Meet NBBC Lactation Consultant, Ashley!

Here at NBBC, we want to support breastfeeding success.  To help with this, we have made Ashley Petronzio part of our support team.   We know that she will be a great asset to our practice and to our patients.

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Ashley is originally from Pittsburgh, PA.  She has been married for 12 years and has 6 children ages 12, 10, 8, 6, 4 and 2.  She received a BA from Virginia Tech and is an IBCLC.  On top of all that, she is currently pursuing her nursing degree!  Being a busy wife, mom, student and lactation consultant, she doesn’t have a lot of time for hobbies but right now she is enjoying training for triathlons.

 

Ashley talked with us about her own experiences with breastfeeding and how this inspired her to want to help others.

 

I had no issues breastfeeding my first baby, he latched right away and we went on to have an awesome experience for the next 15 months, including breastfeeding into my next pregnancy. With my second baby we really struggled with breastfeeding from day one. Latch issues, thrush, mastitis, lots of tears (both mine and hers). At one point my husband came home from work and I asked for a bottle, because I had been trying for the last 45 minutes to get her to latch. I vividly remember him saying “You don’t really want to do that, do you?”

After we worked out all of our issues it wasn’t enjoyable anymore and she never really seemed all that excited about it. We made it to 13 months. I found out about a month before that there were lactation consultants and I could have gotten help with all of my struggles! I knew right then I wanted to be one and all the pieces to do that literally fell into my lap. It was a sign! That was fall of 2006 and I’ve never looked back!

Ashley met Marcia as a patient years ago when Marcia was still working with Dr. Peacock.IMG_2822  After having a few successful VBACs(vaginal birth after cesarean), she became interested in midwifery and eventually became a birth assistant at NBBC so providing our patient’s with lactation support is a seamless transition for everyone.  She’s a natural fit in our community.

Ashley will see patients in our office by appointment 2 mornings a week.  We will add more time for her to see patients if there is a demand.  Each consult will include a thorough assessment of a feeding(for both mom and baby) and a breastmilk intake weight. She will also offer prenatal assessments for new moms and/or moms who have had past breastfeeding issues if needed to address questions or concerns and provide educational support.

When asked what she wishes every woman knew about breastfeeding, she replied,

I wish women knew how easy breastfeeding CAN be. There are so many obstacles to successful breastfeeding but even more support available to help! Women shouldn’t feel bad because it’s not the wonderful picture they had envisioned or not reach out for help because they think they’re doing it all wrong. Just ask for help. The payoff for the sleepless nights is totally worth it.

Ashley feels that for many women, breastfeeding has become very complicated.  She hopes to help women navigate their breastfeeding issues with the goal of being able to return to the simplicity of the breastfeeding relationship.  Like birth, we as a society have introduced many interventions into breastfeeding and she would like to help women find a way to resolve their issues yet not feel overwhelmed.

Ashley has some tips for new moms wanting to breastfeed successfully:

  • Limit the visitors in the first hour after birth
  •  Rest, rest, rest…I can’t say that enough.
  • Turn off the TV, phone, computer……whatever  is stimulating you and your baby too much.  Climb into bed and nurse your baby.   Sleep, eat/drink, nurse your baby, sleep, eat/drink…you get the picture.
  • Seek help from a well intentioned support person that truly has your ideals and goals in mind when you start to doubt yourself or your baby.
  • Avoid seeking solutions to breastfeeding issues on the internet.

Welcome Ashley to our amazing team!  Please call the office to ask about scheduling a time to meet with Ashley to address your questions or concerns about breastfeeding.  You can also “like” our Natural Beginnings Lactation page on Facebook!

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Preparing for your birth……

The midwives at Natural Beginnings Birth Center  believe in education and informed decision making.  Many people ask us what resources we recommend for pregnancy information and birth preparation so we thought we would compile a few here on our blog.  Most of these books are helpful even if you are not planning an unmedicated birth.  We encourage all expecting moms to have a basic knowledge of labor and birth and some coping measures just in case pain relief isn’t immediately available.  We also encourage partner preparation!


MOVIES:  

The Business of Being Bornborn
**This movie can be viewed with a Netflix subscription or rented on Amazon Video.

AUTHORS AND BOOKS:

 Ina May Gaskin

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Barbara Harper

91FNUJMMrgLGentle Birth Choices

**Barbara Harper is a water birth expert and teaches water birth practice world wide.  We are fortunate to have been able to train with her when we opened NBBC.

 

Sarah Buckley

Gentle-Birth-Gentle-Mother-bookGentle Birth, Gentle Mothering:A Doctor’s Guide to Natural Childbirth and Gentle Early Parenting Choices**Sarah Buckley is a physician in Australia who has studied natural birth practices from many different points of view.  She encourages informed decision making in all choices regarding birth and early parenting.

Penny Simkin

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Amber’s Birth Story – an empowering transport

Amber’s story is an example of what a non-emergent transport can look like with a planned birth center birth.  Here at NBBC, the most common reason for transport is maternal exhaustion after slow progress in labor.  This can happen after a long labor where mom has been unable to sleep for an extended amount of time.  This story is an example of  how our care continues if you need to transport from birth center to hospital.

AMBER’S STORY

May 28

My due date had come and gone (May 23) and I was content in knowing that our little boy was safe, healthy and still tucked away inside of the safest place on earth. As much as I was over the back and hip aches, heart burn, constant exhaustion and frequent bathroom trips, I truly enjoyed my 10154174_10152116673907909_2082089592_npregnancy and I was soaking in as much as I could the last few days of it. Every little kick and movement shared just between my baby and I was priceless and savored as I knew the journey of pregnancy was ending and the unknown adventure of motherhood was soon to begin.  My husband and I did everything that we possibly could in preparing for the birth of our first child. We attended 12 weeks of Bradley method classes, went through books, watched countless videos and documentaries on the natural birth process and we chose a birth center with midwives to deliver E at. I felt empowered, encouraged and educated throughout my entire pregnancy as I surrounded myself with an incredible birth team!

At around 10:30 AM on Wednesday morning, I got out of bed to make breakfast and felt a significant gush of fluid. I immediately thought “DID MY WATER JUST BREAK?” 

About 10 percent of women will experience spontaneous rupture of membranes(SROM) before contractions begin. At NBBC, the midwife remains in contact with patients when this happens to monitor progress and make sure no symptoms of infection or complications are present.  For most women, labor will begin spontaneously within 24 hours.  For patients who are GBS negative, we wait up to 72 hours for labor to begin spontaneously.

I went about my business of bed-making, breakfast eating and experienced a sudden burst of energy which made me start cleaning like a mad person. I was scrubbing floors, walls, counter tops and making sure my birth center bag was packed with everything I needed (even though I had packed it 3 weeks prior), our birth plan was typed neatly and I ensured that we had 1461067_10152116674757909_810978695_nmultiple copies JUST IN CASE today happened to be BIRTH day. Soon after my cleaning craze began, I felt another gush of fluid.  I tested positive for GBS (group b streptococcus) during my pregnancy which is a bacteria found in about 25% of healthy, adult women and can be passed to the baby through delivery.  So at At 1:20 PM, Ben and I packed our birth bag and birth essentials and started off to Natural Beginnings Birth Center.  I was having minor contractions that were spread out, I could talk through them and I was all smiles so it was very apparent that we were in the early 1st stage of labor. We stopped and grabbed a bite on the way and I was chugging water like a champ! I kept remembering the “eat, drink, sleep, shower and walk” routine and I was definitely killing the eat and drink portion!

About 1 in 4 women test positive for Group B Strep during pregnancy.    We also offer the option of receiving antibiotics at our birth center for those who desire it.  Amber was able to come and and receive a dose of antibiotics, then go back home to eat, stay hydrated, rest and wait for labor to begin.  The midwives at NBBC encourage eating and hydrating in labor!  In order to follow birth center protocol, labor must begin within 24  hours of membranes rupturing in GBS positive patients to avoid transport so we also gave Amber some information on alternative ways to stimulate labor to try if she wanted to do that.  Amber’s contractions began soon after she got back home and she chose some alternative ways to augment her contractions to encourage more active labor to begin.

 I labored on our birth ball some, laid down to rest and walked a little bit. I lost more of my (mucous)plug soon after. I was feeling more tired at this point and my contractions were becoming a little more frequent (3-4 mins apart) and I just KNEW I was approaching “active labor” and that I HAD to be dilating.

 At 10:00 PM, Ben and I left our house to go back to the birth center for my second round of antibiotics as I had to have them administered every 8 hours during labor. We decided that instead of coming back home if I was not in “active labor that we would get a hotel room in Statesville to be close. I was hoping that I was at least 4-5 cm dilated and that I could just stay and labor at the birth center. I had to be. 

We arrived at Natural Beginnings at 10:50 PM and they began the second dose of IV antibiotics and my midwife checked my cervix. I was only 1 cm dilated. I was starting to feel really discouraged at this point, my contractions were still intensifying and I felt a lot of pressure in my pelvis. How could I only be ONE CENTIMETER?

Dilation is as unique as the woman in labor.  Sometimes contractions are strong but dilation is slow.  We do not know all of the reasons for this.  Sometimes it is the baby trying to find just the right position which is why we encourage mobility combined with resting positions that keep the pelvis open.  The most important thing to do during this time as long as vitals are normal and baby sounds good is to stay hydrated, nourished and well rested.  We are happy to have a relationship with local hotels who will give parents a discount if they wish to do this but also remain close by.  Not admitting a patient to the birth center until they are in an active labor pattern reduces the chance of transport.

May 29

Nicole (my midwife) was super sweet and encouraging and told us to go to the Holiday Inn Express nearby and tell them we were laboring and they would give us a discount. She told us to call her and keep her updated. We left the birth center and arrived at about 12:00 AM. At this point, I was unable to talk through my contractions, I was VERY focused, serious and did lots of moaning and groaning to get though each one. I tried to lay on my side but was very uncomfortable so I got on the birth ball on the edge of the bed and pretty much stayed there ALL night. My contractions were about 2-3 mins apart and were lasting 60-90 seconds. I was feeling exhausted and just kept wanting to sleep but there was no way I could sleep through them. Ben put pressure on my back, squeezed my hips and coached me beautifully through each one. We had an app on his phone to monitor them and he talked me through every one. He was so encouraging and kept telling me how amazing I was doing and how exciting it was that we were going to be holding our baby so soon!

We ended up leaving the hotel at around 5:50 AM to go back to the birth center. I could barely walk out of the room and found myself stopping in the halls and lobby to moan and get through the contractions. I know people were looking at me funny but I didn’t care AT ALL. Ben helped me into the car and we started back to the birth center. I just knew that this was active labor and that we would be staying there! We arrived and Nicole started the IV drip and checked me and I was only TWO cm dilated. At this point, I don’t even think discouragement is the right word to describe how I felt. I was utterly disappointed and so upset. I cried and kept asking “is my body broken?”. I was so sad because I knew that this meant my beautiful water birth experience was not going to happen as we would have to go to the hospital and they would start pitocin soon. 

It is never easy for us to have the transport discussion with a patient that we know strongly desired and prepared for a birth center birth.  We understand the disappointment that comes with a change in birth plan/vision.  We do our best to give strong emotional support at that point then make the transition to the hospital as seamless as possible.  We typically go to the hospital at the same time as the patient and help them get settled and comfortable.  We continue to manage care for our patients at Davis Regional Medical Center where the staff is sensitive to the needs of patients who are transported.  It is hard to watch your vision of your birth change, but we hope our continued presence throughout the process can provide the consistency needed to help a mom through such an emotional time.

The ride there felt like an eternal mile and a half. My husband was so precious and kept encouraging me and telling me how proud he was of me and that soon I would have our perfect baby in my arms. We arrived at Davis Regional Medical Center at 7:30 AM and I could still barely walk and talk but I made it to the room and we got settled in. They started the pitocin drip at 8:45 AM and man oh man, did things REALLY start to intensify.

Ben and Nicole were excellent at talking me through them. They kept saying “that is one more(contraction) you don’t have to have and one closer to having your baby!”. Some were 1 min apart and others were 30-45 seconds apart. At 10:30 AM, I got in the tub to labor. The water was my friend. I wanted to stay there. I got an urge to push and they made me get out. I started to labor on the birth ball again and my midwife put heat and counter pressure on my lower back during contractions and it definitely helped! I got back into the tub at around 11:45 PM and got another urge to push. I remember wanting to just stay in the water so bad and I was so upset that they kept making me get out when I wanted to push! 

My midwife arrived at at 12:50 PM and she checked me and informed me that I was actually only 3 cm. Hello, Natural Alignment Plateau. Within the Bradley Method, we learned of this. It is sometime during labor when there is a ‘stall’ in cervical dilation. Sometimes this occurs just before transition, but can happen at any time when it looks like nothing is happening! 

I am SO thankful that Ben and I educated ourselves and that we had a midwife who was PATIENT, believed in natural birth, encouraging and allowed me to continue to labor. Also, dilation is measured differently by most everyone. It is so tricky to gauge true dilation. I won’t lie to you and say that I didn’t feel discouraged and totally defeated at this point in my labor. Again, I can’t say enough how tremendous my husband was during this phase. He knew what was happening and he kept reminding me that my body was doing what it needed to do for me and for the baby and that I was a champ. These words and reminders were powerful to me during this stage.

 

In the absence of abnormalities, we understand that labor can be tricky and unpredictable and we do our best to allow time for the process to unfold.  We help by suggesting position changes and other comfort measure to help encourage progress and cervical change.   We are happy that at Davis Regional Medical Center, we have access to wireless, waterproof fetal monitors.  Hydrotherapy can be very helpful to moms having long labors and can provide welcome relief especially when progress is slow.  Sometimes, at this point, pain relief through epidural or narcotics can also provide much needed rest and that is also available.  But Amber had been able to eat and hydrate well during her labor which we encourage so she was able to keep going.

My midwife suggested that I start trying some other positions and let gravity work with me. From 1:00 PM- 2:00 PM, I labored in many different positions such as hands and knees, the birth ball, squatting, side lying. At this point, I started to majorly doubt myself. I started saying things like “I can’t do this anymore”, “I need relief” and “I think I want the epidural now”. I was crying and really started wanting drugs at this point. Ben and Nicole kept talking me through each contraction and were so sweet and supportive.

 At 2:00 PM I asked to get into the tub again and after about 15 minutes, I felt an overwhelming urge to push. I couldn’t not push. It was impossible. This baby was coming whether I was 10 cm or not! I knew it. The pressure was intense and the urge would not subside. I got out of the tub at 2:15 PM and sat on the toilet. This is when I hit transition. It was intense. I was shaking, throwing up and crying. Nicole and Ben kept saying, “remember this is the shortest part- you’re doing amazing!”. It felt like I couldn’t go on. Where was I going to find the energy to push? Nicole had me get on hands and knees on the bed again and I pushed a couple of times. I had an intense need to bear down through each contraction. I stayed on hands and knees for about 15 mins and then I wanted to change to the classic pushing position (sitting up with knees back). This detail is funny to me because during our labor rehearsals, I thought for sure I would HATE that position for pushing but sure enough, it’s what I wanted. I started pushing in classic position at 2:45 and pushed through each contraction for a little over an hour. My pushing contractions were way more spread out and I was talking, joking and laughing through them. When they came though, I HAD to push with my body. I remember wanting to groan really loud when I pushed but my midwife kept telling me to focus all of my energy on pushing. She massaged my perineum with oil between and during my pushes to keep me from tearing. I remember feeling the “ring of fire” as the head was bbbbbghcrowning and they kept saying “He has hair!”. This was so motivating to me, I wanted my baby in my arms. I pushed through the burning a few times and at 3:56 PM on May 29, 2014, E was born! They placed him on my chest immediately and the most overwhelming sense of joy, love, relief, excitement, happiness and pure peace came crashing over me. Never in my life have I experienced a rush like that. Ben and I couldn’t take our eyes off of him as he nuzzled into me and let out the most precious cries I have ever heard in my life.

Sometimes a mom will make quick change after what seems to be a long time of “failure to progress.”  We monitor mom and baby closely and dialogue with parents about their wishes and desires during long, difficult labors.   We make every effort to work with parents wishes when it is within the realm of safety to do so.  We do not have set time limits or standard protocols pertaining to length of labor.  It is a continuous discussion and interaction between us and our patients and we determine together what is the best path for mom and for baby.  We do believe that a moms experience of her labor has value and influences breastfeeding, postpartum healing and postpartum emotions so we do our best to focus on a healthy baby AND a healthy mom…..physically and emotionally.

We did it! We had birthed our baby as a team and I was so shocked and in disbelief that I made it through without ANY pain meds. I felt like I could literally do ANYTHING. The moments after his birth were precious and I will never forget how amazing the skin-to-skin contact and the first time breastfeeding was. It was surely love at first sight- this child whom we had prayed for, prepared for and had already grown to love on the inside came into our world and radically changed our lives in an instant. We were a family.

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 If this experience taught me anything at all, it surely was a beautiful lesson in trust. Trusting the Lord, my husband, my midwife, my body and my baby. I realized that my “plans” were surely secondary and I learned to “roll with the punches” per se. We didn’t get to have the water birth at a birth center that we so desired and planned for but our birth story is beautiful in every way, filled with adventure and is a journey that I would absolutely change nothing about.

We are so excited that Amber is expecting AGAIN.  E will enjoy being a big brother and we will try to share her next journey with you too!

NBBC word for 2016 – OPTIONS

It’s a new year at Natural Beginnings Birth Center and we are looking forward to everything that 2016 has to offer.  We are honored to serve the women of our community in the various aspects of their lives and we “resolve” in 2016 to continue to work to provide the platinum standard of care for our patients.

Our core values state:12373414_1037092166351670_631230242530938846_n

Natural Beginnings Birth & Wellness Center Provides holistic individualized gynecological care throughout the life, maternity care, mother-baby wellness education and a family centered, supportive environment for birth.

 

We feel that one of the most valuable things that we do for our patients is offer them OPTIONS.  At NBBC, we consider ourselves to be in a continuous and compassionate partnership with you.  This means that you play a major role in the decisions regarding your care.  We want all of our patients to feel that they are making informed decisions so we have a strong focus on education and evidence based information.  Along with that, we respect your experience and your knowledge.  We know that many of our patients have done extensive research before they come to us.  Many of them have had experiences in the past  with medical care that they felt were not empowering to them and they are looking for something different.  We look at each woman as an individual and seek to find OPTIONS and solutions that fit her particular needs.

WE HONOR THE NORMALCY OF WOMEN’S LIFECYCLE EVENTS. WE BELIEVE IN:

  • Watchful waiting and non-intervention in normal processes
  • Appropriate use of interventions and technology for current or potential health problems
  • Consultation, collaboration and referral with other members of healthcare team as needed to provide optimal healthcare

We feel that one of the most valuable things that we offer to our patients is OPTIONS.-2

We want women to know that we are proud to offer OPTIONS that fit a variety of scenarios.  We believe that women should be active participants in their decisions regarding their care. Here are some examples of what having OPTIONS looks like in our practice:

  • a natural, unmedicated birth without interventions in our birth center or in the hospital
  • waterbirth in our birth center
  • elective induction if desired after reviewing risks and benefits
  • the availability of the midwifery model of care even in many pregnancies that are labeled “high risk”
  •  an empowering birth with an epidural or narcotic pain relief
  • wireless, waterproof monitoring in the hospital to support movement and hydrotherapy(laboring in a tub or shower) during labor
  • support and encouragement for many women desiring vaginal birth after cesarean(VBAC) – current VBAC success rate is 87%
  • several different methods of induction including a Cook Catheter 
  • IV antibiotics for Group B Strep when birthing at the birth center as well as the hospital
  • smooth transition to the hospital from the birth center if necessary without having to change providers
  • encouragement to have family or doula support during the birth process if desired
  • breastfeeding and lactation resources
  • referrals to a variety of professionals and professional services
  • and many, many more!!!!

Call us today with any questions you may have about the options available to you through NBBC.  You can also visit us at http://www.naturalbeginningsnc.com or attend our next Meet The Midwives event.

We wish everyone an abundant and prosperous 2016!

 

 

BIRTH STORY: Angela’s birth experience at NBBC

Angela is one of our birth assistants here at NBBC. She decided to have her first baby with us after years of trying to get pregnant. We all felt a great sense of victory when this baby was born. Angela would like to share her story of being a first time mom birthing in our birth center.

”I was due on August 10 but that day came and went. Each day after I wondered if that would be the day the baby would make her appearance. My husband James was so excited for me to go into labor. He talked to our baby girl daily to tell her that we were waiting for her and wanted her to come out and meet us when she was ready. We went to church on August 17. I kept telling myself it was completely normal to still be pregnant and that the average first time mom goes past her due date.11823082_631942291781_6389657959001767712_o

At NBBC we understand that the due date is an estimate. We do our best through early ultrasound and patient history to calculate an accurate due date. However, we also understand that babies don’t always read the textbooks and that each woman’s body is unique. When needed, we have the ability to do a biophysical profile in our office to assess baby’s well being and fluid levels. We work together with moms help them make informed decisions about the course of their care.

Labor for Angela began with what felt like stronger Braxton Hicks contractions, a small amount of bloody show and a trickle of amniotic fluid.   Some mom’s have several “signs of labor” and some only have stronger contractions. We encourage moms to spend the early phase of labor  at home.  This reduces the rate of transport and usually helps mom stay more rested. Angela went for a walk while her husband James picked up Japanese food. We encourage women to eat as long as they feel like it in order to stay nourished for their labor.  A well nourished mom has more strength for the journey ahead of her!

”Around 7 PM my contractions started to get stronger but they were still very manageable. I found the hands and knees position was the most comfortable for me to be in so  I would quickly get into that position each time a contraction came. I was handling things well by using slow rhythmic breathing in the hands and knees position while trying to listen to my birth playlist.”

**Midwife note: we are always entertained by the music that people listen to during their labor. It seems to be as unique to each woman as her labor is.**

”As things began to pick up I decided to get into the shower to try to get some relief. Things were getting much more intense and I remember wishing I had something to hold onto while swaying side to side with the  warm water beating down on my back. At one point while I was in the shower one of the midwives called or texted to check in on me. James and my sister were timing contractions and trying to convince me to leave but I wasn’t ready yet. I kept thinking that no one would get an epidural for this type of pain so I  must not be that far along. But I did go ahead and call my doulas.  Shortly after they arrived, we decided it was time to go. “

“The drive to the birth center was challenging! Contractions were stronger and closer together at that point. I was in the hands and knees position in the backseat leaning over the car seat pulling and releasing the sunscreen which would then bang onto the window. I’m just going to call it my car ride mantra.   I kept telling James to drive faster. Needless to say we arrived in record time. Once we were at the birth center Marcia checked me and said I was 6 cm. I remember telling her that I couldn’t believe I was only 6 cm. She reassured me and told me how wonderful it was to be 6 cm and that my body was working just as it should. Soon after, I got into the pool. I absolutely loved the warm water. I seem to lose track of all time at this point. Contractions felt like they were one on top of the other and I couldn’t get a break. By around 11:40pm I started feeling really pushy.  They told me to push if my body felt like pushing. As I did I realized something didn’t seem right. I felt a pinching pain in my cervix and didn’t feel like I was making any progress with the push. I told Marcia and she asked if I wanted to be checked. At this point I did. She checked me and found that I had and anterior lip of cervix. This really frustrated me because I have been to other labors where moms had an anterior lip and I knew that some of them had to transport for pain relief. But I still had peace and in my faith in God help me focus on the positive.”10568886_745710742141778_5544574805050723611_n

A cervical lip is a small amount of cervix that remains in front of the baby’s head and impedes the baby’s descent. A lot of the time we have a woman lie on her side and blow through contractions to help the lip go away. What works for each woman in that situation is very individual.  For some moms this situation resolves quickly with positioning and breathing techniques.   Hydrotherapy (birth pool) offers many moms the ability to relax until they complete dilation.  Sometimes moms do have to transport and get pain relief and in those situations we are thankful to be able go to the hospital with them and continue to support them and manage their care through that process.  Most birth center transports are for long labors where mom is exhausted and needs some pain relief and rest.  It means a lot to our moms that if they need this option that they will still be cared for at the hospital by their midwives.

“After finding out about the lip, I had to resist the urge to push with each contraction. To help myself do this I blew through each contraction with horse lips. This is extremely hard mentally and physically and I wondered how long I would be able to do this. I tried several positions. I got in and out of the pool, sat on the toilet, screamed a few harsh words, and did something called the rotisserie which is where you labor through a few contractions on one side then flip to the other side for a few more. I finally got into the shower and Marcia and James took turns holding the water sprayer and spraying my back help relieve the pain. At this point I started thinking about going to the hospital. Marsha  asked if I wanted to get checked again and if I haven’t made any progress we could talk about the option of going to the hospital.

But thankfully when she checked me I was complete!”10599564_746019795444206_8891732538150624099_n

Around 3:30 AM I started pushing in the semi reclined position. My doula help hold my legs and my husband was at my head. Pushing was such a relief. I finally felt like there was an end in sight and I actually had longer breaks between contractions. I was able to talk in between and made a lot of joking comments that everyone thought were pretty hilarious at the time. Everyone was so encouraging with each push but in my head I did not believe I was making much progress. Then Marcia told me she could see a lot of dark hair. That was shocking to me as I imagined we would have a bald, light-haired baby. 60680_745710788808440_5671877951011544495_nMy baby girl was handed to me on August 18 at 4:42 AM just a little over 12 hours from when my water broke. That moment was the most surreal and amazing experience of my life. I felt completely out of my body but completely in the moment. There were so many emotions all wrapped up at one. After witnessing multiple beautiful women journey through labor to welcome the beautiful sons and daughters I was now that woman I’ve always prayed and imagined I would be.

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“I cannot even begin to express my gratitude for the care I received throughout my entire pregnancy and birth.  Marcia and Nicole were always there to answer all of my questions and reassure me during times of worry or anxiety.  They are not only extremely knowledgeable but truly love and care for their patients.  I appreciated so much that I was not just another number to them but a person with feelings and emotions that should be respected.  I also appreciate the fact that I was the one making informed decisions for myself and my baby.  As for the birth experience, Marcia was by my side each moment.  Her presence, words of encouragement and knowledge brought me such peace that everything was going as it should and that I had the strength to birth my baby.   Ina May Gaskin says “Whenever and however you give birth, your experience will impact your emotions, your mind, your body, and your spirit for the rest of your life.”  I could not agree with this more and have to give credit to Marcia and Nicole for giving me the chance to have such a positive birth experience! “

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Pictures by Gambol Photography

THINGS YOU MAY NOT KNOW ABOUT NATURAL BEGINNINGS BIRTH AND WELLNESS CENTER

Most people know that we offer an amazing birth center option for low risk women seeking to birth outside of the hospital setting, but did you know that we offer many other services to the women of NC?  Here are some things you may not know about our practice that make it unique:

Natural Beginnings is midwife owned.  Rather than being owned by a facility, physician or corporation, NBBWC is owned and operated by Marcia Ensminger, CNM and Nicole Winecoff, CNM with physician supervision/collaboration with Dr. Coarsey.  This means we have a vested interest in making sure that you receive the platinum standard of care from our facility and staff.

We do more than just birth babies!  NBBWC midwives offer gynecological care, family planning consults and yearly exams.  We also offer support for PCOS(polycystic Ovarian Syndrome), some infertility support options and menopause symptom management.  Our caring, woman centered atmosphere makes us a great place for care through all seasons of a woman’s life.

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We care for both low and high risk pregnancies.  Though we only deliver low risk women in our birth center, NBBWC midwives have full hospital privileges at Davis Regional Medical Center.  We are VBAC supportive and work with a VBAC supportive hospital(Our VBAC success rate is 87%!).  Even if you risk out of the birth center due to complications such as pregnancy induced hypertension, gestational diabetes or thyroid abnormalities, we coordinate with maternal fetal specialists and our consulting physician to continue your care in many cases.  You can birth at Davis Regional Medical Center, giving you the benefit of the midwife model of care in the hospital setting.

We support your desire for pain medication in labor! Some people think a midwife is only for those desiring an unmedicated birth.  Our practice supports a woman’s choices in childbirth including pain relief.  One of the benefits of our midwives having hospital privileges is that we are able to serve women who desire pain relief during labor. With NBBWC you can have the option of midwifery care along with being in a hospital setting where you can choose a narcotic or epidural as options for pain.

We are always learning new things.  Our midwives are always learning how to better support women in labor.  We stay up to date on the latest in evidence based practice so that we can help you make informed decisions.  We are also constantly gather more knowledge on supporting laboring moms through holistic pathways like aromatherapy , the use of water in labor, maternal positioning for comfort in labor, optimal fetal positioning and many other ways to be of support to mothers in their journey.

We hope this helps you get to know us a little better.  We love serving this community of women. We would love to answer any other questions you have about our practice.  Call us today!