Mountain Perinatal Education

Mountain Perinatal Education The intersection of my Christian faith and pregnancy, birth, and family life. I teach about pregnancy, birth, and breastfeeding. I am only one person though.

Families and professionals need information based on current research (and common sense) so that they can have the safest and most satisfying birth possible. Birth is about more than just getting the baby from the inside to the outside. It includes an enormous emotional shift for all members of the family. For professionals concerned about quality of healthcare, attending to those emotional needs

is not usually something that was emphasized in their training. Non-pharmacologic forms of pain relief, initiation of breastfeeding, and parent-
infant bonding are all subjects that I teach. I enjoy educating parents as well - one-on-one, in groups, over Skype, and on this page. As an ICEA certified trainer for doulas and childbirth educators, I can now train others. No woman should live in fearful expectation of her birth experience. Knowledge and support can abolish that fear. Together we can make a difference.

Vitamin K is a big issue today. A new (July 2026) article considered 2 million Swedish infants. Read this entire article...
07/23/2026

Vitamin K is a big issue today. A new (July 2026) article considered 2 million Swedish infants. Read this entire article for context, but here's a quote that is an example of why we should read statistics with caution:
'Framed as a headline, that’s “more than 50% higher risk.”
Framed honestly, it’s a difference of about a quarter of one percent.'
https://www.sarawickham.com/articles-2/vitamin-k-evidence/

Real life for pregnant women and midwives.
07/16/2026

Real life for pregnant women and midwives.

Things my clients text me at 11pm:

"Is this weird tingling pain at the top of my belly normal?"

I mean, if your skin stretching to the literal point of tingling and numbness is normal... then yes. Absolutely. Your body is doing something incredible and also completely unhinged.

"I haven't pooped in four days."

Magnesium, friend. Magnesium. I'm not going to make you wait for this answer. Then hydrate, hydrate, hydrate.

"My legs are so swollen."

Yes. In this heat, after being on your feet all day, your legs can and will transform into stuffed sausages. This is your season. Invest in some Crocs and make peace with it.

"It feels like the baby is going to fall out at any second."

They won't. And honestly? If they did, you'd be one of the luckiest women alive. That's the dream scenario.

"I felt a weird zap in my cervix."

Lightning crotch. That's a real term and I use it with a completely straight face. It's rude. It's normal.

"How do I know if my water broke or if I p*ed?"

The sniff test, friend. Does it smell like p*e? Then congratulations, it's p*e. If it doesn't and it smells slightly sweet, call me.

"My toddler keeps jumping on my belly. Is that going to hurt the baby?"

Your baby is in a fluid-filled fortress specifically engineered to withstand big brother's antics. Baby's fine. But maybe encourage some gentleness for YOUR sake. You are not a trampoline.

"Should I be leaking colostrum all over my shirt? And my bed? And my partner? And apparently my dog?"

Congratulations. Your body is a functional dairy operation and it's opening early. Good sign. Get some pads for your bra.

"Everyone keeps telling me my belly is huge." / "Everyone keeps telling me my belly is too small."

People need to stop discussing the size of pregnant women's bodies. Full stop. Your belly is perfectly gestationally appropriate and everyone else needs a hobby.

"Is it normal to hate my husband's chewing this much?"

Yes. Hormones have turned you into an apex predator with supernatural hearing. He's fine. You're fine. He should probably eat in another room.

"Can I PLEASE have a turkey sandwich from Jersey Mike's?"

Here’s the thing nobody tells you: Listeria doesn’t only live in deli meat. Bagged salads and pre-cut fruit have caused outbreaks too, and nobody’s warning you off the spinach. So weigh the risk, weigh the benefit, and decide if you want the sandwich. Your body, your baby.

"Sorry to text so late."

Never apologize. This is the job. This is literally why you have my number.

Here's the thing about these texts.

Every single one is a woman lying awake, wondering if what she's feeling is normal, with nobody to ask.

She could Google it and spiral. She could wait three weeks until her next appointment. She could just... worry about it silently and lose sleep.

Or she can text her midwife at 11pm and get a real answer from someone who knows her, knows her pregnancy, and genuinely doesn't mind. My goal is for you to feel well supported and this is part of that!

That's the whole point. 💚

Be kind. Be respectful. Why is this so hard for some people to understand...
07/14/2026

Be kind. Be respectful.
Why is this so hard for some people to understand...

Low AFI (Amniotic Fluid Index) is not a reason for immediate induction.
07/13/2026

Low AFI (Amniotic Fluid Index) is not a reason for immediate induction.

Half of the time estimates of baby's weight based on ultrasounds in the last trimester are wrong. Be cautious when consi...
07/08/2026

Half of the time estimates of baby's weight based on ultrasounds in the last trimester are wrong. Be cautious when considering induction based on baby's size.

When doctors believe a baby is going to be on the large side, they often recommend inducing labor in hopes of avoiding a cesarean or injury to baby or mom during a difficult vaginal birth.

Does that strategy work?

In this month's blog post, we’ll look at the evidence that it doesn’t plus I'll supply you with a list of physiologic care strategies that do.

https://hencigoer.com/just-say-no-to-induction-for-suspected-big-baby

07/07/2026

Prof. Frank Louwen (President of FIGO - (Fédération Internationale de Gynécologie et d'Obstétrique) ) ... said 'every intervention (in childbirth) should have an indication and that indication should be evidence-based'.

07/02/2026

When someone lifts onto their tip toes, it can be a signal that pushing is about to begin.

Numerous studies have shown that midwives deliver (pun intended!) better care for most women most of the time. This does...
06/30/2026

Numerous studies have shown that midwives deliver (pun intended!) better care for most women most of the time. This does NOT invalidate the need for obstetricians for those with medical complications. It's simply a fact that most women don't need that level of care.

Too often folks are convinced to induce labor (get it started before labor starts itself). There is a time when it is ap...
06/29/2026

Too often folks are convinced to induce labor (get it started before labor starts itself). There is a time when it is appropriate... BUT there are consequences. Know your options!

A membrane sweep ( stretch and sweep) is not an alternative to induction of labour.

I know people try to sell it as if this were the case.

"Have a stretch and sweep," they say (though often in a more coercive way. I choose to model the language I'd like to hear.) "It might save you from an induction."

Well, it might save you from an INPATIENT induction, yes.

(Although membrane sweeping isn't very effective. It has downsides as well, so as with everything you may want to weigh up the pros and cons before you decide what's right for you.)

But membrane sweeping is a way of trying to induce labour.

So it IS a form of induction.

Induction of labour is when we try and bring the birth on sooner than would have happened naturally, if we had left things alone.

So so-called 'natural induction,' where people try to use holistic therapies to bring on labour?

Also a form of induction.

(Also not very effective, so do your homework).

I think there's a need to recognise that there are two elements to induction.

(1) the fact that we're trying to bring labour on earlier than the baby might have chosen

(Because yes, although we have more to learn about this, we're confident that it's babies who decide when labour starts.)

and (2) the means and methods by which we do that.

Many people find membrane sweeping and holistic therapies more palatable than the idea of the pharmaceutical and/or mechanical induction methods that are used in hospital inpatient induction.

I totally get that.

And if it's what you want, then go for it.

But let's call it what it is.

A form of induction.

There's loads of information about membrane sweeping and other forms of induction on my website.

https://www.sarawickham.com/induction

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676 Avenue D
Powell, WY
82435

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