So I Had Postpartum Depression

So I Had Postpartum Depression

“I was so happy with the way I was handling the new addition that my following depression blew me out of the water. My husband was away on a trip, and I got a new car. Sounds like a good thing, but somehow I found driving a new car with its new buttons and pockets in different places to be overwhelming. To be fair, it was also a nine-seater. I’ll let you sit with that.”

I am a mother of eight. My youngest is 16 months old and my oldest is expecting my first grandchild at 22 years of age. I am extremely blessed. I am also a woman who has experienced multiple episodes of Postpartum Depression (PPD.)

I’m told I’m predisposed to anxiety, which resonates with me. As far as I know, I didn’t experience PPD with my first two births. For what it’s worth, all of them were normal, healthy births. After my third, a lot of things irritated me. A lot! I found my fists clenched all of the time and it took a bit before I realized that wasn’t normal. I wanted to enjoy my baby, husband and other kids but everything set me off. I got a psychiatrist referral from my doctor who promptly prescribed psychotropic meds. I started getting debilitating headaches and was concerned that they were a side effect of the meds. My kids were making a lot of noise when I reached out to the psychiatrist by phone and had my concerns dismissed. He surmised that if he had as many kids as me, and it was so noisy around him, he too would have a headache and hung up. Imagine what he’d say about the five more kids I have now!

Needless to say, I deleted his contact, and told my OB to take him off of his referral list. When a person is in a vulnerable state, she needs understanding and empathy; not cruelty and sarcasm.

Then came baby number five. I had a bit of a bumpy ride leading up to the birth because my parents had divorced a year earlier and my dad was getting remarried. It was a bit dysregulating, (read: one of the hardest experiences of my life emotionally). I mention this because at that time I may have already been in a high stress situation and standing at the edge of the cliff. Maybe, who knows? I had the best time with my baby for four weeks. I was present, my other kids were excited, and they were in camp during the day so I had some time alone with the baby. I even had my dad and stepmom over for the first time. The higher you are, the harder you fall.

I was so happy with the way I was handling the new addition that my following depression blew me out of the water. My husband was away on a trip, and I got a new car. Sounds like a good thing, but somehow I found driving a new car with its new buttons and pockets in different places to be overwhelming. To be fair, it was also a nine-seater. I’ll let you sit with that. When my husband called that evening, I told him I couldn’t breathe because that’s how I felt. I hadn’t realized at the time that I was having a panic attack. I actually think I only figured it out recently.

When he returned home, and I was clear that something was horribly wrong, I tried to find a psychiatrist that I could trust but they all had a minimum two week wait. At this point I was getting desperate. I asked to be hospitalized and was turned down because I wasn’t a danger to myself or anyone else. I did not feel like I could be left at home. All I knew is that I needed to be “fixed” ASAP.

My OB prescribed Xanax to tide me over until a psych appointment. I took one pill and slept for 17 hours straight. When I awoke, I couldn’t follow anything with my eyes. That’s when it all started to fall apart. I couldn’t sleep, even for a minute. You’d think having a one month old would’ve made me tired but I physically could not close my eyes. I couldn’t eat, never mind drink, and I’m usually a stress eater not a starver. My closet seemed too overwhelming for me to choose an outfit so I stayed in pajamas. I couldn’t go near the baby and then I couldn’t even leave my room. Everything seemed so frightening. I felt like the walls were going to cave in, literally. If I hadn’t experienced it myself, I wouldn’t believe it. Now I feel like it’s just a movie I once watched. I was afraid to do things I had been doing for decades because they all seemed overwhelming. The future seemed scary and bleak. Does this mean I can’t have any more kids? Will I ever be able to take care of the baby? Leave the house? Get dressed?? What will my other kids do? It was a dizzying spiral. And then, a friend of mine brought over her friend who had PPD with her first child.

I knew this woman. She had a full life, a normal life. She had a second child after her episode and it all went well. We spoke and she gave me hope, even if it was the tiniest bit. I had some old meds (I do not recommend trying this at home) so I took one. And the world was different. It was so different. I don’t think it’s common for people to turn around as quickly as I did, but I’m grateful. I felt like I could see a way out, and once things were a bit more stable, I was able to wait for my doctor appointment with more ease. I met my superstar psychiatrist, Dr. Jennifer Yashari. She focuses only on the woman’s cycle, so things like PPD, infertility, pregnancy, adoption, menopause etc. She wanted me to get more out of the medication so she made me a cocktail that I’ve been taking ever since.

When the baby was 15 months old, I found myself with a surprise twin pregnancy, yes I know how that sounds. It scared the living daylights out of me. Dr. Yashari reminded me that this time was different. I had knowledge, I was prepared, I had her, my meds, and we were watching. I stayed on the meds throughout the pregnancy, as research has not concluded that it’s dangerous, but unstable mental health definitely is. As far as I know, one of the babies was a bit sleepy for a day and that was the extent of the effects my meds had on the pregnancy. When my life was at its most hectic, with three kids aged two and under, plus another four above them, I was at my most stable.

Eight years later, we went for one more, just for fun. It was the most amazing pregnancy and an awesome postpartum experience. Since then we have also married off a child, are expecting a grandchild and I have been open and honest about my challenges with my kids. My pregnant daughter finds comfort in knowing that I am looking out for her and will do everything to keep her safe. PPD should not be stigmatized; it’s not a guarantee, and it’s treatable. We need to educate our partners and family members to keep their eyes out for anything that seems unusual and have them bring it up in the most gentle of ways. If you or anyone you know is questioning their mental health after giving birth to a baby, reach out to a professional and get evaluated. You are not alone and you won’t be like this forever.

***

This post is written in memory of my superstar OB, Dr. Jay Goldberg. Like many of his patients, I considered him a cherished friend. His days were too few, his accomplishments many, and his loss devastating to those who knew him. He helped bring my lights into this world all the while emanating his own bright light and he is missed by many, every single day.

***

Resources for Postpartum Depression:

The Mayo Clinic – Postpartum Depression

Mental Health America – Postpartum Depression Test (New & Expecting Parents)

NIH, National Library of Medicine – Use of Prescribed Psychotropics during Pregnancy: A Systematic Review of Pregnancy, Neonatal, and Childhood Outcomes

Recurrence Rates and Risk Factors in Perinatal Mood Disorders

Sarah Goldberg is a licensed life coach in private practice. She is on sabbatical while she immerses herself in the joys of raising a toddler and a family of 10. She lives in Los Angeles, where she can be found at a different public playground every day!

She welcomes any questions or opinions on pregnancy, labor, or child raising and can be reached through sarahlgoldberg@gmail.com.

Ep. 333 – Carson Meyer Birth Story – Informed Pregnancy Podcast

Ep. 333 – Carson Meyer Birth Story – Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host pregnancy-focused chiropractor. Dr. Elliot Berlin. My guest today

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host pregnancy-focused chiropractor. Dr. Elliot Berlin.

My guest today is a birth doula, an educator, nutrition consultant, skincare company founder, and now, brand new mom, Carson Meyer. Welcome back to the podcast. You’ve been here before.

Carson: Thank you so much. I have. But it’s been a while.

Elliot: Five years?

Carson: It’s been five years?

Elliot: Yes. Has anything changed?

Carson: So, much. Oh, my gosh. But I remember being like a newer doula when I came on your podcast. Yeah, so much has changed.

Elliot: And then, you rose to the top for a million reasons and you became like the most sought after doula. Let’s start at the beginning. Where are you from originally?

Carson: So, originally, I’m from Malibu, California. Now, I’m living in North Carolina, right outside of Ashville.

Elliot: How did they compare?

Carson: They’re very different. Both really special places with really special people and views. But I went from oceans to mountain. And, you know, Malibu is always very mellow. but I think it’s so close to LA and the life that I knew and grew up in. And so, this is just so new and so calm and relaxing.

Elliot: Do you miss the ocean?

Carson: I do. I mean, aside from my friends and family, that’s like I think the one thing that I don’t have here.

Elliot: Because you grew up in the ocean.

Carson: Yeah.

Elliot: Well, things change. Maybe Asheville will get a notion.

Carson: Maybe. At this rate, we might, you know.

Elliot: Sadly. So, you’re a birth doula, and you’re birth doula long before you’re a mom. How did that come to be?

Carson: Becoming a birth doula?

Elliot: Yeah. Like, was that an original, “Hey! I think I’ll be a birth doula.” Like when they say when you’re 15, what do you want to do when you grow up?

Carson: Definitely not. Well, I always say that I think it really started with my mom’s birth with me. Although I don’t remember it. I think that I was so drawn to the work when I found out what the work was because of my own story. So, it goes way back. But I went to NYU. I had no idea what I wanted to do with my life and I was lucky enough to go to a school called Gallatin, where you just create your own major.

So, I was taking Women’s Health classes, alternative medicine, mind-body, eastern medicine. I was just taking my interest and bringing them together. And looking back, I didn’t know what a doula was. But so much of the curriculum that I had created pertained to the work I do today. And in one of my classes, they signed “The Business of Being Born,” which was the first, you know, like so many of us birth workers, I think the first introduction really to this work. And the first time I saw a video of birth that wasn’t the scary Hollywood depiction, and was really just taken aback. I realized my reaction to it was not normal. I’m not everybody cries and talks about it for months on end like I did.

And then, I moved back home. Met my partner, Jonathan, who, you know, now, the father of my child. But he invited me to a birthday party. And we were like a month into dating and I met a midwife, who was a friend of his. And it was the first time I met a midwife, Haley, who you know was not my gynecologist, or a birth worker, or somebody who got to do this work that I could relate to. And was like, “Oh, wow!” Like, I just was captivated by her. I stalked her all night. And she told me she had started as a doula. And then, I took the training and really never looked back. It’s just was a calling.

Elliot: It makes sense you’re both like so special and unique. There are certain things that are in your hard wiring. For both of you, it seems to me like this type of work is in your hard wiring. Like, it’s just like you were meant to do this. I don’t know if I ever told you this, but I tell people that about both of you, you and Haley Oaks, that there’s no question in my mind that in a previous life, you were an extremely busy and high demand midwife.

And then, I also have like the honor of being out of birth with you more than once. You’re like a little mouse in there so quiet but so powerfully supportive. To see something so gentle be so powerful is rare. And again, for both of you, long before you had kids.

Carson: Haley and I really had that in common, which I think was why meeting her was so impactful is. We’re both didn’t have kids and we were both young for the job. That was something I was so insecure about in the beginning, but it’s always nice to meet people who do the work without having none of them do the work themselves.

Elliot: Sometimes, you hear people, “I don’t want to do that who hasn’t been through it.” And then, both of you rose literally to the top of the demand chain because it’s so much bigger than that.

Carson: Yeah. I always say, you know, it’s not my journey. That’s I think it’s actually going to be harder now having had kids, to separate from it. I think there’s something so wonderful about a doula or midwife without kids is it’s never a projection. Not that if you have kids it is, but you have to do the work to step away from your own experience.

Elliot: I am honored that you came and that we’re going to talk about your birth experience. But I always wondered about both of those. Going into your birth having had so much experience at other people’s births. How that may or may not have affected you. Now, that you have your own experience, how that may or may not change your supporting of other people down the road.

You mentioned “The Business of Being Born.” That was more than any other film. That is when I asked somebody, “What are your birth intentions? How did they come to be? What kind of research did you do?” It’s the number one thing that people mention. It’s what sparked me. We just launched our streaming service Informed Pregnancy Podcast. It’s what really sparked me to want to do that is to have a home. Because people were saying, “I don’t know where to find it.” To have a home for that film, and other birth documentaries, and web series, and just build on that a whole community of entertaining and informational video content. And, of course, it’s so far, we just launched that. It’s the number one thing that people are watching. So, 15 years later.

Carson: Yeah. It’s so true. I have chills thinking about it. I know that they know, but I don’t even think they know the extent of the impact that the film had on people and their lives, and generations because of birth.

Elliot: Yes. So, many references even just on this podcast to people who said “The Business of Being Born” changed my life. Even though…

Carson: Your podcast, too! It’s so fun being in the age [unintelligible 07:09] and my friends are starting to go on their journey and their loving your podcast. Of course, my clients love it and I tell them to watch it. But it’s fun though like coming up in my social circles of friends being like, “I heard you on Dr. Berlin’s podcast,” or “I’m listening to this.” They’re coming to me, talking to me about birth for the first time because of you.

Elliot: Oh, thanks. I’m a tiny supporting role. But also, I work long hours. It’s like people have like, “How do you do 12 hours a day?” I’m just like, it’s the most crazy thing like I get to help people who are making humans, whatever it is that I’m putting in is the tiniest little ingredient in the mix. So, I feel honored to be a part of it and to be accepted into that world.

In addition to birth doula and education stuff, you also do some nutritional consulting. What’s your background there and what’s your approach?

Carson: Yeah. That’s a little bit newer for me. I started “Growing Together,” which maybe I’m skipping ahead. But that’s my virtual circle. My next one’s actually coming up in March. But it started early COVID, when I saw the isolation, lack of support and community and not having doulas in the hospital. So, I created this circle that is about 20 expecting moms. It’s so special. We go through everything from healthy pregnancy, nutrition, bodywork. Everything from in and out, the whole picture. Through preparing for birth, breastfeeding, postpartum.

And so, in that class, I started noticing I would talk about nutrition, which is a passion of mine and something that had played a huge role in my life. I was asking, “You know, how many of you are talking to your doctors about nutrition, or midwives? Or what do you know about gestational diabetes?” And every time, it was like one or two people would raise their hands. And they always had midwives. It was never as if they were with no [unintelligible 08:59].

I was like, yes, I’m passionate about this but I didn’t feel like I had formal training to be able to really support my clients in that area. But I know how important it is for life, but certainly for pregnancy.  I was like, if this isn’t a conversation that’s going to be happening in the 10 minutes in your OB’s office, I want to be able to have those conversations.

So, I took a training online through the pandemic. And now, certified nutrition consultant for pregnancy and postpartum. And so, it’s something I just weave into the classes, and now, with my clients and then offer it separately as well. Because I now going through it myself, just know firsthand how big of a role it played in my journey.

Elliot: Yeah. I don’t know your specific approach, but it’s one of the things postpartum in particular that I see it’s one of the building blocks that gets lost sometimes where everything else is going on and so normally if you’re at least having great nutrition, your body can weather some of the other changes better. But that just falls apart, exercise falls apart, self-care in general falls apart, support’s not there.

I noticed something this week actually, just like a big epiphany. Because I’ve had several people want to do the 40 days postpartum, like home and not leave the house,  which in some way seems quite beautiful and traditional, not just in one culture, but in many cultures. And so, it just seems like there’s a lot of logic there. But what I realized, the difference in Los Angeles anyway, is you’re self-isolating. It’s not like you’re not leaving your house a hundred years ago in a culture that did this where you lived with all your family and you were not leaving your space. But everybody else was there to support you, to cook you all these nutritional, rich foods, and to help with the baby and to support you if you were struggling in terms of lactation or anything else, make sure that you got plenty of rest.

I’ve now seen several people give up in the 40 days. I thought it was going to be amazing. I’m like, “Okay, day 26. I’m out.” And it’s just a different thing being alone without your family and without that kind of support is kind of more isolating and putting everything on yourself. So, I don’t know, maybe there’s a modern-day version of it.

But coming back to nutrition, that’s one of the things that gets lost. If you’re doing everything, that you put yourself last. My wife always says, you know, “On the airplane, you put your mask on before the baby’s mask in. In this sense too, you’re almost not helpful to the baby if you’re not taking care of yourself.”

Carson: Totally. And it’s easier said than done. That’s the tricky part of nutrition is you can know, you can talk about it, you can have an understanding for it, but you can’t just snap your fingers and it’s there. It needs to be, like you said, a foundation of support. Especially in those first 40 days when you have very little time to be, or nor should you be cooking for yourself.

Elliot: Yeah. Well, now, I want to take your nutrition class. Is there a separate nutrition — or is it one-on-one coaching?

Carson: I put the nutrition in “Growing Together,” but I don’t have a circle for nutrition yet. But it’s a great idea. Maybe I will. But right now, it’s just one-on-one.

Elliot: Amazing. Okay, last thing before we take a little break. You have skincare, “C & The Moon.”

Carson: Yeah.

Elliot: Now, tell me all about this. Because I love your products. And, I’m seeing that scrub everywhere now. When I go to homes, when I do a handful of home visits.

Carson: Oh, really? In your clients’ houses?

Elliot: Yeah. I see it like all, you know, step in to wash my hands on the restroom, it’s in their shower. It’s everywhere. I’m seeing it around.

Carson: That makes me so happy. Especially because it’s not a product specifically designed for pregnancy and postpartum, but you know where my heart is. It just makes me so happy that it’s adding a little bit if any like just nourishment and yumminess to that time. Especially, oh, my God, the dry skin postpartum is so real. And so, that scrub and the oil has been so helpful for me.

But, yeah, I created that around the same time actually I became a doula, is when I launched “C & The Moon.” And it’s a clean skincare line for minimalist like myself, who just want to feel good, and smell good, and have a yummy luxurious product without the whole 12-step ordeal. And was really born out of necessity. I was just making it at home in my kitchen and kind of grew a cult following. And here I am, and it’s been the journey I never expected to be a business owner. Because I’m like, we’re saying my heart and my calling is really in the birth work. But I like just learning so much and loving there’s a creativity in there that I really enjoy as well. And of course, just like you said, like knowing that people like it makes me so happy.

Elliot: Yeah. It’s like something so easy you can do for yourself. And your one-word description is perfect: yumminess. I just have dewy dry skin, dry guy skin, and I love it.

Carson: The guys, I always say the men will never buy it, but will steal if from the women’s shower. And so, I’m secretly just starting now to market towards the men. Because I swear, they’re my biggest fan.

Elliot: Yeah. It’s amazing. I don’t know, it’s like a treat. You feel good. It smells great. It feels great on the skin. And “yumminess” is the best possible description for it.

Where do you buy it? Is it only online?

Carson: Yeah. So, it’s online. On my website, which is candthemoon.com, and then Violet Grey also sells it. And then, there’s some detox markets and other stores across the country.

Elliot: candthemoon.com is good for me. I don’t have to leave the house. I can stay at home scrubbing some yumminess while the next set is on the way.

Alright. Let’s take a little break. When we come back, we’re going to talk about your pregnancy and then your birth. We’ll be right back.

[break]

Elliot: Welcome back. We’re talking to new mommy, Carson Meyer.

Alright. Let’s talk about kids. Is this the time you plan to have kids?

Carson: Yes, we definitely planned this. Looking way back in my life. I don’t know when or if I ever had a plan. But this time was very intentional and planned.

Elliot: When you all your birth work leading up to — I don’t know if you keep count, but it must be a big number. All your birth work leading up to your own pregnancy, did you ever find yourself thinking, “Wow, that’ll be me one day.”

Carson: Well, yeah, I knew I always wanted to have kids. And I think around — well, that’s not true actually. I think growing up, I was really scared. I know I was really scared. I remember saying many times, being super young like, “I’m never going to do that. That’s crazy. There’s baby all around. How they come out is crazy. Raising them is crazy. Like, not for me.” I felt very disconnected to the process, very terrified of it.

I think, like most women just was taught that. That was part of cultural conditioning. What sex ed taught me was just, “Be scared of this.” But around the time I became a doula, and once I started really learning about the process, that’s definitely when I got the bug. That’s when I always saw myself in it.

Elliot: Yeah.  But more specifically, different moments of birth. Like even once you were into it. Especially because you had overcome sort of a mental fear of it. Did you see things where you’re like, “Gosh, that could be me and I want to avoid that,” or…

Carson: Oh, like certain birth scenarios.

Elliot: Yeah? Or other things like, “That’s the birth I want for me.”

Carson: Yeah. I think we all know in this work that like every birth is so different. Just like someone’s life, you can’t look at it and be like, “I want that exact scenario.” It’s just there’s so much packed into it that will always be unique. And so, I always tried to kind of keep that and remove myself from it. But, of course, you know there was certain births that I attended that definitely informed and inspired what I wanted from a birth experience. I say this all the time, and it’s so true, every single client of mine has taught me so much and I feel them all. I feel every birth, and baby and mom, and that journey with me in such a beautiful way and like did through my whole birth process and pregnancy. I feel like they really helped me through. Even the hard ones, right? Even the ones where I’m like, “Oh, man! I’m on my way to hell and back.” You know, like those even still that strength that they tapped into, I think and that I admire so much is like just that’s such a big part of my journey.

But, yeah I mean, you know, there was one birth. It was actually the last birth that I attended before giving birth myself. I don’t want to put words in her mouth, but she seemed like it was completely pain-free. It was the closest thing to an ecstatic, or orgasmic, or whatever you want to call it, birth I’d ever seen. And so, it was hard not to be like, “Okay, cool. I’ll just do that.”

Elliot: Oh, I mean I could see how that would make it tough, too. Because that’s not the most common birth, especially for the first one.

Carson: But I do feel like — and I don’t need to jump ahead if you’re going to ask about it. But even though my birth was far from an ecstatic birth, it was not pain-free or easy. It was like, in retrospect, my dream birth. And everything that I would have wanted from it.

Elliot: Color me curious. But before we get to that, how was pregnancy?

Carson: Pregnancy was great. Like I said before, I think the nutrition part really was huge. I’m so lucky Jonathan’s a great cook, and he put a lot of time and effort into nourishing me through food. And through that, I feel like I was able to avoid a lot of the — especially, the first trimester crap that comes up. I was tired. I had a funny taste in my mouth the whole time, and just kind of laid low a lot. But once I got past that 12 weeks, I felt amazing.

Elliot: Were there things that helped you nutritionally that you think during that time?

Carson: Definitely. I mean I think it’s eating frequently.

Elliot: In that case, I’ll be fine.

Carson: Yeah. Eating a lot and, yeah, blood sugar balance is big. Broths, lots of bone broths. Healthy fats. Just kind of minimizing processed foods and eating a lot at home. It was so wild noticing the difference when I ate out and when I ate at home. I don’t know what that was. That was like seed oils or just the love that was cooked with, but it was hard for me to eat out at restaurants.

Those were kind of the main things. But I was just incorporating a lot of ginger, and spices, and things that I knew were going to be supportive of that trimester but also of feeling good.

Elliot: What do you do normally for exercise, and did that change during pregnancy?

Carson: I’m not like a big exercise or — I love moving. That’s really important to me, but I was never like the soul cycle maniac or high-intensity interval girl. So, that was easy for me to ease into a pregnancy movement routine that wasn’t too different. I did a lot of just yoga, stretching. You know, just kind of self-led strengthening weights.

I really liked doing the Sculpt Society workouts that are like 20 minutes. I kind of would customize them. She has pregnancy ones, but even I would just do the normal ones and really listen to my body and kind of follow what felt good for me. I like to dance. I live on top of a 4,000-foot — well, mountains — not 4,000 feet, that I live on. But I’m at 4,000-feet altitude and the mountain is so steep. So, I walked up and down there. That was a huge part of my preparation. And then, once it got too cold and I got too big to do that every day, I started just walking on the treadmill and that was medicine.

Elliot: Yeah. I mean you can’t go surfing.

Carson: No surfing. I mean, I have friends who surf their whole pregnancy. I’m just not a good enough surfer for that.

Elliot: And you’re not that close to the ocean.

Carson: I’m not that close to the ocean.

Elliot: But I mean it just sounds like you just naturally like to move, be outdoors, and move.

Carson: Yeah. I know it’s good for me, but I do love it.

Elliot: In the second and third trimesters, with your body changes and the baby development, were there any highlights for you?

Carson: Feeling those kicks, of course, it’s just the best feeling ever. They actually didn’t feel like kicks, I felt more like hands, wiggles [unintelligible 21:29] because she is, totally, she’s so expressive with her hands. I felt those the whole time. I felt her communicating with me a lot. It was really cool. I wasn’t expecting that, but I feel like I’ve known her for so much longer than the eight weeks she’s been here. I do feel like she had a very strong presence.

Elliot: You are probably very strongly present as well, I imagine. What was your plan for further intentions? What was the vision?

Carson: I knew I wanted to have a home birth, which was really important to me.

Elliot: Why?

Carson: For so many reasons. I mean, I’ve attended so many of both. I think even though birth is so beautiful in all the spaces, I just really admired the way the midwifery model. The model of care and even just the freedom, the comfort of being in one’s own home. Not just for the birth, the prenatals too, right? Having those be in-home, talking about nutrition, talking about life, about your relationship, and so much more than just checking the heartbeat and running out the door.

Elliot: Wait. They also measure the bump and have you pee in a cup.

Carson: That’s true. Don’t forget to pee in the cup.

Yeah. I wanted more than that. And so, you know — and then, for the birth. I loved not having to get in the car. I love the idea of having full freedom and mobility to move and birth as I wanted, to not to be home already. I’ve really seen birth as a really sacred ceremonial event. Again, not that that can’t be the case in the hospital, but for me, I knew that it would cause stress to try and control that environment or create the experience that I wanted with a bunch of strangers, not being under my own roof. And so, giving birth at home I really felt like I could create the environment that I wanted her to be born into with more ease.

Elliot: I also find that at-home birth, there are much better snacks.

Carson: Definitely, that too. Much more of that.

Elliot: If you’re even allowed to eat at the hospital. And yeah, everything you described sounds amazing.

Did you have any — because you’re human also, did you have any anxieties or fears? Anything that was like, “I got to overcome that.”

Carson: Yeah. My fears were never home-birth-specific. I think that’s the beauty of getting to witness birth in both places is really like debunking these myths that there’s a danger around home birth that isn’t present at the hospital, right? There’s risk and birth wherever you give birth. The hardest and scariest births I’ve been a part of have been in the hospital. So, I knew that, obviously, just like life, right? We may have to face really dark and hard times regardless of where we are, and that we can’t always control for that. And so, of course, like you said, I’m human. So, those fears have always come up, but I never felt like being at the hospital would take away those fears, if that makes sense. I knew that they were more — existentials not the right word. But, you know, they’re just bigger than that. They had to do with being a human in this world like they’re more spiritual concerns, or just life concerns than they were location concerns. I think that is an important part of preparing for birth. It is coming to terms with the reality of what it means to be engaging in this world. Not just that we can control factors based off of isolating a certain event, or provider, or whatever it may be.

And so, those are things I’ve worked through with clients but also had to work through myself. And then, yeah, of course, like will the baby come out breathing well? Shoulder dystocia, like things like that that you hear a lot of and see, and you pick up on the fears of providers, or even the things like bleeding too much. Those are things that have also been a part of in birth myself and seen happen. And so, it was work for me to have to detach from those experiences of others. And then, also to continue what I, fortunately, had such a foundation on already. But to explore the, how can I prepare for those fears? How can I learn how to face them if they come up? What would I do in those situations? And so, that was definitely a big part of my preparation for my partner who hasn’t been in those environments. It was helpful for me to also prepare him for it, for the what ifs or for those fears.

Elliot: Well, what does that preparation look like?

Carson: We watched a lot of videos, you know. I think for me, I’m one of those people that like information is power. We would talk to our midwives about the what-ifs of those. That helped kind of walking through the measures in place that would support us in those situations. I love Indie Birth as a resource, and those videos were really helpful for both of us. He was always planning and he did catch her. And so, I helped prepare him with those videos. So, he knew, “You know, it’s okay. If we’re on the bed, and she’s slippery and falls through your hands, like, ‘Look, maybe just fell right onto the bed and it was okay.’” Or, you know, this is something we can do if the midwife doesn’t make it, and baby has a hard time breathing, these are the ways that we can support her ourselves, and things like that.

Elliot: I like watching birth videos of animals in nature. And just trying to see how they do it without the neocortex, without thinking about it, wondering, worrying. It’s always mind-blowing to me that they don’t really look fearful. They don’t make a lot of noise. They don’t have a lot of support. And then, as soon as they give birth, they turn around and start doing neonatal care.  I’m like, “How do they know how to do that?” You know, it’s insane. But also I’ll think of birth to a 240-pound baby that just like drops on the ground, and they’re fine and they turn around.

Carson: They give them a little kick. Like, “You’re good!”

Elliot: Yeah, exactly.

Carson: Yeah. And I think that’s something part of the Indie Birth videos that really helped. Me, it was watching the moms resuscitate, or the moms be involved in that process of, or even the mom’s move in a shoulder dystocia to help the baby come out. Whereas, in not traditional, but our current tradition in 2023 in the United States, is we see and we’re told kind of that we don’t have the knowledge or strength to manage anything, right? You know, that has to be in the hands of somebody who’s an expert. Obviously, many cases there are.

But I think tapping back into the fact that a mom can stimulate her own baby, a mom can suction her own baby with her mouth, the mom can move to open her pelvis, and those things felt really empowering to me and how helped alleviate fears, right? It wasn’t just somebody in a lab coat that knew how to help me or my baby.

Elliot: Right. I think 20, maybe almost 20 years ago, I had a conversation with the midwife, Aleksandra Evanguelidi. We were talking about roadside delivery. A patient of mine who I’d give birth at one side of the road. I was just like, “Okay, if people are not planning, that’s when it happens.” So, you’re in an elevator, and the elevator gets stuck and you have to give birth. I remember asking like, “Oh, but what do you do if the cord’s around the neck?” She’s like, “You take it off.”

Carson: You unwrap it.

Elliot: Right. I think that’s a normal concern people would have. Like, “I don’t know what to do!” I’m like, “I think you will know what to do.” I would be a great nutritionist for myself if I could hear my inner nutritional voice, but I don’t. I just drive by like giant billboards of fluffy stacks of pancakes with butter and syrup, and I forget what I was supposed to be eating.

So, I mean there’s a lot, there’s so much hard wiring, and particularly, into the female DNA, the energy of building babies. You don’t think about, “Where do I put the eyes in? Where do I put the nose? And how am I going to this nervous system quite right?” It’s just all there.

Carson: It’s so true. I love that I always tell it to my clients it’s like, “What is it that we assume and expect that the pregnancy?” Our bodies know what to do, we know how to do it. It happens without our thinking and worrying about it. I mean we, of course, we worry and think and all the stuff, but it’s going to happen innately. And then, with birth, from one day to the next, it’s something that all of a sudden the mom has no idea what to do and could, God forbid, could ever do it without [unintelligible 29:46].

Elliot: You could never do this without us.

Alright. So, before we go to break, who was the birth team? Who are you planning to have with you and around you?

Carson: Yes. So, Aleks, that you mentioned, was our virtual prenatal midwife who supported us throughout our pregnancy. And we worked with and Zoom with, often for nutrition, and just support all along, and we weren’t sure if she was going to make it or not because she’s in LA and we’re in North Carolina. She ultimately didn’t, but she was an amazing part of our birth team. And then, we worked with the local midwife out here. It was just her, and Jonathan and I, and my postpartum doula is her assistant midwife, and she came the last hour and photographed and held beautiful space for us. And then, supported us postpartum. So, that was our team.

Elliot: I mean we didn’t talk about it, but you’re also a photographer, quite the photographer. You’ve done a whole bunch of birth photography.

Carson: I have, and it’s funny, I didn’t have a birth photographer. Our postpartum doula is not a birth photographer. She just took my iPhone and took pictures. She took great photos. But it’s something I do. I knew I didn’t want a birth photographer, but I wish I had had those photos and videos that I’ve done for so many other people.

Elliot: I don’t know if this is a good tip to infuse here at this point. But what I’ve seen a few people do now is set up like a camera or phone, just with a wide angle, just on all the time. Just catch the whole thing. And then, take out whatever you want from it and throw it away the rest.

Carson: Yeah. And I thought about that. Before, I was like, maybe I’ll do that. And then, in the moment, I think there was just no way I was going to facilitate that for myself. Being that we had such a small birth team.

Elliot: Yeah. It was not extra hands-on on deck.

Carson: We’ll talk about my first story, but I’m glad that the things that came out of my mouth are not recorded.

Elliot: They’re not documented. I’ve seen it both ways. Really small birth at home, and really big birth at-home teams. I remember one, it must have been not too long before you left here that we were out together. I don’t know that she was always planning home birth, but she definitely wanted a big cast of characters around her. She has I think the biggest welcome mat I’ve ever seen in my life inside the house. I was one of the later people to come to that birth. When I came in, there was still no room for my shoes on the welcome mat because there’s so many people there. I can almost even tell, I’m like, “Okay. Those must be Carson’s shoes.” You just go around and tell us who’s already there.

Alright. Let’s take a break, and then find out the big story of your birth. We’ll be right back.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Carson Meyer.

Okay, it’s time. You have your pregnancy. You’ve done your preparations. It’s time for birth. When, in relation to your estimated due date, did birth start and how?

Carson: I was due on my birthday.

Elliot: Oh, wow!

Carson: Yeah. I had no idea. I just feel really stupid admitting this as a doula that I didn’t know how to calculate a due date. Like I just was like, okay. But I didn’t realize there’s like this two weeks that are not really pregnancy, but you count it. So, I didn’t know! And then, I literally just like put into Google like, “conceived on this day, what is due date?” And, it was my birthday. I was like, “Oh, my God!” I was freaking out. In my head, I like thought it was a month late. I just didn’t, no idea.

And then, I always say like never tell anyone your due date, it’s a secret. It’s going to get in your head. It’s going to get in everyone else’s head. Just leave it alone. It doesn’t matter. Your baby doesn’t have a calendar. But, yeah, around 39 weeks, I was like, “Why am I still pregnant?!” Even though I talked to so many women off this cliff just feeling defeated at that point.

So, I went only two days past my due date before my water broke. But it felt like two years, especially because of that birthday. That was such a big marker. And I didn’t care if we shared a birthday or not, it wasn’t that. It’s just I knew the date, and I was holding on to it. But, yeah, two days after my due date, my water broke at 8 pm sharp on the couch. That’s how it started.

Elliot: What were you doing?

Carson: It’s very funny actually. We were cuddling with Paulie, our dog, who is adorable and was our only child until Lou came along. He was smiling ear to ear. He is such a goofball. I don’t know if he could feel it before or sense something, but he was acting really funny and making this big goofy smile. And so, we kept taking pictures of him. And then, oohing and awing over pictures of our dog, and then my water broke. And so, we laughed because like a few days after she was born, we were thinking like, “What were we doing?” I went to my phone and it’s the picture I took of him, I took on the exact minute my water broke. So, literally, we have this time stamp of what we were doing. It’s a really funny photo of him grinning ear to ear.

Elliot: Okay. So, you’re cuddling on the couch, water breaks, and it’s not a question. It’s like, “Well, oh, yeah, that’s water.”

Carson: Oh, yeah. And again, I always tell people like, “Usually, it’ll break in a trickle. That Hollywood gush is more for the movies.” I was like, “What is going on? This is so much fluid.”

Elliot: Ah! You can take the girl out of Hollywood, but…

Carson: Exactly. I’ve had a full-on Hollywood good.

Elliot: Okay. And then, is that exciting? I mean you seem very ready.

Carson: So, exciting. Heart was pounding. But it’s also nerve-wracking, as you know, labor doesn’t really start for long time after that.

Elliot: Yeah. Did yours?

Carson: It did. So, I took that moment to like I called Aleks, who was in LA, and I called my midwife here, who just got all excited. And then, I really wanted to like get our ducks in a row. So, I was like, “Jonathan, make some… so we have food.” And, you know, “Can you wash my pants?” because these are my favorite pants. I started bossing him around as per usual. He was a great sport about it.

And then, I just got everything like I felt like I needed to in order quickly. And then, I really wanted to go to bed. I knew that we should sleep because I knew that things could start up and we could be in it for the long haul. It ended up contractions started around midnight. So, around four hours later.

Elliot: A few hours later, okay.

Carson: Yeah.

Elliot: Yeah. And had you been able to fall asleep?

Carson: No. I got settled in bed. And then, they kind of started exactly when I finally was dozing off, naturally. But it’s funny, I don’t remember it didn’t feel sleepless. Like, it didn’t feel like a sleepless night. The time just went “swoop,” so quick.

Elliot: How are the early contractions?

Carson: They were so mild and lovely. I was having them for a few days. I had a lot of Braxton Hicks. I took a car ride a day, two days before, where I just felt like the whole car ride. And it was like, “Oh, my gosh!” But I didn’t think I was in labor and in retrospect, I might have been dilated early. I will never know, but there might have been a lot of work happening before because of the contractions that came at midnight felt really familiar. And they were very similar to my Braxton Hicks.

Elliot: Okay. So, you said lovely, which is a rare…

Carson: Well, it was not lovely the whole time. But…

Elliot: The early ones.

Carson: In comparison, yes.

Elliot: So, like wave-like?

Carson: Yeah. I guess wave-like, and I was able to just move through them, and move with them and I was just really excited that they were there and happening. And so, they weren’t too bad. They were kind of quick. There was definitely not a lot of space in between and they were long, but I liked them.

It’s funny because my mom used to always say she liked labor,  and that the contractions felt good. And so, now that it’s happening, I was like, “Oh, I’m going to be like my mom.” It feels good for us. Again, it did not — that not remain the whole time.

Elliot: Okay.

Carson: I knew what she was talking about in that moment.

Elliot: And then, from that point, were you able to get any rest?

Carson: Not really. I think I lied down like on my side throughout. I’d say like around 3:00 in the morning, 2:00 in the morning, I wanted Jonathan to be like up with me more, and kind of got him up. And then, by 6:30, I was starting to get a little more flustered. I didn’t have a doula, which is funny because everyone asked, you know, “Did you have a doula at your birth?’ And I’m like, “No.”

But in that moment, I was like — and Jonathan was so amazing the whole birth. But in that moment, I told him to get rest. He was getting rest. But things shifted, and I don’t think he realized that I was doing great on my own. I was like, “You do you.” And then, all of a sudden, I was like, “You’re not helping me.” So, I kind of was like what, “I need help.” He’s like, “Whoa, whoa! “What’s going on? You were doing great.” And then, I started getting like a little bit — I think that was the act of labor taking over, where it started to feel like, “Okay. I need help.”

Elliot: What are you doing for all those hours?

Carson: Before?

Elliot: Yeah. From like basically 12:00 to 6:00.

Carson: That’s what I don’t remember. I must have been dozing in and off. I just kept the lights off. It’s so interesting. I really have a very strange — I think I like blacked out a lot of it because I don’t have a lot of recollection. But I remember just kind of like moving around the room, and cuddling, and just moving through. I was like in a state of wasn’t very conscious. But at 6:30, I remember being like aggravated and kind of coming to and being like, “I need help.” He was tired and he was helping me. But also I was like, “Okay. Call our midwife.” I knew it was too early for her to come, but I also wanted him to feel supported. I wanted female energy in the space. The reason I didn’t have a doula is because she was going to be both for me and that’s how she practices. So, I knew that she would provide some physical support, too. And help Jonathan guide me through some of those double-up squeeze and things like that. So, she came around 7:30.

Elliot: Do you remember what your dog was doing during that whole time?

Carson: He was under the bed while I was pushing. I’ll tell you about what he did at the end. But he was cuddling with me most of the time when I was downstairs. He’s not allowed on our bed, but he would have been right by my side. But when I moved to the couch, he sat next to me and kind of like watched on guard. He knew something was different. He had a hard time relaxing, but he didn’t leave my side.

Elliot: Okay, cool. You probably said birth, also home birth, they’re just so different how they react.

Carson: And, the funniest part, we keep laughing about it — Well, hey, we go back to your first question is like, “why is a home birth important to you?” Honestly, a big part of it was being able to have my dog with me.

Elliot: I heard that a lot. I just became a dog owner for the first time a year ago. I sort of get it now.

Carson: Yeah, they are. They’re just like such love bugs. But what’s so funny, and we laugh about it is I would be like, “Ah!” during labor. Yelling at Jonathan. Poor Jonathan, my midwife. Like, “Get away!” And then, I remember just seeing Paulie, and I would just be like, “Oh, I love you, Paulie.” I would just smile and I would be so sweet. And then, I’d like snap at poor Jonathan again. But he could do no wrong. And so, he was like this little like heart melt there for me.

Elliot: Oh, you did have a doula.

Carson: He was my doula, exactly.

Elliot: A male doula. Who would have thought? Okay. So, 7:30, midwife comes. And?

Carson: She came. But it was funny because the contractions were intense. And that’s why I wanted that physical and support, and they were close together. But in between, no pain. No sensation. Totally back to my normal self. And that’s kind of always how I thought of early labor. So, I was like, “Gosh. This is super early.” Because, yes, the contractions are intense. And yes, they’re close together. But I was talking to her about like music, and we were eating, and I was totally myself in between. And then, I would have a surge. I would be like, “Aah!” You know, and she would help me, and then we would go back to doing our thing. So, that lasted probably until noon.

Elliot: Did you have a sense where you were on the spectrum from beginning to end?

Carson: In terms of progress?

Elliot: Yeah.

Carson: No. So, I knew that I did not want any cervical checks. I never had one in my pregnancy or in labor. That was important to me because I know myself, and I didn’t want to get in my head. I didn’t want to compare myself to other births. “Oh, in this birth, when it was 4 centimeters, at this time, this happens,” you know. Because it’s not a crystal ball.

Elliot: Yeah. So, I’m not even talking about how many centimeters.

Carson: Yeah. Progress.

Elliot: In terms of your pattern whether you’re —

Carson: That can be as useless as the cervical exam. I don’t know if you’ve experienced this in your practice as well. But sometimes, you see these patterns and you’re like, “Oh, baby’s coming. Like, look at the time, right?” It looks like what the app tells you is active labor. And then, 40 hours later, you’re still sitting there.

Elliot: You’re still there, yeah. So, I mean not as an observer, but as…

Carson: Inside.

Elliot: For you. Yeah.

Carson: Yeah. I try to stay away from all those things that [unintelligible 42:48].

Elliot: In a kind of spectrum timeline.

Carson: Exactly. So, we didn’t time. We’d do anything. I had no idea, I think how close I was, but I really wasn’t thinking about time. At this point, my worry was that I’d have a really, really long labor. So, I guess in my head, I was like we’re so far away. I kind of felt bad. My midwife was pregnant. And so, I’ve definitely felt guilty. I was like, “Oh, she’s going to be here forever.” I definitely called her too early, but I really love having her here. So, I had no idea.

Elliot: Okay. No idea where you were. Do you have any recollection of what that pattern looked like, contraction pattern? Or you just didn’t even pay attention to it?

Carson: I was say, every 3 minutes, for a full minute.

Elliot:  And then, where did you feel it?

Carson: At this point, they were intense. But this was when it started to I’d feel it in my hips. The contractions that happened in my uterus were the ones that I liked, and they didn’t bother me. They were not as bad as any period cramps or anything like that. What really took my breath away and really brought me to my knees were the feeling of my pelvis and my bones opening, which I know you could probably explain to me better than I can of what was going on. But my legs, my thighs, something was going on there where I just felt everything in my legs. I felt it my pelvis opening, my hips opening, and then I felt my tailbone, which again is funny. Because every birth worker knows, “Okay, if you feel it in your tailbone, we know what that means.” But I wasn’t even thinking of that. I didn’t know that meant the baby was low. I just was like, “My tailbone is stuck. Somebody needs to pull it off.”

Elliot: That’s me!

Carson: Yeah. I was like, “Can someone tell me where is Dr. Berlin? Pull my tailbone up and away from me!” Because I just felt like her head was pushing it back. And so, honestly, the contractions I don’t remember being hard. It was the physical sensation of — and I’m petite. So, I think, I just…

Elliot: You have to open up.

Carson: Making room. And that was really hard for me.

Elliot: Yeah. You had to open up. Okay. So, how did you cope with that?

Carson: The manual, you know.

Elliot: Covering pressure.

Carson: Covering pressure, and all that, was helpful. But I got into the shower, which was nice. And then, I wanted to get into the tub. That helped but I still was overcome at this point. And now, looking back, I was in like a very active kind of transition point in the tub. I was probably in there for two hours. But what really helped was howling. I was so loud. Louder than any client I’d anybody I’ve ever seen give birth. I was louder by a million. I was like, “Wow! Okay. I was not expecting this.” But I roared.

Elliot: Wow!

Carson: I could not have not done that. Like, it was such an important part of my process. I was so glad that my birth team really like invited it, and encouraged it, and let it happen because I do feel like I was what I needed to do.

Elliot: I mean this one’s like primal instinct.

Carson: Yeah. Oh, I was so loud. I don’t know if I cried tears but I cried out in agony and was just like, “Help!” You know, that was such a big part of it for me that I think I needed to do.

Elliot: Is this like a birth tub that you set up?

Carson: Yeah.

Elliot: Okay.

Carson: We rolled out a birth tub. But, unfortunately, it had holes in it, which we didn’t know about. It kept deflating while I was in it. And luckily, my midwife was like repairing it in real-time. That was a little bit stressful. It all worked out fine, but yeah. That was fun.

Elliot: I could see how that would be a little deflating, in general. Okay. So, then, if you’re in transition. What happens next?

Carson: At this point, was when I was like, “I’m going to die. I can’t do this.” I remember just like fantasizing about the hospital, which I never thought I would do. You know, that was my worst nightmare, to have to go to the hospital. And all of a sudden, I was like, “Oh, please. Just take me there. Give me the epidural. This is too much!” I remember also like really wanting external things. At this time, I wanted other people to come in and take the pain away. I was calling for my neighbor. I was like, “Maybe call the neighbor!” Like, she was going to help or something, you know. Like, I just wanted…

Elliot: Somebody must have something.

Carson: I just wanted somebody to hum, and just do something. So, that was really my experience transition. I felt so much pressure in the tailbone and back there, which again is comical. Because if somebody was yelling, “My butt! My butt!” I’d be like, “Okay, you’re pushing,” at the time. I was screaming that, but had no idea that meant I was close, right? I just forgotten everything I knew about birth. I just felt her so low down there. I’m like grunting and howling. And then, I just remember saying I had so much doubt, which is that’s when I knew it was transition because that doubt was so big in me.

I said to my midwife like, “I just don’t think it’s going to work. This is not going to happen.” And she was like, “Well, why don’t you just like feel?” I could feel her head like right there. But still, in my head, was like, “I’m days away.” Like, “I’m going to have to go have a cesarean.” It’s just nothing in me. Even feeling her head, made me realize it was real.

And then, I wanted out of the tub right away. I got on the bed. I knew in that moment I looked at her, I said, “I’m in transition,” because I just knew that I couldn’t go lower. Like I would think that’s some hell. So, I was like, “This is a transition.” She shrugged. She never said, “Yeah,” or she’s like “Maybe.”

Elliot: Wow! And so, when does her assistant come?

Carson: She wasn’t going to come because she actually had a little cold, and they told me that. They were like, “She has a cold. She wanted to come.” I said, “No. Do not want a cold right now.” So, I was just going to be my midwife, which we felt really good about and we were totally fine. But in that moment, remember when I told you I wanted external? I just wanted everyone else to come save me. I screamed out, “I want her here!” Again, not that she was going to come do it for me, but I just felt like I needed something to change the environment.

So, they called her, and I’m so glad that we did. She was getting over her cold. She was like totally fine. I think she knew that I would be on edge if I heard her clear her throat. And so, she came and she really just took the photographs, which is I’m so grateful I had because I wouldn’t have had that if she not come. She showed up probably an hour before Lou was born, while I was on the bed.

Elliot: Alright. So, you got out of the tub onto the bed?

Carson: Yeah.

Elliot: Were you like, in some ways, more comfortable on the bed?

Carson: Well, I love the tub, but it was so wild. It was like from one second, it was great. The next second, it was like, “Nope! Done. Get me out now.” I don’t know if the temperature went down, or what happened. But my body just told me, “It’s time to get out.”

Elliot: Okay. I was like how long are you on the bed for?

Carson: Probably, two hours. At first, I instructed Jonathan to sit with his back against the headboard. And then, I leaned over him on all fours.

Elliot: Okay.

Carson: Which was really nice. We kind of like snuggled like that for a while. It allowed me to be on all fours to be in his arms and supported. He was a little nervous because he knew he was supposed to catch, and that was something he was excited about.

Elliot: It was like, “Hut!”

Carson: He’s like, “How do I catch from here?” I remember that being like a moment where he’s like, “You seem to like this. What should we do?” But we did that for a while. And then, I got on the peanut ball. I laid with my leg up on my hips. I don’t even remember, but I just like tossed and turned around. I wasn’t on my back at any point. I remember my midwife saying — so at this point, I was clearly pushing. Again, I still don’t even — no one said, “You’re pushing.” No one said, “Push.” I just was pushing. But honestly, I don’t even think I knew. I was so out of my body and so out of my head and into my body, I just was doing it.

And then, I remember my midwife saying, “It might help. Just because of the position like that. If you wanted to get on your back, you can try that.” I just was like, “I’ll kill you.” There is no way — and in that moment, my admiration for the strength of the women who have birthed on their backs in the hospital, unwillingly, which is many. There’s no way I could not have done it in the hospital. I just couldn’t have because there was no way I would have been told what position to go in. I could not have tolerated that. I think the only way I was able to get through was being able to fully move in the patterns I wanted to.

Elliot: Yeah. It seems like your mind kind of shuts down…

Carson: Yeah.

Elliot: …at that point because you’ve seen so much.

Carson: I was clueless.

Elliot: Yeah, in the moment, maybe you were clueless but just in that neocortex.

Carson: Yeah. Such a gift. Such a gift for me because I’m a thinker. I was so happy. I kept asking I was like, “Is the baby under the pubic bone?” while she’s crowning!” I was like in such a daze about what was going on. And I’m in disbelief! I think there was a part of me, given I was born cesarean. I was told because of my size from doctors, before becoming a doula. “Oh, you’re so small. It’ll be hard to give birth. You won’t be able to give birth vaginally.” All the BS that I think I heard those in me while I was birthing.

Elliot: But then at the same time, while you’re closing that out as much as you can, you’re like very aware of what’s happening and what you need on the deeper older limbic part of your brain that does birth.

Carson: Yeah.

Elliot: It’s almost magical that you’re able to take so much experience from your conscious mind and put that away and have your own experience.

Carson: Yeah. It was such a gift.

Elliot: Alright. So, you’re writhing around…

Carson: Writhing around. I got on all fours. I guess at some point, it kind of came to the fact that, “Okay. I am pushing. She is close. I could feel…” Again, not at all what I thought the ring of fire felt like. But I was like, “Okay. This is it! If I just keep pushing like this, I think this could be over soon.”

I remember getting on all fours and just bringing one leg up. In a way, it’s kind of the position that you would want to get into with the shoulder dystocia. I don’t know if I did that out of prevention. Look, I was like, “I’m just going to.” But I remember my midwife saying, “If you put your leg like that, it’s going to be the widest your pelvis will be open.” I was like, “Great, let’s do that! Whatever the widest.”

So, I was on all fours. I brought my leg up and just kept pushing. I mean, I don’t know what was happening but I kept doing my thing. I remember Jonathan getting ready, and he was so steady and like so confident. I could feel that energy, which was so soothing and just amazing to have him right behind me. And, of course, somebody who’s never given birth before thinks when you see the top of the head, that you really have to catch, little do they know, it could still be some time.

Elliot: Yeah. “You’re almost there! You’re almost there!”

Carson: Yeah. I think he was like, “Wait!” Even though I prepared him for that, he was okay.

Elliot: “Now? No.”

Carson: “You’re still pushing.” But I could feel there was patience, but that excited energy and he was just so ready right there. And then, her head emerged. I remember knowing that and hearing that. And then, of course, my first question like, “Is she okay?” I said that while her head was still out, my midwife and Jonathan laughed because, not only is she okay, she’s breathing and clearing her lungs and nose and everything on your perineum. So, before she came out, she started like crying and doing her thing.

Elliot: Oh, wow! Well, meaning her shoulders and body are…

Carson: Oh, yeah. Her shoulders and bodies were still inside, but she was clearing her throat or her lungs.

Elliot: Oh, wow!

Carson: That was obviously very reassuring to the birth team and everyone. Because they’re like, “She’s amazing! She’s doing her thing while still inside of you, half inside of you.” And so, I was like, “Okay.” And then, this was when I was like, “Okay, shoulders now.” This is the time and I was so nervous. But, she just came out with ease into Jonathan’s hands. There was a cord around the back of her neck, and Jonathan unhooked it or unwrapped it.

I remember the midwife saying to Jonathan, “Bring her towards you.” Which was her instructing him how to get the cord off and saying bring her out. But she didn’t know if it was a her, but “Bring the baby out towards you so that she’ll come out and can take the cord off.” I heard that. I thought she was out. And so, I was like, “No. Towards me. Towards me.” Like, I get to hold her first. And they’re like, “She’s coming to you. We just have to get her out and unwrap first.” So, I was like, “Okay, fine.”

And then, he quickly passed her to me because I was very impatient. I wanted her in my arms right away. We were holding her and we were like celebrating. So, excited. Paulie jumped up from out of the bed the minute he heard her cry and started three laps around the room. And then, we were both like, “Okay. We’re going to find out if it’s a boy or a girl.” And, of course, I was like, “Jonathan, you get to announce.” But he was taking too long, you know. He was like gentle and also just like was like in an excited cluster. I was like, “Fuck it! I’m looking.” And so, I did it. And I was like, “It’s a girl!” I just felt so strongly, like I said before in pregnancy, I just knew she was a girl. I knew it. I stocked her closet with all my dresses from childhood. I tried to get some boy things just in case because I didn’t want him to feel bad. But I just would have bet anything that it’s a girl. So, it was really funny, we all laughed because I was like, “Yep! There she is.”

Elliot: “Just like I told you.” So, you pushed on all fours.

Carson: Pushed, yeah, for the last part, and delivered on all fours.

Elliot: Delivered on all fours. Did you experience a ring of fire?

Carson: Again, the sensation from the muscles and the tailbone so overpowered whatever other sensations there are of labor that I thought would be there. That seemed like the least of my worries. It was so much more on the backbone for me.

Elliot: So, more there than your perineum.

Carson: Yeah. I don’t even remember any of that. It was all the bones. And I didn’t tear, so maybe that helped. And I crowned for a very long time because she had — the poor thing had a bruise on her head. But yeah, for me, the hardest part was just those bones.

Elliot: How big was birth?

Carson: Seven-four.

Elliot: Okay. You’re, like you said, pretty petite. So, you gave birth to a healthy-sized baby. No tearing.

Carson: No tearing.

Elliot: And it sounds like none of that intense pushing coaching.

Carson: No. I didn’t even know I was pushing. No one was coaching me. I didn’t even know I was doing it.

Elliot: Right. I’m just saying the contrast in my mind did, too. Like, you, a woman on her back, and you know her legs are up. There’s a bunch of people around. And people are just like, “Blah, blah, blah. How can I breathe?” “Don’t worry. Just push, push, push!” I feel like that’s where a lot of the tearing comes from.

Carson: Yeah. There’s an evidence-based birth article, review article, that talks about how the number one factor that impacts tearing or not is provider skill. Your provider. And I do have to credit my midwife I think in that.

Elliot: Meaning, was she doing something? Like, massaging or…

Carson: Definitely wasn’t massaging. But she was applying manual pressure.

Elliot: Oh, just slowly. Oh, okay.

Carson: Yeah. Helping to keep I think the tissues together more, which she was explaining to me later was very different than anything I’d seen, or kind of heard as an approach. I think the not telling me to, “Push. One. Two. Not.” Like all the other stuff, like the push, and of course the freedom and flexibility. But she was very hands-off in the way that I wanted her to be the whole time. But in that moment, she did step in with a skill that we had discussed before that she knew how to do to help support my perineum, which I was really grateful for.

Elliot: Wow. Intensely beautiful.

Carson: Yeah.

Elliot: A few questions here at the tail end, starting with the tail. Did you have like tailbone soreness afterwards?

Carson: I did. But it totally went away. I also feel like I was sitting so much in bed, which it was funny. I asked Allison Oswald, you know, pelvic floor therapist. I was like, “My tailbone hurts so bad. Do you think it’s from sitting so much?” She’s like, “I think it’s from the birth.” I was like, “Oh, okay.”

Elliot: I wonder, because you mentioned it so many times, I wonder if you ever injured it like in snowboarding.

Carson: That what people kept asking me. She did tell me. She’s like, “Keep stretching that area. Use the physio ball because it’s not going to like untighten.” But not that I remember.

Elliot: Do you snowboard?

Carson: No.

Elliot: I wouldn’t have guessed that. Okay. Did you eat during labor? And if so, what?

Carson: Yeah, but not as much as I thought. I love eating. It’s my number one source of comfort. But just didn’t cross my mind. I had lentils in early labor. That was what I had asked Jonathan to make.

Elliot: How was birthing your placenta?

Carson: Of course, birthing her was my favorite part. But I do have to say that that was a really special part for me, too. That’s a big fear I had. I was told in pregnancy that my iron was low and that I really couldn’t afford to lose blood. That really got in my head and really freaked me out and sent me kind of in a tailspin of trying to fix it. But then also, in my way of wanting to research and understand everything, I learned a lot for another podcast about iron. I also was really nervous. I was like, “Okay.”

I felt confident by the end because of the measures I had taken to prevent too much blood loss. But I was, “Okay. This is the time where you can hemorrhage after the baby’s out. This is more, I’d say dangerous, part of birth for the mother.” I was really on edge about it. I really wanted that part to just be over. And my midwife was so in tune and could so feel that I didn’t want her help. I didn’t want to rush the placenta, but I also wanted it out. I was really nervous about it and kept asking about it.

So, we waited a full hour before cutting the cord. And then, after an hour, she picked up on this. She said, “Why don’t you get in the shower and you can do it yourself? You can just squat over a bowl. In that way, you can know if the placenta is ready. You can feel the tension. I will not intervene in this process and cause a problem because I’ve seen that so many times.”

And so, I went into the shower, squatted down, and I talked to my placenta. I said, “Hey, thank you so much. I’m so grateful that you protected and supported Lou, and nourished her. But your work is done and you can come out now. You can come out in one whole piece.” And then, like talking to it on what to do and kind of just let that happen. I made sure Jonathan — because at this point, we’d cut the cord. I made sure Jonathan brought Lou to be there in my eye line so that I was connected to that oxytocin flow, to support it. And then, I just guided it out into the bowl, and it was perfect and I did not bleed at all. I mean, of course, I had some bleeding, but for the six weeks after. But there was no gush of blood or anything. So, yeah, that was a powerful part for me.

Elliot: That’s different from anything I’ve ever seen.

Carson: Yeah, me too.

Elliot: How was transition to breastfeeding?

Carson: That, surprisingly, I didn’t do right away. I was just like I’m too busy staring at her and like finding my feet. So, I waited a little bit. But my midwife, before she left, set us up side lie. And that was really nice because that [unintelligible 01:01:37]. That was amazing to just be able to stay and also good for my tailbone. I’ll be sitting that. I just side lie at her for like the first four days. And then, I was like, “Wait, I don’t think I know how to breastfeed sitting up.” I had this moment where I was like we’ve mastered the side lie, but it felt so funny to like get up and feed her because I was, “I don’t know what I’m doing.”

When my midwife came back, or I don’t know. At some point, I was like, “We’ll try it this way.” Luckily, she was a great feeder and there was one day when my milk came, that it just hurts so bad, my nipples. I called my sister who had three kids, her husband actually was so sweet and so cute. He clearly paid attention in all the classes and had been a great support to her. And so, he actually like helped coach me through it. And was reminding me things I know. And also, hearing my friends say, “People say it doesn’t hurt, but it could hurt.” It’s not that there’s anything wrong. The first few days, it’s okay for it to hurt. I was, “Okay then, it’s normal.” Once my milk came in the next day, it all got better. I wasn’t expecting that. I was sure that there’s been a terrible problem.

Elliot: That’s a very helpful important tidbit.

Carson: Yeah.

Elliot: Okay. Here’s my last couple of questions. Number one, how do Paulie and Lou get along?

Carson: They’re so great and I’m so proud of him. I know it’s tempting to look a cute baby’s face all day long. He’s really great. He’s really understanding that she’s very important and that you can’t go nuts on her all the time. There’s a lot of energy. But I’m excited for them to be able to interact more.

Elliot: Coming soon.

Carson: Yeah.

Elliot: And then, next, what, if anything, what did you learn about you, about birth for you, and about birth as a provider from your own experience?

Carson: Well, that’s such a big question. I think I learned — Yeah, obviously, I feel so like proud of the whole process and her, mostly, and what we’ve created. Jonathan, keeps teasing. “I highly recommend doing this with a birth worker. I highly recommend having a baby with a doula.” But we tease, and it’s not because I know something that anyone else doesn’t or you know have some greater capacity, it’s not that at all. It’s just I’ve been able to apply what I’ve really believed in for so many years, and really fully immerse myself in for so many years, and all this information, I mean experience. There’s something really rewarding to know that there’s benefit in that, and there’s value in that is most important.

So, it definitely makes me even more passionate about my work, knowing that the journey is a journey and you can’t take away the challenges or the sleepless nights, and all that. But there’s so much we can do with support to make it easier. I always knew that deep down. But now, having walked my talk of what I share with my clients, and got to see on the other end how good I feel, which I wasn’t fully expecting. A lot of that comes down to like we talked about whether it’s the first 40 days, the nourishment, the nutrition, the support, the way you choose to birth, and all of that. And so, that feels really good for myself, of course, and for my confidence as a mother. But my confidence in my work and knowing that what I do out there to be a value to people. And now, I kind of feel like I can really say it works when we take good care of ourselves.

Elliot: Yeah. It takes some effort, doesn’t it?

Carson: It does. But in many ways, it’s been effortless. And we’re lucky in so many factors. So many women can’t stay home for a long time or have access to that support, of course. But if you put the work in before, it does pay off ultimately.

Elliot: Is there anything that you wanted to share that I left out?

Carson: Oh, gosh, no. I feel like I blabbered on.

Elliot: No. It was so beautiful every minute. Carson, thank you so much for joining me and for sharing your story, and for all the incredible work that you do.

Carson: Thank you, Dr. Berlin. Thank you. That’s one part of the pregnancy and postpartum I wish I had had you out here, but —

Elliot: Yeah. When you moved, and then I found out you were pregnant, I was like, “Ugh!”

Carson: I know.

Elliot: Of all the people I would want to be there for.

Carson: Oh, my God! My tailbone would have been so happy.

Elliot: It wasn’t meant to be. Carson, where can we find you online?

Carson: carson-meyer.com is my website for my doula work. And “Growing Together,” we’re Instagram @ccmeyer. And then, candthemoon.com for C & The Moon products.

Elliot: For yumminess. Are there new C & The Moon products coming?

Carson: Eventually.

Elliot: In development.

Carson: Eventually.

Elliot: They’re just steady.

Carson: Slow and steady.

Elliot: Amazing. Alright. I will see you there. And then, who knows, you might also appear at some point on Informed Pregnancy Plus.

Carson: Yes, I’d love that! Do you want to meet little Lou?

Elliot: Yes, please.

Carson: Oh, it’s okay. Hi, baby. Here she is.

Elliot: A little yum. So, bakery fresh. Ah, she’s so sweet. Where did she get those cheeks from? Amazing.

Carson: Thank you so much.

Elliot: Alright. Everybody at home, thanks for listening, watching. We can also see you online at theinformedpregnancy.com.

Ep. 329 – Valentina Trentini (After) – Informed Pregnancy Podcast

Ep. 329 – Valentina Trentini (After) – Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I am your host, pregnancy-focused chiropractor, Dr. Elliot Berlin.

You’ve tuned into the after episode of about before and after birth story. My guest today is from northern Italy. She’s a muralist and sign painter. Her first pregnancy went well. But after the birth, she started to feel some awful tailbone pain. Turns out it was broken. She just had her second baby, and we’re going to see how the pregnancy and birth differed. Valentina Trentini, welcome back to the podcast.

Valentina: Thank you for having me.

Elliot: Congratulations!

Valentina: Thank you!

Elliot: All right. So, we talked a bit in the first episode about all sorts of things. How you met your husband, that you didn’t like him. But then, you met him again, and you did like him, and you had babies together. Your first pregnancy, and your birth and how afterwards. If I remember correctly, you said you injured your tailbone during a snowboarding competition first.

Valentina: Yes, when I was 18.

Elliot: When you’re 18. And then, after you gave birth, it felt similar but nobody believed you.

Valentina: Yes, correct. Absolutely. It was horrible.

Elliot: Eventually, eight months of recovery later, you finally started to feel like yourself again after seeing an Italian osteopath.

Valentina: Yeah, absolutely. After like three sessions with her, it went back in place and the pain went away. Thank goodness. Because it was almost eight months of pain.

Elliot: It was such a critical eight months trying to take care of your newborn.

Valentina: Yeah. The first eight months, it was really terrible. I wouldn’t go back in time again and do that all over again.

Elliot: And even though you’re one of the world’s nicest people, and we need more of you, the planet made it difficult for you to have your next baby.

Valentina: Yes. I lost three babies between my older daughter and my current daughter. It was not fun. I went through a lot of pain and a lot of anxiety. I was really discouraged, but everything turned out fine. Thank goodness. I was really lucky.

Elliot: I mean, if you were finally doing IVF, and then right before you went in for your injections, you found out you were pregnant.

Valentina: Right the day before.

Elliot: Yeah.

Valentina: The day before I found out I was pregnant. I took two different tests to make sure that I was really pregnant.

Elliot: In your case, I probably would have taken 20. In your fertility testing, did anything ever come up as a reason why too much [unin 02:58] pregnancy?

Valentina: Absolutely not. Both me and my husband were completely fine. Nothing happened. Nothing at all. We were completely normal. And we never had a single problem. Even the fertility doctor was like, “I have no idea why you’re having these recurring miscarriages. But it’s kind of let’s say normal at your age because you’re past 35. And it can be kind of normal.” Nothing came up.

Elliot: During your pregnancy, understandably, you had some anxiousness, some fears. Did you have those in your first pregnancy?

Valentina: No. My first pregnancy, I was super chill. I was never anxious. I never had a single doubt. Like even with that doctor at the beginning told me, “Oh, you’re pregnant,” and was four weeks pregnant what he told me when we found out. He was like, “Well, we need to wait until eight weeks, we’re going to talk. And in four weeks, if something happens, it’s kind of normal.” I was like, “What can happen? Nothing is going to happen.” In my mind, I was like, “Well, I’m pregnant. I want to have a baby and it’s going to be done.”

Elliot: It’s going to happen.

Valentina: Yeah.

Elliot: So, this anxiousness that started to kick in, was that related to what?

Valentina: Well, at the beginning, I was anxious that I was going to have a miscarriage early. In the middle of it, I was anxious that my baby would have had a brain damage. And toward the end, I was anxious that I would have had a stillbirth. I think that when my brain started to understand that everything was going well, my brain was finding something wrong. Because I think that the pain that I went through with the three miscarriages was too much for me that my brain was trying to like put me in a safe place and be like, “Okay. Something is going to happen. You need to be prepared if something is going to happen.”

Elliot: Expect the worst.

Valentina: Yeah.

Elliot: Literally. I guess during pregnancy would say expecting the worst.

Valentina: Yeah.

Elliot: How did you deal with that anxiousness during the pregnancy?

Valentina: I did a lot of therapy. I was seeing my therapist every week. I was doing with you, a lot of sessions. And I was doing acupuncture, and I was doing a lot of physical exercises because I was trying to release all the stress and all the anxiousness. But it never went away. It was always in the back of my mind and my head. I was dealing with it. Like, living with it. Living with the fear, that living with the anxiousness, living with all these horrible feelings that I was trying to be happy and enjoy the pregnancy. Now, looking back at my pregnancy, everything was perfect. I never had a single problem. But it was a very hard nine months. I felt like I was holding my breath for nine months. That’s what I was feeling.

Elliot: You’re also concerned about that tailbone.

Valentina: Yeah. That was one of my biggest fear. At a certain point, I started to ask my doctor if I should have had a C-section instead of vaginal birth. Because I was like, “Maybe I have less chance of breaking my tailbone with a C-section.” My doctor is amazing. He was like, “Let me talk to a specialist that is a good friend of mine and ask him what you should do.” And even the specialist was like, “I will not do it if I were you.” My doctor was like, “I would not recommend that you have a C-section. Because yes, you’re going to recover in two months instead of eight.” But at the same time, it’s still like a major surgery. It’s still like something that your body is going to have to go through, and there can be complications, and you never know.

Elliot: And, of course, there’s a chance that your tailbone wouldn’t break.

Valentina: Yeah.

Elliot: All right. How was the very end of your pregnancy?

Valentina: The very end of my pregnancy was — I was still very anxious. But, actually, I started to feel a little bit more at peace. Because I was just counting the days. I was still thinking, “Oh, my God. I’m going to break my tailbone. I’m going to be in pain for so long.” But, at the same time, I was like, “Okay. We’re very close to giving birth. The baby’s still fine. She still kicks.” It was a mix of feelings. I was in a glass of emotions.

Elliot: When in the 40-week count there, and how did your labor start?

Valentina: The labor started when I was 39 weeks, 38 or 39? I think 39, yeah. Because I was six days early. I didn’t sleep that well the night before. My husband had a sore throat. He kept me up all night, and I was like, “Well, great. I cannot sleep.” Then I kind of like woke up at 7 a.m. I was like, “Something is like hurting.” I was like, “Oh, maybe it’s a contraction.” I started to time them, and I was like, “Oh, yeah. I’m having contractions.” I called my sister-in-law. She came from Oregon to help me and be in the room with me. I was like, “Okay. I think it’s time.” I told my husband and he was like, “Well, it’s 7 a.m. I need to go to work. Do I have a couple of hours?”

Elliot: Oh, wow!

Valentina: I was like, “No more. Not more than a couple of hours.” So, then, I called him at 9:30. I was like, “Why! They’re three minutes apart. I think it’s better if you come home right now.”

Elliot: Wow! Three minutes apart.

Valentina: Yeah. Let’s say, three to four minutes. Most of the time, there were three minutes apart.

Elliot: Also, what did they feel like?

Valentina: It was weird. Because with my first pregnancy, I was at home for seven hours and I just remember the worst part, the painful, painful part. This time, it was not bad. I was like, “Wow! This is actually not painful. So, I can do everything without an epidural. Like, this is easy.” I started to feel like contractions in my back, and I think that the adrenaline kicked in. I was just so happy. I wasn’t in that much pain.

Elliot: You were home with your sister-in-law?

Valentina: I was home with my sister-in-law, with my mother-in-law, with my niece and nephew, and my daughter.

Elliot: Oh, my goodness. It’s a big crowd of [unin 09:23].

Valentina: Everybody was around?

Elliot: Yes. And then, I was like, “Well, I looked at my daughter.” I was like, “Mimi, mommy is going away for two days. I’m coming back, and I’ll bring you a sister.” She was like, “Okay, mommy. I’m going to see you in two days.” I was like, “Okay.”

Elliot: She’s 4 years old?

Valentina: She’s 4.5, yes.

Elliot: Okay. So, she understands?

Valentina: Oh, yeah. She fully understands, big time.

Elliot: Well, let’s take a quick break. When we come back, we’ll find out what happens when you head to the hospital. We’ll be right back.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Valentina Trentini. She is in our story now in labor, a long journey to get there, and a lot of heartache and anxiousness going into it. But labor starts. Surrounded by a lot of family, except for your husband, who’s at work, and it’s not too intense. And you decide though to go to the hospital. Is that because the pattern changed?

Valentina: Because my doctor was like, “When you’re like less than five minutes apart, just come to the hospital. Just don’t stay home. We’re going to check. And then, if you need to go back home, we’re going to send you back home. If not, we’re just going to keep you here.” But the good thing is that I got there, I opened the door of the room where you check-in, and my doctor was there. It was the day that he was on call.

Elliot: Oh, wow. How nice.

Valentina: Yeah. I was the happiest person. It was amazing because a week before, he told me like, “Well, if you give birth on Friday or on Monday, that’s when I’m on call.” Actually, I went into labor on Friday. So, I got there. He checked on me. He was like, “Well, you’re 3 centimeters dilated. Usually, we keep you in the hospital at 4 to 5. But, I know you. I know you know your body. So, if you tell me that you prefer to stay here, I’m going to keep you here.” I was like, “I think that it’s changing really fast.” He was like, “Okay. Stay here.”

Elliot: Three centimeters. I mean, how was that news to you? Is that what you expected?

Valentina: No. I thought that I was more than that. But I was like, “Something is changing so fast.” The contractions are going so fast, and they’re more intense now that I was like, “Oh, I’m going to dilate faster than everyone thinks.” Actually, less than an hour later, I was at 5.5.

Elliot: [unin 11:55] quick.

Valentina: Yeah. I was screaming, and everyone got into the room. They were like, “Are you giving birth right now?” I was like, “No. Just in a lot of pain.”

Elliot: Okay. But your husband’s with you now?

Valentina: Yes. My husband was with me.

Elliot: Anybody else with you?

Valentina: I mean, his sister?

Elliot: Oh, your sister-in-law came also.

Valentina: Yes.

Elliot: Okay.

Valentina: The two of them.

Elliot: All right. When it got a lot more intense, do you remember where you felt it, and what about it was more intense?

Valentina: Actually, I was in the room, in the waiting room. I don’t know how you call it in English, but it’s like the room —

Elliot: Triage.

Valentina: Yeah. Triage, thank you. That one. When I was in the triage, the contraction started to get closer and closer together and very, very intense. But the thing is they had to put the monitor on my belly, and they had to monitor the baby for 20 minutes in a row. They didn’t tell me, so I kept moving because I was in a lot of pain.

Elliot: Restarting the count?

Valentina: Yes. So, every time, they were like, “No. We have to redo it. We have to redo it.” I was like, “No!” I was like, “Give me an epidural. I can’t deal with this anymore. I need an epidural right now.” And so, they put me in the room. And within an hour, they gave me an epidural. Thank goodness. I was in heaven. I was so happy. So, so happy.

Elliot: Did the first time you tell me the epidural slowed everything down for you?

Valentina: Yes. That’s what I think happened the first time. My doctor thinks that that was not the epidural. Because the epidural actually accelerated everything.

Elliot: Yeah. Speed things up.

Valentina: But I think that the first time the fact that my body was in shock. I was in so much pain, and my body just shut down. My body was like, “I can’t deal with this anymore. You need to relax. You need to rest for a little bit, and then we can continue to do this.” So, this time actually, the epidural, I was like 5.5, 6 when I got the epidural. And then, within like a couple of hours, I was already at 8. Everything was going perfectly.

Elliot: Fast-moving train.

Valentina: Yeah.

Elliot: Now, at this point, is there any of that anxiousness, or you feel calm? Is there any concern, talk about how to protect your tailbone for what’s coming next?

Valentina: At that point, I started to like see all the nurses coming in. All the nurses. The two nurses that I was assigned to, and the midwife, and my doctor. We all talked about, “Okay. Last time, I broke my tailbone. What can we do for this not to happen again?” The nurses were incredible. They were seriously amazing. They were all super understanding. They were like, “Okay. When it’s time to push, you’re going to push on your side, and you’re going to push on your hands and knees. We’re going to try to like not put any pressure on your tailbone.”

Elliot: Nice.

Valentina: That was my biggest fear, and I told them. They were seriously very understanding, and they were very sweet with me. To the point that I was talking to the nurse because she was asking me the questions, routine questions. She asked me, “Are you anxious, or any bad thoughts that you had during the pregnancy?” I was like, “Well, I’m scared that I’m going to have a stillbirth. But, you know, that’s me.” I try to put make a joke about it because I was kind of uncomfortable. Because every time that you tried to tell something like this to someone, they are very uncomfortable with you saying that.

Elliot: Sure.

Valentina: And she stopped. She walked around the bed because I was on my right side, and she was behind me. She looked at me in the eyes and she was like, “This is a different pregnancy. Nothing is going to happen to you. I’m here for you. Anything you need, you tell me. I’m here for you.”

It was the first time in almost two years that someone in the medical field really talked to me on a human level. And really made me feel comfortable. She was listening to me. She didn’t just say like, “Oh, yeah. You know, it’s fine. Everyone thinks that.” Or like she really thought that something was wrong, and she needed to tell me that she was there for me. It was amazing actually. And so, that really calmed me down. Then my doctor came in. It was like around 2 p.m. He was like, “Well, I don’t have any nurse right now to be with me, like to start to push, and I have two emergency C-section.”

Elliot: Oh, my goodness!

Valentina: Yeah. He was like, “Would you be comfortable to wait a little bit?” I was like, “I am on vacation. I have my epidural. I am not in pain. I have my bed. Don’t even worry about it. Do what you have to do, and come back when. If it’s time, I’m going to let you know.” And then, at 5 p.m., I was ready. And then, at 5:30, we started to push. I actually pushed on my side. And like last time, the pushing part was amazing. I felt empowered. I felt strong. I felt like, “Oh, my God! I can do this. This is really what I’m good at.”

Elliot: You’re a pusher.

Valentina: Yeah, I’m a pusher.

Elliot: Because of the epidural, how much could you feel or not feel?

Valentina: I felt everything.

Elliot: Did they deliberately turn it down?

Valentina: No. Because with Kaiser, they give you the remote so you can push the button and give yourself as much epidural as you want. But after a certain point, they tell you, “Okay. You’re almost there. You cannot push the button anymore. No more epidural because we need you to feel a little bit.”

Elliot: Yeah. You felt a lot.

Valentina: I felt a lot. Actually, when I was on my side, I was feeling more. So, she wanted me to go on my hands and knees because the baby wasn’t turned in an ideal position. The nurse, actually, she was amazing because she asked my husband and his sister to be on both sides. And then, you have this blanket and to wrap this blanket on my belly.

Elliot: A rebozo.

Valentina: Yes. She was like, “I saw this midwife doing it to another patient. Let’s see if this works with you.” They rub my belly for like, I would say five minutes. Something like that. And the baby turned. She was like, “Great. The baby just turned. You can be on your back, and then we can push her out.”

Elliot: Oh, wait a second. Did you feel the baby turn?

Valentina: I don’t remember that.

Elliot: Okay.

Valentina: I was like so in the moment that I don’t know if I felt a baby turn.

Elliot: Two more questions. One is because you said you could feel a lot with the epidural kind of wearing off. What sensations did you feel?

Valentina: Pain. Pain on my right side. Because she was pushing on my right side.

Elliot: Oh, like in your right hip?

Valentina: Yeah. The right hip, back, and a little bit in the front was where I was feeling it the most.

Elliot: That’s interesting. Because in pregnancy, you kind of had some discomfort there.

Valentina: Yeah, that’s true.

Elliot: Okay. So, then, the baby rotated into a better position. Do you still feel the pain at that point? And also, is it only with a contraction or you feel it all the time?

Valentina: I was feeling it all the time. But I knew that she was so close to coming out that it wasn’t a problem. And then, actually, when I was on my back, I thought that the nurse was giving me a perineal massage. I almost told her, “No massage. I don’t want that massage.” And I saw her that she wasn’t even close to me. I was like, “Oh, that’s the baby’s head.”

Elliot: The baby gave you a perineal massage.

Valentina: Yeah. The best part was that my sister-in-law told me, “Oh, I see some eyes. Oh, I see a chin. Oh, I see some shoulders.” And when she was telling me that, I was feeling everything. I was feeling the shoulders coming out. I was feeling everything coming out. It was like, with my daughter, I wasn’t feeling that, with my first daughter. That was incredible. I was like, “This is amazing!” It was seriously the most amazing feeling in the world.

Elliot: Wow, that’s great! A lot of people talk about burning during that time. Did you not feel burning?

Valentina: No. I felt a lot of pressure because her head was halfway out, and they kept her there for what felt an eternity. But, for sure, it was a few seconds. But, when she was coming out, I wasn’t feeling pain or burning sensation, nothing. I was just feeling her coming out.

Elliot: Literally, her body parts coming through you into the world.

Valentina: Yeah. And then, when they put her on me, I just asked everyone if she’s breathing, is she alive. “Is she breathing? Is she alive?” That’s what I was asking everyone.

Elliot: I mean, emotionally, how did that feel? When they put her on your chest and you were there, and she was healthy.

Valentina: I felt like a giant rock that was not on my shoulders anymore. I felt light. I felt this relieved. I felt that I could breathe. I remember that I was breathing, like deeply breathing. I was like, “Okay, she’s here. It’s done. It wasn’t that bad.” My head did everything. I was just relieved. I was seriously relieved and happy that I could breathe.

Elliot: All right. Let’s take one more break. When we come back, I have a few more questions about what happens next in the moment and after you get home. We’ll be right back.

[break]

Elliot: Welcome back to the Informed Pregnancy Podcast. We’re talking to Valentina Trentini.

Okay. A long, long road to get to that beautiful finish line. It sounds like a really gorgeous finish line for you. And also, sounds like the weight that had been sitting on you for nine months, on your shoulders, released as soon as the weight’s sitting on your pelvis is also released. You talked about how during pregnancy, the game plan was to sort of be on your side or all fours. But it sounds like when you actually push the baby out, you were on your back.

Valentina: Yeah.

Elliot: Was there a conscious change in choice?

Valentina: No. At that point, I was in the hands of the nurse and the doctor. I was just trusting them. Because they won my trust, and I was like very comfortable with them. The nurse was like, “Don’t worry. Even if you push, the last push is like on your back, everything is going to be fine. Nothing is going to happen to your tailbone. I promise you, we’re going to do everything we can for you not to be in pain anymore.” So, I just trusted them.

I think that I was feeling that everything was right. Because I could feel more than with my first daughter. I think that my body knew what was going on, and I knew what I was doing. That’s why I was like, “Okay. You want me on my back, I’m just going to be on my back.”

Elliot: Nice. How is your placenta delivery?

Valentina: It was fine. Even with my first daughter, it came out right after. They didn’t have to do anything. I didn’t even get any stitch. No stitching. Nothing.

Elliot: No tearing?

Valentina: Nothing. It was clean, perfect.

Elliot: Were you worried about what would happen on the epidural totally wore off?

Valentina: Yes, absolutely. When I started to feel way more. When I started to feel my legs again, I was like, “Oh, my God. Is everything fine? Am I in pain? No, I’m not in pain.” So, that’s great. Actually, they wanted to give me Motrin, the painkiller, for the pain. I didn’t even take it. I was not in pain. I was happy that I was not in pain. Very happy.

Elliot: Okay. So, no tailbone injury.

Valentina: Nope. Thank goodness, nope.

Elliot: All that worry.

Valentina: For no reason.

Elliot: And like you said, I think it was your nervous system trying to protect you.

Valentina: Yeah. I think that your mind is so powerful. I was in so much pain during the miscarriages. Three miscarriages in a year, it’s a lot for anyone.

Elliot: Yeah. I mean, one is scary.

Valentina: Yeah. The problem is that not being able to talk to anyone, and not being able to have a lot of support. Yeah. I had my therapist, and I had you, and my acupuncturist. But, other than that, none of my friends had to go through that. None of them. So, it can feel lonely. That’s why I think that my mind was like, “Okay. Let’s have a plan for the second pregnancy. Let’s find something that for sure it’s going to be wrong. Believe that it’s going to be wrong. So, then, if it’s going to be wrong, you’re going to be protected.”

Even if something goes wrong, it’s not that because you’re prepared it’s going to be less painful. Actually, it’s even worse. I was telling myself during my miscarriages, “See, I told you. You should have prepared yourself for like the worst. So, then when the worst was coming, you could have been prepared and not be in pain.” But then, you’re in so much pain anyway, and it’s really bad.

Elliot: Well, I’m sorry that you had all that pain and suffering, emotionally and physically. I can only imagine how much more you are excited to hug your little baby and to hear those cries, 24/7, whenever they happen. Just squeeze a little harder. How is postpartum and the house, having a toddler and a newborn at the same time?

Valentina: Well, it’s very hard. I think that she’d never prepare for this. I’m very lucky because my daughter, she’s 4.5 and she understands everything that is going on. Actually, she’s not really jealous about her sister. Actually, she’s super happy. She wants to cuddle her, and kiss her, and be with her all the time. But still, she’s still a toddler and she still wants my attention. And a newborn requires a lot of attention.

So, I have help. I’m really lucky that I have help. With my first daughter, I didn’t have anyone. I was home alone with her, and it was very, very hard. I promised myself that if I would have another daughter, another child, I would ask for help, which is the most important thing right now for me. Yeah, it’s great. It’s actually everything I wanted. It’s very tiring. It’s very hard. But I’m very happy. She’s here. Then, everything went well, and the pain is gone. That’s what I’m happy for.

Elliot: So, happy to hear that. What are you doing for your self-care now in the postpartum phase?

Valentina: I take long walks, which is what I really needed the most. I work in my studio, which is very relaxing. That’s my space. That’s my time. Nobody comes in my studio. I paint and I relax. For me now, that this is working and it’s the most important thing for me right now. I’m going to go back to therapy, for sure. Because I really need it. Because I think that the trauma is still there. I really need to deal with it, even if I’m feeling good.

Elliot: Sure.

Valentina: Yeah, painting is what makes me feel happy and relaxes me. So, that’s what I’m doing right now.

Elliot: I’m going to get paid for it.

Valentina: Yeah. Not bad.

Elliot: Are you still back to hanging off at bridges, and ropes, and things painting giant murals and banners?

Valentina: Well, now, no. Not yet. But now, I’m going to paint a couple of vintage cars. A couple of Porsche. I’m going to — what do I have again? I have another, some coffee shops, and some gold signs that I have to paint, which is very awesome. I love painting that stuff.

Elliot: I guess, my last question for you is does your family feel complete now, or do you see yourself expanding again in the future?

Valentina: That’s a good question. I’ve always wanted to have three kids, with my husband. When I met my husband, I was like, “I’m sure I want three kids with him.” I think that now, my family feels complete. I don’t know if I want to go through pregnancy again. Because it took a big toll on my mental health. For now, I’m fine. For now, I have two beautiful daughters and I couldn’t be happier. I don’t know. Maybe in six months, I’m going to tell you, “Well, I want to have another kid.” But I don’t think so. I think that holding my breath for nine months was enough for me.

Elliot: Yeah.

Valentina: To say, “No, I don’t want to go through that again.” Never say never, but that’s what I feel right now. I don’t think that that’s my path.

Elliot: Yeah. I mean, it’s good that you feel associated, but that also that you have an open mind. So, nothing’s final.

Valentina: Yeah. Nothing is written in stone. But I told my husband, “If you want another kid, maybe we’ll get a dog.” Maybe the dog is going to complete the family. I don’t know. We’ll figure it out. But I think that for now, we’re fine. We’re happy. It’s a happy ending. It was a very horrible story that has a happy ending, and I’m very lucky and very grateful that I can say that.

Elliot: I’m so happy for you. You’re the nicest person and very passionate. Every time I talk to you, I get hungry for pasta and pizza.

Valentina: Me, too, actually.

Elliot: Valentina, thanks so much for joining me and for sharing your story. Tell us again where we can find you online.

Valentina: You can find me @brushettasigns on Instagram, and brushettasigns.com. If you want to see my signs, and my murals, and my art, you can go there and I share everything. Every week, there is a different project.

Elliot: I can’t wait to go take a peek. I’ll see you there. At home, thanks for listening to our podcast. If you want more content like this, I would go to informedpregnancy.com.

Ep. 327 – Valentina Trentini (Before) – Informed Pregnancy Podcast

Ep. 327 – Valentina Trentini (Before) – Informed Pregnancy Podcast

Elliot: Welcome to the Informed Pregnancy and Parenting Podcast. I’m your host, pregnancy-focused chiropractor, Dr. Elliot Berlin.

Today, I’m talking to an Italian-American artist, painter — we’re going to find out more about that; and soon to be mother of two, and her experiences with her first birth where she fractured her tailbone. And then, secondary, infertility and now, pregnant and about to have a kid, Valentina Trentini. Welcome to the podcast.

Valentina: Hi. Thank you for having me.

Elliot: How many weeks are you with this kid?

Valentina: Thirty-eight and half.

Elliot: Thirty-eight and a half. So, we have plenty of time?

Valentina: Yes.

Elliot: All right. Let’s start at the beginning. Where are you from originally?

Valentina: I’m from Bologna in Italy, in the north. And then, I moved here about 10 years ago for work.

Elliot: Welcome.

Valentina: Thank you.

Elliot: What’s it like in northern Italy?

Valentina: It’s like a crazy part of Italy because it’s not mellow and chill, like the rest of Italy. It’s fine. The food is great. The wine is amazing.

Elliot: When you say “Italy,” I gain weight every time.

Valentina: Yeah.

Elliot: Just thinking about what the food could be like. What brought you to the U.S.?

Valentina: Ten years ago, I received an offer, a job offer, as a store manager for an Italian shoes company. They were opening a new store in L.A., so they asked me to manage the store. I was like, “Why not? I always wanted to live in L.A.” They accepted and I moved here. I didn’t have any friends. I didn’t know anyone. And then, slowly but surely, I started to meet tons of people. Now, I’m here.

Elliot: Did you meet your husband here?

Valentina: Yep. I met my husband here in L.A. at a photography exhibition.

Elliot: Oh, wow. Okay. You’re also an artist.

Valentina: Yeah. I’m a muralist and a sign painter.

Elliot: How did you get into that?

Valentina: I’ve always been very artistic since I was a kid. And then, I went to art high school, and then I became a graphic designer. And then, when I moved here and when I was working at the store, I got a little bit bored. I was like, “Let me do something more artistic.” I started to learn calligraphy on my own on the side. And then, I wanted to do something more, and be more and more artistic. And then, I found about sign painting and murals, and that’s how I got into it.

Elliot: It’s so amazing to me because I have a hard time with big pictures in general. It’s incredible to me. I couldn’t make anything like that even in a small space. But to map it out, and plan it, and get all that, it’s incredible. We’re going to have to put up some of your beautiful artwork on the socials when this comes out.

Valentina: It’s very fun. It’s very, very fun.

Elliot: And then, how you met your husband is kind of fun. How did that come about?

Valentina: I met him at a photography exhibition at the Sunset Marquis here in L.A. And then, I didn’t like him at all. I was with my best friend. He was with his best friend. He was talking, and I just geared up and left, because I was like, “This guy is not interesting.”

Actually, a month later, my best friend was like, “Oh, you need to start dating. You need to download this app. It’s called ‘Hinge.’ It’s friend of your friends on Facebook.” I was like, “Okay. Let’s do it.” Italians at the time we’re not really into dating apps, but I did it anyway. The first person I saw in the app was him, and I texted him. I was like, “I know you.” He was like, “No. I don’t think we know each other. But do you want to hang out?” I was like, “Okay.” And then, after five minutes into our dinner, we realized that we talked a month and a half before, and we laughed. And then, we live like we lived together and we’ve been together for like eight years.

Elliot: Look at that? Love at second sight.

Valentina: Yes, absolutely.

Elliot: That could be a whole book. Okay. Kids, did you talk about kids early on? Was there a decision, “Hey, this is a good time we talked about it.”

Valentina: We talked about it around like a year, year and a half since the start of the relationship. We wanted to have kids, and we started to like try to have kids. We tried like for like three to four months. No more than that, and then I got pregnant, basically, right away. Never had a problem with that pregnancy. Never had a like — nothing. Everything was perfect. The first pregnancy was amazing.

Elliot: What was your form of birth control before that?

Valentina: I took a pill for like 15 years, 17 years. I started very early when I was 14 because I had acne and that was the only thing in Italy that the urogynecologist was prescribing you to treat it. I continued to take it for 17 years. It was a lot.

Elliot: Dual purpose.

Valentina: Yeah. It wasn’t that great. I wasn’t feeling that good. That’s why when I met my husband, like when I was around 30, 32, I stopped. I was like, “This is too much. I don’t want to continue anymore.”

Elliot: Was that when you started to have kids or before that?

Valentina: No. It was before that. It was like, let’s say eight months, 10 months before that.

Elliot: Okay. After that, you said, “Let’s have kids.” And then, three months after that, you got pregnant?

Valentina: Yeah.

Elliot: Something like that. What did you do for the 10 months to prevent pregnancy?

Valentina: We use a condom, and [unintelligible 06:04].

Elliot: Did you have regular cycles?

Valentina: Yeah, very regular. I’m like a Swiss clock. That’s what we say in Italy. When you’re on point every month of 28 days, I get my period and it’s, “Oh, I was getting my period.” It was always five days. No more than five days.

Elliot: Wow! That sounds more German than I am.

Valentina: Yes.

Elliot: So, then, you get pregnant. How was that first pregnancy?

Valentina: It was amazing. I was very relaxed. I was very calm. I really, really enjoyed it. I was still working, but I was going to the pool every day to do laps, and I really, really enjoyed it. It was very easy. Very, very easy pregnancy.

Elliot: You sound European.

Valentina: Yeah.

Elliot: Okay. What happened was like for birth, did you have a particular plan? A thought on how you wanted it to go? Did you do any prep?

Valentina: I did. Because I lost my mom in 2014, I moved here and I didn’t have anyone here. I just had my husband’s family. I decided to have a doula to help me navigate through like late stage of pregnancy, and then birth, and then postpartum. It was very, very helpful. We decided, “Oh, maybe let’s not get an epidural if I can. Let’s stay at home as much as I can until my water breaks.” My plan was stay home as much as you can, don’t get an epidural, basically, go with the flow, and see how it goes. But, of course, births never goes to plan.

Elliot: Okay. How did it start?

Valentina: I woke up at 2 a.m., excited to have contractions and actually they were pretty close together. Called my doula I would say like around 4:00. Because I was like, “Oh, maybe it’s not that bad.” Like, I could handle it. And then, she showed up at 4:00. She was like, “Your contractions are very, very close together. You should have called me before.” But I was like, “I could handle it. No big deal.” And then, we stayed home until 9 a.m. I was at home until 9 a.m. And then, at 9 a.m., I was like, “I cannot take it anymore!” I was having a hard time breathing and my contractions were not minutes apart anymore. They were next to each other.

Elliot: No breaks.

Valentina: No breaks at all. I was done. I got to the hospital and I couldn’t take it anymore. I was in a lot of pain. I think my body went in complete shock because of the pain. The doctor was like, “If you don’t want to take it get an epidural, don’t do it. Because you’re two hours away from giving birth.” But for me, I reached my limit.

Elliot: Do you remember where the pain was, that was sort of overwhelming you?

Valentina: I think it was in my back.

Elliot: Your lower back.

Valentina: Yeah, in my lower back. I couldn’t even stand straight. I think that the fact that I was overwhelmed by the contractions and I was having a hard time breathing, that for me, was like a little bit too much.

Elliot: Sure.

Valentina: I started to get scared.

Elliot: How was the epidural for you?

Valentina: When they put the needle in, I didn’t even feel it. I was like, “This is the dream.” But then, a little bit, they give you a remote that I could control the dosage of the epidural. I think I got too much because I was in a lot of pain.

Elliot: What kind of pain from too much epidural?

Valentina: When I got to the hospital, the pain was unbearable for me. I think that…

Elliot: Oh, you’re saying you overdid it with the epidural because of that.

Valentina: Yes. I did overdo with the epidural. I think I made a mistake because I couldn’t feel my left leg anymore. My right leg, I could still feel it. But for me, my body was in shock, it just shut down. I went to the hospital that I was 7 and 1/2 centimeters dilated.

Elliot: Wow.

Valentina: My body was like just shut down. My body was like, “I cannot do this anymore. You need to relax. You need to stop.” It’s just becoming too much.

Elliot: So, labor stopped happening?

Valentina: Labor stopped. I completely stopped for 10 hours.

Elliot: Was that like restful for you, at least? Recovery-wise?

Valentina: I could rest a little bit. I was very lucky, if I have to be honest. Because I was at the Kaiser hospital, and they offered you a midwife during the day. My midwife was really good. She was very, very, very, very, very amazing. She was like, “I’m not going to call the doctor. I want you to have a vaginal birth. I don’t want to give you a C-section.” Because by the time that I got to the hospital, they broke my water two hours later. I was for a few hours in the bed with my water.

Elliot: On the clock?

Valentina: Yeah. Seriously. She was like, “I have the feeling that you need to be alone for a little bit.” So, everyone went out, left the room. I was alone. I had put some music on. I started to breathe. Around, well, let’s say 40, 45 minutes later, she came back. She was like, “Well, you’re there. We’re almost 10 centimeters. We start pushing now.”

Elliot: Okay. So, you didn’t need to augment your labor with like Pitocin?

Valentina: They did. It didn’t work.

Elliot: Oh, it didn’t work.

Valentina: Nothing worked.

Elliot: You just had to wait for your body to be ready again?

Valentina: Yeah.

Elliot: How was pushing?

Valentina: Pushing was actually the best part of everything.

Elliot: How do you mean?

Valentina: It was easy. It felt very natural. It felt like, “Okay, I got this.” Actually, it felt like 10 minutes. I thought 10 minutes went past. The doctor came in. I was like, “What do you mean the doctor is already here? It’s just 10 minutes.” They’re like, “No, honey. You’ve been pushing for an hour.” I was like, “Oh, okay!”

Elliot: Still kind of quick for a first birth.

Valentina: It wasn’t bad. I felt empowered. I was like, “I got this.” That was really good.

Elliot: Was the epidural turned down? Could you feel things?

Valentina: I actually could feel things because I stopped like giving myself epidural I think two hours before.

Elliot: You stopped adding on?

Valentina: Yeah. I could feel it because also the doctor, when the head came out, left the head like halfway?

Elliot: Yeah.

Valentina: She was like, “I’m going to leave her here for like a second because I don’t want you to rip.” I was like, “Okay. We got this. It’s fine.” After a little bit, I couldn’t take it anymore. It was like very painful, but that prevented me from tearing.

Elliot: You didn’t tear or just a minimal tear?

Valentina: Nothing. Not even a stitch.

Elliot: All right. Well, let’s take a little break because something didn’t go exactly according to plan. Let’s take a little break and come back and find out what that was all about.

[break]

Elliot: Welcome back to the podcast. We’re talking to Valentina Trentini. You have the baby, pushing was easy. But then, what happened afterwards?

Valentina: What happened was they put me in a different room, and the epidural started to slowly leave my body.

Elliot: Meaning, you start to feel everything again?

Valentina: Yes. I started to feel everything again. I was starting to feel this like super sharp pain in my lower back and in my tailbone. I told everyone. I was like, “There is something wrong. There is something wrong. My tailbone is hurting really bad.” Everyone didn’t believe me. Not a single person believed me. They were like, “No. You just gave birth. You don’t know what it is.” “I know my body, and the pain is different.”

Elliot: Can I just go back a second before that? Because you do seem to know your body really well. Some people do more than others, or some people are a little more connected than others. There’s a lot of noise and clouding around. Sometimes, we’re not so in tune. But in terms of your connection with your body, were you, prior to pregnancy, healthy? Did you exercise and were you like a worker outer? Were you a healthy eater?

Valentina: I’ve always been very healthy. I’ve always been a very active person. I was a snowboarder through my teenage years until I was 25. Previous to that, I was a gymnast. I always eat very healthy. Italians are like, we eat a lot of pasta and pizza but we’re healthy people.

Elliot: Because you drink a lot of wine.

Valentina: Yeah. Because we drink a lot of wine.

Elliot: I was a gymnast one time when I tried to go ice skating, but that’s a whole [phonetic 14:23].

Valentina: For me, I knew the pain. Because when I was 18, during a snowboarding competition, I broke my tailbone. I knew the pain. I knew how bad it is and I knew exactly where the pain is. I got really upset when nobody was believing me.

Elliot: I also wonder, did you tell them that you had a previous tailbone injury and this is what it felt like? They still weren’t buying it?

Valentina: Yes, I did. The thing is I don’t think that anyone would actually think that I would break my tailbone during giving birth.

Elliot: No. It does happen. It’s kind of rare, but it does happen. Especially if you have a previous fracture, and you know what it feels like. Again, you’re someone who has always been athletic and in touch with your body, so why not believe you? Okay. So, then, nobody did anything to help treat it?

Valentina: No. I went to my previous gynecologist. She was like, “Oh, I’m going to assign it to a physical therapist.” But the regular physical therapist, they don’t know what to do. They were giving me exercises. I was like, “This is not an exercise for the kind of pain. This is something different.” So, I went through like a physical therapist here for like six to eight months, and nothing happened. Nothing. I couldn’t hold my baby. I couldn’t sleep on my side. I couldn’t sleep on my butt. I couldn’t sleep. Period. When I was sitting down, I was feeling my tailbone popping in and out which was the worst thing.

Elliot: Painfully?

Valentina: Painfully, yeah. I was hearing it. I was hearing like, “Pop!”

Elliot: All right. Can I ask a question? When you entered snowboarding, was there anything specific you did for recovery then?

Valentina: No.

Elliot: They will just be going to let it heal?

Valentina: Yeah. Basically, when I went to the hospital, they were like, “We can put you a cast from your neck to your knees, and just you stay in a cast for like a month in a house. But if not, there is nothing you can do about it.”

Elliot: Well, I’ve never even heard of that. That’s crazy.

Valentina: “Thank you, no.” I was 18, so it was like 20 years ago. Maybe things have changed.

Elliot: You pushed through it and just deal with it.

Valentina: Yeah.

Elliot: Yeah, maybe we have a better remedy today, I don’t know.

Valentina: Hopefully.

Elliot: And then, the physical therapist that you were seeing here in the U.S. was not a specialist, not a pelvic health physical therapist.

Valentina: Not a specialist. I didn’t even know. If I have to be honest, I didn’t even know that you can see a specialist for your pelvic floor for that specific area. I didn’t know, and nobody told me. Not even my doctor told me. That’s why she’s not my doctor anymore.

Elliot: I mean, not being able to hold your baby. You’re such a passionate mama, that must have been really challenging.

Valentina: It was. It was really challenging because I couldn’t do anything. I really couldn’t do anything. Not only I broke my tailbone, but the bone was not in place. So, for me, it was like a struggle. I struggled for eight months, then it’s a very hard recovery.

Elliot: That was such a long time, and it’s such a painful situation, physically. But then, emotionally, those eight months or the months you want to be doing everything for your baby. I’m so sorry. How did you eventually resolve?

Valentina: I finally decided to take my baby, went to Italy to visit my family for like a vacation for two weeks. I saw this physical therapist and osteopath. She’s treating my family for years, and she was amazing. Three sessions with her and my tailbone went back in place. Still hurting, but at least it was in place and I could like sit. I could do everyday stuff. It was very painful.

Elliot: What did she do?

Valentina: Basically, she started to massage all the muscles around my vagina. Because the muscles were so tight that they were holding everything.

Elliot: Your pelvic floor muscles.

Valentina: Yes. If I have to be honest, that’s the only thing I remember because it was so painful. I just remembered after the third session, I could walk. I could put tight jeans on and bend over, and not feeling pain. It was a little bit like I could feel it, but I was not in pain anymore after eight months.

Elliot: Those pelvic floor muscles run like a hammock from behind your pubic bone in the front to in front of your tailbone in the back. When it’s super tight like that pulling so hard, it’s very difficult to recover. It sounds like she went internally to find those muscles and release them manually. And then, you could start to heal.

Valentina: Yeah, that’s exactly what it was.

Elliot: Here, that’s a specialty, pelvic health physical therapy. All right. Then you recovered, and at what point did you start thinking, “Yeah, let’s do this again.”

Valentina: I started to think about it two years later. During the pandemic. It was 2020, September, I got pregnant again.

Elliot: Right when you started trying?

Valentina: I started trying like — even then, it was two, three months.

Elliot: Okay.

Valentina: And then, I got pregnant. It always been kind of easy for me to get pregnant.

Elliot: It’s a gift. Everybody has some things that come easy to us and other things that we struggle with.

Valentina: Yeah.

Elliot: Thankfully, at that time, it was a gift.

Valentina: Yeah. But after that, I had my first miscarriage. I was five and a half weeks, which was very traumatic because I didn’t understand what was going on.

Elliot: Okay. Before we jump into that, I have a few questions, if you don’t mind. Number one, you were trying to get pregnant; how did you find out that you were pregnant?

Valentina: I was taking tests all the time.

Elliot: Did you have your cycle back, your German Swiss clock cycle?

Valentina: Oh, yeah. I started to get my cycle back after my daughter was five months. A perfect cycle at five months.

Elliot: Wow. Okay. My cycle’s been off kilter since the first baby came. The male punctuation is real. Okay. You figured out you were pregnant. You must have figured out somewhere around four weeks.

Valentina: Yeah. Because with my first daughter, I found out that I was pregnant with her at four weeks. Because I wanted a gynecologist for a regular checkup, and they were like, “You’re pregnant,” without checking you.

Elliot: Surprise.

Valentina: I was like, “Okay.” I did that. I took a test, and I was positive right away.

Elliot: Excited?

Valentina: Very excited. Because me and my brother are four and a half years apart, and I wanted to have my kids a little bit closer.

Elliot: But then, you said you miscarried at five and a half weeks. About a week and a half later five.

Valentina: Yes. Five and a half weeks, I miscarried. I found out on a Thursday or on a Tuesday, more or less. Five days later, I found out that I was having a miscarriage.

Elliot: How did you figure it out? What was happening?

Valentina: In the morning, I saw a little bit like pink when I went to the bathroom. I was like, “Well, it’s normal to have a little bit of pink in urine when you’re at the beginning.” I was like, ” I don’t want to you know pay too much attention.” Went out with a friend. And then, when I came back home in the afternoon, I went to the bathroom again and I was like, “This is a lot of blood. I need to go to the hospital right away.”

And then, when I went to the hospital, they were amazing with me. They were super understanding, very nice. I did all the tests that they had to do. They did also an ultrasound to see if something was still inside my uterus, which was the most painful thing. Yeah, that’s how.

Elliot: Oh, it’s a vaginal ultrasound?

Valentina: It’s a vaginal ultrasound, Yeah.

Elliot: But it sounds like more than physically, it was emotionally painful for you.

Valentina: It was really because I never expected it. Nobody ever really talked about miscarriages. You also feel that there is something wrong with you. I did something wrong, and that’s why I had a miscarriage, which is not your fault. But at the same time, everyone always talk about how amazing pregnancy is and how great this time is, but they don’t ever talk about the worst part of it, which is like when you have a miscarriage, what you’re going to do? You feel very lonely. Very, very lonely.

Elliot: Yeah. It’s unfortunate. I think it’s starting to change a little bit. But still, so many people have miscarriages. It’s sort of a natural part in the early phase. A natural part of having kids, your body has to figure out is this compatible or not. It sort of puts an end to the ones that aren’t going to be compatible, or they just aren’t compatible and don’t thrive. It doesn’t mean you did anything wrong at all. In some ways, it means you did something right.

Like, if two kids eat something that’s toxic, and one of them turns green and throws up and the other one doesn’t, the one who turned green and got rid of it is going to be healthier than the one who did it right. They’re going to struggle down the road. But it just is not talked about very often.

Right now, it’s interesting we just put up on Informed Pregnancy Plus, a series out of Australia called “You Are Not Alone.” It is all about miscarriage and how lonely people feel and trying to get the dialogue going so that you don’t have to be alone when that happens.

You didn’t have to do anything surgical there, right?

Valentina: No.

Elliot: Because your body expelled the baby naturally.

Valentina: Yeah. Thank goodness, yes.

Elliot: Did you just pick up the pieces and say, “Let’s try again”?

Valentina: I just think, yeah. I was like, “Okay. This can happen. It’s fine. Let’s just like try again in a month. Like in a couple of months, and let’s see how it goes.” Actually, a couple of months later, I was pregnant again. If I have to be honest, we didn’t really try. It was like one time, and I was pregnant again. I was like, “Okay. Let’s see how this goes.” But we were in 2020, in the middle of the pandemic. And then, when I called the hospital, they were like, “Oh, you can have an ultrasound at 12 weeks. We don’t see anyone before 12 weeks now.” I was like, “Okay.” I’m going to wait the 12 weeks. But then, I knew that something was wrong because my body wasn’t really doing its thing. My breast wasn’t really sore. I don’t know, there was something off. I knew that there was something off.

When the 12 weeks in, I want to get an ultrasound. The first thing that the doctor told me, which was a nurse practitioner actually. It was not even a doctor. She was like, “Well, there’s something wrong. You’re having a molar pregnancy.” I was like, “What are you talking about? I don’t even know what that is.” She explained to me that it happened soon, one in a thousand. Basically, the fetus is not growing, and I had to have a DNC, like a surgery.

Elliot: Yike. What was that like?

Valentina: I did not understand what she was saying. My brain was just not functioning. I was like, “Okay. She said something, but I don’t understand.” This was the biggest trauma I ever had. Which is like seeing in that little computer all these like roots, what I call them “roots” in my uterus. It looked like that a tree was growing and all these roots were in my uterus, and it wasn’t clean. It was like pretty traumatic to see. To the point that every time I had an ultrasound after that, I always like looked at the screen and like panic because I didn’t want to see that ever again.

Elliot: Wow.

Valentina: I was supposed to have a surgery three days later. But then, with COVID again, everything was delayed. Three days later, Christmas Eve, we got COVID all of a sudden after eight months of not seeing anyone. On a Monday, I was supposed to have my surgery. What happened is that I had to call in the hospital and be like, “Okay. I have COVID. My husband has COVID. I’m still negative, but I don’t think it’s okay, it’s appropriate for me to come.” They were like, “Okay. We’re going to call you in two weeks.” I was like, “I don’t think I have two weeks. I feel that there’s something that has to be done right now.” They’re like, “Okay. We’re going to call you tomorrow.” But actually, nobody ever did.

A week went by, and at 3 a.m. on a Sunday, I started to have contractions like I was nine months pregnant. It was painful. I was losing tons of blood. Then at 8 a.m. to five hours later, I decided to go to ER. I called the hospital, and they were like, “Run to the ER. We’re going to tell them. Even if you’re positive for COVID, we’re going to tell them. They’re going to take care of you.” I ran to the ER. Thank goodness there was nobody. I was the only one in ER. They’ve been in a separate room. I had three nurses and a doctor. Who is now my gynecologist, which is the best person I ever met in my life. He was like, “We need to like give you an emergency DNC because you’re in so much pain that three doses of morphine didn’t do anything.” That’s what happened.

Elliot: Wow. That’s so intense on so many levels and also complicated by the pandemic. Did you turn out to be positive?

Valentina: Oh, yeah. I turned out to be positive. I had COVID. When he told me, “You have COVID.” I was like, “What is going to happen?” He was like, “I’m going to take care of you. It’s just that I have to put you in a different room.” Because at the time, it was like a surgery room for COVID patients, a surgery room for non-COVID patients. That’s how it worked at the time.

But the most scary part was they took me down to the ultrasound lab. The person who does the ultrasound asked me to stand up. When I stood up, all this blood came out and I saw her scared. I was like, “Oh, my gosh! Something is wrong.” I was alone, completely alone. Not a single person with me because nobody could come in.

Elliot: So, hard. Not even your partner?

Valentina: Nobody. Not a single person.

Elliot: He was positive anyway. But even if he wasn’t, I don’t think they were letting them in at that time.

Valentina: No. I’ve seen 2020, nobody could go in.

Elliot: Obviously, you’re pregnant now, 38 and a half weeks. Still, so heartbreaking to hear. Let’s take a little break and find out what happened after that. We’ll be right back.

[break]

Elliot: Welcome back to the podcast. We’re talking to Valentina, and wow! After the first time, you just got pregnant quickly and had a great pregnancy, great birth, a rough postpartum. Then your first pregnancy was a five-and-a-half-week miscarriage. A couple months later, you got pregnant with a molar pregnancy. That’s because of the pandemic, you didn’t get treated right away. You had a very intense DNC. And now, you’re pregnant. Everything’s going great, but there was more in between.

Valentina: Yeah. For six months after I got my molar pregnancy, I got shot every month and everything went fine. Then in August 2021, I got pregnant again. Everything seemed fine. Even then, we didn’t even try. It happened once. All my friends got pregnant. Like, “Oh, we did it once and we got pregnant.” I was like, “Well, it doesn’t really work like that for me.” But, actually that time, it worked for me.

Elliot: When you said, he did it once, was that like a conscious choice. “Let’s see if we can get pregnant again”?

Valentina: Yeah. Let’s say, yes. It’s just that we really wanted to have another kid. We’re like it doesn’t matter if we use contraception or not because we want another kid. Actually, it worked out pretty well. But then, around nine weeks, I got another miscarriage. We heard the heartbeat at seven and a half weeks. I went back in at nine, and no heartbeat.

Elliot: So, somehow I thought everything was good.

Valentina: Yeah. And then, nine weeks, gone.

Elliot: Does they have any idea why?

Valentina: No. My doctor was like, “Listen. Because of your age, because of everything that happened to you, this can happen. It happens to one in four women.” It was like, “Actually, I have the feeling that it happens in one in three.”

Elliot: They don’t always get reported.

Valentina: Yeah.

Elliot: Do you want to say your age?

Valentina: Yeah. I’m 38. I was 37 at the time.

Elliot: Pretty young.

Valentina: Yeah. But I think the [unintelligible 20:53].

Elliot: Over 35, I get it. But also, you also have to take into account you are a super healthy person. Even though your age is over 35, which I don’t think is a magic number, your clinical health profile is very good. You don’t have diabetes. You don’t have hypertension. You don’t have obesity. There’s a lot of great things working in your favor.

What’s going on your mind at this point? That’s three strikes, so to speak. I’m just thinking, emotionally, each time, is it harder to pick up the pieces and try again?

Valentina: I think that by the third time, I was exhausted. I looked at my doctor and I was like, “I’m not even going to try anymore.” I remember him saying, “You should not say that. This happens. But you never know. Because after a few miscarriages, 80% of the women get pregnant and they have a full-term pregnancy.” Actually, he was right. But, at the same time, when you’re in the moment, you’re like everything is happening to me. I’m alone. Everyone is getting pregnant really easily and is keeping the babies. You always think that you’re the only person in the entire world that is going through that, which is not true. But, at the same time, that’s what you feel like because there is no support available or you have to really look for it and search for it.

Elliot: Yeah. It’s not obvious, but it’s there. What’s your courage talking about it so openly and freely and passionately. Hopefully, that’ll help change that landscape for people.

Valentina: I really hope so.

Elliot: Especially, since you always change the landscape with your artwork.

Valentina: Yeah.

Elliot: Thank you very much. All right. Now, you’re pregnant.

Valentina: Yeah.

Elliot: How did this pregnancy come to be?

Valentina: This was the hardest pregnancy. Very anxious pregnancy. I have to be honest, I didn’t enjoy it. I enjoyed from 30 weeks to 35 weeks. I was very happy. Now, I’m 38 and a half and I’m exhausted. The pregnancy was very, very, very hard because it took me six months, not that much, to get pregnant again. I went to this fertility doctor. She’s amazing. We found out that I got hit by secondary infertility, which I have three follicles left. She had the feeling that these follicles were in great shape. We started this treatment with this hormone that is called DHA.

Elliot: Yeah.

Valentina: It wasn’t easy because I had to take pills for six months. It took a toll on my body. But everything is fine now. But I think that since day one that I found out that I was pregnant — because the other front story is that I got pregnant the day before starting IVF. On a Monday, I was like, “Let me take a test just in case.” Because tomorrow morning, after starting the medicine, the injections for the IVF, because that’s what the route that we wanted to take. Then I was like, “Well, I’m pregnant. Let me take another test. Well, I’m pregnant again.” Okay!

Elliot: Nobody ever trusts the first test.

Valentina: Well, if I had another one, I would have taken it.

Elliot: That should come as a 10-pack.

Valentina: Yeah. So, what happened is that I got pregnant. But since day one, I was like very, very anxious. Very anxious. It was not easy. Again, there’s no support if you are just at the hospital. Even the nurses, they don’t know how to talk with you. They just assume that you’re at the happiest person on Earth because you’re pregnant, which I wasn’t because I was just a nerve-wrack.

Elliot: Is it different in Italy?

Valentina: In Italy, it’s different just because we have our doctor since we are babies. It’s very hard for us to like change doctors, especially like the family doctor or gynecologist. You have them for like 20 years until they retire, or until you want to change because you found someone that you like more. But the thing is my best friend’s mom was my gynecologist for 20 years, and she’s always been a gynecologist. Here, I had to change to five different gynecologists because of health insurance.

Elliot: So, you don’t develop that kind of relationship.

Valentina: No, you’re just a number.

Elliot: You don’t know each other very well.

Valentina: No. You’re just a number. You’re just a patient that shows up at 10 a.m. in the office, that’s it. You’re no more than that, and that I think is the hardest part. I, personally, feel very lucky because my gynecologist doesn’t make me feel like I’m a number. He really cares about me, and really listens to what my body is telling me. He listens, and that’s the most important thing for me.

Elliot: Two questions, because you’re going to come back and share this birth story with us on the other side. Two questions. One is, what are some of the things you did to help you conquer the anxiety during pregnancy? It sounds like it was running high. The other one will be, what are you doing to prepare for this birth, especially in light of your tailbone injury last time?

Valentina: Well, I did and I’m still doing a lot of therapy. Once a week, I talk to my therapist about all my anxiety because it’s really helping me a lot. Since day one, I wanted to have a good team of physicians and people that could help me. I found, like for me, what is the best acupuncturist, the best chiropractor, which is you, or the best gynecologist.

For me, the most important thing is I cannot be in control of this pregnancy, but I can be in control of other stuff. For me, being control of the team that is taking care of me is very important for my mental health. That’s for me is the most important thing. It can happen that my tailbone is going to break again.

But this time, I’m seeing a doula every week and we’re doing Pilates together and pelvic floor exercises to strengthen my pelvic floor even more. Hopefully, this time, I’m going to be able to push in a different position that is not on my back. Hopefully, if I get an epidural, they’re going to allow me to get a walk-in epidural, so I can feel my legs and still try different positions. If not, I need to see what’s going to happen when I’m in the delivery room. But I got my donut pillow, just in case if I’m on my back. I feel stronger and I feel better this time because this time I took all these steps to make my body feel stronger. To make my body feel like, “Okay. We can do this. It doesn’t have to happen again. Let’s see how it goes.” But I’m pretty positive that this time, it’s not going to happen.

Elliot: Okay. Well, you’ve been through a lot. Hopefully, when the pendulum swings in your favor, it swings at least as far, if not further than when it was against you. And, hopefully, have a really beautiful birth and no injury.

But now, you know there is pelvic health physical therapy in the U.S. I know you’re very close to the end. It just occurred to me though you might even want to do a visit before your birth. Because while you’re strengthening your pelvic floor, if it’s too tight going in, they could also release it a bit so that you’re strong but not tight. And maybe that added layer of function could be helpful for you.

All right. I feel super blessed that I ever got to meet you and hang out with you. The energy that it comes shooting out of you, just the passion for life and maternal energy is so inspiring. Especially after you’ve been through all these hardships. I just thank the universe for somehow crossing our paths and just honored to play a tiny role in your epic journey here and look forward to hearing the rest of the story on the other side.

Valentina: Thank you. Very grateful to all of you.

Elliot: I hope you get your power back.

Valentina: Thank you.

Elliot: You’re in the middle of the power outage. Valentina, where can we find you and your beautiful artwork online?

Valentina: You can find me @brushettasigns on Instagram, and that’s where I have all my artwork.

Elliot: Oh, my goodness. Bruschetta just makes me so hungry.

Valentina: Yeah, that’s what it’s there for.

Elliot: I’ll check you out, @brushettasigns on Instagram. We’re over there too, @doctorberlin, D-O-C-T-O-R-B-E-R-L-I-N.

Birth of a Doula Pt 2 of 2

Birth of a Doula Pt 2 of 2

“Ten minutes and a few contractions passed and Julie asked if I would feel comfortable moving to the squat bar. In my head, I thought she was crazy. There was no way I could support my body in a squat but with help from Scott, Julie, and our nurse, I repositioned and it was the best decision I made.”

My second birth experience was as different from my first as night is from day, both physically and mentally. I spent over a year preparing, I hired a doula, and I healed from the trauma of my first birth. Therapy helped tremendously in working through my postpartum depression, postpartum anxiety, and birth trauma. Simply having my experience and feelings validated lifted weight from my chest. Fear releasing and hypnosis practice also helped me prepare my mind. I knew it would be necessary to forgive myself and be at peace with my cesarean before I could fully surrender to birth again.

I woke up at 40+2 weeks with heavy bleeding. After talking to my husband, doula, and OB, I decided to head to triage for monitoring. Upon arrival, I was 3cm dilated and having irregular, unnoticeable contractions. My OB wanted to see if the bleeding was caused by a placental abruption or an intense bloody show. Luckily baby and I were both in stable condition and the bleeding eventually stopped. We had planned to return home because I wanted to labor there as long as possible but I had already dilated another centimeter and my contractions started to become more regular, so we stayed.

Dr. Alyssa Berlin’s The AfterBirth Plan course is now streaming!

 

Once admitted, I got my first round of IV antibiotics since I was positive for Group B Strep. My contractions quickly grew in intensity and frequency and my water broke as I dilated to 5cm. While I was still in the right mindset, I sent a quick text to my doula, telling her to head to the hospital. At this point, I felt that I had to go to the bathroom. Laboring on the toilet felt like the most natural position to be in and after 45 minutes it was clear that I was transitioning. I began shaking and sweating as Scott massaged my shoulders and used a wet washcloth to cool me down. Out of breath, I told him I wanted an epidural but he knew how badly I wanted to stay unmedicated and encouraged me to wait for Julie to arrive for support.

 

 

When Julie finally walked into the bathroom I immediately told her I needed an epidural but thankfully, she suggested a position change instead. I moved to the shower and hung around Scott’s neck as Julie sprayed warm water onto my back. I felt the need to bear down as my body instinctively pushed. Julie suggested I go to the bed and get on my hands and knees. Still pushing, I positioned myself on hands and knees, holding onto the incline of the bed. It was a relief to be able to rest my head between contractions. Ten minutes and a few contractions passed and Julie asked if I would feel comfortable moving to the squat bar. In my head, I thought she was crazy. There was no way I could support my body in a squat but with help from Scott, Julie, and our nurse, I repositioned and it was the best decision I made.

In five intense minutes, our daughter was born, just under five hours from the first contraction I

felt. She came down and through the birth canal so quickly, there was no time for head molding so her head was perfectly round. Every bit of pressure and discomfort I felt disappeared as I pulled her to my chest with tears of pure bliss streaming down my face. I had done it. I had the unmedicated VBAC I so badly wanted and it was the most rewarding and beautiful thing I have ever done.

 

 

After the pregnancy and birth experience I had and the relationship I developed with my doula Julie, I knew I had to become a doula too. Through training I was able to experience birth from a completely different perspective, one that opened my eyes to how unique each person’s experience is. So now, not only can I help educate women on their options in pregnancy, birth, and postpartum, but I can also help support them as a doula during labor.

Many people may be shocked to hear that I am thankful for the way both of my births unfolded. Although extremely difficult, my first birth brought me my son and a learning experience about taking charge of my health choices. My second birth brought me my daughter and helped me find the strength and power I have as a woman and a mother. Both experiences together lit a fire for a passion inside of me that I never knew existed.

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Hannah Gill is a VBAC mom of two, birth and postpartum doula, birth educator, and owner of Ebb and Flow Birth Co. She has a passion for helping support women through cesarean and VBAC births and throughout the postpartum period. She believes women deserve to be respected and supported in their pregnancy, birth, and parenting choices. You can find out more about Hannah and her services at ebbandflowbirthco.com and over on Instagram@ebbandflowbirthco.