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Inside the World of Midwifery

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Empowering Birth: Inside the World of Midwifery with Stellis Health’s Jessica Borgstrom and Kristin Hazeman

Summary

In this heartwarming episode of “Beyond the Checkup,” hosted by Pete Waggoner, Stellis Health midwives Jessica Borgstrom, APRN, CNM and Kristin Hazeman, DNP, APRN, CNM explore the holistic approach of midwifery and the dedicated care they provide for women through all stages of life.

Jessica and Kristin discuss the philosophy behind midwifery, their unique birthing and postpartum care methods, and the vital role of family involvement in prenatal and birthing experiences.

Their dedication shines through as they share touching stories of births, the importance of emotional support, and the resources available to support women’s health in every phase of life.

Join us as we celebrate the compassionate work of these providers, bridging the gap between natural care and medical support.

Takeaways:

  • Comprehensive Women’s Health: Midwives provide care from adolescence to menopause, addressing a broad range of health needs beyond just pregnancy.
  • Holistic Birthing Approach: Stellis Health’s midwives integrate natural birthing methods with modern medical safety, supporting a personalized, family-centered approach to childbirth.
  • Postpartum Support: Emphasis on postpartum care, including mental health checks and lactation support, ensures mothers have continuous support after childbirth.
  • Advocating for Women’s Choices: Educating patients on their options and empowering them to make informed choices is central to the midwifery philosophy.

In This Episode:

  • [00:00:00] – Introduction of midwives Jessica Borgstrom and Kristin Hazeman
  • [00:00:25] – Jessica discusses her journey and passion for starting the Monticello midwifery practice
  • [00:00:56] – Kristin shares her background and love for serving the Monticello community
  • [00:01:30] – Defining midwifery care beyond home birth, including support for women of all ages
  • [00:03:40] – Integrative birthing practices that bridge medical and natural approaches
  • [00:05:36] – The benefits of mobility and varied birthing positions during delivery
  • [00:07:45] – Physiologic birth and reducing medical interventions during labor
  • [00:10:48] – Handling birth emergencies with calm expertise
  • [00:12:32] – Developing a strong prenatal partnership and the importance of birth planning
  • [00:14:22] – Empowering women to advocate for themselves and embrace options
  • [00:17:42] – Importance of family support, especially from partners and siblings
  • [00:20:04] – Detailed postpartum care at Stellis Health, including physical and emotional support
  • [00:27:30] – The midwives share memorable and impactful birth experiences

Quotes:

  • “Midwifery is about empowering women to understand their bodies and trust the natural process of childbirth.” – Jessica Borgstrom
  • “In midwifery, we don’t just deliver babies; we support the entire family, creating a positive birth experience and lasting memories.” – Kristin Hazeman
  • “Our job is to educate, support, and empower, letting patients know they have choices and a voice in their care.” – Jessica Borgstrom

Transcripts:

[00:00:00] Pete Waggoner: Hi there and welcome to be on the checkup brought to you by Stellis Health.

[00:00:03] We’re Neighbors Care for Neighbors. I’m Pete Stellis, ready to guide you to a healthier, happier life. Today, we’re here to inspire, explore, and help you thrive in your health journey. So let’s dive right in with a pair of providers. We have Jessica Borgstrom and Kristen Haisman, both midwives.

[00:00:21] Jessica Borgstrom: Correct.

[00:00:22] Pete Waggoner: So excited to have you here.

[00:00:23] Thanks for joining us here today.

[00:00:24] Jessica Borgstrom: Thanks for having us.

[00:00:25] Pete Waggoner: We’re going to dive into the world that you two live. And I’m looking forward to how this all comes together. So let’s first start with you, Jessica, what led you to this practice?

[00:00:36] Jessica Borgstrom: I was lucky enough to be able to start this practice here in Monticello almost eight years ago.

[00:00:41] There was no midwife practice here before I started and being able to bring midwifery care into the community here has really been a true passion of mine.

[00:00:50] Pete Waggoner: So you’re ground floor,

[00:00:52] Jessica Borgstrom: ground floor. Absolutely.

[00:00:53] Pete Waggoner: How, big has this gotten since day one for you?

[00:00:56] Jessica Borgstrom: Well, big enough to need to bring Kristen on.

[00:00:58] Pete Waggoner: Okay, and Kristen, what leads [00:01:00] you here?

[00:01:00] Kristin Hazeman: So, I’ve just started here. I started in October graduated from the University of Minnesota, but I’ve been working in the labor and delivery setting for about 11 years now. Monticello is near and dear to my home and somewhere where I started my nursing journey, so it’s been nice to come back.

[00:01:17] Pete Waggoner: Wow, so you’re home.

[00:01:18] Jessica Borgstrom: I’m home.

[00:01:18] Pete Waggoner: Welcome home. Thank

[00:01:19] Jessica Borgstrom: you.

[00:01:19] Pete Waggoner: Can you define Jess what Midwifery is and there’s a lot of things that are contained in it with that I think myself never even really knew that much was involved.

[00:01:30] Jessica Borgstrom: Yeah, I feel like there’s a misconception on what midwifery care is. Lots of people think that midwifery care is only for women delivering babies at home and that is just not the truth anymore midwifery care is care for women at all stages.

[00:01:44] We can see women anywhere from 12 years old all the way up through menopause. We see them during their years when they are wanting contraception. We see them through their pregnancy. We see them through delivery. We see them after that into menopause. Pretty much [00:02:00] anything women’s health related, we can help take care of.

[00:02:03] Pete Waggoner: And you, Kristen, had mentioned from the birthing perspective, you guys were as, before we got on the air, as busy.

[00:02:12] Kristin Hazeman: Yes, so I’m coming on to the practice and Jess has this booming practice. We delivered, 18 babies within the first month of me being here. So really hitting the ground running, but excited to see how this area is booming.

[00:02:23] Pete Waggoner: And what was your inspiration to get into it?

[00:02:25] Kristin Hazeman: So I always knew I was going to deliver babies. This was just something that was going to happen for me. I was able to see my first delivery at the age of 13. My aunt let me watch her have her baby and I was like, I am doing this. So it was a matter of figuring out how was I going to get here?

[00:02:41] And nursing seemed to be the way to do it. And it gave me the opportunity to see many different kinds of birth in many different areas in Minnesota and midwifery just fit. I also dabbled in integrative health and healing and the midwifery practice supports that.

[00:02:57] Pete Waggoner: What’s super cool about the two of you is [00:03:00] like so scary to me, like those little lives and people’s lives.

[00:03:04] But you embrace this, the two of you, with open arms and thrive. I can feel the energy, it’s super cool. You’ve already put me at ease.

[00:03:13] Jessica Borgstrom: Yeah, I think just touching on that a little bit is we like to thrive in this situation because we can offer a type of care, especially here within the clinic and the hospital setting that isn’t offered elsewhere.

[00:03:25] Being able to partner with women and provide the more integrative medicine approach while still being within a clinic and delivering within a hospital, it bridges the gap between medicalized birth and home birth. So we get to be that in between, which is really wonderful.

[00:03:40] Pete Waggoner: So that plays a little bit, Jess, into the philosophy.

[00:03:44] Your specific philosophy on childbirth and how you support women. You’ve touched on it, but is there anything more specifically or deeper you can go into on that, how you support that process?

[00:03:54] Jessica Borgstrom: Absolutely. Women have been having babies forever and the pendulum kind of [00:04:00] swung to where we medically intervene too much and we get to bring that pendulum back.

[00:04:04] And be able to support women through that natural process while educating them and supporting them and helping them have physiologic birth. within a safe environment.

[00:04:15] Pete Waggoner: How about you, Kristen? Yeah.

[00:04:16] Jessica Borgstrom: When I think of a person it’s not just their physical state that needs care. Their whole family is growing, their emotional, spiritual being.

[00:04:25] And as a midwife, we get extra time during our appointments. We take that extra effort to really connect with our patients and figure out who they are on that level. And as this new member in the aspect of pregnancy is joining their family, we’re able to support the entire family going through that change.

[00:04:42] It’s really an amazing process.

[00:04:44] Pete Waggoner: And on this podcast within what the two of you do, we’re drilling down on the birthing process and all that, obviously. So let’s start again with you, Jess. What are the different types of experience in birth that you have?

[00:04:56] experience in. Are there traditional and non traditional ways that you’ve done [00:05:00] maybe here at this facility and maybe not?

[00:05:02] Jessica Borgstrom: Yeah, absolutely. As far as birth goes, I will catch your baby in however you want to birth your baby as long as it’s safe for you and baby. Birth experience wise you can be standing or there’s squat bars, there’s birthing stools, there’s lots of different ways for baby to come out and not just being flat on your back in a bed.

[00:05:24] Actually, I discourage that let’s get up and be moving. It’s what’s best for mom and baby. And I’m also trained in water birth. I did a lot of training in that. Now, we don’t do them here in Monticello yet. But I’m also trained in that.

[00:05:36] Pete Waggoner: You were chuckling cause you saw my mind going.

[00:05:40] I got you caught me on the standing up and honestly, like my initial thought was yeah, because like you think of gravity, and when you’re laying down, you’re fighting yourself, aren’t you? Is that kind of the theory and concept?

[00:05:52] Jessica Borgstrom: Absolutely. And your pelvis isn’t open, right?

[00:05:54] If you’re laying down, so you’re not, that tailbone is curving up and almost impeding baby’s pathway [00:06:00] out. So being able to, like Jess said, change positions, even side to side, if patients have an epidural and are able to stand is so much more beneficial.

[00:06:08] I think one thing that it comes down to is what we had talked about earlier, where we are supporting women through things that women have been doing forever.

[00:06:15] And getting them up and moving and doing things that they want to do, that for a while we had been fighting against. So just letting them do what their body is telling them to do is something that we can support as midwives, which is wonderful.

[00:06:27] Pete Waggoner: So when you bring this type of new information to somebody and say, Hey maybe you might want to do it this way, or maybe that, what type of reactions are you greeted with?

[00:06:38] Jessica Borgstrom: So I would say most of the people who come and see us are seeking midwifery care. This is what they want. So they come to our clinic, they travel from however far away, we get people hour and 15 minutes away coming here for that because they want midwifery care and they know what that entails.

[00:06:54] And so being able to offer that in the community is just wonderful.

[00:06:57] Kristin Hazeman: We see a wide spectrum of patients who come in [00:07:00] and they know exactly what they want to do and how they want to do it. And the next patient will come in and they’ll be like, No, what do you have for me? So we, it’s our job to know the options and know them well and how to implement them so that we can provide our patients With the education and reassurance that yes, what you’re thinking is okay, and we’re here to support that.

[00:07:19] Pete Waggoner: Can we stay on this topic for a half second? Absolutely. You mentioned epidurals and not being able to stand up or move around. When you discuss this as options, What do you find that, I know it’s probably person to person and it’s personal, they’re the choice, but what do you find that, do they like think, man, I want more mobility or I don’t want pain, or is that like a 50 50 split?

[00:07:43] What kind of reactions do you get to that?

[00:07:45] Jessica Borgstrom: So I would say that people who are seeking, so I know I’ve said this before, physiologic birth, right? People who are seeking that are just seeking less interventions. So they want to be supported through the natural progression of labor. There’s [00:08:00] not a time clock on it, things like that.

[00:08:01] They just want to be supported through that. And then how can we help them have less interventions? So that’s where that comes in, the birth planning piece comes in and we offer them all the non pharmalogical pain management options. We talk about acupuncture and hypnobirthing and position changes and How can her significant other do pressure on her back or her hips to help with that?

[00:08:22] And so that’s a huge education piece that we go through because people don’t know all their options. They know their goal. Their goal is to do less and let their body work. But how do we get there? And that’s our job.

[00:08:32] Pete Waggoner: We’re going light and breezy on this one. Happy, this is the whole idea. But there are sometimes complications and emergencies that occur.

[00:08:39] And that’s a big part of what’s going on here, what you’re talking about. So when you do run into that, how do you handle those? And can you share some, maybe not going too deep, examples of what that would look like, either one of you?

[00:08:50] Kristin Hazeman: Yeah, so there’s a number of complications that can happen in deliveries including, babies getting stuck or what you call a shoulder dystocia, or things like a postpartum hemorrhage, [00:09:00] so having excessive bleeding after delivery, and we’re both very lucky to have had extensive training in both of those, in multiple scenarios actually and so we take that moment.

[00:09:10] Our role is to keep the room calm and to control the environment and know what to do next.

[00:09:16] Jessica Borgstrom: It’s part of our job is to keep mom and baby safe. safe and healthy, right? . And so being able to do that means that we are trained in all of the complications that can arise, because there’s many complications that can arise.

[00:09:28] But it’s our job to be trained in those to know how to manage those and act quickly. And we also have a great team of OBGYNs who work with us who we can call in at any time if we see things are happening or we have a high risk for complications happening, and they’re more than willing to come in and support us as well.

[00:09:48] Pete Waggoner: Real case scenario, let’s say someone’s in the room, the labor process is happening. OB has to come from another hospital or somewhere, and they’re not there. [00:10:00] And maybe one of these emergencies start to occur. What’s the chain of command for who makes decisions on things?

[00:10:08] What happens?

[00:10:08] Jessica Borgstrom: Yeah, so we are able to manage that room fully. You? We, yeah, yep. As midwives, we are educated and we have the education to be able to manage all of those complications and be the chain of, or the head of command for those things. Now, we call in our reinforcements and when they get there they’re also able to contribute, but it’s still, our room and our patient and they can help support that.

[00:10:32] Kristin Hazeman: And just to add to that, like we are trained and have a lot of experience in noticing these little changes before they happen. So we pride ourselves on paying attention to the small things and calling people in before we get to a point of an emergency.

[00:10:48] Pete Waggoner: I’m going really deep here.

[00:10:50] So when you guys get into a situation like that, And now you need to communicate with the reinforcements coming in and things like that. How do you do that [00:11:00] without creating panic among your patients?

[00:11:04] Jessica Borgstrom: Yeah, that’s gonna be you really get to hold the room environment. So you keep your voice low and you keep it calm and you say, this is what we’re experiencing and I need, and you, Closed loop communication, you have your nursing staff call whichever provider needs to happen and things move quickly.

[00:11:21] At a critical access hospital, we had all hands on deck. We bring up extra staff from, different areas in, within the hospital to get those extra people in there. And then we also have like telehealth NICU, who we can pull up on the screen right away. So if we need help with baby, we can get that help immediately.

[00:11:37] And so just utilizing the resources that we have. And like she said, definitely intervening early if we need to.

[00:11:43] Pete Waggoner: And both of you seem like you’ve had gobs plenty of experience here. But then do you find you get yourself in a position like, I love speaking with people in your profession from every wing here, because I find it fascinating.

[00:11:58] It’s about the [00:12:00] furthest from anything I do. And but what I, what’s intriguing is. I don’t want to say routine, but are you so comfortable with so many of these that you’ve done where there’s nothing really too big for you to handle? And for those that are with you, why wouldn’t you want to be with one of the two of you?

[00:12:17] Kristin Hazeman: I’ve, honestly, I don’t know why you wouldn’t. We’re a great time. Make the birthing experience fun. Clearly. I think we’re just fortunate to have the resources that we have here in the training that we’ve had. And, we work great as a team.

[00:12:28] Pete Waggoner: We’re going to go to prenatal care now.

[00:12:30] Go for it. Your approach, what are your thoughts on that?

[00:12:32] Jessica Borgstrom: Yeah, so prenatal care, is a partnership. So remembering that patients are coming in and they don’t have to come here, right? Like they’re coming here for a specific type of care and it’s our job to partner with them. So we do monthly visits until the third trimester and then we start to see patients more often.

[00:12:49] The biggest difference between, I think, the midwifery practice and traditional OBGYN practices is we do a lot of birth planning. Lots of birth planning, birth prepping. We hit that third [00:13:00] trimester, that 28 week visit, and we’re spending a lot of time talking about what birth is going to look like, how we can support them, what they should be doing at home to prepare for that, and just getting them ready to go for that ideal birth situation that they want.

[00:13:13] Pete Waggoner: What are some of the things that you can do, Kristen to be, I don’t know if the word preventative, proactive to a better experience in this portion of the care.

[00:13:22] Kristin Hazeman: Education is our big thing and that’s our role to give you the options and educate you thoroughly on what each option is and what the implications can be.

[00:13:31] And then we’re also there to offer our recommendations. So things like, glucose testing, right? We encourage everybody at 28 weeks to do their standard glucose testing but for someone who doesn’t appreciate the dyes or the amount of sugar that are in the standard glucola drink that we Give we offer something called a fresh test, which they can get online which has less dyes Less harmful chemicals and so we’re there to give you like hey, you may not like this option but here’s another option and both are okay to [00:14:00] do.

[00:14:00] Jessica Borgstrom: Yeah, absolutely. I second that. Just being able to Educate and support women through because I feel like they can’t question, right? People feel like they can’t like what a provider says is just what they have to do and that’s not the case, right? We’re not here to tell you what to do.

[00:14:15] We’re here to say these are what we recommend. These are the options What would you like to do? Because ultimately it’s their pregnancy and it’s their baby. It’s their decisions

[00:14:24] Pete Waggoner: Have you ever learned something from a specific situation? Where you thought, whoa, I’ve never experienced that before.

[00:14:30] Where maybe someone maybe, was more advocating or whatever the word is for themselves, where you’re like, oh wow, I never looked at it that way.

[00:14:38] Jessica Borgstrom: Absolutely. When I started my practice eight years ago it blew me away how many people were willing to advocate for themselves. I thought I would have to do a lot of that.

[00:14:48] No, you have other options. Look at all these things. But I think coming into midwifery care, patients know they have options. They’re seeking midwifery care. They’re already seeking an alternative. They’re not seeking standard. They’re already [00:15:00] seeking an alternative care. They come in ready to advocate for themselves, and it’s fun.

[00:15:04] Kristin Hazeman: And I feel like there are times, too, where the patient teaches me just as much as I’ve taught them. I’ve learned so much in just this short time of seeing patients here that I’ve taking new tools and putting them in my toolbox for later. It’s just incredible.

[00:15:18] Pete Waggoner: What’s it like do you ever see all these babies coming back as they grow up?

[00:15:22] What’s, is that trippy or what’s that like?

[00:15:24] Jessica Borgstrom: It’s amazing. It’s so great. Yeah. Like after, so there’s, people who just have lots of babies, which is great. Because you get to see them bring their toddler in and then their four year old and then their six year old and you get to see their family grow and it’s truly amazing.

[00:15:37] Pete Waggoner: Which lends us into the partners and family and how you manage that. So obviously when you’ve got all these little ones coming up

[00:15:43] Jessica Borgstrom: and then

[00:15:44] Pete Waggoner: the partners and things. How do you go about that whole management in this prenatal care process too?

[00:15:49] Jessica Borgstrom: Yeah, I think my favorite thing to do to include the little ones in the appointments is have them find baby’s heartbeat.

[00:15:56] So have them hold the Doppler, put the [00:16:00] gel on mom’s belly. Like how fun for them to squirt gel on mom, right? So they get to help and we can guide okay, maybe try it over here or whatever. But to have the siblings involved in the prenatal appointment, like it really helps with the overall transition for the whole family.

[00:16:14] Pete Waggoner: Like maybe it doesn’t matter age, but let’s say like with the little ones, do you find when you do that? Either the two of you that it becomes more of a reality for them where they say the aha button goes off There’s something really happening here

[00:16:26] Kristin Hazeman: Absolutely, and the look of excitement as they’re you know, trying to find it and you’re helping them I mean, they’re just so excited to be a part of this and I think the same thing goes for dads, right?

[00:16:36] Commonly you hear I didn’t feel included. I didn’t know what to do I just stood there and I think that this is an area where midwifery shines Right? We’re pulling everybody in. We’re showing dad how to give mom that support or during the pressure points during labor. And even in some instances help deliver their own baby.

[00:16:52] What an awesome experience is that you got to help your baby be born.

[00:16:56] Pete Waggoner: Tell me if this is true or not true. Through personal [00:17:00] experience, I had read somewhere in the 90s that I would talk to my babies in there. I swear to you, when my son was born, he heard my voice and his head looked right at me.

[00:17:14] Jessica Borgstrom: Absolutely. They have comforts. They know their mom’s voice, they know their mom’s smell, they know their dad’s voice, or their, whoever the other parent is, right? Siblings.

[00:17:23] Siblings. Whoever’s around mom often and is talking to mom’s belly, they absolutely know that voice. We saw last night in a delivery. Yes. And this, a baby came out and didn’t really cry, very happy, but just listening to mom and dad and like looking at them. And it’s such a connection, between the three of them in that moment.

[00:17:42] And to be able to foster that is, it’s magic.

[00:17:45] Pete Waggoner: It is it’s, I don’t know, he’s 29, but it’s a day that like out of everything I’ve ever experienced, I’ll never forget because You don’t know what to expect, and it’s your first, let’s say, and I think it’s really valuable. And I think as a partner, it’s [00:18:00] really important, even though you aren’t going through the process, you can at least support the process, and also get to know, Absolutely.

[00:18:09] And

[00:18:10] Jessica Borgstrom: your

[00:18:10] Pete Waggoner: baby gets to know you.

[00:18:11] Jessica Borgstrom: And involving dad or significant other or whoever’s ever there to support mom and baby, involving them in that care helps them know, okay she’s had a sore back. What can I do to help her? We give them tools to be able to help at home and give them videos to watch so they feel more prepared for labor and they’re not just like scared little mouse sitting in the corner.

[00:18:32] They’re like, I got this. I prepared for this. I can help, it’s empowering for the whole team.

[00:18:37] Pete Waggoner: Do you have a, obviously the two of you are here and you’re a two person department. What happens if Kristen isn’t here ever and it was just you?

[00:18:46] Jessica Borgstrom: Yeah.

[00:18:47] Pete Waggoner: Who, you have to have some time off, right? How does that work?

[00:18:49] Jessica Borgstrom: Yeah. So you’re asking a great person cause I just went eight years without a partner. So I’m really excited that Kristen. Oh, you get a vacation. Yeah, so having Kristen join the team is exactly what we [00:19:00] need to finalize this part of our midwifery care here at the clinic.

[00:19:03] I was a solo team for a while and yeah, I’m on call all the time for babies cause they come whenever they want to usually about 3 a. m.

[00:19:12] Pete Waggoner: Is that true?

[00:19:12] Jessica Borgstrom: They always come in the middle of the night. But if I was going to be out of town or went on vacation there’s other providers within the clinic who are willing to help cover for me, which has been great.

[00:19:23] But now the plan is going to be that Kristen will cover. And we’re going to attempt to cover all of our own patients as much as possible, but we have our support now. If I want to sign out for a night, she can cover for me. And if she wants to go to her kid’s hockey game, I can cover for her. It’s going to be a much better balance to be able to provide, midwifery care and support women through that while being able to still have a little bit of work life balance.

[00:19:49] Pete Waggoner: So how about postpartum care? This probably, I feel like in its own way, it could be its own podcast. Would you two agree? So we’ll spend a little bit of time on this cause I do think it’s important [00:20:00] because yeah, it’s awesome. We went through this process and here we go. But what happens after?

[00:20:04] Jessica Borgstrom: I’m so happy that you phrased it like that. Yep, we went through this process, but now what? People do a lot of preparing, no matter what provider they see, and how do I want my birth to go, right? That’s like what people focus on. It’s okay, I want this birth to go a certain way, but what you forget is you go home with a newborn.

[00:20:22] And that’s a big deal. That’s a huge change, right? And I really focus on something called the 5 5 5 rule, which if anybody wants to go look it up, go look it up. You’re going to find information on it, but it’s really about taking those first 15 days and knowing what you should be doing in those days.

[00:20:39] And it’s not much. It’s caring for your baby, it’s resting, it’s sleeping, it’s whatever, and then making sure that when you go home, you have somebody to support you during that time. So you should be caring for baby, somebody else should be caring for you and somebody else should be doing all the other stuff, the health stuff, the food, the everything.

[00:20:59] And so [00:21:00] postpartum care looks significantly different. with midwives. We see people more often. We, instead of a traditional six week follow up, I do a one week telephone check in. You just have your phone by you, give you a call, we check in, go over any questions that you have. We see you at three weeks, see you at six weeks, see you at three months.

[00:21:19] So we do a very thorough postpartum follow up. Because yeah, we can’t just send you home and say, Good luck, here’s a baby. Have at it. Have at it.

[00:21:28] Kristin Hazeman: And I have to highlight this because not, this is not something that every word does. And Jess has done a beautiful job of making this postpartum transition so beneficial for moms.

[00:21:38] We’re able to look at their development. Postpartum depression, which has been something that’s been on the rise and under talked about and under diagnosed, and we’re catching it earlier. Breastfeeding rates, lactation, we have outpatient lactation support, both of us have had training in lactation, and we’re able to provide those things right at that, we’re talking about it one week and we’re assessing them in the clinic, typically [00:22:00] at three weeks, and making sure that they have all the support they need.

[00:22:03] So kudos to Jess for getting this program underway.

[00:22:05] Jessica Borgstrom: I’m so glad you mentioned that though because that’s a good thing to remind people is that is not the standard. Even with midwifery care, like you go elsewhere and you’re not going to have quite that much postpartum follow up. But really when I started the program, I saw there was a huge lack in postpartum follow up.

[00:22:21] And seeing somebody at six weeks, they’ve already muddled through, oh my gosh, so much.

[00:22:27] Pete Waggoner: Honest question. And I don’t know if it’s changed because I’m old I guess. But when my kids were born, it was 24 hours out the door. And I don’t know if that’s still the same or not, is it?

[00:22:43] Jessica Borgstrom: It’s it can be anywhere.

[00:22:44] Case

[00:22:45] Pete Waggoner: dependent?

[00:22:45] Jessica Borgstrom: Case dependent. Okay. I would say that honestly a lot of people that we see want to leave before 24 hours. Okay

[00:22:51] Pete Waggoner: but I would say on your first.

[00:22:52] Jessica Borgstrom: Yes. Like on

[00:22:53] Pete Waggoner: our first one.

[00:22:54] Jessica Borgstrom: Yes.

[00:22:54] Pete Waggoner: It was now, what do we do? And you’re just shoved out the door. And I’m like, Oh [00:23:00] no. I apologized to him.

[00:23:01] I’m like, dude, sorry. I don’t know what I’m doing here.

[00:23:03] Jessica Borgstrom: Like you’re letting me take this home. Yeah

[00:23:05] Pete Waggoner: Yeah, it’s crazy. So the question I have for you is, There’s a lot that goes into what mom just went through and let’s pretend it is your first and then you don’t have a bunch of other kids where if you’re a football fan, you have to play Tampa to cover deep, whatever.

[00:23:22] Okay, zone. What is something that you would say to any of the partners out there? That don’t know what they don’t know, but they need to know.

[00:23:33] Jessica Borgstrom: I would say that you need to prepare for postpartum before delivery. So you need to talk to your loved ones, and I recommend no visitors in the hospital.

[00:23:43] Because you’re just meeting your baby. Like you said, you might only be there 24 hours. So like you’re just meeting your baby. You likely delivered at 3 a. m. So you’re exhausted. You’re probably up in labor the night before. It’s like you’re running on two nights of no sleep. And you’re trying to learn how to feed your baby.

[00:23:58] You’re trying to learn, what does that mean? [00:24:00] How do I change a diaper? Ugh. The last thing you need is a bunch of visitors. I recommend that you prepare for postpartum long before you deliver.

[00:24:06] Because having that preparation beforehand is going to set you up for success. Including your partner. So we talk about postpartum preparation in the clinic, man, that is helpful because they know, all right, I need to let my parents know that maybe they should come three days postpartum and they should bring a meal and they should maybe take the dog for 24 hours.

[00:24:24] That’s, what’s going to be most helpful for this family, so preparing for that. Absolutely.

[00:24:27] Kristin Hazeman: And one thing that Jess says to all of her patients, which I really appreciate is if you had a dinner plate size wound on the outside of your body, nobody would tell you to do anything.

[00:24:37] They want you to do laundry or cook dinner. Just because it’s on the inside and you can’t see it doesn’t mean it’s not there.

[00:24:43] Jessica Borgstrom: Yeah, and what she’s referring to is a placenta, right? So placenta is dinner plate size, and that’s the size wound that you have on the inside of your body. So I’d like to remind people it’s this big. If you have that wound on the outside of your belly, everybody would be like, don’t move. What can I get you? I’ll make you food. And on top of it, you’re also a [00:25:00] baby.

[00:25:00] Pete Waggoner: As a guy I don’t know what that wound is. I don’t. Is there more we can do that maybe they don’t know to do? I know you have feeding and things like that. There’s not much you can do there. So I

[00:25:11] Jessica Borgstrom: think another thing to remember is that woman has just went through her biggest hormone shift ever. Like biggest hormone shift in a short period of time.

[00:25:23] It is insane. So knowing that tears are normal in the first 7 to 10 days, knowing that she might just need a hug. Knowing that we should just provide her with healthy, nutritious meals and not ask what you want. Instead of that, just bring her something. Bring her something to eat.

[00:25:41] Pete Waggoner: Understand, support, be there, provide a meal, and support some more.

[00:25:48] I’d say the best thing my

[00:25:49] Jessica Borgstrom: husband did, postpartum, was took our baby for two hours every evening. I knew, I looked forward to it all day. I knew I’d get two [00:26:00] hours where I could just go lay down in bed and not have to listen for all the little cues and the cries and all the things. I got two hours from seven, whenever she fed last, from like around seven ish to nine ish where I could just go in the room, turn the fan on loud, shut the blinds.

[00:26:13] I got two hours, right? So just looking forward to something like that. That’s something that’s small, but you don’t think about it. So taking that time to be like, no, I got baby.

[00:26:22] Pete Waggoner: And moms are okay with that.

[00:26:23] Jessica Borgstrom: Yes.

[00:26:24] Pete Waggoner: Okay.

[00:26:25] Kristin Hazeman: And I think to the pressure of perfection, right?

[00:26:27] That society places in your Instagram and all of these things. And so not only you’re having this hormone shift, right? But you have this new person that’s like, Screaming at you and you’re trying to figure out why they’re screaming at you. Just the feelings of being overwhelmed as a new mom are astronomical.

[00:26:44] And then looking at the physical aspects, right? Like many women leave here with a laceration on their bottom and that takes effort to heal, right? You’re taking tub baths twice a day. Just going to the bathroom isn’t a, three second thing. Like it’s a process. And so making [00:27:00] sure that, hey, yeah, I’ve got baby go do your thing.

[00:27:03] Get yourself put back together. Take that bath. Enjoy that minute. It is huge.

[00:27:08] Pete Waggoner: Do you want to know what’s interesting about all of this? Is, through the course of time, it’s tough and it’s bad, but it must not be so bad because people go back and do it again, right? Yeah. And does it get easier? Or is that a wives tale?

[00:27:24] Do you think it does? Why? Because or maybe your body’s just different? Or how does that work?

[00:27:29] Jessica Borgstrom: I think we get better at advocating for ourselves, to be honest with you. I think it gets easier because You realize it’s okay to say no to certain things instead of people pleasing and trying to do all the things It’s okay to be like no, I can’t have visitors right now because I’m exhausted and my baby didn’t sleep last night so I’m going to bed and If you do want to stop by leave some food on the front step, that’d be great

[00:27:52] Pete Waggoner: we’re gonna wrap up with a fun question here.

[00:27:54] Kristen.

[00:27:55] Kristin Hazeman: Yeah.

[00:27:55] Pete Waggoner: Can you share one of your more memorable birth experiences and [00:28:00] how you, with your role, supported the family through that?

[00:28:03] Kristin Hazeman: Yeah, that’s a really great question and especially, as I’m transitioning into the midwife role, but I’ll share one that I was an RN for and that stuck with me and it was a patient who they had a demise, so they lost their first baby and they happened to come back and you never know who the patient is as you’re getting ready and you’re getting a report and you’re doing all the things and I walk in and it’s this couple that I’d helped name.

[00:28:27] I think it was like two years had passed and it was the most beautiful experience to watch them give birth to this baby and the joy in the room and everyone, I was as emotionally moved as they were and to be a part of that is just huge and that’s what, of the things that excites me about moving into this provider role.

[00:28:46] Pete Waggoner: So when you drove home, what was that car ride like? What were you thinking? It

[00:28:50] Kristin Hazeman: Tears. It’s literally tears as much as we at times suppress our emotions. We try, we share a lot with our patients, but it’s just that, oh my gosh, [00:29:00] it happened for them. I am so happy. And now in the midwife role, I get to see them come back for their postpartum visits and I get to see the pictures of these babies as they grow and it’s just, It’s amazing.

[00:29:11] They

[00:29:12] Pete Waggoner: all become yours, don’t they?

[00:29:13] Jessica Borgstrom: Yes, they do.

[00:29:13] Pete Waggoner: That’s awesome. Jess, how about you?

[00:29:15] Jessica Borgstrom: Yes, I would say one of my most memorable situations is a patient who had a very traumatic first delivery. It was not at our facility, it was somewhere else, and she came to her first appointment and unloaded that birth trauma and was just like, I am here because I want something different and I don’t know how to do that.

[00:29:34] So we did lots of preparation during her pregnancy, lots of preventative things and lots of things to help gear her body up for that healthy delivery. And when she came into labor, I can remember this vividly. She was terrified that this was not going to go as she had planned, right? She had done all the prep work, but in the back of your mind, there’s still that birth trauma that you hang on to until you have that redeeming birth story [00:30:00] and she had a absolutely beautiful, unmedicated, everything she wanted about her delivery.

[00:30:06] And her husband was able to help catch the baby. Which is what they wanted. And it was again, tears. The whole room is crying. Everybody is just so it’s very emotionally moving. Right now nothing, their first baby was great and everything went fine on paper But birth trauma is very deep and it is not just what’s on paper and so being able to work through that prenatally and give her that reassurance during labor and delivery and then Successfully have that birth story that she wanted man.

[00:30:36] That’s just that’s why we do what we do. Yeah,

[00:30:38] Pete Waggoner: that’s really cool what goes from a hard time comes a happy time and you’re able to see that. It’s nice because I think sometimes the general public may view You know, the medical profession is having to be a little more stoic and straight line professional or whatever But for me, it’s really cool to be able to hear there’s emotion in here too.

[00:30:59] And there’s legit [00:31:00] care About what you guys do and how you help women in everything they need and do, which is super cool. I have loved this. I could talk for hours. I got so many, I got a million more questions, but we’ll just leave it there because we’re getting the wrap up sign from our producer over there.

[00:31:18] No, but I will ask this any resources or things people can gather from Stellis Health of what they need or anywhere they can go to find more information about getting to the two of you.

[00:31:29] Jessica Borgstrom: Yeah, you can just go to the Stellis Health website. We’ll both be listed on there. There’s little blurbs about who we are, but I think you’ll learn more about who we are from this podcast.

[00:31:36] And then you can just call the clinic and we’d be happy to see you. You can just schedule appointments with us.

[00:31:41] Pete Waggoner: That’s a wrap for today’s episode of Beyond the Checkup brought to you by Stellis Health where we believe in neighbors caring for neighbors. I’m Pete Wagner thanking you for joining us on this journey. to a better health.

[00:31:52] Again, thank you, Jessica. And thank you, Kristen. We appreciate your time. Remember, your journey to wellness doesn’t stop here. We’re always here to [00:32:00] support, guide, and inspire you. Be sure to reach out to your Stellis Health provider for personalized care. And don’t forget to subscribe to Beyond the Checkup for more health insights and stories in killer podcasts like these.

[00:32:14] Share this episode with family members and friends, and let’s spread the word on living healthier, happier lives together. Until next time, stay healthy, stay connected, and continue to thrive. Thanks for listening.

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