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.

Friday, December 30, 2016

Meet one of our Promise Babies: Knox!


Knox Parkhur, son of Jeremy and Ivy Bigge of Yankton, SD, was born 12:04 p.m. Saturday, Nov. 12, in his home, weighing 7 pounds, 8 ounces, and measuring 22 inches. He has an older sister, Avi, 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.

It was Ivy's first home-birth experience.

"It was awesome. That's the one word I have to describe it," Ivy said. "It was such a good delivery. It was everything that we had wanted."

Ivy and Jeremy Bigge welcomed baby Knox
into their family. He was born in their home
in Yankton, SD, with the assistance of midwife
Pam Hulstein of Promise Community Health
Center of Sioux Center.

Baby Knox

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, December 8, 2016

Meet one of our Promise Babies: William!


William David, son of Christopher and Naomi Widman of Sioux City, IA, was born 7:18 p.m. Sunday, Oct. 2, in his home, weighing 8 pounds and measuring 21.25 inches. He is the couple's first child.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family during the pregnancy. Certified nurse midwife Pam Hulstein and nurse Kari Ney of Promise assisted with the home birth.

"Working with the midwives was fantastic. They were very knowledgeable, very comforting," Naomi said. "The home birth was a phenomenal experience. Having Kari and Pam there and being in our own element, being comfortable and being able to move about was more comforting than being confined to a hospital room. It was all so natural."

Naomi Widman holds her baby, William.
She and her husband, Christopher,
welcomed baby William into their
family on Sunday, Oct. 2. He was
born in their Sioux City home with
the assistance of midwife Pam Hulstein
of Promise Community Health Center.

Baby William
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 6, 2016

Meet one of our Promise Babies: Isaac!


Isaac Michael, son of Mike and Amanda De Koster of Orange City, IA, was born 3:18 a.m. Sunday, Nov. 27, in his home, weighing 7 pounds, 10 ounces, and measuring 21 inches. He has four brothers, Malachi, 8; Titus, 7; Josiah, 4; and Jordan, 2.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family, as she has in the past, and attended the home birth. Nurse Kari Ney also assisted.

This was the family's second home birth.

"From our experience, both home birth experiences were as relaxing as they can be," Amanda said. "It's just overall a good experience with Belinda and Kari."
Amanda De Koster holds her baby, Isaac.
She and her husband, Mike, and four
other sons welcomed baby Isaac into
their family on Sunday, Nov. 27. He was
born in their Orange City home with the
assistance of midwife Belinda Lassen of
Promise Community Health Center.
Baby Isaac

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 23, 2016

Meet one of our Promise Babies: Walter!


Walter Christopher, son of Jaron and Elizabeth Wilson of Paullina, IA, was born 3:09 p.m. Saturday, Nov. 12, in his home, weighing 7 pounds, 4 ounces, and measuring 21 inches. He is the first child in the family.

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

"We really, really enjoyed working with a midwife. We would use Belinda again," Elizabeth said. "They were very caring and took the time with us and answered all of our questions. We were very comfortable."

Jaron and Elizabeth Wilson welcomed baby Walter
into their family. He was born in their Paullina home
on Saturday, Nov. 12, with the assistance of midwife
Belinda Lassen of Promise Community Health Center.


Baby Walter

Tuesday, November 22, 2016

Making sense of 'marvelous' placenta at birth


By Pam Hulstein, Ph.D., CNM

Who in the world actually wants to see a placenta? Me! I am always in awe of a placenta when I attend a birth.

Pam Hulstein, CNM
The placenta’s birth often occurs quietly while the new mom is relishing in the joy and relief of having just given birth. Most times, when given due patience and careful observation, the placenta slips out with very little coaxing.

A first glance, the placenta is a large lump of reddish-bluish tissue, usually circular shaped with slippery membranes covering one side and an umbilical cord securely attached. As a certified nurse midwife, I inspect every placenta at each birth to note its normalcy or any unusual findings.

It is at this point I typically ask the new mom/dad or any other family members present for the birth if they would like to see the marvelous placenta! Some folks are very receptive to this invitation; some are hesitant, but fewer still decline. With gloved hands, I lift the placenta out of the basin and show off the shiny fetal side and the delicately strong amnion and chorion layers. Then I turn it over and show the substantive cotyledon side of reddish firm flesh that sustained the circulation between mom’s uterus and baby.

We then marvel that this “thing” provided nutrition, oxygen and waste elimination for the baby you now hold in your arms. This incredible organ produced vital hormones during the pregnancy and provided immune protection to the growing baby. This uniquely made circulation tissue was formed very early in the pregnancy and was completely established by about week 13.

It is at this point that I verify with parents what they would like “done” with their placenta. Double bag it and dispose of it? Send it off to be dehydrated and encapsulated? Bury it in the back yard and plant a tree near it? Or maybe put it in the freezer until they decide what they want to do with this wonderful, incredibly underappreciated part of pregnancy!

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.

Friday, November 18, 2016

Meet one of our Promise Babies: Oliver!


Oliver Doerksen Matthews, son of Jeff and Lisa Matthews of Alta, IA, was born 11:22 p.m. Wednesday, Sep. 21, in his home, weighing 7 pounds, 12 ounces, and measuring 22 inches. He is the first child born in the family.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center provided the prenatal care for the family. Hulstein and nurse Kari Ney also attended the home birth.

"Having a home birth was such a beautiful, intimate and empowering experience," Lisa said. "Pam and Kari had such a calming presence as they helped guide Oliver into this world, and we were so pleased with the prenatal and aftercare we received. Thank you so much for such a wonderful experience."

Lisa Matthews holds her baby, Oliver,
during an appointment at Promise
Community Health Center in Sioux
Center. He was born in their Alta
home on Wednesday, Sept. 21.


Baby Oliver

Wednesday, August 24, 2016

Meet one of the latest Promise Babies: Dylan!


Dylan Alessandra, daughter of Wade and Sasha Duncan of Missouri Valley, IA, was born 5:10 p.m. Wednesday, July 20, in her home, weighing 7 pounds, 10 ounces, and measuring 21 inches. She has an older brother, Barrett, 4.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family, as she had with their previous child, and assisted with the home birth.

This was Sasha's first home birth experience, however.

"It was a wonderful experience," she said. "When it's in the comforts of your home, you're more relaxed."

Wade and Sasha Duncan and older brother Barrett
welcomed baby Dylan into their family. She was born
in their Missouri Valley home 
on Wednesday, July 20.


Baby Dylan

Friday, July 29, 2016

Meet the latest Promise Baby: Armour!


Armour Jolon, son of Justine and Justin Draayer of Boyden, IA, was born 10:21 p.m. Monday, July 25, in his home, weighing 7 pounds and measuring 20 inches. He has three siblings, Sage, 6; Sori, 4; and Acacia, 2.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family, as she had for their three previous children, and assisted with the home birth, as she had with their previous child.
Justine Draayer holds her baby boy, Armour,
during an appointment at Promise Community
Health Center in Sioux Center. He was born
in his Boyden home on July 25 with the
assistance of midwife Belinda Lassen.


Baby Armour

Meet one of the latest Promise Babies: Melissa!

Melissa was born on Friday, July 22. Belinda Lassen,
certified nurse midwife for Promise Community Health
Center in Sioux Center, holds baby Melissa, with her
sister, Isabela, and brother, Carlos, joining them for
photo. Lassen provided prenatal care for the family.

Thursday, July 28, 2016

Meet one of the latest Promise Babies: Everly!


Everly, daughter of Joni Nibbelink of Hospers, IA, was born 7:25 p.m. Tuesday, July 12, in her home, weighing 6 pounds, 10 ounces, and measuring 20 inches. She has four siblings, Berlin, 12; Odessa, 10; Vienna, 9; and Brogan, 7.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family, as she had for three of Joni's previous children, and assisted with the home birth.

This was Joni's first home birth experience, however.

"It was amazing, absolutely everything about it," she said, noting that her other children could be an integral part of the experience following the birth and the home environment was much more pleasant. "It was just a very comfortable and relaxing aftermath."

Joni Nibbelink and her family welcomed baby Everly
into their home on Tuesday, July 12. She was born
in a home birth with the assistance of midwife
Belinda Lassen of Promise Community Health Center.


Baby Everly

Wednesday, July 27, 2016

Meet one of the latest Promise Babies: Myles!


Myles Nixon, son of Alison and Tyler Vellinga of Orange City, IA, was born 7:23 p.m. Wednesday, July 20, in his home, weighing 9 pounds and measuring 22 inches. He has three siblings, Caden, 12; Addi, 8; and Colin, 2.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.

This was Alison's first home birth experience.

"It was great," she said. "It was so much more relaxed and comforting because you are at home. Belinda and her nurses do a great job to make you feel comfortable and at peace in your environment."

Alison and Tyler Vellinga and brother Colin welcomed
baby Myles into their family. He was born July 20 in
their Orange City home with the assistance of Promise
Community Health Center midwife Belinda Lassen.

Baby Myles

Wednesday, June 29, 2016

Meet the latest Promise Baby: Thea!


Thea Joy, daughter of Jason and Amanda Van Otterloo of George, IA, was born Tuesday, June 21, at Sanford Sheldon Medical Center, weighing 8 pounds, 1 ounce, and measuring 21 inches.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family.

Jason and Amanda Van Otterloo of
George welcomed baby Thea Joy into
their family. She was born June 21.

Baby Thea

Thursday, June 16, 2016

Meet one of the latest Promise Babies: Oz!


Oz Orion Fiddelke, son of Dallas Dotson and Jonny Fiddelke of Spencer, IA, was born 4:44 p.m. Monday, May 30, in his home, weighing 7 pounds, 8 ounces, and measuring 21 inches.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.

"We felt like we had a strong team," Dallas said.

Dallas Dotson and Jonny Fiddelke welcomed baby Oz
into their family. He was born in their home in Spencer
on Monday, May 30, with the assistance of Promise
Community Health Center midwife Belinda Lassen.

Baby Oz

Tuesday, June 14, 2016

Meet one of the latest Promise Babies: Cole!


Cole Oliver, son of Chris and Ashley Anderson of Sioux Falls, SD, was born 7:30 p.m. Monday, May 2, in his home, weighing 8 pounds, 4 ounces, and measuring 21 inches.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.

"We were so happy with the care we received from Belinda during pregnancy and the birth," Ashley said. "We're all so happy to have Cole here."


Chris and Ashley Anderson welcomed baby Cole into
their family. He was born in their home in Sioux Falls,
SD, on Monday, May 2, with the assistance of Promise
Community Health Center midwife Belinda Lassen.

Baby Cole

Tuesday, June 7, 2016

The Armstrongs: Our Birth Story


Tyler Michael Dale "TJ", son of Tyler and Tiffany Armstrong of Sioux Center, was born 2 p.m. Monday, May 2, in his home, weighing 8 pounds, 2 ounces, and measuring 21 inches.

Tiffany shared her reflections about being cared for by midwife Belinda Lassen of Promise Community Health Center of Sioux Center throughout her pregnancy and during the home birth of her child:



Drs. Tyler and Tiffany Armstrong welcomed a baby
boy, TJ, into their family. He was born May 2 in their
Sioux Center home with the assistance of Promise
Community Health Center midwife Belinda Lassen.
BY TIFFANY ARMSTRONG

One of the first things we did when we found out we were pregnant was call Promise Community Health Center so we could get on the schedule for a home birth. Sioux Center is so lucky to have the only two midwives in Sioux County, but they are highly sought after, and I didn't want my dream of a home birth to be denied due to them being "booked." Since I already had an established relationships with both Pam and Belinda, I told the receptionist at Promise to schedule me with whomever had the next available appointment, and that was Belinda Lassen.

From that point on, Belinda was going to be our midwife and our go-to for information during our first pregnancy.

My husband, Tyler, and I are both chiropractors and very holistically minded. We both have a sound belief in my body and its capabilities to carry and deliver our baby. I never accepted the horror stories I was told or Hollywood's portrayal of how awful pregnancy and childbirth had to be. I had a hard time accepting that God would make bringing a child into our world such an impossible task. My entire pregnancy, I took care of my body. I ate healthy, took my vitamins and had my pelvis adjusted regularly, but more than anything, I ignored the fear that others tried to create in me that a home birth without medication was "impossible." I took refuge in the idea that my pregnancy would be different. I would not be miserable with the swollen ankles, horrible back pain, morning sickness and intolerable, long, painful labor.

Baby T.J.
We had our first appointment with Belinda at Promise, where the standard medical intake and new patient exam was performed, as well as an in-depth overview of what to expect with our future appointments as our pregnancy progressed. We were encouraged to outline our birth plan and to research all of our options. Our appointment ended with Tyler and I putting Belinda's cellphone number in our phones for immediate contact for questions or emergencies. This was both calming and comforting that Belinda would be the person we would contact directly when labor started and would be the person to deliver my baby. We then stopped by their accounting office to review insurance and payment information, which was a breeze and pleasantly surprising. I didn't realize that such specialized and personalized care could be so affordable. Wasn't having a baby supposed to mean I would hit my deductible for a change?

I am a big believer that our thoughts are powerful. I never for one moment wavered from the idea that I could do this — that my body could do this. Belinda only reinforced that idea after each appointment. At about 37 weeks pregnant, when I was still working, still happy, comfortable, sleeping and without swollen ankles or hands, I realized that I could and I was doing this! How amazing?

At 38 weeks along, my labor started.

It was 2 a.m. and the morning of our one-year anniversary. (Luckily, we celebrated the night before.) I felt something I had never felt before. It was similar to Braxton Hicks contractions but more intense. I don't think I could explain it as pain but more of a pressure. I wanted to wait until I knew this was the "real thing" before I texted and woke up our sweet midwife. During this time, I got to witness my husband and partner in life become empowered to care and comfort me. He did everything in his power to make me feel like a queen. He took charge and was encouraged to be a major player in the birth of our baby instead of being kept in the background.

At 4 a.m., my husband sent the text and woke up Belinda, who agreed that this was "it." Tyler started tracking my contractions. Looking back, I appreciate the fact that there was no rushing, no packing up and leavingultimately eliminating the panic. Once labor was confirmed by Belinda, all we had to do was figure out how to get me comfortable. At 10 a.m., I started active labor, and my doula (a hired birthing support person) arrived. Belinda arrived shortly after that.
Tiffany Armstrong holds her baby boy, TJ, after
his birth in their Sioux Center home on May 2.


The birthing process was allowed to unfold naturally, allowing me to focus on the task at hand in the comfort of my own home, with only the people I chose to be present. After four hours of active labor, 15 minutes of pushing and lots of hard work and concentration, I lifted my new baby boy on to my chest and held him closely. There was pain, but it never got bigger than meor out of control. The fear of the unknown was never a factor due to good planning, a thorough birth plan and my familiar surroundings.

I am so lucky that I got to have the birth of my dreams, introducing our son into the world in a calm and loving environment. There was always a chance that at some point during my pregnancy or my birth that we might have had to change course and have a hospital birth. I am grateful that we had that option in case of an emergency. Luckily, that was not in God's plan for us, and a home birth was. I will always recommend a home birth with a midwife to all low-risk, expecting moms who are interested in that safe option.

For us, it was everything we could have hoped and dreamed for. Without question, that was hardest, most beautiful day of my life. That was the day I got to become a mom.

Dr. Tiffany Armstrong and her husband, Dr. Tyler Armstrong, are chiropractors at Sioux Center Chiropractic Wellness Clinic in Sioux Center. She specializes in chiropractic care of women and babies.


MANY BEAUTIFUL BABIES!
TJ Armstrong was born during a baby boom of births assisted by Promise Community Health Center's certified nurse midwives. Belinda Lassen and Pam Hulstein, along with their nurses, attended nine home births over a 13-day span that culminated during early May.

Friday, June 3, 2016

Meet one of the latest Promise babies: Ruth!


Ruth Ellen, daughter of Jessica and Lorn Wielenga of Le Mars, IA, was born 5:01 a.m. Thursday, May 26, in her home, weighing 8 pounds, 8 ounces, and measuring 21.5 inches.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.

Jessica and Lorn Wielenga welcomed baby Ruth Ellen
into their family. She was born in their home in
Le Mars on Thursday, May 26.
Ruth Ellen Wielenga

Friday, May 13, 2016

Meet the latest Promise Baby: Hilde!


Hilde Margaret Aker, daughter of Andrew and Jenna Aker of Sioux Center, IA, was born 7:47 p.m. Friday, May 6, in her home, weighing 9 pounds and measuring 19.5 inches. She has two siblings, Willa, 5, and Bode, 2.

The family received its prenatal care from midwifery team at Promise Community Health Center. Promise's certified nurse midwives Pam Hulstein and Belinda Lassen assisted with the home birth.

Baby Hilde is the granddaughter of Dr. Del and Belinda Lassen of Promise.

Jenna Aker holds her newborn baby, Hilde,
during a checkup at Promise Community
Health Center in Sioux Center. Baby Hilde
was born in her Sioux Center home on May 6.
Baby Hilde

Thursday, May 12, 2016

Meet one of the latest Promise babies: Mason!


Mason Yan, son of Xiao Fang Xu and Xun Yun Yun of Orange City, was born Thursday, April 28, at Orange City Area Health System, weighing 6 pounds, 15 ounces, and measuring 20 inches. He has a brother, Ye Huang Yan, 8, who lives with his grandmother in China.

The family received its prenatal care from the midwifery team at Promise Community Health Center in Sioux Center.

Xun Yun Yun and Xiao Fang Xu welcomed baby
Mason Yan into their home. He was born May 28.
Baby Mason

Tuesday, May 10, 2016

Meet one of the latest Promise babies: Brynn Adine!


Brynn Adine Harmony, daughter of Josh and Jessica Dagel of Ashton, IA, was born 6:45 p.m. Wednesday, April 27, in her home, weighing 8 pounds, 6 ounces, and measuring 21 inches. She has five brothers and two sisters, Dawson, 14; Ashlynn, 12; Pierson, 9; Zion, 7; Emilynn, 5; Gabrion, 3; and Truston, 2.

Certified nurse midwife Pam Hulstein of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.
Jessica Dagel holds her newborn baby, Brynn Adine,
while one of her daughters, Ashlynn, joins her for
the photo during a checkup at Promise Community
Health Center in Sioux Center. Baby Brynn Adine
was born in their Ashton home on April 27.
Baby Brynn Adine

Friday, May 6, 2016

Meet one of the latest Promise babies: Maysa!


Maysa Lauren, daughter of Kelly and Wes Kamerman of Sioux Center, IA, was born 7:30 p.m. Wednesday, April 27, in her home, weighing 6 pounds and measuring 19 inches. She has a sister, Emyrson, 6.

Certified nurse midwife Belinda Lassen of Promise Community Health Center in Sioux Center provided the prenatal care for the family and assisted with the home birth.

Wes and Kelly Kamerman welcomed
baby Maysa into their family. She was
born in their Sioux Center home
on Wednesday, May 27.

Baby Maysa