WEBVTT
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Hello, today I have with me Lacey Tang.
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Lacey has been working with infants and supporting new families since 2015.
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She began her career as a certified postpartum doula and certified baby-wearing educator.
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She quickly discovered that a large portion of her time spent with families was on breastfeeding support.
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This led her to pursue her certification as an international board-certified lactation consultant and her bachelor's of science in child maternal.
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This led her to pursue her certification as an International Board Certified Lactation Consultant and her Bachelor's of Science in Child Maternal Health.
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She's originally from Southern California and, yes, the winters here are difficult for her.
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In her free time, she enjoys traveling, exploring antique stores and spending time with her family.
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Some of the challenges Lacey faced when feeding her own children were low milk supply, painful latch tongue, lip tie, mastitis, thrush pumping and returning to work, oversupply with her second child, tandem feeding and postpartum depression and anxiety.
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Lacey, welcome and thank you so much for joining me.
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Thank you for having me.
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I'm so excited to be here with you.
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Yeah, I haven't heard your birth stories yet, but I have seen some of your kids drawings.
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They're super cute.
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Yes.
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Thank you.
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Yes, I have a budding artist, yeah.
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Well, I'm excited to hear how your career has morphed into milk in Motion and all of the things that you offer moms.
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I love your office.
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For those of you that don't know, lacey Lacey has this office where you can go in and try on different pumps and flanges and try to get fitted for the pump that works best for you.
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And I just think that's so amazing because I felt like when I was breastfeeding I had to just like order random things on Amazon and hope that they hooked up to my pump.
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So when I saw your office I was like, wow, this is breastfeeding heaven.
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So I really love it.
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But I'm excited to see how your journey turned into Milk in Motion and everything you're doing today with New Moms.
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Yes, yes, it did it's.
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Certainly this is not where I saw my career or life going, but I'm so grateful I'm here and my children brought me to this place, because I absolutely love it.
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That's amazing.
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So when was your first child born, and was it everything you expected?
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And tell us the juicy details.
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Yeah, so my oldest.
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I have two boys.
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My oldest is nine but he is about to be 10 in the end of March.
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So I was and I'm about to be 40.
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So I was 30 when I had my first kiddo, which actually, if funny enough, where I'm from in Southern California, I grew up in a small town north of LA, about as far north as you could be and still be considered Southern California.
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I grew up in a small town north of LA, about as far north as you could be and still be considered Southern California, but in my area, 30 was considered very old to have your first baby.
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Most of my friends and most of my high school classmates had children much earlier than that and, of course, when I moved to the East Coast, that 30 is relatively young.
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Especially, I'm supporting a lot of first-time parents still in their 40s and stuff and nobody thinks anything of it.
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So it was a big change.
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But I was 30 when I had my first.
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I was in a completely different line of work and I decided to stay home and, yeah, I just kind of fell in love with a birth world.
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I gave birth for the first time with a midwife at a birth center not connected to a hospital, and that whole 10 months of my pregnancy just completely changed my outlook being at the birth center, surrounded by like-minded women, midwives, doulas it was amazing.
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So that's kind of how it got started.
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So how?
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did you find the birth center and what was that experience for you?
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Because I don't know that.
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I didn't even know what a birth center was when I was having my first.
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So I am a fairly anxious person and I originally, back in my 20s and 30s, I called myself in a very loving way, I called myself type A.
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As I've gotten older I realized that this was more based on how anxious I was and if I felt like out of control.
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I tried to do a lot of things, mostly research and education, to feel like I had a little bit more control of things, to ease my own anxieties.
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So, naturally, when I became pregnant and knew nothing, that made me feel very out of control.
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So of course I turned to Dr Google and started researching all the things and essentially I don't know how else to explain it other than I felt like this big ball of yarn and as soon as I started pulling on one thread, everything just kind of unraveled in front of me.
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It was originally when I got pregnant.
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I was with a traditional OBGYN a large practice here and they were very kind.
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They answered the questions that I had every time we went in, but I was with them all of like five minutes at each appointment and I left each appointment feeling just it didn't feel right for me, it wasn't, they weren't a great fit, and that's what led to the just Googling and what else and what are my other options?
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And midwife kept coming up for someone who would spend more time.
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That's what I wanted.
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I wanted more time, I wanted more connection, I wanted to know the person that was going to be at my birth with me and there was just no way this big practice was going to be able to fill that need for myself.
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So I started researching midwives and then of course, that led to just like random Googling midwives in Northern Virginia and different ones came up.
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I scheduled appointments with all of them and my husband came home and I was like, guess what we're doing?
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Okay, you know.
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Thankfully he is a pretty mellow guy who goes along with most things he does.
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Funnily enough, he didn't say it to me then.
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But now when he tells the story about the midwife he's like yeah, when you first brought up midwife, I imagined like an old gray haired woman with like chicken bones and like shaking rattles and stuff and he was a little concerned.
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But that's funny.
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But we scheduled an appointment at every birth center with a handful of midwives in the area and just started going to their spaces meeting them.
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They all of course, have like some open houses for prospective clients and stuff.
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So it was easy to do and they were all lovely.
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I ended up going with the birth center, with premier birth center.
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We lived in Alexandria at the time and it wasn't too far for us and the vibe I got and the people there I just really connected.
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And almost from that first open house, that initial visit, my mind was just kind of made up Again.
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You know I didn't tell my husband that, but he also.
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He was like oh yeah, this is great.
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We came home and we talked about it and it was fairly early into my first pregnancy about a little earlier than halfway through that we ended up switching.
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I just feel like the way that you described anxiety and type A is so relatable and I feel like typical of what I see.
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A lot like I've, and that's how I felt right.
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The only reason I felt comfortable was because I've worked at hospitals, so I kind of felt like I knew what to expect.
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But still I was kind of floored by my first delivery.
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But I feel like that's the same.
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I think that's why I love Milk in Motion so much, because I walk in and that anxiety is solved.
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It's like you really did all the research and categorized everything and made it make sense.
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When I feel like moms are just out there trying Everybody's trying to reinvent the wheel for themselves.
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There's so much information out there and not really a lot of people to guide you through it, and so I think what's missing is people to guide you through it, and I think it's just amazing to hear people like you and I feel like you know that's why I started doing.
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What I'm doing is because I needed somebody to guide me through, and I'm trying to provide that service.
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For somebody like me, it's almost like if I could go back and fix things for my past self.
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This is what I would be doing right.
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So I feel like it's just so cool to see moms that are filling that role.
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Yeah, definitely.
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I mean, if you talk to so many of us in this industry, I think all of us are healing a little bit little pieces of our experiences, right.
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We kind of went like, oh my gosh, if this is happening to me, it's happening to everybody, and how can we fix this?
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Yeah, I think it's so amazing.
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So your first birth you said you weren't very far along in the pregnancy when you decided to go with the midwifery practice.
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How did that?
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change for you.
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How did your appointments go Like?
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How was your pregnancy overall?
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Yeah.
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So pregnancy overall for me was lovely.
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I always feel a little guilt about saying this because I know that's not the experience for, but I genuinely loved it.
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I loved being pregnant.
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I loved feeling my baby's move inside me.
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I've never felt so like lovely.
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My hair was like thick and gorgeous and I was like, yes.
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So the pregnancy itself, growing the baby, was some of my favorite part.
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The birth was more difficult, but the pregnancy, the 10 months, the learning, all of the things I genuinely enjoyed it.
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I didn't have a lot of difficulties.
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So I think of course that's why I feel the way I do, kind of standard run of the mill.
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I was a little nauseous in the first trimester, felt great in the second, tired in my third, but other than that, overall my pregnancies were very smooth.
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I think that's something to say.
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The midwife too.
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If anyone who is a little unsure about going with a midwife or feels a little hesitant, my midwife said something to me that stuck in my brain and my husband's too, because he still talks about it as well, and she said if you're feeling anxiety or unsure about birthing and out of the hospital space, unsure about birthing and out of the hospital space, she goes.
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I want you to know that it is my entire job to know what normal is.
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I see normal every day, all day, and as soon as I notice something that is not normal, I will send you to the people who deal with those things.
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So that kind of like oh okay, as soon as something she noticed, anything that was going to be a concern if there was going to be one.
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She was like you go right to the hospital.
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If not before you go into labor, during it is not an issue.
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So I think that's so amazing because I think there are a lot of misconceptions about birthing centers, right.
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So because, and partially because at least in our area, there isn't a whole lot of relationship between birthing centers, right.
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So because, and partially because at least in our area there isn't a whole lot of relationship between birthing centers and hospitals, and I'm not sure why that is, but I feel like when people are sent from the birthing center to the hospital, sometimes it's just such a catastrophe that I don't think we don't get to see the successful births.
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And I don't even think that the OBs and even the hospital midwives really understand the way that midwives practice in a birthing center.
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So I think every midwife I've interviewed or people that have been with a midwife, say that same thing that they are very trained to know normal and if anything abnormal comes up, then you go straight to the hospital.
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And I think that's really important for people to hear, because in order for us to change that perspective and to allow people to birth where they feel comfortable, because hospitals, let's face it, bring a lot of anxiety, right, but they need to be there.
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So if you don't feel comfortable at a hospital and you want the setting of a birth center and the attention of a midwife that works in a birth center.
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You have to know what you're getting into and I think you know hospitals should probably.
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I mean in different parts of the country, hospitals and birthing centers.
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They have kind of a partnership.
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They may not be the same company but it's more collaborative.
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And I feel like that's where the safety breakdown comes, because if you don't have collaborative care and we're judging people for having the failed birth center birth which is like super lame, like it wasn't a failed birth, it was a something happened.
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It changed yeah.
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Changed Right, that changed the acuity and the need Right, and so then they have to come to the hospital, which is a location where anybody in our area should be able to feel safe going to without being judged.
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You know like we just need a better system for collaborative care non-judgmental, you know, non-competitive, so that people can get what they want.
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Yeah, I agree.
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So I'm glad that you went to the birth center and had that experience and the midwife explained it that way to you, because I think that more people need to hear that.
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So you mentioned that your pregnancy, or your birth, wasn't as lovely as your pregnancy.
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What happened there?
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Well, I shouldn't say that it's just the warm fuzzies that I felt while I was pregnant.
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Certainly, my birth, my first birth, was about 32 hours, so it felt very long and I was exhausted.
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But when I look back now I know that it was normal, right, what I went through, what I talk of me being transferred to the hospital around, I think after the first day, around like hour 28 or 24, there was like, oh, you know, I think we're going.
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And then it was actually my birth assistant, the midwife assistant, that said I was in the bath and she I was towards the end.
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I was very triggered by car rides and I would.
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When I got in the car I would feel a little nauseous and everything.
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So in the throes of labor, I was sitting in this bath, I was as comfortable as I could be, and the thought of getting out of the bath and actually going somewhere less comfortable, I was like no, you know, don't make me do this, Even if the hospital is just down the street.
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And she just like kneeled down next to the tub next to me and was like let's give it another two hours and reevaluate.
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And I was like, okay, that's what I needed.
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I needed short term goals and I wasn't saying no to the hospital no one is saying you have to go but we were working in small increments and I was like that I can do, so that's a common occurrence in labor too.
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I think that thinking of the whole process overall is really overwhelming, and I think that one of the best strategies is to like break it down into timeframes, like you can do anything for a certain amount of time and if you feel like you can get through the next 20 minutes, you know, then we can reevaluate.
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That's a whole lot easier.
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Or two hours even.
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That's a whole lot easier than being like, oh my gosh, we're going to be here forever and there's no end.
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Like giving yourself little timeframes, like if you knew when your labor was going to be over, if you knew the time of birth ahead of time you'd just be like all right, well, I got, I can do this for a couple of hours, you know.
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So if you kind of trick your brain into believing something like that and you give yourself that time and then you do it again, then you're still.
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You know, you're making it easier, so I love that strategy.
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I could have been at home for probably a whole day, but as a first time parent, the moment those contractions got a little bit intense I was like, oh, you know, it's time the baby's coming, it's time the baby's coming.
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And we were 35, 40 minutes from the birth center and my husband was like the one thing he had anxiety about was traffic.
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So he was like, yeah, let's go, we're ready.
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And we got there essentially a day earlier than we needed to, that's all good, we'll live and learn.
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Yes, do you remember how many?
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centimeters you were when you got there.
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So my midwife checked me but she didn't tell me because that was one of the discussions was like you know, we didn't want to know.
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I found out afterwards.
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I was at like two or three, that's all right.
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As long as you're progressing, it's all good.
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Yes, all right.
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So then how did the rest of it go?
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We waited two hours and then what happened.
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So that was towards the end.
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We had been there a while.
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My husband was with me, my mom was with me, I spent a lot of time in the tub.
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I moved from the tub, the shower.
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I had a lot of back pain throughout, like really intense, with my contractions.
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I wouldn't feel like the tightening in my pelvis area, it was mostly through my lower back and I was really struggling with that, and the water was the only thing that relieved that.
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So I was constantly in and out of the water, I bounced in a yoga ball.
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My waters had not broken and it was finally after like a day my midwife, you know.
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I really think that perhaps if we break these, we'll speed things up.
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We ended up breaking them again.
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I think it was like the 24 28 hour mark I don't remember exactly, of course and then that they did get.
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Everything got much more intense at that moment, which, of course, course, again prior to her doing that, I was like there's no way it can get any more intense than this.
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It turns out it can, and I ended up pushing for around three hours like bearing down purple face pushing.
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Contractions would come and I would push and then I would just like collapse.
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I was out of the water by then.
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I believe I ended up getting out of the water because there was some concern about baby's heart rate.
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It was fine, everything ended up being fine, but I did end up having him outside of the water, which is not how I planned things.
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I always kind of like just thought I would stay there and he would be bored in the water, but it didn't work out for that because of the way the tub that I was in she couldn't access, listening the way she needed to with my position.
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Yeah, that stinks.
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Yeah, there's always the possibilities of limitation because everybody's anatomy is different and the position of the baby and technology just isn't perfect.
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So that's one of the biggest complaints is like having to move around the monitor.
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We have the same issue in the hospital sometimes.
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Right, we try our best.
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So then pushing, did you feel like it just wasn't effective, or what do you feel like happened there?
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I believe I don't remember exactly, I believe there was some concern about the swelling in my cervix.
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I had, like a cervical lip he couldn't get back, he couldn't get over that lip.
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So a lot of my pushing was not effective at one point.
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And then for a moment they were like telling me to stop pushing, which was really frustrating, because I wanted to, like I needed to, needed to, and so there was certainly some hours in there because I was pushing for such a long time.
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I mean, one, at this point I was exhausted, and two, emotionally I was drained, and then it was just got so much more intense.
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So it was because of the swelling of my cervix.
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Okay, so they were having you push before the cervix got out of place, or were they saying that it was just it took longer for you to dilate because of your cervix?
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I'll be honest, I don't remember, but I there was some kind of swelling that was preventing it, and then she did alter his position just slightly to get everything moving and then, once she did that, the pushing got much more effective and he was out in, I think, like 30 minutes.
00:19:47.513 --> 00:19:59.471
Oh nice, I don't know if it's because earlier they were telling me not to push and because I was doing it anyways, essentially like I was bearing down because I felt like I needed to.
00:19:59.471 --> 00:20:03.550
So I think I created the swelling.
00:20:04.221 --> 00:20:18.750
Or I mean it sounds like the baby's position was worth the swelling, because if you have a cervix that's like pliable and flexible and ready to move and the baby's in an optimal position, it will usually move pretty quickly out of the way.
00:20:18.750 --> 00:20:36.029
But if the baby is kind of in a wonky position and your pelvis and your cervix is being kind of like pulled down by forces of gravity and your baby and swelling and all of that stuff, it's hard to not push when your baby's in an area of your pelvis that feels like you need to push.
00:20:36.029 --> 00:20:59.695
So it sounds like it was probably the funky position that was mostly the problem, because if a midwife was able to manipulate it and make the pushing easier or make the baby come down so that everything seemed physiologically normal, like the puzzle pieces fit together, then probably have more to do with that, because you're going to feel the need to push if the baby's in a certain position in your body and sometimes that's involuntary.
00:20:59.957 --> 00:21:07.112
So it sounds like they were just trying to work with you and find the optimal time to try to manipulate the baby so that you could push more effectively.
00:21:07.112 --> 00:21:10.420
Yes, so then, how is the delivery?
00:21:10.420 --> 00:21:18.031
Like a lot of people, remember things like the ring of fire and like the feeling of the Santa coming out and the feeling of the baby coming out.
00:21:18.031 --> 00:21:19.273
How is that for you?
00:21:19.654 --> 00:21:24.952
Yeah, you know, I feel like perhaps I distinctly remember it with my second.
00:21:24.952 --> 00:21:28.549
My first is a little more of a blur.
00:21:28.549 --> 00:21:37.287
I think it has a lot to do with the exhaustion and my mental state that far into the labor you know I was, I was really done.
00:21:37.287 --> 00:21:45.875
I do remember because I was like leaning over the bed and my husband and the midwife were behind me.
00:21:45.875 --> 00:21:52.269
I do remember my husband saying, oh my gosh, he's here.
00:21:52.269 --> 00:21:57.905
So I distinctly remember that, but I don't remember much of anything else.
00:21:57.905 --> 00:22:01.433
At least with the first it's kind of a black spot.
00:22:01.680 --> 00:22:05.471
I mean, you were in labor for 32 hours, so I don't know how many brains I'll have left.
00:22:08.325 --> 00:22:12.665
Yeah, there wasn't a lot left at that point, so do you remember if you had a tear?
00:22:12.707 --> 00:22:13.388
that they needed to fix.
00:22:13.480 --> 00:22:14.605
I had a minimal tear.
00:22:14.605 --> 00:22:16.105
I had a very minimal tear.
00:22:16.105 --> 00:22:20.690
I don't believe I had any stitches and nothing else.
00:22:20.690 --> 00:22:22.354
No episiotomy, of course, or anything.
00:22:22.354 --> 00:22:31.851
So as far as everything with my healing afterwards, it was fairly straightforward and relatively easy.
00:22:31.851 --> 00:22:33.534
You know kind of textbook.
00:22:33.980 --> 00:22:36.792
Good, and you did skin to skin and were you able to breastfeed.
00:22:36.792 --> 00:22:37.797
What was that journey like for you?
00:22:38.820 --> 00:22:41.567
Yeah, so I absolutely did skin to skin.
00:22:41.567 --> 00:22:45.395
This was a huge piece of my birth plan.
00:22:45.395 --> 00:22:48.923
I was very adamant that this was super important to me.
00:22:48.923 --> 00:22:53.741
I knew that going into it and I was very grateful I did skin to skin.
00:22:53.741 --> 00:22:57.748
He did latch on fairly quickly after birth.
00:22:57.949 --> 00:23:05.388
At this point I was not I had no, you know, ibclc certainly, or lactation training.
00:23:05.388 --> 00:23:11.589
I was just simply a first time mom who gave birth without any medications, who knew that I wanted skin to skin.
00:23:11.589 --> 00:23:19.740
So, yes, he was able to latch on and at the time I thought everything was going very smoothly.
00:23:19.740 --> 00:23:28.742
And then what happened was going very smoothly.
00:23:28.742 --> 00:23:29.444
And then what happened?
00:23:29.444 --> 00:23:32.695
Yeah, yes, so, and then fairly quickly, within the first 24 hours of his life, I realized that, wow, like this is really painful.
00:23:32.715 --> 00:23:38.192
And I don't remember reading In fact, I do distinctly remember reading that it is not supposed to be painful.
00:23:38.192 --> 00:23:41.422
So I immediately assumed something was wrong.
00:23:41.422 --> 00:23:48.705
And he, in the first week of his life I mean almost instantly I had cracked and bleeding nipples.
00:23:48.705 --> 00:23:52.607
He had the brick dust pee.
00:23:52.607 --> 00:24:08.657
He wasn't this kid's eating all the time and I'm like, well, really eating all the time or being normal baby eating all the time, but mine was eating like every 30 minutes.