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maternal health Archives - Healthy Mothers, Healthy Babies: the Montana Coalition

Finding Strength Through Motherhood, Loss, and Healing: A Story from Chile to Montana

By Maternal Mental Health

Guest post by Catalina Geyger

Growing Up in Emotion and Resilience

I grew up watching my mom ride the highs and lows of her emotions. From a young age, I knew sadness and tears. Born and raised in Santiago, Chile, I took medication and did therapy through high school just to survive the day and ride horses after. That world kept me sane.

My mom died of colon cancer when I was 23, and I was devastated. It pushed me to leave the country, travel, and work with horses. On one trip, I visited my aunt in Montana and met my husband while helping at a remote bar. I never imagined marrying him and living here. When my grandpa met Reed, he said he was a good man—that stuck with me. We married and got a horse thanks to my father-in-law, who drove six hours so I could see one. I felt at home.

I know myself enough now to do things for me, whether going to a city for my nails or riding for a while. But admitting that need isn’t always easy. I’ve always been honest with Reed about my feelings, thoughts, and crazy ideas, and even when he doesn’t understand, he lets me be.

My First Birth and Postpartum Experience

When our first son was born, I experienced it all—baby blues, excitement, nervousness, sadness, fear. It was winter, during COVID, the baby was tiny, jaundiced, and breastfeeding struggled. Reed went out to feed cows every day, and the four walls felt tight. I needed help. After a couple fights, I admitted my jealousy that he could leave while I couldn’t. Then my father-in-law started taking the baby and me to see the horses nearly every day. I also asked my doctor for my “happy pills,” which help me be happier.

Before our second child, I was off medication but knew I’d restart afterward. Breastfeeding didn’t last long, and formula worked best. I kept taking medication, adjusting doses until I found what worked. Seeing myself more at peace, I now tell pregnant friends it’s okay to take medication—it doesn’t mean forever, and that’s fine too.

Seeking Therapy and Real Support

When our third child was born, I needed more than medication. I drove an hour to the city twice a week for therapy sessions, and it was life-changing. Even surrounded by loving people, you can feel alone, and having non-judgmental support made all the difference.

I am lucky—not just for my family, home, and raising my kids, but because Reed’s family hugs me like my mom did, listens to my ideas, and loves me through highs and lows. Losing my mom taught me life is short. I believe she moved things so I could meet Reed, wake up to mountains and cows, and build this life. I am grateful every day.

Maternity leave in the U.S. is hard—you work like you have no kids and raise kids like you don’t work. Not all jobs offer more than four to six weeks, so you have to be lucky. I wish more people knew they could ask for help and use resources, even when money is tight. Small steps to care for yourself make each day easier.

Finding Light in Hard Seasons

Winter is still hard—cold, isolating—but a sunny day can lift everything. Even through sadness, fear, or exhaustion, joy, connection, and gratitude are possible. That’s what keeps me going.


Versión en Español

Crecí Entre Emociones y Fortaleza

Crecí viendo a mi mamá subir y bajar con sus emociones. Desde pequeña conocía la tristeza y las lágrimas. Nací y crecí en Santiago, Chile, y durante toda la enseñanza media tomé medicación e hice terapia solo para sobrevivir el día y montar a caballo después. Ese mundo me mantenía cuerda.

Mi mamá murió de cáncer de colon cuando tenía 23 años y me devastó. Eso me impulsó a salir del país, viajar y trabajar con caballos. En un viaje, visité a mi tía en Montana y conocí a mi esposo mientras ayudaba en un bar en medio de la nada. Nunca imaginé casarme con él y vivir aquí. Cuando mi abuelo conoció a Reed, dijo que era un buen hombre; eso se me quedó grabado. Nos casamos y conseguimos un caballo gracias a mi suegro, que manejó seis horas para que pudiera verlo. Me sentí en casa.

Ahora me conozco lo suficiente para hacer cosas para mí, ya sea ir a la ciudad a hacerme las uñas o montar un rato. Pero admitir esa necesidad no siempre es fácil. Siempre he sido honesta con Reed sobre mis sentimientos, pensamientos e ideas locas, y aunque a veces no entienda, me deja ser.

Mi Primer Parto y el Posparto

Cuando nació nuestro primer hijo, pasé por todo: tristeza posparto, emoción, nervios, pena y miedo. Era invierno, en plena COVID, el bebé era pequeño, tenía ictericia y la lactancia no funcionaba bien. Reed salía todos los días a alimentar las vacas y esas cuatro paredes se sentían pequeñas. Necesitaba ayuda. Tras un par de discusiones, le confesé que sentía celos de que él pudiera salir y yo no. Entonces, mi suegro empezó a llevarnos al bebé y a mí a ver los caballos casi todos los días. También pedí a mi doctora mis “pastillas felices,” que me ayudan a estar mejor.

Antes de nuestro segundo hijo, había dejado la medicación, pero sabía que la retomaría después del parto. Intenté amamantar otra vez, pero la fórmula funcionó mejor. Seguí tomando medicación, ajustando dosis hasta encontrar lo que me funcionaba. Al sentirme más en paz, ahora les digo a amigas embarazadas que está bien tomar medicación; no significa para siempre, y también está bien si lo es.

Terapia y Apoyo Real

Cuando nació nuestro tercer hijo, necesitaba más que medicación. Conduje una hora a la ciudad dos veces por semana para terapia, y fue transformador. Aunque estés rodeada de personas increíbles, puedes sentirte sola, y ese apoyo sin juicio marcó la diferencia.

Soy afortunada, no solo por mi familia, nuestro hogar y criar a mis hijos, sino porque la familia de Reed me abraza como lo hacía mi mamá, escucha mis ideas y me quiere en los altos y bajos. Perder a mi mamá me enseñó que la vida es corta. Creo que ella movió las cosas para que conociera a Reed, despertara con montañas y vacas, y pudiera construir esta vida. Estoy agradecida todos los días.

La licencia de maternidad en EE. UU. es difícil: trabajas como si no tuvieras hijos y crías a tus hijos como si no trabajaras. No todos los trabajos dan más de cuatro a seis semanas, así que hay que tener suerte. Ojalá más personas supieran que pueden pedir ayuda y usar recursos, aunque el dinero sea poco. Pequeños pasos para cuidarse hacen los días más llevaderos.

Encontrar Luz en las Temporadas Difíciles

El invierno sigue siendo duro, frío y aislante, pero un día soleado puede levantar todo. Incluso con tristeza, miedo o cansancio, es posible encontrar alegría, conexión y gratitud. Eso es lo que me mantiene adelante.

Professional photos by M.Kaye Photos.

If Catalina’s story resonates with you, remember: you don’t have to navigate parenthood alone. LIFTS offers a free, statewide resource guide connecting Montana families to mental health supports, parenting programs, and community resources. Explore local help, practical tools, and more at hmhb-lifts.org — because even small steps toward support can make a big difference.

Family Care Spaces Across Montana

By Breastfeeding, Community, Indigineous Maternal Health

By Diona Buck, Native American Initiatives Program Coordinator

Photos contributed by MOMS and local Indigenous BirthWorkers

 

A Family Care Space is a space where mothers, parents, and families can come to feed their babies, change their baby’s diaper, and receive educational materials, and most importantly connect with local BirthWorkers. While the concept of Family Care Spaces at public events is not the first of its kind, the meaning of this movement for Tribal Communities in Montana lies in something deeper: the reclamation of Indigenous traditional ways.

 

Families attending cultural or public events often have to navigate the unique challenges like feeding their infants, changing diapers, or simply finding a quiet private area to care for their young children. Often times we see parents leaving events to go change or feed their babies in their cars, making these tasks harder than they should be. These needs, though common, are rarely addressed in event planning.

 

Family Care Spaces across Montana were developed not just to meet these needs, but to do so in a way that honored and recentered Indigenous Traditional Knowledge around the sacredness of birthing, parenting, and raising the next generations. These spaces are a reminder that as Indigenous people, we once surrounded birthing people with ceremony, care, and collective support. Parenting was not meant to be done in isolation but in community. It takes a village to raise a child.

 

A total of nine Family Care Space Kits, each equipped with a canopy tent with sidewalls, a portable diaper changing table, and a table and chairs, were funded through the Montana Obstetrics and Maternal Support (MOMS) program. These kits were distributed to six Tribal and three Urban Indian Communities across Montana to support the creation of Family Care Spaces into their communities. Since 2024, at least a dozen Family Care Spaces have been set up at local events and gatherings to support families.

 

Today, Indigenous doulas, lactation consultants, and maternal health champions are leading the way, working with community organizers to integrate these spaces into powwows, health fairs, and cultural gatherings. Key maternal health champions include Tribal Health programs, Public Health Nursing programs and Urban Indian organizations who recognize the importance of providing these spaces as a community. Family Care Space kits are stored with local organizations that have taken the initiative to lead this effort in their communities. But this work is not done alone. At its core, this initiative is about community collaboration, bringing together BirthWorkers, families, Elders, health departments, and event organizers to uplift and care for our families.

 

HMHB Native American Initiatives is able to continue supporting the Family Care Space initiative. Vital to this work is Diona Buck, who is Nakoda from the Fort Belknap Indian Community and a descendant of the Aaniiih Tribe and currently serves as the Native American Initiatives Program Coordinator. In her role at HMHB, Diona continues to uplift and expand Family Care Spaces across Montana by connecting with Indigenous BirthWorkers and maternal health champions and guiding communities in creating these spaces.

The Family Care Space Toolkit was developed in January 2024 by Diona Buck. If you or your organization are interested in bringing a Family Care Space to your next event or would like to collaborate, we encourage you to reach out to Diona at diona@hmhb-mt.org. We would be honored to connect you with local maternal health champions and support you in creating a space that reflects and uplifts your community.

 

The Growing Movement of Indigenous Birthworkers in Montana

By Birth, Caregiving, Native American Initiatives, Native Cultural Connections

Written by Chelsea Bellon

Photos courtesy of Julianne Denny

 

In many Indigenous communities, birth is more than a medical event—it is a sacred ceremony, deeply rooted in tradition, community, and ancestral knowledge. While the term “Doula” is widely recognized today, its origins are tied to Western frameworks that may not fully capture the depth of Indigenous birthing practices. Long before Western society formalized the role of Doulas, Indigenous families, Elders, and community members played an essential part in supporting birth as a ceremony.

Today, many Indigenous communities use the terms Birthworker and Doula interchangeably, reflecting both historical traditions and contemporary roles. Birthworkers provide non-medical support before, during, and after childbirth, offering emotional, spiritual, and physical care. Birthworkers provide information around perinatal education, community resources, and advocacy support. Many consider this work a calling—”heart work” that centers ceremony and connection, creating a meaningful and supported start for both parents and baby.

Strengthening Indigenous Birthwork in Montana

Since the introduction of the Indigenous Full Spectrum Doula training to Montana’s Tribal communities in 2022, the movement of Indigenous Birthworkers has gained remarkable momentum. Trainings held across reservations have supported more than 80 Birthworkers, empowering those in both rural and urban communities throughout the state. Following training efforts supported by the Montana Obstetrics & Maternal Support (MOMS) program, newly trained Birthworkers sought continued education, mentorship, and community. In response, the Native American Initiatives (NAI) Program with Healthy Mothers, Healthy Babies – Montana (HMHB-MT) cultivated a space for growth, connection, and collaboration.

Through monthly gatherings, Birthworkers from across Montana have built a network to share successes, navigate challenges, and learn from one another. Under the leadership of NAI Program Director, Amy Stiffarm, the group has welcomed guest speakers and educators to help Birthworkers develop their skills and expand their impact.

  • Kendra Potter, a Birth Doula and Trainer from Missoula, has provided mentorship on balancing birthwork with family life and other job responsibilities.
  • Tina Begay of Redtail Accounting has shared insights on marketing, networking, and business growth for Birthworkers.
  • Diona Buck, representing the MOMS Program provided guidance and resources for Indigenous Birthworkers to engage and support families and elders in their communities. The Family Care Space initiative was formed to provide supplies for communities to create a breastfeeding and respite space for events such as pow wows, basketball games, health fairs, celebrations, and more. The Family Care space was intended to be led by the local Indigenous Birthworkers; 15 Family Care Spaces were sent out to rural and urban communities across Montana.
  • Most recently, the group welcomed Glenda Abbot, founder of the Indigenous Birth Justice Network in Canada, which now extends into Washington State. She introduced valuable perspectives on land-based birthing practices and the role of Birthworkers in community healing and revitalization.

Join the Indigenous Birthworker Network

The Indigneous Birthworker Network of Montana continues to grow, providing a space for Indigenous Birthworkers, past Doula training participants, and advocates to connect with a supportive community, access valuable resources, receive mentorship and advocacy to strengthen skills and expand culturally centered care. The Indigenous Birthworker Network of Montana fosters collaboration, ensuring Indigenous Birthworkers are recognized, supported and uplifted in their roles. The group meets every third Thursday of the month from 6:00 PM – 7:30 PM and welcomes those who are passionate about supporting Indigenous birthwork in Montana.

For more information or to join the meetings, contact Chelsea Bellon at chelsea@hmhb-mt.org.

Together, this network is strengthening the path for Indigenous Birthworkers, ensuring that birth remains a ceremony and community-centered care continues to thrive for future generations.

To find Doulas and Birthworkers near you, use the category “Doulas and Other Birth Professionals” on LIFTS!

linking infants and families to supports

Celebrate National Home Visiting Week: April 21 – 25, 2025

By Early Childhood, pregnancy

National Home Visiting Week is almost here!

The week of April 21–25 is a time to spotlight the essential role home visiting programs play in strengthening Montana families during pregnancy and early childhood.  Whether it’s offering early nutrition and lactation support or simply providing encouragement and guidance during those overwhelming early days, the impact of home visiting is tremendous.

What Is Home Visiting?

Home visiting is a voluntary, evidence-based service that connects trained professionals—like nurses, social workers, and child development specialists—with expecting parents and families with young children. These programs provide coaching, education, and emotional support tailored to each family’s unique needs.

Why It Matters

Studies consistently show that home visiting leads to:

  • Improved maternal and infant health
  • Increased school readiness
  • Strengthened parent-child relationships
  • Reduced instances of child maltreatment
A Thank You to Montana’s Home Visitors

We want to take this opportunity to express our deepest gratitude to the home visitors across Montana who show up every day to support families. Your dedication creates ripples of positive change that last a lifetime. Thank you for the care, compassion, and consistency you bring to your work.

Home Visiting Frequently Asked Questions

(As featured in the 2024 issue of LIFTS magazine, alongside real family stories highlighting the life-changing impact of home visiting.)

What is a home visiting program and how can it benefit my family?

Home visiting is a voluntary, proven support and coaching service that strengthens families through pregnancy and early childhood. Trained home visitors, such as nurses and early childhood specialists, work with expecting parents and caregivers of young children, to build parenting skills and connect families with needed services to support optimal physical, social, and emotional child development.

Who can participate in a home visiting program?

Eligibility for home visiting programs varies by program, but some are available regardless of income or background. Currently, not all areas in Montana have the same access to home visiting programs, but statewide work is being done to change this!

Can both parents participate in the visits?

Absolutely! Home visiting programs encourage the involvement of both parents. Mom, dad, grandparents, siblings and any caregiver who is important in the child’s life are usually welcome to participate!

How do I sign up for a home visiting program?

The best way to sign up for home visiting is to reach out to a local program near you. You can use the LIFTS Online Resource Guide to find home visiting sites across Montana by typing in “home visiting” in the Search feature. If you have trouble locating one, please call the LIFTS Warmline at (406) 430-9100 for assistance.

What happens during a home visit?

During a home visit, the visitor will provide personalized support based on your family’s needs to increase your competence and confidence in parenting. This may include discussing your child’s development, answering parenting questions, providing lactation support, offering health and safety tips, and connecting you with community resources.

Is there a cost to participate in a home visiting program?

Most home visiting programs are offered at no cost to families. They are often funded by state or federal programs, non-profits, or community organizations.

What if I’m not able to have someone visit my home or I don’t have a home?

Home visiting programs are designed to be supportive and non-intrusive. If you have concerns, you can discuss them with the program coordinator to find a solution that works for you, such as virtual visits or meetings in community spaces like a library or coffee shop.

Will the program help with special needs or high-risk situations?

Yes. Home visitors are trained to support families in various situations, including those with special needs or who are experiencing high-risk circumstances. They can connect you with additional support and services as needed, such as medical case management by nurses for medically fragile children.

About the Montana Home Visiting Coalition

At Healthy Mothers, Healthy Babies, we’re proud to collaborate with the Montana Home Visiting Coalition, a network of home visiting professionals working together to advocate for families across the state.

Founded in 2021, the coalition was created in response to the growing need for expanded funding and equitable access to home visiting services. Despite strong evidence showing a high return on investment, waiting lists remain long, and many families are left unserved due to current funding limitations.

The coalition’s mission is to:

  • Expand home visiting availability statewide
  • Secure sustainable funding at both the state and federal levels
  • Ensure all Montana families have the opportunity to thrive

To learn more about home visiting in Montana or to find a program near you, visit hmhb-lifts.org and search “Home Visiting.”

 

7th Annual Perinatal Mental Health Conference Recap

By Community, Community Support, Maternal Mental Health, Perinatal Substance Use Disorders, Self-care

The HMHB team is grateful for the opportunity to reflect on the 7th Annual Perinatal Mental Health Conference. Returning to in-person convening, we valued the chance to connect face-to-face with participants, speakers, partners, exhibitors, and sponsors. We also enjoyed moments of virtual connection and were thankful to balance in-person and online options for people working across the state of Montana to support perinatal mental health. Our heartfelt thanks go to everyone who gathered in person or online to make this event meaningful.

Perinatal Mental Health 101

The conference kicked off in September with two bonus Perinatal Mental Health 101 sessions led by Dr. Samantha Greenberg. These foundational sessions provided valuable insights for individuals new to the perinatal mental health field or those looking to deepen their understanding of the basics. Dr. Greenberg’s content remains accessible to all on the HMHB website.

 In-Person Conference

On October 15-16, the in-person conference was held at the Delta Colonial Hotel in Helena, MT, where over 150 attendees joined for learning, connection, and sharing. Presenters thoughtfully crafted sessions on topics ranging from lived experiences in perinatal mental health to doula work and pelvic floor health. We are deeply thankful for the panelists who kindly shared their insights, lived experiences, and expertise. In a community engagement poster session, twelve groups from across Montana shared about their impactful, community-based work supporting perinatal mental health.

Keynote speaker, Dr. Pooja Lakshmin, offered insights on Real Self-Care from her bestselling book—a reminder of the importance of self-care for those dedicated to caring for others.

Another memorable moment was the screening of the documentary film SILOED, followed by a panel led by Director Hazel Cramer. This discussion covered the journey of making the film and thoughtful (and sometimes funny!) conversations among participants surrounding mental health.

 Virtual Advanced Training Sessions

Two days of virtual learning took place on October 22 and 24, covering Perinatal Substance Use and Perinatal Nutrition. These sessions featured local and national experts, allowing attendees to continue engaging and connecting through our virtual platform, Whova. You can explore the full conference agenda here.

 We Can’t Wait for Next Year!

We are already excited to start planning our 8th Annual Perinatal Mental Health Conference! To stay updated on next year’s conference dates and content, please subscribe to the HMHB newsletter or follow us on Facebook and Instagram.

 Thanks to Exhibitors!

Thanks to Sponsors!

pmhc SPONSORS

Thanks to Our Event Manager!

We also wanted to share our gratitude for our amazing Event Manager, Anna Strange. This event wouldn’t have been the same without her kindness, creativity and attention to detail.

We are grateful to all who participated for their support and contributions to this event!