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An Empowering Unmedicated Birth at Progress West Hospital

01/20/2026 | By: Terri Anne To the Moon & Back Photography and Doula Services

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A St. Louis Doula Birth Story About Expectations, Trust, and Strength

Birth rarely follows a script — and sometimes, the most powerful births are the ones that ask us to release expectations and trust our bodies in new ways.

This labor and delivery story is one I will carry with me forever. It was my third birth as a doula and the first birth attended under my own doula business, making it especially meaningful. What unfolded was nothing short of incredible.


When Expectations Meet Reality in Labor

This mama’s first birth had been beautifully smooth and fast. Her water broke, contractions followed five hours later, and her baby was in her arms just six hours after that. Naturally, she hoped her second labor would follow a similar rhythm.

She also carried another quiet hope — that labor would begin during the day, on a weekend, without inconveniencing anyone. Like so many parents, she held herself to high expectations, even in labor.

As her St. Louis doula, I met with her twice at home during pregnancy. We talked through birth plans, hopes, dreams, fears, and education — preparing not just for labor, but for flexibility.


Weeks of Waiting, Sleepless Nights, and Emotional Exhaustion

As the weeks passed, labor did not begin. Instead, she experienced frequent but irregular contractions that lasted for weeks, disrupting sleep and wearing her down emotionally.

She lost her mucus plug — not once, but repeatedly — and still, labor didn’t take hold.

An induction was scheduled… then canceled.

By the time I arrived for a last-minute prenatal visit, she was exhausted and discouraged. She shared how deeply she was struggling, wondering why her body wasn’t “doing what it was supposed to do.” Her heart felt heavy with disappointment.

Together, we talked honestly about expectations — how we can place invisible pressure on ourselves, and how painful it can be when those expectations don’t unfold the way we imagined. We also discussed postpartum support and made a plan for a calm evening followed by an induction the next morning.


Induction Day: A Calm Beginning

I arrived at Progress West Hospital a few hours after mom and dad. Pitocin was started, and mom was already 3 cm dilated — a great place to begin.

She was open to an epidural but wanted to wait and see how things progressed.

We created a calm, grounded space with gentle massage and essential oils. Mom rested for about 45 minutes, and when she was checked again, she was 4 cm dilated. Her doctor broke her water at 11:30 a.m., though only small amounts released at first as baby’s head acted like a plug.

Feeling strong and comfortable, mom spent time rocking on a yoga ball while we chatted and dad stepped out briefly for lunch.


When Labor Suddenly Shifted

Things changed quickly.

I stepped away to the cafeteria for about 20 minutes. When I returned, dad was instinctively doing hip squeezes, and mom said quietly, “I’m not sure how long I can do this.”

She looked incredible — calm, focused, breathing — but the contractions had clearly intensified.

We stood together, swaying through contractions. I supported with hip squeezes while dad lovingly massaged her head and shoulders. She hadn’t made a sound.

Then — a small cough — and suddenly a massive gush of water poured onto the floor.

Shortly after, she went to the restroom while the room was cleaned. When she returned, she began climbing back into bed and mentioned the epidural to her nurse.

The nurse smiled and said, “Let’s check you first.”


From 4 cm to Baby in Arms

Mom laid back.

She was 9 cm dilated.

Everyone paused.

The nurse said she’d call the doctor, and mom rolled onto her side asking for the peanut ball. I slid it under her leg as she made her first vocal sound and said, “I feel like I’m on fire.”

I asked gently, “Like hot fire… or down there?”
She answered, “Down there.”

The nurse checked again — and before she could even leave the room, baby’s head was already half out.

Gloves went on fast. The doctor rushed in just as the baby completed their entrance into the world — barely any pushing at all.

At 1:15 p.m., less than two hours after her water was broken, her baby slid gently into her arms.


An Unmedicated Birth She Never Expected — and Fully Owned

There were tears everywhere. Mine included.

This mama had just experienced the most empowering, fast, unmedicated birth, despite weeks of doubt, exhaustion, and emotional struggle.

From water breaking at 11:30 a.m. to baby in arms at 1:15 p.m., her body moved powerfully and instinctively.

I barely had time to pull out half my doula tools — because she didn’t need them. She did this.


Why This Birth Matters to Me as a Doula

This birth will always hold a special place in my heart.

It reminded me why I do this work — why supporting families through labor and delivery is truly where I’m meant to be. Watching parents discover their own strength never gets old.

I am endlessly proud of this mom and dad. And I am so deeply grateful to walk alongside families during such transformative moments.

This is truly the best job ever — and I cannot wait for all the births yet to come.


Looking for a St. Louis Labor & Delivery Doula?

If you’re expecting and looking for compassionate, steady support through pregnancy, labor, birth, and postpartum, I would be honored to walk this journey with you.

Birth doesn’t have to follow a perfect plan to be powerful.

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