06/02/2026
Reflection on My First Assisted Birth - from Rachel, a South Phoenix Healthy StartDoula:
"Wanted to share with you all about my first birth.
Labor began early Friday morning, around 5am, with contractions about twenty minutes apart. This continued throughout the day steadily. I met her at the hospital at 1am on Saturday, she was 4cm and 90% effaced. What followed was a long, immersive, and sacred labor; roughly 24 hours, where every breath, every movement, every sound carried weight.
Before she chose an epidural around ten hours into active labor, we explored every position and technique I had learned: standing and slow dancing, on hands and knees, birthing ball, peanut ball, counter pressure with my body and the rebozo, massage, and a labor comb. Each shift, each adjustment was a conversation between her body and her power, with me holding space and support alongside her.
One moment that will stay with me forever happened during a contraction: I applied counter pressure with the rebozo while her mother, sisters, grandmother, and godmother inhaled together and hummed on the exhale.
That hum wasn’t just sound. It was ancestral memory, a lineage of Black women holding space, guiding, breathing, and birthing together across generations. It grounded her body, carried her through the pain, and transformed the room into a sacred, communal field. Hours passed in this energy, and I felt honored to witness it, to anchor her, and to participate in it.
The epidural ultimately did not work, despite five attempts. She leaned fully into the natural techniques we had cultivated, and I stayed present, ensuring her birth plan remained central, her questions were answered, and her agency was protected. Some staff resisted at times, but through steady presence, advocacy, and gentle insistence, I was able to maintain a respectful, protective environment for her.
She delivered a healthy baby girl, and the moment she saw her daughter, whispering, “Oh, baby girl, I love you”, was profound. I held her head and told her, “You did that,” because every contraction, every wave of labor, every hour of endurance belonged to her. She owned this moment, and I was simply witness, guide, and container.
Leaving the hospital, I felt exhausted, flooded with emotion, and floating in awe. This experience wasn’t a reminder of why I do this work, it was an initiation. I stepped fully into the depth, the responsibility, and the sacredness of being a doula. I was there for her, a Black woman surrounded by her Black women, mothers, and grandmothers, witnessing the strength, resilience, and sacred lineage of women in action. I am honored to have held space for her, for her family, and for this ancestral energy that carried her through labor. This birth marked the threshold of my own journey in this work, and I will carry it with me always."
Truly spectacular.
-Rachel
Learn more about the doula program: https://strongfamiliesaz.com/program/healthy-start/
Thank you to program sponsors Mercy Care and Maricopa County West Valley NAACP