My name is Sean Rivera I’m from Brooklyn New York. We are having a baby during this cobra pandemic. It becomes obvious that there was people getting sick and we had to figure out what we were gon na do next, and so we said let’s pack up a bunch of Lysol, maybe two days, maybe two weeks let’s go up to moms and it ended up being A lot more work at how many weeks now, six weeks, six weeks now and how many weeks pregnant about 30 38 weeks three days, six so it’s been a whole new lifestyle for them. Not only for all of us to you know, leave our homes, my mother’s rice farm, which is something that doesn’t exist in New York State. My mother has been awesome. She basically turned the laundry room it’s like a room, for you know our kids, you know so they would kids have a whole production. We painted a tan isn’t that so there’s that whole. You know nesting phase, that you go through a wall pregnant and you can’t really messed when you’re, not in your own tree yeah and your, so it kind of makes it a little bit harder. You know when you’re out of your own element had no idea how we’re gon na be up here. Had we we would have packed a lot more stuff initially, when we got up it, we had no idea what we were doing for the birthing plan.

We had every intention on you know to have our little girl in Methodist, which is the hospital that’s closest to us. The hospital that you would have gone to was in the news a lot because they were one of the primary hospitals that had stopped allowing spouses to come into the birthing rooms, and you know it’s my third kid, but still like. I run some sort of support. It’S kind of just a scary thought to to imagine like going through something like that and not having you know the person who’s been with you throughout everything to be with you to support you, plus all the coded cases that were popping up in our area. In the hospital it kind of made it an easy decision, so we started with our search to find our Midwife Music. This is so cool. This is like, I can relax you know and as long as people will take care of your older children, okay yeah standard covers so the first time we met Bertie was through a zoom video. Remember. We still candidates met with Bertie and Judith her assistant and they greeted us at the door with masks on. She spoke to the baby. The baby directly was it was just just introducing herself to the baby, and just you know it it was. It was kind of a sweet moment where you know she was letting the baby get her vibes. She is like I’ve, been a midwife for 22 years and been going to births for 26 years.

Kovin 19 has changed everyone’s practice. One thing that’s been really clear. Is that people have been kind of making up everything as they go along and that because it’s, a new virus things started to really become much more tense around Earth in the hospital environment. So what happened? Was the hospital started to say that people couldn’t have any support? Basically, you know everything hit the fan and people started to freak out and they started to reach out to home birth midwives. Alright, listen! I want to look at your tummy and keeps your arms at your side. Okay, so now you got a do that’s the memo. We did receive a lot of phone calls from people who were do eminently and we had to turn them away because we didn’t have time to get authorization from their insurance companies to get their births covered. At some point, my partner Susan started referring to the people who were coming late as jumpers because it’s like they were jumping ship from the hospital and it’s a term of endearment for us, I always say, give me eight minutes and I’m in love. I can be your midwife, I don’t have to know you ahead of time. I would be great in a hurricane or a refugee camp I’m. Fine. I can be anybody’s midwife, but you know it’s always better. If you have time to build a relationship, we can only take six to eight families. A month we were all already full and booked with people that we have been providing care for accepting people late to care who are not familiar with home birth and had very different expectations about what their labor course might look like about.

The availability of anesthesia. For instance, we had to interview people and talk to them about their motivations. What was their preparedness for having a baby with midwives and without access to pain, medication, which has been a challenge for some of our jumpers, who had babies before I really couldn’t? Imagine laboring. Without some pain medication, this is my third pregnancy and it’s. Still, you know there is a lot of unknowns. Having Birdie, you know is reassuring because she has, you know so much experience behind her, that it kind of brings down the level of anxiety. Bringing a baby into the world is it’s one of the most exhilarating, exciting things you could do super excited a little nervous. You know and it’s also there’s, that that unknown of you know when is it going to happen? How is it gon na happen, so our job is to monitor to make sure that the plan to stay in the community setting is appropriate for her. So we do that by monitoring her vital signs and the baby and by making sure that the labor is progressing as expected with minimal interference and they have experience of growing their family. That is, is for them. Music, I’m. Talking about dancing like really being able to do an assessment of where she is maybe hope you don’t, you think a little pushes me. We can get past that spot Music, it’s extremely unlikely for someone. Who’S had a couple of vaginal births before to need to transfer in labor.

We have to be prepared to handle the most common emergencies here and then to figure out if people are stable and if there’s a need to transfer. But if we had to go, we would do the same thing that we always do. We would call ahead. We would say why we’re coming in, we would send the records on ahead so that they have them before we get there. We’Re getting our cars and we would go in on the top of her head is like 2 inches away. Okay, all you got ta do is get her out up to the ears right: Music, Music, Music, Music Applause, Music, Music. She had some complications with the positioning of the baby that may have the labor longer and more challenging than she probably anticipated. So for somebody who has had two babies before but had anesthesia with those births and was able to really really rest in between it’s just extraordinary wholly Music, it was a lot to get this 210 pound 66 pound schoolgirl out. We left the house at 530. Contractions started at 100, so we used to say we’re, tired, it’s, amazing, that we feel – and this was it couldn’t – have been more perfect place to bring in our darling Madeline into the world. Madeline it’s the world. The intimacy was enormous that having such kindred folks with around you kind of a wild nerve, racking experience, Music midwives have really a proven track record of providing excellent care for healthy people and and sometimes for people who have health problems.

A lot of the midwives who work in the hospital system work with people who have significant health problems, so the myth that we only take care of people who are you know, sick and have uncomplicated pregnancies, is really a myth, because we work as teams and his Teammates so, instead of in the situation here where we have to you know, have collaborative relationships with other kinds of health care providers in in other countries where they have better outcomes. The midwifery is integrated into the system in this country. Midwives are used as physician, extenders they’re, not seen in general, as independent practitioners like they are in many other places in the world. So when you look to a lot of places that utilize midwifery services as an integral part of the health care system, you see better outcomes. This is something that a lot of people don’t understand about home birth needs that we do all the prenatal care. We take care of people during labor and then we do all the postpartum care and in New York. State licensed midwives also have in our scope of practice new care. So what we do is really very comprehensive. Little but there’s a certain mentality about choosing to have your baby in your own home about 1 of the population, makes this choice so it’s, very rare.