Sara planned a birth center birth in Greensboro, NC, with Certified Nurse Midwives. However, during her last trimester she finished graduate school and moved to Richmond, VA, with her husband 22 days before she gave birth. She hoped for a low intervention birth with the midwives at the hospital, but ended up choosing an epidural after experiencing back labor. After about 17 hours of labor and pushing for 45 minutes, her baby boy was born perfectly healthy but with a cephalohematoma; basically a very large bump on his head. Despite a strong support system, Sara struggled with breastfeeding and PPD during the fourth trimester.