Assembling your birth team is one of the most important steps in your journey toward birth and parenting. If you’ve chosen the midwives at Babymoon Inn birth center, congratulations! You’ve already made a choice that research has shown leads to better outcomes for both mom and baby. You’ve increased your chances for a spontaneous vaginal delivery. You’ve decreased your chances for preterm birth, instrument-assisted delivery, episiotomy, and Cesarean birth. You’ve also surrounded yourself by care providers who are there to love and support you if these things do occur.
So who is on your Babymoon birth team?
Babymoon Inn Midwives and Monitrices. This probably goes without saying, but labor and birth at a birth center is different than it is at a hospital. At Babymoon, you will have a midwife and a monitrice present throughout your entire labor. The midwife does not arrive at the last 20 minutes to catch your baby, and your monitrice is not dividing her time between several mommies, performing myriad clinical tasks. Your support team is there from start to finish. Our monitrices are present to provide physical and emotional labor support from the moment you arrive at the birth center. Their clinical skills as nurses add an extra layer of comfort and safety to the birth center experience, as there is always one clinical member of staff available for mommy and one for baby. This is not the industry standard, and Babymoon prides itself on providing the best in both labor support and in clinical skills and knowledge.
Your Birth Partner. Gone are the days of anxious fathers pacing the hallway while mom mysteriously gives birth in a room down the hall. While you have to do what is right for your family, most couples who choose a birth center plan to have both partners involved in the process. We welcome and encourage partners to participate in every part of your Babymoon experience: appointments, groups, classes, and of course the birth itself! Ready, Set, Birth™ – our original childbirth preparation class – will prepare you AND your partner for what to expect and how you can work together labor and birth.
Your birth team may be very well be complete at this point. A loving and skilled midwife to provide top-notch, evidence-based care. An experienced monitrice to give you physical and emotional labor support. And your birth partner, whose love and emotional connection are unmatched by any other member of your birth team. For most families, this is the perfect combination of people to provide the loving support needed for a beautiful, natural, unhindered birth at Babymoon Inn. Additional members of your birth team may include:
Family and Friends. When you invite family and friends to attend your birth at Babymoon, they become a part of your experience. Our Ready, Set, Team™ class is designed for expecting couples to sit down with their friends and family and determine how each member can be an asset to the birth team. We encourage families to be thoughtful about who they choose to be a part of their birth, as the Babymoon experience is an intimate one, and the people you invite to attend your birth will have a direct impact on its outcome. Visit our calendar to see when our next Ready, Set, Team class will be held.
Older Siblings. Big brothers and sisters-to-be are welcome at the birth center. When younger children are present, it is best to have a friend or family member in attendance specifically to tend to your other children’s needs. Talk to your midwife ahead of time about how to include your children in the birth experience and what conversations to have at home to prepare older siblings for the big day!
Doulas. We welcome doulas from the community with open arms. Your Babymoon midwife and montrice will be present at your birth and are passionate about providing personalized, hands-on support, but our doors are open to doulas should you choose additional labor support. If you have built a relationship with a doula and would like her to attend your Babymoon birth, she is welcome! We encourage you to bring your doula to your 37-week appointment at the birth center so that she may familiarize herself with the environment.
Birth Photographers. Basic birth photography is included in our services. Should you choose to bring a professional photographer to your birth, they are welcome at Babymoon. Please email email@example.com or ask in the office if you would like a referral to one of Babymoon’s preferred birth photographers.
For questions about services or classes offered at Babymoon Inn or The Nest at Babymoon Inn, please contact firstname.lastname@example.org or call 602-314-7755.
It’s a question we hear all the time during tours, through inquiry emails, and in person. Why should I have my baby at Babymoon Inn? What makes Babymoon different? Is it “worth” paying more out-of-pocket? Here’s just a short list of reasons so many families choose Babymoon’s program of care.
1. Our midwives offer evidence-based care. A 2013 Cochrane review found that midwives improve birth outcomes. Women whose pregnancy care was led by a midwife were less likely to have pre-term birth, an episiotomy, an instrumental birth, and regional analgesia. They were MORE likely to have a spontaneous vaginal birth. Women who saw midwives for their pregnancy also reported higher maternal satisfaction. The authors’ conclusions? “Most women should be offered midwife-led continuity models of care and women should be encouraged to ask for this option…”
2. Birth centers are safe and offer a high quality of care. The National Birth Center Study II, which included more than 15,000 women planning to give birth at birth centers, found that the Cesarean rate for women receiving care in birth centers averages 6%. To compare:
“The Cesarean birth rate in this cohort was 6% versus the estimated rate of 25% for similarly low-risk women in a hospital setting. Had this same group of 15,574 low-risk women been cared for in a hospital, an additional 2934 Cesarean births could be expected.” – Stapleton et al., 2013
The rates of intrapartum and neonatal mortality rates were comparable to studies of low-risk, in-hospital births. There were no maternal deaths in birth centers in this study. The authors’ conclusions? “This study demonstrates the safety of birth centers and consistency in outcomes over time despite a national maternity care environment with increasing rates of intervention.”
3. “It’s evidence-based care…with a hug.” Our midwives and nurses love our mamas. It’s that simple. Your appointments will last 30 minutes to an hour. Your midwife at Babymoon knows your name. And your partner’s name. And your dog’s name. And your shower theme. And the colors you are debating for your nursery. (She may even be the one to cast the deciding vote!) Our midwives KNOW you. They know what is happening in your life. They know about your fears and concerns and will spend nine months showering you with love and support so that you head into birth and parenting feeling confident and empowered. Read more about why our families choose midwives here.
4. Our nurses are trained doulas who provide you with continuous labor support. Your midwife and doula are present to support you throughout your entire labor and birth. Your birth team consists of women who are passionate about birth and serving women, and they will be by your side providing continuous physical and emotional support. Because our doulas are also registered nurses, you have the piece of mind knowing that there are two clinical members of our team at your birth. While this is not the industry standard, we feel strongly about adding an extra layer of safety and comfort by assuring there is always one clinical staff member present for mom and one for baby if necessary.
5. The support doesn’t stop when the baby arrives. After the birth of your baby – whether it occurred at the birth center or at our transfer hospital – the support continues. Our midwives will see you at the office at 2 days and 6 weeks postpartum. At around 2-3 weeks, you’ll attend our “postpartum party,” where you will meet all the other families who had babies around the same time you did. You also join our Babymoon Inn Mommies Facebook group (don’t forget to post pregnancy and birth announcements… we LOVE them!) and come to our weekly Inn Mommies support group at The Nest. You’ll meet other mommies, laugh, cry, plan play dates, and find your tribe. You’ll come to the many events held at The Nest and Babymoon Inn: crafting classes, Empathikids Yoga, clothing swaps, cookie exchanges, and more. We feel strongly that you are supported not only through pregnancy, but through your journey as parents too.
6. It’s in the details. Join us for a tour and enjoy a light breakfast and our complimentary Choices in Childbirth class. Step into our office and grab a glass of freshly brewed iced tea or cucumber-mint infused water (did you know we grow our own herbs in the office?). Have a seat and enjoy a muffin, some almonds, fresh fruit, or a packaged snack while you wait for your appointment. Don’t forget to schedule your free prenatal massage! After baby arrives, be sure to take home your embroidered Babymoon Inn tote bag, a pink or blue Babymoon Inn onesie for baby, and your handmade baby name bracelet. Grab a screenshot of that “Welcome Baby!” post on Facebook, and return for your postpartum party to enjoy brunch and have a complimentary newborn photo taken by our professional photographer. We want every aspect of your experience – from the moment you take your tour and every moment thereon – to be exemplary. We strive to provide superior service, top-notch prenatal care, and endless postpartum support. And snacks. Those are endless too.
7. You don’t always get a do-over. A significant percentage of Babymoon clients are families having a second or subsequent child who didn’t get the experience they had hoped for with prior pregnancies. Sometimes they knew about all of their options but made what they felt was the best choice at the time. Sometimes they didn’t know other options existed aside from the one they chose. Regardless, they now come to Babymoon because they want something different, and we work hard every day to provide the experience they are hoping for: a personalized, family-centered, empowering journey of pregnancy and birth. This birth counts too. And it’s almost never too late to change providers if you are unhappy with the care you are receiving. We would much rather see you for the first time at 36 weeks pregnant rather than when you come back for a subsequent pregnancy after having been disappointed with your first birth experience.
Our doors and hearts are open, and we welcome you to come in and experience what Babymoon Inn has to offer to our families and to the community. Visit our Web site at http://www.babymooninn.com or call 602-314-7755 if you would like to see our facility and learn more about our comprehensive program of care.
Day 5 Haiti
We were scheduled to attend mobile clinic today and I was grateful as it as in Cabestor because that is the location of the new Midwives for Haiti clinic. The Land Cruiser was loaded up with 10 of us and all the supplies for the clinic. We drove for 2 hours over very rough roads. I called shot gun to they and help with my car sickness issues. I was able to sit next to Leona who is such a lovely young woman. She is here for a year as the in-country program coordinator. It was really nice to hear her story and her passion for international development.
We arrived in Cabestor and toured the new birth center facility. It will have a clinic and birth room downstairs and staff quarters upstairs. It is on the grounds of a church compound that includes a large church, the brother’s house and a large school for the community children. The children were so curious and beautiful. It was clear they had visitors in their community infrequently. Many women were already sitting on some benches waiting to be seen. As we set up the mobile clinic women continued to arrive.
One of the most amazing parts of mobile clinic is the education the midwives provide to the women. They bring poster boards with pictures. They share with them danger signs for eclampsia. They teach them about nutrition. But most importantly they teach them that their lives matter. It is truly best described as witnessing feminism in rural Haiti. They explain to the women that they need to put a little money away each week any way they can. That way if they have an emergency during their labor or birth they will have money for a moto transport to the nearest hospital which in this case is over an hour away by vehicle. They warn them that if they need a transport and do not have money put aside to pay for it they may die. And if they die their husband will just find a new wife. It sounds harsh but it is their reality and to empower these women to value their own lives and not depend on others to value it for them is an amazing gift.
Once the teaching is done their are four stations; blood pressure and weight, social and medical history, fundal height and heart tones, lastly medications. Fatima, Kimberly and I began by taking all the blood pressures and weights. There were about 30 women and 5 postpartum women with their babies. Then we moved to the belly check station.
The consistent issues and malnutrition and hypertension. They go together in Haiti. Many of the women had walked very long distances and I noticed none of them brought water. It was so hot and humid there are not words to describe the amount of sweat pouring down our bodies. When I asked them if they had enough food to eat in their homes not one of them replied yes. Most ate what they could grow or procure. Breakfast for most that day was a yam. There is just simply not enough food or resources. It is difficult to witness. All women got a month supply of prenatal vitamins and folic acid and most needed medication for their blood pressure. The babies surprisingly looked healthy and thriving. They are all breastfed. Period. And there is no such thing as a hooter hider. Women breastfeed openly everywhere you look in front of anyone and everyone. It is not a thing. It is a fact. It is beautiful.
After clinic was done we were invited to eat at the church with the staff. It sounded like such a good idea. It was not. We ate a simple Haitian meal of rice and beans, a small beet and cabbage salad and a single small piece of meat (probably goat). I stick to the vegetarian selections in Haiti which usually keep me pretty safe. We loaded up in the vehicle and the drive was beautiful and then about 30 minutes in my stomach began to hurt. Really hurt. I took pepto bismal and a zofran. We finally made it to Mirabalais and stopped at a gas station that happened to have a bathroom. The diarrhea was like a scene from a bad movie and I was the star. It was hot and awful and dirty in the bathroom. Thank god I had my pack of tissues. Also awesome to walk back to the care filled with ten people in it all having had to wait for you in the hot car. They were all so kind.
About thirty minutes later we stopped at little roadside market by the river so the mobile clinic midwives could buy some fish for their families. They hung the bags from the side mirrors so we did not have the fish smell in the car. I started thinking I was not going to make it the last hour home so I should try and go again. My awesome driver said he would take me as there were no filets available. We walked by the river towards some bushes literally 20 feet from a lot of people who thought it would be interested to see my white booty. As I walked farther to try and find some privacy I began to look down to watch where I was walking and realized this was were everyone came who had diarrhea. I began to wretch and realized this was not happening and walked back to the car. I think I must of looked grey as Ronell took his own money, bought a cold water and poured it over my head. He used his big strong hands and was rubbing it gently over my face. It literally made me gently cry as it was one of the most considerate and kind things anyone has ever done for me.
I some how made it back to the house and got sick a couple more times and just rested the remainder of the evening. I visited with the ladies about their days and experiences from a horizontal position in my bed. I wisely skipped dinner and just tried to take care of my body. Key lessoned reinforced: don’t travel without Imodium. Just sayin.
Day 4 Haiti 2015
It was an early morning as our hospital shift began at 7am. I braided my hair, ate some oatmeal and hopped on the moto to the hospital. It has been so nice to reconnect with the translators and see pictures of their children.
Upon arrival to St Therese Hospital the memories of previous years came rushing back. It is difficult to express the degree of disparity in all facets of life between Haiti and the US but particularly in the realm of healthcare. As I walk past the droves of patients and families one thought continually resurfaces that it all starts with poverty and the subsequent malnutrition.
Just outside the Maternity unit is the pediatric unit. There are three separate pediatric units. The first room is for malnourished babies. There were probably 10. Many of the mother sit out on the bench and nurse their babies because it is so very hot in the unit. Very little airflow and unbelievable humidity. One woman clearly had AIDS and so did her child. They were both so emaciated. Her babe lay naked across her lap, lethargic. Both of their eyes were full of life and yet haunted. One little boy was so protein deficient and malnourished his body had third space all his fluids, so he was so swollen his legs and arms and abdomen looked like they had burns on the them from the skin separating from the swelling. Other children were so emaciated they looked like they had a grey color. Their little hearts beat so fast some of them get so tired from the effort to live that they let go. But some get better. A young pediatrician from Ireland had been there since August and was so compassionate with these babies and mothers. She explained that for the ones that get better there is a program in town that provides the families with peanut butter and it literally is saving lives.
After giving Fatima and Kimberly a tour of the hospital it was time to get to work. The postpartum, antepartum and post c/s rooms were all full. They are three separate rooms with about 10 beds in each room. There is no such thing as privacy, no curtains. Few chairs for family. Many family members sleep on the floor next to the their loved ones. The families must bring them food and water. Many families come from hours away.
The first woman in labor was having her first baby. When she first arrived she was three centimeters and working hard.
She had good support with her sister, husband and her mother in law. Most of her labor was spent walking in the hall in the courtyard in from of all the visitors of the hospital. While she labored beautifully many other women came and went.
Two women came in with post c/s wound infections. One of then was an abcess and the doctor came and open her incision and put her on oral antibiotics. In the US we would have put a drain in and put her on iv antibiotics. I hope she does ok. A woman brought in her baby with polydactal (extra finger) and had tried to tie string around them at home after her home birth but the baby was miserable. The Haitian midwife numbed the fingers, tied them off with suture and removed them with a razor blade. The babe was calmed immediately after the procedure and the mom was so thankful.
A woman arrived having pain after falling in the shower on her abdomen. She was very worried because she had lost her two other children. She had a c/s with her first and when that child was a year old it became ill. She brought it to the hospital. She was full term with her second at the time and she started bleeding while at the hospital. They checked heart tones on the baby and they were rapidly dropping but the electricity was out at the hospital so she could not get a c/s and the baby died before the power came back on hours later. Her first child later died. She was rightly concerned about her current pregnancy. In Haiti after three c/s they tie your tubes even if you have no living children or don’t consent. They believe the risk to the mother for future pregnancies is too great. It took two hours to talk one of the two doctors to come in and do her cesarean. In a country with a population of 10 million there are only 100 obstetricians. Mom did well and baby was born alive but clearly not 37 weeks. I assessed babe to be 34 weeks. She was flaring, retracting, working to hard to breath with too high of a respiratory rate. She had no creases on the bottom of her feet and weighed about 4.8 pounds. Luckily Ohio State University opened a low level NICU last year that actually had one of it’s four beds open and was able to care for the baby. Just over a year ago that baby’s survival rate would have been very low. Baby’s here have to be able to suck, swallow and breath to stay alive.
We had a 17 year old girl come in for a post rape assessment. She had to have an exam in order to have her police report filled. She was a virgin prior to her assault. We ordered labs for HIV and syphilis. It broke my heart. There was no emotional support offered for her. There are no services. She was very stoic.
A woman came in labor with twins and the first was head down so she would birth vaginally. She was very tearful and rightfully scared. We offered her as much reassurance as possible. There was a woman in the antepartum unit screaming in pain for hours. She was 8 weeks pregnant. She had been diagnosed with h.pylori bacteria which causes ulcers. She had hyperemesis and was having severe abdominal pain. There was an ordered for two antibiotics to treat her h.pylori and an iv antacid but no pain relief. Her screams were primal. I assessed her and her blood pressure was dropping her pulse was rising. There was a mobile palpable mass inn her gastric region. You could feel her aorta bounding through her abdomen. It took over an hour to get her pain medication, which did not touch her pain. I eventually ordered an ultrasound to rule out a bleeding ulcer or bleeding esophageal varicose veins. There was no way to tell if she had just simply eroded her esophagus with the tools available to us but it became very apparent that if we did not find the source of her pain and treat her she would die. She looked me in the eyes and repeatedly asked to die. We did the best we could for her and eventually got an internal medicine doctor to come and care for her. I was not able to see the case through as our interpreter were working over at this point and it wasn’t fair to keep them from lunch. So we loaded up our supplies and hopped on our moto taxis back to the house for lunch.
It was a lot to process so we came home and ate lunch while attempting to cool down. We spent the next couple of hours sorting medical supplies we had brought and got them put away. Midwives for Haiti had huge trash bags filled with motes pads donated so we sorted all of those into small packages to give out at mobile clinic. We had beer and relaxed on the patio discussing our thoughts on global property and particularly development in Haiti. Pippa had invited a midwife named Kate over for dinner who was here with Zami Lasante (partners in health) since august. Wednesday will be here last day here so Pippa made a popover dessert of some kind that was lovely. Leona’s boyfriend dropped into visit with her. He is an engineer from msppp working here for a year from France. They are very sweet together.
It was another long day without access to the kids or to email with the Internet broken but I am surviving, learning, growing.
Day 3 Haiti 2015
I actually slept pretty good. We all woke up and had some breakfast. I made some peanut butter toast and ate a fresh banana. The toaster is broken so I had to hold the latch down but it came out perfect. We took our time getting dressed and we hopped on the back of motorcycles 3 deep and went to Rivage Community Church.
Gampson was waiting outside for us ready to welcome us all. The children had on their Sunday best and sang us many songs. The community thanked us for coming and before long we all had babies on our laps. Missing my children while I am here is so very hard but snuggling others babies helps tremendously.
After the service we went to Oxanne’s house to discuss the needs of the community and the school. Rivage is the poorest part of town because it is by the river, which means when the floods come so do the diseases harbored in the dirty water. They shared with us that school has 95 kids in it this time last year but the numbers are going down because many of the kids are sick and while this school is unique in that they would let any kids come, with or without shoes and clothes, the kids who don’t have clothes and shoes get embarrassed. They shared with us that the number one priority right now is nutrition. Many of the kids are malnourished. They come to school not having had breakfast and no food for lunch, so they simply can not learn. We discussed what it would take to start a nourishment program. Gampson and his mother are so hopeful and have many hopes for their community but no plans on how to get there. The sustainability piece of the school and nourishment program is so concerning. The owner of the land where the school currently sits is wanting it back in the next year. There is not enough space on Oxanne’s current lot in Rivage to build a new school and her other lot while large enough is too far away to service the children of Rivage. We asked her to find out if the current landowner of the school property would be willing to sell the land. We shall see.
We got back on the motos
and went out to Oxanne’s land assess the size and location. She would like to put a cement block fence around the property so she can have some goats and chickens and begin to farm the land without people stealing. She would like to build a guest house and a home for orphans in the community. Not an orphanage like we think of it, this are called Kreshes. Orphanages are homes for children that are not adoptable. Their families may not be able to house or feed them or their parents are deceased but they do not have any paperwork and honestly most older children do not get adopted anyways.
We returned to the house and had a short rest. Then Kelby gave us our first Creole lesson of the week. It was a good refresher and we all did well. We sat in the midwives classroom and practiced basic greetings and vocabulary with one another. Sometimes I laugh thinking here I am in a country with a French based language when I could be somewhere using my Spanish. Maybe over time I will pick up more Creole. It is a beautiful language but I find it difficult. We had our 2pm meal of rice, beans, onions, salad and fresh mango.
All 6 of our Phoenix crew decided to go to Ezile House and help the nuns with the 3:00 feeding of the malnourished children. We got a ride in the Land Cruiser and my back was thankful. I’m thinking it would have been nice to have a chiropractor on the trip for all the jostling about and heavy lifting. You can take the girl out of the US but apparently you can’t take the US out of the girl.
We walked into Ezile house and the staff were cleaning the beds so the older children were lined up in a long hallway. The children were probably 3-7 years old and all 50 of them or so where so very happy to see us. They were literally climbing on us and clinging to our legs for attention. We played with them and sang to them. They loved having us take their pictures and showing it to them.
Fatima sang a beautiful song and the kids clapped and laughed. Eventually we made our way into the babies room. They were 6 months to 3 years. It never ceases to amaze me how the children just sit in their little plastic chairs. They are so lethargic they do not get up or play. We each took a baby or two and fed them their porridge. We sang to them. We held them. We loved them.
I have yet to go to Ezile and not cry. It breaks my heart to witness such suffering.
How is it possible in this day and age that children could go hungry? The nun from Calcutta in her blue and white Mother Theresa garb has been at Ezile for almost 4 years. She is the most lovely human I have ever met in my life. She was nursing the wounds of a young girl with a severe burn on her entire abdomen and groin. Many children have severe burns due to the cooking on open coals for most families. They play and fall too close to the coals. It happens too frequently. There was a little boy recovering from the measles. Many rashes, bites and scars on these babies. The nun shared with us that she had just lost a baby. He was three months old. The mother died from childbirth complications. The family could not feed the baby. They did their best. They brought the baby to the nourishment center on Friday and yesterday she sent it to the hospital. It was too late. The baby died this morning. That is why I am here. Most childbirth related death is preventable and when a mother dies her baby is ten times more likely to die in the first year.
Everyone was moved by the experience. It was humbling and sad and beautiful. Our driver picked us back up and took us to the market. We bought some Haitian beer and headed home. It is so very hot and humid. We all just rested but could not sleep. We made some scrambled eggs for dinner and sat at the community table and shared more.
My back has been strained since packing and weighing all the suitcases so Carol, Sonya and Leona went to the upstairs patio with me and I led a yoga class. It felt peaceful for a moment.
I have been trying to FaceTime the kids all night but the Internet is down. If it is not working tomorrow I will go and buy a phone card. I’m off to sleep as I’m working at St. Therese hospital tomorrow at 7am. Peace out.
Jennifer Burns CNM, Babymoon Inn’s Clinical Director, not only cares for women in our community but also holds the women and children of Haiti in her heart. Jennifer fundraises and volunteers for Midwives for Haiti and provides support for the Rivage School in Hinche (through their sister school Camelback Desert). Jennifer generously allows us along with her on her annual trip through her journal.
Day 1 and 2 Haiti 2015
Saying good bye to the kids is always the hardest part. I was able to take the girls to school and walk them to their teachers who lovingly took them from my arms to theirs. (thanks Ms. Bernstein and Mrs. Bergner) I feel so content knowing that the their teachers give them so much love. Next it was time to say good-bye to my little Zeke and of all days it was his second anniversary of his gotcha day. It actually made sense in some way to commemorate his gotcha day by continuing to follow my heart. I was not sure how my sister and I were going to juggle getting all the luggage filled with medical and school supplies to the airport with Zeke who always wants to “hold you momma”. Then who came to the rescue by my one and only Heather G. She and Zeke’s “best friend” Wyatt picked up Zeke for a lunch date and he was all smiles and kisses for the departure. Life. Saver.
My amazing sister helped me drag all the luggage to the meeting spot for our group.
This trip I am accompanied by an eclectic and amazing group of women. Two women from my daughters’ school, Carol and Sonya. A certified nurse-midwife named Kimberly who attends home birth in Phoenix. Fatima who is a doula and midwife student and her friend Chartrese. Loaded with 750 pounds of supplies we got our luggage all checked in and headed to our gate for our 1:20 flight to Miami.
After getting some food and waiting to board we began to notice something was not right. Our plane was there but we were not boarding. Eventually the announcement came. A bird had hit the wing and caused a dent that needed to be assessed to determine if the plane would be flight worthy. Hours began to pass. We might have had a few cocktails to survive. We attempted to redirect but the red-eyes were sold out. They tried to “steal a plane from New York. No such luck. Finally the pilot came on the PA to tell us they were going to attempt to repair the plane with epoxy and duct tape. Seriously. Duct tape. He actually said at one point “I’m not an expert but I think it will work. I’ve flown planes with bigger dents than this one”! As if that was supposed to be reassuring. We finally boarded the plane about 5 pm. Then we sat. And sat. And sat.
The next announcement came overhead that the dent was bigger than they thought and they needed a mother layer of epoxy and more duct tape. We sat so long they had to serve us drinks and snacks in accordance with the passenger bill of rights. I kept thinking thank god I didn’t have my kids with me. We finally got the all clear and took off about 8 pm.
We arrived in Miami and had to get our mountain of luggage, get on a shuttle and check into our hotel. It was 3:30am in Miami before we were in our rooms. We were supposed to be on a 9:20am flight to Port au Prince, which would have meant a 7am wake up to get back to the airport at 7:20. I called American airlines at 4am and was able to switch our flight to the 12:20 flight. It was the best 5 hours of sleep I had had in a long time.
Our group met in the lobby at 10am and we loaded all 14 huge suitcases plus our carry ons back into the shuttle and returned to the Miami airport. Miami is a very busy international hub and navigating with all our bags and security was no small feat. We were barely able to order food to go and hop on the flight.
One of my favorite parts of traveling is meeting people and hearing their stories. It is not that I don’t enjoy my everyday life and visiting with the people whose paths I cross but somehow people’s global perspectives always makes me feel more connected to the human race. I feel so humbled by the shear luck of being born into the life I have. I am reminded of the very real concept that I could have been born anywhere. Even Haiti. How different my life and family would be. The basic needs and health I take for granted everyday.
Sonya and I were lucky enough to sit next to a man who was born and raised in Port au Prince. He has living in Brooklyn for 35 years and was coming to visit friends. He was so warm and friendly. He invited us to meet him in Jacmel for a concert Friday night. With the power of Facebook you never know. He had two sons, one living in Haiti and one in Italy. He worked for the Fair Housing Administration in NYC. He was very appreciative of the work we were doing. He offered to have his friend who was an official get us out the back door of the airport without messing with customs but when he realized we were a group of six with 14 bags he bid us farewell.
We headed down to baggage claim and loaded up our luggage on multiple carts. Men are always trying to “help” you tom get tips. We just moved past them all and got to customs. They customs department got new scanners since I was here last. We were all tired and grumpy and then all hell broke loose. They starting going through our bags. Because we had so many supplies and in particular about 100 children’s shoes for the school, they decided we were trying to sell them and they were trying to charge us a tax. About an hour later involving supervisors, midwives for Haiti Hellers and the police we were finally able to leave with all our belongings. I only had to bribe one supervisor $20.
Then out to the wild pothole filled parking lot to find Ronell our driver and the Land Cruiser. It took quite a while for the guys to load the suitcases and tie them down on the vehicle. But I didn’t mind because I got to spend time visiting with Benji and her son Benjamin. Last year when we tragically had a mother die from childbirth complications this sweet baby boy had no one to care for him. The father had six other children to feed, which they were already malnourished and with his wife dead there was no breast milk to feed the baby. We cared for the baby while we were here but then Benji, one of our translators said she would adopt him. The father agreed and papers were signed. And now here we were one year later snuggling with this amazing little boy. He is already standing and smiling with his two little teeth. He is so bonded to his forever momma Benji and clearly to his auntie who was there too. I can’t describe how wonderful it was to see this little boy thrive. My heart expanded. I wish every orphaned babe could know a mother’s love.
We began our 3 and a half hour drive to Hinche. Port au Prince is always busy and dirty. There have been protest on Mondays for a few weeks because the price of gas has been going crazy. The impact of gas prices for people who live on 2 dollars a day is unfathomable. We began to wind up into the mountains beyond mountains.
The drive was long and hot and dusty. We stopped once to stretch our legs and potty on the side of the road if needed. Everything looked about the same from last year. Port au Prince was crowded and dirty. Trash littered the sides of the roads. The one traffic light in the whole city was not even running. I did not see any new building or much in the way of repair but the tent cities are gone from the major roadways. The large development project from Sean Penn’s project is occupied. The house are painted brightly and each unit has a rooftop cistern for water collection.
We drove through countless villages. Drove past the large hydroelectric dam and subsequent lake. The houses precariously sit on the sides of the cliffs and of simple materials. The piece that moves me every time is the children walking to and from the water wells with their heavy jugs of water. Everywhere you go it is obvious that a woman’s work is never done. The rivers are filled with people bathing, washing laundry, washing vehicles and motorcycles.
We eventually arrived in Hinche at the Midwives for Haiti house. We were warmly greeted by the volunteer coordinator Camille. Camille is a young woman here for four months. Emily is still here overseeing the program and another young woman named Leona who is here for a year. These young women bring so much life and energy to the house. It is so impressive to have 21-22 year old young women out in the world, leaving all the comforts of the US to make the world a better place. It sounds cliche but it fits.
We all found our beds, had a meal and toured the house. We reviewed the schedule for the week which will keep us all busy. There are two young women from North Carolina who are L&D nurses here with us as well as a midwife named Pippa from New Zealand who is here for a month. It is fun to hear people’s stories. In these setting it feels as if you bond with people more in an evening than possible in a year of your everyday “busy” life. I am grateful for the time and connections to these women.
I was able to FaceTime with the kids and give them kisses. A little Ambien and I’m off to bed.
The moment you become pregnant, you embark on a path of endless decision-making. Whom will you tell? When will you tell them? Will you find out the sex? What will the nursery theme be? When the baby arrives, the decisions multiply exponentially.
But one of the first – and arguably one of the most important – decisions you will make will be who will care for you during your pregnancy and birth, and where you will have your baby. Some women know immediately they will seek midwifery care. Others are on the opposite end of the spectrum and don’t understand the role of a midwife or the model of care.*
I could cite plenty of research about the benefits of midwifery care. I am happy to share the Cochrane Review that found women who receive care from midwives have better outcomes than those who receive care from physicians – and report more satisfaction with their birth experience.
But at the moment I’ll refrain from expounding upon the research, perhaps to be saved for another blog post. It plays a crucial role in why women choose midwifery care, yet it is only one of many reasons for this choice.
Women choose midwives because they want to be loved. They want to be remembered when they arrive at appointments that are likely to last an hour as they discuss their pregnancies, their lives, and their fears. They want to be cared for by someone who recognizes that birth is a natural process to be encouraged and facilitated, not a medical condition that needs to be managed or treated. They want to be respected, supported, and encouraged during pregnancy, and they want to be in the driver’s seat during their birth experience.
Why do women choose midwives?
“I chose midwifery care because I wanted to take my journey with people who believed that my body was capable of doing what it was meant to do, and I knew they would help me get through my first pregnancy and birth without fear. And they did.” – Angelica E.
“I came across the concept of midwife-attended birth centers in my research – and I was done. The fact that my pregnancy and delivery would be treated like the completely natural processes that they are, rather than medical events, and that I would be the primary voice in all of it – and not a patient strapped to a bed – meant everything to me. Above everything else, though, it provided the gentlest path for my sweet baby to enter this world. What a blessing I stumbled onto when I found midwifery care.” – Janae A.
“I started researching how to prevent tearing and minimize C-section chances, which led me to avoiding induction and augmentation. Which led me to free movement during labor and freedom of choice, which led me away from hospitals (as they have less experience or patience for this anymore) and into the care of midwives. And I got everything I wanted! No tearing, no C-section, total freedom of movement labor.” – Andrea C.
“I chose midwifery care because I was a healthy, low-risk pregnant woman and believed I didn’t need to be treated like I had a debilitating medical condition. I believed that my body was designed through human evolution to grow a baby, birth a baby, and feed a baby. And guess what? It totally did! I will believe in midwives the rest of my life.” – Susan L.
Babymoon Inn’s clinical director, Jennifer Burns, succinctly sums up the Midwives’ Model of Care practiced at Babymoon Inn as “evidence-based care – with a hug!” Midwives LOVE the families they care for and the babies they help bring earthside. You may not see it, but they share your sadness and your joy. When your birth plan derails and they watch you bravely accept your new path, they hurt for you. You will be the last thing they think about when they finally close their eyes that night. But they are also inspired by your bravery. And when they watch you weep tears of joy over meeting your new baby, they weep for you too. Your heartache is their heartache. Your triumph is their triumph. You may not see it, but they are cheering for you every step of the way.
When you choose midwifery care, you are choosing top-notch, evidence-based care. You are also choosing the ability to birth unhindered in the manner you desire. You are choosing a friend, a mother, a cheerleader. You are choosing to be supported. You are choosing to be encouraged. You are choosing to be loved.
You are choosing a midwife.
* The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.
The Midwives Model of Care includes:
- Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
- Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
- Minimizing technological interventions
- Identifying and referring women who require obstetrical attention
The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
*Diana Petersen received her journalism degree at the University of Arizona. She is a DONA-certified doula and Lamaze-certified childbirth educator at Babymoon Inn, an accredited birth center in Phoenix, Arizona. For more information about Babymoon Inn, please visit http://www.babymooninn.com. To follow Babymoon Inn on Facebook, click here.
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