Posts tagged Postpartum Mental Health
148 | A Midwife’s Unplanned Homebirth - Gianna Fay

Gianna and Evan have welcomed three children into the world. The words joy, blessing, and purpose have marked each pregnancy and birth. They learned that they would be having a girl after the birth of two sons. Their daughter's birth would make her the first girl born on Evan's side of the family in over 100 years.

At 38 weeks and six days, Gianna would go into labor while preparing for the Super Bowl party they were hosting. She managed her surges and dismissed them as Braxton Hicks contractions increasing because she had been busy that day. After putting the kids to bed, she realized that she could be in active labor. In her solitude, she drifted into "laborland." Evan joined her and started timing her surges, they began to get ready to leave, and her water broke. The surges intensified as they waited for her cousin to arrive to be with the children. A few strong surges would pass, and they would notice meconium in the leaking fluid. Her midwife brain would click and shift her focus and alarm Evan.

The pressure would set in, and she had to determine if they would stay home or go. Baby Chloe decided for them and arrived with additional support for Evan from the 911 dispatcher. They knew they would still want to go to the hospital, as it was the original plan. The baby was fine and vocal as they awaited their transport to the hospital. The EMTs arrived and helped them get situated for the ride; the energy shifted as they thought they were coming to intervene in complicated home birth. She informed them that she was a midwife. Once they arrived at the hospital, Gianna would be in midwife mode and ready to be checked over and welcomed into L&D. Everyone was doing well except for a tear that would help her come back to her body and feel pain.

Postpartum planning happened prenatally, and that was helpful for the whole family. Evan and Gianna worked through a plan and garnered the support they needed. They were intentional about getting what they needed most, including paying for a Mom's helper, nutritional meals from a meal planning company, and in-home support from the women in their family. Communication every few weeks as they determined what they needed at each stage was a key to maintaining their sanity with three young children. Although they had a great birth and supportive care, postpartum anxiety became evident through symptoms like irritability. She connected with her therapist and is still navigating those waters with grace.

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141 | Forged in the Storm - Letitia & Brandon Gordon

Letitia and Brandon Gordon discovered they were expecting their second child when she was in nursing school. She found herself in a season of busyness and wanted to complete as much schoolwork as possible while managing her own business and their family.

Much to their surprise, Letitia started noticing signs of labor when she was 28 weeks gestation. After informing her doctor of her concerns, her provider assured her that it was not labor and shouldn’t be concerned. Her doctor was dismissive; that’s a common issue when we talk to Black women who have had complications in their pregnancies and labor. Unfortunately, Letitia was right; she was in labor and would report to the hospital the next day. Fear and panic kicked in, and her husband was a steady source of comfort and grounding as they prepared to welcome their second son unexpectedly early.

Letitia’s birth experience altered her career path, as she planned to be a psychiatric nurse. She’s now a labor and delivery nurse, trained birth doula, and a midwifery student. She brings hope, comfort, and support to expectant families with her own lives experiences and skills.

Letitia opened up about a new battle, breast cancer, during our interview. She is undergoing treatment and maintaining her family and professional responsibilities. Many of you know the toll that cancer treatment can take on a family and their finances. We have an ask - if you feel moved to support Letitia and her family, please listen to her birth story, and donate to her GoFundMe account.

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140 | Reclamation - Jennifer Walton

“It’s not the baby. It’s you.” These are the words that Jennifer Walton would hear from her medical provider as he determined with a quick cervical check that she would need to deliver her baby via surgical birth. In fact, he later told her that she would never be able to deliver vaginally because a baby couldn’t fit through her pelvis. Jennifer didn’t want a c-section and made that clear to her provider. But the cascade of interventions and the lack of informed consent would send them into a spiral that left little room to catch up mentally to what was about to happen to Jennifer physically. There had been no complications or concerns, but a lull in labor would drastically alter Jennifer and her husband, Sean’s plans. Their first baby would be born healthy and strong, but the surgical birth trauma would linger into their postpartum world.

The Walton’s welcomed their second pregnancy with a young toddler to care for. Jennifer was determined that this birth would be different. The first pregnancy had been easy, and they had the rug pulled from under them in the twilight hours of labor. Jennifer was different; she had been fire tested and was prepared to put in the work to change the narrative that had been created about her body. The weight of her previous provider’s words was pressed into her psyche. She knew that she wanted a VBAC and stacked the deck to support her goal. Jennifer selected a new OB/GYN; she was a Black woman and made her feel supported and heard. Her friend introduced her to the term doula, and where she could find one, She connected with her perinatal support doula, Jessica Roach, at Restoring Our Own Through Transformation (ROOTT). ROOTT is a collective of concerned Black families, community members, advocates & interdisciplinary professionals dedicated to decreasing Black maternal & infant mortality in Ohio. The heart of their work is the commitment and rigorous training of their perinatal support doulas. Jessica educated her about her rights as a patient, guided her family through a healthy pregnancy, and helped strengthen their resolve for Jennifer to deliver their baby vaginally.

The fear of a uterine rupture would still linger in her mind, but with the support of her birth team, she moved forward with planning her VBAC. Jennifer recalled Jessica’s words in the midst of laboring at home, “Stop fighting your body and let this thing happen.” She did stop fighting her body. She let go of the defeating messages from her first pregnancy, surrendered to the process, and found her voice and strength. She gave birth to another healthy and strong daughter, accomplishing her VBAC.

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139 | Birth Beyond the Status Quo - Ashlee Johnson

Ashlee Johnson's passion for birthwork grew from her first pregnancy and childbirth. She would bring forth life three times with a dedicated birth team. She welcomed being pregnant and can recall the first pregnancy as an enjoyable time despite hearing so many negative stories that people felt compelled to share with her. It would be a chance encounter, during her first pregnancy, with one woman that listened to her birth preferences and encouraged her to go for it. She let that affirmation set within her and committed to honoring her own plans.

This foundation would serve her throughout the births of her other two children. Ashlee and her husband prepared by attending birth classes and feeling fully supported in a birth center and homebirth care. She describes her births as amazing because she felt educated, had a positive attitude, and had a birth team that met her expectations. In the early postpartum days, breastfeeding was challenging due to latch issues. Yet, Having set up a solid support system, she overcame the learning curves, focused on her healing, and addressed her postpartum depression. For Ashlee, preparation is vital, expressing that no matter if birth plans shift, if you've prepared, you're in a better position to steer things your way.

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129 | Victorious Together - Chelsea Butler

Chelsea always knew that her first child would be a son. However, she couldn't predict the circumstances of when she would become pregnant. A global pandemic would bring her aspirations of acting to a screeching halt as production stopped. She shifted gears as she needed to prepare for caring for herself and a new baby. Emotional issues developed as her relationship with her partner deteriorated. She felt alone. Depression set in, and conflict with friends and family grew.

Elevated blood pressure, news that the baby was determined to be large for his gestational age, and gestational diabetes concerns overshadowed her birth plan hopes. Her provider started discussing a surgical birth before she had an opportunity to labor. She disagreed with her OB/GYN's preeclampsia diagnosis and decided to change from hospital birth to a birth center that could support her plans. The midwives at the birth center agreed to accept her for care. She didn't feel connected to them or fully confident about the birthing space, but she pushed forward as it seemed like a better option than the hospital.

Chelsea's membranes ruptured, and she contacted the birth center. She was told to rest and give herself time, and she eventually went in to have her fluid tested for amniotic fluid. After two days of leaking and intense back pain, she contacted the midwives, and they told her to wait again. She reported to the birth center on the third day, and her rupture was confirmed. However, she had not dilated despite feeling like her body had completed a lot of work. She kept herself active and wanted to use water therapy to support her comfort. She would manage the labor, but her cervix did not dilate. She would eventually transfer to the hospital to manage the rest of her labor. The hospital shift was challenging mentally and physically. Chelsea reached ten cms and immediately started to push even though her son was still high in her pelvis. A surgical birth became her last option, and it was quickly discovered that her baby had swallowed meconium and had fluid in his lungs. In addition, she had nearly hemorrhaged. She reflected on the intensity and degree of interventions in the hospital; everything she had wanted for her birth had crumbled. She felt disconnected from the people caring for her and the space she was in.

Carrying all of the trauma home with her new baby would be a rollercoaster. Therapy and group support have helped. She has also connected with the women in her family to help build her connections and heal. Healing comes one day at a time with intention.

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128 | Mothering the Mother - Megana Dwarakanath

Megana knew that she wanted a family, and before meeting her husband, she had even considered taking on the role of parenting without a partner. But soon after moving to a new city, she met her husband; they fell in love and began discussing expanding their family. They both wanted to have two kids before Megana got a bit older and had planned to start trying to conceive after getting married. But their March 2020 wedding was canceled due to the beginnings of the COVID-19 pandemic, leading them to move forward with a small ceremony and begin trying to conceive in May.

As a healthcare worker (pediatrician), Megana was aware of the studies around birthing folks in her field having two times the rate of infertility than others. Many of her friends in residency with her had shared their struggles with infertility. With that in mind, she was emotionally prepared to have some struggles of her own with conceiving but was grateful that she was pregnant within three months of trying. The beginning of her pregnancy was layered with many parts. They were going to be moving cross country; she had lost both her grandparents, dealing with the pandemic and also working through the pandemic and didn't fully have care established where they were moving; Megana describes that time as "surreal."

Amongst her birth preparation, she was journaling, reading, and listening to positive birth stories and remained active, running up to her 39th week of pregnancy. Her due date came and went, making Megana uneasy as she knew she was losing time from her maternity leave. Her jobs maternity leave policy would give her 12 weeks, and she had already begun using some time waiting on the arrival of her baby. Taking that into consideration, Megana elected to support her progress with an induction. Induction included two doses of misoprostol, moving her quickly into intense labor. Reviewing all her options and managing the frequency and intensity of her contractions, which had started putting her baby in distress - Megana decided to have an epidural to provide them some rest and allow her body the space it needed to continue to progress. After about an hour and a half of pushing, her daughter was born. Megana did suffer from a 2nd/3rd-degree periclitoral and labial tear, which would impact her in ways she wasn't prepared for.

Within her great support village, Megana's sister would be the guiding light in helping her navigate all the new transitions. The reality of how debilitating her tear was, combined with the level of rest she needed and what maternity leave entailed for caring and bonding with her daughter Megana was falling into a postpartum anxiety/depression cycle. With the support of her sister, they established some concrete strategies to guide her through this time and enable her healing.

Megana's journey with an extremely short maternity leave due to the American Board of Pediatrics policies has led her to be a driving force for changing maternity leave policy. She wrote an oped that has changed policies in her department and has a postpartum group for other South Asian women to discuss some of the cultural misogyny and expectations they contend with. Check these essential resources out in the show notes.

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123 | Living the Promise - Carrita Flie

Carrita Flie graciously opened up to us about both her miscarriages and birth. This was the first time Carrita shared the details of both her traumatic losses and one amazing blessing. Due to her history, her third pregnancy was heavily monitored. She worked with maternal-fetal medicine in addition to a regular OB as she was considered high-risk. They discovered that her cervix had thinned at 21 weeks and had a cerclage placed to help keep her from delivering her baby early. It was difficult to hear that if her water broke during the procedure, there would be no life-saving efforts for the baby due to "point of viability" gestational age, which can vary from 20-24 weeks in different areas. Her planning was minimal as she could only focus on having a living, breathing child at birth. The plan was survival.

Carrita reached 26 weeks and attended her regular prenatal appointment, and it was without incident. When she arrived home, she started to notice regular contractions and eventually lost her mucus plug. She called her husband for support and was taken to the hospital. The nurse at the hospital immediately dismissed her concerns and denied that she was in labor. The doctor on call completed a cervical exam and confirmed what Carrita already knew. Carrita had reported to the ER three times before that day and was angered at how she could have been better served by the staff and possibly prevented the premature birth. She had a brief encounter with her baby after his emergency surgical birth by way of a resounding cry. He was whisked away to the NICU for care, and Carrita remained in the operating room with her health issues. It was traumatic as she felt everything happening to her body as her epidural had started to weaken. A Black nurse was present with her in the operating room that she credits as being an angel to her and kept her safe from potential harm as her doctor was trying to manage her care.

Postpartum was stressful as she was pumping for her newborn and studying for her finals in her postgraduate program. The NICU stay began snowballing as her baby battled respiratory issues and infections that led to life support measures. The road to recovery and healing would be long for both Carrita and her husband while they were both on their trajectories. The space to pause was delayed for over a year as their family managed the health concerns. Today, Carrita can see not only where she was but who she is now mentally and physically. Their son Isaac, named after the promised son to Abraham and is growing, healthy, and strong after enduring multiple surgeries and therapies.

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113 | Embracing Change - Charlotte Shook

By 40 weeks gestation, Charlotte had not started labor, and her provider was supportive in honoring waiting for any interventions until 41 weeks and not beyond 42 weeks. She found herself feeling anxious about the possibility of induction and the cascade of interventions. Fortunately, Charlotte’s body had spontaneously started labor, and her doula and doctor helped comfort her and ease her into the labor. Charlotte knew her membranes had ruptured but did not believe she was experiencing surges (contractions). She went to see her doctor after having ruptured membranes for 24 hours at her doctor’s request. Surprisingly, there was no physical evidence of progress in the labor, and the cascade of interventions began - cervical ripening, Pitocin, two epidurals, all over three days. Finally, her body relaxed and began to respond to the interventions. She called in her doula as they had managed virtual support due to Covid protocols at the hospital. After an hour of pushing, Charlotte was able to grab her baby and pull him out as he peacefully entered the world.

Postpartum sleep deprivation marked the experience once they went home. Charlotte made sure to step out for fresh air for walks with her husband. Family and friends were supportive by preparing and paying for meals and some limited in-person support. After a 12-week family leave, her husband returned to work, and things shifted for Charlotte and her son. He started having latch issues and losing weight. They tried a chiropractor, allergen tests (for dairy), and two lactation consultants. The second lactation consultant could meet “in person” and was the most helpful in addressing the issues.

Charlotte encourages birth preparation, and despite the shifts in her labor plans, she still used many techniques to center herself. She learned about all of the possibilities beforehand and offered herself grace to mourn the loss of the experience that she wanted.

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110 | The Sacred Bodies - Katya Suh

Katya Suh and her husband, Ndamunkong Suh felt uneasy in the early weeks of her pregnancy as she had early spotting that would significantly reduce physical activity. This proved challenging for Katya, a former collegiate basketball player, as she was accustomed to living an active lifestyle. The spotting was anxiety-producing, and she grew concerned about her ability to carry her pregnancy to term, especially since they were expecting twins. Katya described her prenatal care as excellent as she felt respected and heard during her prenatal visits. The spotting eventually subsided, but she needed to continue maintaining low physical activity. She felt fully supported by her husband during the whole pregnancy but especially in the first trimester. He assured her that "they" were good no matter what the outcome was. Katya viewed the third trimester as "crazy" as her husband and his team won the Super Bowl, moved into their new home, and began to prepare that space for the babies.

At 38 weeks, Katya consented to a scheduled induction. She was able to have both her husband and her mother present for the births, despite having been unsure if her mom would be allowed to attend due to the hospital's restrictions during the pandemic. Labor was intense, and she chose an epidural for additional comfort. Part of their birth plan was for Ndamunkong to stay with the babies if there were any issues. The first baby, Kingston, was healthy, and there were no complications for him. However, their second baby, Khari, had fluid in his lungs and needed additional medical support with a CPAP. Katya's husband went with Khari to be present during his treatment. After her deliveries, Katya experienced a postpartum hemorrhage - which resulted in her needing to receive two blood transfusions, and she has had a healthy recovery.

Katya has intentionally expressed her needs and emotions with her family and friends as she is still in the fourth trimester. She has learned to lean in for support and credits her village for how they are managing newborn twins — embracing her evolution in becoming a mother, both mentally and physically.

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93 | Rooted in the Body & the Home - Courtney Stallworth

Being a maternity nurse, Courtney knew the lack of focus on preparing for the fourth trimester. For her, a vital part of preparation when pregnant was anchoring into how she would support her healing and bonding during that time. This encompassed building a full birth team - a midwife aligned with her vision, a lactation consultant, a pelvic floor therapist, and ensuring her husband was empowered as well.

When early labor began at 38 weeks for Courtney's first birth, she spent most of that time in the sense of denial. As she moved about her day, her body and baby showed signs that his arrival would be soon. It took encouragement from her husband and midwife to help shift her mindset that the time had come. As she was having a homebirth, Courtney moved about her home and different positions to help with progression. It was a pivotal moment for her to feel her son engage in her pelvis, prompting her to have her husband get her birth pool ready and have her midwife join them. Being able to lean into her husband for support and having space to trust her body entirely, they welcomed their son soon after.

When she found herself experiencing the signs of labor again 16 months after her son's birth, the sense of familiarity with her body's response was strong. This progression was much faster, a surprise to Courtney, when she began pushing her "body, grabbed onto the energy," and her daughter began making her way.

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67 | A Mother Who Meditates - Kristen Hanna

Kristen felt moved to share her birth story with BSIC as she felt it uniquely provided a space for women of color to be open and raw. Kristen became aware of her first pregnancy while traveling in Northern Africa. She managed to acquire prenatal care there, despite language barriers. Eventually, she transitioned back to the states still within the pregnancy and decided to hire a midwife for a home birth due to her late gestational age. Kristen’s view of pregnancy as being an expansive experience helped her take on the challenges of pregnancy. She maintained her regular routine and interests, which helped her later invite her new baby into their family. When her Labor Day arrived, she found herself being called to task about her own beliefs in meditation and the power of the mind.

Her daughter’s birth led her to start Blissful Birth Yoga, focusing her practice on prenatal support. She uses her personal experience and skills to support women and birthing people for the physical, mental, and emotional portions of labor. Kristen and her partner found themselves expecting another child and are preparing by letting the pregnancy flow, knowing that anything could change along the way. We look forward to part two of Kristen’s journey through motherhood after her son arrives.

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66 | Universal Language - Heather Gallagher

In thinking about what she wanted for her birth, she wanted it to be full of choices and led by her voice. For Heather, that meant a strong birth team of doulas and midwives, having a homebirth, and following her body and baby's lead. At about 45 weeks, after a walk under the full moon, Heather's water broke, and things began moving pretty fast. After laboring for about four to five hours, Heather was pushing, yet she would be stopped suddenly by her midwife, expressing to her that they would need to head to the hospital, making it clear that this was an emergency. Her son's head was stuck behind her pelvis and would need support from forceps for his arrival.

Heather's postpartum journey has had its hills and valleys. Dealing with postpartum depression and anxiety for about three and a half to four years, a diagnosis that she didn't get until her son was two and a half - " I knew I was in it, but I didn't know what it was, I just thought this was my new normal." While also working through her mental health, she was navigating her nursing journey. Due to the forceps, her son needed cranial sacral therapy to get his jaw back in alignment, impacting his beginning of nursing. But they were able to find their rhythm until he was about five and a half. A dance they worked through continuously figuring out what worked for them. All of this is a testament to her spectrum of life, an aspect that Heather takes into her work.

Heather considers herself a full spectrum photography - documenting all facets and stages of life, from the time you enter the world, through the life you lead, and upon your transition into death. Understanding the vulnerability and trust needed for capturing these experiences with authenticity, Heather's work is "extremely inclusive, empathetic and intimate" aspects that she also takes to support families as a full spectrum doula again honoring life and death. She is hoping that with her new project within Life's a Spectrum, she can unveil new parts for people about themselves. An ability to look at the layers of their life, the emotions they have carried, where they set their boundaries and limits, but most importantly, what's their center and where they always come back to.

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44 | Birthed From the Heart - Tara Clifton

Tara found out she was pregnant during her sophomore year of college and immediately was met with shame. Coming from a family that wasn't fond of her experience and attending a predominantly white Christian college, she spent most of her pregnancy in isolation, not talking about it and shutting herself into her dorm room.The dismissal of her journey also showed up during the birth of her daughter. Her doctor and nurses ignored her wishes and were forceful in their approach, resulting in Tara's explaining a traumatic birth experience.

Feeling a sense of loss from who she was before her baby, both physically and how she could live her life, Tara is clear that she suffered from postpartum depression. After an incident, Tara knew a change needed to happen. In a Facebook mother's group, she began sharing her story, finding that she wasn't alone in her experience and that others connected with her. She shared more, hoping that by doing so, others wouldn't go through the same thing, but she also found healing in sharing.

We leave every episode with lessons, and Tara's were;

  • "Don't allow your truth to be silenced because it makes other people uncomfortable." - Tara Clifton

  • The importance and value of community birth workers with similar lived experiences working under a lens of reproductive justice.

As we navigate the COVID-19 pandemic and the tighter lens of racism, the lessons learned from Tara's are even more important!

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42 | When Home Birth Moves to Hospital - Dasia Gant

Dasia Gant was proudly serving in the military as her family was starting to grow. Dasia’s expectations of pregnancy challenged her as she was once a stellar athlete who had thought she would continue to be active and work out. But pregnancy took a toll on her body that she was not ready for, although watching herself grow was still a beautiful time for her family.

While a homebirth were her plans, shifts during her labor required a transfer to the hospital. Upon arrival, she began to feel like she was disconnecting and handing over the reins of her birth to the hospital staff. She requested an epidural to help relax her body and allow the physiologic process of birth to continue. The anesthesiologist started to insert the needle in her back, and she began to feel a hot and tingly sensation going down her back. This would go on six-eight times before her epidural was placed correctly. The experience would mark the shift in her labor that would have lasting physical and mental repercussions for Dasia. Her story is one of resilience, strength, and determination that we easily connect with those who choose to serve.

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37 | Bringer of Light - Anique & Ali Russell

The theme of this year's Black Maternal Health Week is, Centering Black Mamas: The Right to Live and Thrive - we feel that Anique and Ali's birth story aligns beautifully. When they found out they were pregnant, Anique and Ali wanted this birth experience to be different. They became intentional about their preparation. Researching birth outcomes for black women, being clear on Anique's health, receiving support from a black care provider, and support from a black doula. That intentionality provided them the tools and confidence to find power in their voices and their family's story.

"Our daughter's name means Bringer of Light. During my second pregnancy, I gained peace with my birthing process. I learned so much information regarding black maternal health, what it means to have a doula, my body, and a wonderful breastfeeding journey thus far! I feel I have a light that I am ready to pass on to other mama's!!" - Anique

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36 | The Legacy of our Stories- Lavita Stokes

Do you know your birth story - do you know what your parent's experience was like bringing you forth into the world? For many, conversations about our own births occur once we are having our children, possibly much later than that. This episode was special in that our host's Laurel's mother, Lavita, shared her four birth stories. For Lavita, she expresses that all four of her pregnancies were healthy and straightforward and that, for the most part, her births were the same. Each of her labors was 6 hours long and each different in their regard.

Recounting her own birth stories and experiencing birth as a grandmother with her daughter Laurel, brought to the forefront the generational shifts that birth can provide. Knowledge of how our families experience pregnancy and birth strengthens generational bonds—a picture of how the world has changed around birth and how our families have changed as well.

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32 | Navigating Motherhood Through The Lens of Postpartum Depression - Briara Lowery

After having her son, she expressed that physically she healed well, yet struggled healing mentally. When considering what postpartum might look like, she didn't think postpartum depression was something that would affect her. Looking at all the risk factors, in her mind, she didn't fit the mold. Her experience with postpartum depression required her to process her birth, examine how she was taking care of herself, and reflect on her expectations of what parenthood should look like. In doing that work, she acquired the tools to navigate that part of her postpartum journey.

Briara found power in telling her story and wanted to spread awareness while doing so. She founded Melanin Mommies, a Philadelphia based nonprofit and safe space for pregnant, new and seasoned mothers alike. Lowery noticed that the mothers in her community did not have as much access to resources as other mothers in more affluent areas, and so she decided to make a change. It is a space for mothers of color to connect, find healing, and discuss navigating the realities of motherhood.

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31 | Breaking Generational Cycles - Brandy Wells MSW, LISW

Brandy shared the pregnancies and births of her three daughters. As you listen, you can connect with the intentionality of the growth she has achieved through her parenthood journey. Her first birth, she wasn't prepared, and it manifested not only how she took care of herself during the pregnancy but also in her birth. Knowing that wasn't what she wanted, with each new experience, she added preparation elements, to ensure she could walk away from her experiences empowered.

It was beautiful to hear how using conscious parenting or as Brandy describes it "teaching lessons while parenting," she is breaking generational traumas and cycles. Her children can see the growth of their parents and echo it in their development and relationships.

A key component of Brandy's growth is how she has engaged her elders — speaking to them about their births and childhood. Using the gift of storytelling to dig deeper into her healing while also creating stronger bonds. She left us with a plethora of tools on navigating how to hold space for ourselves and our families.

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29 | My Existence is Valid - Stephanie Mitchell CNM, MSN, DNP

For many of our guests, sharing their story on this platform is the first time they have processed out their experience. Sharing the parts of their story that they may have kept tucked away or didn't even realize had an impact on them. As we listen to Dr. Stephanie Mitchell CNM, MSN, DNP, reflect on her inaugural birth, we see how her birth set the tone for who she would be as a care provider.

Her own experiences of parenthood and working within the healthcare system highlighted the opportunity for change when we respect the connections made through storytelling. Dr. Mitchell supports her patients with the intent of guiding them to resources and information. As she put it, "not letting my office day define the information that I give." When we think about the care and our relationship with our care provider, we envision someone like Dr. Mitchell. Someone willing to go outside of the box. Finding the balance of mixing their own lived experience, training, and our lived experience within our care. That at the end of our time together, we know we were heard and seen!

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28 | Second Opinion - Natalya Alexander

When Natalya and her husband began the process of expanding their family, they imagined it would be the same story of many of their friends. After a year of trying to conceive, they went to a doctor hoping to get answers as to why it was taking so long. After numerous tests and scans, Natalya and her husband were left with the diagnosis of "unexplained infertility."

That diagnosis led them down a path of navigating a fertility clinic and the process of Intrauterine Insemination (IUI) LINK, a form of fertility treatment. Unfortunately, this process was unsuccessful and after many attempts and feeling discouraged from her doctor. Natalya knew she had to advocate for herself. She and her husband found a new fertility clinic and got a second opinion about how to move forward. The doctor recommended trying the process of In Vitro Fertilization (IVF), and they were able to conceive after the first round of treatments.

It is essential that we discuss and celebrate the variations of creating our families. By sharing her story, Natalya is hoping it highlights the journey of IVF and establishes a support resource for others who may be going through the same thing.

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