Hello, my name is Brenda Minica. I am a San Antonio doula certified with Childbirth International.

Having had eight children of my own I have "been there" and I know how helpful a little encouragement and the right information can be. Even if you don't need a doula in San Antonio, TX right now I would love to help you in whatever way I can!

So please e-Mail me, or connect with me on Facebook if I can be of service.

With love, Brenda


Jul
12
2013
1

Our Very Special 9th Baby’s Birth Story

My due date was March 19, 2013. I was expecting to go past my due date this time because I suspected that I ovulated late which caused me to not get a positive pregnancy test until over a week after I should have. I had also not felt nearly as many of the normal nighttime Braxton Hicks contractions as I was used to. So, when I woke up on Wednesday, March 6 at about 8:30 AM with a contraction that felt just slightly achy in my back, I thought it was strange. I had also been up to the bathroom that night more times than usual, with some extra pressure on my bladder.

I got up and went to the bathroom, and noticed just a little bit of bloody show on the toilet paper. That meant something was happening. So I e-mailed my midwife to let her know, and woke my husband up a few minutes later. I wouldn’t have woken him up, but I was feeling anxious about getting our bedroom ready for the birth. My goal date for having the bedroom ready was still 4 days away, and I still had several things to do, including getting the previous baby’s clothes out of my room and getting baby clothes out, cleaning the bedroom and bathroom, and putting away some clutter that had been collecting.

My midwife called me back very soon after receiving my e-mail, and encouraged me to eat well that day just in case, but to be prepared that the small contractions I was feeling might go away and I might still be pregnant for several more days or longer. I stayed busy throughout the morning with the tasks in my bedroom, and I also enlisted 2 daughters help with some of the cleaning. I listened to the Positive Pregnancy Affirmations on my headphones, trying to calm down my nerves and be ready for the birth if it really was coming that day. I had been preparing with my Hypnobabies CD’s again this time, but I was not nearly as diligent as I was before my 8th birth, and the surprise of things starting 13 days early took me by surprise. I did not tell any of the children that something might be going on, because I didn’t want them to get too excited and I was pretty confident that I would NOT have the baby that day. I had a little bit more discharge, but it stopped about mid morning and that also made me think that things were going to stop.

I had the bedroom cleaned and close to being ready by about lunchtime, and I had also washed the sheets on the bed and had my daughter help me put them back on. I fixed lunch for my family as usual, and continued with my day. I was having what felt like Braxton Hicks contractions all throughout the morning, but I was deliberately not paying much attention to them, so I don’t know how close they were. We prepared the house for my son’s piano students to arrive at 12:30 as scheduled, and I sat down to eat 2 eggs and a glass of milk about the time they came. The mother of two of the students came and sat with me at the table for a few minutes and talked about her home remodeling project other things. I don’t know her well, and it was a good distraction to have someone to talk to. She asked me how I was feeling and I told her that I was doing pretty good – I did not tell her that I had a few contractions while we were talking.

After that I went upstairs with the intention of listening to a nice long Hypnobabies CD, to relax me and try and help determine if my labor was going to get going that day or not. I got started, but my husband’s work phone rang in my bedroom, and then the house phone rang, and I couldn’t seem to get relaxed. Throughout the morning I had also been talking by phone to a puppy customer, trying to find a direct flight for them on Friday. This was our last puppy of 2 litters and we were very glad to have a home for her. The phone call I got was her again, so I went back downstairs to help her some more. I had told her the day before that I was due to have a baby in 2 weeks, but I said nothing to her on the phone that day about possibly being in labor. I was hoping that we could get everything decided and the plane flight reserved, and I had already asked Nelson and he agreed that IF I had the baby that he would take care of things for me. I finally ended up e-mailing her later on and telling her that I was in labor and wouldn’t be able to help her anymore until the next day.

Since I wasn’t able to relax with Hypnobabies, I decided that maybe taking a walk would be a good idea, maybe it would help to either stop the contractions or make them stronger. Before that, I talked with a friend of mine for a few minutes, who was there with her boys for piano lessons. I did tell her that I was feeling some things that day, and didn’t know if I might have the baby soon or not. She left at a little after 3:30, and I asked Mom if she would walk down the road with me. She agreed, although she was on call for Red Cross and had to be available any minute for an emergency call. We walked only down the road a little ways (with my son riding his bike alongside) until Mom’s phone rang and sure enough, she was needed in San Antonio at a fire scene. She asked me if it was okay if she left, and I told her yes. I had decided by then that I was definitely in early labor, but I didn’t feel like things were progressing quickly at all, so I didn’t want to keep her from doing her job. She left at just before 4 PM.

After I went back inside, I went upstairs and asked my husband to check my cervix. I was getting more curious about what was going on. He did, and estimated that I was 4-5 cm dilated but not very much effaced. This was a wake-up call for both of us, knowing that my body was definitely making progress, and we would be having a baby sometime soon! My husband finished up work and started doing things around the bedroom, such as cleaning the bathroom,etc. I went back downstairs and e-mailed my mother-in-law at 4:20 PM to let her know that the baby was coming that night. I didn’t want her to hurry though, and told her that I would call her later to let her know when to come, since she was hoping to be there when the baby was born. After that I decided that it was time to tell the other children, after hiding it from them all day. I told my first daughter first, and I wish I could have recorded the look on her face! She was shocked, and asked me if I was sure a few times. She almost seemed disappointed, but when I asked her she just said that she was very surprised. She then asked if she could go and tell the others, and when I said yes she ran out of the room and I heard sounds of surprise and excitement coming from everyone else as well. My 11 year old daughter ran in to find out if it was true, and got very excited! I also called my midwife to let her know that my cervix was dilating, but I told her that I didn’t think it was time for her to come yet. She said that she would put everything in her car and get dressed, so that she could leave immediately when I called again.

I decided to go back upstairs after this, to get the bedroom ready. My two big girls came with me, and I got them going on making up the bed, picking up things, etc. My oldest son was downstairs watching the other children. I asked my husband to get the birth pool ready, and he started doing that. I sat down in the recliner with my Hypnobabies CD on the headphones again, and this time I was able to really relax and get into deep hypnosis. I heard activity going on around me, but my body was starting to move into active labor and I focused inward. I had asked my daughter to write down the time of some contractions for me, but I ended up only telling her about 1 contraction, because they intensified very quickly and I didn’t feel like talking anymore. After a few of these intense contractions, I told my husband, while still in hypnosis and with my eyes closed, to call my midwife and tell her to come. He said “are you sure it’s time?” and I said yes. I also asked him to call the rest of our family to ask them to come. He left a message for my mother-in-law (who wasn’t home yet from doctor’s appointments that day). Mom said she would come as soon as she could, but it would take a few minutes to rearrange things since she needed to get someone from Red Cross to relieve her. All of these phone calls happened at about 5:15 PM, with the first one to my midwife being made at 5:10 PM

I got up and went to the bathroom after awhile, and then laid down on the bed on my left side, still listening to Hypnobabies. I was wearing my skirt with nothing underneath, and my black camisole that I have worn for the last several births in the water. My husband got the water running into the pool, and then laid down behind me and started using the vibrating massager on my back. It felt so good! I had told him previously how much I liked him lying with me like that during my last baby’s labor, so I knew in my mind that he was wanting to do that for me again. I wanted to tell him to turn off the massager between contractions, but I didn’t feel like making the effort to say the words, and it felt so good! He asked me once if I was having one long contraction, I guess it seemed that way to him. I remember thinking as the contractions continued to intensify that “this Hypnobabies stuff isn’t working very well this time!” and being disappointed that I wasn’t having as good of a birth as I did last time. Little did I know how close I was to the end at that moment! I was a little bit frustrated during this time with the 2 phones that kept ringing, our house phone with people calling back, and my husband’s work phone which he turned off after a time or two. I also remember thinking that I didn’t want the midwives to ask me any questions like they usually do about the last time I ate, etc. I just wanted to be left alone.

Eventually I started having contractions that made me feel like I couldn’t do it anymore. I knew this might mean I was close to the end, but I didn’t believe it. I still thought that the Hypnobabies just wasn’t working this time. And then, with the next contraction, I felt the baby move down and much more pressure on my bottom. After it was over I said “I just want to push the baby out now” and my husband sat up quickly and asked “Do you think it’s time?” I really took him by surprise with that question, but my answer was “No, I just want it to be over.” I was still in denial! With the next contraction I felt a slight urge to push at the peak, and grunted. My husband heard me, and went into action – he knew what that sound meant and I knew it too. I couldn’t deny anymore that this baby was coming NOW! He said “Do you want me to take your skirt off?” I said “I don’t know” and the next thing I felt was him forcefully yanking it off of me. Then he saw that the birth pool was full (but he forgot to check to see if it was warm enough) and he said “Do you want to get in the pool?” I said “I don’t know” again, but somehow I found the strength to get up and into the pool. My husband’s unspoken thought was that if I got in the water, my labor might slow down and delay the birth a few more minutes – but it was too late for that.

I knew as soon as I got into the water that it wasn’t warm enough, and said so. But it was too late, the next contraction was coming, so I put both of my hands down and felt the amniotic sac with my baby’s head right behind it, only an inch or two inside my body. I had thought about wanting to catch my baby myself this time, and my husband saw what I was doing and asked me if I was going to catch. But then my body took over and I arched my back without thinking about it, so I couldn’t reach down there anymore. I groaned loudly, and with 2 big pushes our baby was born into Daddy’s hands! I immediately took the baby into my hands, and saw right away that we had a boy. I couldn’t bring him up to my chest because the umbilical cord was too short, and I started directing everyone to bring towels to cover him with, and a hat. I’ve never been so coherent in the seconds after a birth before, but I knew that there were no midwives there, and that we had to take care of things ourselves. It was a very strange feeling. I also remembered to look at the clock to check the time of his birth, and my daughter had already thought of that – he was born at 5:51 PM. We covered him with a towel, kept him immersed in the water as best we could, and rubbed his back because he wasn’t crying. We both felt anxious about this, we wanted to make sure he was okay and I really wanted to hear him cry. We got him to grunt a little bit and he finally cried just a tiny little sound that sounded like a kitten’s meow. But he was so very quiet, and not moving much either. He was just flopped over my hand. We watched to see if he was breathing, and although we couldn’t tell for sure, we knew he must be breathing because he had turned pink. We weren’t extremely worried about him, just a bit anxious since the midwives weren’t there to help yet. My husband called our midwife who was on the way, and she coached him a little bit before hanging up. He wanted me to push the placenta out, but I was waiting for another urge to push and I hadn’t felt it yet. I didn’t know it at the time, but his idea was that if I would deliver the placenta, he wanted to get the baby out of the water and warmed up. He said later that if he had known where the cord clamp was, he would have cut the cord! But I’m glad he didn’t, because I wanted to let the cord stop pulsing first. I did feel a little cramp after a few minutes, but by that time he had decided that maybe I should wait until my midwife got there to deliver the placenta, in case there was too much bleeding. So I waited a little bit longer, and I was just about ready to push it out anyway when walked walked in the door, right at that exact moment. She arrived 20 minutes after the birth.

During this 20 minutes we had also decided to invite the rest of our children upstairs to see the baby. I covered up with a towel, and it was so neat to have all of our family together, admiring our new son, without anyone else in the house! It was a very unique and special moment, and one I will always treasure in my heart. We told everyone his name, Taylor Justice Minica. They were all so happy to see him, and still very shocked that it had happened so fast! I had only told them less than 90 minutes beforehand that I was in labor!

After our midwife and her assistant arrived, they immediately went into action. She rubbed Taylor’s back vigorously and got him crying better, although he still only cried a little bit. I delivered my placenta, and then they helped me get out onto the bed after my 2 oldest sons cut his cord together. Taylor had been chilled a little bit from the pool water, so they rubbed him, put him on my bare chest, and covered him with a towel and then with a heating pad. They also kept taking his temperature frequently until he had warmed up. Mom arrived back home after awhile, and I wish again that I could have recorded the look on her face when she saw me in bed with the baby! She had called after he was born, and my husband had told her that we had a baby boy, but she thought he was joking! And when she came into the house, our 3 year old daughter told her that we had a new baby, but she didn’t know that she was really serious that the baby had already arrived. She was totally shocked when she walked into my bedroom and saw us there together. It was very cute. Nelson’s parents arrived later, after they got home and got my e-mail and called and heard the good news.

Our son Taylor is a blessing from the Lord! God has taken us on a new journey in life, as Taylor was born with Down syndrome. More details and the continuing story of Taylor’s birth, diagnosis, and life will be posted soon on our new personal website. Check back soon for the link!

 

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Aug
06
2012
0

Upcoming Christ Centered Childbirth Class

Some of my students in my class in Pleasanton

 

 

I am really enjoying teaching my Christian Childbirth Classes at The Refuge in Pleasanton! The first series went well, and I will be starting another series of classes next week.  The classes will meet on Tuesday evenings, from 6:00-8:30 PM. Starting date is August 14th, and the class runs for 8 weeks. Check out this page for more information about the classes, and please contact me if you are interested in signing up.

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Jun
19
2012
0

How Safe is VBAC?

More than one in seven pregnant women have previously given birth by cesarean.” This means that many women today are faced with the decision to schedule a repeat cesarean or to attempt a VBAC (Vaginal Birth After Cesarean). This decision is an important one, and many women make it based only on their current doctor’s recommendation, or based on their prior experiences or what other people have told them. I believe that women need to inform themselves of the facts around this issue, so that they can truly make an informed and educated decision.

Here are some facts from this site I found that may be helpful for a woman trying to make this decision:

  •  The American Congress of Obstetricians and Gynecologists (ACOG) says that VBAC is a “safe and appropriate choice for most women.”
  • VBAC’s are successful 75% of the time, and successful VBAC’s have lower complication rates than planned repeat cesarean sections.
  • The main risk for VBAC moms is uterine rupture. However, the risk of uterine rupture during a VBAC is similar (in other places I’ve read it’s actually lower) to the risk of many other rare complications such as cord prolapse and postpartum hemorrhage for a vaginal birth. So a woman’s risk isn’t any greater than any mom going into labor, VBAC or not.
  • 45% of American woman are interested in the option of a VBAC, yet 92% choose an elective repeat cesarean instead. Various reasons are cited by women for this decision, including hospital policies and misinformation about VBAC risks.
  • VBAC is legal in all 50 states. As more women become informed and insist on this option being made available for them, more doctors and hospitals will choose to support VBAC.
I also recommend the International Cesarean Awareness Network as an excellent source for information about preventing unnecessary cesareans and VBAC’s. There are online discussions forums as well as local ICAN support groups all over the country. At the time of this writing, there is not an ICAN support group listed for San Antonio. I would like to encourage San Antonio VBAC moms to consider starting one!

 

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May
17
2012
0

Changing Caregivers When It’s Not Working Out…

Can I change caregivers even if I am close to the end of my pregnancy?

There are many reasons why women might choose a specific caregiver when they first become pregnant. Maybe they have already been seeing a certain OB/GYN and are comfortable with the relationship. Maybe they have a recommendation from a friend or a family member. Maybe they have heard somewhere that a certain doctor or midwife is especially good. All of those are legitimate reasons! But sometimes, as the pregnancy goes on, a woman might find herself becoming more and more concerned about the care that she is receiving. Perhaps the OB/GYN isn’t giving very personal care, not what she expected. Maybe she has done some research and is asking questions about her birth, and not getting the answers that she would like to hear. I can’t even count how many times I have spoken with a woman who is in her 2nd or 3rd trimester, and has become somewhat anxious or disappointed with the care she is receiving. Most of the time, though, she doesn’t think that she has the option to switch.

So, can a woman change caregivers even if she is close to the end of her pregnancy?

Yes! You have a legal right to change caregivers if you become dissatisfied with the care you are receiving. Even if you are near the end of your pregnancy, you can still switch to a more supportive doctor or midwife. You will have more time to get to know your caregiver if you switch earlier in your pregnancy, but if you find that a switch is necessary in order to have the support you need for the birth you desire, it may be better to change even right at the end than to stay where you are unhappy and likely to have a disappointing outcome.

If you have the time to make some phone calls and do some research to find a caregiver that you like better, than you have time to switch. If your choice of a new doctor or midwife agrees to take you as a patient at whatever stage of pregnancy you are at, then you have time to switch. (Most doctors and midwives will accept new patients right at the end of their pregnancies as long as their schedules aren’t already booked.) If your insurance will cover your new caregiver’s services, or if you are able to pay out of pocket, then you have time to switch.

Check out this great list of The Rights of Childbearing Women for more important information to help you become informed of your rights during your pregnancy.

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Mar
20
2012
0

Spring CCC Classes

Two Christ Centered Childbirth Classes are available this spring! The first one starts on Tuesday, March 27th and will be held from 6:00-8:30 PM at The Refuge Pregnancy Center in Pleasanton. The second one starts on Sunday, April 1st and will be held from 3:00-5:30 PM at my home located in southeast San Antonio. Please go here for more information about these classes, and contact me for more information or to sign up!

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Feb
29
2012
1

Breastfeeding Struggles… My Story Part One

I am the extremely blessed mother of 8 beautiful breastfed children. And I have been happily breastfeeding them for a combined total of over 13 years now, including tandem nursing 2 of them for 2 years. My first baby grew hugely fat on my breastmilk, in fact I have only seen one other baby since then who was as fat as my sweet baby boy was. Breastfeeding came fairly easily for me, and I was very proud of the fact that none of my first 5 children ever received a drop of formula. My 2nd and 3rd babies were chubby as well, and although my 4th baby was smaller and grew more slowly than the rest, I enjoyed it because the others had grown out of their newborn clothes so quickly. Baby #5 came along, and he grew even more slowly, but I never even considered giving him anything else, and he wasn’t fussy enough to give me any signals that he wasn’t getting enough. (Looking back at his pictures now I realize how skinny he was though.)

After Baby #6 was born, we took a trip when she was 6 weeks old, and she cried pretty much the whole time. I didn’t know what the problem was at the time, but once we got home we realized that she was not gaining enough weight and was very hungry. I threw myself into pumping, herbal supplements, lactation consultations, online research, prescription medication, and all kinds of home remedies including eating oatmeal (and a lot of other food that caused me to gain 20 pounds!), and drinking beer. Nothing helped, and when she was 3 months old I finally relented and very reluctantly started giving her some formula. That first bottle was so hard – and I cried so much! But she needed it. When I got e-mail updates on how dangerous formula is, I felt very guilty, so I started deleting them without reading. My pride had taken a huge hit, I never thought I would be giving formula to my baby! When I went out in public and had to prepare a bottle, I thought everyone was looking at me and judging me for not breastfeeding my baby.

When I got pregnant with Baby #7, I did a lot of reading and consulting with professionals on how to prevent this problem from happening again. I was advised to breastfeed and/or pump every hour around the clock for at least 2 weeks after the birth in order to bring in a very good supply. I followed the instructions religiously, took many supplements, and because my diet was also excellent at the time, I thought surely things would be better. But God had other plans, and the same issues surfaced again. I had to start supplementing again at about 3 months old, and this time we decided to make our own homemade goat milk based formula (we milk our own goats.) Due to my constant pumping and nursing, I was also a walking zombie most of the time, and was not able to be fully present as a wife and mother to the rest of my family. It was hard, but I had to accept again that I could not provide all that my baby needed.

With Baby #8, who is nearly 6 months old at the time of this writing, we prayed a lot and chose to take a more moderate approach. I was not able to enjoy the newborn stage with Baby #7, and I wanted to fully enjoy my Babymoon as well as be there for the rest of my family. I did pump some for a few weeks, and I nursed at least every 2 hours around the clock. I needed to start supplementing at about 2 1/2 months this time, and we are currently giving her 4 bottles of supplemental milk per day. I do still breastfeed her several times a day, and usually twice during the night.

Do I know the cause of my low milk supply? Not really. I think there are probably a few contributing factors, including my age (I am 39), although I know many other moms my age who have abundant milk supplies. Having so many children could have something to do with it, although I know many other moms of large families who have produced plenty of milk for all of their babies. One of my breasts produces very little compared to the other one, and that breast also had a couple of minor breast infections over the years. But the infections were never severe enough for a doctor visit, and should not technically have caused a problem. One of the lactation consultants I saw suggested that I might have calcium deposits in my breasts that prevent the milk from coming down properly, and therefore the supply diminishes quickly because of lack of emptying. I have not had an ultrasound or other testing to confirm this, because I’m not sure what we would do even if we knew for sure that this was the case. Calcium deposits are fairly common as women age, but most women either don’t have many babies, or perhaps they aren’t as troubled by their low milk supplies and simply turn to formula without trying to diagnose their problem. I have not been able to find a doctor who is experienced with this problem or who knows of any suggestions or solutions.

I have had to grieve the loss of fully breastfeeding with each of my babies, even though I have come to accept my problem as God’s will. I have even made a list of blessings to help me accept it. One of the big blessings is that I have learned to have compassion for other mothers who have trouble breastfeeding.

Another blessing that has come about with my last baby is that I have been graciously given breastmilk by 4 different mothers for my baby. A friend of mine donated a small amount of milk for Baby #6, and I was very grateful, but the amount was limited as she needed it for her own baby. However, this time I have been able to greatly reduce the amount of homemade formula that I give my baby, and I am so thankful! More to come in Part Two of my story…

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Jan
24
2012
0

Free Childbirth Classes!

As of January 24, 2012, I will no longer be charging a fee for my Christ Centered Childbirth Classes. God has put it on my heart to offer these classes as a ministry to whoever requests them. I will accept a love offering at the end of each series if anyone feels led to help support this ministry, but it is totally optional. Please see my Childbirth Class Page for more information about my classes, and contact me with any questions.

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Jan
12
2012
0

Winter Childbirth Class Forming Now!

The newest series of Christ Centered Childbirth Classes will start on Tuesday, January 31st and run on Tuesdays for 8 weeks from 6:30-9:00 PM in Schertz. This will be my 4th time to teach this series, and I have had nothing but positive reviews of the information and the class so far. I believe this class is the only Christian childbirth class in the area, so please help me spread the word to others that you know who might be interested. You can find out more information here and you can contact me here to ask questions or to reserve your spot. Thank you!

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Jan
06
2012
0

Our Family is Walking for Life

We are going to be participating in a Walk for Life on Saturday, January 21, 2012 to benefit The Refuge Pregnancy Care Center in Pleasanton, TX. The Refuge is a pro-life pregnancy care center serving Atascosa County, TX and surrounding areas. They are non-denominational, and their policy is to present the gospel to everyone who walks in the door needing help. They have seen many babies saved from abortion since they have been open. Please take a look at the links below and consider helping The Refuge in whatever way you can. Thank you!

The Refuge Website

The Minica Family’s Walk for Life Donation Page

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Written by Brenda in: Babies | Tags: , ,
Jan
05
2012
0

The Happiest Baby on the Block Book Review

An entire book on how to calm down a crying baby? When I read the back of this book, I wasn’t too sure if I would like it or not. All in all, I’m usually pretty good at getting our babies to stop crying. But I started reading, and I have to say that I’m mostly very impressed with this book. After having 8 babies, I have figured out many of the techniques given on my own by trial and error over the years. But it sure would have been nice to have this book in my hands 14 years ago when my first baby was tiny and I wasn’t sure what to do with him!

 

Unfortunately, our current culture is one in which most young men and women don’t have the experience they really need when they become parents for the first time. Families are smaller, and girls and women are encouraged to be away from the home and family much more than in previous generations. Because of this, when many new babies are born, their parents feel unsure in how to take care of them, and especially how to soothe their cries. This book is very straightforward and easy to read and understand, giving new parents the techniques and therefore the confidence they need to care for their newborns.

 

Being a Christian myself, I don’t agree with the perspective that the author comes from when he talks about the evolution of man and babies being born 3 months too soon. Personally, I know from the Bible that we are fearfully and wonderfully made, and God’s plan for each baby’s birth is in His perfect time. I do agree with the author’s belief that newborn babies handle the first 3 months of their lives much better when the transition from womb to the outside world is a gentle one. The utter helplessness of my newborn daughter is God’s way of drawing me close to her. I have discovered through my experience that babies cannot be spoiled for the first 3 months of their lives, but rather they simply need to be with their mothers as much as possible during this special time that goes by so quickly.

 

I really like the 5 S’s that the author gives – Swaddling, Side/Stomach, Shushing, Swinging, and Sucking. They are very easy to remember, and that is important for me when I’m up with a baby in the middle of the night and too foggy-headed to remember what I read in the parenting books about that night’s particular problem. Each baby is different, and there are no cure-all solutions that will work for every baby, but the techniques in this book do work. Patience is needed to find out what works best for your baby.

 

I highly recommend this book for parents having a new baby, whether or not this is your first child. The only caution I would give is for Christians who might be offended by the references to evolution, but these are overlooked fairly easily.

You can buy this book here, and if you use this link a small amount of the sale will be donated to Doula San Antonio, who uses the donated funds to help moms in crisis pregnancies around the San Antonio area. Thank you!

Author: Brenda Minica, CD (CBI)

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