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TTC after infant loss

(go back to Long Term Healing/Perspectives)

Reasons why it may be challenging:

  • You may revisit some grief while trying to conceive.  “I’ll love this one better” (bargaining), intense fear of the pregnancy until reaching certain milestones like hearing the heartbeat or feeling the baby kicking (could be an aspect of denial).

Reasons why it may be beneficial:

  • Your next baby, as an adult, might learn from you that you had once lost a baby, their older sibling, and know  that you may have considered not trying again, and the decision to try, and to conceive that child, may be significant to him or her.

Process & Prenatal Care involving Diagnosis

(go back to neonatal death/fatal fetal diagnosis)

This is an informational article on what to possibly expect to have occur from the time you discover a difficult and possibly fatal diagnosis, through the birth, to the farewell celebration that you choose to honor your baby.  If you have been given information on the possibility of a difficult diagnosis, you can scan this article for the information relevant to your actual circumstances, and you might read a little more about prenatal testing.

1. The very first consideration to make is in working through your feelings.  You may experience any of these feelings, either immediately, or through the duration of your pregnancy, and these are not in any order.  You need to know that other parents have come before you on this overwhelming journey, and they have felt these very same feelings:

  • sadness
  • anger
  • disbelief
  • disappointment/resentment
  • jealousy of others
  • shame
  • shock
  • acceptance/peace/even joy over your own pregnancy and child
  • studies show that this “pre-grief”, or “anticipatory grief”, grief experienced prior to the actual death of your child, does not substitute the grief that will occur after your child dies.  You will likely experience all of these feelings, and more powerfully, in the days, weeks and even years after the birth and death of your baby.
  • more information regarding grief and emotions can be found at our emotional/spiritual link.

2.  You need to get support around you.  Decide on who will walk this journey with you, and know that in most cases, your loved ones truly want to be a support to you, although they will likely feel ill equiped.  They need their own resources and support, too, and it may take you to let them know that, if their questions become overwhelming and take away from the time you need to sort through your own feelings and experiences.  Consider including any of the following people, or others:

  • your parents and/or in-laws (Nothing Without You was started by a stillbirthday mother, who has resources for parents and for grandparents)
  • closest friend(s) and family (guide them to the family/friends link)
  • Prenatal Testing support
  • perinatal hospice support in your local area
  • Alexandra’s House or other prenatal and/or postnatal housing assistance and support
  • professionals experienced with your baby’s diagnosis in your area (including transferring prenatal care to a different doctor or hospital)
  • other supportive professionals and volunteers in your area, like doulas and photographers (pregnancy/birth/farewell – listed at stillbirthday by state)
  • bereavement support in your local area (visit the long term support services link)
  • pastor
  • professional counselor
  • specific support groups or resources if this diagnosis indicates likelihood of future infertility, such as Hunter’s Syndrome, Mitochondrial Disease, or Spinal Muscular Atrophy
  • additional support services such as the cost of ultrasound provided by Sustaining Grace
  • other moms who’ve come before you.  You can read stories by clicking on “All Newborns/Diagnosis” in the right sidebar of this site.
  • you can decide how you want to tell your loved ones.  Starting a blog for your baby is a great way to work through your feelings, have a special online place that honors your baby, as well as allows others to see what’s happening without seeming intrusive.

3.  You are still pregnant, with your child inside you.  Your baby’s experience in-utero is not totally conditioned on your perceptions or feelings toward your experience and this journey.  However, it is important to come to find ways of celebrating this pregnancy and bonding with your baby now, while you can.  Consider any of these things:

  • Spiritual connection, including prayer.  It releases oxytocin, sending this oxygen-rich love hormone through your bloodstream to be received by your baby.
  • connection with your husband, including sexual and non-sexual intimacy and togetherness.  Getting a couples massage or retreating to a bed & breakfast weekend getaway in the country is a great idea.
  • have a pregnancy belly casting done.
  • have a Celebrating Pregnancy blessingway (Sacred Circle) with your closest friends.
  • sing and talk to your baby, and touch your belly.
  • journal, or write letters to your baby.

Heartbeat Ideas:

4. Prepare for the birth while you are pregnant:

  • view our birth planning information that includes information on lactation, NICU, and more.
  • consult with your OB over your hospital policies regarding infant death.  Ask about:
  • homebirth or other options
  • all options of fetal heartrate monitoring during labor if baby may be born alive.
  • delayed cord clamping in all situations, especially when Cesarean birth is discussed, as clarification between hysterotomy elective abortion (premature cord cutting).
  • the care that will be given to your baby.  Are you planning on offering comfort care, or palliative, medical care?  If your baby will receive intense medical support, investigate the possibility of delivering at your local intensive care children’s hospital, to prevent a transfer of care after delivery.
  • time you can have with your baby after delivery (any concerns or possible situations that would limit this)
  • what to expect your baby to possibly look like (we accept donations from mothers of photos of their babies, so that mothers coming after you can help get an idea of what to possibly expect.  Please submit photos to Heidi.Faith@stillbirthday.info  and they will be added to the “Gestational Age of Your Baby” tab, after all of the weeks of pregnancy photos.
  • visit or call the maternity floor, and ask if there are nurses there with experience with babies with your baby’s diagnosis
  • rooming-in with your baby, kangaroo care/skin-to-skin bonding, breastfeeding
  • ask if shots, ointments, and screening can be delayed or just not performed
  • if your baby lives longer than expected and is able to leave the hospital with you, ask ahead of time what to expect in caring for your baby
  • if your baby is not expected to live longer than your hospital stay after delivery, ask about making special arrangements to take your baby to the funeral home (if you can do it, or not)

Considerations regarding acknowledging the life and personhood of your baby.

  • You may decide to prepare a baby nursery for your baby, even while knowing baby may not survive or ever be present in it outside of your womb.  The process may be cathartic to you.  Or you may decide not to, but it can very much be an active not building a nursery.  Meaning, you should have support around you.  It is highly recommended to have a Celebrating Pregnancy Blessingway.
  • Breastmilk Donation and other breastmilk decisions.

Considerations regarding acknowledging your faith.

  • If you have faith traditions or cultural beliefs that have specific conditions surrounding them, speak clearly to your support team to find a way to make your important traditions or beliefs exhibited however possible.  You matter.  Your spouse matters.  Your baby matters.

5.  Preparing for your baby’s death now, while you are still pregnant, is very emotionally difficult, but it may allow you to create specialized plans for your situation.

  • consult with different funeral homes, asking them what their experience is in infant death, and what special arrangements they might be able to offer in your specific situation.
  • ask if they can arrange for you to bring your baby from the hospital to them.
  • if they cannot do this, ask if, when they arrive to the hospital for your baby, if their representative can carry your baby out of the hospital in their arms, just like a live baby.
  • Purposeful Gift (organ donation)
  • see our Farewell Celebrations for additional suggestions.

Additional Support:

Books

Websites

Diagnosis & Surviving:

Fatal Diagnosis:

Hospital Stillbirth

This is basic information to help you have some understanding of what to expect from medical and legal representatives from the duration of your delivery to the burial of your baby.

If you have just had a homebirth and delivered a stillborn unexpectedly, please click the link to be taken to a different article.  That same article will also provide you with information if you are considering planning a homebirth in a known stillbirth situation.

If you are anticipating delivering a stillborn, you may have a few delivery options:

Delivering a stillborn in the hospital:

When you are admitted to the hospital, the nurse may start your labor off in triage or in a labor room, depending on your hospital.  Some basic admitting paperwork may need to be filled out, and your birth plan should be presented.

After the birth, if the hospital has a bereavement team, they will visit you.  They may offer you some counseling resources or bereavement information.  A chaplain may visit you, if you wish.  As part of the bereavement support services, your hospital may have a police officer visit you and just check up on your personal safety at home.  That might seem offensive, but if they do, just consider it a blessing that your care is being considered.

Every hospital has different policies, but all will try to work with your requests and offer you as compassionate care as they possibly can.

Depending on factors involved in your unique situation, you may be discharged from the hospital later that day, or the following day.

In most cases, your baby will not be able to leave with you when you are discharged, but will remain at the hospital until a representative from your selected funeral home comes to the hospital to transport your baby back to the funeral home.

If you have older children, and you are planning on having them stay with relatives during this time, this packing list may help you sort through the things they will need.

The delivery option links at the top of this article will help you navigate many more personal and special choices to help make this difficult time more meaningful and more validating to you.

Home Stillbirth

The first part of this information is for unexpected stillbirth at home.  Information regarding planned home stillbirth will appear at the end of this article.

If you are planning a homebirth with an expected live outcome, stillbirthday mothers who have done the same, and have endured unexpected homebirth loss urge you to consider:

  • learning about the different kinds of midwives and understanding what their credentials, their services (ultrasounds and other prenatal care services), liability insurance, transport plan, relationship with local hospital staff, how they support you in unexpected crises, and their statistics mean.
  • learning about yourself.  Is homebirth a way to run from fears, or might it offer an opportunity of emotional victory?  We have a birth pre-planning journal recommendation in our general subsequent birth planning information.
  • learning about their stories.  Some stillbirthday mothers who have endured unexpected homebirth loss have faced compounded feelings of betrayal or neglect from their care team who were ill-equipped to support their journey, and, there are stillbirthday mothers who have had profoundly and wonderfully supportive experiences, because their support team were lovingly prepared to support them well.  With a midwife and care team who are knowledgeable about supporting during unexpected homebirth loss, the experience can have substantial healing that is actually unique to homebirth loss, and that a hospital experience would actually not be able to afford.  In short, for better or worse, some of the aspects of the labor, birth, welcoming and farewell may be magnified by unexpected homebirth loss.  Reading their stories in their own words can help you learn how.  We also have a Homebirth Loss Awareness Day on December 19 just to raise awareness of these perspectives.
  • Some of our SBD doulas are also midwives, and can serve to help answer any questions you may have about your birthing choices.
  • learning about water birth as an option.
  • learning about your subsequent birth planning in general.

 

Unexpected Home Stillbirth:

Check for a pulse in the baby’s umbilical cord.  This is important to know.

After you call 911:

  • unlock your doors
  • remain with your baby (don’t waste time trying to cut the umbilical cord at this time if it is long enough for you to reach your baby and perform CPR)  Neonatal Resuscitation with Cord
  • attempt to perform CPR until the paramedics arrive.  The 911 dispatcher who took your call will be able to walk you through it (and cutting the cord only if it’s necessary, and how to clamp and cut safely) over the phone.  If your baby can reach your chest with cord intact, this is generally the safest option.
  • here is a video of how to perform newborn CPR.  The real information starts at about “40 seconds” into the video (so fast foward scroll to about that area):

How to give a newborn baby CPR

  • When the paramedics arrive, they will attempt to do everything in their skill to save your baby’s life.  You need to give them plenty of space to work.
  • When the paramedics arrive, a police officer may arrive too, and may want to determine that you didn’t intentionally harm your baby.  This may seem offensive, but it’s because they care about your precious baby too.  Please stay as calm as you can to answer any questions you are asked.
  • An SBD Chaplain in your area should arrive as well, if there is one available in your area, either with the paramedics or the police, because SBD Chaplains are uniquely qualified to mediate between any conflicting interpretations and can neutralize the potential for unnecessary blame or guilt that has been reported in similar situations without one.
  • The paramedics may transport your baby to the hospital.  You will likely be transported to the hospital too, for your own postpartum care (you just gave birth to a baby).  You may or may not be transported together in the same ambulance.
  • Our Provider Care has resources for paramedics, including tips for the birth and immediately postpartum.
  • Loved ones need to know what is happening.  Call them, or ask a paramedic to call them.  If a loved one will meet you at the hospital, they will at some point need to go to your home to gather a few items for you (so that after you are discharged from the hospital, you will have them).  Your nurse will tell you what you’ll need.  At this point, you should learn more about hospital stillbirth information.
  • Friends and family should visit the family/friends link to have a better understanding of how to offer you support at this time.
  • Please visit the Farewell Celebrations section for support after the birth.
  • Stillbirthday understands the unique grief experience that follows an unintended stillbirth at home, particularly in planned hombirth situations which result in stillbirth.  Please know that these situations are unique, complex, not previously researched, and each situation involves a number of potential issues including real legal accountability, real innocence, real collusion, and real abnegation.  Stillbirthday handles each of these situations as carefully as possible, and is a safe place for you to share your experiences, no matter what your feelings are. Please see our submission information to learn more.

Planned Home Birth with Fatal Diagnosis:

  • This is a listing on its own because the time of death of your beloved baby may be unpredictable.  May you find the practical/legal suggestions listed in the section below to be helpful to you.
  • Also find our Extra Time Birth Plan for support ideas and suggestions.

Planned Home Stillbirth:

  • Understand your local laws regarding home stillbirth.  Different state laws also provide for different regulations regarding stillbirth at home, particularly if there is a chance for survival.  If your state laws permit you to have a home stillbirth, also determine if you have legal permission for any unique plans you have, such as burying your baby at a private cemetary.  Your local officials can help you navigate your legal decisions.
  • Determine if homebirth will prevent life-saving or death-delaying medical support available from a hospital. If you know or even suspect that you may deliver a baby with a serious diagnosis but who also has even a slim chance of survival, you may decide to deliver your baby at a hospital, or discuss a transfer after birth with your midwife.
  • Consider any medical concerns that may impact your own health, including possible hemorrhage, uterine rupture, and infection.  Discuss these risks with your midwife and make a plan to manage these.
  • Keep all diagnostic medical records from your pregnancy, including any ultrasound images that determine the demise of your baby.  You will want to have these available at the birth, as your state laws may require you to present them to your local law enforcement official shortly after the delivery.
  • Work ahead of time with the funeral home of your choice.  Learn their policies.  Do they require arriving at your home to transport your baby to their facility?  Will they permit you to transport your baby to their facility?  Is there a timeframe from the time of delivery in which this transportation needs to occur?
  • Contact your local law enforcement officials at a responsible time after the birth, if this is included in your local laws (it likely is).  They will need to see the diagnostic medical documentation that you’ve kept through your pregnancy, and ensure that you are safe.  Please be respectful and comply with their questions.
  • Your midwife will need to have the official paperwork to submit to your local Vital Statistics office, to submit a request for an official Certificate of Death (this step may or may not be particularly difficult in your state).
  • To find ways of making your home stillbirth special, please consider viewing the hospital stillbirth plans as they may provide some support for you in your situation.  Our birth education also has useful information.
  • Please visit the Farewell Celebrations section for support after the birth.

Please also consider sharing your story of home stillbirth, and read the stories of home stillbirth from other mothers.

Your Baby’s Name, Your Baby’s Story

(go back to Farewell Celebrations)

Have you chosen a name for your baby?

Marking your baby’s name in or on something significant or special can help solidify to you the very real life of your baby, and that even if he or she didn’t get to touch the world with their fingers, he or she did get to leave their mark on the world in a positive, unique way.

It can be something simple, or something more elaborate.

Here are some ideas for marking your baby’s name:

Telling your story, your baby’s story, can be very special and very healing:

A couple of tips about blogging for your baby:

  • Blogger and WordPress are both free.  Blogger is easy to format and can become very personalized very quickly.
  • Franchesca from Small Bird Studios is a very talented blog designer who experienced infant loss.  Her story and website is at Small Bird Studios.
  • We have a “blog button” you can add to your site.
  • We have a blog roll.
  • “The Cutest Blog on the Block” offers free items for blogs, too.

 

More that includes details of your baby:

Cemetary Burial

(go back to Farewell Celebrations)

These are some things to consider when planning a cemetary burial for your baby:

Unofficial Burial

(go back to Farewell Celebrations)

Burying your baby who was born not alive, in a place other than an official cemetary, may be a choice for you, if in compliance with your local laws.

Contacting your local funeral homes, vital statistics or registrars offices may provide some insight into your legal options.  This part of the journey can seem very overwhelming.  It’s OK to ask a lot of questions and to ask other people in other departments for clarification.

It is very important to know what your local laws are regarding infant burial of any age.

Legal information (by state):

Other tips:

  • Consider hiring an SBD Chaplain, who can help navigate this journey with you.
  • Understand Green Burial and your rights and options by location.
  • Know your laws.  This is repeated here again from above, for your own benefit.  While researching laws, you may encounter resources that can provide financial or other assistance that might otherwise seem a factor in your journey.
  • Learn key words.  Fetal remains disposition and parental rights of sepulcher and embalming/refrigeration requirements and  understanding the difference between state law and local hospital policy are important places to research.  Regarding refrigeration, seek specifically the timeframe required after time of birth (embalming is not required), the temperature involved, and what options you might safely utilize to make this happen in  your unique circumstances.  It may seem impossible to learn these things in the timeframe you have and in the emotions you may be experiencing.  Go slow.  Ask those helping you to repeat themselves.  Seek more support.  You are not alone.
  • Consider the place of burial.  Burying your baby in your backyard may prove to become an issue if you move to a new home at a later time.
  • Dig deep, below the frost line.  This could be up to 6 feet deep, or at least 3 feet deep with the use of mulch or compost surrounding your baby.
  • Before digging, make sure there are no underground electric wires or gas lines.
  • Consider placing a metal object between where your baby is layed and the ground surface, so that a metal detector may warn others in the future to be careful digging in that area.

Purchasing special burial items.  Here are a couple of ideas:

Farewell Words

(go back to Farewell Celebrations)

Poems

Please  share your story or use the quick feedback form to share your special words.

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Eulogies/Sermons

  • Sample Funeral Sermon for Infant Death
  • 1 Samuel, chapters 1 and 2 (1 Samuel 1:11, 1 Samuel 1:16)
  • John 12:1-8 (on the subject of an “elaborate” burial – attention to preparation for burial, funeral, mourning)
  • Matthew 27 (God expressed His grief and mourning in elaborate ways – relates to us in our grief and mourning)

Music (opens a new window at You Tube)

Relevant Quotes

 

Bible Verses

These have been provided by Whole Intentions

2 Corinthians 1:3- 4 Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, 4 who comforts us in all our tribulation, that we may be able to comfort those who are in any trouble, with the comfort with which we ourselves are comforted by God.

Romans 15:4 For whatever things were written before were written for our learning, that we through the patience and comfort of the Scriptures might have hope.

Psalm 23:4 Yea, though I walk through the valley of the shadow of death, I will fear no evil; For You are with me; Your rod and Your staff, they comfort me.

Psalm 86:15 But You, O Lord, are a God full of compassion, and gracious, Longsuffering and abundant in mercy and truth.

Psalm 94:19 In the multitude of my anxieties within me, Your comforts delight my soul.

Psalm 18:30 As for God, His way is perfect; The word of the LORD is proven; He is a shield to all who trust in Him.

Proverbs 30:5 Every word of God is pure; He is a shield to those who put their trust in Him.

Psalm 18:2 The LORD is my rock and my fortress and my deliverer; My God, my strength, in whom I will trust; My shield and the horn of my salvation, my stronghold.

Psalm 46:1 …God is our refuge and strength, A very present help in trouble.

Psalm 145:18 The LORD is near to all who call upon Him, To all who call upon Him in truth.

Psalm 119:105 Your word is a lamp to my feet And a light to my path.

Psalm 18:28 For You will light my lamp; The LORD my God will enlighten my darkness.

Philippians 4:6- 7 Be anxious for nothing, but in everything by prayer and supplication, with thanksgiving, let your requests be made known to God; 7 and the peace of God, which surpasses all understanding, will guard your hearts and minds through Christ Jesus.

Psalm 55:22 Cast your burden on the LORD, And He shall sustain you; He shall never permit the righteous to be moved.

Proverbs 3:5- 6 Trust in the LORD with all your heart, And lean not on your own understanding; 6 In all your ways acknowledge Him, And He shall direct your paths.

Romans 5:1- 5 Therefore, having been justified by faith, we have peace with God through our Lord Jesus Christ, 2 through whom also we have access by faith into this grace in which we stand, and rejoice in hope of the glory of God. 3 And not only that, but we also glory in tribulations, knowing that tribulation produces perseverance; 4 and perseverance, character; and character, hope. 5 Now hope does not disappoint, because the love of God has been poured out in our hearts by the Holy Spirit who was given to us.

Isaiah 55:8- 9 ” For My thoughts are not your thoughts, Nor are your ways My ways,” says the LORD. 9 “For as the heavens are higher than the earth, So are My ways higher than your ways, And My thoughts than your thoughts.

Psalm 62:7- 8 In God is my salvation and my glory; The rock of my strength, And my refuge, is in God. 8 Trust in Him at all times, you people; Pour out your heart before Him; God is a refuge for us. Selah

Isaiah 26:3- 4 You will keep him in perfect peace, Whose mind is stayed on You, Because he trusts in You. 4 Trust in the LORD forever, For in YAH, the LORD, is everlasting strength.

Jeremiah 17:7- 8 “Blessed is the man who trusts in the LORD, And whose hope is the LORD. 8 For he shall be like a tree planted by the waters, Which spreads out its roots by the river, And will not fear when heat comes; But its leaf will be green, And will not be anxious in the year of drought, Nor will cease from yielding fruit.

Job 1:21 And he said: “Naked I came from my mother’s womb, And naked shall I return there. The LORD gave, and the LORD has taken away; Blessed be the name of the LORD.”

1 Thessalonians 5:18 in everything give thanks; for this is the will of God in Christ Jesus for you.

Psalm 145:17 The LORD is righteous in all His ways, Gracious in all His works.

1 Peter 5:7 casting all your care upon Him, for He cares for you.

Psalm 32:10 Many sorrows shall be to the wicked; But he who trusts in the LORD, mercy shall surround him.

Hebrews 13:5 Let your conduct be without covetousness; be content with such things as you have. For He Himself has said, “I will never leave you nor forsake you.”

Isaiah 46:10 Declaring the end from the beginning, And from ancient times things that are not yet done, Saying, My counsel shall stand, And I will do all My pleasure.

Job 42:2 I know that You can do everything, And that no purpose of Yours can be withheld from You.

Levels of Augmentation

(back to Birth Plans, back to Birth Education)

There are various ways to help facilitate some change in the progress of labor.  Many are listed here, in order from least interventive (“natural”) to more interventive (“medical”).  Please know that many “natural” techniques are not scientifically proven and/or their effectiveness may be in conjunction with dangerous side effects.  Please discuss all “natural” options with your care provider (OB or midwife), whether or not your doula is versed on the topic or not, including exactly how to prepare or present the option.  We also note in our early at-home birth plan, that it is possible to experience what we refer to here at stillbirthday as “early pregnancy prodromal labor” – your labor may or may not start and stop, unexpectedly.  It is also, enormously important for you to know, for your emotional well being, that even if a “natural” option might help in the augmentation of labor, this does not mean that it caused your loss.  These options are listed here because it has been noted by other mothers, that once the birthing process has already begun, these options have been reported by them as being in some way helpful.

Please utilize any of the many emotional support resources we have available at stillbirthday, as well as our more customized emotional and practical support based on the type of loss you are experiencing.

Please visit our During Birth support resources.

External

  • walking, lunging, singing, praying/meditating (entering into a safe physical place to do so), relaxing, car ride,  oxytocin release (doula can support), massage, effleurage, brushing teeth, hydrotherapy, various “yoga” type positions (doula can support), chiropractic care, herbal bath: yarrow, sage, oregano and nettle.

External – More Intensive

  • nipple stimulation, accupressure/puncture
  • possible essential oils under the guidance of a professional certified in their use

Internal

  • raspberry leaf tea, Lady’s Mantle, wine of ergot (spurred rye), eggplant parmesan, oregano, pineapples, spicy foods, “labor cookies“, intercourse, coffee or other stimulants
  • Spatone, chlorophyll, Floradix, hemoplex, spirulina, alfalfa, red clover or nettle can help restore iron drained through blood loss.
  • deep reflection into possibilities of emotional dystocia: prayer, meditation, reflection, permission to heal

Internal – More Intensive

  • cohoshes, primrose, fresh parsley, castor oil/enema, cotton root bark, angelica, pennyroyal (please see this external article regarding herbal augmentation) , vodka (some believe that any alcohol, however, can actually stall labor.  Again, all of these “natural” methods need to be discussed with your provider.)

Medical

  • vaginal exams, stripping membranes, cervical ripening agents (Misoprostil), Foley bulb (see Artificial Induction birth method for information on Misoprostil, Foley and other augmentation options)

Medical – More Intensive

  • cytotec, Pitocin, forceps/vacuum/episiotomy, planned Cesarean, emergency Cesarean (see Full Term Birth Plan for information on these options)
  • in early pregnancy, D&C

 

Turning Breech Baby

  • External: hands and knees position, using sound, using a small flashlight, using warmth at your lower pelvic area and cold cloth nearer to the top of your fundus.
  • External – More Intensive:  ECV {external cephalic version}
  • Internal: Pulsatilla

 

Please visit our During Birth support resources.

The SBD® Doula provides support to families experiencing birth in any trimester and in any outcome.

Here at stillbirthday.info, you can learn about the SBD® Doula.