The shadow of a young child whose mother struggled with fentanyl addiction during pregnancy and after giving birth.

Harm reduction doulas want you to ask: What makes a good parent?

By

Celeste Hamilton Dennis and photos by Florence Middleton

Editor’s note: This story was written by Celeste Hamilton Dennis, with photography from Florence Middleton, and was published alongside a photo series as part of a project about harm-reduction doulas and the parents they work with. It was produced in partnership with the Pulitzer Center.

Livia Perkins couldn’t help but crack jokes during her cesarean section. At one point, she even hit on the anesthesiologist, quipping, “I’m already naked.” 

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