Transcript
WEBVTT
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Hello, today I have with me Kiona Nessenbaum.
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Kiona is a doula, a birth assistant, and has experience as a student midwife.
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She's also the mother of three and the host of the Birth as we Know it podcast.
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Today she is here to share her birth stories and how she manages to balance motherhood and all of her other endeavors.
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Kiona, thank you so much for joining me.
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Yeah, no problem, I'm super excited and, to be honest, a little nervous.
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I am super used to hosting, but I am not used to being the one interviewed, so yeah, well, no one knows your birth stories better than you, so I'm sure that once you get into it you're not even going to remember I'm here.
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Yeah, that's probably true.
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So I'm curious, because you mentioned that you did not start off as a birth worker when you went into your first birth, and I want to know how that was for you and then what.
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So let's get ready to not hear Kelly for a while, because I have a lot to say.
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So I'll just go ahead and start off with finding out that I'm pregnant, right?
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So I am 19 years old and I find out that I am pregnant with my first child and at the time my boyfriend, who is now my husband.
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But my boyfriend was 18 years old and a senior in high school.
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So I was in my first year of college and we were shocked that we were pregnant, but at the same time, I like to think of it being as we weren't intentionally trying, but we also weren't intentionally preventing, Because I was on birth control.
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But I ended up stopping being on birth control because when I went into college, I actually went to a Christian private university called Seattle Pacific University and so I stopped taking birth control because at that time I was, like I am a strong believer of God, like abstinence is the way to go.
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Man, was I so stupid?
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Because I was already.
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I already had had sex before, right, and so once you feel the feels, you can't not want them anymore.
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And so, of course, me and my boyfriend at the time, who is my husband I'm just going to call him from my husband from here and out but me and my husband at the time were still doing the dirty and I was like Just praying to God afterwards, right.
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Please forgive us.
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Yeah, we have sinned, you know.
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And then I ended up being pregnant and it was a surprise, but, like I said, we weren't preventing it.
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So once I got pregnant, I really, really, really intentionally wanted to have an unmedicated birth.
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And at this time, with being so young, the insurance I was on was state insurance and so I was like all right, what does my insurance offer me?
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Where can I go to birth?
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And my first thought was OK, let me go to a hospital, because that's all I knew.
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That's all I knew at the time, and little did I know.
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Throughout my pregnancy I was heavily looking for midwifery care through an OB because I thought that my insurance only covered OBs right, and so I went through my whole pregnancy.
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I even fired my OB once and got a new one and tried to do all that I could to make sure that I was getting high quality care and it was met.
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But it wasn't that midwifery care I was looking for.
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But my provider that I chose was awesome Can't say I remember their name now, but it felt right.
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And that OB did not end up being the OB that was present at my birth, which is really common in hospital births.
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I actually ended up getting the laborist that was on the floor.
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I must have been birthing on a super busy day, but let me go into when I started labor with her.
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So when I went into labor I was at my mother-in-law's house because I had lived with her at the time and I had woken up.
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My husband and said, hey, I think things are rolling.
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And I did all the things of like taking a shower, and the funny part is I realized I was in labor when my bowels decided to just empty everything.
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Yes, it is such a real thing.
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Yeah, people don't talk about it, I don't know.
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Your body kind of just ejects everything, and so I was like, ok, my contractions are getting closer and so I wake up my husband around 2 am.
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We end up stopping a block away to pick up his best friend at the time, because he lived a block away and my husband is an only child, so he wanted his best friend because it's like the closest thing he has to a sibling to be by his side to support him on his journey to parenthood.
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And I was all for it, OK, cool.
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I was like, OK, that's cool, whatever.
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But I can't say I can say that now.
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But when we stopped when I was in labor, I was like you got to be kidding me, we just need to go, you know.
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So we get to the hospital.
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I really really thought that I was going to love the tub, but when I got checked in I did not love the tub because the hospital didn't let me or the nurse at the time did not let me make the water as hot as I wanted to make it, and you know there's policies in the hospital you can't have your water too high because you're burning yourself or boiling the baby, I don't know what it is.
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But at the time I was just so angry because I wanted it so bad and it didn't work.
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And then I got out and I was so cold and I feel like it just really impacted my labor because I was so cold.
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Labor continued to progress and my husband is completely terrified of blood.
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So that's something that is hard to be afraid of when you have a laboring partner, because blood is part of it, right.
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And so there was one point in my labor when I was like, babe, I really need you to push on my back, Like, oh, I was having like a lot of back pain, not like osteoporosis, you're wrong.
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Sonny side up.
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There you go, face up.
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Yeah, not a face up baby, but my back was feeling it right and little did.
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I know I was closer to actually giving birth, but he was giving me counter pressure and I was like, oh, I think my water broke because I felt some fluid come out.
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And he looked and it was not water, it was blood, it was a lot of bloody show just coming out and saying your cervix has changed, you know.
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So he freaked out and he decided that that was the time to go grab my sister.
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So my sister came in and I'm a party birther so I love everybody around.
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So when COVID happened I was terrified because I was like no people need their families, but yeah.
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So he decided to take that as an opportunity to step back into the corner, take his glasses off and not see anything anymore, but still be there, you know.
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And I was like that's cool.
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Know your boundaries, that's right, that's OK.
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So my sister was there and fast forward a little bit.
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My mother, my stepmother, my bonus mom, she was there with me and the thing I love the most about her being present was that she was a quiet voice.
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And she was the quiet voice that was in the space.
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You know, there's all of these beeping machines, there's all of the questions that are asked by the providers that are trying to make you comfortable and know what's going on, and she was the only quiet voice.
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And at that time I was like a little bit more religious, and I'm personally not religious now.
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Anyway, that's the whole thing.
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But I've been there, yeah.
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And so she was like praying, really quietly, saying like God, please guide my daughter through this labor.
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She really needs this to be calm and smooth and stuff like that.
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And I needed that so much at that time and I didn't realize it, but I needed it so bad.
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And then a little bit later on I got checked and I was about nine and a half centimeters.
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I had an anterior lip, and so the nurse told me to get them all fours and she was like, just do this for five contractions.
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And I was like, five contractions, jesus Christ, like these are insane.
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You know, it was so, so hard.
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And I got through those five contractions and oh, I should say, right before when she checked me, they broke my water because they said that it would speed things along and I was like, okay, so rude.
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Yeah, I was like, okay, like nine centimeters, okay.
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And so after those five contractions, I was complete and they said that I could push.
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And then my baby came and it was great and she was so cute and squishy.
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And then the nurse at the time looked at our daughter and then looked directly at my husband, was like she looks so much like you and then he started crying.
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I know I was like, oh God, I did all this work and she looks just like her dad.
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Thank you.
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And there's a reason for that, like evolutionary reason for that At least I tell myself that.
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So, if there was, like no DNA test, that the male parental partner might look at the baby and say, oh yeah, I'll stick around, that's mine.
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Yeah, and not like kill or eat the baby or something, right?
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If it looks like Joe down the street, he's probably not going to stick around, right?
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So it's probably a good thing.
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Yeah, which is true.
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I guess the nurse was feeling really primal at that time when she said that, but that was super awesome.
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And then I didn't figure out.
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Going into my postpartum, my breastfeeding was super simple.
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I did have it was my first time and I did have a really scary moment.
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About two weeks postpartum I was nursing my baby and she was coughing up little blood clots, and so that was really scary for me.
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And then one day she was wearing this like pristine white onesie Right, and then she spits up and it's literally all bright red blood.
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And I am terrified as a new mom.
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I am like what the hell is going on?
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Is my baby dying?
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Is she bleeding internally?
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Everything else about her seemed totally fine.
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She wasn't crying, she wasn't doing anything.
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That was unusual.
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So of course I call my hospital, tell them what's going on.
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And the nurse that was on the hotline was like check out your nipples, what do your nipples look like?
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And I look at my nipples, like, yes, breastfeeding is painful, but it's not unbearable for me.
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There were some moments where I'm like, ooh, this latch is really intense.
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I look at my nipples and I'm like I don't know.
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They're just like swollen and cracked a little bit.
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And she's like okay, what I want you to do is I want you to go grab your breast pump.
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Do you have a breast pump?
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I said yes, and she's like, if it comes out with a pink hue, it means that your baby is consuming a lot of blood from your nipples.
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And I was like, okay, and oh my gosh, it was like the pinkest of all pink.
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It was like strawberry milk and I was like, oh my God, she was spitting up the milk that her body can't digest and it was completely terrifying.
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But I was glad to know that it was like because of me and not because my baby was dying.
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So that was a huge thing for me.
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And that was just the beginning of my breastfeeding journey and so, of course, I continue to pay more attention to my nipples throughout my journey.
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But it got better and smoother and I would say the biggest I'm going to be honest here one of the biggest struggles I had is I have really big nipples and my baby has a really small mouth, and so I'm like, how are we doing this?
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So I'm that parent.
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That's like jamming my baby onto the breast as soon as their mouth is open.
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And yeah, the rest of the breastfeeding journey was fine, but as a postpartum mom who was reflecting on her labor and pregnancy, I had realized that my mother, my bonus mom, being so quiet in the space, I really wanted to be that person for someone else.
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So that's when I started looking into birth work and I was like, looking into, okay, I want to be a midwife, what does it take to be a midwife?
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And then, when I was looking into being a midwife, some article that I found was like well, if you are interested in being a midwife, you should try being a doula first, because of the on call life and like all this stuff.
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And I was like, what's a doula?
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What the heck is a doula?
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And so I look it up and I'm like, oh cool, let me start there.
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You know, I don't need any medical training.
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It's something that seems tangible to me right now, because the training that you get or at least the training that I got at the time was just a weekend smash course kind of training.
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And so I was like, cool, I'll do that.
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And so I took the training, and my daughter was one by the time.
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I took the training and it was awesome.
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I had a lot of fun, I learned a lot.
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I felt like I was the birth guru after taking this weekend.
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Course, you know, I was like I know exactly what to do.
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But I feel like the reason why I felt that way was because I have always had this instinct of helping others, like when I was in college when I first found out I was pregnant with my daughter.
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I actually wanted to take pre-rex for nursing because I wanted to be an OB nurse.
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Like I wanted to be on the labor and delivery ward.
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And that changed things because I couldn't do that.
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I was too sick and everything.
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In my first trimester I was like I ain't doing this.
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So I leaned into taking the easier classes because I still just wanted to make go towards the degree rather than pausing and stopping and not being in school.
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So my daughter was one when I took the doula training.
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But I didn't take my first client until about two years later.
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And yeah, I was trained as a doula.
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I was super immersed in birth.
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I was doing like all of these doula meet and greets and like talking with other doulas, like what is it like?
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Like how are you running your business and all of this stuff.
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And, of course, I was like begging my older sisters to have kids and they didn't back then, like hurry up and have a kid so I can help you.
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And so I was in a class and I had found out that one of my classmates was pregnant.
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She was a friend of mine and I was like, oh my God, this might be weird, but can I be your doula?
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You know, like can I please be your doula?
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And she was like, oh, what's a doula?
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And then so we get into the whole doula thing and the birth conversations and she talks about what her first birth was like, and then I support her with her second.
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It was like when I ended up, so I actually didn't even end up making it to her actual birth, because she birthed really fast.
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Her first birth she ended up birthing in the ambulance on the way to the hospital.
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And her second birth was faster than that and she was her husband, was talking to me and texting me and was like, hey, she's having some contractions and things.
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And I was like, okay with being my first client, I'm like ask her these things, and like she's in labor, me not knowing like how far in labor she is.
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English wasn't her first language and so it was more of just like trying to navigate the whole.
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When should I come, you know, because I don't want to be like, okay, I'm coming now.
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And so she, he's on the phone with me and he's like she's pushing in the bathtub right now and I have a feeling I'm about to catch a baby.
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And I was like, okay, where do you want me to meet you?
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Like, do you want me to meet you at home?
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Do you want, are you gonna go to the hospital?
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Like, cause this is, they did not plan on having a home birth, right.
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And so he's like just meet us here at home.
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And I'm like, okay, cause I'm like 15 minutes away, right, I'm thinking he knows what he's talking about, he knows it's fun.
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So as I'm heading to their house, he calls me and he's like actually, the baby's here, I called 911, just meet us at the hospital.
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I was like, all right, so I did that.
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And but it was so awesome because I could tell that, even though I was really new at being a doula, as she prepped for this birth, she knew more about what to expect because of the conversations that we were having.
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And when I saw her, she was like holding her baby and being rolled out of the ambulance and she was just smiling, she was just beaming, like she was just so happy because she was proud of her birth, like she wasn't scared cause we were talking about her previous birth, when she was scared cause she was alone.
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And then we talked about it and then her husband was with her this time and so, even though it didn't go as planned, she was happy and that felt good as being my first doula client.
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So after experiencing that I was like hooked.
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I was like who else has had babies?
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Let me get up in these doula programs and all that stuff.
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So I ended up signing on and being a contracted doula here in Seattle, washington, and it was super awesome.
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The program was great and it made it easy as a parent of young kids to get clients, because what you would do is you would just put up your availability and clients would look at your profile and they would say, oh, she's available in my due date free gin, you know.
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And then we could talk, we can interview, say yes or no, hook up, and that'd be fine.
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And then the money went through the program rather than directly to me, so I didn't have to worry about necessarily having my own contract at the time and so it was a whole thing, and so that was my immersion into birth work, and fast forward to a couple of years later, I felt like being a birth doula wasn't enough, because I originally wanted to become a midwife.
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And so I'm over here trying to figure out OK, I just finished college, what can I do to get deeper into birth work, because one day I want to be a midwife?
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But what midwifery program can I actually realistically partake in?
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Because midwifery programs are intense and I was still a young mom and I had I think it was a three-year-old and I was still balancing everything that was on my plate.
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And I very quickly found out, after having my daughter, that everything that I wanted to do as an individual outside of being a mother was put on the back burner, slash sidelines, and every single thing I wanted to do needed to be completed or accomplished around everybody else's schedule rather than my schedule being the primary schedule.
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So even when I was still in college and trying to finish up college, the classes I chose to take had to be based off of when I could have child care, and so I was happy that I figured out something, because all the classes I took were super random, but it led to a degree, and so I was happy about that.
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So me trying to find a midwifery program that would work.
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Of course I looked into Bastier University and they have a master's program, but I had a ready.
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I think I was in my last quarter of school when I looked into their prereqs and I would have had to be in school for another solid three years just to get the prereqs and I was like I can't do that, that's too much, it's not realistic.
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And so I was looking into other programs, talking to other community midwives, and they pointed me in the direction of an online school program called the Midwives College of Utah.
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So it's an online program and then you end up doing your testing and stuff in person in Utah, but everything like your practicums and your clinicals are in your local region most of the time.
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Sometimes people have to move to go to a place that has more options, but I was lucky and fortunate enough to be in the Pacific Northwest, where it's like flourishing over here.
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There's a ton of birth centers and a ton of birth workers over here, and so, as I was looking for this program that I was trying to get into, I was working at Bastia University, which is why I looked at their program.
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I was working at Bastia University in the Simkin Center, which is where I took my doula training, because I was like I want to be in birth work but I don't know how.
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So I'm like where can I go when I can still contribute financially An admin job at a place that deals with birth in some way?
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So I did that, took all the trainings I could while working, because it was a discounted price or I got it for free if I was the helper of the course that weekend and then so, once I was doing more things with work and in birth work, I ended up looking for a birth assistant.
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Training, which was the middle ground between a birth doula and a midwife, was birth assistant, because you do some clinical things but you don't do it all.
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You do the fetal heart tones or infant heart tones, depending on the training you do.
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You can actually administer vitamin K or pitocin and you get hands on, you could touch the baby and stuff.
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That was fun and so I did that training and then I think it was a couple of weeks before I actually went physically to the training I actually found out that I was pregnant with my son, and so my daughter is three at the time.
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I find out that I'm pregnant and I'm like oh snap, I feel like this is a now or never thing.
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So right after I took this birth assistant training, I started talking to local birth centers about how I can get to births and what I need to do in order to accomplish getting certified as a birth assistant before my baby's born, because I want to get to birth and I also.
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After the training that I took, they told me well, you have to get 10 births, but the kicker is, all 10 of these births that you attend have to be free of charge because you're not certified.
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And so I'm over here like what the heck?
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What do you mean?
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I got a free like how long are these births as a birth doula?
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Like I know, births are super long, you know.
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And so for me to be like OK, I got to do 10 births for free.
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The only thing that made it really different was that birth assistants tended to get called near the end when they thought that birth was going to happen within the next couple of hours.
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So I'm there assisting the midwife.
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Sometimes that would come in and the birth would be precipitous, so I'd be called at the same time as the midwife, or I'd be called in after the midwife was with this client for 24, 27 hours.
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It really just depends.
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But it was awesome.
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I got all 10 births accomplished.
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The last birth I went to, I was super pregnant, to the point to where, when I was going to these births and these people would be pushing out their babies, I would be having sympathetic contractions and having let down and all of this stuff, because I was super pregnant, about to have a baby myself.
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I think the last birth I went to I was 38 weeks, which was fun and challenging, but it was fun to have conversations, because after people had their babies, they're like oh my god, I didn't realize that you were pregnant.
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And then they would be like how far longer are you?
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Because they're in their zone.
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By the time they meet me, they don't even know who's in the room.
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And then afterwards I'm like can I take your baby's heart tones?
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And they're like, oh yeah, sure.
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Oh my god, you're half a belly.
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And just the conversations went from there.
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So when I was pregnant, though, I also applied for midwifery school, and then I got in because I was like it's now or never I'm going to get into this birth thing or not.
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So I eventually had my son and I decided to have a home birth with him, because by the time I was pregnant with my son, I had learned so much more about birth whether that be birth centers, home births, all this stuff so I was looking into becoming a out of hospital midwife.
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So I was like, well, let me just have a home birth.
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I love birth, let me do that.
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I'm healthy, I'm active, I'm young still, I was 24.
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And so I was like, ok, let's do this.
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And the care that I received that pregnancy was so different than the care that I received with my first, because my in-hospital experiences with my providers they're shorter appointments and then my out of hospital experience with my provider.
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This time around, the midwife would come to my house.
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We would just have conversations and appointments would be like an hour, sometimes two hours long because we would be talking so much.
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And that was amazing.
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And I had the intention, a very strong intention this time to know everybody that was coming into my birth space.
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And, in addition to that, I wanted every person that was in my birth space to be someone that looked like me.
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So I made sure that I found a midwife of color.
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I also made sure that that midwife had a student of color.
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If they had a student, I would only really want them in the space if they were of color, because I want to be able to look around the room when I'm in labor and feel a connection and I'm not saying that I can't feel a connection to people that aren't of color, it's just like in my vulnerability I want to be able to just feel that and I really wanted this kind of ancestral or spiritual vibe in my space the second time around.
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I was literally about to say that I was calling on the presence of your ancestors.
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Yes, exactly, I really wanted that.
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I wanted to look around and see that and feel that.
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And so everything went great.