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

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

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

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

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

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

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

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

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

Resources:

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

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

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

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

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

SHERO | online prenatal program

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

Meeting Emoni and listening to her pregnancy and birth reminds one of the classic interview of a young Serena Williams when the interviewer asked her repeatedly why she thought she was going to win her match. Her father Richard Williams interrupted the interview and told the reporter to “leave that alone.” The “that” he referred to was Serena’s confidence. He was deeply protective of that which he and her mother had built through practice and words. For those entrusted with the work of birth in any capacity and for those entrusted with someone sharing their birth wishes, “Leave that alone.” Birthing in confidence doesn’t mean to be ignorant of the possibilities that something could go wrong. But it does help shape the mind to prepare the body for the work ahead in pregnancy, labor, delivery, and parenthood. 

Emoni knew she didn’t want to give birth in a hospital. She connected with the resources within her community to help push her vision into motion. A local midwife, the dedicated doulas of ROOTT, her child’s father, and her mother were entrusted with her vision and supported her through the birthing experience from early conception through her first 18 months of motherhood. 

Laboring in her mother’s home at her own pace was an empowering experience. The birth she envisioned happened. Emoni’s mom described it as the most powerful birth she’d ever been present for. 

The high of labor would soon turn to postpartum lows. Despite having extended support from her doula, Emoni struggled with postpartum depression. Having support doesn’t mean you won’t experience mental health challenges. Postpartum depression can be the perfect storm of lower oxytocin and increased cortisol. Emoni did make her way through postpartum depression. She wishes she had asked for more help but more importantly, she wished she knew what she could ask for, reflections she hopes informs others. 

Restoring Our Own Through Transformation (ROOTT) | reproductive justice organization

LG Doula | full spectrum doula, birth & postpartum photographer
 

Stacee describes her current state of being as her motherhood era. She has birthed two of their children with her husband, and to look at them now you would have no clue what it took to get here. Conception did not come easy. Childbirth brought its challenges. Postpartum complications nearly ended it all. Stacee and Shawn’s family was forged in the fire. Stacee and her husband, Shawn, held strong to not only each other but to their dream of adding to their family as well.

While Shawn and Stacee’s story details two live births, their first pregnancy ended in a miscarriage. A miscarriage that has allowed Stacee to be empathetic of those who have endured similar experiences. She talked about the feelings of isolation and loneliness that is matched with the mystery of miscarriages. The inexplicable loss of a child whose life is not yet deemed viable and the lack of compassion in medical settings as it’s happening.  

Welcoming a new life into the world is a joyous occasion, but the postpartum period can bring about various health complications for mothers. While many women and birthing people experience a smooth recovery after childbirth, it’s essential to be aware of potential challenges and seek timely medical attention when needed.

Excessive bleeding after childbirth, known as postpartum hemorrhage, can be life-threatening. Healthcare providers closely monitor mothers for signs of hemorrhage and may intervene with medications or, in severe cases, surgical procedures to control bleeding. Stacee found herself faced with this after her first birth. Her immediate postpartum journey started with stabilizing her daughter's blood sugar levels which led to the discovery that she had a rare condition that not only needed special treatment but a specific medical team an hour away from where they lived. They took a medical flight, while Stacee was barely able to acknowledge any of her own needs. During that trip, as her daughter was getting the help she needed at a pediatric hospital; Stacee eventually went to the hospital next door for her own care. They discovered that she still had sponges inside of her from her surgical birth and was having a postpartum hemorrhage. 

Pause. Breathe. Sit.

The emotional enormity of a near-miss affects everyone in the family. Stacee is here to share her story. Shawn is here to share his vantage point of their story. Their babies are here to love their mother. Stacee and Shawn’s words carry the weight.

Storytelling is always where the truth lies. It's an authentic account of our experiences - without modification, questions, or uncertainty. Validation that our experience and voice matter. We know what the narrative has been created around black fathers, what they are or aren't doing. What fatherhood has or hasn't meant to them. In our community, though we feel the truth, we know the role black fathers have in the foundation of their families.

In 2020 in collaboration with Heather Gallagher (photojournalist Heather Gallagher photographer), we highlighted and amplified the voices of black fathers in our community. We are thrilled, to be able to bring the series back with five fathers from our local Columbus, Ohio community. Four of them sharing with us a little bit of who they are, what fatherhood means to them, and the joy in their journey. 

A special layer to this year was giving these fathers their flowers of celebration in partnership with Black Men Flower Project, and The Bloom Boutique 614. Black Men Flower Project gives blooms to show appreciation to Black men - honoring their life in the present moments. One father shared that this was the first time he had ever received flowers - beaming with pride, he exclaimed "I feel pretty!" 

These voices and their lives are a gift, and we are truly grateful and honored to share them with you all!

Raena Boston, Founder of the Chamber of Mothers and The Momtras, joined us to share her three birth experiences and the makings of motherhood. Raena's first pregnancy lead her down a new path for her family by choosing a birth center instead of a hospital. Her provider was off-putting and the idea of shifting to different providers within the practice helped her make the decision.

The birth center experience with Baby Aksel was beautiful. She arrived at the birth center at 4 cm dilated after a night of laboring at home. Her husband, Travis, and their doula were supportive and helped her manage labor and delivery.

Their second pregnancy would be a "happy accident" 10 months after their first son was born.  They chose to work with the birth center again. Baby Asher came a little over a week passed his estimated due date. Walking around the neighborhood was helpful but she had become anxious and tired of being pregnant. Not to mention managing a toddler through the last few days before the birth. True to form Raena arrived at the birth center 6cm dilated with the understanding of her body's needs helping direct her labor. The midwife was laid back and focused on ensuring Raena listened to her body and felt empowered through the process. Baby Asher was born shortly afterward with some concern as he arrived covered in meconium

After bringing two kids earthside Raena and Travis experienced a hard period in their marriage as they navigated how they would move forward together. 2021 would usher in another "happy accident" after they chose each other and worked on their relationship. This pregnancy and birth would be during the pandemic. They wanted to use the birth center again. The initial prenatal appointment was different, as discussions about her BMI became an issue. The nurse mentioned her race and BMI as reasons they needed to take more measures,including a daily aspirin and early screening for gestational diabetes, despite never having a medical history of high blood pressure or gestational diabetes. Raena attempted to address her concerns about how she was being treated; she regrets not listening to her gut. The mask mandate was rescinded in Florida; the practice also stopped requiring mask-wearing due to the pressure of other patients who didn't want to wear the masks. During a 38-week appointment, Raena was handed a packet for her appointment and a slip of paper fell out that read "BMI-out of bounds". She was instantly triggered by this and started to feel agitated. She then had a high blood pressure reading that led to a conversation that would make a major shift in her pregnancy. Raena's blood pressure continued to get higher as the days passed. She and Travis had started conversing about switching to a homebirth with another midwife. Her blood pressure reached 174/106; they planned to go to the hospital.

Transitioning their birth plan was mentally challenging but after getting settled into the idea that she would stay at the hospital. Raena was able to maintain a decent BP without continuous high readings. They started an induction when Raena was ready, as she wanted a different doctor on call. The staff at the hospital was mindful that the hospital was not her first choice and worked with her through her options. The environment wasn't ideal; she pushed through her expectations. The intensity was high and the doctor wanted to break her water. She felt unheard and over-talked during labor. Raena pushed their baby out, and Travis announced the sex. They were on a high as they acknowledged that they had survived a challenging season in marriage and were proud of themselves as a couple.

Processing her last birth has shed light on the lessons learned; like paying attention when people and places have changed or that you have changed and know you need something different. Listen to the wisdom of your body. Self-advocacy can be learned the hard way or we can pick it up from those who came before us. You don't have to be a model patient. Raena vows to never, ever abandon herself again.

Resources:

The Working Momtras | community of affirmations, stories, and connection - through the lens of motherhood

Chamber of Mothers | a nonprofit focusing on uniting mothers as advocates to America’s priorities on mothers’ rights