2023 Reviewed

22 births

11 additional babies born with Amy as doula (and not included in following stats)

18 hospital births, 4 home births

16 vaginal, 6 Cesarean (3 planned, 3 unplanned)

3 VBACs (vaginal birth after Cesarean)

11 unmedicated, 11 epidurals

13 with midwives, 9 with OBs

7 inductions

Smallest baby: 5 lbs, 9 ozs

Biggest baby: 8 lbs, 9 ozs

Longest gestation: 41 weeks 1 day

Shortest gestation: 36 weeks

First birth: 7

Second birth: 10

Third birth: 4

Fourth birth: 1

Shortest labor support time: 0 hrs (client was COVID+ and baby came before midwife arrived)

Longest labor support time: 31.5 hrs

Average labor support time: 10.5 hrs

Location of births: Baptist Health Lexington 2, Home 4, Norton 1, Norton Women’s and Children’s 1, UK 14

Individual provider who caught the most of my clients’ babies: Megan Sharp, UK Midwife Clinic (4 babies)

Practice whose providers caught the most of my clients’ babies: UK Midwife Clinic (9 babies)

Professional development: Recertified as a DONA doula

Here are some interesting facts from 2023:

• One baby born on his due date

• Lots of “early” babies- only 6 babies came after their due date

• Missed two births- one client had COVID and provider didn’t even make it to her birth, one had baby about 45 min after she called me to come

• Popular baby names: Benjamin (3) and “Josie” (2 Josephine, 1 Josie)

• Alphabet babies- only letters of the alphabet not used in a baby’s first or middle name were Q, S, U, Y, and Z

No grand or wild thoughts come to mind when reflecting on 2023 clients and their births. You could even say that the year was a little boring which was due in large part to having a doula partner with whom to share the work. Last year, I attended 32 births (and did all of the prenatal and postpartum support as well). In 2023, I only went to 22 births. It felt so incredible to have Amy Jessie supporting not only our shared clients, but also me as a partner and friend.

One trend this year did seem to be breech babies. We had a lot of clients whose babies were breech pretty late in pregnancy and some who were still breech at birth. Some clients opted for ECVs and others opted for c-sections. There also seem to be more and more clients with blood pressure issues, either gestational hypertension or preeclampsia. I wonder if other doulas and providers have noticed this.

One sweet personal connection this year was that I was able to support a dear client during the birth of their third baby after having been with them for their first baby’s stillbirth and their son’s live birth. Then, I got to attend the birth of the OB who supported them for the first two births. Both the client and the OB hold very special places in my heart and I’m glad that I got to be by their sides as they welcomed their daughters. And when I attended the OB’s birth, I also got to see my 50th provider deliver/catch a client’s baby. I’ve now seen 53 different providers in action at the time of birth with many others who’ve been a part of the labor process. I think having worked with such a variety of providers is one of the greatest benefits to my clients. The knowledge I’ve gained from watching them practice helps me provide solid informational support and advocacy for birthing people and their families.

Thanks for continuing to support my work as a doula. Looking forward to supporting five repeats (so far) and incredible new clients in 2024!

2020 Reviewed

21 births

15 hospital births, 6 home births

20 vaginal, 1 Cesarean

1 VBAC (vaginal birth after Cesarean)

14 unmedicated, 7 epidurals

9 inductions

15 with midwives, 6 with OBs

Smallest baby: 5 lbs, 9 ozs

Biggest baby: 9 lbs, 1 ozs

Shortest labor support time: 3.5 hrs

Longest labor support time: 34 hrs

Average labor support time: 13 hrs

Longest gestation: 41 weeks

First birth: 10

Second birth: 9 (6 repeat clients!)

Third birth: 1

Fourth birth: 1

Location of births: Baptist Health Lexington 1, UK 9, Ephraim McDowell Regional Medical Center 1, Frankfort Regional Medical Center 2, Norton Women’s & Children’s 1, St. Joe’s East 1, Home 6

Individual provider who caught the most of my clients’ babies: Sarah Hood, Home Sweet Home Midwifery Services (4 babies)

Practice whose providers caught the most of my clients’ babies: UK Midwife Clinic (7 babies)

Professional development: Became an NRP Provider (Neonatal Resuscitation Program) and started childbirth educator training with Birthing Advocacy Doula Trainings

2020 ended up being my busiest year yet. It started off beautifully, with my first repeat client giving birth at home (her first baby was born at a hospital) under the care of a midwife. Three more babies came before the pandemic, with one being born the week before everything started shutting down in KY. I had planned off call time in April due to a spring break trip (that got cancelled), so thankfully I was not dealing with the initial insanity caused by frequently changing hospital policies and had time to prepare for the possibility of supporting clients virtually. Thankfully, I was able to support ALL of my 21 clients in person. I had one client switch from hospital to home birth because of the pandemic, but others considered it.

My clients’ induction rate went down to 43% (9 of 21) after last year’s 50%. Not surprisingly, my longest continuous support time of 34 hours was at an induction. Even though I tell clients to expect inductions to last days, it’s hard to wrap your head and body around what that feels like until you’re in it; exhaustion is typically a huge factor in the process. Out of the nine inductions, there were only two that I would consider elective (although I don’t know that that is how they were labeled by the providers).

Some other stats that I want to highlight are that one of my clients had a VBAC (100%) and that six were born preterm (2) or early term (4). Both of the preterm births were originally planned home births, but transferred to hospital care- one for hypertension/preeclampsia and the other for imminent preterm birth at 35wks 1day. Not surprisingly, I had a COVID exposure at one birth (that I know of). The hospitals stopped rapid testing at some point and unfortunately, we found out that a client was positive two hours after baby was born. Thankfully, I did not get infected and the mom and her baby are healthy! Also, I had a Leap Day doula baby this year! He was born at 12:48am on February 29, 2020.

The year was hard for lots of reasons, but I feel that it was the one in which I’ve grown the most as a doula. It no longer feels difficult to share confidently about my value when talking to potential clients; I’m really good at doula work. Thank you to the providers and nurses who provided over-the-top excellent care to my clients during some seriously stressful times. Thank you to the six families that allowed me back into their birthing spaces this year and to the fifteen others who welcomed me for the first time. You all have provided some of the brightest moments of 2020!

How do I choose my care provider? Statistics, Opinions, or Intuition?

Recently, my doula friend, Mother Well Doula Services, held an amazing webinar on birth options in Central KY. It was so wonderful, in fact, that I am offering the replay to any client who wants more information before they choose their birth location/provider. If you’re in the process of making these choices, hospital statistics and “amenities” can be very helpful in informing your decision. There’s also a really good chance that your friends, or even complete strangers, have told you which providers they’d recommend (and maybe you’ve gotten their full birth stories ((unsolicited?)) as well). Maybe the stats and recs lead you to meet with a provider, or even consider them your chosen provider. You go to your first appointment and your gut is raising red flags, or maybe it’s saying that you are safe and heard. So, what do you do with all of this information? What do you listen to- statistics, opinions, or your intuition?

Honestly, it’s a question that I cannot answer without knowing A LOT more about you. In general, I’d say that all of them matter, but the one that deserves the most weight will depend on your individual needs and plans. As a doula mainly serving folks birthing in Lexington, KY, I have worked with a lot of professors from local universities and colleges, including UK, Centre College, Transylvania University, and Lindsey Wilson College. Some of these clients are very data-driven and pay close attention to the statistics. For these folks, it’s important to know a hospital’s numbers, and likely more important to know the numbers specific to their provider’s practice. Many of us are also influenced by our peers’ opinions. Spend 20 minutes in a parents’ group on Facebook, and you can probably gather as many provider recommendations. Then, there’s also the feeling you get when meeting with or looking into a certain practice or birth location. It’s a lot to process, especially if this is your first baby.

As of Monday, I have watched 30 different providers catch/deliver babies. I’ve been to all of the hospitals in Lexington, most in Central KY, and a couple in the Louisville area. I’ve also been to home births with three different professional midwives. So, I’ve seen what the statistics look like in person/action. I know the offerings of most local hospitals. I have a really solid sense of how the different practices operate and which providers are most in line with your desired birth experience. Maybe your friend says Dr. X is amazing or that Midwife Z is such a good listener, but to who are they comparing these providers? I cannot emphasize enough how valuable my experience with so many different hospitals, OBs, midwives, doctors, and nurses is to you when you choose me as your doula. While protecting specific client details, I promise to be transparent about what I have witnessed as a doula.

You’re likely to hear a lot of noise in terms of opinions when you’re pregnant. It’s rarely helpful and often causes you to question your own intuition. While there are certain professionals who are incredibly knowledgeable about the medical side of birth, or the statistics and evidence around birth, as a doula I have a broad perspective on birth experiences in Central KY. I also do my best as a professional to remain unbiased and provide information that is specific to you and your needs. I also feel best aligned with clients who are able to tune into their intuition about providers. You know better than anyone what is best for you, your baby, and your body. Did you feel rushed and ignored? Listen to that. Were you surprised that your blood pressure stayed normal and that you didn’t feel embarrassed asking all of the questions you put in your phone notes before you left home? Wow- that’s meaningful. I’m here to listen to you and provide unbiased informational support.

Every birth I’ve supported has been different in so many ways. Yours will be different from those. I hope to help you quiet outside noise (and even noise in your own brain) and help you focus on what is important to you. I don’t have a list of recommended birth locations or providers and would never blast a recommendation to the general public because everyone’s needs are different. Your situation is unique and I’m ready to support your decision making with unbiased informational support and active listening. I will never doubt that you know better than anyone what is best for you.

Which KY hospitals are allowing doulas?

Updated 04/24/23

Some of you have asked at which hospitals I can support births in person along with a partner, so I will plan to keep the updated list here. Of course, I can attend any Kentucky home birth in person and will happily do so as long as you’re okay with me wearing a mask and you are not COVID positive; I am also unable to attend hospital births if you are COVID positive. I am fully vaccinated and boosted against COVID-19 (Moderna). The following list is not extensive and only includes the hospitals at which I have attended births during the pandemic:

Baptist Health Lexington - “Visitors are limited to 2 per patient and may not rotate. 1 visitor may stay overnight. They are encouraged to remain for the entire stay and wear a mask in the room with mom and baby. Doulas count towards visitor count.” Doulas are not permitted in the OR or in recovery for Cesarean births.

Clark Regional (Winchester) - “No children under the age of 14 are allowed to visit the unit unless they are a sibling of the baby being born. Children under the age of 14 (even siblings) are not allowed to attend the actual delivery. Siblings count as a visitor and need to be accompanied by a responsible adult at all times (other than the birthing person).”

Ephraim McDowell Regional - “One overnight birth support person and two visitors who may not rotate. Total of three visitors during this time. Doulas are considered part of the visitor count. Exceptions may be made on a case-by-case basis with the care delivery team.”

Frankfort Regional Medical Center - “Our women's health department is open from noon to 8:30pm. The mother’s partner or support person may visit at any time. Children under the age of 10 are not allowed, except for the children of the patient.”

Norton Women’s and Children’s (Louisville) - “Two visitors at a time, 24/7. During labor and delivery, a properly credentialed doula also may be present as part of the care team.”

Saint Joseph East Women’s Hospital - three visitors (when in active labor, otherwise one) + a doula

UK HealthCare - three visitors + a doula

Kentucky home birth - partner(s) + a doula

Pre-Thanksgiving Ingratitudes from Your Grateful Doula

Response to "Gratitude Lists Are B.S. — It Was an "Ingratitude" List That Saved Me" by Liz Brown, originally seen on Britta Bushnell, PhD's page

Please read Liz Brown’s article now…

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When my therapist recommended that I keep a gratitude journal, it made sense that noting the positive things in my life could be a beneficial way to change my outlook for the better. Writing a few gratitudes daily was easy. And that's just it. I've never struggled finding things to appreciate in my life. What I've struggled with are, well, the struggles. Making the gratitude list didn't change my perspective, it made me feel "sadder and deeply ashamed" as Brown notes in her article.

After reading Brown's story, I immediately thought about how people are so quick to remind new parents to find the "little joys" in the day. It starts as soon as someone starts mentioning any discomforts or fears in pregnancy:

"The pain in my groin is unbearable."

"That probably means your baby is moving down and you'll get to meet him soon!"

Or, "The baby was kicking all night and I couldn't sleep."

"But isn't it so much fun to feel them move around!"

Then there is the infamous, "at least your baby is healthy" response to nearly any negative thought (or outright trauma) a person has regarding labor and birth. A total shut down of a person's experience in an attempt to point out the positive. It's during the early postpartum period that I find people frequently push gratitude as a means for improving the new parent's experience:

"I haven't slept more than two hours straight in weeks and I feel like she nurses all day long."

"Look how cute those chubby cheeks are, though. She's gaining weight like a champ. And you got to catch up on all of the shows you like to watch in the process."

Or, "I feel like I'm going crazy talking to an infant all day."

"It's so good for his development. I bet he'll be talking by the time he's one. And you're really lucky that you get to stay home with him for six more weeks. Hold on to these moments! Time flies and you'll miss this sweet baby babble."

Brown's article brought so much relief. I'm not an ungrateful person. Like I said, I could fill pages with deeply heartfelt gratitudes. But I'm also not a super cheerful, bubbly, beam of light. I'm not and I can't fake it 'til I make it on that front. I think that gratitude lists may not be compatible with my personality type, whatever it is. Brown's candid thoughts let me know that I'm not alone and it's doubtful that she's the only other person in the world who feels that way.

Wouldn't it be wonderful if we could create more space for pregnant and birthing people and new parents to share their ingratitudes? Maybe in doing so, they or the listener would be able to understand what is causing the stress/hurt/negative experience and actually offer a productive and helpful response instead of trying to cast it aside or overshadow it with the "little joys." If nothing else, maybe the person will feel better if all you do is validate their feelings and allow them to share.

Your friend in feelings good and bad,

"Meh"gan