Haiti Days 6 and Days 7

Day 6- Tuesday

Woke up early and had breakfast. They prepared eggs with onions and peppers and pineapple. I skipped the eggs because peppers make my throat have issues. I had a piece of bread instead and a Luna bar. Midwifery meeting had me doing prenatals and being available for a birth if it came in with Marie as second. It was a very busy morning.  No labors came in so we just hung around the rest of the afternoon. A lunch of rice and beans and spaghetti for dinner.  We saw about 30 prenatals and 14 postpartums. I slept well outside again.

Below are the native staff midwives. 

Day 7- Wednesday

I woke up at 5 am to rooster crowing and the power was on so I moved to my indoor bed under a fan and slept two more hours.

 Claudin woke me up at 7 to say a labor was here. It was Mediline, the woman who was here last week with false labor and bleeding. We  sent her home with orders for a HIV and syphilis test, these are free, and an ultrasound. She was back with her ultrasound orders, was 4 cm and in labor but still no test results. The ultrasound showed low amniotic fluid, a low reactant and small baby and a mystery as far as where the bleeding came from. Still no test results and she still had syphilitic type sores all over her body. We asked her why she didn't get her tests done and she said she didn't want to.  Marie, Mary, and I discussed all of the options and mostly due to the fact that she was non compliant we  decided to transport her. We started an IV and her friends came to be her support at the hospital. They were really upset that we were taking her but calmed down after we shared the reasons and nodded their head in agreement. They got into the MBH ambulance and headed out.

 Only 18 prenatals this morning.  I saw two interesting cases today. The day I arrived they had just transported a mom in preterm labor at 30 weeks.  She showed up today for her regular prenatal. They gave her some mystery pills to take daily and sent her home. They told her to come back if she needed to push or to come to MBH. She was complaining the mystery pills gave her heart problems. We didn’t know what she was on and so had no advice for her. It was really difficult to not know what to do do help. It made me thankful for being back home where co-care exists and is just a phone call away.  I sent her home with magnesium and calcium for her irritable uterus and told her to come back every week. 

Another mom was breech and engaged at 35 weeks and a transverse baby at 36 weeks. A second time mom came in measuring 47 cm at 40 weeks. Major polyhydraminous confirmed by ultrasound with a small for gestational age baby. We referred her to the hospital for an induction. 

We saw several postpartum moms. 

 A good number of them birth at the hospital or at home but come here for care as neither the hospital or the TBA do postpartum care. I saw two different mothers. The first was there with her 8th child. A beautiful little girl. They were both healthy but I did some cord care. The TBA's and the hospital just tie off the cord, cut them keeping them very long usually between 3 and 6 inches, and stick a piece of cloth to them. They are often stinky and infected from being pulled on and not having enough air circulation after a few days. Traditionally women wrap their baby’s bellies to keep them strong and from having big bellies. They have a fear of large distended abdomens in children as this is a sign of malnutrition. The only real problem it causes is lack of circulation for the umbilical stump and over heating so we try to discourage it.  They also don't use waterproof diaper covers so the babies always feel wet. The second mom had a listless one month old. She said he, although he was dressed in a pink dress, hadn't nursed in over 24 hours. We took mom to a private room and had her strip off her shirt as well as stripping the baby to his diaper. He nursed right away and continued for the next hour. Mom complained that her breasts were too full and she couldn’t get him to nurse in the morning. We talked about nursing 8 to 12 times a day and hand expressing to help the baby latch on. I finally figured out after quite a few discussions that nursing 8-12 times a day means nothing to most people who do not have a watch. So much to my interpreters aggravation I got in the habit of saying

 "Nurse first thing in the morning, nurse after you gather water, nurse after your first meal, nurse after the baby sleeps, nurse before you make another meal, nurse when it is getting dark, nurse when it is completely dark, nurse when you need to get up to pee at night. Repeat, repeat, repeat."

 I think she just wanted formula and felt too tired, hot and sweaty to nurse her baby. I truthfully didn't blame her. It was hot. We asked her to return tomorrow so we could check on him. We were done early around noon. Martha and I have gotten pretty good at working together and sharing an interpreter. In the afternoon we walked to the gas station for snacks. This bottle of vodka cost half as much as a Snickers bar. Made me chuckle.

 I got chocolate of course, two snickers bars. I put one in the freezer and it disappeared. I was pretty sure it was one of the workers children who took it. I didn't make a big deal about it because really I didn't need two Snickers bars and that child really did. When I was at MBH the only thefts that had occurred were food. Laptops and Ipods lying around go untouched but a candy bar in the fridge is fair game. Lunch was quinoa and black beans dinner rice with beans and sausage. We sat around and joked and talked then headed to bed.

Haiti-Day 5

Day 5- Monday

I woke up early as usual and took a shower, a real one the power was on, and it was cold but in Haiti that is a marvelous thing. I was trying not to wake up my late riser roommates but I was unsuccessful. Breakfast was delicious French toast with peanut butter and syrup and bananas. Ironically a banana in Creole is "Pini" and a pineapple in "anana". As far as my Creole is coming I feel like the only words I can remember are foods and labor words like push, shower, baby and urinate. :) Midwife meeting at 8 we talked about who would be doing initial prenatals for moms coming for the first time to the clinic and who would be on call for births. I was going to be doing prenatals and be second for Martha who was going to do her first catch in Haiti. I was very excited for her!  

At 9 am Marie started the prenatal classes at 9 explaining about how the baby grows, nutrition, body parts and labor. At 10 prenatals began. We had to do a full initial exam and questionnaire so it took a lot longer especially through an interpreter. I got mostly through with one when Mary came and told me a laboring mom, Sebine, was here and her bulging bag was hanging between her legs. I finished up quickly. Almost every mom complained of a UTI and vaginal itching. Haitian people are very clean but UTI's are common due to not drinking enough water and not having toilet paper.  They go home with probiotics and cranberry pills. About half were married, another 25% in a relationship and the rest the dad split when the pregnancy was announced. These statistics are about the same as the clients I serve at home. Even in a conservative state like Utah. When asked if they ever felt sad as part of a depression screening all but one of the 12 I interviewed said yes. When asked why, the answer was usually "I look at my life and the status of Haiti and feel sad". One said she felt sad because she couldn't return to school pregnant and other was sad because her mother wouldn't stop yelling at her about getting pregnant. The interesting thing is that I get similar answers from many of my moms in the United States. Unhappy about the relationship with the father, unhappy about the state of the country. So are people just generally unhappy even if hey have enough food to eat??? 

When I finished the one prenatal I joined Mary and Martha in the birth room. Sure enough mom was on the bed with a softball sized bag of waters between her legs. Mary ruptured it with an amnicot and checked mom to find her complete but baby was still high. She walked stairs for the next 3 hours while we finished prenatals. After a while she felt like pushing and Martha got into position with Mary and I guiding her she delivered the baby. I did pit, charting, mom care and baby APGAR. Mary left right after the birth to check on another labor so I showed Martha how to do gentle fundal massage to expel clots and do a newborn exam. The baby was beautiful. Dressed in a cute white and blue dress.

A sister for her big brother. We moved her to postpartum. All moms stay at least 4 hours but if we have the beds they often stay overnight. They are in a clean environment away from other children and they are fed three meals a day.  Lunch was beans and millet with sauce. I almost always skip the sauce which has a mismatch of different foods in it usually onions and peppers plus some sort of meat or fish or crab. It would be heaven for my husband who loves spicy, highly flavored foods and a surprise. Harder for me who eats almost the same thing every day. The food is always delicious though and there is always enough.

 Another labor came in the middle of the day. A 5th time mom who was 29 weeks was complaining that she had been having contractions for 24 hours and she felt like she needed to push. Mary did an exam and found her closed at -3 station. She continued to have contraction like pain. After some discussion she claimed she had not had any food for 3 days since she had none, she had 4 children to feed and her husband had left her. She complained of being dizzy with no energy. We gave her some food and kept her to monitor for several hours. She still complained of pain. We suspected a UTI so we did an IV to hydrate her well and cranberry and kept her overnight and fed her, and fed her, and fed her.

 Martha and I walked to the gas station a few blocks away for some ice cream. It was heaven! I am drinking 4-5 quarts of water a day. I fill it up and I swear someone else is drinking my water. When sweat runs down my face into my mouth, which is all the time, it just tastes like water. I constantly carry a washcloth with me to wipe my face other wise I drip on the patients. It is actually embarrassing  I am used to heat. Where I live it is always above 100 degrees in the summer often 110, but we have 0% humidity. Haiti is hot and humid which is why it is so beautifully green contrasted to the amazing red desert I come from. After a birth it is the worst. I am dripping sweat everywhere and the native staff midwife always jokes that I had "douche" shower, in my "rad" clothes. And she was right, that is exactly what I looked like. As soon as clinic was over every day I would change out of my scrubs, bucket shower and dress in a pair of capri length goucho pants and a t-shirt. We came home and picked up trash that had blown into the yard before eating a dinner of fried plantains, potatoes, hot dogs  and bread fruit. I took a bucket shower and prepared for bed. It started to rain so I had to move in my beloved outside bed, At 11 it had stopped so I moved it back out again.

Day 4:Haiti

Day 4- Sunday

I was up most of the night with Kesseley and her baby girl but I decided to eat my pumpkin soup which was delicious.

 The history of pumpkin soup begins with the celebration of Haitian Independence in 1804. On Jan. 1, 1804, Haitians worked together to create a unique soup to celebrate their independence from the French Colonists. Until that time, the Colonists believed that the blacks under their rule could never work together to create anything. Today, the traditional pumpkin soup known as "soup joumou," is made and served to friends and family in Haiti in remembrance of their fight for freedom. While under French Colonial rule, Haitians were limited to eating a bland bread soup. They would not have been permitted to eat such an extravagant meal comprised of pumpkin, beef stock and other vegetables. This unique soup was created as a symbol of unity in the face of adversity. It was served to everyone at the first Independence celebration and Haitians continue this tradition today.  

 Haiti was the first independent nation in Latin America, the first post-colonial independent black-led nation in the world, and the only nation whose independence was gained as part of a successful slave rebellion.

I decided to go to the local Baptist church with Santo and Mary even though I was exhausted. There were about 60 people in a cement building. It had no door or glass windows just an opening for each. They were all dressed in their Sunday best. The children were very well behaved. Shockingly well behaved compared to American children. They were happy to sit on their mothers laps. Something I noticed that was different was how parents held sleeping babies. In the US babies are often held in the cradle position while they sleep or occasionally over a shoulder. In Haiti as they lay the child over their knees similarly to how you would position them for a spanking and they would happily fall asleep there. I saw one mother at the church scowl at a 6 or 7 year old boy several times as he was getting restless before she laid him over her knees and he fell asleep with his mother patting his back. It made a lot of since as Haiti is hot an humid and that position was far less body contact and much cooler as they could fan the child while they slept. 

Photo courtesy of latimes.com
There was about an hour of worship singing and prayer followed by the preacher asking Mary and  I to come up and say or sing something. We sang How Great Thou Art.  It is such a beautiful universal hymn. It brought tears to my eyes as we sang it. The smiles from all of the lovely people was well worth the embarrassment.

 

A guest speaker, and American missionary fluent in Creole, spoke for the next 2.5 hours. About 2 hours in I was just done with sitting on the cement bench. The way the speaker spoke was different than I am used to being preached at and while I was attentive for quite a bit of time it started to get to me after a while. That combined with smoke coming in from the nearby door drove me to go sit outside. There is not real sanitation set up in Haiti so in order to deal with the trash many people have trash burn piles regularly. It smells awful and makes the air very smoky but it is preferable to the alternative. 

There I watched a 4 year old boy fill up his water containers for his family. Each plastic container, similar to a very large vegetable oil container, held about 2 gallons of water and I couldn't help but think how my children complain when I ask them to carry one gallon of milk in from the car. He pumped and filled the containers but the pressure coming out of the faucet was so great it left a good 25% of the container empty. He remedied this solution by  proceededing to fill up the tiny caps with water and poor it into the container. 50 fill ups later the containers were perfectly filled and he lugged the water back home. His eyes never left mine. Clean water is probably the number one problem in Haiti. The water from the pumps still needs to be boiled to be safe.

The water at the clinic is all braught in large 5 gallon jugs and dispersed from a cooler. Water for toilets and washing comes from a well on the property. Electric pumps pump it to the roof and store it in large containers to be used later.

                         This is similar to the ones at the clinic.

Most people get almost all of their drinking water from little plastic bags filled with water. The huge disposable water bottles used in the US seem very wasteful in comparison.

Service let out and we headed home. Lunch was chicken, so delicious, rice, potatoes and salad. I then spent the next 3 hours napping in my favorite place on the love seat. It has a cross breeze so even when the power is off, which it was again, I can be cool enough to sleep. Claudin came and we did our Creole lessons with Martha and Mary. A little known secret about me is that I really struggle with foreign languages. I almost didn't graduate from college because I started and dropped Spanish 4 times. Ultimately I took American Sign Language from another school and had the credits transferred in. Between the foreign language, my cold and missing my family so much I was just in tears. Wondering if I made a huge mistake in coming here. When we are busy I felt better but these two days off with no clinic and no births were really difficult.  Dinner was a packet of tuna and a Luna bar since the cooks have Sunday nights off.  I started the night inside but there were three mosquitoes in my net that I couldn't catch and I knew I would be miserable in the morning. I took a Benadryl and slept wonderfully in my bed under the stars. 

I finally perfected my bed under the stars. I got a lot of flack about sleeping out side. Another volunteer claimed she was going to "Suck it up inside with the heat and the bugs because she would acclimate quicker and be a true Haitian." I thought she was crazy and sure enough I was the intelligent one. 

I would get ready for bed every night which was quite the order

 *drag out the matress

* use clothes pins to hand the mosquito net

*tuck net under the matress
*twist openings and use close pins to keep out mosquitoes and check for holes

* gather my supplies which included my Nook, Jounal,eye mask, ear plugs, water bottle, flash light and hand fan (yes I was a little high maintanence)

*spray myself with repellant

* fan myself incestinatly as the DEET ate away my skin and gave me the worst hot flashes ever

*cry a little bit and miss my family

* say a prayer and beg for strentgth

*stare at the stars until I slept or if it was raining pull my fleece blanket I brought with me over my head and ignore the wetness.

I slept out side from then on. It became quite the routine and as I settled in I watched all of my Haitian neighbors settle in with similar routines on their roofs. They would wave or say hello. So who was the crazy one? Who would acclimate quicker? I am an avid camper and often sleep outside but this was the longest consecutive length of time I slept under the stars. I felt very claustrophobic when I got home.

Day 3: Haiti

Day 3

This day was Saturday, a free day at the clinic. No prenatals or classes scheduled. I slept in a little but not too much as I knew I needed to go check in on Medaline and probably discharge her. Not being woken by Martha let me to believe that her contractions stopped and she had slept. I was right and after she had some breakfast, oatmeal, I sent her home with a prescription for a syphilis, and HIV test plus and ultrasound order with instructions to do them all on Monday and return for a prenatal on Tuesday unless the bleeding worsened or she was in labor again. She happily agreed. I ate breakfast and some Benadryl and Tylenol for the cold and promptly fell asleep on the couch in the family room where I slept for 90 minutes or so. I woke disappointed that the power was out again, but Mary invited me to go on a walk 1/2 a block away to the cemetery which had manicured lawns and huge shade trees. I agreed and here I am now.

I think I am going to take this time to describe MBH the best I can. It is a large concrete building painted a pale yellow and white. The yard is compound like everything else in the neighborhood, probably .5 of an acre. There are three doors on the front of the house. The one on the left leads into the kitchen which has a refrigerator, oven, back up propane powered cooking station and falling apart cupboards full of dishes and pots and pans all covered with clean cloths or mesh screen to attempt to keep out insects. A wall of 5 gallon water bottles for the water cooler lines one side. If you continue through the kitchen you enter the court yard where they have the outside kitchen to cook, do laundry and wash dishes. Dishes are washed in three large tubs. One for soaking and cleaning, one for rinsing, and one for disinfecting with bleach water. Through the second door on the front of the house you enter the teaching and post partum room. Four single beds line the walls. There is a baby care and weight station and pictures of teddy bears and nursing mothers on the walls. The room is separated by another little entry room by a navy blue drawstring curtain. Yesterday this room was full with Mama Baby class participants, Mamba baby families, and postpartum families, about 20 in all. Through the blue curtain is an entry room from the postpartum room, kitchen and reception area. It has one bed there for triage and treatment plus a child sling scale where the child sits in a special cloth that is suspended from the ceiling on a scale. There is a small cabinet with pregnancy tests, HIV tests, glucose tests, thermometers etc. When you enter through the third door on the front of the house you enter a screened porch. This is where the mothers sit to wait to be called in for appointments. You don't make exact appointments. You tell them to come in 4 weeks and they come back around then. The first to arrive gets the seat closest to the door and is the first called. So they begin to arrive around 8 am and by 9 am when it is devotional time we have 10-30 women there. That room leads into the small reception area with a desk and an armoire that holds medications and vitamins. To the immediate right is the garage which has been converted into a large store room for supplies. On the far end of a reception area there is another bed that is used for triage or as an extra prenatal space. To the left is the hallway to the kitchen and postpartum rooms as well as the stairs to the upstairs. Just past the storage under the stairs is a labor room with the MBH logo painted on the wall. Two beds and a bathroom plus a supply shelving area.  From reception to the right there is a single labor room decorated with birds. A bathroom. A double laboring room decorated with painted flowers. There is also a hall way that leads out the back of the house to the grounds keepers’ home. Up the stairs opens into a great room with a small desk and office supplies. There is a large family sized black table with benches and two love seats and a coffee table. Shelves along the walls hold books and food supplies and condiments that belong to the midwives and other house staff. There is a door that leads to a covered deck. I spend a lot of time out here and often nap there. Off the great room is another large room called the over flow room. It holds overflow baby supplies and medications that will get too hot in the garage plus 3 more bunk beds for over flow staff. I often sleep on the top bunk as a breeze from the deck on the end makes me feel less clausterphobic.  Off the great room are the midwives quarters with a bathroom and 4 sets of bunk beds. Mine is a bottom bunk in the far corner away from both windows. Thus the closterphobia.  Another midwife room off the great room leads to Mary’s room where the directors stay, there are two beds. There is a bathroom and a third bedroom which has four bunk beds where the site manager, Santo, who I have not met yet because he is out of town, sleeps. The yard has a huge empty swimming pool, a chicken coup, two green houses and plants everywhere including beans, peas, tomatoes, corn, egg plant, lettuce, greens and other plant foods. Trees of mango, papaya, banana and sugar cane are also around. The whole house is very clean. The cleaning woman wipes the walls and mops every floor with a bleach solution every day. Building materials are difficult to come by so paint is chipping, windows need caulking etc. but they keep things very clean and tidy and I feel very safe even with all of the insects around. I am hoping for a few labors to come in today.

Chicken Coop and Banana Trees

Green Houses and Mango Trees

Women Waiting for their Prenatal

Birth Room with MBH Logo

Sun Room Birth and Prenatal Room

Birth Room Birth and Prenatal Room

Flower Room Birth and Prenatal Room

 Laundry is almost always drying around the Clinic yard

Sugarcane

Papaya Tree

Staff Family and Dinning Room

Clinic

Swimming Pool- This made me laugh because there is almost a page in the volunteer handbook about how you need to dress modestly when you are using the swimming pool :)

Passion Fruit Vine

When we got back I spent several hours napping as did the other midwives. We then decided to go for a walk up to the rock quarry about half a mile away. We stopped by the MBH children’s library and met the family featured in the you tube video. We saw many different people, animals, and houses. When we got to the quarry rain water had collected to form little pods where people were bathing and animals were watering. We climbed a steep hill and we were able to see all around us up the mountains to the east and the ocean to the north. It was very beautiful.

When we got back a labor was there a first time mom named, Tetalley. She was very sweet. We had spaghetti for dinner and mom and her sister Nahnah walked around. We told them to come and get us when things got more intense. I crawled into a new bed under a mosquito net out on the porch and waited. Around 10 Martha came and got me and told me she was active. I went down and found her rolling in bed with the pain. We got her centered and I did an internal exam and found her to be 100% and 5 cm. Her mother had shown up by that point and kept pulling up her skirt and opening her legs wanting her to push out the baby. I finally got her to leave her alone and she labored with us holding her hands, rubbing her back, and putting water on her belly. Around midnight she said she had to poop and I checked her and found her ready to push. Martha went and got Mary and they were going to turn on the generator when a miracle happened and the power went on. She had a very tight hymeneal ring. I was worried about her tearing on the birth stool so she pushed a few contractions there and then we moved to the bed. She would not have torn except for a nuchal hand that popped out. Baby had great apgars and cried eagerly.They worked beautiful together and grandma was so happy.

 I ended up needing to suturing her up a bit. She showered and then we moved her to the postpartum room where we worked on breastfeeding. I crawled into bed at 2:30 but still didn't sleep well as the baby was up often during the night and I went down to help the mama. She was exhausted and a little shell shocked which is pretty normal for a first time mom no matter where you live.

Photos of individuals shared with permission that was obtained prior to taking photo.

Birth Photography for St. George and Cedar City Utah

I have had the privilege of working with Rachael Steele of Steele the Moment Birth Photography several times. Here is her fabulous facebook page.  If you are interested in birth photography I would highly recommend looking at all of the wonderful local options. The photos will be something you will cherish forever and everyone I have ever spoken to about them have found them well worth the cost. Below you will also find some beautiful examples of her work. I was at several of these births as a second midwife to Laura Hopper another wonderful local midwife resource. 

Here is my interview with Rachael:

When did you first become interested in photography?

I have always had a fascination with the idea of being able to photograph and freeze moments in time…a fascination that started very young and was inspired by many artists including Anne Geddes. I remember even at about the age of thirteen, setting up a fur rug to take a picture of my newborn sister, as well as a close-up picture of a beautiful flower and thought somehow that I was going to put it together to make this beautiful piece of art! Not quite sure how I thought I was going to do that to be honest, haha. Yet the desire to make art out of a precious new life while at the same time capturing all her little details forever was definitely already there at that point!

What about birth photography?

I first heard about birth photography from a fellow twin mom on the mothering.com twins forum actually! I had just started to really get into the world of professional photography, and as I also had such a love for the whole birth process (but no desire to be any kind of medical personnel) I could not believe what I was hearing! Two of my passions all wrapped up into one! And not only that, the whole idea of the sentiment behind it…I am a very sentimental person. Yes, I save everything. I wrote every single detail down in a pregnancy journal with both of my pregnancies, did baby books, kept little sentiments, had hand and foot molds done, etc. Everything I can get my hands on to sort of capture those little details that are so soon forgotten. What a wonderful idea, to be able to preserve those memories and at the same time, allow the support team to work with mom and not even worry about taking pictures! Phenomenal! Not only did I wish I had thought of it with my births, but I wanted so badly to be able to provide such an invaluable service to as many families as I could.

 Tell me about the first birth you attended whether you took pictures or not?

Well, the first birth I ever attended would have been my oldest sisters. I was probably 17 or so and just there to support my sister. Even at that young single age I remember being a little bit shocked since I had never really seen a baby be born before, but I have been so amazed since then and continue to be amazed at the human body, the things that it can create and the hard things it can do! I attended several other family member births after that and it never ceased to amaze me. Following a long period of training and being mentored specific to birth photography I took on my first birth client, a dear friend of mine where I was able to photograph her breathtaking home birth. It was such a remarkable thing to be a part of. And from that moment on, I knew it was my calling in life to be able to preserve these special memories for people. 


Why would someone want birth photography?

As one of my birth photographer colleagues says, “Because they only take their first breath once.” You know, this is the hardest thing for me to answer sometimes. I know the answer…but it is hard to describe. Each one of my clients could tell you, but kind of like having a baby, you will never fully understand until you have had the experience. For many mama’s it is so very healing and empowering to be able to actually see the work and the labor of love they put in to bringing their child into this world. To be able to see the love and support that surrounded them throughout the whole process. To me, there is no greater gift a person can give themselves, their baby, and their posterity than to have professionally captured those fleeting moments.

Why hire a professional?

As much as it would be nice to be able to have just anyone record your story, the sad truth is that many of those special moments will be missed, and those moments are things that you cant get back. As a professional birth photographer I am trained to hone in on the details and quiet moments that matter the most, often times they are little bits of importance that the average person may not catch as “important” but is very much a part of the journey. Many people may think it’s just the difference in the camera, but that is not the case. Yes…I have a nice big camera, but it is just a tool, and knowing how to use it properly is what makes the difference. I chose my camera and lens’s specifically to be able to capture great images in low light situations and have been trained in just about every aspect/scenario that comes along with birth. The difference in training as not just a professional, but a professional birth photographer is of immense importance.

Can't dad take pictures?

Words cannot describe! Please if I may share a link that will show you exactly what moments you would have missed if dad were behind the camera instead. As a member of the International Association of Professional Birth Photographers, a group of us got together to share our best images that just begin to describe the answer to this question. Please, enjoy our video “Hold her hand, not the camera” 

What if I don’t want pictures of the baby coming out?

This is what makes birth photography so great! It is totally up to you how much or how little you want in your photos. Either way, rest assured you will have a complete birth story start to finish regardless of what you choose. It is purely personal preference. Some people want images they maybe even just want to keep to themselves to see the hard work they did, some may just want the images of babies head coming out where you cannot see anything else revealing, and then some choose to wait until baby comes up for their first breath. There is no right or wrong choice; it is absolutely up to you!

What about modest pictures?

Again, it is completely up to you how you want the images to turn out. There are almost always angles I can use to take the images in a way that it is as modest as you would like it to be. I am always very conscious and respectful of the birth space and my clients’ privacy and do everything I can to make it comfortable…more like a “fly on the wall” kind of experience.

What if I do want pictures of the baby coming out?

Absolutely. I have no problem with however my client decides they want their images taken. 

What type of editing do you do?

Well, to start off…each of my clients gets a folder of color images as well as a folder of black and white images. Many birth photographers will just do black and white, but often times I find that I absolutely love the color image and I don’t want to take that away. For that reason, I provide both. So it is up to my client to decide which ones they like in color and which ones they like better in black and white. As far as actual editing, I “process” each of the images a certain way, I don’t ever “touch up” the images. I won’t remove things out of the photo or change anything in a way that does not depict the trueness of the actual experience. Most of what makes the images what they are, is the way that I actually “take” them in the first place. It’s true there is cropping and tilting and converting to jpg format, etc. and all my images go through a similar process, but it’s all just a way to get the images into a usable format. 

How do the doctors and midwives like working with you?

I have a really good working relationship with a lot of providers including midwives, doctors and nurses. I have worked with a lot of them in the area so most of them are familiar with me and it has been a great experience! I have had both midwives as well as doctors tell me that they actually really enjoyed being able to see their job from that perspective as well.

When do you like to get called to the birth?
Basically once my client is in active labor I want to be there. For most home births, I will show up shortly after the midwife does. I want to be there soon enough to get “laboring” shots as well as pictures of those moments when their support members are there for them and helping them through their progress. I want to be able to get detail shots before hand also, in a way that sets the seen. Pictures of all the stuff that is out and ready for baby, maybe what other family members are doing while waiting, the weather, the date on a newspaper or calendar, and things like that.

What if I have a c-section?
Well, in general the rule is that as long as it is not a complete emergency and the doctor and anesthesiologist are okay with it, then it is allowed. There are no actual policy’s set in place at our local hospital that prevents photographs from being taken, as long as there are no photographs of any actual procedures. Even if something turned into c-section and I was not able to photograph that part of the birth story, there is still a story to be told. Even if the birth story images went from mom and dad walking into the OR, a picture of the empty room they were in and a picture of the clock at the time, then a picture of them coming out with their new bundle of joy. Then a lot of times they can wait to do the length, weight and footprints til they are in a regular room, so everything is still there and the story is still complete.  

Tell me about the difference in shooting photos at a hospital birth verses shooting a homebirth?
Really there isn’t much difference as far as my job goes. The hospital ones I do tend to mostly be medicated, not all, but most. So those ones are easier to gauge how long I have. But that’s not always the case. The only other difference besides the “security” at the hospital is that the lighting is usually always the same in the hospital, very 2 dimensional. Because of that, I shoot a little bit differently in order to create 3 dimensions. Just technical stuff though. Each birth is different regardless of whether it is in the hospital or at home.

Do you do maternity and/or newborn photos?
Yes, absolutely! I specialize in maternity, birth and newborn. I have packages for each so you are able to combine either of those options together, which makes it nice for my clients to sort of be able to build their package how they want between those options.

Tell me about the birth where you learned the most about taking birth pictures?
Oh gosh, that’s a tough one! I’d say I have several. No matter how long a photographer is in the field, you learn something new at every single session I think. For me it was important to learn everything I needed to know about taking birth photos, before ever stepping foot into a birth to “practice” on, as birth is not something you can retake if you miss something. But if I had to pick, I would probably say some of my “firsts”. For instance my very first home birth, my very first hospital birth, first twin birth, first c-section, etc.

How long after the birth do I have to wait to get pictures?
I will usually give you a sneak peek within the first 24 hours of the birth. That way you have some beautiful images you can share with family and friends immediately to announce the birth of your new little one! I always say 4 to 6 weeks for the CD of all 150 to 300 images, although I have gotten them back within a couple of days. It sort of depends on how much work I have at the time. But is never beyond the 6 week mark and usually by 4 or sooner. If you need images for birth announcements, etc. I am always really flexible with emailing you a couple if you would like.


How much do you charge and what is included? 
Well, I always tell my clients in the beginning that it may be something you need to save up for. I do take payments as well, but it is along the lines of wedding photography (except that a wedding photographer isn’t on call 24/7 like I am ). Right now I am currently charging $400 for the birth, and have packages that include either the newborn or a maternity session for $575 and my “Whole Bundle of Joy” package which includes a maternity session as well as the birth and newborn sessions for $750. (These are my current specials that require a $100 deposit to hold at that price)

Any final words?

I just want to emphasize how priceless and invaluable birth photography is. No matter what your concern, I have never once had an unsatisfied customer. It definitely isn’t something you will regret! But I can’t tell you how many people I have talked to that never quite get around to booking their session until it’s too late and they say how much they had wished that they had done it. For me, it’s not an option. Not just as the professional birth photographer, but as a mother myself. My next birth, no matter what the obstacle, I will make sure I have my birth documented in a professional way so I can freeze those moments in time so the memories can always be fresh in my mind.