This symposium includes twelve personal, heartfelt narratives about joys, challenges, and, in some cases, trauma associated with labor and delivery experiences. This issue also includes three commentaries on these narratives by 1.) Raymond De Vries, PhD, 2.) Anne Lyerly, MD, MA, 3.) Jason Wasserman, PhD and Nicole Wasserman, MPH. This issue can provide information for clinicians and support staff on ways to facilitate patient and family engagement during this emotionally-laden time for parents. Supporting birth experiences, connecting with patients, involving them in decisions, and recognizing the disappointment and distress that can arise when complications abound may play a part in reducing postpartum mood disorders and improving maternal and infant health outcomes.