SPECIAL BEGINNINGS...












After weeks of increasing Braxton Hicks (BH) contractions, I woke up at 3:30AM on December 15th with
a series of pretty strong contractions about 7 minutes apart.  They definitely felt “different” from the BH
contractions, stronger and more painful, like strong menstrual cramps.  Since they never seemed to get
closer than 7 minutes, and sometimes went to 10 minutes, Tim and I figured them for early labor and
tried to sleep.  We had a Special Beginnings (SB) appointment at 6:00PM that day, so we figured if we had
any questions we could ask then.  Contractions continued all day ranging from 7 to 20 minutes apart, no
big deal but noticeable.
[We left early for our appointment, and took the opportunity while in Annapolis
to shop at Whole Foods for things we thought might like during labor, and at Mills Liquors for things
we thought we’d like after the labor.]
We mentioned the BH contractions at SB and were told, probable
early labor, go home.   

Early the morning of December 16th, I woke up with even stronger contractions at around 1:40AM.  
These were definitely stronger that last nights and I had to really concentrate to get through them.
[Liz
elected to sit in a tub of warm water for most of these contractions.  It seemed to help]
 After timing
the contractions for a while, we found them to be ~5 minutes apart, 45 seconds long.
[A piece of
memorabilia that will go in the family archives is the flattened toilet paper roll on which I recorded the
contraction intervals—it was the only paper close at hand.]
 We called SB and hit the road at right
around 3:00AM, arriving at SB at 4:30AM.
[Liz rode in the back of van, leaning on a pillow placed on a
folded-over seat. Not the safest position, but a lot more comfortable than sitting up front.  The roads
were deserted--I ran at least three red lights, figuring I had the best excuse I’d ever have.  We stopped
twice so that Liz could go to the bathroom—at one Wawa, Liz wanted a coke to help with mild motion-
induced nausea.   The cashier was away from register, so I tracked her down in the back of the store,
thrust a dollar bill in her hand, and told her “My wife is having a baby, I’m taking a can of Coke, keep
the change.” She wished us luck.]
  Joanne met us at the door at SB, and we got room #3 as we’d hoped.  
We settled in, Joanne checked me and I was six centimeters.   Things were looking pretty good, we
figured we could have the baby by late morning.  Not the way things turned out.   

After about two hours, I was at eight centimeters, and the baby was at -1/0 station.
 [I was making sure
that Liz continued to drink water or Gatorade (her choice and she pretty much alternated) after each
contraction, make bathroom breaks, etc.]
 Contractions had gotten progressively more intense, with
what you’d call “transition contractions” starting. These contractions were centered in my lower back,
moving around to the front, I had no pain between contractions so Joanne thought that the baby was
probably anterior.  The contractions were lasting a minute and a half to two minutes of strong intensity
and were around 45 seconds apart.  The only way I could get through them was by yelling (loud and low)
through them.
 [She was a trooper—took coaching wonderfully and made sure I knew exactly what
she needed to me to do.]
Then things got interesting.  After another two hours at right around 900AM, I
was at 9 ½ centimeters, the baby was still at -1/0 station and I was getting really tired.  Joanne
suggested an amniotomy, which I declined at that point, since I thought that I’d give the baby time to
move around.  

After about 15 minutes, my labor stalled – kind of.  I still had contractions but they were only 45 seconds
long and while they felt really strong they had spaced themselves to 15-20 minutes apart.   I think part of
this was because I was tired, coping with the contractions was incredibly draining.  Without Tim being
there it would have been impossible.  At around 10:30, Joanne came and checked me again, still 9 ½
centimeters, still -1/0 station.  After discussion with Tim, we agreed to the amniotomy, mainly because I
was tired, and the labor had seemed stalled for so long.   After the procedure, things moved into high gear
– again, kind of.   Contractions immediately picked up again, only this time they lasted 2 ½ to three
minutes and were 30 seconds apart.  Since I was at 9 ½ centimeters, Joanne thought that pushing should
start shortly.  Wrong!  

Around 12:00PM, Joanne came in to check me with Amy in tow.  She thought that something was wrong.  
I’d effectively been in transition for almost three hours, not a pleasant experience.  I spent most of my
time just standing hanging from Tim’s shoulders, loudly yelling through the contractions.
[This was the
scariest hour of the entire delivery.  Liz was incredible.  Joanne was so concerned she offered Stadol,
and Liz really wanted to say yes, but she said “No”.  It was a hard “No” to say.]
   Anyway, Amy checked
me and found the baby to still be at -1/0 station, and me at 9 ¾ centimeters. Let me tell you that those
numbers were the most discouraging thing I’d ever heard.    After some discussion with Joanne, Amy
suggested that I try an inversion.  Basically this meant going through a contraction with your head down
and butt in the air.  The idea was that the baby might have a funny head position (brow or forehead
presenting), and this would enable the baby to back up and find a better route.  Well, I can say that I was
willing to try anything at that point – so despite a lot of pain – I managed to get through a single
contraction with my head down.  

After I jumped up from the contraction, I felt a roar come out of me – literally.  Joanne gave me a funny
look.  Then 1 minute later, I roared two or three times and started pushing.  It’s funny, I have never felt a
compulsion to do anything the way I felt the need to push.
 [It was amazing, because Liz wasn’t in the
“inversion” position for more that 30 seconds.  I remember thinking, “Oh God, we’re going have to do
that again, and it seemed pretty uncomfortable the first time.”  I don’t think either Joanne or Amy
though Liz had been in the position long enough to have done any good.  It was amazing.  Liz came off
the bed, hung on my neck and said through the pain “I have to push!”  I made her tell me again.  When
she said “yes” I knew we were going to be OK.  Up until then, I was not at all sure.]
 Each contraction
that hit I’d roar 2-3 times and push with each roar.  After 40 minutes, which felt like no time at all, Amy
could feel the head.  At this point, I was on my hands and knees on the floor at the foot of the bed.  This
was the only position that felt comfortable.  Pushing was weird, the contractions still hurt, but it was a
much more bearable kind of hurt because you could do something.  I felt the baby’s head start to crown,
which was an impossible kind of feeling.  “There is no way that head is going to fit” kind of feeling.  The
contractions picked up in intensity and I started to push for longer periods.  
[Amy checked before and
during a contraction, and found that Robbie was pretty far back in the birth canal between
contractions, but that Liz was pushing so hard that he was coming all the way up during the
contraction.  She had Liz string several hard pushes together, rather than resting between then, to get
Robbie “around the horn”]
 Finally, Amy said “Ok, the head is almost out, if you keep pushing it’ll crown.”  
You can actually feel the moment that the head is under the pubic bone and can’t go back, like you’re
going to burst.  Amy told me to breathe through the pushing, I tried, but it’s practically impossible.   His
head was out, his shoulders stuck for a minute, then in one gigantic rush he was born.
[With Liz was on
her hands and knees at the foot of the bed, and in that position I was able to see Robbie’s face as it
came out.  His _expression seemed to say “What the #*!@ is going on here?” ]
  Amy passed him to me
through my legs, saying “here’s your baby”.  He was bluish/gray, blinking his eyes at me and beautiful.  I
forgot everything about the labor once I looked at him.  He weighed 8lbs 2oz.   Given his precipitous entry
into the world, I managed to have a third degree tear.
[While Liz was getting patched up, I was able to
walk Robbie around the Birth Center, and got a good hour and a half (Liz took a lot of patching) of
bonding time with my son.  Despite being pretty tired, it was a wonderful hour and a half]

[I cannot say enough good things about the midwives and staff at Special Beginnings.  I will be
eternally grateful to them—particularly Amy and Joanne.]

I can only think about what would have happened in a hospital, I’m sure the outcome would have been
different.  As it was, even given the pain, the scary parts, and the tearing,  it was the most intense and
most wonderful thing I’ve ever done.

Without our Bradley class, we definitely would not have had the birth experience we wanted.   We had the
training to understand what was going on (most of the time), and despite some hitches we had a great
experience.  

~Liz and Tim McMichael

The Birth of Lilly Stimely
Carol Bittner and Ross Stimely
3/5/04

A Natural VBAC!

Ross, Carol and baby Lilly celebrating
a victorious
natural VBAC!

My first daughter was born 3.5 years ago at full term in an emergency c-section due to fetal distress. I
experienced no labor but woke up sick with a high fever. I was GBS+. When I arrived at the hospital and
placed on the monitor the baby's heart rate was in the sustained 190s. A c-section was called for and she
arrived.

After the birth of my first daughter I began researching the safety of vaginal birth after cesarean (VBAC)
versus an elective repeat cesarean.  Ultimately, I decided that VBAC was safer.  Due to other isses with
my OB I began looking for a new care provider.  Prior to conceiving my second child, I interviewed OBs
and found an OB who had a fair amount of experience with VBACs and who seemed supportive of my
decision to VBAC.  Once I became pregnant I would ask my new OB specific questions regarding his
management of labor and handling of my pregnancy.  Some red flags were raised but I was still confident
that this OB was supportive of my VBAC.  At my 32 week appointment, it became crystal clear, to me,
that he was not.  He started to discuss needing to check my cervix earlier than a "regular" pregnancy to
see when the cervix would be ripe for a pitocin induction!! That was my last appointment with my OB.  
That night I went to interview the midwives at Special Beginnings.  After meeting with David, one of the
midwives, and hearing what was music to my ears i.e. that other than having to deliver at the hospital
rather than the birthing center, they didn't treat VBACs any differently than a "regular" pregnancy, I
switched care providers taht night and started seeing the midwives at my 34 week appointment.   I am
certain that I would have ended up with another c-section had I not done so.

I was due 3/1 and began having very mild cramping that day which intensified but were minor all week.
Early Thursday morning, March 4th after a trip to labor and delivery, where on the advice of our doula
we decided to go home, the contractions died out.  On Thursday night the contractions started again.
Around 8 pm or so. They were coming only one every half hour but they were much, much stronger than
the one’s the night before. I was able to sleep between them but at around 10:30 pm when one would
come I would need to get out of bed to work through it. At around 4:30 a.m. on Friday the 5th the
contractions started coming every 5 to 10 minutes apart. At this point I woke Ross up to help me work
through them. I was having some back labor and Ross was applying counter pressure to my back. I sat
on the birth ball andleaned over an arm chair in our room. I finally just laid on the floor and had Ross lay
behind me applying pressure. At 6:45 a.m. while laying on the floor, I heard and felt a plop and said to
Ross, “I think my water broke.” When I stood up to go to the bathroom to see I felt some fluid leak out
and said to Ross, Hurray! Something is happening!!! Almost immediately the contractions started coming
every 3-5 minutes. Ross called our doula and the midwife who both said
they would meet us at the hospital.

We got to the hospital and were directly admitted since I had been 5 cm the day before and now my
water had broken. I was in my room with the first bag of antibiotics for GBS and being checked at 8:00 a.
m. I was 6 cm and fully effaced. I then found out that the hospital would require that I have continuous
fetal monitoring due to the VBAC (I had been told it would be intermittent). The midwife requested the
telemetry unit so that I could move around. Pam, our doula arrived. Ross set up our ipod and speakers
for some mood music!! (I felt very silly carrying those speakers in but so loved having music playing in
the background-it was awesome).

Basically I just continued laboring as I had since we left home; I was standing up, leaning into Ross during
contractions. He was rubbing my lower back but once my water broke the baby must have turned into
an anterior position and I didn’t have any more back labor. I labored from 8 to around noon, making
steady progress. For a long time I leaned into Ross. I then sat on the birth ball and leaned on to pillows
stacked on to the bed. The monitor couldn’t pick up the baby’s heart rate in this position and two
wonderful labor and delivery nurses (they changed shift in the middle of this) held the monitor in place
by squatting next to me, to insure the baby was okay. They were both wonderful; squatting next to me,
gently rubbing my leg, telling me I was doing great and encouraging me to stay on top of the
contractions. During this time I threw up three times but it was no big deal; I felt better after each time;
it wasn’t close together and Pam would say, each vomit was worth a centimeter!!

The next thing I remember is saying that I felt a lot of pressure. The midwife came back and asked if
wanted to be checked. I said yes and found out I was 9 cm. I got back out of bed and thought, okay, here
comes transition. But it wasn’t what I expected. I got chills but by the time they brought me warm
blankets it had passed. I remember feeling like “yep, I’m ready to be done this part and move to
pushing” but I didn’t feel like I couldn’t go on or that it was that much more intense. It was strange.
Finally, I had two very, very strong contractions where I felt an incredible amount of pressure and had
the sensation that I was having a bowel movement. When I verbalized this everyone was so excited.

At this point all I wanted to do was get in bed. Amy (midwife) asked if I'd mind being checked again. She
checked me and said I had a small lip left; that she wouldn’t mark the chart as my being complete but
that I should follow my body. If I needed to push then push. I had 2-3 ctx where they felt like regular ctx
but at the end felt like pushing ctx and I pushed a little at the end of each one. I then had a couple of
contractions where I pushed very gently and then let a couple ctx go by without doing anything with
them. I was very relaxed lying on my right side in bed. Finally, my doula said, “I think you are breathing
through your pushing ctx. When you are ready you need to push through them.” So on the next
contraction I started pushing “for real” I had several minutes worth of a break between each pushing
contractions. I was very relaxed.

Ross put on “Blackbird”* by the Beatles. He and I were gazing into each other’s eyes, realizing that we
were going to do this, we had come so far. We both had tears in our eyes when we realized that so did
everyone else in the room, they were all crying. It was beautiful. On the next ctx I felt the baby slide
through my birth canal and all of the sudden everyone said they could see the baby’s head. Amazing. I
pushed one or two more times and Pam asked if I wanted to feel the baby’s head. I reached down and
felt her emerging. Amazing!!

The nurse went and got the mirror and I opened my eyes for the next push to see her head come further
and further out!!! What a rush-she was crowning and I could see it. I pushed a few more times while
Amy massaged my perineum. The baby was crowning and the perineum was not budging. The heart rate
decelled and the baby's head turned purple. After another push Amy told me she thought I needed an
episiotomy, that the baby had been tolerating everything well until then but was experiencing some
stress. I trusted her implicitly and told her that I was okay with an episiotomy. She did a pressure
episiotomy and on the next push Lilly’s head came out. Her chord was wrapped once around her neck
and Amy quickly and without fan fare undid it. She asked me to push the body out without waiting for a
ctx and out she slipped. A girl!!!! How beautiful. Big eyes, black hair, Beautiful, all nine pounds of her!!!!!
No one expected her to be so big. They laid her on my chest immediately and I got to hold her and love
her and feel her wet skin-what complete joy. When I lifted her up I said, “Oh Lilly, we’ve been waiting so
long for you. Ruth will be so happy to have a sister.” I put her to my breast and she started nursing right
away. We let the chord stop pulsating and I held her while they assessed her and Ross cut the chord.
They finished the newborn procedures in the room with us while Amy sewed up my tear.

What an amazing journey from Ruth’s birth via emergency c/section with no labor to Lilly’s completely
unmedicated VBAC . This has been such an empowering experience. I cannot adequately describe the
feelings that I’m having. It has been life changing and life affirming. It has given me so much more
confidence in myself and faith in the design of things. It has solidified my relationship with Ross in ways
that I could have never imagined. It has given me greater appreciation for the two beautiful daughters
that I have been so incredibly blessed with. It has healed me in ways I didn’t know needed healing. It is
the completion of a long journey. It is peace and beauty. It is sublime.

Carol, mom to Ruth and Lillian

*"Blackbird singing in the dead of night. Take these broken wings and
learn to fly.  All your life you were only waiting for this moment to arive."  
-Lennon and McCartney

The Birth of Ida Carol Makovsky
Melanie and Eric Makovsky
11/13/03

Baby Ida

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Birth of Haven Marie Hitchcock                
Natasha and Jason Hitchcock
9/19/04

*Natasha sought prenatal care and gave birth with the midwives at the Maternity Center at Bethesda

Labor came on naturally at 2:30 am Saturday.  It woke me up and after a few of them I woke Jason up.  
We went back to sleep for an hour or two and then they woke me up again.  I got sick as the contractions
got stronger.  Jason woke up my mom and she told us to go back to bed if we could.  We did.  An hour or
two later I woke up again.  The day unfolded with me getting sick everytime I ate - even popsicles and
chicken broth.  But they were diligent with keeping me hydrated.  I had HORRID back labor and we tried
everything we could to get the baby to turn around.  Nothing worked.  They tried to distract me.  We
watched movies, looked at photo albums, played music, used imagery...  But the back pain was unbearable.
 I spent some time sitting in the lazyboy with the massage thingy on.  That helped sometimes.  Sometimes
I just kneeled over the ball or the chair or on all fours and my mom or Jason used counter pressure on my
pelvis or rubbed my back.  We tried electro-stimulation, compresses, the rebozo jiggling, adjusting my
back, everything.  Nothing worked.  Oh and I'm not very good at relaxing but Jason talked me into it a lot.  
He was an amazing coach as was my mother.  I begged to go to the Maternity Center to sit in the jacuzzi
convinced that it would help me.  They delayed and distracted.  I clearly wasn't ready.  My mom checked
my cervix at some point on Saturday night but it was so posterior she couldn't tell what I was.  At some
point early Sunday morning my mom fell asleep (in the middle of timing a contraction).  I was dozing
between contractions all evening and part of the night.  At one point I had to wake Jason up to get me
more water.  Around 2 or 3 they were coming one atop another.  My mom woke and I begged them to call
the Maternity Center (we had called Saturday to let them know I was in labor but that it was early).  They
called.  The midwife talked to me (for the 10 seconds I could talk) and we told her we were coming in.  
That was about 4:30am Sunday.  By the time the car was packed it was 6 am.  We sped off down the
freeway.  I watched the sunrise and listened to music while my mom rubbed my back.  I remember all the
bumps on the beltway - damn construction.  We arrived at the Maternity Center about 7am and my
cousin (who we had called around 5:30) was already there (she didn't have anything to pack I guess).  The
midwife checked me - I was 8 cm with a very saggy but intact amniotic sac.  We immediately hopped in
the jacuzzi.  Jason came in with me and my mom sat on the edge and they both poured hot water on the
parts of my body that were sticking out of the water.  I started feeling the urge to push and pop went the
amniotic sac like a water balloon.  The jets unfortunately provided no relief to my back labor.  But the hot
water felt good and the candlelight was soothing.  By the way, we brought one of those rubber kneeling
pads that people use for gardening - it was a godsend in the tub for me to kneel on and Jason used it alot to
kneel on at home and massage my back.  Anyway, I was still pushing some with every contraction but the
back labor was so bad that we decided to try some other positions out of the tub.  We tried the toilet,
kneeling, sitting on the ball, sitting on the birthing stool, lying on either side... eventually I ended up on my
back trying to push her under my pubic bone.  Damn posterior baby.  I had been pushing for about 2
hours when the midwife told me that if we didn't start making some progress, I might have to go to the
hospital.  That must have really pissed me off cause in the next half hour she was crowning.  And by that
point I wanted so much relief from the pain that I couldn't NOT push with each contraction.  This I guess
caused part of my tearing but at the time I didn't care cause I wanted that baby off my tailbone and out of
my body.  So eventually I pushed her out.  She pooped out tons of meconium and had no vernix left on her
at all.  She had also aspirated quite a bit of meconium and wasn't breathing well so they ended up deep
suctioning her.  In fact for the first hour she was breathing at twice the normal rate and they had to do a
lot of stimulation to get her to cough it up.  In fact she spit up quite a bit for the first 3 days trying to get
rid of all the junk in her lungs and stomach.  Oh and she has the longest feet the midwife had ever seen -
they wouldn't fit on the print pad and don't fit in newborn socks.  She has really long fingers too.
Anyway, she was the most incredible thing I've ever seen.  We are so in love with her.  I never want to put
her down.
Breastfeeding is going well after some nipple trauma the first few days.  We had a lactation consultant
come in and she was a big help.  I still have some pain in one nipple but it's getting better. I'm going to
start going to the La Leche Meetings to get more help and support










~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Eric and Melanie at
35 weeks pregnant

Robbie at 2.5 months
Breastmilk...it does a baby good!

When I first found out I was pregnant we began our prenatal appointments at the National Naval Medical
Center in Bethesda, MD, since my husband is on active duty in the Navy. The doctors there were very
nice and answered our questions, but as I began to read some books about natural childbirth I began to
question whether this was the place I wanted to give birth. After I became interested in the Bradley
method because of the importance of the father's involvement, I asked many questions about the way a
typical birth happened at the hospital. The doctors were giving me the answers I wanted to hear, but I
was skeptical, since I know that the military typically runs things by certain protocols. I didn't feel that a
birth was something that should follow a standard protocol. After speaking with Nicole about the
childbirth classes, and contacting several other people in the area familiar with our situation, Tammy at
Special Beginnings was able to arrange for me to give birth at the birth center, with full insurance
coverage. I began my prenatal appointments there around my 32nd week.
By around 34 weeks I had lost my mucous plug and discovered that Ida was at a -2 station in my pelvis,
so we anticipated an early or on-time delivery. I was quite anxious at this point, because people were
beginning to tell me that I looked terrible, and all the comments about my size were really getting to me.
Well, Ida decided to take her time. I had an appointment 3 days after my due date with Rachel, who
helped calm me down and reassure me that I wouldn't be pregnant forever. She encouraged me to take
daily walks to get things moving, or at least help me feel more active. On Wednesday, 11/12/03, I took
my usual walk of about a 1/2 mile or so, and felt some pressure in my abdomen and upper thighs. Later
that night, while out to dinner and shopping with my husband, I began experiencing very irregular, but
very strong Braxton Hicks contractions. I dismissed this, assuming I'd just been on my feet too much. We
returned home late and stayed up watching television, and the contractions continued on and off. When
we went to bed at about 2AM, I was still having irregular but painful contractions. Now they were so bad
that I couldn't sleep. By 3AM, however, they suddenly became regular. When I realized that I'd had 3
contractions that were each about 10 minutes apart, I began recording the time. I felt bad for my
husband, who'd been getting up early for work, so I decided not to wake him. Instead, I did the various
positions and relaxation exercises I'd learned in Nicole's class on my own. I finally woke him at 5AM,
telling him I couldn't handle it alone anymore. At 6 we called the birth center, but since I was still able to
carry on a conversation, they told me to wait until 8 to come in.  Well, by 7:30 I was convinced this baby
was coming, so my husband put me in the car, and we drove slowly, since we only lived about 20 minutes
from the birth center. When we arrived there at 8, Rachel and one nurse were there to meet us. I was 6
cm dilated at the time, though they did not tell us this, only that I didn't need to go home. After that I
spent some time in the tub with my husband, and stayed there through a rough transition phase. As the
pushing contractions began, however, it was hard for me (or anyone else) to tell whether I should begin to
push or not,  as I was only feeling a constant pain, and no urge to push at any point. They did another
vaginal exam to figure out what was going on. Ida had not progressed past the -2 station, and I would
have to push her from there. Again, they never told us any of this until after she was born, so I didn't
understand why the pushing stage was taking so long, and why I was so exhausted at the end. It took at
total of about 3 1/2 hours. At one point the exhaustion was so strong that I had trouble remembering to
breathe between the contractions, and I blacked out a few times. Rachel did ask my husband if I wanted
Stadol at one point, but even in our exhaustion we both remembered that this would only shut me down
mentally, and would probably do little for the actual pain. We refused.
Ida came into the world at 1:05PM, while I lay on the bed. My husband was able to catch her, with the
help of Rachel, our midwife, and Ellie, who was training to become a midwife. Just as I had asked, she was
immediatly placed on my chest, even though I did lose a lot of blood and was unable to sit up to breastfeed
her. Ida was quite blue and slow to breathe, as her umbilical cord had been around her neck, but after
sucking on a small oxygen tube and being covered with several warm blankets she was just fine. Though it
took some time to deliver the placenta and stitch up a small wound, I was able to see my baby at all times,
and my husband held her and sang to her. After all was through, Ida breastfed for the first time, and we
were left to cuddle in bed and nap until about 8PM, when we went home again.  Though parts of the birth
were more difficult than I expected, I can confidently say that we were all fully prepared for the
experience, and that in the end it brought us closer together as a family. And we couldn't be more proud
of our beautiful healthy girl













~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Birth of Jacob Alexander Rohmann
Kym and Mark Rohmann
5/27/04














My husband Mark and I knew nothing about pregnancy or child birth when we got pregnant.  Like a lot of
people we just went to an obestetrician that was highly recommended to us by my sister who (at the
time) worked in the hospital on the labor and delivery floor.  We went to the appt at about 11 weeks and
we were very disappointed in the way we were treated.  We were not treated poorly, however, it was not
the attention we were hoping for.  Friends and family started to tell us to get a midwife and a doula and
we had no idea who these kinds of people were. We decided that we wanted a natural child birth and I
began to research where we could go.   I looked into Special Beginnings Birth Center and made an
appointment there for my following visits.  This is where I found out about Nicole’s Bradley class that
Mark and I went to for 9 weeks.  Her class was very informative and I feel like it really prepared us to
make the right choices for the birth we desired.

I was 40 weeks pregnant and my due date (May 24) came and went.  I started to make a video of the
nursery and my swollen feet and belly.  I also made some last minute stops at Babies R Us to kill some
time.  I was hot and pretty miserable by then.  The next day passed and the next night I woke up at 4am
with contractions.  They lasted until 7:30 am and were about 10 minutes apart.  I played solitare on the
computer and did not wake my husband.  I was able to sleep from 7:30 until 10am because the
contractions had gone away completely.  I woke up very excited that this would be the day.  I began to
have contractions again, one an hour all day long.  I really did not think this was the real deal and I was
waiting for these to stop too.  I was totally taken by surprise when around 11pm they began to be only 15-
10 minutes apart.  Then by 1 or 2 am the contractions were 5 minutes apart.  We called our doula who
said she would meet us at Special Beginnings and to call them then.  David, our midwife, told us to come in
and we waited for my sister to show up and we all drove together.  The car ride was especially
uncomfortable, and I held on for dear life when a contraction would come.  They were almost unbearable
and I could not relax, instead I would groan and tense up.  When we got there I was already at 7cm and I
got right into the tub.  Shortly after, about and hour or two, I was at 9cm.  I was able to relax and float. To
my surprise I actually fell asleep between contractions and I remember dreaming.  I was so tired.  I went
24 hours with out sleep and 10 with out any food.  I was exhausted.  By the time I was 10 cm and ready
to push, they got me in a squat position.  This was when I heard my water break and it was clear and
looked good.  I pushed only for an hour before Jake came out.  I was on my knees and this was hard
work.  Mentally I was ready to be done before he was even crowning.  I remember being impatient and
pushed and pushed.  He was born at 6:30 am just after the sun had come up.  He was beautiful and worth
all of the hard work and yes, pain.  I tore pretty bad inside and out and had to be stitched up for a long
time.  That was probably more painful than having the baby.  We stayed for about 5 more hours before
we went home.

My overall experience with Special Beginnings, Nicole’s class, and natural childbirth was great and I would
recommend it to anyone.  We are happy with the way everything turned out and couldn’t have done it
alone. Thanks everyone!

Mark, Kym and Jacob Alexander Rohmann

Liz and Robbie just moments after birth!

The Birth of Robbie McMichael
Liz and Tim McMichael
12/16/03
(dad's perspective inside brackets in green)

Ruth and baby sister Lilly--the beginning of a
great friendship!

Kym and baby Jake just moments after their waterbirth.  One
relieved mom and one alert baby!

Baby Ida

Kym and Mark with 11 week old Jake

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Births of Zachary and Tyler Canaday
Suzanne Spoor and Steven Canaday





Twins!

While I was pregnant, I asked many women who had given birth whether they would recommend their
birthing class. Not one of them did! But all of them had taken a Lamaze class or something generic offered
by their hospital. Most of the women I asked said that once labor came, they forgot their breathing
techniques; some said that their class was simply a way to involve their partners in a superficial way.
Thus, I hesitated to sign up for anything. But then my pre-natal yoga instructor, Jacci Reynolds, told me
about the Bradley method. So I was fully 27 weeks pregnant with twins when I called Nicole and asked
her if I could take her Bradley class. Even though the class she was currently teaching was into its third
week, she accepted me and my husband, Steven.  

I am a women’s studies professor, and therefore I had studied and read all about the pathologizing of
pregnancy and birthing rituals in the U.S. In other words, I knew that I didn’t have to become “sick” and
helpless just because I was pregnant. So once I knew about the Bradley Method, I was intellectually quite
ready to be “empowered by the knowledge” of how to give birth. Even so, I found myself emotionally
challenged by Nicole’s Bradley class. At first, I was finding it difficult to approach my first birth knowing
that I could not passively trust my doctor to make all the right decisions for me. After the first couple of
classes, it was hard to go to sleep because my mind and heart were in conflict. I knew that what I was
learning was true, but I had to shed my culturally constructed belief that women weren’t strong enough
to give birth on their own, a bias I still held emotionally despite my feminist beliefs.  

I had chosen an obstetrician rather than a midwife because with twins I was automatically considered
“high risk.” Furthermore, I was 37 years old and had only been able to conceive with the help of in-vitro
fertilization (after 4 years of trying), and to complicate matters, I had had a tumor removed from the wall
of my uterus six months before I conceived. In fact, my surgeon had told me that I would need to have a
c-section if I were ever to conceive because of the location of the tumor. My o.b., Nicole Luecke, was
fabulous and right away looked at the post-surgery report to see if I could try to give birth vaginally. And
indeed, my surgeon (who was also my fertility doctor, Melissa Esposito) had done everything in her power
to retain the integrity of my uterus and wrote that she was “quite certain” she had not “perforated the
wall of my uterus.” It is to the credit of these two doctors that I was in the position to try to push my
babies out myself.

Nicole helped me realize my desire. If anyone asked me about my birthing class, I told them it was
fantastic. We were learning a great deal and felt prepared for anything that might arise. By the time I was
in my 34th week, my husband and I had done our Bradley reading and classes, written our birthing plan,
talked in detail to Dr. Luecke about our ideal birth, lined up my sister as a doula and even bought chicken
broth to keep up my strength during labor. The only things I had left to do were choose a pediatrician and
pack a bag for the hospital. But I didn’t get a chance to do either one.

At 2 a.m. on February 3, my 36th week, I was awakened with a very hard contraction. I got up to walk a
bit and realized that my water had broken. In all the movies we had watched, a first labor takes a very,
very long time, and I knew it was important for both my husband and I to keep up our strength. So I had
two thoughts: “Let Steve rest,” and “make a baked potato.” But I honestly didn’t feel like getting out of
the rocking chair in the nursery. And by 4 a.m., I really wanted some company because the contractions
kept getting stronger and stronger. So I woke Steve and together we considered baked potatoes.  

At 5 a.m., I felt I was going into the category of “rather uncomfortable” even though it was only three
hours into labor. So we thought we better pack—but really this meant that Steve needed to pack, since by
this time, I was kneeling and rocking to get through contractions that were coming every 3 minutes. I
called my sister, who needed to start travelling down from Manhattan, and Steve started running around
the house putting stuff in bags. This is where it got pretty funny: I was in the bedroom, moaning one
minute and instructing Steve on what I wanted packed the next minute. Steve was running from nursery,
where he was searching for onesies, to bedroom, where he held my hand through a contraction, to
kitchen, where he was packing a can opener for the chicken broth we were determined I would need at
some point. He even packed the six-inch Bradley binder Nicole had given us in class just in case we had
any questions during labor!

We arrived at the hospital: Steve was so laden with bags that I had to use walls and counters to get
through my contractions. Complete strangers stopped in alarm, and our remaining energy was spent
trying to reassure them. Even then, I thought it very funny.

When we finally got settled into our labor room and looked around, we realized that we forgot the most
important thing: our birthing plan! Of course, my labor went right ahead without any written plan. And
luckily, my labor nurse, Karen Salamie listened to everything we asked of her, honored our wishes and
showed respect for my privacy. I’ll always appreciate her positive and encouraging way with me.  

My labor continued to progress without stalling. Every two or three hours, Karen checked my cervix and
told me it was more dilated. I moved around from the birthing ball onto the floor, and into bed (when I
needed to have external fetal monitoring). My sister, Cindy, arrived around ten in the morning after
getting her three children from Brooklyn to Manhattan and then jumping on a train herself. Steve had
been constantly helping me—holding my hand and coaching me quietly—for four hours and was ready for
a break when Cindy arrived.  

Cindy and Steve took turns getting me water, talking with other relatives in the waiting room and rubbing
my head or hand while I labored. The time flew by for me. I was just concentrating very hard and
breathing. When my doctor arrived around noon, she suggested I might want to take a shower to help me
relax before going into transition. The hot water was a great distraction, and between contractions, I told
Cindy a story about trying to buy a nursing bra. I had gone to Nordstrom on a very cold day. So I was
wearing a heavy winter coat and big boots. Being 35 weeks pregnant, I was feeling especially whale-like,
and once inside the store, I got hot and sweaty. In this lovely state, I approached a sales woman and
asked about nursing bras. She asked my size and when I told her, she said, “Oh, my, no! We have never
heard of an ‘A’ nursing bra!” I said, “Well now you have!” and then I spun as gracefully as possible while
wearing snow boots and marched out.  

By the time I finished telling my sister the story and taking a shower, I had completed the transition stage
of my labor. I dried off, asked the nurse to remove the bottom of the bed and replace it with a standing
platform and a squatting bar, and I pushed. With each push, my doctor advised me on how to better focus
my pushing so as not to waste any energy (less in the legs, more in the pelvic floor, etc.) My sister helped
me breathe, and Steve gave me water and held my hand every single contraction. By 1:30, I had pushed
out my first baby—a healthy, beautiful blonde baby boy! I can’t describe how I felt. He was perfect and
safe. We waited a few minutes for the blood to flow out of the cord, and then Steve cut it. My little guy
was starting his life on his own now.

It occurred to me at this point that I might want a little rest. I told my doctor this, and she just smiled.
With the next contraction, I pushed hard, and we had a second son almost before I knew what had
happened. This little guy’s cord was a bit short, so I couldn’t hold him on my chest to wait for the cord to
empty. But I stroked his head, and very soon I was nursing him. By that night, I had learned to nurse
both boys at once. And within a few hours, they were pros.  

Thankfully, my sons continue to be healthy. They gained their birth weight back within a week. They are
now six months old and still breastfeeding. Even though I had something to do with it, I would not have
had the wonderful birthing experience that I did without the help of Steve, Cindy, Nicole Luecke, Nicole
Tengwall, Karen Salemie, Jacci Reynolds and Melissa Esposito. I was blessed that both babies were head
down and healthy, and I was able to deliver two beautiful baby boys at 5lbs 9 oz and 4lbs 8 oz. without
any drugs on February 3, 2004.  

Zachary and Tyler...still side-by-side!

Suzanne and Steven...doubly blessed!

The Birth of Zachary Vibbert Wallach
Cindy and Doug Wallach
6/18/04

Zach about to be born!

A C-Section Story

Strong wills and independent spirits run in our family. And Zachary is no exception. We went to our
fabulous Bradley class taught by Nicole Tengwall. We committed ourselves to a completely natural
childbirth, with a midwife, at a birthing center. We made our birth plan and packed our bags.  But Zach had
his own birth plan.

At about 36 weeks I felt funny. Nicole had taught us what we should feel where, and how you could tell if
the baby was posterior. So using what I learned I went to the midwife that week and said I thought the
little guy was posterior.  She felt my belly and hummed and hahhed for what seemed like an eternity. Then
she said, “Not only is he posterior, he’s breech!”

We discussed the options. Right away we ruled out and external version (a technique where the midwife or
doctor will manually attempt to rotate the baby by pressing on the abdomen and turning the baby with
their hands) . I was uncomfortable with it and apparently it’s not allowed in many places any more because
of insurance liability (the procedure can sometimes cause the placenta to abrupt or entangle the baby in it's
umbilical cord). So instead, we started the routine. Visits to the chiropractor, visits to the acupuncturist,
certain yoga positions, cold peas on his head, shining a flashlight down low (swim to the light baby boy…),
music down low, standing on my head in the pool, visualizing babies head down… you name, we tried it!  I
thought I felt some movements and I was full of positive energy. We went in for our nearly 40 week check
up… and he was still breech.

I wasn’t given very many more options. Because of his position and some issues I have with allergies to
anesthesia, it was decided by the midwives that I should go in to the hospital the next morning and have
my baby be born by c-section. No going into labor, no picking out our birthday, just go have your baby in
the morning.

How weird to go to bed at night with the knowledge that you well be a mom at an exact time the next day.
I cried all night. This is not what we planned. This isn’t what was supposed to happen. I was so ready for a
natural childbirth. I wasn’t afraid at all! What I was afraid of was needles. I have a severe phobia of
needles. I had never had an IV in my life, never had surgery, never broken a bone, never taken a drug
stronger than an Advil. And here I was about to be stuck and sliced open. I was terrified.

Our doula met us at the hospital at the set time. I went into the prep room for my IV and was in tears. The
doula explained that I was needle phobic to the nurse. Then super doula massaged my feet and helped me
visualize and relax. Who knew labor coping techniques could be used for getting through an IV?! The nurse
stuck me twice and STILL didn’t get the IV in. The doula calmly and firmly suggested she call another
nurse before I pass out. New nurse got it in just in time for us to find out that several emergency c-sections
came through the door and we wouldn’t be going until “later”. It was 8:30am.  I had a needle in my wrist. I
hadn’t eaten since the night before. And we were left in a room to wait. And wait. And wait.

We dug into our birth bag that was still packed for our birthing center birth. Music we weren’t allowed to
play. Candles we weren’t allowed to burn.  Food I wasn’t allowed to eat. Sigh.

Finally they came for us (eight hours later!). We called the doula and the midwife to meet us again. We
snapped into reality and remembered the class when Nicole told us all about c-sections. I remember it well
because it’s one of those talks you don’t want to hear. We’re in a natural childbirth class after all, we don’t
want to hear about no stinkin’ c-sections. But I am SO GLAD we did. First I asked that no drugs be put
into my IV. No morphine, no nothing. The doula backed me up and they said ok. Then I asked NOT to
have my arms strapped down. The mere thought of being strapped down sent me in a panic. Again with
the help of a strong, knowledgeable doula they agreed!! Score two! Then I asked if I could have a mirror
placed so I could see the birth. The midwife frowned and said I don’t think that’s possible. But super doula
and a very nice anesthesiologist said no problem! The thing is, I would have never known to ask for these
things if it hadn’t been for Nicole’s talk. So glad we learned about ALL possibilities of birth. Even the ones
we don’t want to face up to.

The spinal was horrible but fast. My body disappeared (how can people push in a vaginal delivery with
their body so numb??) and before I could even think about what was happening I could feel the tugs of
being cut open. My sweet husband Doug snuck in my lavender aromatherapy pillow and held it near my
nose so I could relax. The fabulous anesthesiologist explained his mirror trick to me. He said, “Listen if you
see your self getting cut open you may pass out or panic. I am going to angle the mirror so you can’t see
anything until the baby is coming out. Then I will angle it right above your head so you can see him coming
out, and once he’s out, I will angle it away again so you don’t see your innards. Ok?” Sounded good to me!
Moments later the mirror tilted and I saw my beautiful baby boy come into the world. I asked the doc, is
he ok? Was anything keeping him from turning? The doc announced that “the boy is in the Buddha
position. Happy as can be. No problems. The only thing keeping up head up was his own free will.”

They brought him over to me and thankfully with hands free I was able to caress him and say our first
hello! And thanks to a sneaky camera, we captured the moment.









I had some complications after they stitched me up. I did have an allergic reaction to the spinal and my
blood pressure dropped to 80/40. I began to feel light headed from the low BP and started vomiting. Doug
held Zach, keeping him warm while they worked on my situation. Then super doula came in. It was less
than an hour after surgery. She took Zach in one hand, and took my breast in the other, and got that baby
latched on! He nursed and nursed like a pro! I was SOOOOO grateful we had super doula around to create
that very special, very important moment. I believe it was key to our incredibly successful nursing
relationship. We haven’t had a hitch since then, he is a nursing machine, going strong at 6 months of
NOTHING but mama’s milk.

Because we didn’t get the birth we wanted, it made another aspect of Nicole’s class even more important.
The last class! At first I wrote it off. I didn’t want to hear about parenting styles, who is she to tell me how
to raise my kid anyhow? What was all this AP (attachment parenting) stuff about anyhow? Blah Blah Blah.

Well now I know that last class was probably THE most important part of the whole education. In a
nutshell, I am a believer now. We co-slept from Day 1 (even in the hospital), we never even owned a crib or
bassinette. We used a sling from Day 1, never owned a baby bucket (portable car seat), have never used a
stroller in 6 months. We breastfeed exclusively on demand (even when it’s every hour in the middle of the
night) We NEVER let our baby cry it out. We held him non-stop, let him nap in our arms, and be a part of
everything we do. We have never used a bottle or a pacifier, never. And of course we left him perfectly
intact and did not circumcise.

I know every parent thinks their baby is great, that’s natural. But honestly he is the happiest baby you’ll
meet. Never cries, so easily laughs and smiles. He’s incredibly social and loves meeting new people. A
happy, well adjusted, easy baby isn’t pure luck. You treat them with love and respect, and they will do the
same for you.

We can’t all have a natural birth. But we can all take a natural approach to parenting, and that will pay off
for a life time! Thanks Nicole!                       

Cindy meeting Zach for the first time

Happy Zach at 6 months old!

The new happy family...Natasha,
Jason and baby Haven

Beautiful baby Haven visiting
Nicole for the first time

UPDATE!

Our second baby and our first son, Daniel
Joseph Makovsky, was born on Thursday,
March 3, 2005 at 5:02AM. He weighed 7
lbs. 6oz. and was 20 1/2 inches long. He
was born at Special Beginnings Birth and
Womens Center in Arnold, MD. My labor
was only 4 hours long. We are all doing
quite well. Daniel is nursing well, and Ida is
adjusting to life as a big sister!

Melanie, Eric, and Ida at Daniel's birth.  This
picture was taken a few hours after Daniel's
birth at Special Beginnings Birth Center.