 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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 You have a positive pregnancy test.
Now what? There’s a moment—sometimes quiet, sometimes overwhelming—when you realize everything has just changed. Whether this pregnancy was long-awaited or a complete surprise, you might be feeling joy, disbelief, gratitude, fear, often all at once. And that's okay. Take a breath. You don’t have to have it all figured out today. Early pregnancy is less about doing everything “right” and more about settling into the reality that your body is beginning an incredibly beautiful process. In these first days and weeks, one of the most important things you can do is begin building your support system. That includes choosing your care provider, whether that’s an OB-GYN, midwife, or a combination of both, and scheduling your first prenatal appointment. This visit typically happens around 8–10 weeks, though some providers will see you sooner depending on your history. At that appointment, you can expect a mix of medical history questions, lab work, and possibly your first ultrasound. It can feel like a lot, especially if this is your first time navigating the healthcare system in pregnancy, so don’t hesitate to write down questions ahead of time. You deserve to feel informed, heard, and supported from the very beginning. Meanwhile, your body is doing intense behind-the-scenes work, and the first trimester can be humbling. Fatigue isn’t just “being tired”. It can feel like your body is asking you to slow down in a way you’re not used to. Nausea, food aversions, bloating, headaches, and emotional ups and downs are all common. Give yourself permission to adjust your expectations. Eat what you can tolerate, when you can tolerate it. Small, frequent meals often help, as does staying hydrated, even if that means sipping water slowly throughout the day. Ginger, vitamin B6, and rest can be supportive, but most of all, listen to your body. This is not the season to push through at full speed. Sharing your news is another layer to navigate, and there’s no universal timeline. Some families choose to tell close loved ones right away, while others wait until after the first trimester. Both choices are valid. Consider who you would want in your corner if things felt uncertain—that can help guide your decision. When it comes to work, you are not obligated to share immediately unless your job involves physical risks or requires early accommodations. When you do share, it can be helpful to come prepared with a general idea of your needs, even if they’re minimal at first. Your partner, if you have one, may be experiencing their own mix of emotions, and this is a beautiful time to begin growing together in this journey. Support in early pregnancy often looks simple but meaningful. Helping with meals, picking up extra responsibilities when you’re exhausted, attending appointments when possible and creating space for open conversations. Encouragement, patience and presence go a long way. This is also a great time to start learning together—about pregnancy, birth options, and what kind of experience you both hope to create. If you’ve walked this road before, this pregnancy may feel familiar in some ways and completely new in others. Expanding your family, especially going from one child to two, brings a different kind of preparation. There’s the emotional piece of knowing your firstborn will no longer be your only, and the practical reality of managing your energy while still parenting. You may feel a pull between savoring your time with your older child and preparing for what’s ahead. Invite them into the journey in age-appropriate ways by talking about the baby, reading books together and letting them feel involved. At the same time, be gentle with yourself. Parenting while pregnant can be physically and emotionally demanding, and it’s okay if this season looks different than your first. You might also find yourself thinking more intentionally about postpartum this time around. What support did you wish you had before? What would make the transition smoother for your family now? These are important questions worth sitting with early. Above all, know this: you don’t have to do pregnancy perfectly. There is no gold standard of how you should feel or what you should be doing at every moment. There is only your body, your baby, and your unfolding story. Surround yourself with care, stay curious, and give yourself grace as you step into this new chapter. Ready to have support from day one? Reach out to schedule a complimentary consultation and learn more about doula services, birth planning, and postpartum support.  In 2026, families in North Carolina and all across America face a rapidly evolving landscape when it comes to growing their families and caring for children. With higher costs of living, inflation driven partly by tariffs, healthcare costs rising sharply and continuing maternal health challenges, planning for everyday life and family expansion means understanding more than just diapers and cribs. It means understanding economic realities and health care considerations that affect every step from conception to raising kids.
The Impact of Inflation and Tariffs on Everyday Living in 2026 Unfortunately, inflation isn’t over and tariffs compound it. Though inflation has somewhat eased from its peak years, the ripple effects continue. Tariffs on imported goods, particularly from China, Mexico, and Canada, have pushed prices up on basic household goods, groceries, and baby products. Estimates suggested that recent tariffs could raise food prices by about 2.6% overall, with fresh produce increasing even more, potentially adding nearly $4,000–$5,000 annually to a typical household’s grocery bill. Industry analysts expect tariff-driven cost pressures to impact healthcare supply chains as well, meaning some equipment and supplies used in hospitals may become more expensive and guess where those additional costs are going? Yep, right to you. Even modest increases in everyday prices matter greatly when you’re budgeting for rent or mortgage, utilities, childcare, transportation, and rising health insurance premiums. The Real Cost of Childbirth in America Fact: Bringing a baby into the world is expensive. According to 2025 estimates, the average hospital cost for a vaginal birth in North Carolina was about $14,700 without insurance, with out-of-pocket costs (after insurance) of about $2,750. In contrast, a C-section typically costs 50–75% more than a vaginal birth. Severe complications increase costs substantially with complicated deliveries totalling many thousands more in combined hospital and physician fees, especially with readmissions. Even with insurance, some families pay $3,000–$5,000 or more out-of-pocket for delivery and newborn care. And if complications arise, like a NICU stay, costs can easily exceed $10,000 or more. The impact of hospital delivery costs ripples through family budgets, causing financial strain and debt. It also influences decisions about where and how to give birth, including increasing interest in home births. In North Carolina, home births have nearly doubled since the pandemic, partly because families are seeking alternatives to expensive hospital bills. High costs may also deter some families from seeking early or consistent prenatal care, which can worsen health outcomes. And of course we can't talk about childbirth without mentioning the ongoing maternal health crisis. It continues despite efforts to improve standards of care, including federal proposals aimed at improving hospital maternal care, although such programs can be costly to implement. In North Carolina specifically, maternal health funding has been boosted with federal investments (Medicaid expansion) aimed at expanding access to care, growing the health workforce and supporting perinatal mental health, which is a positive but still limited step. But with health care subsidies now expired and average premiums on the ACA marketplace nearly doubling, basic health care needs for families hang in the balance and may leave many families putting plans to expand on hold. How Families Can Plan Ahead Families expanding in 2026 should build a family budget that accounts for reality and prepare in these areas: 1. Understand the Full Cost of Raising Children
2026 brings both challenges and uncertainty for families in America, especially here in North Carolina. Economic pressures like tariffs and inflation affect everyday living costs, while maternal health risks and childbirth expenses underscore the importance of proactive planning, budgeting, and advocacy. Growing a family isn’t just about preparing a nursery, it’s about understanding the financial landscape and health realities that shape your first years together. With thoughtful planning and community support, families can navigate these challenges and build a strong foundation for the future.  Returning to work after having a baby is a deeply personal and often emotional experience. It’s a significant milestone that can bring a mix of pride, anxiety, and guilt. For many new parents, this transition means not only adapting to a new daily routine but also coping with the emotional strain of being away from their baby for extended periods. If you're approaching this chapter, know that you're not alone and that preparation, both physically and emotionally, can make a world of difference. The Emotional Reality of Returning to Work One of the biggest challenges new moms and dads face when returning to work is the emotional tug-of-war that comes with leaving their baby in someone else’s care. Whether your little one is staying with a family member, a nanny, or going to daycare, it can be heart-wrenching to walk away each morning knowing someone else will witness their smiles, feedings, and firsts during the day. Common emotional challenges include:
Preparing Physically: Establishing a New Routine The key to easing back into work is creating a routine that supports both your well-being and your baby's needs. Here’s how to get started: 1. Practice the Morning Routine Early- A week or two before your official return, do a few trial runs of your morning schedule. Wake up at the time you would for work, get yourself and your baby ready, and leave the house as if you’re heading to work. This helps both of you adjust to the rhythm without the pressure of a real workday. 2. Build a Consistent Sleep and Feeding Schedule- Work with your baby to find a predictable sleep and feeding schedule that aligns with your working hours. This will help the person caring for your baby maintain consistency, which is comforting for babies and reassuring for you. If you are planning to pump while you are working, be sure to make the necessary arrangements to be able to do so (pumping space, scheduled time for pumping sessions and milk storage). 3. Prepare Meals and Outfits Ahead of Time- Evening preparation is a game-changer. Lay out clothes, prep bottles, pack your lunch, and organize your baby’s diaper bag the night before to minimize morning stress. 4. Prioritize Self-Care- Returning to work isn’t just about your baby—it’s also about you. Make sure you’re getting enough sleep, staying hydrated, and incorporating some gentle movement (even a walk counts). A healthy mom is a happier, more present mom. Preparing Emotionally: Coping with Separation and Change 1. Visit and Trust the Caregiver- Spend time getting to know the caregiver or daycare staff. Observe how they interact with your baby and ask plenty of questions. Feeling confident in who’s caring for your baby can ease separation anxiety and help you focus at work. 2. Start with Short Separations- Ease into longer days apart by starting with shorter separations if possible. Begin with a few hours and gradually extend the time. This allows both you and your baby to adjust more gently. 3. Stay Connected During the Day- Ask your caregiver to send updates or photos throughout the day. A quick message can offer enormous comfort and help bridge the distance. 4. Create Special Rituals- Make the most of the time you do have. Create simple morning or bedtime rituals that are just for you and your baby. Whether it's singing a special song, reading a book, or snuggling before bed, these moments will be cherished and help strengthen your bond. 5. Give Yourself Grace- Some days will be harder than others. There may be tears (from both of you), forgotten items, or guilt that creeps in unexpectedly. Allow yourself to feel all of it without judgment. You’re doing your best—and that’s enough.  You may never feel like you’ve achieved perfect balance, and that’s okay. The key is finding a rhythm that works for your unique family. Remember: Going back to work doesn’t mean you’re choosing your career over your child. It means you’re providing for your family, showing your baby what resilience looks like, and continuing to grow as a person and a parent.
Lean on your village, trust your instincts, and don’t forget—you’ve already done something incredible by becoming a mother. Returning to work is just another way you’re showing up with strength and love. There’s no one-size-fits-all approach to returning to work after baby. But by preparing your routine, nurturing your emotional health, and building a support system, you can ease the transition and create a life where both you and your baby can thrive.  Parenthood is a rollercoaster—equal parts joy, terror, and mystery odors. Some days you're crushing it and other days you're barely hanging on and giving it just enough to keep everybody alive. The truth? Raising kids is weird, messy, loud... and absolutely hilarious. If you know where to look (hint: everywhere), the humor in parenthood is not only real, it's what will keep you sane. 1. The Comedy is in the Chaos The toddler tantrum over the “wrong” color cup. The six-year-old logic that explains how underwear is optional at school. The teen who’s suddenly embarrassed by the way you breathe. These moments are comedy gold—eventually. Maybe not in the moment, but give it time. Or a group text with your best parent friends. Need reassurance? Check out “Sh*t My Dad Says” by Justin Halpern, which began as a Twitter account and evolved into a hilarious memoir of growing up with a brutally honest (and unintentionally funny) father. It’s a reminder that even the most off-the-wall parenting moments make for the best stories later. 2. Lower the Bar (And Your Expectations) Perfection is a trap. Let go of the Pinterest-worthy bento boxes and embrace the chicken nuggets. Your child will survive mismatched socks and cereal for dinner. The real parenting wins are surviving Target with toddlers or managing to drink your coffee before it gets cold. For a perfect dose of reality, “Toddlers Are Aholes: It’s Not Your Fault” by Bunmi Laditan delivers a painfully accurate (and funny) look at life with tiny, irrational dictators. She reminds us all that it’s okay to laugh at the absurdity of parenting life—because that’s what it is: absurd. 3. Kids Say the Darndest (And Most Terrifying) Things Children are unfiltered little truth bombs with a gift for mortifying their parents in public. Their questions, observations, and bedtime stall tactics are often unintentionally hilarious. Take comfort in “I Heart My Little A-Holes” by Karen Alpert, a laugh-out-loud collection of parenting mishaps, awkward moments, and brutally honest truths. Alpert’s self-deprecating style gives all parents permission to laugh at themselves—and their offspring. 4. Celebrate the Small Wins Did you remember picture day? Amazing. Got your child to eat something green? You’re a wizard. Laughed at a poop joke? Welcome to the club. Parenthood is built on these small victories and the ability to find joy (or at least sarcasm) in them. For inspiration, revisit “Go the Fk to Sleep” by Adam Mansbach, the picture book for grown-ups that perfectly captures the bedtime battle—and your inner monologue. Bonus: there’s a version read by Samuel L. Jackson that deserves a spot in the Parenting Hall of Fame. 5. Share the Struggle Some of the funniest parenting moments come from swapping stories with other sleep-deprived grown-ups. Community is key. Whether it's a mom group, a dad podcast, or a 2 a.m. Reddit thread titled "Is this rash normal?", laughter connects us. Don’t miss “How Not to Hate Your Husband After Kids” by Jancee Dunn, which tackles the relationship side of parenting with humor, honesty, and actionable advice for keeping your sense of humor—and your marriage—alive through the trenches. Parenting isn’t a sitcom, but it sure has the material for one. So the next time your kid draws a mustache on the cat or announces loudly in public that “Mommy tooted,” take a breath and laugh. These are the moments you will retell at their graduation party... or wedding... or to their therapist. After all, if we can't laugh at parenting, we’ll probably just cry into that day-old coffee. And that’s just no fun.  More Humorous Books to Keep You Sane:
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About the AuthorKelly Collins Archives
August 2026
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