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Women I've Shot

Birth: This is Romy’s Story
The Birth of Shyla & Tatum, 9 December 2015

The highway was quiet and dark on my way to the hospital. The robots on my way changed colour fluidly, I was grateful.

This was going to be an emergency C-section, a true emergency to save the two babies lives. I parked at Kingsbury hospital and within moments I slipped into the operating theatre in a set of blue scrubs.

Romy’s back was exposed, a long needle going into it – it always makes me cringe. Romy’s husband, my cousin Cal, holding her in the safety of his arms. The two were intertwined in such a gentle embrace and I didn’t want to disturb it. It’s a crazy space, so many doctors and nurses, the amount of equipment, the colours. One knows that very soon many things will be changing, a baby, in this case twins, will be arriving in moments.

Romy lies down with Cal at her side and I watch as the doctors prepare her. She looks so strong and so courageous and when I think back on it, she must have been terrified. This was going to be an emergency C-section, the first I would witness.

I watch as that first line of blood meets the blade at the point of the incision and then a gush of fine fluid as her waters are broken. It’s quite surreal- the fact that such major surgery takes place while the patient lies awake, I never get used to it.

The light is hard and harsh on the camera.

Romy is quiet holding Cals hand, its strange to think that she can’t see what is happening to her own body so close by. I watched and felt like a guardian. Romy and Cals eyes were locked.

The doctors gently pulled out the first tiny baby girl. I stood so near as she emerged from Romy’s stomach. She was perfect and so, so small and was carried into the warm light of the heated receiving table on the right. It was a weird feeling to know that there would soon be another baby emerging…

There was quite a bit of conversation. Many hands moved swiftly as they guided out the second baby, feet first. This baby is a totally different colour, dark and red whereas the first had been pale and creamy. Baby two is also smaller and she’s immediately carried to her sisters’ side. The doctors intensely and carefully watch over them both and communicate back and forth in low tones. It’s extremely tense.

It’s hard to believe what I’m seeing and yet at the same time I’m working and documenting. I can’t explain the strangeness of the experience: Romy on the bed, meters away, Cal in awe, standing with the babies, tears in his eyes, speechless, two tiny crying baby girls. The operating room feels heavy.

They wheel the babes almost immediately away to the NICU. It all happened so fast, I’m a bit taken aback by the abruptness, Romy hasn’t even laid eyes on her girls, in fact nothing has been said to her at all! She’s asking but getting no response as each of the doctors is managing the medical situation at hand. I walk around to the bed to show Romy an image on the back of the camera, I feel nervous about what to show her, these two tiny babes look so fragile. I watch as the reflection of the LCD screen of my camera, held above her face, dances in her irises as they move between the two little figures, she’s seeing for the first time in this small image. I can see she’s trying to absorb it, to grasp the intensity of every last second that’s just passed. It’s a huge triumph, a miracle and a trauma.

She looks so incredibly beautiful in this moment. I can’t believe the courage she must have had to hold herself together. She’s like a lioness, a mother bear and these are her precious treasures.

The doctors take a long time, it feels, to sew her up. Romy wants to know about the girls but not much is communicated except that they are in NICU. Cal is by her side holding her hand, his other hand protectively around her head, stroking her hair. I watch the procedure intermittently. I don’t feel phased by the practicalities or technicalities of it but am rather aware that Romy has still not seen her babies. It must have been the hardest thing.

When the doctors are finally finished the nurse’s wheel her out and then do some checks and blood pressure monitoring. Romy looks pale and she’s shaking. It’s the drugs, the shock and the experience.

Romy’s parents are desperate to reach out to her over the red line on the ward floor between the theatre space and the outside area, it’s just a few meters away and they wait impatiently to embrace her. Eventually she is wheeled to a room and her parents hold her, reassure her, congratulate them both, hug her. They are overwhelmed too. Romy’s sisters are already on the plane. Our family WhatsApp groups are humming with congratulations and wishes.

Finally, a doctor comes in. Romy has been desperate to have news of her babies, almost an hour has passed by now. It’s hard to hear what the doctor is saying, I watch the focus on Romy’s face. When the doctor leaves she melts into sobs and is enveloped by her family, it’s so hard.

She has been so strong up until that point, so brave and courageous, now her emotions come flying out in a release. All she can do now is hope and wait the doctor tells her.

Her babies are so separated from her and it’s all so out of her control. The babies are not out of the woods yet and all everyone can do is hope and wait to see what news will come from NICU. The doctors are doing their very best to look after those two tiny little souls.

I watched Romy in all these moments and admired the woman that she is. My mind is blown. I leave the space quietly and head out of the hospital in a daze. I consider the incredibility of the miracle I have just had the honour of witness. The first moments of these two beauties into this world. The love and courage, the strength and caring of all those that surrounded her and I know this is all really quite something. Romy is quite something. Then I’m back on that quiet dark highway with just the memories of what I’ve just seen.

(The babies stayed in NICU for about 6 weeks and both underwent a surgery, both are happy and bouncy 5 year old’s now).

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Women I've Shot

Birth: This is Birgit’s Story
The Birth of Dylan, 21 March 2016

I arrived just after midnight, a dimly lit labour room at Vincent Palloti Hospital. Midwife and doula quietly present either in the labour room or just outside making detailed notes of each stage of Birgit’s labour.  

Stepping into the labour room as quietly as possible, the air felt thick and Birgit was lying like a reclined nude in a Renaissance painting in the water of the tub with her partner by her side.  I know she had been in labour for long already and she was starting to get tired. Hours passed and she moved around the space slowly.

I went home briefly and then returned to the hospital where she had agreed to take an epidural, then rest a bit and then go into theatre for a Caesarian. The doctor who was on standby for epdiurals was unreachable and arrived with an arrogant attitude, disrespecting both the staff and the birthing space. The entire environment went form an internal space to a clinical and fluorescent environment. Long needles, graphs, masks.

The edpidural must have been a relief but she later told me how she felt guilty that her baby was then left alone in the birthing process.

Early morning and the bed was wheeled into the operating theatre; white, green, blue and silver environment, prepared with staff waiting.

After the first few cuts through her abdominal tissue Dylan emerged like a little warrior, frowning, fierce and brave with his little chest proud and strong as he came out of his Moms tummy, absolutely perfect!

The surroundings at that moment faded away and only his little body and all the natural colours of birth become visible for those moments.

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Interviews & Conversations Projects Women I've Shot

Positive Birth in South Africa: This is Tarryn Walton


The Gate-Keepers: A Portraiture Project

This is a portraiture project, documenting the “gatekeepers” of a growing movement regarding positive birth experiences in our country.  My aim: to promote those who are enabling women to identify with their power and femininity and therefore normalize birth and the body.

These are their stories / anecdotes / opinions about what they do and how they see it…accompanied by my portraits and some general information on each sitter.

Tarryn Walton has been a professional doula for two years now. She works all over: Northern suburbs, Cape Town central, southern suburbs, Atlantic seaboard.
Tarryn is a  Satyananda yoga teacher and specialises in prenatal yoga as well.
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Tarryn Walton Doula South Africa photographed by Leah Hawker

Giving birth to three children in the UK, has highlighted the stark difference between South Africa and England regarding the approach to childbirth.
My aim is to help educate women in terms of their choices in childbirth, encourage them to believe and trust in their ability to birth their babies with as little interference and medical intervention as possible.
In instances where a non-medicalised birth is not an option, I aim to work with the mother and her family towards optimising the chances of her having a positive experience.
A woman should feel safe, nurtured and empowered throughout pregnancy, labour and birth. She should own the experience and be able to congratulate herself on her achievement.
Helping facilitate this is an honour and a privilege.
• (I invite more participants to join the project, you are welcome to email me for more information).
Categories
Interviews & Conversations Projects Women I've Shot

Positive Birth in South Africa: This is Candice Petersen


The Gate-Keepers: A Portraiture Project

This is a portraiture project, documenting the “gatekeepers” of a growing movement regarding positive birth experiences in our country.  My aim: to promote those who are enabling women to identify with their power and femininity and therefore normalize birth and the body.

These are their stories / anecdotes / opinions about what they do and how they see it…accompanied by my portraits and some general information on each sitter.

Candice Petersen is a South African midwife working in the public sector. She’s an advanced midwife with a background in nursing. Candice worked at Mowbray Maternity Hospital for 7.5 years before she moved to Khayelitsha District Hospital where she stayed for 5 months. She is currently working at Mitchell’s Plain District Hospital.

Candice Petersen Midwife South Africa - Photographed by Leah Hawker

My journey to midwifery began after the birth of my daughter nearly 17 years ago. I had a negative experience during my labour. Despite this, the moment i gave birth, I was in awe. It was wonderful. It was then that I decided to become a midwife.

I completed my training as a professional nurse in 2007. I started working at a specialised obstetric hospital in the government sector. Much has changed over the years in this sector with regards to birthing. Most of the old practices have been stopped (shaving, enemas, routine episiotomies, etc). Most hospitals have become more baby and mother friendly.

However, I do still believe that birthing in S.A is largely medicalized. The caesarean section is amongst the highest in the world.

I am still often shocked by the lack of patient care I see around me, the protocols are just something I often can’t agree with,- there is just so much intervention!

It often seems to me that the system is setting patients (in labour) up for failure (caesarean). I have often just felt that patients were being treated like livestock and not people. Each place I have worked at has been quite different, some definitely have much more evident care and compassion for the labouring woman however some facilities are incredibly hard to work at, psychologically…

What it means to me to be a midwife in the dominant world of medicine is to be an advocate for the women who are in my care. To ensure that her experience during labour is positive and without fear, that she may birth as she intends with the least intervention. I have come to experience many times that a softer approach and reassurance to the mom yields far greater results than a strictly clinical approach.

To engage with my patients and gain their trust, to share in their joy, their sorrow and to help to dispel their fears means so much to me.

The statistics I would like to see is a decline in the Caesarean section rate in this country. I believe we can achieve this by adopting more natural approaches to birthing. Women need to be empowered. Empowerment through education. There is too much fear surrounding birth, which in its essence, should be a natural, instinctive and physiological event.

• (I invite more participants to join the project, you are welcome to email me for more information).