First time moms often wonder how they will  know they are in labour.  What will it feel like? Can it be compared to menstrual cramps?  how can they be sure it’s time? Â
The great news is, if you’ve suffered from severe menstrual cramps, contractions are easier to cope with from at least one perspective – you get breaks! Â With menstrual cramps, they are continuous unless relieved by medication, heat, aromatherapy, herbal teas etc., but with contractions in labour they are rhythmic and you get to rest in between. Â That’s the first thing to remember, and to savour! Â Tip # 1 for moving through your birthing time is to RELAX as much as possible. Â If you’re not sure if “it’s happening” or not, it’s best just to carry on with a relaxing day and try your best to ignore the sensations. Â If you are in the more intense stages and are certain your baby is making its way – take those breaks and focus on softening your entire body and relaxing as much as possible in between waves / contractions / tightenings. Â Many women are able to doze off even if it’s just for a minute or two even in the most intense parts of their birthing time.
As far as the sensations being compared to menstrual cramps – most people describe  this sensation for the early labour – or the weeks leading up to labour.  This is most likely associated with the cervical ripening that occurs before the body moves into the birthing time.  When the “real” contractions begin, it is a bit different in that the sensations are usually a tightening all around the baby – so into your back (a little or a lot depending on the woman and the position of the baby), and up as high as your uterus has stretched.  The cervical ripening is associated more with the menstrual cramps sensation because it is lower down in the pelvis.
Often during the contractions there is a tightening all over the belly, and a discomfort low in the pelvis around the pubic bone as your body is pushing your baby in a downward motion with each contraction. Â Applying some heat to this area provides great relief. Trying to keep your body relaxed THROUGH each contraction is also very useful. Â Remember your uterus is a muscle working hard to move your baby down & out. Â Allow your body to expend energy in that muscle while relaxing the rest of your muscles. Â As I mentioned before, if you are unsure if its time, relax and carry on as much as possible. Â The contractions that should have you calling your midwife or heading to the hospital will get your attention no matter what you are distracting yourself with. Â They will feel strong, you will not feel like speaking through them, only breathing and focusing on your body. Â Most women prefer a gentle rub in time with their breathing pattern, not to be spoken to unless it’s gentle words of reassurance and encouragement. Â Anything out of time or sync with their body usually proves irritating as it is a distraction from the work they are doing.
You can practice for labour by standing with your feet a little more than should width apart, supporting your body with strong legs, but specifically softening your bum & vulva.  Rock your hips back and forth, around in circles and move them in any other ways that feel good.  Belly dancing is a great thing to do to keep your pelvis loose!  Soften your whole body aside from your strong legs supporting you, lean forward with your arms resting on the back of a couch or a counter or some other support if it feels good.  If your partner is around get into a slow dance position and rock your hips with a focus on relaxing your shoulders, your face, your bum and your vulva – you are letting your baby down.  Breathe deeply softening your body with each exhale.  Imagine the tightening of your belly hugging your baby and moving it down – closer to being in your arms.  It is good practice for your partner to support you, move in time with what feels good to you, breathe in time with you if it seems right.  Having someone breathe slowly and deeply with you can keep you on track with it as things intensify.  If we breathe quickly our body tenses, keep it slow and if you feel like toning, keep it low.
Every woman will want to move into different positions at different times to cope – follow what feels right for your body. Â Do what feels right for moving your baby down. Â Trust your body & your baby.
Posted in Uncategorized
Also tagged cervical ripening, contractions, coping, early labour, false alarm, labour
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On Thursday, at 41 wks + 5 days I saw my midwife. Â I asked her to do a stretch and sweep and had a little cry about the fact that I was still pregnant and was having no signs of labour. Â She couldn’t really do a proper stretch and sweep – my cervix was still hard and quite closed. Â This is not a comfortable procedure – but I tolerated as much as I could – I wanted her to try. Â It was an intervention I chose to try and help stimulate my body to go into labour.
I was predictably uncomfortable for the rest of the evening – stretch and sweeps stimulate cramping and contractions. Â I managed the waves as we strolled down the street getting some fresh fish for dinner. Â I also picked up the ingredients for the labour cocktail and told my midwife I might take it in the early morning after a good night’s sleep. Â I was ready to meet my baby, and was starting to feel that I would rather encourage my baby out now and have her at home, than wait and increase the potential of needing to deliver in hospital.
The night brought some more consistent contractions, I slept as much as I could, only being woken by a few and of course the frequent need to pee! Â In the morning I called my midwife to tell her that things were slowly progressing on their own. Â I was in early labour and would delay taking the cocktail to see what happened.
At 8am my waters broke. Â With both of my labours, my water started trickling – I didn’t have a big gush to deal with, just a trickle that is constant and can be managed with a pad. Â I was excited and anxious to kick into active labour. Â I called the woman taking over the lease on my car and told her we’d better hurry to the dealership to finalize our paperwork as I was going into labour. Â I also noticed the tiniest bit of meconium in my amniotic fluid – it was soo faint, but I suddenly worried that it might get worse. I decided I wanted my baby out sooner than later so that I could stay home! Â I called my midwife and gave her the heads up that I was taking the cocktail at 10am, just before heading out to finalize the details with my car.
My husband followed behind me in his car, anxious about me driving with my water broken and a regular contraction pattern. Â I assured him that this was just early labour (and crossed my fingers that the stomach upsetting affect of the cocktail would hold off until I returned home). Â The employees at Honda were just as anxious as my husband when I told them our rush, they were insistent I leave and go to the hospital – I’m sure no one has received such speedy service as we did that day! Â The car ride home was tough – the contracions were picking up, but I knew it was still early. Â I feel EVERYTHING! Â Every woman is different, some don’t even notice their early labour and dilate to 3 cm without much discomfort, for others (like me) we feel the contractions that soften the cervix before it even starts dilating! I made hubby stop and get me some Marble Slab, which I happily ate between contractions on our 20 min drive home.
When we got home I decided it was time to do some stairs. Â The activity of walking up stairs or up a steep hill in lunges can really help get baby down and increase your contractions. Â I had some loose stools from the castor oil, and things WERE increasing ,but not at the rate I was hoping. Â We went for a short walk through the woods behind our house.
This was by far my favourite part of my labour. Â I will never forget how peaceful it was walking through the trees. Â We would stop when a strong wave came, and I would hold onto Vince. Â We would slow dance while I breathed my way through. Â I told him that what I had was a typical contraction pattern for a posterior baby – I knew she hadn’t turned, and was pretty sure she wasn’t going to. Â He told me he was thankful that I knew so much, I knew what was happening and what I wanted to do – he just had to be there. Â We walked and swayed in the sunshine, and talked about how excited we were to meet our baby, and how soon we would be a family of 5 instead of 4. Â We enjoyed the firm bump of my belly, as we knew these would be the last hours.
We went back home around 2pm so that we could be there for our new bed to be delivered!  I hid in the spare room breathing through my contractions while the movers brought in our new bed and took out the old.  I was not yet in active labour, but these early labour contractions were enough that I didn’t feel like interacting with strangers.  We had our birth pool set-up in the dining room and Vince proudly explained that we were having a home birth today!
Finally they were gone and it was time for my second dose of the cocktail and a visit from our midwife. Â I knew things were not progressing as quickly as I’d hoped and so decided the second dose would be a good choice. Â My midwife confirmed what I knew when she checked me and found I was still only 2 cm. Â Vince went to pick the kids up from daycare and I had my midwife do another stretch and sweep and then we chatted while I drank the cocktail.
We got the kids in and settled. Â I decided to go and take a nap before the second dose kicked in, and before doing some more active work to get labour going. Â We planned nipple stimulation in the sunshine next to try and bump up the intensity – but it never got to that. Â In fact I didn’t even get my nap. Â I went and lay down on our new amazing king sized bed (to this day I am thankful almost every time I climb into that comfortable bed), and within about 15 min I went into active labour.
Very suddenly it hit. It was 6pm when I went into active labour.  I went to the bathroom and vomited, and then went to bed.  I lay on my side hoping I would get some rest in between, gripped the headboard through each wave and rocked myself and toned through it.  Thankfully Vince came upstairs to check on me, and was quite surprised to see me rocking and moaning on the bed.  I told him I needed him, and to call someone for the kids.  We hadn’t come up with a back up plan – I don’t know why, we just never thought past 41 wks and 5 days, so we were now stranded with no child care.  He called his sister, and his mother, and my dad – everyone was a few hours away and things were moving along quickly now!  The boys were bickering so Vince went back downstairs to them and continued frantically calling family and friends.  I decided it was time to get in the shower.  I’d spent many times late in my pregnancy standing in the shower visualizing labour and being in there belly dancing through contractions, bending my knees and moving my hips.  This is just what I did.  It took all I had just to get from the bed to the shower – every time I moved another strong wave washed over me.  I got in under the hot water and rocked and moved and bent my knees in a low squat.  I just kept repeating in my mind “soft and stretchy, opening for my baby.  ”  I visualized my body opening and my baby moving lower and lower.  I was hardly getting any breaks in between the contractions now and I suddenly felt compelled to call the midwife.
I coached myself out of the shower “ok, two more contractions and then we’re going to get out.  Ok, one more and then we’re getting out of the shower.”  (I was the doula and the mama today!) I made it!  I leaned on the bathroom counter as another wave brought me into a deep squat, with a long deep “open” coming from my mouth.  As soon as it was over I  moved quickly to the top of the stairs -just as another one hit.  When it was over I yelled for Vince.  ”Call the midwife now!” and another one hit.  I stood there leaned against the wall in the hallways to work through it, and then went back to the bedroom and got down on my knees.  I leaned with my arms forward over our bed and continued to rock and moan.  I heard Vince come up the stairs and turn the shower off, and then he was next to me.  He was on the phone and then I heard him say the midwife was on her way, and it seemed like no time at all before she was beside me and I was back in the bathroom leaned against the counter squatting and swaying again.
Suddenly I was having slightly longer breaks between my contractions. Â ”Oh no” I thought, and then I said, panting “maybe I called you too soon, I don’t know, I just wasn’t getting a break, but now they are spacing out again. Â I’m sorry”. Â My midwife reassured me that it was ok. Â ”You’re all alone, Vince has to take care of the kids, maybe you just need someone with you, so I’m here – I’m with you!”
She asked me to sit on the toilet and see how that felt – well anyone that’s sat on the toilet in active labour can tell you it sure does the trick to ramp up the pressure! Â I knew she wanted to get an idea of where I was at – and there are 2 great ways I know of to assess where a mama is in her labour. Â It got the contractions closer together again, but it was unbearable. Â I was curling my toes and holding my belly trying to keep my tones low. Â After only a few minutes I said “I don’t want to be here anymore” Â and went back to my position leaning against the counter. Â Then back to the bedroom on my knees leaned over my bed. Â Suddenly the boys were bouncing on the bed in front of me. Â They were excited! They’d been read “We’re Having a HomeBirth” several times, and they knew exactly what all this noise and excitement meant!
I told Vince I wanted to get in the pool NOW!  And after me instructing him NOT to dare fill the pool all day, because I was sure things were going to take a long time, he was suddenly frantically filling it as fast as possible.  My midwife wanted to check me, and I told her no – I said “if I’m only 5 cm I’m going to want to go to the hospital, and I don’t want to, so I just don’t want to know”.  Vince was with us again, and he watched as my midwife gently tried to reason with me that if she could just check me then she would know if she needed to call the other midwives.  I could feel her lifting the duvet I had draped over me, I knew she was looking for other signs to avoid checking me internally.  Finally  I consented, but told her not to tell me where I was at.  Vince sat in front of me on the bed while my midwife skilfully assessed me without making me move from my favourite labouring position.  She left the room and I told Vince “I can’t do this anymore, it’s too intense”.  In retrospect I should have recognized the classic signs of transition, but of course when it’s ourselves, it’s harder to do.  He looked at me and said – “you’re doing so well though, she just held up a lot of fingers behind you to tell me – 8 or something, you’re almost there!”
I was SO relieved.  ’8 cm?  Ok, the baby will be here so soon, I can do it then’ – it’s supposed to be this intense at 8, I just had myself convinced I was only 5!  The midwife came back and said she’d called the others, and now was a good time to get in the pool.  I only had a lip!  (Meaning I was 9.5 cm)  She told us she needed to get her equipment setup right away, and got to it.  Vince ran back to check on the pool and the boys.  I made my way to the top of the stairs again.  I had the sense to call to someone to close the blinds so I wasn’t flashing the neighbours coming down the stairs.  I was aware but unable to care that I was dripping blood on our white carpet (it’s common for there to be blood with cervical changes), and I  made my way down the stairs slowly.  I was wishing Vince was with me and not the kids.  ”Why didn’t I have a back up doula and backup child care?” I wondered as things became frantic in the house.  I was alone trying to get into the tub – Vince and the midwife were doing REALLY important jobs taking care of the kids, and getting the equipment set-up for delivery in case my late baby or I needed any assistance.  I couldn’t control it though, as I tried to get in the pool I just yelled “Help me!” The intensity was overwhelming me, and my midwife was right there to help me into the pool, then she raced back to finish setting up.  It was 8:45pm.  I felt my body bear down uncontrollably.
I was again on my knees, this time in the water with my arms and head draped over the side of the pool. Â The water felt so good. Â The midwife noted that the pool was too shallow, and told me I couldn’t deliver in there like that. Â Vince was filling the pool as fast as he could. Â I told her there was no way I was getting out, so she just told me I had to keep my bum in the water! Â This forced me to do a deeper squat, but I was happy with that.
Suddenly the doorbell rang as I was now doing the higher pitched moans associated with the intensity of baby’s head moving down. Â I later learned that our friends who were there to pick up the boys had looks of horror (they’d never seen a natural labour before), and there were neighbours standing outside peering in hahaha
 I’m not quiet!
I yelled to Vince when the wave passed – “I don’t want the boys going anywhere!”
“What? Â They’re in their pajamas, they’re going to go over there, it’s fine”
“NO!  The baby is almost here, I want them here to meet the baby.  Get her to take them upstairs with a story while I push”  And another wave hit.  I worked with my body’s instinct bearing down, pushing my baby down and down.  Vince established the new plan with our friend and got the boys upstairs with books to read with our friend.  My midwife continued reassuring me I was doing things perfectly.  My body was tense, I was overwhelmed with the intensity and the franticness of how quickly the baby was coming, and arranging our child care!  The phone rang and Vince answered it while I was between contractions – “we’re in a break right now” he said filling another pot with water to add to the pool.  The poor guy he had no idea how fast things were going now!  ”Get off the #@*!ing phone!” I yelled.  I always tell people  - you can never take offense to how a woman…communicates in labour.  It’s raw, you don’t have time to think before you speak, you are busy and sometimes a grunt is all you can muster.  Vince hung up immediately and sat in front of me, trying to offer some comfort – but we were both just caught completely off guard by this speedy process.
I felt my other midwife come into the room. Â She knew not to knock or ring a doorbell, she just came up to our dining room where I was in the birth tub. Â ”Hi Emily” she said gently putting a hand on my shoulder. Â I didn’t respond. Â I was in a break and had my eyes closed. Â ”Soften your body” she reminded me, and I melted completely. Â Ah yes – I needed that reminder. Â Suddenly I was calm – we needed this other person, this other woman here. Â There is too much going on for there not to be another experienced person to keep things calm.
I don’t have any regrets about this birth, but I really am deeply aware of what a difference having had a backup doula would have made! Again, we just didn’t anticipate that I would deliver so late, and that our chosen doula would have left town – she was completely up front about her departure date, and we knew ahead of time – we just somehow failed to plan.
So here we were. Â Vince was beside me now where I wanted him, one midwife had a hand on me transferring the most calming and grounding energy, and the other midwife was behind me with a hand on my baby’s head, protecting my perineum and coaching me where to put my hands and when to slow down my pushing. Â It was intesne. Â I hadn’t felt this part of my labour with my son, and I was shocked by the sensations. Â With my posterior baby I really didn’t feel the “ring of fire” in my perineum, I felt it ALL in my bum – the whole way through.
I don’t know how the rest of it happened, I pushed a few more times, and my baby was out – I love that moment they have left your body. Â Even with the epidural in Ethan’s delivery I felt that – this sudden relief, not an emotional relief (although that too I suppose) but it’s like your body feels relief as their weight is suddenly their own, and not your body’s anymore. Â She was out, and my midwife told me to turn around and hold my baby. Â Apparently Vince helped catch her, but again I don’t know how this all happened – I was in labour land! Â I don’t know how I turned around or how they guided the baby and umbilical cord so we didn’t all get tangled, but suddenly i was sitting with my back supported by the pool, and she was in my arms. Â Staring wide eyed at me. Â She was silent. Â ”Breathe baby” I said. Â ”Oh she is Emily!” Someone reassured me. Â ”Look how pink she is, she’s breathing, she’s just really clear and quiet.” Â And as many water birth babies – she was, she didn’t make a sound. Â There was no gurgling and snuffling of mucus. Â Just clear bright eyes staring into mine. Â Someone went and got the boys, I was going to stop them because I thought the blood in the pool would scare them, but Vince reminded me they knew from the book, and that they should be here. Â We hadn’t actually checked what sex she was yet. Â We were waiting for the boys.
Ethan and Aiden came downstairs looking cute and cozy in their sleepers. Â They stood next to me behind the pool, and stared at their baby. Â I can’t remember which one of them told me she was a girl. Â The cord had stopped pulsing, so Ethan cut it – what a proud moment for all of us that he got to do that!
“Hello Camille” I said – we had our baby girl. Â We all sat staring at each other, falling in love.

Camille was born at home on May 27th 9:07pm
Posted in Birth Stories
Also tagged aquaborn, homebirth, midwife, natural delivery, posterior baby, second baby, second birth, siblings, vaginal birth, waterbirth
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For those of you that don’t know, Â I’ve applied to the UBC midwifery program 2 years in a row now. Â This year will be my 3rd attempt. Â This year they added a new pre-requisite, which I am completing through Thompson River University. The Anatomy & Physiology course I’m taking is absolutely fascinating! Â It’s making me even MORE excited and hopeful about the possibility of attending the midwifery program in 2012…wish me luck!
My studies this morning are about the skeletal system, I came across a piece of information which explains the science behind our reassurances: ‘everything is working perfectly together for you to have your baby! your body has amazing capabilities, and knows just what to do to birth this baby!’
This simple paragraph will answer:
How will my body accommodate this baby (which is appearing quite large while I look down on my belly!) in childbirth?
Why do my hips and pelvic area feel sore / achy? (aside from the obvious weight you are bearing, your bones are in fact moving)
And later…Â Why am I back to my pre-pregnancy weight, but my clothes still don’t fit?
Here’s the magical answer!
“….Joint flexibility may also be affected by hormones. Â For example, toward the end of pregnancy, a hormone called RELAXIN increases the flexibility of the fibrocartilage of the pubic symphysis and loosens the ligaments between the sacrum and hip bone. Â The changes enlarge the pelvic outlet which assists in delivery of the baby.” (source: Introduction to the Human Body, Gerard J. Tortora & Bryan Derrickson)
Posted in Pregnancy, Uncategorized
Also tagged birth doula, bones, home birth, hospital birth, natural childbirth, natural pregnancy, relaxin
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Enter to win a free Aquaborn rental for your birth!
Tell us why you are planning a home water birth and be entered to win! Â Please include your due date in your email. Â This contest is open to residents of Greater Vancouver and surrounding areas. Â Contest closes Jan 1st 2012. Â Good Luck!
Posted in Birth and Postpartum Doula, Birth Stories, Vancouver Doula
Also tagged aquaborn, birth pool, childbirth, easy birth, natural, pain relief, pregnancy, preparing for labour, support, unmedicatied, vaginal, vancouver, water, waterbirth
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Often people are interested in having some music for their birth. Â It’s hard to choose though – you’re not sure what state of mind you will be in, or what you will need. Â I find the best way to approach planning for your birth is to look for things that relax you, keep you feeling calm and centered. Â If you practice yoga you will practice relaxation and breathing techniques that trigger this relaxation. Â Many people use hypnobirthing to train their bodies to relax in response to certain verbal cues – this is also very helpful during the birthing time.
I was looking for some music to accompany my yoga to this morning and came across a YouTube video. Â I wanted to share this because for some, this would be great to add to your birthing day playlist!
Posted in Affirmations and Quotes, Pregnancy, Vancouver Doula
Also tagged birth doula, doula, labour playlist, mantra, music, music for giving birth, natural birth, natural childbirth, relaxation, unmedicated birth, yoga
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She holds your hand.
She wipes the hair from your eyes.
She refills your water.
She brings the straw to your lips.
She gives a reassuring smile to your partner.
She massages your back.
She warms compresses.
She turns down the lights.
She trusts that, you know how to birth your baby.

- Chelsea
Posted in Birth and Postpartum Doula
Also tagged calgary, chelsea, doula, vancouver, what a doula does
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Since I first considered becoming a doula, I have devoured every book on pregnancy, birth, breastfeeding, and babies I could get my hands on.
If it is your first pregnancy chances are you don’t know a lot on the subject. Women in our culture have many different options regarding pregnancy, birth and feeding their baby. I always encourage my clients to educate themselves throughout the childbearing year so they are empowered in the decisions they make.
“If you don’t know your options, you don’t have any.” ~ Roberta Scaer, Co-Author of A Good Birth, A Safe Birth
These are a few of my favourite books; they are full of up to date information on current practices in maternity and infant care as well as beautiful and empowering stories of birth, breastfeeding and motherhood.
Pregnancy Books
· Pregnancy, Childbirth and the Newborn – Penny Simkin, Janet Whalley, and Ann Keppler
· The Natural Pregnancy Book – Aviva Jill Romm
Birth Books
· Ina May’s Guide to Childbirth – Ina May Gaskin
· Pregnancy and Childbirth Secrets – Gail J. Dahl
· Gentle Birth, Gentle Mothering: A Doctor’s Guide to Natural Childbirth and Gentle Early Parenting Choices– Sarah J. Buckley
· Birthing From Within – Pam England
· The Birth Partner – Penny Simkin (A must read for anyone who will be at your birth…partner, mom, friends etc…)
Breastfeeding, Baby and Postpartum Books
· Dr Jack Newman’s Guide to Breastfeeding
· Bestfeeding – Suzanne Arms, Chloe Fisher, and Mary Renfrew
· Happiest Baby on the Block – Harvey Md Karp
· The Baby Book – William Sears, Martha Sears, Robert Sears, and James Sears
Choosing the right health care provider has the potential to make or break your pregnancy, labour and postpartum experience. It is important to find a provider that is sensitive to you and your family’s needs; you should feel they are considerate, responsible, professional, yet warm. It is also important they maintain a relationship with other health care professionals so you can receive the appropriate care you require.
Most practitioners will provide an initial consultation; use this time to ask important questions to determine if their care is right for you.
What to ask a Midwife:
·What training and experience do you have?
·Can you handle both complications and emergencies?
·Do you have medical back up or a contingency plan for emergency? What will be your role in an emergency? Will you continue to be with me during an emergency?
·What kind of equipment do you carry with you?
·What is your back up arrangement if you become ill or are otherwise unavailable at any point during my pregnancy or the birth?
·Do you have clear protocols and, if so, are these protocols rigid or flexible? For example, what happens if I go into early labour, or if I go past my due date? What if my baby is breech and so on?
·What are your philosophies about birth?
What to ask an Obstetrician (also relevant for midwives):
·What are your credentials?
·What is your cesarean rate?
·What is your episiotomy rate?
·What is the rate of medicated births in your practice?
·How many women in your practice breastfeed their babies?
·Do you usually order medications, IV, enemas, monitors or do you judge each situation individually?
·Are women encouraged to use different positions during labour and pushing?
·What are your feelings on natural birth?
·How much time do you spend with women at prenatal visits?
·Will you be at my birth or will another physician attend (and if so, who will that be)?
·What are your policies for women who go past-due, for permitted length of labour and pushing (or any other concerns or questions you might have)?
Write down the questions that you are most interested in and bring them to your first appointment. Go with your gut. If you feel off about the midwife or Doctor you met with interview another, you have the right to receive the care you want.
Questions taken from: The Complete Book of Pregnancy and Childbirth by Shelia Kitzinger (1993) & The Natural Pregnancy Book by Aviva Jill Romm (2003)
Posted in Motherhood, Pregnancy
Also tagged doulas, hospital birth, interventions, labour, natural birth, pregnancy, questions to as your OB, questions to ask you midwife
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