart rate, common to push as a first time mom for 3-4 hours, increased risk of vacuum assisted delivery, risk of 3rd-4th degree tears, hemorrhage, or cesarean for arrested descent of the second stage or fetal intolerance of pushing
I’ve never seen or heard of a single case of chorioamnionitis at an out of hospital birth, and I’ve been involved in over 100. If your water breaks at home, you have a higher risk of infection if you go into the hospital than if you wait at home for labor to start on its own.
I know some of y’all ladies have had amazing hospital birth experiences and have had providers who have been amazing and supportive but I CANNOT BELIEVE HOW BAD IT IS AT SOME HOSPITALS
What are your biggest made-from-scratch foods that save an insane amount of money and are significantly healthier and yummier than the store bought version?
Mine are:
- artisan sourdough
- hummus
- kombucha
- mayonnaise and hollandaise
- salad dressings
- granola
- broth ofc
Postpartum recovery:
2 weeks in the bed
2 weeks on the bed
2 weeks near the bed
Skin to skin, warm nourishing foods, have you mom or sister move in for a lil to nurture you if at all possible. Rest mamas, please.
Wife hack
#2
: when your wife asks your opinion on something, don’t say “I don’t care.” Say “I trust your judgement on this, you’re so good at _____ and I love your taste.” This is your cheat code. Works during wedding planning too.
Helps them feel important and involved in the process. If grandma and grandpa go straight to see the new baby, it can make big brother or sister feel left out and resent the attention given to the newest member of the family, especially when they’re used to being the baby.
A lot of female OBGYNs seem to have a narcissistic complex where they MUST create a catastrophe to save their patients from so they can heroically swoop in and “save” the woman from her own body, in effect making someone else’s birth all about themselves. I have heard women
I know both families were lovely and that child will have a wonderful life. But something was way off about the whole situation. I personally would never want to surrogate no matter how much money someone would pay.
Imagine thinking that women choose homebirth or natural childbirth because they want to experience the maximum amount of pain.
There can’t be any other plausible explanation for women choosing not to birth in a hospital.
The main causes of maternal mortality over the last thousand years were hemorrhage and infection. Home birth can offer the same protocol for hemorrhage as hospital: pitocin, misoprostol, txa, methergine, IV fluids, and urinary catheter. And we use medical grade sterile equipment.
The midwife who taught me everything I know, helped me blossom into the midwife I am today, who held me sobbing after a birth we attended together 2 days after my miscarriage…
Last week that midwife pressed her Doppler to my skin and I heard my baby’s heart for the first time
If your obstetrician says you have a large for gestational age baby via ultrasound estimate, they only are right 30% of the time. So there’s a 70% chance THEY ARE WRONG and may unnecessarily induce or recommend a cesarean
“Natural birth” moms are a riot. Congrats on your twelve hours of agony in a kiddie pool on your nasty porch, lady. I’m checking into a private suite at Sinai and getting the good stuff. See you at baby yoga.
Your hormones don’t know who’s genetics just came out of you. You are flooded with oxytocin the most powerful bonding hormone in the highest concentrations, nursing this sweet child who loves you. And you just walk away? For 100,000? On purpose?
God gave us stewardship of a little soul for just a short time. And now that baby has gone. I’ve wept, cursed, and prayed. And now I somehow have to wake up from this nightmare, get out of bed, and move forward.
Please keep my family in your hearts.
I couldn’t help thinking about what the baby was experiencing. As far as she knew, her birth mom WAS her mom. It’s who she lived inside for 9 months. Her voice, her smell, her gait, her habits. And someone took her away from that.
My most controversial rw schizo nutrition take is that cow colostrum shouldn’t be bought and sold. The little baby calves need that colostrum 🥺 so they can grow up healthy and strong and produce good milk and beef for us. Yes it’s a supernutrient but mama made it for the babes.
In my experience this is the single most powerful protocol one can engage for Healing Chronic Gut & Skin pathologies
Even more powerful if you can get your hands on some Raw First Drop Colostrum from a Farm-will work faster
Shilajit or Fulvic Minerals are also a great adjunct
I want to see a study that compares # hours per day sitting vs standing/walking with outcomes in childbirth. I feel like our modern environment of bed->car->desk job->car->couch->bed has to play some role in so many women experiencing painful and dysfunctional labors
Remembering that one time my shy sweetheart of a father in law was trying to make conversation with me and asked “so what are your favorite types of dishes to wash?”
And as far as the surrogate goes: I know it was her free will. But I can’t imagine being pregnant for 9 months, regardless of whose genetics are inside me, building THE MOST intimate relationship with another human being on the planet who’s growing INSIDE ME. And just letting go.
Women need women in the transition to motherhood! We need our mothers and sisters and our grandmas and aunts and cousins and girlfriends! You’re not supposed to be able to do it on your own.
And someday, your daughter will need you.
And someday, you will need your daughter.
One of the reasons many mothers in modern America intensely struggle with pregnancy and motherhood is because they don't have the support system of family and community that our ancestors had.
Life for most modern Americans is quite isolating. Plus, the nuclear family model is
at the edge of the bed in a lunge. Baby comes out, mom and baby are both well and thrilled and are taken to postpartum recovery.
THE NURSES PROCEED TO WRITE UP my colleague to the hospital administrators who hold an EMERGENCY MEETING
An essential component I’d be remiss to forget:
The woman who come to the birth center inherently don’t enter pregnancy with significant fear of birth.
This alone likely reduces risk of cesarean by quite a bit.
Fear is your worst enemy in labor.
Trust, mamas. ❤️
Why does the birth center have a cesarean rate of 2.7%
while the hospital has a cesarean rate of 38%?
Is it gross malpractice? Fear? Unnecessary interventions?
After spending the last month working with hospital midwives and obstetricians, here are my conclusions:
I love when the normies discover the home birth side of X and lose their minds for five days straight. like we’re just minding our own business having our own babies in the privacy and safety of our own homes.
I’m not going to apologize for that.
My advice: Stop perseverating on centimeters. Lean into labor, welcome it with open arms, let go of your judgements and expectations and insecurities. It can be a powerfully spiritual experience. Labor land takes surrender, trust, self assurance, and it will take you all the way.
Natural birth is preventative medicine.
Just like you should go to the hospital if you have a heart attack, you might need to go to the hospital for an obstetric emergency. That doesn’t mean you failed, it just means something out of your control went wrong, and you need a Dr.
And you won’t love her for any value beyond her looks and fertility, and she’ll resent you for it.
You’ll resent her because you’ll know she would have rejected you when you were 25 and just getting your life started.
Bad plan in my opinion.
Redpill men seething.
Pharma literally spent 50 billion dollars on the “fed is best” campaign on social media. It’s true that fed is better than not fed, but you have to understand where that came from. And breastfeeding can be such a challenging but beautiful and rewarding relationship with your baby
If you think birth is scary or gross, maybe sit with that and try to figure out where that comes from. Try to have some gratitude and respect for this woman and the journey she must take to bring YOUR flesh and blood to life.
Be a man and love her through it.
Meanwhile, my husbands breakfast this morning:
Hash browns cooked in home rendered lard
Local pasture raised eggs cooked in European style organic butter
Bacon from a local farm
Raw grass fed cheddar
Side of home fermented kombucha
😅