Lori Vogt Rosone

Lori Vogt Rosone in nursing scrubs with her RN badge visible, speaking with a child

Writer. Midwife. Infertility and recurrent miscarriage survivor. Finally, finally a mom.
I write about the roller coaster of hope and fear inherent in infertility and motherhood.

I meet birth from more than one side: as a clinician, a writer, a survivor, and a mother.

My background as a women’s health nurse practitioner and midwife shapes how I listen—to the facts of a story, and to everything that can be difficult to put into words.

My own experience with infertility and motherhood shapes the questions I return to in my writing: what we carry, what we lose, how we live within uncertainty, and how we find language for experiences that resist a neat ending.

Lori Vogt Rosone examining a newborn as a midwife

Work with me

Latest

If one more person tells me “it goes so fast”

I might eat my baby

Lori nursing River by a sunlit window, laptop open on the table beside her

My baby’s protest cry when he is tired is communicative. His husky cry is a considerate warning: if you don’t heed me, I’ll wail. But he doesn’t fear tired. He just is. He doesn’t fear a lack of performance of perfection. Here he is. He just is. The dusk shows up. So does his discontent. Both are present, then fading and neither is good nor bad.

In my first year as a midwife, I worked with a doctor who I admired. When he met patients at the beginning of their birth induction process he would say, “I am going to go over your story with you. If I get something wrong, please correct me.” Then he’d review their medical history, their pregnancy, their reason for being there, waiting to start an induction. He reviewed it all from his head. Patients seemed to ask more questions when given permission to correct him.

There are limits to this approach. It centers what the medical team knows instead of starting with what the patient knows, feels or thinks about the process that they are beginning. At it’s least generous interpretation, it reduces a person to a list of medical events. It’s one particular way of reviewing the story. But I watched people relax into safety with him.

Despite standing on his feet sometimes for hours to perform complex cesarean sections or gynecologic surgeries and fasting during holidays, he also managed to retire to his call room multiple times a shift to pray. Meanwhile, I often desperately surveyed my day for even the tiniest window of time in which to rest. I packed my meals like a person going on a ten day backpacking trip, instead of a twelve hour shift within a facility with a cafeteria. I was constantly looking for more ways to bolster myself- I was so afraid that if I ran low on sleep or calories, I wouldn’t be able support the patients the way I wanted to or manage an emergency to my satisfaction. Fear of not having enough, fear of not being enough, fear of not being the midwife I wanted to be. If there were a bad outcome- particularly a maternal or infant death- I wanted to know I’d controlled every manageable factor.

I asked the doctor one day whether he felt afraid while fasting that he wouldn’t have the energy to remain standing and perform surgery. He said “I do. And then I pray. And each time I get through the surgery, the shift, the day, my faith deepens.”

Sleep is not the only answer to exhaustion. There’s faith. There’s loosening my grip on one feeling as superior to another.

My therapist encourages me to practice somatic therapy- noticing where feelings live in my body. I reassure myself that if I notice “tired” on the right side of my body, in my throat and in my sternum through my right ribs, then there is a large part of my body where tired does not live.

I feel panicked by the amount there is to do and the lack of time to do it. I feel panicked because I have anxiety and am trying to do anything besides being River’s mom. I feel panicked because the number of things I am trying to do, does not not fit into the space I have. My breasts ache when I try to do anything else for more than two hours. And the pace of achievement is snail.

“It goes so fast” says every mom that stops to admire him. But in my mind, I push back. I say to myself, “Time is abundant” and feel the anxiety release. Time is neither slow nor fast. Time is exactly the pace of time. But there is so much messaging about how little time there is. It feels good to push back in the other direction: time is expansive. Time is abundant. Time is forever.

For my baby, before concepts, before judgement, before fear of failure, rested isn’t better than tired. He laughs hardest when he’s tired. He rubs his eyes, yes, but sometimes, too, he presses his face against mine and rolls it from one side to the other, the perspective of close no stranger to him than the perspective of far.

He moves his hands across my sternum, open palm, knuckles dimpled, in sweeping arcs. He is not aware that “his” hands are touching anything separate from him. And is he? He opens and closes his fingers rhythmically and I know that feeling from the womb, his fingers behind my left hip bone, a movement more minute and cadenced than his rolls or kicks. If we weren’t tired, we wouldn’t have this space, his eyelashes on his cheek, his cheek on my cheek, where I can meet him before fear of tired, knowledge of time, concept of self.

Read on Substack

Please Stay, Baby. Please?

Originally published in Modern Love, The New York Times, March 15, 2024.

In June, my husband and I found out we were pregnant. It would become the third baby we would lose in the last two years. I call her a baby although I know she was an embryo, her heartbeat stilled at six weeks and two days. I call her a baby because I can feel her weight on my chest and see her eyelashes in my mind. I call her a baby to honor the grief of those who have lost babies that existed only in our bodies and minds. Our babies that existed as dreams and then as memories.

At night, I closed my eyes and worried I would miscarry again. I fell asleep by imagining that I could make my baby comfortable enough to stay. I hung a string of firefly lights from hip bone to hip bone. Realizing I didn't need to be limited by space in this first nursery, I added Paul standing at the grill, firing up chicken coated in cayenne and brown sugar.

Here is your dad, baby. Look at his eyelashes. Look at his kindness. Stay.

I struggle with the weight of my despair compared with their tiny gestational ages. Five weeks, six weeks, seven weeks. Due July 26, 2022. Due Nov. 21, 2022. A year of working nights and trying. Then due! March 17, 2024. Never, as it turns out, due at all.

As a midwife, I have found each of these gestational ages beneath an ultrasound probe, delighting with parents over the jump in development between six and nine weeks. The spine develops first, accounting for the shrimplike curve from head to tail. Then the arms and legs bud out like willow catkins and the spine begins to straighten. Nature repeats her designs — blood vessels reach toward their destinations like rivers toward oceans, like plants toward the sun. I reach from this experience toward meaning.

I don't claim to know when other people's embryos become babies or whether an unwanted pregnancy ever does. Story after sacred story from clients seeking abortion care helped me articulate one of my core beliefs as a provider. My responsibility is not to understand every person's experience; my responsibility is to remember that I can never understand any person's experience better than they do.

I was pregnant in my 20s with an embryo I didn't keep. I imagined the child it could become. But the relationship I was in then wasn't safe for me or him, much less for a baby. I imagined this child trying to get the love that I was trying to get. I imagined her chasing me, chasing him.

The love Paul and I have is the steadiest I have ever encountered. We bought a house with a yard for a baby that hasn't arrived. My job in health care didn't offer fertility coverage, so I found a job working the cash register at a hardware store that did. Though the initial idea was to work at both places, I decided to take a break from midwifery after a failed egg retrieval and our third miscarriage.

Sometimes, I stare at the quietness of life after these choices and wonder what I am doing. Every moment that I am not ovulating or hoping I am pregnant can feel like time to just get through.

Paul knows about these doubts and the depression that accompanies them. He knows that I have questioned every decision I've made but that I never have doubts about him.

Five weeks plus six weeks plus seven weeks equals 18 weeks. Does that describe what we lost?

After our third miscarriage, I cared for a woman whose baby died 18 weeks into the pregnancy. Late one night, I was charting the heartbeat of a baby whose mother was laboring when wails cut through the air outside. I hurried to the parking lot of the health care facility, where the woman was bent forward between the open door of her van and its frame.

She looked up at me, her face twisted with grief, and said, “I go here. I went here.” I did not need to know her story to tell her, “It's OK. You can stay here.”

It was 22 weeks after she had lost her boy. It was the night her baby was “due.”

I told her to stay as long as she needed, but I did not ask her inside. I worried that she would hear the laboring woman birthing. I worried the laboring woman would hear her crying. I asked her if she needed anything. She said she didn't.

Back inside, I wondered if I should return to her. I shifted weight on my feet with the discomfort of existing between their different pains. I felt my own. I imagined how small it would be to say outside, “I also lost a baby.” Mine was so small. I stayed inside. She soon left. The woman inside birthed her baby into her husband's hands.

Our baby who was not born on July 26 would now be 20 months old. The baby that pulled these words out of me should be born this month. The baby I do not have is as old as my longing for a baby.

I know that this grief math is cruel — a tyrannical demand to justify my despair to myself. There is no accountant on the other end of these equations. I would not subject anyone else's sadness to math. Yet, I notice it outside of me as well. People who love me ask, “How far along were you?” What does this question mean if not: “How can I calculate your pain?”

In our driveway, despite the hammering December rain, Paul built a cabinet out of reclaimed barn poplar and oak. It was the first piece of furniture he had built since I'd met him. Over the next two years, as we lost pregnancy after pregnancy, Paul built table after table — curly maple, spalted maple, ambrosia maple. He traced his fingers over patterns skated in the wood, explaining that burrowing beetles had left them there while the tree yet lived.

About one in four pregnancies end in loss. As a culture, our concession is not to share about pregnancy before 12 to 20 weeks. So early pregnancy loss becomes largely invisible, the hope and expectation alive only inside us. What has helped me most is to render my losses visible: Paul's furniture, this piece of writing, stones that Paul and I picked out and sent down a river when we felt ready. We gave them names we would never give our children because we still hope to need those names.

Recurrent miscarriage is not common. It can just be bad luck but is more likely because of an underlying health condition. In some cases, like ours, all the available testing is normal and the diagnosis is “unexplained infertility.”

Well-meaning people have said, “You know you are going to have a baby, right?”

No. I do not know. It is immensely painful to not know. But I don't.

If I ask myself if we are “fertile” like the deep, dark ground, then I know that we are. I look at the life Paul and I are building, imperfectly and despite doubt, sure signs that things are squirming with aliveness.

The refusal of new life to bend to our calculations and planning may be the most alive thing about it. Already, our child escapes every perimeter we create. When does nature bend to numbers? Miscarriage is largely invisible. Fertility is invisible. Many griefs are invisible. Invisible is not zero. Invisible is innumerable. Soft wood breaks open, revealing beetles burrowing — too quick to count. The weight of loss. The length of waiting.

My child is on her way to me but slowly. I imagine her as a 3-year-old, walking a winding path of packed dirt — cool beneath her feet. Have you ever tried to hurry a 3-year-old? There is so much to notice. She watches the wind shake the leaves out of the trees. She watches one leaf fall for all the time it takes. The trees are her favorite rattle, the best mobile.

She'll take another few steps toward me soon. But not too many because she wants to know what's under this rock. And when she lifts it up, there is so much to see.

I cannot interrupt her. Or hurry her along. But she is peaceful. The earth is still her mother. And when I stop to notice the wind in the trees or the bugs beneath the rock, she is close to me. For a moment, I know that the same mother who keeps her now, keeps me. I sense it in the sun on the back of my head as I bend over what is in front of me.

More essays from the space where medicine and experience meet.

Birth

The expectations, realities, and stories that shape how we arrive.

Loss & longing

Infertility, grief, uncertainty, and the hope that survives alongside them.

Motherhood

Identity, care, and the complicated work of becoming.

From my Tumblr

Essays and reflections from Nothing is Not Ready: A Sunday Blog, newest first.

These are 2016-17 posts because I'm trying to reach a wider audience with new writing so I'm not self-publishing as often. Still writing! More to come.

Useful

In nursing school,
learning to insert a needle in a vein,
a fifteen to twenty degree angle,
the sliver of light through a cracked door,
then skim up,
steady, more important than gentle, here,
parallel to the arm and thus to the vein,
a shallow dive under the surface of water.

My hand remembered this motion,
and repeated it,
in class, in the air, driving home,
until my mind caught up.

My mom showed me how to pick up many at once,
a needle at the end of the string
spears the beads, at an angle,
you know the one,
then sweep up, a shallow dive,
to keep the beads on their line.

A decidedly un-useful
stretch of childhood afternoons,
re-stringing dropped beads that stole the morning to string,
frustrated by work lost for nothing.

Only to be taught to begin again,
and later to remember,
that life always knows more than I do,
about what is useful.

Why it's easier to say 'fuck' than 'God'

I close my eyes and the trees grow upside down, leaves brushing my forehead. Trees without trunks. I watch them like this for a while, disturbed, before realizing my neck is just tilted back. Leafy green tree tips focused first in my awe. Everything is ok.

The way I watch during the day returns to me in sleep. After spending all day scanning fields for buffalo, the woods for bears, I closed my eyes beside my sister and felt the same sense of surveying the dark that rolls behind my lids.

Cells change from soft, glandular, waving columns to a stratified infantry as the cervix grows older. Exposed to a growingly acetic environment, they adapt. Like we all do. The pattern of this change, the new coming up against the old, appears in "licks" and "tongues," shapes like lakes or coastlines. Creating a boundary, important to survey for malignant adaptions. It all feels so familiar and beautiful and obvious. And of course it is. I'm thinking backwards again, believing the trees have bent down when my neck is bent back. The thing I see as strange is the original, the pattern, where what is familiar- my plans, my observations, my actions- learned what it knows. When they're good and on track- and maybe even when they're not. Those raw, glandular columnar cells- the ones that haven't scathed over yet- they're the ones most prone to invasion, disease, injury, my own cruel thoughts. They're in the midst of changing.

Over and over again, I imagine that realizing what needs to change, I've changed. Quick, so quick I don't even notice it, I assume that's that, dust of the hands- I've realized what I need to do and so I've done it.

And always, from the fading light of dusk to the licks, the swathes, the foggy morning spread, I wake surprised and unchanged to face the stages of knowing I need to change but not knowing how to change. The voice cracking, the wash of dissociative feelings, limbs longer than my body knows what to do with.

I say no. I walk away from someone when I should. I skip the party. I am tired and hungry. I will go home and light candles. I will wash my face and put on warm socks. I'll drink tea and eat something good for me. I walk towards home. My head is a washing machine, clunking with sneakers. I'll stop by the party, I will not feel bad that I didn't make anything. I'll buy donuts. I buy eight. I eat two. I bring six to the party and leave early.

I forget, protective forgetting, warm, confident forgetting, that change hurts.

Cervical cancer is preventable and treatable. Every two minutes, another woman dies from it. There are a lot of reasons. But in part, it's the vulnerability of the exam. Lying backward, trusting someone. We have so many reasons not to, that writing the sentence makes me feel queasy. Don't touch me. I don't trust you. Words we haven't been allowed to say when we needed to and now we're meant to go willingly. To an exam, for an STI, that can cause cancer. We pretend we're past the association of health with morals. Removed from the dirty tenement days where sickness meant sin and disease and was a punishment from God based on your cleanliness, your virtue, your choices and your secrets. There are women whose cancer goes undetected because cancer would mark them as dirty so they won't get screened. Or because cancer feels like it means death anyway. Or because it's hard to trust, whether it's change, God, or policy- after trauma.

I am far more comfortable saying "fuck" than "God." I don't think I'm the only one. I run so far and so quickly from the word- written or spoken, contended with or doubted- it doesn't matter. Quick cue to shut the book, walk away, politely dismiss myself. Now, tentatively, secretly, I feel faith approach like a deer senses danger. Still, taut, paying attention. If it is gentle, I'll cast it a sidelong glance and return to investigating the grass.

Notice joy

Lincoln on a Lincoln-sized perch. When I started as a nurse, it occurred to me…

Nebulous

"Expect sadness like you expect rain, both cleanse you." -Nayyirah Waheed

"The rain poured down like a soundtrack this morning, releasing the fears I'd held in my hips too long- when am I not clutching? When are we not clutching. Asleep last night, I ran from Hitler- his intention set on torturing female bodies. We were hiding in bombed out buildings, leaning on older girls who once intimidated me but now offered me shelter."

Come on down, you're floating

"You're all the way up here- get down here." She points to my feet. Her silver hair is braided down her back. She is checking me into my room in Santa Fe, where I arrive spilling over with the need to talk, my suitcase heavy on my shoulder.

Directions

The crickets and the breeze- a purple sunset, the moon and the smell of a…

Balancing on Amputated Feet

We walk into clean homes and dirty homes, we don't take off our shoes, even if all the shoes are lin…

Trip Wires and Irises

Again, again I thread myself to the most fragile of things- days, grades, love- and then feel collap…

Untitled

In Guatemala, dreams call women to become comadronas, midwives. They dream of stones or birds or paths and they know. But consistently, the story goes, th…

Sunday Night

I think I've been overusing the word 'anxiety' and underusing the word 'fear.' They have a lot of si…

Enough

'I wish you were here. Or I was there. Or I was nowhere.' the realization that when you're where he…

Perched between branches, protecting her eggs

Photo by Gerald Barton- many thanks for helping me see these beautiful owls. 'Even after a series of studies, the word 'proven' is not used in scientific language because of the…

Works in progress

A memoir about infertility

Currently in progress.

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One-to-one educational conversations for people who want informed, compassionate support around birth—before or after it happens.

Philosophy of care

I focus on each client's expertise in their own health; listening and presence are crucial components of the care I provide. A trusting relationship between clinician and client creates the space to voice hopes and fears and to navigate decision-making within the context of an individual's goals. I am honored to do the work I do and to help people make choices that feel right to them.

Why I entered medicine

I trained as a doula (someone who provides non-medical support during events like pregnancy and labor) before becoming a nurse and then a women's health nurse practitioner and midwife. In the doula training, stories spilled from participants about their histories – pregnancy, birth, menses, menopause and sexual health. People needed a safe space to share their life experiences, and I knew I wanted to help create more opportunities to talk and teach about these topics. As soon as I attended a birth in a non-medical capacity, I knew I wanted to support the autonomy of birthing. Whether someone is coming for STI testing, birth control, a Pap smear or a prenatal visit, I hope they leave feeling heard and empowered.

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