By Dr. Sherley Samuels, OB/GYN

August is Breastfeeding Awareness Month—a time to celebrate the beauty, challenges, and strength behind one of the most natural, yet demanding, aspects of motherhood. As an OB/GYN and mother of four, I’ve supported countless women through their breastfeeding journeys. But this year, I’m deep in the thick of my own. And it’s my fourth time.

That’s right—this isn’t my first breastfeeding rodeo. Each of my four children has had a unique nursing journey, and I’ve learned that while some things do get easier with experience, breastfeeding never becomes effortless. This time, I’m balancing the needs of a busy 10-month-old with hospital shifts, pumping schedules, and the emotional push-and-pull of being a working mom.

The Truth About Breastfeeding: It’s Not Always Picture-Perfect

We often see glossy images of mothers in cozy chairs, blissfully nursing in the golden light of a quiet nursery. But real life? Real life looks like me, in my hospital call room, still in scrubs, holding my son close for a much-needed feed between patients. I’ll always treasure the photo that captured that moment, which only happened because my mother brought him to the hospital so I could nurse during a break in my 24-hour shift.

Another photo shows me passing a freshly pumped bottle of breast milk through the car window to my husband, who’s waiting outside the Labor & Delivery unit. I was on call, juggling responsibilities, and he was doing his part to make sure our baby had the nourishment he needed while I kept doing the work I love.

These snapshots are real. They’re raw. And they’re reminders that breastfeeding isn’t always serene—it’s sometimes a logistical puzzle, a late-night cry, or a breast pump in a supply closet. But it’s also a beautiful act of love and sacrifice.

What I’ve Learned in Four Journeys

With each child, I’ve gained new lessons, but one truth has remained constant: you cannot do this alone. Breastfeeding takes energy, time, and deep emotional reserves. None of us were meant to shoulder that alone.

In this fourth journey, I’m more intentional about leaning into my support system and more vocal about my needs. I no longer try to power through exhaustion in silence. I’ve learned to accept help, to say “yes” when someone offers a hand, and to trust that my village wants to show up for me—just as I would for them.

Leaning on Your Village

What gets me through? My people. I’m talking about the family members, friends, and coworkers who step in so I can step back when I need to.

Redefining the Village

Not everyone has family nearby—or family they can rely on. And that’s okay. Your village doesn’t have to look traditional to be powerful.

If your loved ones live far away or if you’re feeling isolated, create your village. Join a local breastfeeding or new mom support group, talk to your healthcare provider about postpartum resources, or explore programs like our CenteringPregnancy Program, where moms come together during pregnancy and build lasting relationships that carry into postpartum life.

In fact, many of the strongest mom friendships I’ve seen were formed not through family ties, but through shared experience—those late-night text threads, car seat tutorials in the parking lot, and “you’ve got this” pep talks from someone who’s walking the same road.

Whether it’s your best friend, a coworker, a doula, or someone you met at a prenatal class, your village is who you choose to let in.

How Loved Ones Can Support

To the partners, grandparents, coworkers, friends—this part is for you. You are essential.

Here are a few meaningful ways you can support the breastfeeding mom in your life:

1. Show Up Physically and Emotionally

Sometimes just being there makes a world of difference. Helping with diaper changes, bringing water, or holding the baby while mom showers can mean everything.

2. Run Interference

Protect her feeding or pumping time like it’s sacred. Whether that means managing other kids, handling phone calls, or telling visitors to wait, every little buffer helps.

3. Normalize the Process

Never make her feel like she has to hide or apologize for feeding her baby. Advocate for her comfort in public spaces or family gatherings.

4. Keep Her Fed and Rested

Breastfeeding burns serious calories and takes serious energy. Help by preparing nourishing meals, offering snacks, or letting her nap between feeds.

5. Be Her Emotional Anchor

Breastfeeding can be emotionally intense, especially if it’s not going as planned. Listen without judgment. Encourage without pressure. And remind her that she’s doing an incredible job.

It’s Okay to Ask for Help

To my fellow moms: I know it can be hard to ask for help. You might feel like you should be able to do it all. But you don’t have to. Let your village in. Let them bring the baby to your job. Let them stand outside with the car running, waiting to take milk home. Let them love you through this.

Because the truth is, breastfeeding isn’t just a one-person job. It takes a team—and a whole lot of grace.

This month, and every month, I’m honoring every woman nursing through tears, work shifts, growth spurts, and sleepless nights. Whether you’re on your feet in a hospital, leading a classroom, running your own business, or caring for others in your home—I see you. I am you. And with a little help from our village, we’ve got this.

Happy Breastfeeding Awareness Month!

If you experience period pain, you’re not alone. Nearly 85% of women report cramping during their menstrual cycles, which can range from a dull ache to sharp sensations in your lower abdomen.

No one wants to live in discomfort, but taking pain medications may give you pause. Even over-the-counter drugs, while effective, carry risks when used long-term: kidney issues, stomach ulcers, and gastrointestinal bleeding, to name a few. These medicines are generally considered safe in moderation, but frequent or prolonged use (especially with longer periods), can become concerning.

Fortunately, there are effective, medication-free ways to ease menstrual pain. If you’re looking for natural relief, here are some strategies worth considering.

Medication-Free Ways to Relieve Period Pain

Apply Heat

Research has revealed that heat therapy can be more effective than placebos in reducing menstrual pain, because it relaxes your uterine muscles and improves blood flow to your pelvic area. Whether you use a plug-in heating pad, microwaveable heat pack, or even a balmy bath, a little warmth can go a long way to soothe discomfort.

Stay Hydrated

“Drinking enough water helps your body release excess sodium and reduce water retention,” says Rachel Manciagli, NP, “thereby easing pressure in the lower abdomen and potentially reducing cramps and bloating.” Aim for eight to ten glasses of water daily, and sip herbal teas like chamomile or ginger for added anti-inflammatory benefits.

Relax and Reduce Stress

Stress and pain often amplify each other in a frustrating cycle. Dealing with pain can make you more stressed, but stress has also been shown to increase sensitivity to pain. Relaxing activities like journaling, meditation, getting a massage or taking a walk may help you stay at ease when you’re on your period.

Get Moving

Exercise might be the last thing you feel like doing when you have cramps, but even light movement can reduce period pain. Aerobic activity boosts circulation and releases beta-endorphins, your body’s natural pain relievers. Make time for a brisk walk, swimming, cycling, or any other activity that gets your heart rate up.

Consider Your Diet

A healthy diet may not eliminate period pain altogether, but your nutritional choices could have an effect on its severity. Foods rich in calcium, vitamin D, and omega-3 fatty acids have been linked to reduced period symptoms. Lots of caffeine, salty foods, and animal fats may lead to more severe cramping, on the other hand.

Maintain a Healthy Weight

While everyone’s body is different, research shows that excess body weight could contribute to more painful periods. This may be due to higher estrogen levels, which can thicken your uterine lining and amplify cramping. If managing your weight is one of your health goals, a balanced diet and regular activity can support both this endeavor and your menstrual health.

Get a Good Night’s Sleep

Sufficient sleep can reduce inflammation, aid in tissue repair, and support the production of natural painkillers, such as endorphins and serotonin—all of which can control your cramps. Try to be especially diligent about clocking seven to eight hours as your period approaches.

Limit Alcohol

Alcohol can dehydrate your body, disrupt hormone levels, and increase inflammation. If you’re experiencing severe symptoms, think about reducing your alcohol intake, or opt for non-alcoholic alternatives.

Avoid Smoking

Smoking has been associated with increased menstrual pain, which is likely due to its effects on blood vessels and inflammation. If you smoke, quitting can have profound benefits not just for your menstrual health, but for your long-term wellness, too.

Your menstrual cycle and overall gynecologic wellness are complex, and call for the care of specialists with experience and a deep understanding of women’s health. Whether you have a concern about your periods or you’re due for a routine exam, our providers are here to help. To schedule a visit, submit an appointment request form online or call our office at (770) 385-8954.

Covington Women’s Health Specialists midwife, Jennifer Walker, CNM, returns with more thoughtful guidance in the latest installment of our Midwifery Musings blog series. With her firsthand experience supporting patients through every step of pregnancy, Jennifer offers a closer look at what to expect during the third trimester and how our care team supports you as delivery day approaches.

If you’re just joining the series, be sure to review our previous posts covering the pregnancy confirmation visit, your initial prenatal exam, and what to expect in the second trimester.

Welcome to the final stretch! The third trimester spans from week 28 to delivery, typically around week 40. It brings exciting milestones as you prepare to meet your baby. During this time, your prenatal visits and screenings become more frequent as your care team closely monitors both your health and your baby’s development.

Your 28-Week Appointment and Third Trimester Testing

At your 28-week appointment, plan to spend at least an hour in our office. This visit includes important tests to ensure a healthy pregnancy:

• Glucose Screening Test: This one-hour test checks for gestational diabetes. (No need to fast beforehand. It’s important that you can eat before your appointment!)
• Blood and Urine Tests: These help monitor for signs of anemia and infection.
• TDaP Vaccine: Recommended by the American College of Obstetricians and Gynecologists, this vaccine helps protect your baby from pertussis (whooping cough).
• RhoGAM Injection: If your blood type is Rh-negative (such as O-, A-, B-, or AB-), you’ll receive a RhoGAM shot to prevent complications from Rh incompatibility.

If anything in your test results or symptoms needs closer attention, your provider may order additional tests or ultrasounds to evaluate your baby’s growth, amniotic fluid levels, or placenta.

From Biweekly to Weekly Visits

After your 28-week appointment, you’ll begin seeing your provider every two weeks. Once you reach 36 weeks, those visits become weekly. At your 36-week appointment, we’ll perform two vaginal swabs:

• Group B Strep (GBS): This common bacteria isn’t harmful to you but can pose risks to your baby during delivery. If you test positive, we’ll provide prophylaxis antibiotics during labor to protect your baby.
• STD Screening: As recommended by the CDC, we screen all patients for chlamydia and gonorrhea at this stage.

You’ll also sign a delivery consent form at this visit whether you’re planning a vaginal or cesarean birth. Your provider will walk you through the details and answer any questions you may have about your birth plan.

What Comes Next

Starting at 37 weeks, cervical exams become available to assess dilation, but they’re entirely optional. Keep in mind that every pregnancy is unique, and your care plan, testing, and ultrasounds will be tailored specifically to you.

The third trimester can feel overwhelming, but it’s also a time of great anticipation. At Covington Women’s Health Specialists, we’re proud to partner with you during this exciting phase and are here to provide evidence-based guidance, compassionate support, and shared decision-making throughout your pregnancy journey.

We look forward to walking with you through these final weeks, along with celebrating the arrival of your newest family member! If you have any questions or concerns, give us a call (770) 385-8954, or request an appointment online.

A Patient’s VBAC Journey to a Large Family

Pregnancy, labor, and delivery can be unpredictable. No matter how much we plan, things can take an unexpected turn​ and often quickly! Our patient, Maglyne, knows this firsthand.

Maglyne recalls her first birth experience:​ “I am originally from Haiti, where pregnancy and childbirth are approached very naturally, with minimal intervention unless necessary. I wanted the same for my pregnancy. I found a midwife I trusted and had excellent prenatal care. I did everything I could to prepare for a natural, medication-free birth.”

However, things didn’t go as planned. Toward the end of her pregnancy, Maglyne’s baby was found to be in the breech position. Despite all efforts, her baby remained in the breech position, making a C-section necessary.

“I was so disappointed when I found out I needed a C-section​,” Maglyne shares. ​”It was the exact opposite of what I had envisioned. But I knew I had to do what was best for my daughter.”

Dreaming of a large family with her husband, Charlemagne, Maglyne knew the risks of multiple C-sections. For her next pregnancy, she prioritized a VBAC (Vaginal Birth After Cesarean), hoping for a smoother recovery and the natural birth she hadn’t had with her first child.​ In 2020, when Maglyne became pregnant again, she found Covington Women’s Health Specialists and began prenatal care with us.

“Having a vaginal birth after a C-section (VBAC) was very important to me for my next pregnancy.​ I was worried about finding a practice that would allow VBACs. I learned that some places don’t even give women the option to try.”

Discovering Covington Women’s Health Specialists and Dr. Sherley C. Samuels in 2020 was pivotal. Dr. Samuels’ support and shared Haitian heritage fostered trust. Maglyne successfully delivered her second daughter via VBAC that year.​

“Dr. Samuels and I connected immediately. She listened to us and never dismissed our concerns,” Maglyne explains. “When Dr. Samuels told me her family was also from Haiti, I knew we were a perfect match​.”​

Because of their strong bond with Dr. Samuels, Maglyne and Charlemagne knew they wanted her by their side for their third pregnancy. “We couldn’t imagine going through the experience with anyone else,” Maglyne shared. In 2022, she had her second successful VBAC with Dr. Samuels, welcoming the family’s third daughter.

In 2024, their bond grew even stronger when Maglyne and Dr. Samuels discovered they were both expecting just a few weeks apart!​ Dr. Samuels delivered Maglyne’s son, her third VBAC, shortly before her own baby’s arrival.

“I am so grateful Dr. Samuels was there for my third VBAC and delivered our little boy,” said Maglyne. “She is an incredible, dedicated doctor​!”

Are you or someone you know interested in a Vaginal Birth After C-Section (VBAC)​? 

Maglyne’s story highlights the possibility of VBACs with our supportive healthcare team. If you’re considering a VBAC, ​we’d love to discuss your options with Covington Women’s Health Specialists.​ Make an appointment with us online or call (770) 385-8954.