The Birth of Silas James

A Henderson Hospital Birth

What an honor it has been to document the birth of Silas James. It was the first Henderson Hospital birth I was able to document.

I know I have said it before, but by the time I document these beautiful birth stories I have become so invested in the story that is so unique to each birth. After being a labor and delivery nurse here for the past 19 years (I retired this past March).

I have firsthand knowledge of the fact that each is so different and unique, even within the same families. Right up until the end of my career there were so many births that moved me deeply, and often brought tears to my eyes. As a birth photographer, I feel this even more intently. I think it is because of the totally different role in seeing birth through the eyes of a storyteller. I do my best to see the story in each birth, even in the smallest of moments, because that is often where they live. Although I do miss patient care, I feel deep in my soul that documenting them is exactly where I am supposed to be in this season of my life. It is a privilege I don’t take lightly!

I literally cried every single time I worked on their birth film because I had some first-hand knowledge of how hard they worked to hold this little man in their arms, and the emotions that led up to this moment.

This beautiful family found me while searching for a birth photographer in Las Vegas. Sarah requested a phone consultation early on, and through our conversation about their vision and wishes, I knew that it would be an incredible story. She is a nurse, so right away, we had that connection, and she shared with me early on that Ben is a photojournalist. Of course, I looked him up right away and was blown away by his work, and terrified at the same time! (I always feel more pressure when another photographer or filmmaker hires me). It is a big deal for another artist will turn over their moments to someone else, trusting that they don’t have to worry about what I am doing, and can truly live in the moment. Ben did it so graciously and truly did live in their space.

We talked in the weeks leading up to their birth, as I do with all my birth clients. I check in often to see how things are going and how they are feeling, especially once I start the ‘call’ period for births at 37-38 weeks. Sarah and Ben had a birth plan and a vision for what they wanted in their care and birth; a low intervention and unmedicated birth was their preference, but they were also flexible in knowing that things don’t always unfold as planned.

As her due date came and went, those fears that it wasn’t going to unfold as they had planned began to creep in, but she continued to advocate for the birth she wanted and followed her OB and high-risk to be sure everything was looking perfect. Once she was over a week past their due date, talk of induction began, and as her fluid levels dropped and her baby experienced a period of decreased fetal movement, the moment had come to go in and begin the induction period. We agreed to have me capture some of the early moments and return when active labor began.

First of all, let’s talk about how beautiful Sarah is. She is truly a stunning woman; I was excited about photographing her. They both are. I mean, how could they not make an adorable baby?

Because we knew the induction would be long, I captured some of those first moments they would want to remember as they checked in and got settled. Sarah was able to wear her own comfortable clothing, which was great, and the wireless monitoring available at Henderson Hospital really gave her the freedom to move about and stay somewhat comfortable.

Right after I had packed up and was ready to head out for a few hours of sleep and to give Sarah and Ben some space and rest before active labor began, little Silas had his first episode of distress. Her nurses were so great and were right on top of caring for her and her baby and worked hard to keep everyone comfortable while performing interventions.

They also knew they wanted both of their parents present for their birth. Ben’s mom was able to spend time with them in the week before delivery, waiting for Silas to arrive, and Sarah’s mom hopped on a plane as soon as she knew that the time had come. Their presence and love in their birth space really were so beautiful to observe. You could feel the anticipation and excitement throughout.

Within a few hours of starting the induction process, Sarah’s contractions had come on both intensely and frequently, with little break between. I got the call in the early morning hours that she had progressed quickly to 7 cms, so I jumped in the car and headed back while Sarah waited for her epidural.

Sarah received an epidural and never got comfortable enough to settle into some rest. Her husband and the mothers both took turns being at her side and comforting her, and I stepped out of the room for a couple of hours with the grandmas to really give them time alone to rest. The lack of sleep and pain was beginning to wear on both.

In the morning, Sarah’s doctor came in to evaluate their progress and discuss their care plan. Sarah had made no cervical change in hours and still had not rested or become comfortable. Her baby continued to have periods of distress but was quickly resolving at this point. They talked about options and he then stepped away to give Sarah and Ben time alone to make some decisions.

After talking and making some tough decisions, they both decided it was time to allow for a cesarean section. They were both exhausted, Sarah was still in pain, and Silas had periods of distress. Again, I stepped away to give them the space to work through all those emotions.

Photographers are not always allowed in the operating room for cesarean sections, with permission granted by anesthesia and the primary surgeon and guided by hospital policies. I do my best to be allowed into the operating room for births but I am always understanding and ready for permission not to be granted. Luckily, Sarah’s nurse and OB had advocated for me, and I was granted permission by anesthesia.

What I love is focusing on capturing the details that mom might not be seeing during labor and delivery so that she can see those moments she might not otherwise. Those moments between Ben and Silas at the warmer were just so moving.

Of course, back in the room family was waiting and anxious to meet little Silas.

Everyone then stepped out to give Sarah and Ben time alone with their baby and each other. These are always the most tender moments to observe.

I returned the next day to document a Fresh 48 session and little Sila’s first bath by mom and dad. There still had been zero sleep going on days now, but Sarah still looked so great and had already been up out of bed, was moving around well, and was anxious to get home.