Javana’s birth experience taught her some important lessons about self-advocacy and the current structure of maternal health in the United States. The gaps in education about options and the variance in how providers operate through the perinatal process led her down a road of challenges and fear.

Over thirty hours of labor started with mild, irregular contractions and pieces of her mucus plug releasing. Javana experienced irregular labor patterns that kept her home until her water broke. That shifted her mindset to watching the clock and did not feel like she her labor was intense enough to be in active labor. She attended her scheduled doctor's appointment and she was 2 cm dilated. Her doctors advised her to go to the hospital later in the day and suggested mid-afternoon. Arriving at the hospital led Javana down the cascade of interventions that started with an IV against her wishes. Labor started to feel isolating in that she felt alone and unsupported by her nursing team. Eventually, Javana accepted more interventions than she originally intended and an epidural helped her get some rest after being in labor for so long. Her most compassionate caregiver was the anesthesiologist, as he listened to her and talked her through the challenges of placing her epidural. After that the baby had some heart decelerations that concerned the care team. Javana was exhausted by the entire experience and she consented to a surgical birth.

After a challenging birth and hospital experience, Javana chose to honor herself in her motherhood with experiences of joy. She feels prepared to embark on her second birth with more knowledge and understanding of what could be.

Resources:

Tinyhood | online parenting classes

The Birth Hour | birth story podcast

Evidence Based Birth | online childbirth resource

All About Pregnancy & Birth Podcast | parenting podcast

The year 2020 will forever be etched in the minds of those who lived to tell the tale. Oh, the stories we will tell. The smoke and mirrors were dispersed and the United States revealed its true self. We bore witness to Riot, after Riot, after Riot. The revolution appeared to be televised after all. But deep in our communities the true revolution was brewing. Many Black women and birthing people continued to give birth despite the headlines, the statistics, and the odds stacked against them. But they didn’t just give birth; they gave birth how they wanted, where they wanted, and focused on what was most important to them.

A surprise pregnancy anchored Chris and Raquel’s growing family and allowed them to sway but not break during an uncertain time. Raquel entered the pregnancy unemployed due to a hiring freeze, from the shutdown, that kept her from starting her new position. Chris became the sole provider as they moved forward with the pregnancy. The first few weeks of pregnancy brought about two different mental shifts. Anxiety filled Raquel as she continued to apply for jobs and manage the COVID-19 pandemic while pregnant. The isolation was challenging but allowed for a slower pace and opportunities to be introspective. Chris had a more challenging experience with his employer and managing how he would navigate the birth and postpartum period. He did not have paternity leave and intended to take leave without pay. The thought of it was scary as he knew he would be bucking the system.

The Williams chose to keep their pregnancy to themselves aside from their parents. Their birth plans were kept under wraps and allowed them to keep out the noise, opinions, and outside stressors. Chris and Raquel chose a homebirth with a midwife and a doula. They utilized their resources and access to do it their way. Raquel dove into research on birth and parenting. Chris had the mentality of being ready when the time came. He found himself focused on trying to go against the negative stereotypes of Black fathers.

Holistic care equipped Raquel with education, mental fortitude, and an understanding of what childbirth could include. When she started to feel the small ripples of early labor she contacted her birth team which included her midwife, doula, and birth photographer. Chris was spending the day attending graduation ceremonies for his students. Raquel told Chris he was fine to go and she knew it would be fine. They had a late dinner but didn’t set up the birthing tub because it was too late in the day. The waves were not close enough for her to think that she was in active labor. She checked in with her midwife and she told her to use her discernment. Raquel took a Tylenol PM and they enjoyed a movie and facials until she fell asleep. Around four in the morning, Raquel stated that she had to poop. They went down together, Chris could see her from the door, and as Raquel made a maneuver he said, “I don’t think that’s poop.” Chris was scared that the baby had died, due to the shape and stillness of her head. Meanwhile, Raquel was in a calm, zen state as she assured Chris the baby was ok. They were able to Facetime their midwife to manage the delivery of the baby. Chris caught their baby with a nuchal cord and unwrapped it and placed the baby on Raquel’s chest. The midwife entered the house shortly after. Dani and the birth photographer joined them shortly afterward for postpartum support and photography.

Immediately postpartum, they walked back down the hall with their baby. The experience of having their team come to them and the care that was provided for them had them in awe. Raquel believes that everything we need to have children… we already have it. We’ve been having babies like this forever.

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

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

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

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

Resources:

The Journey Pregnancy App | software app that enables patients to track vital signs in pregnancy and transmits this information to providers in real time

Emagine Solutions Technology | tackling the U.S. maternal health crisis with remote patient monitoring for pregnancy care

Health in her Hue | a digital platform that connects Black women and women of color to culturally competent and sensitive healthcare providers, and offers health information and content

Black Maternal Health Center of Excellence | provides maternity care & support in Los Angeles County

Wolomi App | digital community that offers support to women of color to improve maternal health outcomes

SHERO | online prenatal program

Central Phoenix OBGYN | Dr. Sharon Thompson - supportive pregnancy care