Birth Advocacy — View All

173 | The Journey Pregnancy App - Courtney Williams

Our guest, CEO of Emagine Solutions Technology Courtney Williams, is the creator of The Journey Pregnancy App. The app enables patients to vital signs during pregnancy and then transmits this information in real-time and creates a record. Beyond that it issues a call to action for users to contact their providers when they enter vitals that are out of bounds based on ACOG standards. This technology was developed after Courtney experienced Postpartum Preeclampsia, a rare condition that occurs when you have high blood pressure and excess protein in your urine soon after childbirth. She was already working in maternal health technology.

Courtney’s pregnancy started in 2019; she gave birth at the height of the first wave of the pandemic in 2020. The pregnancy started well; she ate right and worked out daily. But the gym access stopped due to the pandemic - unfortunately, this was a major stress reliever for Courtney. She also utilized acupuncture with a naturopathic provider. Eventually, she lost access to that support due to growing concerns due to the pandemic. It had been helpful for morning sickness; this was another hit to her emotional support.

A week before the childbirth, Courtney's son measured big and they were scheduled for a surgical birth; which she was ok with because it eased her uncertainty. Unfortunately, the hospital would not allow her doula to be present. Courtney’s husband was her sole support during the birth and everything went well as they welcomed their son. In the hours and days after the birth, her body started swelling. Courtney presented with a headache and pronounced chest pain five days postpartum. She attempted to contact her provider but did not get a response; she decided to go to the emergency room, where she was diagnosed with Postpartum Preeclampsia. After returning home, she needed to report to her doctor’s office multiple days in a week for blood pressure readings. This brought about challenges in their breastfeeding/pumping journey. Courtney was surprised that there wasn't technology to ease the challenges for new parents to go to frequent appointments during the early phases of postpartum.

We will save ourselves. We have everything we need within ourselves to rebuild birth better. Being active participants in our care, engaging providers who acknowledge and respect our voices, and equipping ourselves with innate knowledge and an understanding of how our unique bodies respond to pregnancy are key components in creating safer, joy-filled birth experiences.

150 | Celebration of Life - Shawnise Chantell

This is a story about loss and rebirth; specifically what the Medical Industrial Complex deems a “near miss.” A maternal near miss occurs when someone nearly died but survived a complication that occurred during pregnancy, childbirth, or within 42 days of termination of pregnancy.

Consider where your mind, body, and spirit are sitting during the time you read and listen to this story.

Shawnise embarked on her third pregnancy with intentional care for herself and growing her family one last time. She managed her health and nutrition while raising her other daughters without complications in her pregnancy. A mother's quiet preparation had carried her through to term.

She planned a tubal ligation after the birth upon deciding that her family was complete. Shawnise understood that the procedure was simple and harmless, that would not be the case for Shawnise. Soon after delivering her daughter, she was rushed into the operating room for her procedure, not allowing time for skin-to-skin or initiating lactation. Post-surgery, she showed signs of severe illness over the next few days. The family immediately advocated for her care and informed her care providers that something was wrong and that she may be showing signs of infection. The response was not immediate and was dismissive at first. Her family pushed harder for emergent care; exploratory surgery began that night. Shawnise would spend two months in the hospital after being diagnosed with Congestive Heart Failure, Renal Failure, Perforated Bowel, Double Pneumonia, and Upper Respiratory Failure. Shawnise’s thoughts started to echo that she would not survive. Shawnise flatlined on the day before her expected discharge from the hospital. Her sister returned to the hospital and showed up in her scrubs from her job. She was mistaken for a staff member as they interacted with her in the room. Only discovering later that she was Shawnise’s sister after she passed out seeing her lifeless sister on the bed. Twenty minutes passed as Shawnise experienced a spiritual awakening in what she calls the Afterlife. She describes feeling the love and grace of God before being sent back home.

Trauma has a way of stealing joy from beautiful moments in our lives. You would never know that Baby Kensie’s birth was peaceful. It was perfectly normal. The pregnancy was beautiful. The family was strong then and even stronger today. Addressing her mental health has brought her to the point of sharing her story of triumph. Shawnise wakes up every day and can care for her children. Love helps her move forward and not look back.

Hospital Birth, Loss, PostpartumLaurel GourrierSeptember 22, 2022Tubal Ligation, Birth Advocacy, Postpartum SupportComment

131 | Unplanned Homebirth - Erica Maddox

Joining us for her second birth story share, Erica Maddox came back with a whole new set of skills as an experienced birth worker, allowing her to show up for herself in a way that helped her create an experience that helped her heal. Erica was a teen mom when she experienced early delivery with her first child. Twelve years later, she would deliver her son early, but she prepared herself for that happening, as she asked to have her cervix measured throughout the pregnancy. Awareness and preparation proved to be critical components of having the birth she wanted.

Labor would be intense and quick, but it was familiar, and Erica had called her sister to the home as she made preparations for her oldest child, whom she hadn’t planned for, to be there. Erica was intentional about not shifting the plan or boundaries with her daughter in which she had not prepared for that role. She and the baby went to the hospital, accompanied by her sister. Erica shared that she had delivered the baby at home and was coming to be checked out. The hospital staff greeted them with lots of questions and astonishment. They were ready to start their protocols, but Erica made them pause and advocated to maintain their bonding time. They relaxed a bit once they knew she was a birth worker. Her self-advocacy allowed her to maintain a gentle transition of environment for her and her newborn.

In the spirit of intentionality, Erica created a plan for her postpartum care to protect her mental and physical health. Building a healthy support system has been the key to developing a healthy family structure for their family. Removing the superwoman persona and allowing her world to shift and change as needed with grace is proving to be the best practice.

121 |Aligning Care - Dr. Petagaye English

Dr. Petagaye English graciously joined us to share her experiences with pregnancy and birth. Her pregnancy would challenge her health and wellness and desire to be a "model patient." Because Petagaye is a physician, her provider did not follow AGOC recommendations which would have helped release her from being her own caregiver. There is a difference between being your own advocate and being charged with monitoring your own vitals and determining when you need additional care. Petagaye deserved to have a provider who took medical history into account every step of the way. She changed providers but still found herself back under that physician's care in postpartum. A birthing person deserves care that allows them to take off the hats they wear every time they enter a space to be cared for. Her provider honed in on issues that didn't match Petagaye's concerns and missed vital information that ultimately led her to change providers at 32 weeks gestation. Her new provider was focused and attentive to her medical care and monitored her closely. She was eventually scheduled for an induction.

The labor process proved stressful as her pregnancy had been shrouded with medical issues beyond her control, leaving her feeling robbed of some of the joys of pregnancy. Leading up to her delivery, she experienced anemia, hypertension concerns, and intrauterine growth restriction. She would deliver her baby after 40 hours of labor. But because her baby was smaller than average, she stayed in the hospital longer for bilirubin treatment and blood sugar monitoring. Unfortunately, she would return to the hospital for postpartum preeclampsia under the doctor's care she had fired at 32 weeks.

Dr. English credits her pregnancy challenges with shifting her practice in the care of her patients. She never wants anyone to feel the way she did during her pregnancy. She spent so much energy trying to be a "model patient" that her care from other medical professionals was neglectful and dismissive. Her advice is not to be afraid to seek care from somewhere else if the care you are receiving does not match your research and preferences.

87 | A Mother's Work - Oriel McKinney

Oriel started her pregnancy as being relatively normal and without issues. Her and her husband prepared by taking all of the new parent classes with excitement and curiosity. Her story took an abrupt shift when her blood pressure started increasing, and she found herself being treated with medication and was not aware of the cause.

The issues with high blood pressure found her needing additional advocacy by her mother, an experienced nurse. Her mother refused to allow her daughter’s health issues to be brushed off or delayed treatment. She shared how her treatment shifted as her language matched those of the medical field. She was admitted to the hospital for further monitoring, which led to an emergency surgical birth at 33 weeks, as her baby didn’t pass the assessments.

Oriel had a feeling of Deja Vu as she carried her second child. Things were going well, and she treated herself to a maternity shoot as she surpassed the 33-week mark. However, she was met with more blood pressure challenges and needed to deliver her daughter just short of being full term at 36 weeks.

Challenges with preeclampsia marked both pregnancies and influenced some postpartum life changes that have led the way for a healthier life for Oriel. She shared her journey as a NICU parent and how she never paused for her healing, as is common for parents with special needs children. Now Oriel stands by scheduling time for herself and has the support of her partner to honor it. Listen in for a story about the incredible power of advocacy and resilience.

Hospital Birth, Cesarean Birth, NICULaurel GourrierJanuary 21, 2021NiCU Families, Birth Advocacy, Surgical BirthComment

61 | Blooming Mamas Wellness - Bianca Marie

With a relatively easy pregnancy, six weeks before her EDD, she didn't automatically think the cramping she was feeling, and an abnormal gush of water was her being in labor. Throughout the next couple of days, she went about her routine but did schedule an appointment with her OB to ensure all was well. Her doctor instructed her that her day would be taking a turn during her visit, and it was best she head to the hospital. At the hospital, Bianca and her husband were shocked to find that not only did her water break at some point, and she was 5cm dilated.

Throughout the day, they found the staff supportive and receptive to her fiance being a strong advocate for Bianca. It wasn't until the shift change, and when they decided to move forward with an Epidural, that care began to shift. Bianca and her fiance started feeling rushed by the nurses, and a lack of attention to details. During the placement of her epidural, the tech created a chaotic situation. That not only caused stress and fear for Bianca and her fiance but was overly dismissive of the harm they caused and the effects that had for the rest of Bianca's birth.

Her story is a reminder of the sacredness of birth. That those who have the honor to be a part of that space treat it with respect it deserves. No matter how many births as birth workers, support systems, and care providers we have attended or supported, each one is new for each family. It is a privilege to hold space for them because your birth is an experience you carry for a lifetime!

56 | Stay the Course - Gabrielle Burks

From the beginning, Gabrielle and her fiance knew with the birth of their son; they were going to do things differently this time around. They hired a doula, hired a midwife, and began preparing for their homebirth. Yet seven months into their pregnancy, they were hit with the news that their midwife wouldn't be able to support them, and they had to go back to the drawing board. They visited different hospitals until they found one that felt right and enrolled in a nine-week intensive birth class. In this class, not only did they learn about childbirth but how to control their care, work with sand speak with their care providers to ensure that all decisions were based on and from informed consent. The lessons learned from this class would be vital in their advocacy and care during and after their son's birth.

Her son was born, but not breathing - care providers eventually revived him, but due to the length of time he was without oxygen, they were unsure if he would make it through the night. Gabrielle made that doctor eat his words, pray with her and her family, and demanded that no stone go unturned in her son's care. Her experience highlights the dark parts of birth, the parts we hope never happen, and yet it brings forth what can happen when you have the pieces to be empowered and use them fully.

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