labor and delivery, pregnancy, Uncategorized

Dear High Risk Moms

Dear High Risk Moms,

While I’m not proclaiming to know exactly what you are going through and cannot fully understand every thought you are having. I know you have chosen to have a baby and with that baby comes  dreams and hopes of an amazing pregnancy journey and a beautiful healthy baby.  

However at some point during your pregnancy, you were referred to the High Risk doctor and your world changed. I’m sure you wondered or wondering now… what does this mean?? What’s going to happen?

Moms, I hear you. This journey you are on  may be one of the most fearful, emotionally charged journey you will have to take in your life. I understand you are literally fighting to make it to Labor & Delivery and deliver a healthy baby to bring home.

Moms, there will be times when you are working with your primary doctor and Maternal Fetal Medicine (MFM) doctor and feel overwhelmed with the tests, procedures, and appointments. There will be times you are worried if insurance will cover all that you need. Google may have become your ‘second doctor” and chat rooms your saving grace as you try to find other moms as support. I understand.

I understand there are days you want to rage because ‘ it’s just not fair’ and you question ” why me?” Yes, I see your furstration with information overload and the complexity of the situation;the uncertainty if you should trust your healthcare team’s plan. I know you are carrying a precious gift- you will protect at all cost.

Moms, I hear you and I’m with you. I want you to know as your nurse, myself, your MFM doctor and many team members are there with you from the moment we meet you to after you deliver and beyond if you need us.

We carry you in our thoughts as we collaborate to design the best plan to have you and your baby safe and healthy. We pray for wisdom to chose the correct plan for you. We pray for your peace during a challenging time. We partner with you to create a plan you are comfortable with to have a desired outcome.

As your nurse, I urge you to give me your worries , I want your questions, I’ll handle the logistics.  I want to make this particular challenging pregnancy journey easier for you. With a high risk pregnancy your mind is already filled with thoughts and worries- Our goal as the MFM team is to always reduce stress, minimize worry and promote peace in any situation.

Moms, remember this is your journey and I’m walking with you every step. Always let me know what you need, when you need it as we make it to the destination of delivering a healthy baby and keep you healthy.


Your MFM Nurse ❤️



(picture source:

By: Mary Echols,RN,BSN,MSN

Wife /Mother/Nurse

Contact Mary at :


labor and delivery, pregnancy, Uncategorized

My Heart Beats Labor & Delivery

I had the opportunity to walk through my former Labor and Delivery Unit where I worked as a Nurse for many years.

I remember my time as a Labor and Delivery Nurse with such sweetness.
This was a time in my career where:

I learned,
I laughed,
I cried,
I learned some more,
I helped bring babies into the world,
I helped grieving mothers who lost their babies,
and “caught” a few babies who didn’t want to wait on their doctors 
Did I mention how much I learned?

I remember every moment with fondness- even rushing down the hall with a patient with an abruption going for an emergency caesarean section (c-section), or hearing/watching a baby’s heart tones decel (that’s  when the heartbeat drops below normal) and rushing to the room to administer IV fluids, oxygen, turn positions, all while calling the doctor and remaining calm- because you never want mom to fear. Above all, I was there for her and the baby.

I recall those days our team was short staffed and the Full Moon was in all its glory. Yet, we handled it with excellence.
Yes, there was challenging days, but the joyous days outweighed the challenging days every time. Every day was different and made me better as a Nurse, a better Person than the day before.

I begin my journey on Labor & Delivery  as a new nurse in my 1st year of nursing – and this was my second job. The experienced Nurses took me under their wings and taught me everything they knew, encouraged me to learn as much as I could and grow. They taught me how to listen and observe what is about to happen, anticipate every moment 5-6 steps ahead and always have a plan; especially before calling the doctor.
Labor and Deliver was more than a job for me. It’s where I became “Nurse Mary”. I learned what it meant to bond with a family, to be there with a mom when she feels as if she cannot go on, but I could help her go on and triumph to the finish line. To let Dad know he has a role in the delivery room and help him be there in the moment.  

I learned how to respectfully honor a baby who was born sleeping, while remaining strong and helping the family through the process. I learned working together as a team, we could do anything; we were, we are #Labor and Delivery Strong.

I gained the confidence that I could learn more and do more- and completed my Master’s while working full time on L/D.
Leaving was bittersweet. I love my current role as the Maternal Fetal Medicine Coordinator and my team is THE BEST! I love knowing I am working with my high risk patients at their most vulnerable and helping them make it to Labor and Delivery and have a healthy outcome- for mom and baby. There is no place I rather be in this moment in my career. Everyday lets me know I am making a difference.
However, as I walked through the Labor and Delivery unit
Listening to the galloping Fetal Heart Tones,
Hearing the Grunts of the mothers as they brought forth their babies
Seeing the Nurses run to the breakroom to take a sip of their coffee
Hearing the laughter;                                                                                                            Observing the Comradery; the bond
I know
Labor and Delivery and all those I met there will always beat in my heart.

To future Labor and Delivery patients -know your nurse is excited and happy to be there with you every moment of your Labor and Delivery journey. Your nurse will be your advocate, your champion; on your team 100%.

To future Labor and Delivery Nurses-yes, it’s as wonderful as you have heard and joining a Labor and Delivery team will be the best decision you will make for your career. 

To my former Labor and Delivery  co-workers thank you for the memories, thank you for the lessons, and no matter where our path takes us ; we will always be:




Healthy Mom/Healthy Baby


Wife/Mother/Registered Nurse/               “Champion of All Pregnant Women”