How do I carry the weight of holding two lives in my hands?

You can guide a birth through almost anything, and that skill comes wrapped in a weight few jobs carry, two lives, every time, resting on what you do. That you feel it is not a weakness. It is the seriousness the work deserves, and it is part of what makes you good at it. But there is a line between responsibility and impossible burden. You are trained, skilled, and present. You give each birth everything you have and everything you know. What you cannot do is control every outcome, and holding yourself to that would crush anyone. You carry the effort, not the guarantee. Small step: after a hard birth, mark the line clearly. Did I do what my training and care asked of me? If yes, let the outcome be the outcome. The weight of two lives is real and sacred. Carry it with pride, but do not carry what was never yours to control.