Sometimes I have heard it all............

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Let’s talk pregnancy myths. There are a lot of days where I think that I have heard it all. Anyone else notice that all of sudden when you become pregnant everyone is suddenly an expert? You begin to receive all the advice from family members to people in the produce section. I often am left scratching my head at what some of my clients are told, or comments that are made to them. Here is the thing, you don’t have to listen, and it is perfectly acceptable to let people know that you are not going to listen, nor are you interested. The worst thing is that people love to tell their horror stories. While birth trauma is a very real and serious thing, all people don’t experience birth trauma. I am saying this as someone who has. The advice that I give to all of my clients is to simply state that you would love to hear about other people’s birth story after you have your baby. Their story does not have to become your story. Plain and simple.

So, let’s go over some of the myths that are out there. I have to be honest, some are down right ridiculous.

  • Myth 1: Pregnant people should eat twice as much. NO. Just no. If you are beginning your pregnancy at a normal weight, evidence shows that you typically need to increase by about 200 calories. We do not need to eat double. I am not saying that we need to count our calories, however being pregnant someone always comments on what our food choices are, and it really is none of their concern.

  • Myth 2: Heartrate can determine the sex of the baby. Another no. If it’s high it could mean that your baby is currently active. If it is low they could be resting/sleeping. There are a lot of reasons that baby’s heartrate is registering the way that it is, and babies sex is not one of them.

  • Myth 3: Sex during pregnancy can hurt the baby. Nope. An anatomy lesson is helpful with this one. The baby is floating in a bag of water. That bag of water is surrounded by thick muscle, (uterus) which surrounds the entire bag, and is actually thicker at the bottom. There’s no way that sex is getting anywhere near that baby.

  • Myth 4: Eating spicy foods will induce labor. Sorry, another no. There is no evidence based research that points to that this is a thing. I tell people all the time, the baby is going to come when the baby decides it is time.

  • Myth 5: Coco-butter prevents stretch marks. While coco-butter is a product that people love, there is no evidence that this works. Honestly, this is something that is probably genetic in nature. It’s not worth spending a ton of money on expensive creams, it’s probably not going to work. Again, science. Our skin is prone to all sorts of different conditions at different points in our life. I have spent many years previous to being doula in the cosmetics industry. I have worked with some of the most respected products on the planet. Everything from Creme de La Mer, La Prairie, SKII, Lauder, Aveda. I could go on and on. In EVERY single training that I have every attended when we would ask cosmetic executives that answer was the same. The only thing that truly works is actual cosmetic procedures. That is the truth.

So, my advice. Evidence Based Information. That is what to look for. That is what we should seek. Research. That is what we should trust. While some of the “old wives tales” that are out there are endearing, there is often not a lot of evidence behind it. So, carry on, smile and do what you need to, or what your provider recommends. Smile and enjoy your pregnancy.

Quarantine Babies and Pregnancy

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I have seen a lot over the last year. One thing that has not changed is that people are still having babies. When we first went on lockdown, as we probably all remember, everything changed. Doulas were no longer allowed in hospitals or birth centers, I mean honestly speaking no one was really allowed anywhere. We as a culture also grew to understand, respect, and honor those that were referred to as essential workers. All the people that kept us safe, that risked their lives, and still reported to their workplace, despite the dangers that at that point were unknown and that seemed to be lurking in plain sight. I do want to take a moment to thank ALL the essential workers, the doctors, nurses, grocery store employees, the SHIPT and other delivery services, and all essential workers that allowed me to live comfortably and stay home. I realize that this may not be one of my most popular posts, however, there is something that I tell all my clients. I will ALWAYS tell you the truth and I will ALWAYS be honest, so this post will be no different. I also came to recognize my privilege during all of this. I was able to stay home, and take care of my family, although I was not able to support birth in the way that I was used to do, we absolutely stayed home. My son has an autoimmune issue, so we have been more careful and continue to do so in light of our current climate. The way in which we all did our job I imagine became different. I was made to support virtually, and my eyes were opened to a world where I was still able to positively impact the people that I serve in a valuable way, just different from what perhaps was imagined. I was lucky in the way that I had already been attending births virtually as I have served families that live across the country so I knew what was going to work and what wasn’t. Things were just different, and still remain different.

Let’s discuss some of things that I am still seeing. Continuity of care is different. LET’S GET ONE THING STRAIGHT. I am not a doctor. I would never tell a client what they should do or should not do. I will however provide evidence based information in order for them to make the best decision for their family. Some of my clients have delivered their second or third babies with their same provider and what they experienced this time during the duration of their pregnancy has been very different than what they experienced the first time around. We were and in most cases seeing families that are only allowed to go to their ultrasound and other appointments without their partner, and in the beginning of the pandemic some of the appointments that we have come to expect were skipped altogether. I absolutely understand the providers need to limit their exposure and the exposure to others in the clinic, however that does no negate the feelings that most have in regards to having to attend these appointments alone. We are still seeing providers recommend inductions and at times starting at 37 weeks. The reason for this in the beginning of the pandemic was due to available hospital beds. As a country we are blessed that we are in a stage of this pandemic where that is not the case at the present, yet I am still seeing some providers mention this to my clients for no other medical reason other than the pandemic. I am also seeing a manipulation tactic at some local hospitals where they are being overly nice, yet pushing clients into a lot of interventions upon their arrival when they have planned for a intervention free birth. Again, not for any medical reasons. I had one client tell me recently that their provider would automatically begin pitocin when they arrived “to speed up their labor.” Labor is not a race. It does not need to move at a clip.

At the onset of the pandemic babies were being separated from their parents for fear of spread. Thankfully ACOG, WHO, AAP, as well as local health departments have decided that this is not in the best interest of the baby or family. We are seeing birthing people be tested for COVID, and upon a negative result, they are being “allowed” their doula and partner present, no separation of baby etc. This is all great news, however we have also suffered some setbacks that could take years for us to be able to reclaim. Postpartum appointments were also being scheduled virtually or pushed back several weeks. People need their postpartum care and it should not be skipped period. It would take me pages to describe all the differences in care that we see, however there are still amazing providers that are honoring what a family wants, and their standards of care have been unwavering.

People’s experiences that are not related to care have also changed, and in most cases for the better. While none of us would wish to live through a pandemic, I do think that the level of which we evaluate what is individually important has changed. I can’t tell you how many times that I have heard people be grateful that things have changed. They don’t have to make up excuses as to why they don’t want a parade of people through their home days after they bring their baby home. People are working from home perhaps limiting stress and exposure to other things that could complicate a pregnancy. That being said, it can blur the line between work and home making it difficult to manage on line schooling, work, home and the balance that has been asked all of us to prioritize in our lives.

What can we do about some of this? Use your voice. Let me repeat that…..USE YOUR VOICE. Hire a doula, even if it is not me. Ask questions. Learn to advocate for yourself. Ask questions and don’t apologize for it. There are resources available for whatever you need and it is more important than ever to ask for help. Reach out. I think you would be surprised at the support that is available if you ask for it. Decide as a family unit what is important to YOU. You have the ability and the right to set boundaries, and boundaries that aren’t based on what everyone around you thinks is how it needs to be, but on how you want it to be. Honor the post partum period. Hug you baby, and extend grace to yourself because you are strong enough and you and your family are worth it!

It's been a while........

I’ll be honest. I haven’t been the best at keeping this blog updated, however it’s one of my commitments to you and to myself. A lot has changed over the last two years, my oldest drives a car, my middle son is about to start driving, and well, my baby….he’s no longer a baby or even a toddler. He is now five! We are living in the midst of a pandemic, something I never thought I would see in my lifetime. The political climate was the most volatile of which I can ever remember and I found myself in what I can only describe as one of the scariest times that I have experienced since I became a parent. I’ve learned how to parent a teenager, how to homeschool, and I was brought back to exercising the single most important coping mechanism that I have trusted my entire life. The breath.

My serious journey with breath began after I had my first child. In four months, that will be 18 years ago. I suffered from what I now know was post-partum anxiety, but then I was labeled neurotic. Over-protective. Nervous. I was told that I just needed to calm down. Stop worrying. Stop making everything such a big deal. That’s the funny thing about the post-partum/pregnancy time period. You can’t help it.. it’s something that I wouldn’t wish on anyone, and I certainly wasn’t doing it on purpose. Trust me. I didn’t really like being called the crazy new mom. Finally my OB suggested that I go and speak to someone who specialized in anxiety. One of the first things that she did was tell me to breath. It started as those appointments often do, with all the questions that only seemed to make things worse and really make me anxious. And then she looked me dead in the eye and said, “I need you to breath”. Seemed simple enough, however I could hardly catch my breath. Through a few guided breaths, I felt a huge wave of relief. This was my answer. It was in that moment that I understood how powerful breath is. Sure I knew that we need to breath to stay alive, but the controlled breath worked with my brain and my nervous system and I felt like just maybe I would be ok.

Here is the thing about controlled breathing. It triggers the parasympathetic nervous system which is linked to stimulation of the vagus nerve. This nerve runs from the base of the brain to the abdomen. The influence of breathing impacts our central nervous system. The control of breathing involves interaction of both chemical and neural receptors found in the peripheral and central nervous system as well as organs. The neural receptors are found in the upper airway, respiratory muscles, lungs and pulmonary vessels. (Bolton et al., 2003)

We are born knowing how to breath. It seems simple enough. Right? It’s learning how to use this to your advantage. This is where I can come in. Here’s one of the things that I have learned over the years. Meditation is not easy. It is also not for everyone. There are ways to breath and to use breathe without going into a deep meditative response. I can help you use and understand this. Breathing is also managed in the unconscious, but we grab that at any time. It’s a matter of understanding how.

When I was having my first child, my birth team kept telling me to breath my baby down. They may have well been speaking in another language, because honestly, I had no idea what they were talking about. I was also annoyed as I really didn’t want to learn a skill while I was in active labor, so I did my best while blocking out their repeated attempts to repeat this statement over and over again. I kept trying, but in all honesty I really had no idea if what I was doing was working or what they were asking me to do. Looking back, I was just trying my best to do what they said, however after learning about breath and how to control it, I wasn’t even close. I really believe it is one of the single most important tools you have in your birthing, and well let’s be honest your life toolbox.

Science supports this. Your body supports this. Your mind supports this. Evidence supports this. I look forward to helping you understand and harness the power of your breath. It is why every time my oldest grabs the keys to his car, I inhale deeply, hold for one count, and exhale slowly. I then try to smile and tell him…”Be safe, and I love you.” I am so grateful for that breath.

Pregnant over 40

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I’ve written on our Facebook page about this, but here is the thing. Being pregnant isn’t easy, no matter how old you are. Here are some things that I know from experience……The first thing that I will tell you is, find a provider that listens. Not only do they listen, but they are engaged, and have experience with “older” moms. Don’t be afraid to take your time, and look. Ask for referrals. This makes a huge difference in the quality of care that you will receive, because here is the thing. Your age alone will automatically put you in the risk category, and honestly….it shouldn’t.

Having experienced pregnancy at the “advanced maternal age” (nice by the way) it was by far my easiest of my pregnancies. Now, it did come with some annoying little things, like I have never thrown up so much in my life, he was breech from start to finish, but other than that….it was pretty uneventful. Now, let me walk you through my first visit with who the clinic assigned me to. Due to a complicated delivery with my second, I did have some unique concerns, however, what I was met with from the provider herself, was what I think was appalling! After an ultrasound I was told that I HAD to go into the counseling office for additional information. This is where it takes a turn. They brought out a three ring binder which was full of pages of information on what would be wrong with my baby, and the risks I was also “putting on myself.” I am not kidding you when I tell you, they tried to scare me into taking all sorts of additional tests, and really seemed focused on tragedy. I was not having it. I ended the meeting quickly, and changed providers immediately!

Your provider has the ability to make this a much more pleasant experience. Guess what? With my new provider, I felt heard. I knew some of the choices that I had, and she was very reassuring. This made a tremendous difference. I did not have to go into this experience full of fear, and more importantly…tolerating scare tactics that were nothing more than just that. Let’s face it, with two boys already aged 11 and 12, they did a great job of providing all the scare tactics in the world, and I wanted to make sure that I was able to reassure them that everything was going to be just fine, I did not need to dread going into see my provider. My mother told me when I was pregnant with my first, you will love the person who delivers your baby, and you will never forget them. She was right! Be picky, and know that it is never to late to change your provider! I was 24 weeks when I found a new one, and as a doula, I have had clients change at 32 weeks. Do what feels right to you. One thing you will learn as you navigate this new life, rely on your gut. Honestly, it is usually right.

Here is another thing that I encourage people to do, aside from having a doula. Educate yourself. Find a childbirth ed class that focuses on having a baby when you are older. I have served many women, and what every one has said is that they felt like their childbirth ed class really did not focus on some of the things that frankly only we know and understand. We just have a different list of concerns and issues. Honestly, I have not found one yet, but if you have a doula, they most likely can give you the information that you need, and if they can’t they know who can.

All in all, ask questions. You don’t have to go into this experience with a fear mentality. Sure, some fear is bound to rear its ugly head, but if you ask the questions, you will have the information that you need to make the best choices for your family, and that is the best possible feeling. It all comes down to support. Find your people. Let them rally around you. Support you. Love you. Don’t let fear and mis-information guide this process for you. As always, I am here for you.

Birth Plan vs. Reality

As a birth doula, we tend to see A LOT!!  There are a couple things that I want you all to know, and to hold in high regard.....Your birth plan is just that.   A plan.  I am not suggesting that there should not be any thought put into what your vision of your birth looks like.  I absolutely do!  But, after giving birth myself, and attending countless others, there are a few things that I have learned.  Plans tend to change, and when I say that, it is not in bad way, but things change based on circumstance.  This does not mean that you should not speak out, or be heard, it does however mean that there is no harm in a plan that changes.

What I have seen is a mom be utterly disappointed during her birth.  I have heard "I tried", "I did the best that I could", I have seen tears of disappointment cover a mother's face, and I have been lucky enough to bear witness to these births in which these women are so STRONG!  My response to all of them is..."You are damn right that you tried!"  There is no shame in the birth game.  NONE.  If I could ensure that every birth went according to the plan, I would have the magic ticket, but that is something that I don't have any control over.  Believe me, that would almost make me a Unicorn Doula, and while I would love that, babies make the plan.

Here is what we can control.  We have the power and the control of how we educate ourselves in the process of birth.  We have the power of our voice, and that my friends is a big one.  The other thing that you can control is GET A DOULA!  Now, I would love if it was me, however, get one!  We can help you navigate this journey, prepare you for the questions to ask, and make sure that you are heard.  We won't speak for you, but we are the gentle reminder holding space for you and your family throughout this process.  The other thing that I would suggest is to take a childbirth class.  There are so many great resources locally, and it will help you to understand the process and help you to know what you could expect.  It doesn't matter if you are a first time mom or not, information always changes, and there are refreshers available.

The other thing I have seen is that what you might have thought was an ideal birth plan, you want nothing to do with.  I have had mother's who adamantly wanted a water birth, and upon getting into the tub in the throws of labor, could not get out of that tub fast enough.  That is ok.  I have had families that wanted a HypnoBirth, and did not want to listen to affirmations during the birth.  That too is ok.  At the end of the day, I am certain of a couple things in regards to birth plans.  As I stated above, they are in plans.  It is ok if they change.  This is your birth, and it will play out exactly as it should.  I am certain that the only people in that room should be in 100% support of you, and if they are not, out they go!  Change is hard.  Change does not mean failure.  It means that you are strong.  It means that you are doing exactly what you choose to do to get to that baby.  

Motherhood is amazing.  Motherhood is hard.  Motherhood often means looking adversity and change in the face, and sometimes telling it F**ck Off!  Motherhood is full of guilt, and your labor is not one of things that you should feel guilty about.  You should feel proud, strong, confidant, informed, and empowered.  Ask all of the questions, and sometimes fate will take a hand.  I know that this sounds dumb, but trust the process, because at the end of the day, YOU can do this!  You are strong enough!  

 

Why I was led to be a doula.....

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I found that when I became pregnant the first time, I was met with nothing more than fear and excitement.  I thought about all of the romantic things that involve pregnancy like names and nurseries.  That excitement led to fear.  Quickly.  I began bleeding soon after my pregnancy was confirmed by my doctor, and soon found myself getting hormone levels checked every other day to ensure that the pregnancy was still viable.  Hormone levels continued to rise, and I was told to not worry, and that sometimes that just happens.  The bleeding stopped and my paranoia eventually faded.  It faded for a while anyway, until a week before the ultrasound where we were going to find out the sex of our baby.  I woke up that morning, and instead of excitement, the fear was back, and I felt like something was off.  I paced at the Dr's office, and when I went back, I knew.  I knew without having to be told.  As the ultrasound was being done, there was just silence in the room, and I was told that they had to go and get the Dr. to speak to us.  I will never forget the statement that he made.  "Well, unfortunately I have some very ominous news.  There is no heartbeat."  My vision narrowed, my heart raced, and I felt paralyzed.  That was that.  I wish it was that easy, but it wasn't.  It took months.  I still think about it.  Miscarriage is not an easy thing.

It took about a year for me get pregnant again, and I spent a good portion of that pregnancy filled with worry and fear.  I probably called the Dr a couple times a week, and honestly, the pregnancy itself was pretty uneventful, however, I never allowed myself to get to swept away in the planning piece, as I knew how fragile this could be and did not want that devastation again.  My water broke at 32 weeks, had an epidural, and what I thought was routine.  My son spent some time in the special care unit of the hospital, and I spent time going back and forth via a tunnel that connected us to Children's Hospital in a wheel chair.  Yes, you read that right, a wheel chair.  It wasn't until the next day, when I could hardly stand, let alone walk, that I asked why all the other mother's on the floor seemed to moving around with a lot less pain and ease, and I felt like my bottom was going to fall out onto the floor.  The nurse just looked at me and said, "Oh, honey!  Did they not explain to you what happened?"  I remember thinking to myself, "What the hell is she talking about?"  She then went onto to inform me of the level four episiotomy that I received, the amount of repair that needed to be done, but sheassured me not to worry.  Whelp....I was in pain until I became pregnant with my second child.  Yes you read that right as well...10 months later, and cortisone shots where you can only imagine.

My second pregnancy was pretty uneventful.  I went into labor in the middle of the afternoon, and while my contractions were ramping up, so was my need to start arguments.  I started with a call to my sister, who was also pregnant, and she promptly hung up on me.  As any good daughter would do, I called my mother to bitch about how rude my sister was, and my mother noticed I was having a hard time talking.  She then says...."Holly, do you think you are in labor?"  Yep!  Sure was!  Labor progressed, and then there was shoulder dystocia, and forceps.  I was given my baby, and his breathing was labored.  I was all to familiar with breathing of an infant, as my first had to stay for a little while after my release.  I then brought that up as the Dr. was doing my repair.  I was assured that his breathing was fine, however, thank god for my insistence!  They decided that yes his breathing was labored.  He was then taken for observation, and several hours passed.  No word.  My then husband went to see what was going on, and he came back to our room as white as a ghost.  My son was very bruised from the forcep delivery. His breathing had returned to normal, and I was discharged.  Everything seemed to be fine until on November 21, 2004, when my son was 11 days old, I hemorrhaged in my kitchen.  No pain, just lots and lots of blood.  We called my Dr. who happened to be at the hospital for a delivery, and he directed us to get into the car and go to the hospital immediately.  We couldn't.  The bleeding was just that bad.  Ambulance.  I have to thank my neighbors at the time.  One stayed with the kids and tried to calm my husband, and she stayed with me.  I honestly don't have a lot of recollection of much more after that, except for some bright lights, someone yelling that my lips were turning blue, and my Dr letting me know that they would try one more drug, and if that didn't work, I would be urgently prepped for a hysterectomy.  The drug worked!  I received a blood transfusion of seven units, and was told I could leave if there was no more bleeding in the morning.  However, as I was counseled the next morning, I knew there would be more to this outcome.  They would send "things" to pathology, and I needed a follow-up appointment. However, there was one more thing,  I would not be able to conceive again, and on the off chance that I did, I would not survive it.  Or....so they thought.

Fast forward to twelve years later.  I had gone through a divorce, remarried, and my current husband did not have any children.  For a while, I was disappointed that I could not give him any children, but we just kept living, and I was grateful for the two boys I did have.  It was June of 2014, and man was I sick.  Throwing up all the time.  I still had a period, so pregnancy was the last thing on my mind.  I just kept thinking it was stress.  July came around, and we decided to have a barbeque.  We invited friends that we had not seen for a while, and my puking continued throughout the day.  I was talking to a friend when I needed to excuse myself yet again to go puke, and she says, "you're pregnant!"  I laughed it off, and put myself to bed at 7:30, right in the middle of the festivities.  I woke up in the morning to do the regular errands, and found myself at Target.  My husband states that he thinks it's a good idea to just take a pregnancy test.  Then at least we will know.  I think he is nuts, but continue to find the cheapest test that I can find, and one with a coupon no less, as I am convinced this is a complete waste of money.  We go home, I take the test and throw it on the counter, and continue to clean.  I pretty much forget about it.  About a half an hour later, I remember it.  I run to the bathroom to check it, and guess what?  PREGNANT!  At 42 no less.  Now I wish I could tell you all about the romantic way I shared the news, but nope.  Not my style.  I yell for my husband and as he comes up the stairs, I just state..."We have a problem!"

I call the OB the next day, and they ask me to hold.  I answered the usual questions, date of last period etc.   I get the token response which was we will see in about 8 weeks.  No you won't.  I then explain, look I'm 42, and have a hemorrhage history.  I'm on hold again, as they look up my file.  Ok, good luck is what is running through my mind.  She then comes back onto the line and states that they would like to get me in tomorrow morning.  She then says...."I remember you."  See my OB was a beloved Dr here in the Twin Cities, and truth be told, I loved him too.  I never got see him after my hemorrhage.   He passed away a few weeks after he saved my life.  My situation was pretty grim I was told, and since it had been so long since my last baby, they had to send someone out to get the actual paper file which was in some storage facility.  UMM, ok.  As you can imagine, I was pretty nervous for my appointment the next day, which was an ultra sound.  So, now here is where the story gets a little complicated.

We are called back, and I am prepared for grim news.  She then states..."Everything looks good.  You are 22 weeks and 5 days."  WHAT??  I am in shock!  My first thought was that maybe I could have been on a reality tv show, and I was the girl who had a baby in the toilet, and didn't know I was pregnant!  She then states that we now need our genetic testing done due to my advanced maternal age.  Let the games begin.  This was not fun.  We were brought into a room and told the 1000 things that would be wrong with this baby.  They pressured us about additional testing.  We were even told that there was a Dr. on staff that could terminate the pregnancy.  OK....I stated NOPE, NOPE, and NOPE!  We left.  I spent the next weeks at specialist appointments, researching, and really spent the whole time in fear. They had done what they thought their job was.  Convincing me that I was to old, I wouldn't survive it, and that there was still a laundry list of concerns over baby.  I switched providers.  Don't let anyone tell you it is to late to do that.  It isn't!   

My baby was a transverse breech.  My Dr was great, and assured me that I had plenty of time for baby to flip.  Well, my son decided he was way to comfortable, so no, he would not be flipping.  My water broke at 35 weeks, 5 days.  I got to the hospital, was scolded a little for eating pizza en route, and was told I was going in for an emergency c-section.  I'll let you guess what my reaction was.  You guessed it!  NOPE!  I wanted an external cephalic version.  This is a process by which the baby can sometimes be turned manually.  I was met with a little push back, and again told that they would try, but I would probably still need a c-section.  It worked.  Well, it worked for about 5 minutes.  He moved back to breech.  ( of course he did, now that I know his personality, stubborn like his dad, and determined like his mama) I begged for them to try again.  They were annoyed, but moved him again, and used a giant bandage to hold him in place.  I received an epidural, slept for 24 hours, pushed three times, and  had a perfectly fine baby.  I even lived to tell you about it!  

What I learned from all this is that not only is pregnancy amazing, but it also can be confusing and at times, scary.  The people that surround you need to be supportive. In all ways.  I learned how important asking questions can be. The importance of  being an advocate for yourself, and having someone, if only one person, tell you that this is going to be ok.  YOU CAN DO THIS!  I believe in being informed.  I hate fear mongering.  I believe that we have a choice in how we birth.   Information and comfort measures go a long way.  I also believe in miracles.  Do you want to know why?  Despite being told that I would never have another child, the danger if I did, the scare tactics and fear mongering that I unnecessarily had to endure, despite the cards being stacked against me, I lived to tell you my story and to prove them all wrong.  I'm allowed to serve people in their birthing journey as they need me to do, and for that I am ever so grateful.  I get to make a difference!