Tiffany was a tremendous source of support and reassurance during my pregnancy, providing all kinds of insight into what labor and delivery would actually be like, and helping us better understand our options on things like medication, cord clamping, etc. I don't think I ever had a question for which she didn't have a clear and insightful answer.
When I had to be induced a little early, she called to make sure we were calm and prepared and knew what to expect, then later visited us in the hospital even though my labor was going nowhere. When that induction failed and I was sent home, she continued to be a reassuring voice until induction #2. She joined us at the hospital after my water broke, and while the doctors and nurses were all wonderful, Tiffany was essential in helping us really understand each choice we needed to make and in coaching us through the birth of our daughter.
I cannot overstate how much it helped us to have Tiffany be a part of our birth, and I would recommend her to any expecting mothers. - CK
Puget Sound Doulas is among the top 20 doula businesses on https://www.expertise.com/wa/seattle/doulas.
"Unlike most other websites and directories, a business can’t pay to be included on Expertise. This gives our users the confidence to find and connect with exceptional businesses that are objectively qualified and authentically well-reviewed."
Our birth experience with Tiffany was exceptional.
As I entered this pregnancy journey, I came from a place of uncertainty, feeling fearful and feelings of anxiousness. This stemmed from my first birth experience that was far from enjoyable that resulted in an emergency c-section. It was a tramatic experience.
Tiffany supported me throughout my journey and was available to answer any questions that I had, or talk about concerns that arose. She is a strong advocate and empowered me to make informed decisions regarding my prenatal care and birth experience.
Throughout labor, Tiffany was a constant, calming, active support. Without TIffany, I'm not sure I would have had a successful VBAC. With her guidance and skill, I was able to make informed decisions throughout labor, that I believe resulted in a very successful VBAC. My partner, valued Tiffany's presence during labor. Tiffany offered him support as well and he felt comfortable and involved throughout the entire labor.
Tiffany is an amazing doula and if we choose to have more children, I will use her again and would recommend her to any pregnant couple. - KF
14.5% of my clients served in the past 8 years have be VBACs both at home and in the hospital. I have attended nearly 500 births.
Curious about VBAC success rates? I've kept close track and this is what I have personally seen:
Out of my total VBACs served I've seen 80% of the have a vaginal birth.
Of the VBACs I've served 63% have birthed in the hospital with a 68% success rate. 37% have birthed at home with a 100% success rate.
When deciding to chose to do a VBAC first choose where you feel the most safe giving birth. You DO NOT have to pick a place of birth/provider right away. Give it time. Interview the providers as a consumer. Research not only their VBAC rates, but the rates of their partners/where they work. Research Csec rates, ask about family centered cesareans. Ask in ICAN for referrals (if you are not a member, become a member of our local chapter). I personally refer all of my VBACs to NW Hospital, as it's where I've seen the most success.
Educate yourself. I always recommend clients take Sharon Muza's VBAC Your Way class www.sharonmuza.com. This class is great to dive deep into asking yourself "What does risk mean to me?"
Get a doula! There are doulas who have a ton of experience like myself, and others who have less but are on fire to support vbac families. www.doulamatch.net is a great place to start, also ask on local mom groups and ICAN.
Angie creates these beautiful Breathing Beads and awesome Pregnancy, Labor, Postpartum, and Everyday life affirmation cards.
I'm personally a BIG fan of hers: https://www.angiebeehotz.com/etsy-shop
For the past 8 years I've offered 1-2 prenatal visits for each birth doula client. Over time, I found that we could accomplish everything we needed within one prenatal and decreased my offerings. Although this works for me (because this is my daily job), it might not work for everyone.
I am now offering a monthly "Ask the Doula" tea time at my office. The date might vary, and may need adjusting due to being called to a birth.
This will be an open format where we introduce ourselves, get to know one another, and ask questions. I may pick a topic for the month, ask for topic ideas, or provide a question sheet. I have the ability to bring in community providers/experts by request as well.
Make sure to "like" my facebook page at: www.facebook.com/PugetSoundDoulas/ . I will post events/reminders.
Our first "Ask the Doula" will be December 9th! Make sure to RSVP on the event page found here: https://www.facebook.com/events/369200940170333/
"My husband and I tried for years to become pregnant with no luck so we sought the help of a fertility doctor in Seattle. We learned shortly after our first appointment that our chance of conceiving naturally was less than 2%. We made the decision to do invitro fertilization about a year after our first fertility consultation and we succeeded with the first try. I was released to my normal midwife for prenatal care at the end of my first trimester.
I had a normal, uneventful pregnancy until about 37 weeks. My midwife said she thought she felt the baby’s head up close to my rib cage and his bottom down by my pelvis. She did a vaginally exam to see if she could feel the baby’s anatomy this way. She was pretty sure of the baby’s position but wanted to be positive so she sent me in for an ultrasound. It was confirmed during my ultrasound that my son was in a Frank Breech position which means his bottom was engaged in my pelvis and his legs were stretched all the way up by his face.
At this point my team of midwives gave me every resource they knew of to turn the baby. I spent a week trying everything! Inversion poses, doing handstands while swimming, acupuncture, cold packs, peppermint essential oil, music…nothing was working.
At 38 weeks I went in to the hospital for a procedure called external cephalic version. During this procedure they try to manually turn the baby with their hands on the outside of my body. The doctor I saw had a high success rate and we felt good about our appointment. When I arrived, the nurse took my vitals and gave me a medication called Terbutaline...It relaxes the uterus and prevents contractions from happening making it easier to manually move the baby into the correct position. The doctor came in and put A LOT of ultrasound jelly on my belly so his hands would slide easily over my skin and explained what he would be doing. He began putting pressure on my belly to move the baby…he could get the baby into a vertical position and the baby would just slide back into his comfy breech nest. He tried a few more times and was unsuccessful. I was extremely sore and discouraged. He wanted to try again the next week so we continued our efforts to turn him at home and returned the next week for another try. Again, he was unsuccessful and we had to discuss a plan of action with our midwives ASAP.
I could not have a home birth as I planned and a few of the midwives said a cesarean section was inevitable because no doctor would let me deliver vaginally. One of the midwives had the name of an OBGYN up north that was known to deliver breech babies vaginally if the women met the very specific criteria. Two days later we were on our way up to Island hospital to meet the doctor and see if I qualified.
Hallelujah I did!! The doctor did an ultrasound and measured my amniotic fluid to make sure it was adequate, she measured the baby to confirm the approximate size, she measured my pelvis structure and the fact that I was a second-time mom gave me the clearance to head up when my water broke for a vaginally deliver.
At 11:25pm on May 5th my water broke in bed after a contraction that woke me up. We got dressed, called the doctor, and headed up north to the hospital. My mom and older son met us up there. I wasn’t having regular contractions so my husband and I sent them to a nearby hotel and we tried to sleep.
Shortly after everyone left and the lights went out (1:00am), contractions picked up and I was in active labor within an hour. I walked around my room and labored until about 5am when I felt the first urge to push. The doctor came in a said, “Ok Caitlin you’re fully dilated, up on your hands and knees, you’re going to push your baby out and no one is going to touch him until he is completely out”. During the first couple of contractions my sons bottom and legs came out (He pooped the entire time which meant no meconium poops at home, score!). Each arm came out and then I heard the doctor firmly tell me to keep pushing even if I didn’t have the urge. Since my baby’s body wasn’t pushing on my sacrum (because it was already born) I wouldn’t have the urge to push anymore but I still had his whole head to get out. I pushed hard for about 2 minutes solid, taking small sips of air, and his head was born.
He was a little shocked when he came out so they cut the cord and checked him out before they gave him back to me. He recovered quickly, they checked his hips…normal, took my breast within 20 minutes, I didn’t have any tears, and we were home within 12 hours.
I feel forever grateful for this angel of a doctor for believing I could deliver this way, for continuing to practice this ancient art of breech delivery, and for being available for us that night. We still continue to send her updated pictures of my son every year. " - Doula and Student Midwife Caitlin West
Articles, stories and resources:
The art of breech birth on all fours
My healing birth
Vaginal Breech Revolution