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

Having had seven 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 Twitter or my Facebook group if I can be of service.

With love, Brenda


Mar
16
2010
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Is Exclusive Pumping a Viable Option?

One of my very favorite things to do as a new mom is to relax into a comfy chair and breastfeed my newborn baby. Having a 7-week old baby gives me lots of time to indulge in another of my favorite pastimes – reading. I have breastfed my 7 babies for 18 mos, 2 yrs, 4 yrs, 2 yrs, 18 mos, 9 mos, and 7 weeks (so far). These moments are some of my most cherished memories! Breastfeeding hasn’t always been easy for me, however. I have struggled with an increasing pattern of low milk supply starting with my 4th baby, and had to give my 6th baby formula supplements starting at age 3 months. Through these experiences I have developed a strong compassion for and a desire to help other mothers who struggle.

So when I read this article about mothers who choose to exclusively pump their milk and feed it to their babies from a bottle rather than breastfeed, I have mixed feelings. Part of me questions why a mother would not want to breastfeed their baby, since the majority of my experiences have been so positive with my own children. But another thing I am slowly learning as I grow older (and hopefully wiser) is that people are different, and have the right to make different choices in their lives. I have to really admire moms who, for whatever reason can’t or don’t want to breastfeed, are making the time-consuming choice to pump their own milk in order to give their babies the best start possible.

For anyone considering this as an option, I would caution you that exclusive pumping may work for some women, but it is also very likely to be difficult to keep up a full supply over a long period of time. Supplementation may be necessary at some point, and that needs to be something the mother seriously considers at the outset. But for those who don’t see breastfeeding as an option no matter what, exclusive pumping and bottle feeding the breastmilk to your baby is obviously much better for the baby than giving formula.

What do you think about this? I’d love to hear your thoughts! Contact me here.

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Jan
22
2010
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My Precious Baby is Here!

Melody Rose was born on January 21, 2010 at 9:21 AM after 9 1/2 hours of labor, weighing 9 lbs. 4 oz. and 22 1/2 inches long! I had a wonderful peaceful water birth, more details to come soon!IMG_3221 (Large)

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Jan
09
2010
0
Apr
27
2009
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What does a birth doula do?

What is a doula’s role?

1.    A doula’s main role is to help her client have (as much as possible) the kind of birth she desires.
2.    A doula does not take over the role of the birth partner (usually the husband), but supports them both in whatever ways they need.
3.    A doula can give the partner a break if necessary.
4.    A doula helps the couple to apply what they have learned in childbirth classes.
5.    A doula helps with suggesting many different comfort measures during labor.
6.    A doula will advocate between the client and caregiver to help her to have the kind of birth she desires.  A doula will NOT make decisions for the client, but rather make sure they are informed of their options.
7.    A doula will encourage the client to help her reach her goals of a natural birth (if that is the goal).
8.    A doula will explain the stages of labor, help the client understand the various options she has in a difficult situation, and support her completely in whatever she ultimately chooses.
9.    A doula will be constantly present for support, not coming and going like many other caregivers do.

Author: Brenda Minica, CD (CBI) – All Rights Reserved

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Apr
21
2009
0

How Can You Make the Most of Your Doula?

Below are many of the ways that your doula may serve you during your pregnancy, birth, and first few weeks postpartum. They are not intended to be exhaustive, as a doula’s role is extremely flexible and designed to change to meet each individual client’s needs.

During pregnancy, your doula can:

  • Meet with you for a free interview to answer questions and determine if you are a good match.
  • Tailor your prenatal visits to provide you with the information you need and desire. A doula’s prenatal visits are a mini-childbirth education course in many ways, which helps you review everything that you have already learned, sorting through and making the best choices for your family.
  • Provide many sources of information for your further education, such as articles, books, websites, DVD’s, etc.
  • Loan books or other items to you from her own personal collection for your use during your pregnancy.
  • Communicate by phone or e-mail to answer questions and provide resources.
  • Be a listening and sympathetic ear when things are not going well, you are feeling stressed, or you have received negative feedback from others.
  • Help you understand what your doctor is telling you, and walk you through the process of making truly informed decisions about your care.
  • Answer questions that you may not have had time to ask your doctor during your appointments.
  • Assist in writing your “Birth Preferences” (Birth Plan). Your doula will explain the most common interventions that may be offered to you, talk about the risks and benefits, and encourage you and/or help you to get them written down so that everyone involved in your care will be aware of your wishes.
  • Make a list of comfort measures that are most attractive to you, and practice them with you ahead of time.
  • Assist you in dealing with any fears that you may have about your upcoming birth. Facing your fears and talking about them are some of the best ways to get control and not allow them to overwhelm you.
  • Get to know both you and your partner so that there is a mutual trust and friendship existing that will allow you to feel completely comfortable when your doula is with you during labor.
  • Answer your partner’s questions and talk about ways that he can support you during labor. Remember – a doula’s role is not to take over for the partner, but to support both Mom and Dad during this exciting time.
  • Attend a prenatal visit with you so that Doula and Doctor are acquainted.
  • Attend a childbirth class with you.
  • Tour your chosen place of birth with you.
  • Help you become prepared for newborn care, breastfeeding, etc., making sure you have the supplies you need and are going to have support during the first few weeks postpartum.
  • Provide referrals to other local professionals depending on your needs. A doula is trained to recognize when additional help is needed, and has a vast collection of resources to help you obtain that help.
  • Be available for you 24 hours a day starting 2 weeks before your estimated due date. You can and should call your doula anytime you have questions or are feeling uneasy about what you are experiencing. Your doula is prepared to drop everything at a moment’s notice to assist you when you go into labor.

During labor, your doula will assist you in many ways. Here are some possibilities:

Physical Comfort Techniques – Your doula is dedicated to helping your labor and birth be as comfortable as possible. Most women do have some level of pain during their births, but many of these comfort measures can greatly reduce the pain you experience and help you manage your pain so that it does not become suffering.

  • Positioning techniques to help you be more comfortable and encourage baby’s correct positioning for birth.
  • Encouragement to keep you moving and active as much as possible during your labor.
  • Reminders to stay hydrated and also to empty your bladder regularly (you may forget some of these things during labor, so it is very helpful to have your doula there to remind you)
  • Counterpressure, massage, and other forms of touch – whatever feels good to you at the time.
  • Hydrotherapy – using the bathtub or shower for labor support if they are available.
  • Use of heat and cold combined with other comfort measures
  • Rhythmic rituals – your doula can help you find a rhythm which will help you to keep control and not lose focus during your contractions.
  • Birth ball, rebozo, vibrating massager, etc.
  • Breathing techniques
  • Awareness of tension in different parts of your body – tension increases pain and your doula can help you be aware of where you are holding tension so that you can release it.
  • Vocalizations – repeating important words or phrases, singing, moaning, etc.
  • Environmental comforts – your doula can do such things as making sure the lights stay dim when possible, playing relaxation or other music, showing you a special photo to look at, diffusing essential oils or using scented lotions, etc.

Emotional Comfort Techniques – Your doula may be the only continuous presence throughout your labor. Doctors, nurses, and other caregivers may come and go, many of whom you may have never met. But your doula will be with you the whole time, even laboring with you at home during early labor if you wish. She is with you for the long haul, and can support you emotionally through the whole experience in a way that other professionals cannot. Your doula’s sole focus is on you and your emotional and physical comfort.

  • Your doula can protect the emotional atmosphere of your birthing room. As a professional, she can gently but firmly make sure that only the people who you are most comfortable with are allowed to be present in the room with you.
  • Focal points, visualizations, distractions, mental activities, rituals, etc.
  • Verbal encouragement and feedback – your doula is your cheerleader and will encourage you every step of the way.
  • Your doula knows what the pain of labor feels like, and will acknowledge what you are feeling, go through every contraction with you, and encourage you that you can do it.
  • Help work through fears that may come up during labor, communicating about issues (past or present) that may be causing the fear. Your doula can help you reframe your doubts and fears into positive statements that will allow you to progress and feel encouraged.
  • Partner support – your doula can support your partner in many different ways. She can suggest and model ideas for your partner to use in supporting you. She can answer questions about things that are happening. During a long labor, your partner may appreciate a short break and will not need to worry about your being left alone during that time. At times you may appreciate 2 sets of hands to physically support you in moving around, massage, counterpressure, etc.

Informational Support – During labor, you may be offered various procedures and interventions by your caregivers for many different reasons. You may have already thought through these issues and have a preference for what you wish to do, or you may need to be educated about them on the spot. On the other hand, sometimes moms who are in active labor and transition can have trouble collecting their thoughts enough to thoroughly think through an option and make an informed decision. Your doula can act as an information source for you during these times, clarifying any questions you may have about the procedures that are being offered or suggested. Your doula can also help remind you of what you had previously decided, and help you remember what questions that you can ask your caregiver in order to gain the information you need to make a decision. Remember that there is almost never a situation where you do not have the time to think through your options and discuss them before making a decision. Your doula will not speak to your caregiver for you, but she may help you by whispering in your ear or asking a question to clarify an issue if she senses that you need any assistance.

Immediately after the birth, your doula can:

  • Encourage immediate skin-to-skin contact and uninterrupted time during the first few minutes for bonding with the baby.
  • Assist with your first breastfeeding session, helping to make sure that the position and latch of the baby are correct.
  • Help you relax through any other procedures that occur, such as the delivery of the placenta or stitching the perineum.
  • Take photos of the baby and new family.
  • Make sure you and your partner are comfortable in every way possible.

During the postpartum weeks, your doula can:

  • Visit you in your home shortly after the baby is born.
  • Answer questions and give assistance with any breastfeeding issues that may arise. Your doula is not a professional lactation consultant, but she can recognize if any problems are occurring that need outside assistance.
  • Talk with you about how you are feeling, and help you process your emotions about your birth.
  • Answer questions about basic baby care and what to expect from a newborn.
  • Answer questions about basic postpartum issues such as amount of bleeding to expect, etc. Again, your doula can recognize an abnormality and will be able to refer you to your doctor if needed.
  • Write a keepsake birth story for you to include in your baby’s memorabilia.
  • Assist in making sure that you are receiving enough support for the postpartum period – your doula can ask you questions to make sure that you are not doing too much and are getting plenty of rest.
  • Referrals to various outside organizations – your doula can be a resource for various things such as breastfeeding support, local moms groups, postpartum issues, government assistance programs, etc.

Author: Brenda Minica, CD (CBI) – all rights reserved.

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Mar
19
2009
0

What Will A Doula Do For Me?

My Commitments as Your Doula

· Two to three prenatal visits in your home or other location of your choice. These visits may include birth plan options and assistance, how I can help you as your doula, physiology of labor, breathing and relaxtion, breastfeeding preparation, etc. Each visit will be tailored to your specific needs and will include time to answer any questions you have.

 · I am the person that you first contact when you are in labor. If for any reason you are unable to contact me or due to an emergency, I will provide contact details for a backup doula. I will be on call for you 24 hours a day beginning two weeks before your estimated due date up until labor begins. This mean that I will carry my cell phone with me at all times, and will not leave town without advising you unless it is an emergency or an event not known about at the time of the contract signing.

· I will provide early labor support as requested, including in your home. I will remain with you once active labor has begun until one to two hours after your baby is born. I may take short breaks for meals and rest if time allows – this will be discussed with you at the time and I will not leave you if it is inappropriate.

· I will draw on my knowledge and experience to provide emotional support, physical comfort (relaxation, massage, positioning and other techniques for comfort), and communicate with the medical staff to make sure you have the information you need to make informed decisions during labor.

·  The presence of a doula lifts the sole responsibility of the labor off the shoulders of your partner, allowing him to enjoy the whole birth process. I can help your partner to feel calm and informed, giving him ideas to continue support from beginning to end. At no time will I “take over” or deliberately exclude your partner. I am there to provide support to both of you at all times. Sometimes a partner likes to stay by the mother’s side during the whole of labor, while others prefer to take a break. This is your birth experience and it is important that you feel free to decide on what you want at the time.

· As a doula, I can advocate for you at a time when it is sometimes difficult for you to advocate for yourself. However, I will not and can not make decisions for you. In a situation where medical decisions must be made, my role is to quietly remind you what your wishes are, assist you in asking questions and gaining information about other options, and then look to you and your partner for the final decision.

· I will assist in providing information and supplying emotional support by telephone on postpartum care, breastfeeding, and newborn care after the birth, as requested. Please contact me if you have any concerns. If I cannot help, I will be able to find the appropriate person who can. I will help to initiate the breastfeeding process, if that is what you choose to do. If you wish to bottle feed your baby, I will help you with the first feeding.

 · Within the first 5 days after the birth of your baby, I will visit you at home or in the hospital. I will answer any questions or give you a referral to the appropriate professional that can meet your needs. I will meet with you for at least two postpartum visits, and more depending on your needs.

Have questions? Please feel free to contact me at any time, I am happy to talk with you about my services and any questions you may have. Click here to send me an e-mail or call me at (210)635-8728 and leave a message.

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Written by admin in: Doula | Tags: , , ,
Feb
03
2009
0

Brenda’s Birth Story – Baby #5

*Note – This has been my most difficult birth, emotionally that is. I had experienced 2 miscarriages between my 4th and 5th babies, and I strongly believe they greatly contributed to my emotional state and the fact that I was much more fearful and not well prepared.

On the evening of Monday, June 19th I went to my monthly ladies’ Bible study at the church, even though I had not really been planning to go this month.  I felt really good after taking a nap on Monday afternoon, and decided to go ahead and have one last night out, because I knew I would be at home for awhile after the baby’s birth. After I got home that night Nelson and I spent some time together (ahem!) and right afterwards I had a bloody show when I went to the bathroom, at about 11:30 PM. I wasn’t really feeling anything else at the time, but I knew that the blood was a good sign that something might be happening.  I went downstairs and Nelson and I talked for awhile, and finally I told him about the bloody show and he got the biggest smile on his face!  I told him I didn’t know if this was the real thing or not, but that I wouldn’t be surprised. We sat and talked for awhile longer and I could tell that I was definitely having some contractions, but nothing more intense than any other night previous to this one so far.  I didn’t think I would be able to sleep though, so I asked him to stay up with me for a little while.  It didn’t take too long until I started feeling more intense contractions, and after wondering what to do, we decided to go ahead and start preparing our bedroom for the birth just in case.  We really didn’t want to repeat what had happened with Philip’s birth where I didn’t even have time to get in the water before he was born.  So we felt like we needed to get things ready plenty early.  Nelson brought up the pool and started filling it, then he cleaned the bathroom and made the bed.  I kept him busy doing some other things as well.  I was really wondering when we should call our midwife, so Nelson suggested that we time some of the contractions to be able to tell her something.  He also checked my cervix at that point and said he could definitely tell things had changed, and thought I was between 2-3 cm dilated. We timed the contractions for about 45 minutes or so and they were consistently 3 minutes apart but only about 45 seconds long.  Still, we decided to go ahead and call our midwife to let her know that I was in early labor.  She said she would take a shower and go ahead and come, and that she would also let the other midwife know.  I think we called her around 1 AM or so. I also called my mom and mother-in-law, who both said they would be on their way. 

I stayed downstairs for a short time after this, reading the Bible and walking around.  I eventually went back upstairs though, I was still in early labor and just needed the distraction of having Nelson there to talk to.  Mom came over in a few minutes, and she also stayed upstairs and talked to me for awhile because I told her that it was distracting to have the conversation.  Once I went back upstairs I really started losing track of time, I only remember looking at the clock a few times, and once I realized that it was 3:30 AM, the same time that Philip was born, and I remember really wishing that this birth could be over too.  My midwife came, and sat and talked to us for awhile, I remember being able to laugh with her quite a bit at first and I shared some of the details of my other births with her.  We also laughed when Nelson shook my rear end during a contraction (something I had read about in my doula books) and I had to tell him to stop because it was making me laugh and lose my concentration. 

I had decided to take Vitamin C during this labor because it had really seemed to help during Philip’s birth, although I had only taken it two times.  This time I took 4000 mg every hour for 5 hours, and eventually I had to stop taking it because it was giving me really bad diarrhea and making my bottom hurt terribly.  At first I wasn’t sure the diarrhea was being caused by the Vitamin C, because I had already been having it prior to labor starting.  But eventually I had to admit that the Vitamin C wasn’t helping this time, and actually made the labor quite a bit harder to handle because of having to spend so much time on the toilet.  It was also very hard to deal with the contractions while my bottom was hurting so much at the same time.  I even had to put off getting into the pool for awhile because of it, although I finally decided I just had to get in anyway, and then had to get out 2 more times during the labor to run to the toilet.  Thankfully I made it in time and the water didn’t get dirty.

I remember trying quite a few different positions during my labor this time, partly because the labor itself lasted longer than I was used to, and partly because the contractions were much more intense and painful starting at probably around 3 AM or so. I sat on our exercise ball quite a bit at first, then knelt beside and leaned over the bed, then laid on the bed with the body pillow for awhile, then stood up and leaned against Nelson for awhile (trying to get the baby to move down), plus of course spending plenty of time on the toilet.  I also really appreciated the back massager/vibrator which Nelson and my midwife used on my lower back during every contraction until I got into the pool. Once I got in the pool (maybe around 6 AM?) I reclined most of the time, although at one point I leaned over the side on my hands and knees, because I was thinking that this was the position I wanted to actually give birth in.  It would have worked fine, except that the baby still wasn’t moving down, so they asked me to change positions again close to the end and I ended up semi-sitting against the side of the pool for the birth.

My midwife checked my cervix a few times during labor – the first time I was 4 cm dilated, the 2nd time I was 5 cm dilated and 75% effaced, and the 3rd time I was still 5 cm dilated but 90% effaced.  This slow progress was really discouraging to me, because I felt like the contractions were much more intense than that and that I should have been progressing faster.  I decided after the 3rd check that I didn’t want her to check me anymore because it was painful and because I didn’t want to continue to be discouraged. 

This labor was the hardest one of my 5 births to deal with except maybe for my first one where I spend most of it on my back in a hospital bed. The last 3-4 hours of the labor were very intense and I really felt like I was in transition that whole time. It helped to listen to my scripture tape that Nelson made for me, and also to a CD made for me by the children for Mother’s Day with them singing and reading to me.  But I really struggled with keeping in control of the pain for quite a long time, and I remember wishing over and over again that it would just be over, or that I could just have a break.  I knew that if they broke my water it would probably help the labor go faster, but I was already right at the edge of what I thought I could tolerate, and all I could think of was that I didn’t want it to hurt more. I had been more fearful of this pregnancy and birth all along, and had been trying to deal with that by praying and quoting scriptures, etc. but I really think that my fears played a part in the more difficult labor and birth.

I think it was around 6:30 or so that they decided to wake up the children, because they thought it was getting close and I didn’t want them to miss it.  Courtney came in to see me, and someone told her to start rubbing my arm.  Courtney was so calm and sweet that she ended up staying with me the rest of the time, and although I was having a hard time, I really appreciated her being there.  The contractions had been coming right on top of each other for awhile now, and at some point my midwife said that she needed to check to see how much cervix I had left, because I could feel the baby moving down.  She said that there was an anterior lip of cervix that was keeping the baby from coming, and that I would have to have a few more contractions.  I remember saying (thinking?) “No, no more” at that point, and I really didn’t think I could do it. I had been moaning through the contractions for quite awhile now, and I also remember the midwife talking me through them and how much her soothing voice helped.  After awhile longer she said that she needed to try and push back the lip of cervix so that the baby could come down.  When she said that I could only think of how it would hurt for her to touch me, and I begged her please not to do it.  But she did it anyway, and it really did hurt!  I felt the baby come down immediately, and then the urge to push came on me suddenly and strong.  The midwives and Nelson all three started shouting at me not to push, and to stop screaming (I had asked them previously to do this to help me stay in control) but I had had enough, and I just didn’t care anymore, I wanted this baby out!  I pushed and screamed, and then Nelson put my hand down there and I felt his head!  They were still telling me to slow down and not push, but I just wanted him out of me, and I pushed again as hard as I could to get it over with.  He came out with one more push and they brought him up to the surface and covered him with a towel right away (the water had gotten a little cooler than they wanted). Nelson and the midwife held the baby up to me and told me to look at him, and when I did he was looking right back at me with blinking eyes.  He didn’t cry right away, but just looked at me.  He was covered with thick vernix, even in his nostrils! After a minute or two someone asked me if it was a boy or a girl (I had requested that no one tell me but instead let me find out for myself) and I moved back the towel and saw that I had another son. We stayed in the water for awhile just looking at him, and at some point he decided to scream for a few seconds, just to prove he could do it.    I felt another contraction, and my midwife told me that I could deliver the placenta myself if I wanted to.  So with the next contraction I reached down and pulled gently on the cord, and pushed at the same time.  The placenta came out immediately and it was really small and easy compared to previous times.  They told me that not very many moms want to deliver their own placenta!  We stayed in the water for about 25 minutes, then I was ready to get out and wanted to shower off right away.  Matthew helped cut the cord, and then my midwife took Zachary while I did that and rubbed him down with towels.  He was born at 7:10 AM.

Zachary nursed perfectly the very first time I tried, and he was perfectly healthy.  I hardly bled at all, and recovered from the birth very quickly as well. I did not tear at all, and had only 3 tiny skid marks which healed within a couple of days. I did have some very strong after pains, but they only lasted about 2 days. The midwives  stayed for about 2 ½ hours after Zachary was born, checking both of us to make sure we were doing well.  Both midwives agreed that he was born early, they estimated by about 10 days or so, which was the same as my last baby! He was 8 lbs exactly, and 21 inches long.

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Written by admin in: Birth Stories | Tags: ,
Jan
27
2009
0

Who Needs a Doula?

Who needs a doula? Every pregnant woman can have a more positive birth experience by having a doula attend her birth!

First time moms greatly benefit from the presence of a doula. The experience of labor and birth is brand new and a doula can help reassure Mom and help her to work with the new sensations her body is feeling.

Moms giving birth in a hospital are especially helped by having a doula with them. A doula will act as an advocate between Mom and the caregivers to communicate her wishes and assist her in having the best birth possible. This is particularly important if Mom desires a natural birth without medical interventions, or if she wants to minimize their use. If medical interventions are necessary, a doula will educate the parents on their options and encourage them through the entire process.

Moms with a previous disappointing birth experience are much more likely to have a future positive birth with a doula present. This includes situations such as previously being medicated, labor induction, having to stay in bed during labor, unnecessary episiotomies, forceps or vacuum usage, long labor, c-section, breastfeeding success, and postpartum depression. All of these scenarios are shown by research to be dramatically improved by the presence of a doula.

In a recent study, (source) women cared for during labor by a birth doula, compared to those receiving usual care were

26% less likely to give birth by cesarean section
41% less likely to give birth with a vacuum extractor or forceps
28% less likely to use any analgesia or anesthesia
33% less likely to be dissatisfied or negatively rate their birth experience

 

As your doula I will provide:

  • Assistance with birth planning, prenatal care, and birth partner preparation
  • 2-3 prenatal visits and at least 2 postpartum visits, depending on the need
  • Availability for phone consultations anytime during pregnancy and afterwards
  • Continuous labor support from early labor (as needed) throughout the immediate postpartum period
  • Suggestions and support for pain coping techniques, positions during labor, calm birthing atmosphere, awareness of Mom’s changing needs
  • Assistance with parent-infant bonding, breastfeeding help as needed
  • Newborn and Mom care advice and assistance throughout the postpartum weeks

My experience:

  • Certified Doula with Childbirth International since 2006
  • I have experience as a doula with home birth, hospital birth, epidurals, cesarean section, high-risk pregnancy, VBAC, teen moms, breastfeeding problems, and more
  • Certified Baby’s First Massage Instructor
  • Mother of 6 children : 2 hospital births and 4 home births (including 3 water births)
  • Extensive breastfeeding experience – total of 12 years between 6 children so far
  • Herbal/natural remedy knowledge for both pregnant moms and babies/children
  • Personal experience dealing with miscarriages – I can help with miscarriage care and emotional support if needed

Please Contact Me if you need a doula in San Antonio and are interested in my services.

Beautiful Home Birth baby boy

Beautiful Home Birth baby boy

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