Promise Community Health Center prenatal care team

Promise Community Health Center prenatal care team
Promise Community Health Center's midwifery care team consists of (standing) certified nurse midwives Belinda Lassen and Pam Hulstein and their support team, clinical assistant/interpreter Ruth Hernandez and registered nurses Erica Robertson and Kari Ney.

Tuesday, January 16, 2018

Meet one of our Promise Babies: Larkynn!


Larkynn Maranatha, daughter of Josh and Jessica Dagel of Ashton, IA, was born 1:47 p.m. Sunday, Dec. 24, 2017, at Avera McKennan Hospital in Sioux Falls, SD, weighing 8 pounds, 4 ounces, and measuring 20.5 inches. She has eight siblings, Dawson, 15; Ashlynn, 14; Pierson, 11; Zion, 9; Emilynn, 7; Gabrion, 5; Truston, 3; and Brynn Adine, 20 months. Her grandparents are Jeff and Brenda Krahling of Sibley, IA, and Mark and Brenda Dagel of Ocheyedan, IA.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy.


Jessica and Josh Dagel welcomed baby Larkynn into
their family on Sunday, Dec. 24. The family received
prenatal care from midwife Pam Hulstein of Promise
Community Health Center throughout the pregnancy.


Larkynn Maranatha

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.

Tuesday, December 12, 2017

Meet one of our Promise Babies: Lainie!


Lainie Rose Degan, daughter of Melissa Kirby and Jeremie Degan of Sioux Falls, SD, was born 7:29 p.m. Tuesday, Nov. 28, 2017, weighing 7 pounds, 8 ounces, and measuring 20 1/2 inches. She has one sibling, Skye.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy.


Melissa Kirby holds her baby, Lainie, who was
born Tuesday, Nov. 28. The family received
prenatal care from midwife Pam Hulstein of
Promise Community Health Center.
Lainie Rose

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.


Thursday, November 30, 2017

Meet one of our Promise Babies: Evan!


Evan Jaxon, son of Clint and Julia Decker of Beresford, SD, was born 4:51 a.m., in their home, weighing 8 pounds, 10 ounces, and measuring 22 inches.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy and attended the home birth.


Evan Jaxon

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.


Wednesday, November 22, 2017

Meet one of our Promise Babies: Daniel!


Daniel Lee, son of Darin and JoAnna Rozeboom of Rock Valley, IA, was born 1:52 p.m. Tuesday, Nov. 14, 2017, in their home, weighing 7 pounds, 8 ounces, and measuring 22 inches. He has three siblings, Luke, 8; Alex, 7; and Kate, 21 months. His grandparents are Thomas and Paula Maassen of Rock Valley and Leonard and Frieda Rozeboom of Rock Rapids.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy and attended the home birth.


"Our home-birth experience was second to none," JoAnna said. "Belinda was very knowledgeable in all aspects of prenatal care, labor and delivery. She always made sure to inform us of all options, but, ultimately, allowed us to make decisions based on our own personal needs and desires."

JoAnna Rozeboom holds her baby, Daniel.
She and her husband, Darin, welcomed baby
Daniel into their family on Tuesday, Nov. 14.
He was born in their home in Rock Valley, IA,
with the assistance of midwife Belinda Lassen
of Promise Community Health Center.

Daniel Lee

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.

Tuesday, November 21, 2017

Meet one of our Promise Babies: Xander!


Xander Elias, son of Gary and Donna Decker of Centerville, SD, was born 4:08 a.m., in their home, weighing 9 pounds, 2 ounces, and measuring 22 inches. He has three siblings, Evelynne, 7; Matthew, 4; and Hosanna, 2.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy and attended the home birth.


Xander Elias

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.

Friday, November 17, 2017

Sharing the joy of belly wiggles!

By Pam Hulstein, Ph.D., CNM

Eyes open wide in amazement when a mother-to-be realizes for the first time that she is able to feel for herself how her unborn baby is positioned.

One of the rewarding aspects of my work is when I see a mom-to-be connect with her unborn child beyond fetal movement sensations. The look on her face is priceless as her hands share with her mind’s eye how her baby is positioned.

Pam Hulstein, CNM
Before 34 weeks or so (eight months), moms will be able to describe well where they feel the baby’s wiggles and may describe them as brushes of movement, pokes, bubbles, rolls etc. Babies initially lie with their back opposite moms (transverse), and during the second trimester, I see that many babies begin to assume a head-down (vertex) position with intermittent changes in position.

By 36 weeks (nine months), most babies will be in a head-down position with their back on either the right or left side of mom’s belly with their face toward mom’s spine. In this position, mom feels the kicks, pokes, jabs of the side opposite the baby’s back. The back feels like a smooth curve lying distinctly on one side of the belly as she feels with her hands. Moms can usually feel with their fingertips a rounded bulging in the upper part of her belly, which is typically the baby’s bottom end. Sometimes she will report feeling “kicked” in her ribs by a foot! When she feels gently by her lower belly with her forefingers opposite each other, she can get a “sense” of the baby’s head lying nicely near her symphysis bone. The symphysis is the firm bony area felt at the bottom of the belly.

I encourage moms to develop a good “sense” of how it feels when their baby moves, and
when she is around 34 weeks (eight months), we work to develop the skill of figuring out how her baby is positioned inside her. The movement of a baby growing inside can be almost painful for a few, but at the same time, it provides the incredible indication that life is happening.

As the wiggles change from flutters to kicks, a mom is able to cue into her baby’s movements and eventually how her baby is positioned. Hands-on care, when I put my hands on mom’s hands to learn her baby’s position, is a precious gift given to moms and nurse midwives as we share in the joy of belly wiggles.

Pam Hulstein is a certified nurse midwife at Promise Community Health Center in Sioux Center. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.

Monday, October 23, 2017

Meet one of our Promise Babies: Brighton!


Brighton Leigh, daughter of Jeff and Becca Kroese of Sioux Center, IA, was born 1:03 a.m. Saturday, Oct. 7, 2017, in their home, weighing 10 pounds and measuring 21 inches. She has three siblings, Easton, 12; Raelle, 7; and Hunter, 3.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center, IA, provided the prenatal care for the family throughout the pregnancy and attended the home birth.



Becca Kroese holds her baby, Brighton. She and
her husband, Jeff, welcomed baby Brighton into
their family on Saturday, Oct. 7. She was born in
their home in Sioux Center, IA, with the assistance
of midwife Pam Hulstein of Promise Community
Health Center. Also pictured is sister Raelle.

Brighton Leigh

Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowaand beyond. To learn more about Promise's midwifery team and prenatal services, visit www.promisechc.org/services/prenatal.aspx. For more tips and advice on various topics from Promise's midwifery team and baby announcements, visit promisechcmidwives.blogspot.com.