 As a doula with over a decade of experience, I have developed numerous relationships within the birth community and strive to stay informed about local birth news for the benefit of my clients and the surrounding parent community. Here are the latest updates regarding birth in the Triangle area. If you are planning to expand your family, there are some amazing resources and support options for you to explore. North Carolina Birth Center
Earlier this month, it was announced that North Carolina Birth Center will be closing. This news was sudden and very unexpected. If you read my last update or subscribed to the NCBC newsletter, then you know all that hard work and effort that was put forth to get the former Womens Birth and Wellness Center reconstructed and transformed into the beatutiful and welcoming facility for families. With just over a year in operation, the birth center was doing very well and hiring to accomadate more families, which makes this loss even more devastating. Here is words from the birth center's manager about NCBC's closing: "Two and a half years ago, I accepted a position to help open a birth center in Chapel Hill. I was the first employee hired and the only local team member, while the corporate leadership was based out of state. Over the last 2.5 years, I poured my heart into this work. I monitored construction, assembled furniture, maintain the website and social media, gave tours to EVERY prospective client who walked through our doors, onboarded patients, and supported our midwives as we built something truly special for families in our community. And now, that work is coming to an abrupt end. Not because the birth center failed. Not because there was a lack of patients, community support, or interest in the birth center model of care. In fact, we were growing and thriving. The reality is that the corporate company that managed our birth center, along with many others across the country, made business decisions that left the organization millions of dollars in debt. As a result, they are closing all of their birth centers, laying off employees, and abandoning patients who trusted them with their care. The heartbreak is difficult to put into words. After years of hard work, dedication, and sacrifice, everything we built is being taken away through circumstances completely outside of our control. But despite what has happened, my North Carolina Birth Center colleagues and I have made a decision: we will not abandon our patients. Thanks to the generosity of our building’s landlords, we have been allowed to remain in the space through the end of June. During that time, our midwives and staff are continuing to provide care, support, and guidance to our existing patients as they navigate new birth options. We are doing this without pay. We are not asking our patients for a single dollar, even though many employees are still owed weeks of unpaid wages. At the same time, we are covering essential expenses out of pocket, including internet service, office supplies, and other necessities required to continue caring for families during this transition. A local doula, Andrea Fowler, moved by what was happening, created a GoFundMe to support our team during these final weeks of service. Every donation will help us continue caring for patients, cover operating expenses, and provide some relief as we navigate the loss of our jobs and begin rebuilding our futures. If you are able to donate, share this fundraiser, or simply send words of encouragement, it means more than you know. Thank you to everyone who has donated, shared, and reached out with support. Your kindness is helping us continue showing up for the families who need us most. With heartbreak, frustration, and hope, Mariam" Very special thak you to Andrea Fowler for organizing the fundraiser and helping the NCBC staff support the remaining families. Please join BOBWDS in making a donation. Haven Women's Health and Birth Center Haven Women's Health and Birth Center recently celebrated their 2nd birthday and are very close to welcoming their 200th baby! Check out their website for classes, support groups and schedule a tour if you're thinking about a birth center for your next birth experience. Aya Birth & Community Wellness Aya Wellness NC is now accepting accepting Medicaid for birth services for families due September 2026 & beyond. Curious about birth center birth? Aya’s Open House is later this month! You’ll get to:
Saturday, June 27, 10-1pm Aya Birth & Community Wellness 1412 Hudson Ave Durham, NC 27705 Special Beginnings Midwifery Special Beginnings Midwifery has opened their birth suites in Durham. The birth suites were thoughtfully designed to feel warm, peaceful, and deeply supportive so families can labor, birth, and bond in a space that feels safe and sacred. Home birth support is still available. Special Beginnings has also partnered with Well One Healthcare to bring primary care services to their Durham office. This is a choice friendly clinic and crunchy mommy friendly. Services include and routine check ups, newborn/pediatric, prenatal and adult care, FMLA paperwork and prior authorizations, labs & referrals and IV therapy. Abiding Love Birth Collective I am so excited to share my new birth collective with you! Since our launch in March, Abiding Love Birth Collective has grown into a wonderful community of Christian doulas and local business owners who are all dedicated to supporting families. I am so blessed to transition into this new phase of my career and am truly thankful for all the support and new clients who trust my leadership and our collective to support them. We are now accepting clients due in August and beyond and will begin accepting applications for new collective members later this summer. Stay tuned for more birth news!
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 As a doula with more than a decade of experience supporting families from all walks of life, I’ve witnessed the transformative power of real, human care in birth and postpartum. And lately, I’ve been reading a lot about the rise of “AI doulas.” If you’re a pregnant woman, a parent, or someone who cares about equitable maternal care, you should think critically too. Because here’s the truth: AI doulas, no matter how smart or advanced the technology, cannot replace the support, knowledge, compassion and embodied expertise of live doulas and birth workers. And that limitation matters deeply, especially for Black and Brown women and for families in rural and underserved areas who are already struggling to access quality maternal care. The Evidence Speaks for Real Doula Support Over years of training, intuitive skill and lived experience, doulas have become an evidence-based part of maternal care. Multiple peer-reviewed studies have linked doula support, particularly continuous, human, non-clinical support, to:
What Real Doulas Bring That AI Simply Can’t When people talk about AI doulas, they usually mean chatbots or machine learning tools designed to answer questions about pregnancy, contractions, labor stages or baby care. They might offer information. They might offer checklists. They might even simulate empathy through programmed responses. But here’s what AI cannot and will never do:
The truth is that AI can't give the much-needed human response to years of infertility, a third trimester pregnancy loss, a changed birth plan that ends in an emergency csection, birth trauma, the long journey of breastfeeding or pumping, preparing to leave your baby with someone while you return to work and all of the other countless physical, emotional and mental changes that come with parenthood.  Soula — AI emotional support self‑discovery coach for women Where AI May Help and Where It Falls Short
Listen, I don’t dismiss technology outright. The modern world has come along way with technological advances. AI tools can offer resources, triage information and support access to basic guidance when no human is available. There is emerging research on AI applications in maternal health in low-resource settings that aid triage and decision support for clinical staff. But that’s not the same as replacing a doula. Those applications are clinical adjuncts, not sources of continuous physical, emotional, cultural, and advocacy support. Bridging the Gap: Companies Who are Making a Difference At the same time, we are seeing companies like Maven Clinic and Cleo step into this space, offering families access to virtual doulas, care advocates, and wellness support through technology. These platforms are often employer-sponsored benefits designed to increase access to guidance, education, and support across pregnancy, postpartum, and parenting. Through services like video consultations, messaging, and on-demand resources, virtual doulas on platforms like Maven can help with birth planning, answer questions, and provide emotional support from a distance. Cleo similarly connects families with guides and experts who offer personalized support across different stages of caregiving . And to be clear, there is value here. These tools can help bridge gaps, especially for families who might not otherwise have access to any support at all. But even as these companies expand access, what they are offering is still adjacent to, not a replacement for, the deeply relational, hands-on, culturally attuned care that in-person doulas provide. Technology can extend our reach, but it cannot replicate our presence. AI will continue to evolve. AI doulas may become more sophisticated. But they will always be tools, not replacements, for the human heart, presence, intuition and expertise that real doulas bring to birth and postpartum care. Real doulas don’t just provide information, we bear witness. We advocate. We care. We walk into the unknown with you. And in birth, that human presence matters. Want to know the real deal about AI? Watch this eye-opening video on the future of AI from a spiritual perspective.  The holidays are often painted as a season of light, laughter, and togetherness. But for many families, this time of year arrives carrying an ache that’s hard to put into words. An empty chair at the table. A quiet house where a child’s laughter once filled the air. A job lost, a dream deferred, a relationship changed, a body that no longer feels the same after birth or loss. Grief doesn’t take a holiday break. Many people often feel pressure (spoken or unspoken) to “be strong,” to show up for others, or to recreate joy for their families even when their own hearts feel heavy. Even I have expereinced a great deal of unexpected loss and grief this year both personally and professinally. If you’re walking through the holidays after loss, I want you to know this first and foremost: Your grief is valid. Your sadness is not a failure of faith. And joy does not mean pretending everything is okay. Grief and Joy Can Coexist One of the greatest misunderstandings about grief, especially within faith spaces, is the idea that joy replaces sorrow. But scripture tells a different story. “The Lord is close to the brokenhearted and saves those who are crushed in spirit.” —Psalm 34:18 Joy, in a biblical sense, is not forced cheerfulness or constant gratitude. It is a quiet, steady hope rooted in God’s presence with us, even in the valley. You can grieve deeply and still experience moments of joy. You can laugh one moment and cry the next. Both can live side by side. Joy may look different now. Softer. Quieter. More fleeting. And that’s okay. Naming the Losses We Carry Loss during the holidays isn’t always tied to death alone. Many families are grieving:
Grief after birth, whether after a traumatic delivery, NICU stay, infertility journey, or postpartum struggles, can feel especially isolating during a season that celebrates new life and happiness. If this is you, please know this: God sees every part of your story, including the chapters you never wanted to write. Gentle Ways to Make Space for Joy (Without Forcing It) Joy doesn’t need to be manufactured. Often, it’s received quietly when we allow ourselves grace. 1. Lower the bar. This may not be the year for elaborate traditions or full calendars. Give yourself permission to simplify. A peaceful day is enough. 2. Create new traditions. It’s okay if old traditions feel painful. Light a candle in remembrance. Write a prayer. Take a quiet walk. Invite God into something new. 3. Let yourself feel it all. Suppressing grief doesn’t protect joy, it delays healing. Tears are not a setback; they are a form of release. 4. Ask for support. Just as I remind new parents they weren’t meant to do postpartum alone, grief was never meant to be carried in isolation. Lean on trusted friends, your faith community, or a professional if needed. 5. Look for holy moments, not happy ones. Joy may show up as a deep breath, a kind word, a warm meal, or a moment of rest. These are sacred, too. A Faith Reminder for the Weary Heart “Blessed are those who mourn, for they will be comforted.” —Matthew 5:4 God does not rush your healing. He does not ask you to skip over grief to prove your trust in Him. He meets you in it. The incarnation we celebrate at Christmas is a reminder that God entered a broken world, not a perfect one, and chose to dwell with us in our pain. If this holiday season feels heavier than joyful, you are not alone. There is no timeline for grief. There is no right way to mourn. And there is no expiration date on love. But know that our God heals and he is waiting to do it for you, May this season hold space for your sorrow and gently invite moments of peace. May you feel God’s nearness in the quiet moments and His grace when the days feel overwhelming. And may joy, however small and however unexpected, find you exactly where you are. If you are grieving, you are seen. You are held. And you do not walk this season alone.   Becoming a parent is often described as one of life’s most joyful experiences. But what many new parents don’t expect is that joy can coexist with anxiety, sadness, irritability, or even despair. For many new parents, the flood of hormones, sleep deprivation, and life changes can bring on an abundance of feelings. These early emotions are often referred to as the "baby blues", and they affect up to 80% of new mothers. Thankfully, baby blues usually fade within two weeks. But what happens when those feelings don’t go away or they get worse? If you’re experiencing lingering or intense emotional distress after having a baby, you may be dealing with a Perinatal Mental Health Disorder (PMHD). PMHDs are the most common complications of childbirth, affecting up to 1 in 5 new moms and 1 in 10 new dads. Let's explore what Perinatal Mental Health Disorders (PMHDs) are, how to spot the warning signs, who is at higher risk, and—most importantly—where to get support. What are PMHDs?
PMHDs (Perinatal Mental Health Disorders) include a range of mental health conditions that can occur during pregnancy and up to a year postpartum. They include:
Who is at risk for PMHDs? PMHDs can affect anyone, regardless of background. However, certain factors can increase vulnerability:
Some sobering statistics:
Warning Signs to Watch For It's normal to feel emotionally sensitive or tearful in the days following birth. This is often referred to as the “baby blues” and typically resolves within 1–2 weeks. But when symptoms persist or intensify, it could be a sign of a PMHD. Here are some signs that what you're feeling might be more than just baby blues: Emotional Symptoms:
Physical and Behavioral Symptoms:
If these symptoms last more than two weeks after birth, interfere with your daily functioning, or feel like they’re getting worse, it’s time to seek help. What to Do Next: Steps Toward Healing Please know that you are not weak and you are not alone if you are experiencing signs of a perinatal mental health disorder. Here's what you can do to seek help: 1. Talk to your healthcare provider- Let your OB/GYN, midwife, or primary care doctor know how you're feeling. They can screen you for PMHDs and connect you with mental health professionals. 2. Reach out to a therapist- Look for a therapist who specializes in perinatal mental health. Many offer telehealth appointments, which can be especially helpful with a newborn. 3. Connect with support groups- Sometimes, talking to other parents who have been there can be incredibly healing. Peer support groups can reduce isolation and offer real-world advice. 4. Involve your partner or support system- Let those close to you know what you’re experiencing. They may be able to help with baby care, offer emotional support, or attend appointments with you. 5. Emergency support- If you're having thoughts of self-harm or harming your baby, seek emergency help immediately by calling emergency services or going to the nearest ER. Resources for Support Here are some trusted organizations offering help:
If you’re struggling right now, please know: this is not your fault. PMHDs can affect anyone, and with help, they do get better. You deserve support, healing, and peace during this chapter of parenthood. Take the first step. Help is waiting. To learn more about PMHDs and the fourth trimester, sign up for my Postpartum Recovery Class.  Pregnancy and postpartum are transformative experiences, full of joy, anticipation, and change. But while you focus on preparing for your baby, it’s just as important to protect your own health. Recognizing warning signs early—during pregnancy and after birth—can be life-saving. Many complications can be treated when caught in time. Let this post serve as your guide to understanding the symptoms you should never ignore, and what to do if they appear. 1. Vision Problems & Dizziness
Sudden changes in vision—like blurriness, seeing spots, or light sensitivity—along with dizziness can be signs of preeclampsia, a dangerous condition characterized by high blood pressure. What to do: Call your healthcare provider immediately or go to the ER. These symptoms require urgent medical attention. 2. Persistent Headache If you experience a headache that doesn't go away with rest or medication, it could also indicate preeclampsia or even a more serious neurological issue. What to do: Notify your provider, especially if the headache is severe or paired with vision changes or swelling. 3. Fever Over 100.4°F (Pregnancy) or 100°F+ (Postpartum) A fever may be a sign of infection—either systemic or localized (like mastitis or a uterine infection). What to do: Don’t wait. Contact your provider to rule out infection or other underlying issues. 4. Swelling in Hands and Face While some swelling is normal in pregnancy, sudden or severe swelling, especially in the hands and face, is a red flag for preeclampsia. What to do: Contact your provider immediately for evaluation. 5. Vomiting or Diarrhea Lasting More Than 24 Hours Persistent gastrointestinal issues can lead to dehydration and may signal infection or other complications. What to do: Stay hydrated and contact your provider to assess the need for testing or treatment. 6. Vaginal Bleeding During pregnancy, bleeding could indicate miscarriage, placental issues, or preterm labor. Excessive bleeding in postpartum may signal hemorrhage. What to do: Call 911 or go to the ER if you're soaking a maxi pad in an hour or less or passing clots larger than a lemon. For lighter but concerning bleeding, contact your provider. 7. Elevated Blood Pressure High blood pressure can threaten your life and your baby’s. It’s a hallmark of preeclampsia. What to do: Regular monitoring is crucial. If you notice consistently high readings, call your provider immediately. 8. Abdominal Cramps or Pain (Not Contractions) Persistent or sharp pain could be caused by placental abruption, preterm labor, or other serious concerns. What to do: Don’t try to "wait it out." Call your provider for an evaluation. 9. Urinary Discomfort Burning, blood in urine, or inability to urinate may be signs of a urinary tract infection (UTI), which can lead to complications if untreated. What to do: Contact your provider for a urine test and treatment plan. 10. Change in Vaginal Discharge A sudden change in smell, color, or consistency, especially a foul, fishy odor, may point to an infection like bacterial vaginosis. What to do: Make an appointment with your OB/midwife to get it checked. 11. Pelvic Pressure A sensation of the baby pushing down too early could indicate preterm labor. What to do: Call your provider, especially if accompanied by back pain or regular contractions before 37 weeks. 12. Water Breaks Before 37 Weeks Preterm rupture of membranes can lead to infection or preterm birth. What to do: Head to the hospital right away. This is considered a medical emergency. 13. Decreased Fetal Movement If you notice fewer kicks or movement patterns shift drastically after 28 weeks, it may be a sign your baby is in distress. What to do: Perform a kick count. If movements are fewer than 10 in two hours, contact your provider or go to labor and delivery. 14. Swollen, Red, Painful Area on the Leg This could be a blood clot and is especially dangerous if it travels to your lungs. What to do: Go to the emergency room immediately. 15. Severe Headache That Improves When Lying Down This may be a sign of a spinal headache (often after an epidural) or an issue with cerebrospinal fluid pressure. What to do: Contact your provider. Treatment may include a blood patch or other interventions. 16. Painful Breast with Redness and Flu-like Symptoms This may indicate mastitis, a breast infection common in breastfeeding parents. What to do: Keep nursing or pumping, apply warm compresses, and call your provider. You may need antibiotics. 17. Bleeding That Soaks a Pad in an Hour or Clots Larger Than a Lemon These are classic signs of postpartum hemorrhage, which can be life-threatening. What to do: Call 911 or go to the ER immediately. 18. Thoughts of Harming Yourself or Your Baby Intrusive thoughts in the postpartum period can indicate depression, anxiety or another Perinatal Mental Health Disorder. What to do: Tell your partner or someone you trust. Call your provider and get a referral to a mental health specialist. You may also consider contacting a crisis hotline if you are alone. It can feel overwhelming to sort through which symptoms are "normal" and which are not, but you are your own best advocate. If something feels off, it’s always better to call your provider and be reassured than to ignore it and risk your health. Remember:
You deserve to feel safe, supported, and informed throughout your pregnancy and postpartum journey. Stay vigilant (not fearful) and speak up when something doesn’t feel right. Protect your peace, protect your body, and above all, know that your wellbeing matters. |
About the AuthorKelly Collins Archives
June 2026
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