“Mary kept all these things, treasured the very thought of them, and pondered them in her heart.” (Luke 2:19 paraphrased)
Because Caesar Augustus had decreed a census, Mary traveled with her espoused Joseph, to be registered in his hometown of Bethlehem. It was undoubtedly a long, arduous journey, the weight of the unborn babe within her.
Shortly after arriving, Mary birthed her baby in less than desirable conditions. A very young woman without a midwife or other women supporting her as was most likely the custom. Alone with Joseph. No family. No personal care.