HOIDA Logo Heart of Illinois Doula Association: Professional Support for the Childbearing YearsThe Heart of Illinois Doula Association is a non-profit organization formed to provide support and education for doulas in the Central Illinois area and to promote doulas and the concept of normal birth in our community. The group is not for the promotion of any individual doula service, organization, or certifying organization.
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Heart of Illinois Doula

Association Members:

Julie Carlton, Jenny Carmean, Heather Longfellow, Kathy Robinson, Kim Tuttle-Salmon, Hilary Shirven, Penny Silzer

 

Professional Associates:

Family Wellness Institute, Marianne Hoyle, D.C. / Inner Spirit Chiropractic, Nicole Lackner, D.C. / Labor of Love Midwifery Service, Bernice Keutzer, C.N.M. / The Medicine Shoppe, Robert Antonacci, R.Ph., & Brenda Antonacci, R.N. / Naturally Yours Grocery / Pekin Family Practice, Angel Atkins, C.N.M., & William C. Fisher, D.O.

 

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Birth Stories

 

Postdates Induction Homebirth with Older Sibling Present Hypnobirthing Friday’s Child is Loving & Giving Vaginal Breech Birth

 


Postdates Induction

 

Dear Celia,

 

What a sweet, wonderful name you have, my dear. Your parents kept it a secret from everyone until the moment you were born, but it was worth the wait. It suits you.

 

My name is Heather, and I was your mother's doula. Your mom contacted me early in her pregnancy, and I'm so glad she did. It allowed me many months to get to know her and your dad before we spent the day together in the hospital for your birth. Your mom was interested in doing what was best for your well being from the beginning. She switched doctors during her pregnancy and chose a new doctor and wonderful midwife in Peoria. Then she attended classes to prepare for your birth. She committed many, many hours to learning about pregnancy and childbirth. She also cared for her body while she was pregnant by getting massages, eating healthy foods and resting when the midwife said to rest. Pregnancy was not easy for her, but she was a wonderful mother to you before you were even born.

 

Your mom's due date was December 16th, but she hoped to give birth to you during the first week or so of December. You had other plans. You were busy growing into a big nine-pound baby girl, who was perfectly happy to be rocked to sleep in her mother's womb. By December 22nd, you still had not arrived, so your mom's midwife decided that it was time to help things along because of your mom's blood pressure concerns. Your mom was disappointed that the hospital had no room for her to start laboring until the middle of the afternoon, especially since many of the women in the occupied rooms were being induced for scheduling, rather than medical, reasons. I was worried that your mom would get very tired since she would likely be having strong contractions in the middle of the night.

 

The medicine that starts labor is very strong and it was hard for your mom to deal with. Your dad and I tried some pain relieving labor approaches like encouraging your mom to breathe, reading her relaxing stories, and massaging her back. Both of your grandmas came to visit your mom early in the evening when labor was just beginning. It was sweet of them to check on your family. They went back home and anxiously awaited for the news of your birth the next morning.   At about 10 p.m., your mom got an epidural that helped her rest some. There were a couple of scary times throughout the night when your heart rate dropped down low and your mom needed to move around, which then allowed you to move around a bit. It was scary for your mom and dad to think that anything could possibly happen to you. None of us got much sleep during the night. Your dad lay in a bed next to your mom's hospital bed and tried to rest. Some of the time, he sat near her bed and talked with her, fed her ice chips, and held her hand. I tried to massage her legs and feet and pay attention to other needs that she may have.

 

By 7 a.m., the midwife said that your mom could start pushing. Because you were a big baby and your mom was lying down, she pushed for a very long time. She felt like giving up many times, but each time another contraction came, she pushed just as hard as the last. She endured pain and fatigue to bring you into this world. Your dad was worried that he may not be able to handle watching your birth, but he was just fine. He was right by your mom's side every minute.

 

At 9:29 a.m., with the help of the doctor, midwife, and nurse, your dad and I, your mom gave one last push and you breathed your first breath and cried your first cry. You were big and beautiful and pink. You didn't cry very much because you didn't need to. You were breathing and healthy and enveloped with love. Your mom held you on her chest and looked at you with tears in her eyes. Your mom had been saying that she would never have another baby throughout her labor, but one look at you and she concluded that it was worth it. Your dad held you for the first time, and I took some pictures. It was the perfect ending to a long night.

 

Each birth is a true miracle, and a parent's love is unconditional and never ending. I know that God created you and gave you to your parents for a very special purpose. I wish you all the best in your life. Thank you for allowing me to share your birthday.

 

By Heather Longfellow

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Homebirth with Older Sibling Present

 

Linda’s labor began on Monday, July 22, 2002 after several episodes of start and stop labors.  But this was it.  When I arrived at Linda’s house, I found Pauline and Star setting up their equipment.  It was about 10 or 11 p.m.  Linda was crawling around on all fours.  She was wearing a very comfy yellow jammies.   Her friend Rita was there and Rita’s dog too.  David and Rita eventually took Rita’s dog to the kennel at the vet’s office.

 

Linda mostly labored on her hands and knees on her living room floor.  She used the hide-a-bed mattress for padding.  Occasionally she would lie on her side to rest.  Pauline and Star took turns napping and watching.  David and I sat with Linda.  Susie went to sleep. Contractions came and went at a steady pace.  Linda’s hip was aching.  She was content and focused on her labor.  She found a groove and fell into it.  At about 3 a.m., her labor was very, very active. 

 

Sometime during the early morning hours, Linda’s mom, brother and a small kitten arrived from southern Illinois.  We had a house full of people and animals.    

 

By morning, (about 5:20 am) Linda was pushing a little.  At about 10 minutes to 6 am, Linda’s water broke spontaneously.  Pauline checked Linda’s cervix at about 7 a.m.  All that remained was an anterior lip.  Pauline was unable to push the lip past the baby’s head.  It appeared that the baby’s head was tilted to the side just a bit – that was probably causing the hip pain.  By 7:10 a.m., Linda was pushing with every contraction.

 

Linda went to the bathroom to use the toilet to lunge against.  David supported Linda from behind as she lunged to the left with her foot on the toilet.  As Linda lunged, Pauline tried to move the baby’s head over to a more favorable position.  I remember Pauline saying “Bingo” as the baby adjusted her head position and the lip disappeared.  At 7:30 a.m., Linda was complete and pushing hard.  With the lip out of the way, the baby moved down quickly.

 

At 7:45 a.m., Linda birthed her baby standing in her bathroom, supported by David.  David had wanted to catch the baby, but his hands were full supporting Linda.  Pauline offered him the chance to catch.  He chose to hold Linda. They were working so well together–it just seemed right for him to stay where he was.  The birth space was cramped, yet it was perfect–warm and intimate with lots of love and support. 

 

As soon as the baby was born, Linda sat down on the toilet, holding the baby on her legs.  The baby was a little floppy but responded well to drying and stimulation.  Her APGAR scores were 5 at one minute and 8 at five minutes.  She was crying well by 2 minutes.  After the cord stopped pulsating, David cut it.

 

PLACENTA??  I don't know the time. 

 

They moved to the living room to relax on the hide-a-bed mattress.  Linda had a minor tear and required a quick repair.  The baby girl, Linda, David and Susie were doing great.  After the baby had a chance to nurse, Pauline and Star recorded all the baby’s statistics:  9 pounds, 0 ounces, 21¾ inches long, head circumference 14 inches, chest circumference 14¼ inches and abdomen circumference 13¾ inches.  She was born strong and healthy.

 

We busied ourselves cleaning the bathroom and packing up equipment while the newly expanded family got to know each other.  When I left, Linda was resting with the baby contently nursing and her family taking care of everything else.

 

Karla was born at home, on the July 23, 2002.  She shares her birthday with her big sister, Susie.   Linda was strong and confident.  David and Linda worked so well together, there was very little for me to do.  I kind of like that. It give me the chance to stand back and admire how amazing and beautiful a laboring woman can be.  I truly appreciate that David and Linda invited me to be a part of their birth space.  I want to thank them for the opportunity to witness and share in the beautiful birth of their gorgeous daughter. 

 

By Penny Silzer

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Hypnobirthing

 

Dear Mary,

 

My name is Heather, and I was your mother’s doula.  I was so excited that your mom decided to use me as her doula, because she intended to labor in a way that I had never experienced.  She wanted to use a technique called Hypnobirthing.  Her doctor and hospital were not supportive of her needs during your sister’s birth, and your mom realized that she needed a healing experience this time.  So, she hired me, bought some Hypnobirthing books and tapes, and started practicing.  Your mom learned to put her mind and body into a deep state of relaxation while she was practicing with her tapes or with your dad.  She put aside her fears and trusted her body.  I’m sure you sensed this state of relaxation while you were still inside her womb, and it’s part of why you are such a peaceful baby today. 

 

Your mom went to visit her midwife on August 30th and was told that she was in labor but she wasn’t really experiencing any pain.  Your mom left the doctor’s office that day and continued with her plans for the day.  She had a nice lunch and called your grandma and I and told us that she was in labor.  Your grandma hurried down to Pekin to be with your mom, and I kept a phone nearby anxiously waiting for her to call.  The hours passed through the day but your mom never called.  She had dinner, practiced some of her relaxation techniques and went to bed.  She slept for most of the evening and woke up about 4 a.m.  At that time, her labor contractions were a bit more intense and she decided to take a shower.  While in the shower, she realized that it was time to call me and get to the hospital.  I met your mom, dad, grandma and Elizabeth at the hospital at 6 a.m. on August 31st.

 

The first thing your mom said to me was, “I think I may have waited too long.”  She was worried about you because the doctors had told her that she needed to get some medicine in her body before you were born to keep you safe.  She was worried that the medicine may not have time to work if you arrived too quickly.  I believe that may be the reason your mom didn’t give birth to you until almost 5 hours later, even though it appeared that you could have been born sooner based on your mom’s progress. 

 

Your mom settled into her hospital room and a wonderful nurse listened to your heartbeat and gave your mom the medicine that she needed.  I read some relaxation scripts to your mom while your dad pressed on her back.  Her back was really hurting and she relied on your dad immensely through every contraction because his hands on her back helped the pain go away.  Your grandma played with Elizabeth until a friend came to pick her up.  She was very anxious for your arrival.  She had been saying for nine months that you were going to be a girl.  She wanted a sister terribly! 

 

Two midwives came and checked on your mom.  They were a little worried about your mom and so the nurse and I helped your mom understand that she needed to do all that she could to bring you into this world.  Your mom cooperated wonderfully.  She stood up and sat down and lay down and went to the restroom.  She kept moving which is very important during labor and she never once complained (well, maybe just a little to your dad).  Your mom never had any medicine to help her body not hurt.  She merely kept herself very relaxed and focused. 

 

When the midwives said that she could push, your mom worked very hard and everyone encouraged her while she was pushing you out.  Your grandma was waiting and watching with tears in her eyes as your head emerged and everyone exclaimed that you had beautiful dark hair.  Your dad told your mom what a great job she was doing and watched in amazement as you were born.  Your dad never left your mom’s side.  Your grandma and I kept asking if he needed anything but he always said he was fine.  After you were born, the midwife immediately put you on your mom’s chest.  She held you close, completely elated that you were here and a girl.  She told you how beautiful and wonderful you were even though the midwife had handed you to her backwards and she hadn’t even seen your face yet!  I’ll never forget the glow around your mom as she nursed you and gazed at your face.  You healed her from what had been a difficult birth the first time. 

 

Your mom held you for more than an hour before the nurse weighed or measured you.  Everyone was eager to have you weighed because we could tell that you were such a big baby.  Your mom eventually handed you off (reluctantly) so that we could watch the scale add up to nine pounds and nine ounces.  Wow!  Your mom had given birth completely naturally and vaginally to a nine pound, nine ounce baby.  What an accomplishment!  

 

Before I left, your dad said that this way of having a baby was much more fun than the last.  I believe that everyone agreed with that!  Thank you for letting me share in your birth, Miss Mary.  May God truly bless you all of your days. 

 

By Heather Longfellow

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Friday’s Child is Loving & Giving

 

I met Rebecca, the mother, at the OSF Nursing Group after she had Stella, her first baby girl, back in 2001.  We quickly became friends, and when she got pregnant the second time, she asked that I be her Doula for her birth.  What a beautiful birth of a baby boy with lots of great pictures.  Her husband, Brian, was very supportive of having an additional shoulder to lean on and hand to hold.  Clearly, I was the Doula for the family.  Quickly after Rebecca found out she was pregnant for the third time, she called me.  I was honored to be a part of their family’s intimate birth experience again and gladly accepted.

 

The Birth Week: Rebecca called me several times the week of her baby’s birth, just checking in with me for some review and reassurance.  Of course, at the time, we didn’t know this was the week of the baby’s birthday.  We talked about when her body was going to go into labor, trying to guess the baby boy’s size and how this labor will be the same or different to the other labors she has experienced.  We discussed all the exciting things women think about in the last trimester when it comes to our babies and birth.

 

Rebecca actually started having short and light contractions on Wednesday and Thursday, but the contractions would stop when the sun would set.  It was like her body’s way of letting her get a good night’s sleep to have the energy to birth her baby.

 

Friday May 14: I spoke with Rebecca throughout the day; she was having contractions but was taking care of her two toddlers so you can imagine she didn’t have much time to think about herself.  As the evening approached, I could hear the anxiousness in her voice and asked if she could lie down and rest awhile and let her husband care for the kids.  She did and called me after she awoke.  I asked if she would like me to come over because it appeared as though these contractions were getting more intense yet not closer together.  I could hear in her voice that it was time, and I happily arrived at her house around 8:40 p.m.

 

8:40 p.m.: When I arrive at Rebecca’s home, her mother, a family friend (to watch the children) and Dad are gathered in the living room.  The children are asleep, and the house is quiet.  Dad paces and packs and paces and packs.  He is excited, and we keep him busy while the ladies and I talk.  Rebecca is just beautifully breathing slowly through the contractions while holding my hand and looking into my eyes.  We all paused as needed and then continued where we left off.  At this time, her contractions are stronger but varying in lengths and time between.  Rebecca is feeling some anxiety and wonders if she is progressing at all.  She talks about how she will just be glad if she is a 3-4 cm.  We all assure her that she is doing a wonderful job and her body is working well.  Since I have been with Rebecca before, I knew she was further along than she expected.  Rebecca found sitting on the couch leaning over her knees moving with her contractions was the best place for managing her contractions.  

 

9:25 p.m.: Rebecca announces to all of us…she is ready to go to the hospital.  She explains that she just wants to know if she is dilating.  She is pleading her case on why she wanted to go.  No explanation necessary.  Her contractions are clearly getting more intense and clustering together…yes…good news.

 

9:38 p.m.: We go to Methodist Medical Center Labor and Delivery, and Rebecca changes into a fashionable robe (yeah, right).  Next, the nurse brings the inevitable…paperwork!  During this time, her nurse scurries around her to put the external monitor on her belly to check his heart rate during her contractions.  Her baby boy is doing great.  Rebecca’s mom, Brian (her husband) and I are close by helping her with all the paperwork and pausing to focus on her contractions.  Rebecca’s mom is so glad to be with her daughter.  She is from out of town and by chance is able to make it here when Rebecca is in labor.

 

9:55 p.m.: The nurse asks to do an internal check and Rebecca agrees.  She is dilated 8-9 cm.  Rebecca is ecstatic; she was convinced that she was only 3-4 cm.  The nurse is in shock because Rebecca is not a laboring woman that appeared to be in transition.  The nurse asked if another nurse could do an internal check, and Rebecca said okay.  Yes, 8-9 cm dilated.  Way to go, Rebecca.

 

10:00 p.m. The doctor is being called.  Rebecca is not feeling the urge to push yet.  Her contractions keep coming closer and stronger.  Brian holds her hand tightly while Rebecca works hard to conquer each contraction.  I am close to her face giving her encouraging words and steady touch.  Rebecca is so strong.  The nurse feels her belly and is trying to determine if her baby is head down because it appears that the baby’s head is pretty high based on the internal check.  The nurse asks to take a quick sonogram in the birthing room and the sonogram tech for a quick moment says the baby is feet first.  Then, another nurse looked at her baby and says no headfirst, just high.  That was an interesting quick minute.

 

10:25 p.m.: The doctor arrives with a big smile and said he knew she would be having her baby boy soon.  Rebecca’s baby was actually due the next day.  Talk about being on time.  The doctor asks to do an internal check, and Rebecca agrees.  He says she is 9cm, and the baby’s head is high.  He asks if he can break her water and slowly bring down her baby’s head.  Rebecca agrees and after the gush of the bag of waters her baby’s head moves down.

 

10:30 p.m.: Well, now Rebecca has the urge to push and does so while the room prepares for the birth.  I am grabbing the camera…here we go.  We captured some great photos of her baby being born last time.  Dad is on one side holding her hand and her mom is on the other.  Rebecca was great at pushing following her body’s urges.  Everybody is ready for this baby boy.

 

10:38 p.m.: While Rebecca is pushing, she pauses and says, “Should I stop pushing when I get a burning feeling?”  Which, of course, when you talk, you stop pushing.  Isn’t she amazing?  Her baby’s head pops out.  No tearing, no episiotomy.  Go, Rebecca.  I tell her quickly “His head is out!”  She is shocked and has a huge smile of relief on her face.  Then his body quickly slides out.  It is a boy.  Yes.  Bryce.  Weighing 7 pounds 15½ ounces and 20½ inches of beautiful boy.  Immediately, he is rested on her chest to gaze into his mother’s eyes…ahh.  This is a wonderful sight.  Brian is so proud of his wife and his new son.  You can see it in his eyes.  HE is glowing now.  Bryce is so alert and ready to nurse.  He nursed like a champ, no surprise.    Mom and baby couldn’t be happier.  What a miracle…don’t you just love birth?  Wow.  The nurses and doctor were so delighted.  They complimented Rebecca several times on how great she labored and delivered her baby.  I am sure this will be a birth story they won’t forget.

 

Thank you for the gift of allowing me to be a part of something so special and amazing again.  Rebecca, your continued strength in labor and birth is inspiring to me.

 

xxxooo,

Jenny Carmean

Your Doula

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Vaginal Breech Birth

 

Rodney called me at about 3:30 a.m. on December 5th to tell me that Dianne’s water broke and asked me to come to their house.  Since Bruce was still student teaching, there was the usual panic about what to do with the kids.  Just as we got it all worked out, the phone rang again.  Rodney, sounding incredibly calm, called to let me know that Dianne felt pushy and that they were leaving for the hospital.  I planned to meet them there.

 

When I arrived at the hospital, Dianne and Rodney were the center of a flurry of activity.  There’s always some degree of chaos when checking in with a mom in active labor, but this was different.  The extra “unknowns” due to the baby’s breech position added excited energy to the chaos.  Darla and Sam were there along with a couple of extra nurses, all busying themselves with paperwork, machines and questions.  Dianne was coping well with it all.  She was at a point where she had to focus on her labor.  She and Rodney worked together through contractions.  She was dilated to about 6 cm with the baby’s butt well applied to her cervix.  Her labor was cooking, fast and intense.  Contractions were very strong.

 

Shortly after Dianne got settled on the bed, a nurse tried to insert the needle for an IV.  Rodney warned them about Dianne’s past difficulties with needle sticks.  He requested that they please call in the “vein lady.”  Every hospital has a vein lady, that one woman or man who has the magic touch and can always draw blood or start an IV first try.  The nurse shrugged and proceeded to stick Dianne.  Dianne, thrashing in pain, demanded that they stop.  The nurse hit a nerve in Dianne’s arm, shooting excruciating pain down to Dianne’s fingertips.  “Take it out, take it out!” she screamed.  “Pull it out now!” Rodney demanded.  The nurse looked at them as if Dianne were just a hysterical crazy woman in labor overacting to circumstances.  She was waiting for Dianne to calm down so she could push the needle in further.  I was shocked.  Obviously that needle was causing Dianne great pain, far worse than her labor.  I as so amazed that I was speechless.  Luckily, Rodney was not.  He again commanded the nurse to take that needle out.  This time she did.  That particular nurse left the room and, to the best of my knowledge, did not return.

 

Sam appeared dressed in scrubs.  She quite calmly and confidently inserted the IV needle.  Apparently, Sam is the “vein lady.”

 

With the IV saline lock in place, Dianne was free to focus on her labor.  She rode out her contractions by vocalizing and breathing during them and focusing on relaxing between them.  Sam did a quick sonogram to verify that the baby was still head up.  He was.  Meanwhile, Dianne had dilated to complete and wanted to push.  Since the baby was breech, neither Sam nor Darla were allowed to catch him.  The doctor had been called in, but was not yet present.  Dianne, so wanting to push, would have to wait.  With our help, Dianne pretended to blow out candles during a contraction.  It’s hard to push if you are concentrating on blowing.  She focused on my face, watching my bangs flying in the breeze as she blew through the contractions. 

 

Finally, the doctor arrived.  This was the moment of truth.  Until he arrived, nobody knew for 100% certain if Dianne would be supported to deliver vaginally.  After another quick sonogram to confirm that the baby’s head was flexed, Dianne was given the okay to start pushing.

 

Sam directed Dianne’s pushing.  Rodney and I did our best to help Dianne relax between contractions.  I suggested that she melt into the bed as Rodney guided Dianne through visualizations of relaxing places they have visited.  Darla's calming presence helped to ground us all.  With every push, the baby entered a little further into the world. 

 

Eventually the issue of episiotomy surfaced.  During the brief pushing phase, the doctor started to explain that sometimes first time moms and moms with big babies need a little help in the form of an episiotomy in order to avoid a tear.  He wanted to do an episiotomy so that Dianne wouldn’t tear.   Rodney immediately defended Dianne’s choice not to have an episiotomy.  He went on to say that Dianne would prefer not to be cut, wanted to be supported not to tear and would feel better about a small tear than a large episiotomy.   Much to my shock, Darla reprimanded Rodney for questioning the doctor.  The baby was coming so fast, there was no time to come to reach a consensus.  In the end, the doctor did not have time and did not cut Dianne.  I was so proud of Rodney.  He stepped up, right when he was needed most and stuck up for Dianne in one of her most vulnerable moments.

 

The baby was coming fast.  The doctor did not pull or tug, allowing the baby to unfold, to open like a flower.  First his butt emerged.  Then his legs unfolded.  Next his arms popped out.  The doctor and Sam supported his body, now dangling from Dianne’s vagina, with a towel placed under his belly like a sling.  Sam held the towel as the doctor helped the baby’s head wriggle free.  His head came like a cork shooting from a champagne bottle. Amniotic fluid went everywhere, but mostly all over the doctor’s face.  He stood there, baby in hand, fluid coating his glasses, droplets dangling from his nose.  His facial expression said, “Jeez, what next? That figures. Oh well.”

 

The placenta popped out shortly after the birth.  The doctor left.  Sam did a repair on Dianne’s second degree tear.  An IV with Pitocin was started to address minor postpartum bleeding. 

 

At the time of the birth, the room was full of people–Dianne, Rodney, Me, Darla, Sam, the doctor, Brooke (LDR Nurse), a team of neonatologists from St. Francis, and a whole herd of mystery people.  I couldn’t begin to tell you who they all were.  It seems that anyone on the floor who didn’t need to be somewhere else was present to witness an unmedicated, vaginal breech delivery–a rare site in the current age.

 

The baby was limp and not breathing immediately.  However, is heart rate was strong and his color was good.  His five minute APGAR was 8. He was whisked away to the nursery.  There was a conflict of gestational age that I won’t go into here.  Dianne and Rodney will remember.  Rodney accompanied his new son to the nursery.   He was born quite rapidly, only about 4 hours total labor.  (Dianne’s water broke at about 1:30 a.m.  He was born at 5:42 a.m.)

 

I stayed with Dianne.  The fast, intense labor left her dazed and wondering what just happened.  Dianne fell right into a space between here and there.  The nurse went about the business of the usual postpartum stuff–temp, blood pressure, pulse, cleanup and a new gown.   About 30 minutes later, Dianne was ready to hold her new son.

 

Rodney returned from the nursery to let us know what was happening.  The doctors wanted to keep the baby in the nursery to monitor his breathing and blood oxygen saturation.  Since Dianne and Rodney know more about what happened in the nursery than I, I’ll end my story here.  When I left, Dianne was sitting in a rocker in the nursery, nursing her newborn son.

 

I want to thank Rodney and Dianne for inviting me to be a part of their birth team and allowing me to be a part of this amazing birth.  I not only consider my doula work as a valuable service to others, I consider it a privilege and an honor to be invited into their personal drama.   Thank you!

 

With Love From Your Doula,

Penny Silzer

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