Podcasts about contractions

Bu bölümde Amerikalıların neden bu kadar hızlı konuştuğunu ve nasıl anlayabileceğimizi konuşuyoruz!  İngilizceyi daha akıcı anlaman ve konuşman için süper etkili 5 tüyo veriyorum. Contractions (kısaltmalar), reductions (kelime kısaltmaları), linking (kelimeleri birleştirme), Flap T (yumuşak T) ve stressed syllables (vurgulu heceler) ile İngilizceni bir üst seviyeye taşıyabilirsin!  — Benim Instagram hesaplarım: @cilemakar - @englishwcilemakar — Bubble Works Media Instagram: @bubbleworksmedia Reklam ve iş birlikleri için cilem@bubbleworksmedia.com adresine mail atabilirsiniz. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of The A to Z English Podcast, Xochitl and Jack talk about contractions. Social Media:WeChat: atozenglishpodcastFacebook Group: https://www.facebook.com/groups/671098974684413/Tik Tok: @atozenglish1Instagram: @atozenglish22Twitter: @atozenglish22A to Z Facebook Page:https://www.facebook.com/theatozenglishpodcastCheck out our You Tube Channel:https://www.youtube.com/channel/UCds7JR-5dbarBfas4Ve4h8ABecome a member of Podchaser and leave a positive review!https://www.podchaser.com/podcasts/the-a-to-z-english-podcast-4779670Intro/Outro Music: Debora by Jangwahttps://freemusicarchive.org/music/Dilating_Times/single/debora/https://creativecommons.org/licenses/by/4.0Support this podcast at — https://redcircle.com/the-a-to-z-english-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Send us a text if you want to be on the Podcast & explain why!Need to pass NASM/ACE/ISSA/NSCA/SUF, master muscle contractions. Everything isotonic, isometric, isokinectic. Become a successful personal trainer by reading chapter 12 How to Become A Successful Personal Trainer vol. 2 to pass in 30-daysMuscular contractions form the foundation of all human movement, yet many trainers struggle to translate this science from certification textbooks into effective client programs. In this comprehensive breakdown, we demystify the three primary types of muscular contractions—isotonic, isometric, and isokinetic—and explain precisely how understanding each transforms your training approach.Diving deep into the sliding filament theory, we explore how myosin and actin interact during different movement phases and why this matters for your clients' results. You'll discover why eccentric training (where muscles lengthen under tension) produces greater strength adaptations with less volume, how isometric holds can build tissue tolerance at points of pain, and when to implement advanced breathing techniques like the Valsalva maneuver for experienced lifters.Beyond the physiology, we translate this knowledge into practical applications across all fundamental movement patterns. Learn how to identify weak points in a bench press and implement isometric pin presses to break through plateaus. Understand why controlling the eccentric phase of a pull-up builds the foundation for clients who can't yet perform a single rep. See how proper breathing mechanics change as clients progress from beginners to advanced lifters.The difference between memorizing terminology for a certification exam and truly understanding how to implement this knowledge represents the gap between textbook trainers and qualified professionals who transform lives. Whether you're preparing for your NASM exam or looking to elevate your training approach beyond industry standards, this episode delivers the science, practical applications, and confiWant to ask us a question? Email email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show! Our Instagram: https://www.instagram.com/showupfitnessinternship/?hl=enTikTok: https://www.tiktok.com/@showupfitnessinternshipWebsite: https://www.showupfitness.com/Become a Personal Trainer Book (Amazon): https://www.amazon.com/How-Become-Personal-Trainer-Successful/dp/B08WS992F8Show Up Fitness Internship & CPT: https://online.showupfitness.com/pages/online-show-up?utm_term=show%20up%20fitnessNASM study guide: ...

Birth announcements offer the best kind of news: a new family member is on the way! In the book of Matthew, we're urged to expect the return of Christ with that same sort of excitement. It's joyous, yes, but delivery isn't easy. Metaphorically speaking, the world is in labor, and He is the only person who can soothe the pains of a fallen world. An urgent question rings out from the pages of Scripture -- what are we doing to prepare for His arrival? Join Horizon at the Equipping services for WE'RE EXPECTING, a verse-by-verse study of Matthew 24-25.

Links: Today's episode is sponsored by Motif Medical. See how you can get Motif's Luna or Aura Glow breast pumps covered through insurance at motifmedical.com/birthhour.  Know Your Options Online Childbirth Course (use code 100OFF for $100 off) Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon! 

Birth announcements offer the best kind of news: a new family member is on the way! In the book of Matthew, we're urged to expect the return of Christ with that same sort of excitement. It's joyous, yes, but delivery isn't easy. Metaphorically speaking, the world is in labor, and He is the only person who can soothe the pains of a fallen world. An urgent question rings out from the pages of Scripture -- what are we doing to prepare for His arrival? Join Horizon at the Equipping services for WE'RE EXPECTING, a verse-by-verse study of Matthew 24-25.

Some are applauding Trump's recent mineral deal with Ukraine but Alex argues that it is not only exploitative of Ukrainian resources during a tough time, but it also will limit the country from embracing green technology. Alex then talks about the economy, stagnation, contractions, and why Trump will always blame Biden.

David Masciotra, author of Mellencamp: American Troubadour, talks abouthow Mellencamp's roots in southern Indiana influenced his music, hissongs that most influenced American culture, the impact of his family onsome of his most famous hits, his politics ("blue guy in a red state")but how his music also challenges the left's disconnect from ordinarypeople, and more.

[MÉTAMORPHOSE PODCAST] Anne Ghesquière reçoit Céline Roy, ancienne danseuse, fondatrice de la méthode éponyme et experte en biomécanique. Ensemble, elles nous livrent tous les secrets pour avoir de belles jambes. Comment éliminer la cellulite ? Quels gestes simples adopter au quotidien pour se sentir à la fois légère et solide dans son corps ? Comment remédier au syndrome de la fesse morte ? Quel est le meilleur exercice pour galber les cuisses, sans gonfler ? Entre conseils d'exercices ciblés, massages et les bons accessoires, Céline Roy nous propose une méthode unique pour tonifier nos jambes, les alléger et retrouver une posture harmonieuse. Et si nous apprenions à les aimer? Elle détaille son programme en trois étapes dans son nouveau livre publié chez Flammarion, 30 jours pour aimer ses jambes. Épisode #583À réécouter :#462 Céline Roy : Bien dans son ventre à la ménopause !Quelques citations du podcast avec Céline Roy :"La répétition fait partie du jeu du sport, mais elle est finalement beaucoup moins importante que la conscience et la perception fine du corps.""L'idée ce n'est pas d'avoir des jambes parfaites mais d'aimer ses jambes de plus les cacher.""Quand on aura enlevé le stress et la position assise, les corps iront déjà mieux."Thèmes abordés lors du podcast avec Céline Roy :00:00 Introduction 03:19 Pourquoi un livre sur les jambes ?06:01 Les fondamentaux de la méthode Céline Roy.07:17 Programme en 3 étapes.10:14 Une approche holistique. 11:12 Quand un travail sur ses jambes ?12:15 Les 3 types de cellulite. 14:05 Éliminer la cellulite ? 15:34 Accessoires pour travailler les jambes18:22 On croise ou pas ? 19:47 Un reflet de nos déséquilibres.22:19 Corps droit / Corps gauche. 25:05 Éviter le syndrome de la fesse morte. 31:37 Le travail postural au quotidien. 34:25 Contractions pour affiner les cuisses. 36:41 Travailler chevilles et mollets.38:36 Aliments amis / ennemis des jambes. 42:48 La respiration alternée.44:04 L'importance du morphotype. 49:41 Corps idéal / Corps santé51:34 Le froid, ami des jambes.52:51 Brossage à sec et massage des jambes.55:34 Les poubelles du corps. 56:45 Relaxer le diaphragme ? 59:38 Clés pour un corps en meilleure condition. Avant-propos et précautions à l'écoute du podcast Découvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Recevez chaque semaine l'inspirante newsletter Métamorphose par Anne GhesquièreFaites le TEST gratuit de La Roue Métamorphose avec 9 piliers de votre vie !Suivez nos RS : Insta, Facebook & TikTokAbonnez-vous sur Apple Podcast / Spotify / Deezer / CastBox/ YoutubeSoutenez Métamorphose en rejoignant la Tribu MétamorphosePhoto DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

In this episode, Julie welcomes Sophia from Mexico City, who shares her mental, physical, and spiritual journey towards achieving her VBAC. Sophia discusses the challenges she faced in navigating the healthcare system in Mexico, and what she did to find a truly VBAC-supportive provider. While preparing for her VBAC, Sophia had a hard time finding well-documented VBAC stories from Mexico, so she hopes to inspire other women through her story. Sophia and Julie talk about the role of a mother's intuition in the birth space. Making confident decisions when you feel safe and supported is so powerful!Coterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Julie: Good morning, Women of Strength. It is Julie Francom here with you today, and I am super excited to talk with our guest today, Sophia. She is from Mexico City, Mexico, and her VBAC story takes place there as well. I absolutely love hearing birth stories from all over the world, so I cannot wait to hear Sophia's story. But before we get started with that, I do have a really short and sweet Review of the Week. This one is from Google. It's a Google review and she says simply, "Great people sharing great information. They make me feel less alone in my journey to a VBAC". I'm so grateful for that review. I think that that is one of the most important reasons why Meagan and I wanted to start The VBAC Link is because our own journeys felt very lonely at times even though we were connected to the birth world and we had a strong birth community, there are certain parts of wanting a vaginal birth after having a C-section that are just very, very lonely. We are grateful for that review. We hope that whoever is listening now also feels a little less alone in this journey because we absolutely love you, and we are so grateful that you are here with us.All right, let's get going. I have Sophia here today. Like I said, Sophia's from Mexico City, Mexico. I'm just going to sit down and be quiet and listen because I have heard lots of really interesting and crazy and cool things about Mexico City, so I'm excited to hear her birth experience there. Sophia is the mother of Luca and Rio. I just said that. I'm just reading her bio right now. She says,  "I'm a Mexican and live in Mexico City." Perfect. She is a passionate advocate for women's rights and strongly believes in the magic that results from women building together, connecting, and supporting each other. Her motherhood journey has been very humbling and healing, and she is obsessed with talking about birth. Me too, girl. I am obsessed with talking about birth as well, so I'm excited to hear your story. I'm just going to go ahead and let you take it away, and we're going to talk.I'm sorry. I said I'm going to let you take it away, but really, I'm going to keep talking for just a second. I loved reading through your story, sharing about your birth team and prodromal labor and the different things that you did to keep labor going and moving along. I am really excited to talk at the end after we hear your story about some different things that you can do to prepare for a VBAC, both mentally, physically and all of the ways. So now for real, I'm going to let you go ahead and share your story with us. Thank you.Sophia: Well, thank you so much for having me. It's truly a dream come true to be here in the podcast. I'm just really honored to tell my story because, when I was starting to prepare for my VBAC, I found it really hard to find well-documented VBAC stories coming from Mexico and in general, from the global South. So I just hope my story helps other women living in similar contexts. So I guess I'll start with the story of my unplanned C-section. So half a year after my husband and I got married, we were ready to have kids. We met on Tinder. We dated for three years, and both of us really had had the opportunity to travel the world and do amazing things. We felt like we had a good pre-kids life, and we were just ready to start a family. I was 34 at the time, and I always wanted to try to get pregnant before I became 35. I got pregnant really fast actually, like the first try. So we were so shocked and excited and surprised. At the time, we were both working remotely in Europe. We were slowly making our way to Australia because my husband is from Australia. This was 2021 and as some of you might remember, Australia was under super restrictive lockdown. No one could come in. No one could get out, so we had not seen his family for three years, and we were just waiting for the ban to lift to be able to go in and spend some time with them. This is an important part of the story because while I was in Europe, especially in Belgium and in Australia, my pregnancy was taken care of by midwives. Especially in Australia, it's really normal that all healthy pregnancies are attended by midwives, and only those special cases or complicated ones are taken by gynecologists. So my pregnancy was a really healthy, enjoyable one. I am one of those women that really loved being pregnant. I was very lucky with both of my pregnancies. But this experience was so influential because in Mexico, although we have this wonderful history with midwives in Spanish called parteras, and that's actually where the use of Rebozo comes from, this practice continues mostly in rural and particularly in indigenous communities. But in the cities, there is a really concerning high rate of unnecessary Cesareans. There's this narrative that C-sections are the easy way out. I would even dare to say, in the 80s, it became sort of a socioeconomic status thing. Women who have access to private healthcare would just opt for a C-section either because their doctor recommended it to do so or because they just thought it was the easy way out. People would say, "Why would you put yourself under unnecessary pain if you can just go get a C-section?" Like it was nothing, right? So actually, most of the women that I know had a C-section, but having the experience with midwives, I decided I really, really wanted to try to have a natural birth. So I started getting informed. I actually work in philanthropy. I work on social justice issues, so I'm very well connected to feminist and women organizations, especially in Mexico City. I remember that there were all of these colleagues working to defend obstetric rights in Mexico City. I knew that they had a really good network of doulas. It was through them that I connected remotely with my doula, Neri Fernandez, who is amazing. We spoke on Zoom, and we clicked right away. She started preparing me for my return to Mexico. The plan was always to come back to Mexico during the third trimester so I could have my baby here. She started preparing me with the reality that it is to have a natural birth in Mexico City. She told me, "Honestly, there are very few truly labor-friendly hospitals and also very few labor-friendly gynecologists. A lot of them are going tell you that of course they're gonna support you in a natural labor, but around week 37 or so, they're gonna suggest going on a C-section by week 39." So, she gave me this list of questions to ask my gynecologist, the one that I had been seeing for the past five years. So she told me, "Once you get back and you go to your appointment, just use these questions for your conversation with him." At the time, I was very naive, so I was like, oh, I'm sure he's going to support me. I'm not worried about that. Anyway, I came back to Mexico, I went to my appointment, and honestly, in the first five minutes, I noticed that he wanted me to have a C-section for no reason. So I was like, oh, my god. Okay. So I told her, "Neri, I really need to contact another service provider." She gave me a list of labor-friendly doctors. And she told me, "There's this doctor whose name is Adriana. She is a gynecologist. But the way that she works is very similar to a midwife, the way that she treats her patients and the way that she respects the woman's body and everything. I think you're really gonna like her, but you should know that she can be a little bit tough. She's a hardcore feminist, and she truly believes in women's capacity to give birth, so she's not going to pamper you." Anyway, I went in. I met her. I loved her right away. She took me, which I was so appreciative, at the time, taking my case because I was already in my third trimester, and things continued to evolve smoothly. I mention this because since I got pregnant really easy, since everything was going smoothly, that's what I thought it was going to be in the case of my birth. I just thought that things were just going to develop like that.Julie: Oh my gosh. Can I just say that I thought the same with my first? I had the easiest pregnancy. I loved being pregnant, just like you, and then all of a sudden, wham-- preeclampsia, induction, C-section, and I was like, what happened? Yeah, anyway, sorry. I just had to add that in.Sophia: I think it happens to a lot of women.Julie: Yes.Sophia: So anyway, week 40 arrived, and there was no sign whatsoever of labor. And one mistake I made is that I told everyone about my due date. I'm an open book. So I told everyone just out of excitement. But then once the due date passed, people started reaching out, like, "Hey, how are you doing? Is baby here yet? Is everything all right?" That really threw me into a bad mental state. I started to get really scared and doubtful. I was just not mentally well at that time. I was just full of fear. I didn't accept it at the time. I was telling everyone that I was fine, but internally, yes, I was in that state. And now also thinking back, I think I prepared myself a lot physically. I have been practicing yoga for 10 years. I was doing a lot of prenatal yoga, etc., but I don't think I prepared myself mentally enough. Anyway, after week 41, Adriana, my doctor said, "I think we have to start discussing the possibility of an induction. Maybe by week 41.3 we can do a very gentle induction unless something else happens." I think two days after we spoke, I lost my mucus plug, so that was exciting, but then nothing was happening. Then we were almost at week 41.5, and she said, "I think at 41.5, I should induce you." But the night before the induction, I woke up in the middle of the night with a very intense feeling. I went into my living room. I sat on my birthing ball, and my water broke like a big gush like the movies. They tell you that's never gonna happen, but that happened to me. Contractions didn't start. But at that time, I didn't realize what this meant. I didn't know that this meant I was actually going to be on a clock after my waters broke. So I was actually very excited. I thought, okay, by tomorrow, I'm going to have my baby. This is amazing. I told my doctor. I told my doula, and they said, "Okay, well, no matter what, just come here to the birthing center."At the time, my doctor had a birth center, and the plan was always to labor there and then go to the hospital when I was closer to giving birth, because I just feel safer that way. And that was the plan with my insurance, etc. So I went the next morning to check me, and I was only at 3 centimeters. So she told me, "I'm going to recommend that you just go back home. Rest. Eat your favorite food. Try not to think about this too much, and when things escalate, just let me know." The problem then is that nothing escalated for a whole day when I went to sleep. And that night, I didn't sleep out of excitement mostly, but I was already feeling some contractions. I mean, I thought they were intense, but little did I know that they were not the most intense part. And then the second night, I also didn't sleep because now I did start getting contractions, a bit stronger ones. So the next morning, I went back into her practice. She checked me, and I was about a 5. And she said, "Things are progressing, but they're progressing quite slowly, so I'm going to give you a tiny dose of Pitocin just to make sure that things keep progressing." I stayed there in the birth center, and I was with my husband, and I was with my doula. And honestly, I remember that day very fondly. My husband and I danced. We used the shower. We used the Rebozo. We just the ball, the peanut ball and everything, but things were not progressing. It was 7:00 PM, and I was only at 7 centimeters, and we were already reaching 40+ hours. And as you know, once your water breaks, I mean, at least in Mexico, they recommend that you have your baby within 48 hours because otherwise you start risking infections. So I told my doctor, "I just want to go to the hospital. I need a change of scenery, and it's just gonna make me feel better." So we went to the hospital. The hospital did have this birth pool. I went into the water and just things stalled. I didn't progress after that. This whole time, they were checking my baby's heart rate, and it started raising a lot, like, scary a lot. It wouldn't regulate. Fear just took over my body, I think. She looked at me and she said, "Sophie, I think I'm going recommend that we go for a C-section." I looked at my doula, and my doula just nodded. I was so tired and so ready to meet my baby that I said, "Okay, yeah, let's go for a C-section." Once I decided that, it was the longest 40 minutes of my life because I thought, "Oh, well, I'm going to get under anesthesia now." But the anesthesiologist took an hour to get there, so I was in a lot of pain. Then we went into the OR, and to be fair, my gynecologist did everything possible to have a gentle Cesarean. We had dim lights. We had my playlist on. The whole focus was on me. Both my doula and my husband were with me. They were holding my hands. But the one thing that makes me sad about that is that I couldn't stay awake. I was so exhausted, so I was just asleep the whole time. I only woke up when I heard my son, Luca, crying. So exactly on week 42, he was born. I just remember someone in the OR yelling, "It's a huge boy." So he weighed 8 pounds, which is not massive, but for Mexican standards, he's really big. And Luca is a Taurus baby. He's determined, he's stubborn, and you cannot pressure him to do anything. He always does everything at his own pace, and this was just the first evidence of that. So anyway, luckily, he was okay. It was a rough recovery because I was just really not prepared for a C-section. It was challenging to get breastfeeding. He had difficulties to latch. It just took me a while to heal what had happened. But the one thing I do remember a lot is that when I was in my room, the doctor and my doula both came in and they said, "Sophie, we just want you to know that you and your baby are amazing. You did everything right. You just had so many things against you. But if you ever want to get pregnant again and go for natural birth, you can do it." That really stayed with me the whole time. So 18 months after Luca was born, my husband and I decided to get pregnant again. Again, we got pregnant the first try. I mention this not to brag about my fertility or anything like that. I know it's a sensitive topic, but for me, it was important because it was the first step to recover my confidence in my body and believe that I could really do this because once I started getting informed about VBAC, I realized that the healing I had to do was more internal. I really had to believe that I could do it. So I decided to stay with the same service providers, with the same doctor and the same doula, because they knew, they really knew my story. Well. And I called my doula, Neri, and I was like, "Hey, Neri, why are you doing this summer? Do you wanna have a baby with me?" And she was like, "Of course." Both my doctor and my doula recommended that I joined maybe like an online community of VBAC women. I had no idea what VBAC was. So then I found The VBAC Link website, the Facebook group. I took the VBAC class for parents. I found it so helpful. And for me, the fact that it was full of hardcore data, it was just so, so important. So in terms of physical prep, I tried to remain active, but I wasn't honestly doing as much yoga as before because I had a toddler. I was working full-time. I was running after my 2-year-old, and I really loved that my doula told me, "Don't get too stressed about working out. Just play with your kid. Play with your kid on the floor. That's going to be enough activity for you." I also really love that this time around, my gynecologist was not even telling me how much I weighed. I really loved that approach. It was just a really, really joyful pregnancy. Again, it was a healthy pregnancy. I did go to the chiropractor this time, which I didn't do last time. I also went to acupuncture sessions, and I did that the last time. I went with the same acupuncturist because I also thought it was good that she knew what happened before. I also took raspberry leaf tea and dates after week 36. So I did all of that physical prep. But what was different this time, I think it was my mental preparation. So as I said, I really, really tried to focus on healing internally, believing in my body, and believing in myself. So with my doula and also using the some of the guiding questions and stuff from the VBAC class, we started mapping out my fears. So she was like, "What are you afraid of?" And I said, "Honestly, I think what I'm most afraid of is that my waters break again before I start labor." So I remember asking in the VBAC Facebook group, "Hey, does anyone know anything about preventing PROM?" Someone suggested taking vitamin C. So I started doing it. And, this time, I felt so much more connected with my body, with my baby, with my intuition. At week 26, my baby was breech. And I remember asking again in the Facebook group, like, "What would you girls do?" And people told me, "You can do Spinning Babies. You still have enough time for baby to get in position, but it's always easier to move a baby when they're still small." So I did Spinning Babies, and my baby turned. So that was amazing. The other thing that is I consider being part of the mental prep is that I was also in a very different space, spiritually speaking. I am honestly not a religious person. I'm not the most spiritual person in the world, but this time I paid attention to a lot of signs. There was this one occasion that I was in my office, we were moving my office, we were moving to another place. And someone hired a shaman. Like a shaman, but it's an indigenous sort of magic priest because we all wanted to do some cleansing, like spiritual cleansing, before moving into the new space. She told me, "I don't do cleansing of pregnant women because it's not good for the baby, but I could give you a blessing". So I was like, "Yeah, of course." So she did this whole ritual. She told me, "You didn't have a natural birth before, did you?" I was like, "No, I had a C-section, but I'm trying for a VBAC." And she said, "I'm really certain that you're going to get it. I'm very sure that that day when you go into labor, your ancestors are going to be with you. I'm certain of it." And she also said, "There's something that characterizes you and has characterized you your whole life, which is having clarity and determination, Sophia, so this is not gonna be the exception." And she gave me this candle, and she told me, "Please, light this up when you go into active labor just to call your ancestors to be there with you." So I was like, "Okay, great." Then also on week 36-37, I had a nesting party. I invited a lot of friends over to help me prepare the house for baby. A friend of mine brought the tarot cards. She told me, "Do you want to pick a card?" And I was like, "Okay yeah, why not?" So I picked a card. That card was the card for strength. It was number eight of the major Arcana that depicts a woman taming a lion through the application of subtle force. That was so symbolic for me because it was strength. The picture really stayed in my head, and I had to think, obviously, about Woman of Strength. So there were all these symbols out there that just really put me in a very different mental state. So anyway, the day I went into labor, it was just one day before my due date. And this time, I didn't tell anyone about my due date. Only my mom and obviously, my husband knew. So one day before the due date, I started getting contractions. I had two weeks of prodromal labor, and I had that before in my first pregnancy, so I knew what it was. I mean, it can be so frustrating because you start getting prodromal labor, but it doesn't escalate, so you get sad. But I knew this time what it was, so I was trying not to pay too much attention to it and just continue with my life. But that day, I started getting real contractions. I knew that what I had to do was to go rest. I did do Miles Circuit. And anyway, I was pretty happy. But then 24 hours after, labor completely stopped. I was so scared of the story repeating itself, so fears started sneaking in. All the doubts. I started thinking, maybe natural labor is just not for me. I was crying. I was sad. I texted my doula and I said, "Neri, I'm just really bummed. I think this is not going to happen. I think I'm going to have a C-section again." She said, "Whoa, wait, I'm going to your house right now." She lives really close to my house. So in 15 minutes, she was here. This was at 8:00 in the morning of the due date, like week 40. And she said, "I think although baby is already engaged," because we knew it was already engaged, "I think it's not in the most optimal position, so I'm just gonna use the Rebozo." And we used the Rebozo. She told my husband and my mom how to use it. That was pretty magical. And then we also did a lot of Spinning Babies exercises. She said, "But aside from this, just try to relax. Everything's going to be okay." That day, I had my 40-week appointment with my doctor. I went and that was a game changer because she checked me, she checked my baby and she said, "Both of you are fine. Everything is okay. Please try to go home and relax. Do anything that makes you get oxytocin." She was like, "Why don't you go and eat or get a bath or eat cake in the bath?" And I was like, "Okay, that's a really specific suggestion, but why not?" So that made me feel much better. And she said, "I do recommend that you call the acupuncturist and tell her what's happening to see if she can give you an extra session." So I called my acupuncturist and she told me, "I'm an hour away from Mexico City because I'm teaching at a university, but I'm on my way there. I'm going to see you because I know you can do this." It was so sweet of her. She drove all the way here, she gave me a session and she told me, "I never do this, but I want to see you again. This was at noon." And she told me, "I want to see you again at night. Come here at 8:00 PM, and I'm going to give you an extra session that is specific to help baby get in a good position and to descend."So I was like, okay. So I went home. I actually came back and went to listen to Meagan's because I remember that she had a story of failure to progress. I listened to that episode. It was so helpful. So then I went back to the acupuncturist at 8:00 PM, and during the session of acupuncture, I felt a super strong contraction. Because what had been happening is that my contractions were intense, but they were really short. They were only 30 seconds. So when I was there, I knew that was a minute or longer. Anyway, after the session, I came back home, and they always recommended to walk after the acupuncture session. I went walking with my husband, and active labor started. It was clear, and it was so intense. It really started every 15 minutes, then every 10 minutes, then 7, then 5. So at 5:00, I texted my doctor and my doula, and they were like, "Okay. This is fantastic. Let's wait until you are 3-1-1." So every three minutes, one minute long for one hour. But I felt like things were going super fast. So I told Neri, my doula, "Can you please come see me?" Because she always told me the timing between contractions and the duration is important, but it's even more important that I see how you're acting. So she came. And in the meantime, my husband was packing the last things to go to the hospital. I also was pretty relaxed in the sense that my mom was taking care of my toddler, so I was really relaxed about that. My husband had become an expert in helping me put pressure in my hips during each contraction. He was packing and helping me, and he was just a rock star. He was offering me water, and he was my biggest cheerleader. Neri arrived, she saw me and she's like, "Okay, it's time to go to the hospital." So I was like, "Okay. So we went into the car." At this time, I was already in a lot of pain. Contractions were so long. They were 1:20, some of them, a minute and a half. It was super intense. I couldn't see anymore. I was just holding to the back seat. I was sitting in the back, just facing the other way. And here is where all the mental preparation really stepped in because I was remembering all of the affirmations that I was listening to. I was remembering all of the stories that I heard. I was also obsessed with watching birth videos. So all of that was going through my head. I love them so much. My dad, who was my favorite person in the world, passed away seven years ago. I could really feel he was there. It was just crazy. So anyway, I was doing all this mental work during each of the contractions while in the car. And this was at midnight, and we were very close to the hospital. The road was blocked, completely blocked by construction. And we were like, "Oh my god." I was in labor land. I was not paying attention to details, but I could hear in the back my husband and my doula getting a bit worried. My doula went out of the car, and I could hear her telling the police guys and the construction workers, "Hey, guys, we have a lady here that's in labor. If you don't let us through, she's going to have her baby here." And it was like, "Wow. Okay." So they opened the road just for us. We went through. We arrived to the hospital. And it's crazy at that time because you only do the few things that you can do in between contractions. I went into the room. This time, it was a different hospital. The room was so lovely. I remember it being a peach color. We had essential oils. We had my playlist. Again, my husband was my biggest cheerleader. Five minutes later, my doctor arrived, which made me feel so much better. And she's like, "I'm going to check you." I was already at an 8. So that was super exciting because it was already past what I had achieved last time, and then my water broke. My doctor said, "Sophie, I need you to look to me in the eyes and listen to me." So I looked at her and she said, "Sophie, this baby has to be born now, so I need you to start pushing." I was still not at 10 centimeters. I think I was 9 or something. But what they didn't tell me at the time is that my water already had meconium, and my baby's heart rate was starting to have some significant declines. But luckily, he was recovering. I was very thankful later on that they didn't tell me all of this because I was just so focused. So anyway, I tried different positions. First, I went and sat down on what we call a Mayan chair. I did all fours. So I think I pushed for an hour or an hour and a half. I just remember it being very magical in the sense just seeing my doctor, my doula, and my husband working together, cheering me, communicating even without words. Everything was just flowing. But still, baby was not being born, and pushing was so much harder than I thought. And also, I guess because I was not at 10 centimeters yet, I was not having the super urge to push, but they were guiding me to do so, and it was really, really great guidance. So finally I went into throne position, which, honestly, was the last position that I thought I was going to give birth in, but it felt all right. I was a second away to give up and to tell them, "You guys, I think I cannot do this." But then I remembered in all of the podcast stories that I listened to that usually when you're at that stage, it is because baby is about to be born. So then my doctor told me, "Sophie, baby is almost here. Do you want to touch their head?" We had decided this time not to know the sex until birth, so I had no idea if he was a boy or girl. I touched the head and that was so, so, so exciting. So I was like, okay. It just gave me another rush of energy. My doula said, "I really think two more pushes, and you're going to meet your baby." So I pushed once. The little head popped out and then it went back in. And then this whole time, they had been telling me to try not to push with my throat, but with my abdomen. But then they said, "This time when you push, push with all of your strength. If you feel like screaming, scream." So I pushed so hard. I screamed. My baby was born at 2:22 AM and baby started crying right away. I started yelling, "I did it. I did it. I can't believe it." And yeah, just for a few seconds, I had no idea if he was a boy or girl because I right away put him in my chest. And then my husband looked and he said, "Oh my god, it's a boy." And yeah, people asked, "So what's his name?" And we said, "His name is Rio." Rio in Spanish means river. And it also stands for the flow of life. I really, really think it really honored the way that he arrived into this world. And honestly, he's a pretty chill and easy going baby. So it was honestly the best day of my life. And later my doula, my doctor and I just, just went through the whole story. And again, we all said, I think my mental and spiritual state of mind was very different. This time was much more positive. I also really felt held by my drive. I had this chat of my all my best friends in this WhatsApp chat, and they were all rooting for me. And also, remember I told you there was this shaman, like this magician priest who told me that I was going to be able to do it? They gave us a candle. My mom lighted the candle when we went to the hospital, and the candle turned off by itself at 2:20 and Rio was born at 2:22. So that was pretty magical as well.Julie: Wow.Sophia: Yeah. And just the last thing I'll say about the story is that also, my gynecologist and my doula were also in a different state of mind. They had had a lot of VBAC experience which was great. And my doula always told me, "It doesn't matter how your baby is born. What matters is the experience, and that you really feel this connection with your baby. But in this case, Adriana told you to push this baby out, and you understood the assignment. You literally delivered your baby, and you had the baby when you were asked to do so, and that in itself is strength." So, yeah, that's my story.Julie: I absolutely love that. Just all of it. What a journey. I'm sorry. I'm trying to figure out where to start. I took some notes as you were talking, and I just think it's so incredible, all of the different things that you did to prepare. I really like what your doula told you during your pregnancy about your personality that you've always had clarity and determination. It was something like that. She said, "Clarity and determination is your personality." I love that because I think sometimes it's easier to advocate and fight and navigate having a VBAC when that clarity and determination is already something that comes naturally to us. It's not something that comes naturally to everybody. It's not good or bad or assigned into a category. It just is. And like me, I'm incredibly stubborn, and I will fight sometimes harder than I should to get the things that I want or desire. And I think that my stubbornness played a huge part in working towards that. Sometimes it's just easier to advocate for yourself when you already have those strong personality traits.Sophia: So yeah, for sure.Julie: But it's okay because you don't have to have those strong personality traits inherently in order to get your VBAC. There are lots of other things that you can do and lots of other things that are on your side as well. I wanted to touch on some of the things that you did to prepare. You took the VBAC class which is amazing. I love our VBAC class. It's really incredible. Lots of good information. I feel like obviously, it's pretty well-rounded and has lots of different characteristics and addresses all of the different learning styles and things like that. Things for the data junkie like me, and things for the people who are more holistic minded, things that are more mentally mental preparation focused, and things like that. You talked about Rebozo, Spinning Babies, and learning how to relax your mind and your body, the positioning of the baby, acupuncture. You hired a very, very good doula and provider who both had lots of VBAC experience. That was also something that was really important to me. I interviewed, I think, like 12 doulas when I was preparing for my first VBAC because I really wanted a doula who had a VBAC herself and supported lots of VBAC families. I don't think it's necessary that to have a doula who has had a VBAC herself in order to have a really solid VBAC doula. I don't think that's necessary, but that's something that was important for me.Sophia: Yeah, for sure. For me, too.Julie: Yeah. Yeah. I wanted midwives who had done lots of VBACs, and that was really important to me. Now it's not, like I said, necessary, but it's something that you can put in your toolkit to prepare. So I feel like a lot of times I hear people say something to the effect of, "I tried all the things, and I still didn't get a VBAC or I tried all the things and I didn't get a vaginal birth." And you know what? Some people try all of the things and don't get a delivery method that they want. And some people do literally nothing and have a perfect birth. I want to just tell you that birth is inherently unfair. Sophia: Yeah.Julie: Especially with the way our system is set up to handle pregnant women, and babies, and labor, and all of that stuff. It's inherently unfair. Sometimes you can do everything and have a completely unexpected birth experience, and sometimes you can and do absolutely nothing. My sweet sister-in-law is getting induced tomorrow. She knows absolutely nothing about labor and birth and delivery. She has no desire to know anything. She knows absolutely nothing. She's getting induced tomorrow, and I'm just really trying start hard to stay in my role as supportive sister-in-law when I see some choices that she's making that might influence her birth in a way that she doesn't want, but also, I don't think the outcome really matters to her, to be honest. I just don't think how the baby gets here matters. And that's okay. It is. That is okay. I guess my point of all of this is that you don't have to do all of the things. I feel like some people say, "I feel like I don't want to miss anything." What you need to do is learn about the things that are available to you, and then gravitate towards the ones that resonate well with you. Maybe you don't even care about Spinning Babies or what position your babies in, but you really want to focus on nutrition and getting your mind ready and finding a supportive provider. Cool. Do those things.Sophia: I really tried to enjoy this pregnancy because I only plan to have two kids, so I was like, maybe this is my last pregnancy. I just wanna make sure I enjoy it. I even did a photo shoot with my family and stuff. I just really enjoyed it. I know that for some women, it stresses them to think about all this prep, but for me, this time around, it just made me feel good just being informed and things like that. And honestly, to have a VBAC in a context like Mexico is not a minor achievement. The system is so set-up to just go into C-sections. So yeah, it was just a lot of challenges against me, but I was really lucky that I had really good service providers by my side that were supportive. My doula told me, "When we saw that you had meconium, and we saw that your baby's heart rate was descending, I'm sure any other doctor would have sent you to the OR, but Adriana, your doctor, really believed that you could do it, so that's why she decided to just give you a chance and you did it." That's just really important as well.Julie: Yeah no, I agree. If you want to do all the things, if doing all the things makes you happy and helps you feel prepared, then by all means, do all the things. I don't think you should do nothing. Let me clarify that. I think you should do something, at least one thing. But do the things that really resonate with you. I saw an Instagram post yesterday, I think. I'm trying to find it now. I think it was maybe on the account called Trusting Birth or something like that, but basically it said that there are studies that show-- nope, it is not trusting birth. Dang it. Gosh, dang it. I really want to find it. It was something about how there are studies that show that women when they're pregnant, make smart choices. Okay? They make smart choices. That doesn't mean they go deliver in the hospital and have an epidural. It's not a blanket statement, right? They make smart choices, which means they let their intuition guide them. No, not smart choices. Safe choices. Safe choices. And what is safe depends on the parent and the baby and the pregnancy. When you let women guide their own care and give them options, they make the safe choice. Now, the safe choice is different, like we just said, but the choice that is safest for them at the time. There is a study to back that up. And gosh dang it, I wish that I could find it. I'm literally on my phone right now thinking of all the different accounts it could be. I wonder if I liked it. Dang it. Anyway, if I can find it, I will have Paige, our podcast transcriber, link it in the show notes. I'll send it to her. But anyway, it was really interesting because that's what we've been advocating for all along. Trust in your intuition. Trust your gut. Trust your internal guide. You will make a safe choice. And if that's birthing at home, if it's birthing in the hospital or whatever it guides you to, if it's acupuncture, Spinning Babies, massage, getting a doula, not getting a doula, doing a VBAC class or what VBAC class to do. All of those things are safe choices that you can make for yourself. Now, dang it. I just want to hang out here until I can find it. Sophia: No worries.Can I add one more thing?Julie: Yes, please do while I keep looking.Sophia: Yeah. Talking about the safe choices, I think one of the things that made me feel very safe and allowed me to really focus on the contractions and the pushing is just knowing that my birth team was really on my side, like my doctor, my doula, and my husband. Most women who I know in Mexico have to spend a lot of time advocating for their obstetric rights, so not having to worry about that and just focus on my birth just made me feel really safe and just being able to know that they believed that I could do it.Julie: Awesome. Yes, I agree. I agree. Believing in yourself is a big thing. Granted, sometimes you'll believe in yourself. I think when I say believe in yourself and trust yourself and trust your intuition, it's not trust yourself that you can have a VBAC, although that is very important. That's important. But trust yourself that you will navigate the birth in a way that's safe and healthy for you and your baby, and that might be a repeat C-section. It might be a home birth, an unassisted birth, a hospital birth, but trust yourself that you will be able to guide yourself safely through the birth process whatever that looks like. And guess what? I found the post. I had liked it, and I just had to go into my activity in my Instagram history. It's from an Instagram account called Intentional.Birth. Intentional.Birth. And it says that there's a PhD biologist and doula, Sophie Messager who bridges the scientific and intuitive worlds of birth at the induction equation. So I think maybe that's the induction equation. Oh, I guess I don't know what the induction equation is. Anyway, so the post shows though, it says, "Research shows that women make safe choices. Because of the constant communication between the woman and the baby, women tend to know when something is wrong, and they also tend to know when something is right. Ignoring a woman's instincts is a very stupid thing to do." I like that. Women's instincts tend to know when something is right. I hear that all the time. This is what it sounds like.It sounds like, "Oh, my doctor recommended an anatomy scan at 32 weeks, but I just don't feel like that's necessary." Yeah, it's because you know something's right. Or, "I know measuring for a big baby isn't really evidence-based, but I just think I want to do it." That maybe feels like something is right, the big baby scan or whatever. Or maybe that something's wrong, right? "My doctor brought up inducing at 39 weeks. And normally I would say no, but it just feels like the right thing to do." That is your intuition. Or, "My doctor said maybe we should induce at 39 weeks, but I just don't think that that feels. That doesn't feel right to me." And so you wait. That's your intuition. Like those comments, trust that you know when your baby is safe. You know when something's wrong. You know when something's right even if you can't literally define it. Follow those feelings. They're important, and there is science to back it up.Sophia: That's how I felt when my baby was breech. I had this intuition that I'm going to be able to turn it around and, everything's going to go well, and it did. I love that there's this study backing up the importance of following your intuition.Julie: Yeah. So go check it out. It looks like, it links to the study at Sophie. That's your name? No, you're Sophia.Sophia: People call me Sophie.Julie: So yeah, there we go.Sophia: It's all connected.Julie: Yeah, there we go. It's all connected. Sophie Messager. That's M-E-S-S-A-G-E-R. That is the PhD biologist who is linked with the host. I'm going to follow this lady right now. Transformational Journey Guide for Sacred Shifts. Incredible. All right, awesome. Well, thank you so much, Sophia, for sharing your story with us today. I loved talking with you. It's incredible for everyone birthing in Mexico and Mexico City especially, we know there are a lot of similarities between the United States, but there's also some differences, and different challenges to navigate. So we appreciate hearing your perspective and your experience, and I just really enjoyed having you here with me today.Sophia: Likewise. Thank you so, so much.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Each contraction during labor is beneficial, contributing to the opening of the cervix and the baby's eventual birth. While exhausting, these contractions are important for both the baby and the mother's body. This episode emphasizes a positive mindset by reminding that labor is temporary.Links Mentioned:My Essential Birth CourseMy Essential Birth Postpartum CourseMy Essential Birth InstagramGET IN TOUCH!

Johanna is a girl mama joining us today from Canada. She had an unplanned C-section with her first, an HBAC with her second, and was pregnant with her third at the time of recording! Johanna reflects on her experiences with both supportive and unsupportive care during her pregnancies. Meagan and Johanna dive into your options surrounding PROM,  the significance of intuition in decision-making, the impact of provider choices on birth outcomes, and the nuances of VBAC postpartum recovery.The VBAC Link Blog: Home Birth VBACEverything You Need for Your HBACSupportive Providers10 Signs to Switch Your ProviderWhat to Do When Your Water BreaksLabor GuideCoterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. We have our friend Johanna with us from Canada today, and she's going to be sharing her HBAC story. So for those who may be , new to the VBAC world, or just all of the acronyms that the VBAC world has, HBAC is pronounced home birth after Cesarean. So if you are one of those who really wants to look into all of your options for birthing locations, which I encourage everyone to do, definitely listen up here. We're going to be talking about a lot of really great things including picking a provider and PROM knowing that you maybe had a provider that wasn't ideal the first time and more about HBAC. So we are going to be diving into a lot of really, really great, juicy topics. But in place our review today, Johanna and I are actually going to talk a little bit more about picking the right provider. So, Johanna, welcome to the show.Johanna: Thank you.Meagan: I am so excited for you to be with us today and so grateful that you are here to talk about this topic. Because like I was saying before we pressed record, I see daily in our community, every single day, and not even just our community, in other VBAC communities or this is weird, but people's statuses, like my friends and family's statuses on Facebook, where you type like, "Hey, I'm looking for this," or "I'm feeling very frustrated," or "I need prayers." People will seriously say, "I don't know what to do, you guys. Has anybody ever heard of VBAC?" on their own status? But especially in the VBAC groups, I see people and I just want to yell, "Hey, you over there. You're with the wrong provider" or, "Hey, you should move." That's a really hard thing because especially when I type that it can be like, oh my gosh, who is this broad telling me that I'm with the wrong provider and that I chose wrong? I'm not trying to say that. I'm not trying to say you chose wrong. Like, how dare you choose wrong? It's just like, hey, what you're telling us in this community is screaming, you're the wrong provider. So, Johanna, you , mentioned before we press record that you realized after your first birth that you were with the wrong provider. What made you realize that you were with the wrong provider? And were there signs during pregnancy that you recognized and maybe pushed away? Or was it really not something that you recognized until after? Because I know really, it can go both ways.Johanna: Yeah, I think that there were signs during the pregnancy. I mean, one of them, and I just didn't listen to my gut because you don't know what you don't know. I put too much blind faith that it was all gonna work out. But I never felt comfortable with her. I didn't have a good connection with her. I was asking a lot of questions about what I can be doing because my first birth, I really wanted to be a home birth. She basically just didn't give me very much information about what I can be doing. She sent me to your generic birth course through the hospital. Yeah. I didn't really feel like she was really invested in the outcome of my birth. I was just like another one of her patients. So I didn't feel great about that. And then when push came to shove with my birth and things weren't going great, she threw her hands up in the air and just took a step back and didn't really advocate for me or try and help me through things. So I was left with a pretty unpleasant taste in my mouth.Meagan: Yeah, I mean, exactly what you said just a minute ago. You didn't feel that she was invested in the outcome of your birth. And then it proved. It proved to be true when she just threw her arms up. So you had that experience, and you're not alone. There are so many of us out there. Me too, me included and a lot of people on The VBAC Link team included. We have all been in a similar situation where our providers, threw our hands up, weren't invested in our birth and our experience and had to go out there and seek that support that we deserved. So if there's anything we talk about on The VBAC Link, and I'm sure you've heard it, is find the right provider. I mean, seriously, you guys, I say it daily, every single day. If I'm not typing it, if I'm not voice memo-ing it, if I'm not saying it in my mind, it's find the right provider. Johanna, what would you give for tips for our listeners to find that right provider? And how did you find that right provider?Johanna: So I found my midwife that I used for my second birth and I'm actually using again for my third birth because I am 31 weeks pregnant today.Meagan: Oh my gosh. Oh my gosh. Yay.Johanna: I found her actually because when I got pregnant for the second time, the first thing I did was get a doula.Meagan: Uh-huh.Johanna: I asked her for recommendations on a VBAC friendly midwife. She had recommended this midwife. So immediately I was like, yes, I would like to meet her. When I met her, instantly, I felt so much more at ease.So I would say going with your gut. If something doesn't feel right, even if it's the tiniest thing, just look for a new provider. Just find someone where it feels right.Meagan: Yeah. I can relate to that so much because that's how I was feeling. I was searching, I was searching, I was searching. I mean, it was insane. I interviewed a lot of providers, but that's what I was searching for is that immediate like, oh, I'm in the right place. You are my person. And it took me a long time. And that sucks. It sucks that it took so long. I know that in some areas they're really rural and it's almost impossible to find that feeling. But I agree. So just as a reminder for those looking, before we get into the story, I wanted to make sure that you know to ask open-ended questions. Do not say, "Do you support VBAC? Yes or no?" Do not say, "Do you support me to go to 40 weeks? Yes or no?"Let's ask open ended questions. "How do you feel if I approach my due date and I haven't had a baby yet? How do you feel about VBAC? What is your experience with VBAC? How do you support your VBAC clients to make sure patients get the birth that they want? How do you advocate for them?"Asking these big open ended questions and then like Johanna said, diving deep. What is your heart and your gut feeling and saying? If at any point you are questioning, which I think is when people come out on social media, that is when I think they comment and they're writing, "Hey, I'm, feeling defeated. Hey, this is what my provider said." It's because they're doubting. They're questioning. That's their intuition. If that even comes into play at all, it's time to switch. It is time to switch. And first-time parents, if you are out there listening, this applies to you too, right? We have to avoid these unnecessary Cesareans which are happening all over the world. We have to follow our intuition. So that's another thing we talk about until we're blue in the face-- intuition. So follow that intuition. Ask open ended questions. Really dive in deep because your provider really can make an impact.And really, really quickly, we're going to just barely skim the surface on PROM. PROM is premature rupture of membranes. Johanna and I have both experienced it. She's two for two. I'm three for three. Maybe you won't be three for three girl. I don't know. I'm hoping you're not. Johanna: Fingers crossed. Meagan: I'm hoping you won't. But if you are, we know that it's okay. Vaginal birth still happen. But talking about providers, if you have PROM, which means your water breaks before labor begins, and just to let you know, it can take hours, even days for your body to turn over into labor after your water breaks. But if you have PROM and you don't have a supportive provider, that is right there the beginning of a fight. It shouldn't have to be a fight, but that can impact things because they want to get things going. Some providers won't even induce labor or touch you or 12 hours later they're like, "Nope, you haven't had a baby. You have to have a C-section." So yeah. So really quick Johanna, do you have any tips for our listeners who might have had PROM or may have PROM?Johanna: Yeah, it's difficult because especially when I experienced it, I mean, I experienced it for both births and the second time I really felt anxious because I was like, oh no, I'm on a ticking time-clock again.Meagan: Yeah, yeah. Because that's how you were treated.Johanna: Yes. I was lucky that I have a super supportive provider. And she was like, "Baby's fine, you're fine, everything's fine. We're just going to wait it out."Yeah, I mean crucial to have the right provider that is going to give you that grace and give you that time and that space, but just know the facts. Just arm yourself with information that as long as the fluid is clear, as long as you have no signs of infection-- at least here they make you come in for non-stress tests like every, I don't know if it's 12 hours or 24 hours when your water has broken. As long as everything's looking okay, you can wait, I think, up to 72 hours.Meagan: I've actually even had a client wait five days. Johanna: Holy smokes. Meagan: Five days. Close monitoring you guys, really close monitoring. But it was nothing that said a baby needed to be born. So five days is maybe abnormal. This was a home birth transfer to hospital. Even with five days rupture of membranes, the hospital did not "make" her, as I'm putting quotes up, have a Cesarean or do anything different because she advocated for herself. But it really can. 72 hours. It really can happen. So okay, we are going to stop talking about this, you guys. We're going to have links in the show notes to dive deeper into questions for your provider. What about premature rupture of membranes and things like that. So we're going to have those in the show notes if you want to dive more into that. You can dive in. But we're going to take one quick break for the intro, and then turn the time over to Johanna. Okay girl, thank you so much for chatting with me about that. I really do think it's so important.Johanna: I think knowledge about everything is your best friend when you're planning for any birth, but especially a VBAC.Meagan: Right. I know. It does suck that VBAC has to be so much more intense in our prep and our research and all these things because we're just moms going in to have vaginal births. That's all we are. But, but unfortunately that's not how it's viewed. That's just not how it's viewed in most areas of the world. So yeah, all right. Let's talk about that first birth.Johanna: Okay. So I got pregnant with my first daughter Mila in the summer of 2020. So heavy, COVID times. So that was scary enough. Because of COVID and the shift in culture towards socialization and going into hospitals and stuff like that, me and my husband decided to look into home birth which was not really on my radar before, but the more that I looked into it, I was like, oh, this is super beautiful, and I love the idea of birthing my baby at home in the piece and quiet of our own space.Meagan: Yeah. And a lot safer than a lot of people think.Johanna: Yeah. Yeah, for sure. The more I looked into it, the more I was like, okay. This is a totally viable option for us. I had a pretty uneventful pregnancy. I was very lucky. I had very minimal symptoms. Everything went well. I didn't have anything scary happened during the pregnancy. I will say that I didn't take the best care of myself. I am usually a pretty active person and I totally just didn't do much exercise or working out. I think in the back of my mind, I was scared that something bad was going to happen if I overdid it. It was just a lot of first-time mom anxieties.Meagan: Totally get it.Johanna: Yep. I didn't eat the best. I didn't take the best care of myself. I didn't do a whole lot to prep for the birth other than your typical childbirthing classes, bringing baby home through the hospital, generic courses that I think a lot of first-time moms, that's what they do, right? I read a couple of books. I read the What to Expect books, and I think I read Ina May's Guide to Childbirth.Meagan: Great book.Johanna: Yep. But I had no idea what to expect. When it came to labor and birth, I really was going in blind. I will say, I just put my faith in that my provider was going to hold my hand through it. That was a mistake. So yeah, I mean, it was a pretty uneventful pregnancy. There wasn't a whole lot to say other than it was COVID and everything was scary and didn't really know what was going on. When I was 41-ish weeks, my water ended up breaking. It was the middle of the night, and I didn't really know what happened. It was just like a little squirt and went back to bed. And in the morning, it was like when you move a position and a little bit comes out and you move a position and a little bit. It was one of those. And then I lost my mucus plug. So I was like, oh, I better call my midwife. So I gave her a call, and she totally brushed me off. She was like, "No, I think it's probably just discharge. I wouldn't worry about it." So that was another red flag was her just totally brushing off my feelings and what I believed was going on. So I hung up the phone and I was like, well, I don't really know what to do now. I'm fairly certain that my water's broken. So I waited a couple of hours, and it continued to trickle out. I eventually called her again and she was like, "Okay, okay, you can come in. You can come in and I'll check, but I'm pretty sure it's just discharge." So I went in and sure enough, she was like, "Oh, your water did break and it's amniotic fluids. Look at that."Meagan: Interesting.Johanna: Yeah, I could have told you that. So I was like, "Well, what do we do now?" And she was like, "Well, we can wait up to 72 hours as long as everything's healthy. That's fine, so we'll keep monitoring things." She sent me home and told me to just relax. She said, "If labor doesn't pick up today, go to bed and in the morning, do a castor oil induction." I did that. When I woke up the next morning and nothing had happened, I did do the castor oil induction. I will say that I will never do that again because it was horrible. Sorry for the TMI, but it just gave me severe diarrhea, and then nothing happened, and I was super uncomfortable. So that wasn't fun. That wasn't fun. That didn't work.I went in for a non-stress test that afternoon. She decided to check me, and I had made zero progress. I was not dilated at all. I had zero effacement or anything like that, so no progress. I felt super discouraged. My water has been broken for however long at this point-- 36 hours, I think, probably. I've made no progress. The castor oil induction and failed. I had barely slept the night before, so I was tired and I was just stressed. I was like, when is this going to happen?Meagan: But at this point you weren't really thriving with contractions. Nothing was too intense to be telling you that there should be progress, right?Johanna: Literally not a single contraction or anything. Nothing was happening.Meagan: True PROM, and so your defeating feeling is super normal because in our minds we were told our water breaks, we should be having a baby. But if we have PROM, don't expect to be dilated. Right?Johanna: Yes.Meagan: I did too. I expected to be way dilated and I wasn't.Johanna: So I felt super defeated. And like I said, I wasn't sleeping. I barely got any sleep the night before because I was just anxious for birth to get going. I ended up crying in her office about how stressed I was to end up in a C-section because my sister had a long, pretty terrible labor that ended in a C-section. It was just not a great experience for her. I don't exactly remember what my midwife said, but I did not feel reassured leaving that appointment. But we did end up deciding that if I didn't go into labor that night, I was going to be induced the next morning because I was just not sleeping well. I was not able to rest and relax because I was just anxious. So I was like, okay. I guess my home birth plan is out the window, but at least there's a plan. I ended up going home. We had dinner, and I started getting contractions just after dinner which was exciting.Meagan: Yeah.Johanna: But then they petered off after, like, I don't know, an hour or two. So we went to bed, had the hospital bags packed and everything ready to go for an induction the next morning. Labor started around 2:00 AM. It started on its own around 2:00 AM.Meagan: How many total hours is this until labor comes?Johanna: I think it was about 48 hours after my water broke that I had the rupture of membranes that my labor actually started. I will say, it was pretty intense right off the hob. I hear a lot of women say that their early labor is like, "Oh, I took my other kids for a walk. I baked a cake. I did this. I did that to distract myself." My labors are not like that. My labors are intense right out the gate. I tried to eat something for breakfast. A few hours after that, I woke my husband up. We tried to eat breakfast. I got in the bathtub to try and relieve some of the discomfort. I hung out in there for a while. We had rented a birth tub. My husband got that set up. I called my midwife. She came probably around 11:00 AM, so at that point, I'd probably been laboring for like, I don't know, eight or nine hours. I was not coping well. It was very intense and I was not coping well with the pain. She checked me, and I was a 3. I was like, dang it. In my mind, what I know now is that it's not a linear thing and that it's not going to take another 18 hours to go from a 3 to 9. But in my mind then I was like, oh no, I can't do this for however many more hours because I'm already not coping well and I'm only at a 3. So I told her I was totally deflated and I told her, "I want to go to the hospital and get an epidural." She was like, "Okay, if that's what you want to do, that's fine." So I think between the time that she checked me and I was at a 3 and the time that I got the epidural, it was about two hours. That car ride to the hospital, wow, was not fun. But yes. So, in that two hours that it took between her checking me and me getting the epidural, she checked me again right as soon as it kicked in and I was at a 9.Meagan: Whoa.Johanna: Yeah. Meagan: 0 to 100. Johanna: Yeah, when I say that car ride, it was ripping through me.Meagan: Yeah, you were in transition at that point.Johanna: Yeah. When we were in the hospital waiting for the anesthesiologist to come in and do the epidural, my midwife and husband are joking around trying to make me laugh. I'm like, "This is not where are at right now." I was not having it because, obviously, I was in transition, and it just was not where I was at. So yeah, she was like, "Okay, well you're at a 9 now, that's great. So rest for an hour and then we'll probably be pushing." The epidural was heavy. I felt nothing from my ribs down. So an hour went by and she's like, "Hey, you're complete. Start pushing." I felt nothing. I'm trying to push, and she's telling me that I'm doing a pretty good job considering I have an epidural, but baby was still high. And then all of a sudden, I think I'd pushed a couple of times and all of a sudden, all of these doctors and nurses and bunch of people just start run into the room and they're all speaking French because it's a French speaking hospital.Meagan: Oh my gosh.Johanna: So I have no idea what's going on. Nobody is telling me anything. They're all speaking a different language. And I was just like, "Can somebody please tell me in English what's going on?" They told me that she was having late decal every time that I was pushing.Meagan: Okay.Johanna: So between pushes she was fine, but every time I'd push, her heart rate would go down and then have trouble recovering. At no point did anybody recommend maybe trying a position change or anything like that. Like maybe her cord was being pinched in that position. If only I knew now or knew then what I know now.Meagan: Yeah, like hydration, movement, doing something, pushing in a different position.Johanna: Yeah, yeah no. So like I said, my midwife threw her hands up and stepped back and let the OB take over and didn't say anything to me after that. The OB basically let me push three times and then was like, "Nope, this is going to take too long. We need to have a C-section," and she called a C-section.Meagan: Wow. Do you remember how low your baby's heart rate was getting?Johanna: No, I have no idea.Meagan: Okay, interesting. I mean late deceleration are less ideal, right? We don't want them to happen late. We want that to be the recovery period.But yeah, there could have been some things done.Johanna: Yeah, and looking back, it's frustrating to know that maybe if one little thing had been changed, the outcome could have been totally different.Yeah, but you can't blame yourself for that either. It's hard to look back and be like, the what if's. But yes, you did whatever you did in the moment with the information you were given.Johanna: Exactly. So I went in for the C-section. It went fine. There were no complications, but being strapped down to a table in a really cold room and having the shakes and not feeling that, not being the person to get to hold your baby. I mean, everyone listening to this podcast pretty much knows what thats like and how it was demoralizing and traumatizing for sure. But it went fine. She was born healthy. I didn't have any complications. But yeah, the emotional trauma was real and not just for me, but for my husband too. We got discharged about 24 hours after the C-section and going home and seeing the birth tub still set up in our living room was a very emotional experience. We both ended up breaking down crying.Meagan: Yeah.Johanna: So I had to do a lot of emotional recovery from that birth as well as physical recovery because the physical recovery from C-section was also extremely rough. I remember every time I would have to get up out of bed, it felt like I was being ripped in half. It's rough, but I knew right from the moment she was born that I would be VBACing my next baby because we had always planned on having a few kids.Meagan: I want to point out to everyone, too, the importance of postpartum support and postpartum help and planning. We never know the outcomes of birth. I didn't know the outcomes. I didn't realize that it was going to take me 15 minutes to walk 10 stairs up to my bedroom. I didn't realize it was going to take me 15 minutes to walk down the stairs. I couldn't be holding anything. I didn't realize how exhausting it was going to be to get out of bed to go to the restroom let alone taking care of a newborn baby and also thriving as an individual. So it's really important to really try not to ignore the postpartum period. I think it's easy to do because we're so focused on the birth. Especially with VBAC, I think we're so hyper, hyper focused on that VBAC, that outcome, and that experience which I do not shame anyone for being. I just want to plug it in. Don't forget about your postpartum because whether it's physical or emotional.You came back to this space of seeing a plan that didn't unfold the way you wanted it to. That can be very emotional, very traumatic even in some ways. So yeah, having some resources for postpartum as well. I just want to plug that in.Johanna: Yeah, that's a really good point. I did no prep for postpartum for my first birth.Meagan: Me either.Johanna: It wasn't even something that like dawned on me to think about. When I was in postpartum, I was like, wow, this is really intense. Like the sleep deprivation, the recovery, the breastfeeding, everything. It;s super intense. So for sure, don't neglect postpartum plans and getting the support that you need.Meagan: Yeah.Johanna: So anyway, I think from a couple weeks postpartum with Mila, I ended up finding your podcast and absolutely just binging it and trying to intake any knowledge I could get about VBAC natural childbirth-- just anything I could get my hands on, I was consuming because I knew that I was going to VBAC. I knew that I wanted to have a birth that was as intervention-free as possible for my second. So I ended up getting pregnant with my second daughter Bailey in the summer of 2022. The very first thing I did was I hired a doula. I already knew what doula I wanted before we even got pregnant because we had interviewed a few, and the doula that I found was actually a VBAC mom herself. And she just had a beautiful calming energy about her. I was like yep, that's who I want. So with that test, the lines turned pink, and I was already getting her on board. I ended up hiring the midwife that she recommended as well. I was intent on doing everything that I could this second pregnancy to set myself up for a successful VBAC that I could possibly do because I knew that if I did everything that I could possibly do and it still ended up in a C-section, then I don't have to have any lingering questions of well, what if I had done this? So it was like, I was going to do everything I could to set myself up for success. I was super diligent with eating well, exercising, and chiropractic care. I did all of the Spinning Babies' exercises, walking, and yoga. I did a HypnoBirthing course which I really, really liked, and I'm doing again for this pregnancy. I put up my birth affirmations. I did all the things You name it, I did it. My husband was super, super amazing and supportive and he was there with me every step of the way through every appointment and did all the coursework with me and everything like that. I'm very lucky to have a super supportive husband. I had another pretty uneventful easy going pregnancy. Other than a little bit more morning sickness and some SPD, it was pretty easy. I will say there's one thing that they make you do here, and I don't know if you guys have to do it in the US but if you're planning for a VBAC you have to see an OB around 36-37 weeks. Do you guys have to do that as well?Meagan: Yeah, so not if you're out-of-hospital. You don't have to do it. Some midwives still out-of- hospital will be like, "Hey, I want you to consult with a partnering physician," as in, "Hey, this is someone we would transfer to.: I went a consult with them, but with the midwives in hospital they require them to do a VBAC consult, and it's pretty much a visit where the OB is like, "Hey, this is what you're doing. Here is your risk. Do you comply?"Yeah.Johanna: Yes. So I ended up having to do that, and I knew it was going to be a negative experience. I knew it was just going to be fear-mongering and throwing scary statistics out. So I already had my guard up for that. And then it was also at the hospital where I had my C-section, so even just walking into that environment was very triggering.Meagan: Yeah. So I went to that and I was right. She told me, "As soon as you go into labor, you need to go to the hospital and you should have continual monitoring and and epidural just in case," and all of these things where I'm just like, no, that so goes against everything that I believe will lead to like a healthy, happy birth.I definitely didn't tell her about my plans. I actually was hoping this would end up in a home birth. I didn't actually mention this. My plan-- I didn't want to commit to a home birth. I was a little bit anxious because of my first birth ending up transferring to hospital, that I would end up having to do that again and then have that crushing disappointment that it didn't work out again. So my plan with my midwife was that I was going to labor at home as long as possible, and we were going to play it by ear. As long as everything was going well, then I would potentially have her at home. But I just didn't want to have that pressure that I needed to stay home because this was going to be a home birth. Do you know what I mean?Meagan: No, I totally do. I mean, when I was planning my, it wasn't a HBAC, it was a birth center birth. It's like a downplayed HBAC. I mean, I was in a different home. Right. I totally do. I know exactly what you mean.Johanna: Yeah.Meagan: Yeah, yeah.Johanna: So yeah, I definitely did not tell the OB that my plan was to have a home birth because I just did not even did not want to get into that. So I nodded my head and was like, "Yes, sure. Okay, great."Meagan: Yep.Johanna: At one point, also during my midwifery care for the second pregnancy, my midwife was like, "It's standard for you. The hospital wants you to sign a release form with a backup C-section date."Meagan: What?Johanna: And I was just like, "Yeah, I will also not be doing that." And she was like, "That is totally fine. Just sign that you won't do that." Meagan: I do not consent. Yeah, I do not consent in doing this.Johanna: Yeah, yeah. I was like, I don't need that to clock above my head.Meagan: No.Johanna: So again, my due date arrived and passed. I ended up getting a couple membrane sweeps to try and move things along, but they were unsuccessful. And wow, they are very, very painful.Meagan: So can I super quick touch on that?Johanna: Yes.Meagan: Membrane sweeps-- that's a really big question we see as well. And when you talk about them being painful, that's actually a sign that the cervix wasn't ready. Like it wasn't forward. It wasn't open. If a membrane sweep is painful, it's a real big sign-- it's not a guarantee, but it's a real big sign that your cervix isn't ready. So quick rule of thumb, if you are dilated 2+ centimeters, 3 or more is more ideal. Your cervix is really forward, meaning they don't have to reach back and in, and you are effaced at least 75-80%, that's a little bit more ideal and less painful. But if they are going back, a lot of the times is because they have to reach back and in. And so that is, that is that. And then it can cause pain, prodromal labor, things like that and, and frustration because you're wanting it to work and it's not working.Johanna: Yes. So yeah, they didn't work for me, but my midwife did tell me that I was actually 3 centimeters and she could stretch me to 3. Meagan: Great. So you were at least dilated.Johanna: Yes. So despite the fact that it was super painful and didn't work, I was still feeling very encouraged to know that my body was doing something good. Meagan: YesJohanna: Because you'll remember my first birth, I was completely closed and nothing was happening after my water broke. So I was feeling pretty good about that. At about 40 weeks and 4 days, my water broke again before labor started. It was another one of those slow trickles, and it was the middle of the afternoon, so I called my midwife, and she was like, "Okay, come meet me." She asked if the fluid was clear and I said, "Yes." And she said, "Okay, come meet me at the office later, and we'll do the non-stress test and check you out and make sure everything's dandy." So I went and everything was fine. We were just waiting again for labor to start. I felt okay because I had been through this before, and I knew my body would go into labor, but at the back of my mind I was a little bit stressing out because I was like, okay, I'm on a clock again. I went home. Nothing happened. I woke up the next day and tried to get things going with the breast pump. That got contractions going, but they never stuck around. I ended up confiding with my doula about how stressed I was feeling that I was on a clock and feeling like why can't my body just go into labor? She was extremely reassuring. She came over, and we just talked for a bit, and I felt a lot better after that. That was in the evening, the day after my water broke, and I was supposed to go in for a non-stress test. So I went and met my midwife for a non-stress test that night. It was 36-ish hours after my water had broke. Still, everything was looking good. Baby was good. She was happy. I was fine. There was no need to rush into an induction or anything like that. But she could tell I was stressed. My midwife could tell that I was a bit stressed and she was like, "It's fine. We've got lots of time. You don't need distress.: And she's like, "But I can give you these tinctures or whatever if you want to try them." It was like the blue or black. Meagan: Cohosh.Johanna: Cohosh, yes. I was like "Sure, I'll do anything at this point. I'll try anything. I don't care. So they almost look like tiny, tiny little white beads. I don't know if they're always in the same form.Meagan: Yeah, sometimes they're in drops like tincture drops or almost like you said, a pill-like bead type. Johanna: So she was like, "Okay, let's give you one now." She wanted me to take four doses an hour apart.Meagan: Did you put them under your tongue?Johanna: Yeah. So she got me to take one when I arrived for the non-stress test and then when the non-stress test was over, it had been about an hour, so she gave me a second dose, and then she sent me home with two more. So we went home, and then I took one an hour after the previous dose and it was probably 10:30 at night at that point. Contractions started going after I took the third dose and I was like okay, they're probably going to peter out again because that's what they've been doing all day. I'm tired and I want to go to bed and I don't feel like staying up another hour to take the fourth dose. So me and my husband both took a gravel because my midwife told me to take a gravel and go to sleep.Meagan: What's a gravel?Johanna: A gravel is like an anti-nausea medication, but it makes you sleepy.Meagan: I did not know that. I've never heard of that. I don't think I've never heard it.Johanna: Yeah. Interesting.Meagan: Cool. I love learning. A gravel.Johanna: Gravel.Meagan: Yeah. Okay.Johanna: So yeah, she told me to take one and go to sleep because it makes you drowsy. So I think we had fallen asleep for maybe an hour and a half and I was woken up again with very intense contractions. And this time I was like okay, this is it for real. And like I said, with both my labors, contractions were intense straight out of the gate. So I woke my husband up. Taking the gravel was a mistake because we were both super drowsy. I woke him up and I was like, "I think you need to call the doula because this is definitely happening." And so he called her over and I labored in bed. I did my HypnoBirthing tracks. I did a lot of breathing through the contractions and the HypnoBirthing was super, super helpful, I will say that. We hung out for a while and just did that. My husband tried his best to stay awake despite how tired he was. Eventually, I think I waited maybe a bit longer than I probably should have to call my midwife because I was so determined to stay at home as long as possible. I didn't want her to come and be like oh, you're a 3, right?Meagan: See? Your mind. Even in labor we trigger back. We process things as they're happening from how they happened before, and it's really hard to let go. But your mind was doing it too, right? You're like no, I can't do this because I can't be that.Johanna: Yes. So what we waited, I think it was, I don't know. I have no concept of time. But we waited a couple hours or a few hours and my doula was like, "I think we should call the midwife." I was like, "Okay, can you call her?" So we called her and shortly after we called her, I was having contractions so intense that I was having an out-of-body experience. Like very, very intense. I was getting the shakes and hot and cold lashes. In my mind I was like, I'm going through transition. For sure, for sure. I'm going through transition. My midwife was not there yet and she would not arrive for probably like another hour.Meagan: You progress quickly from history.Johanna: Yes. So, by the time she arrived, she ran upstairs to my room. She checked me and she's like, "Okay, you're at an 8, so if you want to do a hospital transfer, if you want to go, we've got to go now." And I was like, "No, that ship has sailed. We're doing this here. As long as Bailey's healthy and I'm healthy, I'd like to stay here." So she was like, "Okay, we're doing this here." And she called over the other midwife because she wasn't actually sure that it was going to be a home birth, so she didn't have the other midwife with her, so she had to call the secondary midwife to show up. It was all very hectic. This time around, I plan on calling them much more ahead of time so that it's not so hectic when they arrived because lights got turned on, equipment was shuffled around and set up and definitely took away from the vibe a little bit. But yeah. So shortly after she arrived, I was complete and I had that very stereotypical moment where you feel like you got a poo.Meagan: And sometimes you just hold back because you're like, oh crap, wait. Do I need go poo first or should I have? Wait, what should I do? I don't know. I want to have the baby, but I don't want to poop.Johanna: Exactly. So I was like, "Oh my gosh, I feel like I have to poo." My midwife's like, "It's okay. This is normal. You're good." She was just encouraging me to just do what I felt like I needed to do. I ended up pushing for probably an hour, give or take, in a sumo squat position with my midwife on one side and my doula on the other side and then my husband would switch out for the midwife supporting me on either side. And yeah, I only had to push for maybe an hour, give or take. Her head got a little bit squeezed at one point when she was coming out, so when she came out, she was in a bit of shock. Because of where I was in my room, and the equipment was on the other side, my midwife had to make the decision to clamp and cut her cord and take her over to their equipment to give her a little bit of help which was very scary. She didn't end up needing oxygen, but they thought that she might. So she ended up being okay, but it was definitely a scary couple of minutes where I didn't know what was going on. But yeah, she ended up being okay. The only thing I was a little bit disappointed in was the second time around, not being the one who gets to be the one to hold my baby and bring her to my chest and missing out on that experience again.Meagan: Yeah.Johanna: But obviously I was amazed that I had done it. I had gotten my home birth, I had gotten my VBAC. I was in shock.Meagan: I can so relate. Sometimes you're so focused on pushing that baby coming out, and then it happens and you're like, am I dreaming that this happen? And you're looking around and you're like blinking and you're like, no, I'm awake. I just did this. I just did this. And you're so excited.Johanna: I was still in La La Land because I had labored so hard for eight hours and yeah, you're out of it and just in disbelief.Meagan: Yeah. Yeah.Johanna: Like, did this really just happen?Meagan: But it did. It just happened.Johanna: Yeah. So that was a really good feeling. Recovery was like night and day. I could immediately just go and have a nice shower and walk back to my bed and crawl into my bed. It was comfortable and I wasn't in pain. I had mobility, and I could lift my baby up. It was a good feeling. Although I will say that without the epidural, the fundal massage was a really unpleasant experience.Meagan: Yes. So for everyone that doesn't maybe know, fundal massage is something that they do after labor and delivery, they essentially put their hand, sometimes fist. Now it's not like they punch you, but think about a fist. Look at the bottom of your fist. They put the bottom of their fist along your uterus, the top of your uterus. They push down and massage. They push down and they massage. And sometimes they do it three or so times. You take a deep breath, they do it. You take a deep breath, they do it. And why they're doing that is because they're checking to one, make sure your uterus is clamping back down to its normal size right after birth and the placenta is out. It starts doing its job and going boop boop, boop, right back down to its normal size. But sometimes it can get a little boggy or bleeding can occur. So yeah, you want to make sure that. Now, really quick tip. If for some reason your uterus is still staying boggy and not clamping down as much, something you can try to do if you are able is urinate. Go to the restroom. That's a really big thing to help the uterus clamp back down. And even if you have an epidural, sometimes you have to get a straight cath. And if you can't go to the bathroom, sometimes you can get a straight cath to release. But yeah, that is not as friendly when you're unmedicated. But take deep breaths. If you can, get that baby on your chest or hold someone's hand-- your doula, your partner, your midwife, anybody's hand and just take really deep breaths and know that it's okay. It's okay. It doesn't last too long. But yeah.Johanna: So going back to our chat about postpartum.Meagan: Yeah.Johanna: So the recovery of vaginal versus C-section night and day for sure. But I will say that my postpartum with Bailey was way harder than with my first. It had nothing to do with the birth. I think she was asynclitic in my uterus. And so when she came out, she had a pretty bad case of torticollis and a tongue tie which made breastfeeding very difficult. I got mastitis twice in the first four weeks, like a really bad case twice in the first four weeks. I ended up with a bad case of food poisoning at three weeks postpartum.Meagan: Oh no.Johanna: And I had some prolapse symptoms as well. I will say that there were a lot of things happening in the first month, month and a half of my postpartum that I didn't expect and were very intense and difficult. I mean, just for breastfeeding, I was in so much pain that there were many times that I wanted to just give up and be like, nope, never mind. Forget this.So having good lactation support was really crucial.Meagan: Oh yes. And get lactation support before you have your baby. It sounds weird. It sounds really strange to connect with someone about breastfeeding before your baby is born. But oh my gosh, you guys, it's so impactful. I mean, we've talked about it before with The Lactation Network and other IBCLC supports. It's so important. I had similar. So my baby was born be a Cesarean. So in a Cesarean, a baby can also develop torticollis too with the way they are and the way they come out. But my baby had torticollis and she had a tongue tie. So very, very difficult. Challenging for sure and frustrating.It can impact things like mastitis and yeah, I love that you pointed that out. My was recovery all around better, but that doesn't mean my experience was all sunshine and butterflies. I really want to just highlight that one more time, you guys. Vaginal birth doesn't mean your postpartum journey is going to be the easiest. Mine wasn't. My VBAC after two Cesarean birth was not the easiest. It just wasn't. So again, get those resources beforehand. Right?Johanna: Yeah. And I will say, I don't know what I would have done if I wasn't with midwifery care and having them on call for the six-week postpartum because I swear, I called them every second day about something that was going on.Meagan: Well, and that's more unique to home birth too because even with the hospital birth midwives, it's not the same. They usually say, "Oh, I'll see you in six weeks," and you can call. You can call any OB or midwife. You can call any provider, but there's a different level of care and follow-up in that postpartum stage and it's very impactful. It's very, very impactful.Johanna: Oh for sure. Yeah.Meagan: Yeah. Oh my gosh. I love everything and I love all these tips. There are so many tips and nuggets along the way. Is there anything else that you would like to drop here for the listeners in regards to home birth or preparing or postpartum or any words of encouragement that you may have?Johanna: I mean, I think that, like I mentioned at the start, just arming yourself with as much knowledge as you can is going to be your best bet to get the outcome that you want and just feel empowered throughout your pregnancy and your birth. So just arming yourself with as much knowledge as you can get your hands on and yeah, getting a good provider, trusting yourself, believing in your body, and setting yourself up for postpartum too because that's an important thing when you're so focused on getting your VBAC is letting the postpartum stuff fall to the wayside.Meagan: Yeah.Meagan: Taking care of yourself afterwards too is important.Meagan: Yes. Taking care of yourself. We don't. We don't take care of ourselves enough, you guys. Really pamper yourself. If that means you have your postpartum doula. If that means you hire a house cleaner to come in every other week. If that means you hire or have family come in to help, just whatever. Light house cleaning or holding baby or playing with toddler. Johanna, she's going to have two, you guys. She's almost on her third, and it's another baby girl.Johanna: Oh, yes. Yes. That's three for three.Meagan: So three baby girls. I mean, you've got your hands full in your postpartum experience.Right. So really do it. I don't want to stereotype women, but sometimes we get into this space of,  we can do it and we don't need to spend money on ourselves and things like that, but this stage of life is so important to invest in yourself. Really, truly invest in yourself because you deserve it. And your sleep and your experience and your mental health, it all matters so much. So yes, you might hire a cleaner and you might be spending that money, but guess what? That's okay. Do it. Johanna: And when you're taken care of, then you're a better mom to your kids.Meagan: Yes, yes. My husband always says, "When mom is happy, everyone else is happy." But really, really, you deserve it. Women of Strength, you deserve to be pampered and loved and supported. So Johanna, thank you so much again for such a powerful episode. I'm so grateful for you. And please keep us posted on this baby number three.By the time this episode comes out, you will have had this little baby girl.Johanna: Yes. I'm due January 4th, so I will definitely be sending you a message when she makes her entrance.Meagan: Please do. Please do. Okay well, thank you so much.Johanna: Thank you.ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Send us a textIn this episode of The Ultimate Birth Partner Podcast, I am diving into the idea that intense, long contractions don't necessarily indicate progress in labour. I'll take you through why contraction length alone isn't a reliable indicator of progress and what actually matters more in birth.Tune in to discover: ✨ Why rhythm and body positioning matter more than contraction length ✨ What long contractions may be signalling about your baby's position  ✨ Practical strategies to stay calm, centered, and intentional during labour ✨ How to advocate for your needs and trust your body's cuesWhether you're preparing for birth or supporting someone through labour, this episode will help you feel more informed and empowered as you navigate the twists and turns of birth.If you enjoyed this episode, don't forget to share, leave a review, and follow the podcast for more insights on empowered birth.You can find Shellie Poulter here - The Serenity DoulaYou can read the BLOG post that accompanies this episode hereRead a similar BLOG post about Prodromal Labour and The Latent Phase If you love the podcast and would like to support it, then please use the link to 'buy me a coffee' - https://bmc.link/sallyannberesfordIf you would like to buy a copy of either of the books that accompany this podcast please go to your online bookseller or visit Amazon:-Labour of Love - The Ultimate Guide to Being a Birth Partner - click here:-https://bit.ly/LabourofloveThe Art of Giving Birth - Five Key Physiological Principles - https://amzn.to/3EGh9dfPregnancy Journal for 'The Art of Giving Birth' - Black and White version https://amzn.to/3CvJXmOPregnancy Journal for 'The Art of Giving Birth'- Colour version https://amzn.to/3GknbPFYou can find all my classes and courses on my website - www.sallyannberesford.co.uk Follow me on Instagram @theultimatebirthpartner Book a 1-2-1 session with Sallyann - https://linktr.ee/SallyannBeresford Please remember that the information shared with you in this episode is solely based on my own personal experiences as a doula and the private opinions of my guests, based on their own experiences. Any recommendations made may not be suitable for ...

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"I've run a marathon." Look at the shorter form 'I've'. Learn how to use contractions. Visit our website ✔️ https://www.bbc.co.uk/learningenglish Follow us ✔️ https://www.bbc.co.uk/learningenglish/followusSUBSCRIBE TO OUR NEWSLETTER: https://www.bbc.co.uk/learningenglish/newslettersTHE PRONUNCIATION LOUNGE: https://www.bbc.co.uk/learningenglish/features/the_pronunciation_loungeLIKE PODCASTS? Try some of our other popular podcasts including: ✔️ Learning English Conversations ✔️ Learning English from the News ✔️ Learning English StoriesThey're all available by searching in your podcast app

Today's story: Most contractions in English are simple combinations of two words, like “you're” for “you are.” But some contractions don't follow the usual pattern. In this lesson, we explore three unusual contractions—“ma'am,” “o'clock,” and “ain't”—their origins, meanings, and when (or if) you should use them.Transcript & Exercises: https://plainenglish.com/753--Upgrade all your skills in English: Plain English is the best current-events podcast for learning English.You might be learning English to improve your career, enjoy music and movies, connect with family abroad, or even prepare for an international move. Whatever your reason, we'll help you achieve your goals in English.How it works: Listen to a new story every Monday and Thursday. They're all about current events, trending topics, and what's going on in the world. Get exposure to new words and ideas that you otherwise might not have heard in English.The audio moves at a speed that's right for intermediate English learners: just a little slower than full native speed. You'll improve your English listening, learn new words, and have fun thinking in English.--Did you like this episode? You'll love the full Plain English experience. Join today and unlock the fast (native-speed) version of this episode, translations in the transcripts, how-to video lessons, live conversation calls, and more. Tap/click: PlainEnglish.com/joinHere's where else you can find us: Instagram | YouTube | WhatsApp | EmailMentioned in this episode:Ready to improve your listening?Ready to listen fast? Improve your listening with the fast version of this and every episode. The full-speed version is a fresh recording and it sounds just like someone speaking to a native speaker (with no AI or computer manipulation!) You can even listen on a podcast app Sign up for a free 14-day trial at PlainEnglish.com

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Bioelectricity refers to the electrical phenomena generated and utilized by living cells and tissues, encompassing processes like nerve impulses, muscle contractions, and cellular communication. It arises from the movement of ions across membranes, creating voltage gradients that play critical roles in physiology and development. Researchers are exploring how modulating these electrical signals can influence healing, regeneration, and even the formation of complex organ systems, shedding light on the remarkable interplay between biology and electricity.

Intro:In this episode, Rach & Soph chat about having dips in income, working with imposter syndrome, public speaking, choosing familiarity and comfort zones over growth, sharing our personal stories and a whole load more. Enjoy!It's been 1 year since we started the pod, happy birthday to Living Business

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Yashoda is a Sports Physiotherapist and an Aquatic therapist and a mom of 2 precious ones- is currently working at Aastrika midwifery centre. She had her first one born in a hospital after induction and her baby was separated from her after birth. The second time around she decided to take childbirth classes, prepare well and chose a midwifery center called Aastrika in Bangalore where she was not induced, she birthed her baby in the water and had a beautiful experience. Her breastfeeding journey was also way more respectful and supported a gentle welcome of the baby where skin to skin contact between the mother or father and the baby were prioritised. In this episode we explore1. Contractions after induction vs Natural spontaneous contractions2. A hospital birth experience vs a Birth center experience3. Role of Childbirth classes in the Birth experience4. Water birth experienceSupport the showSign up for Childbirth Preparation Programs! visit www.birthagni.com/birthclassesSupport the show:Donations (India) - https://birthagni.com/birthagnipodcast#podcast-listDonations (world) - buymeacoffee.com/birthagni If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Instagram and tag us @divyakapoorvox Support the production by making a donation at https://www.buymeacoffee.com/birthagni. This ensures the continuity and quality and a good coffee on sleepless recording nights! Subscribe to the FREE newsletter at https:/...

Episode 210 NPTEFF Muscle Contractions

Abigail's first pregnancy turned into a life-threatening birth experience with undetected gestational diabetes and a traumatic ICU stay. On top of that, she unexpectedly had to move homes just two weeks postpartum. Abigail quickly developed intense postpartum depression and struggled to make sense of what happened to her. She was sure she would never have kids again, but after therapy and healing, she and her husband found themselves wanting another baby three years later. Abigail became pregnant right away, and she knew this time would be different. This time, things would be better. From the meticulous monitoring to the candid conversations, Abigail felt heard and supported throughout her entire pregnancy. Her gestational diabetes was detected and very controlled. While a scheduled C-section seemed to be a logical choice, she knew her heart wanted a VBAC. She was able to go into spontaneous labor and pushed her baby girl out in just 13 minutes!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome to the show, everybody. We have our friend, Abigail, from California with us today. She is a 27-year-old stay-at-home mom with a 4-year-old daughter and a 7-month-old son. She experienced a very unfortunate, traumatic experience with her first which really left her not really sure that she wanted any more kids. She's going to dive more into her wild experience, but she had a COVID pregnancy. She had a lot of different stresses through the pregnancy, especially at the beginning– gestational diabetes, preeclampsia, and so many things with her first that really taught her a lot, and had a wild birth experience. Then the second time, she ended up getting gestational diabetes again, but did a lot of different things to improve her outcome like hiring a doula, getting a supportive provider, and all of that. We are going to turn the time over to her in just one moment, but I do want to quickly in place of the review share a couple of tips for gestational diabetes. If you guys have not heard about it so far, check out Real Food for Gestational Diabetes by Lily Nichols. It is absolutely incredible. It is less than 200 pages long. It is a fantastic read and filled with a lot of really great information and studies. She also talks about prenatals, so I wanted to remind everybody that we have a partnership with Needed who we just love and adore. We do have a promo code for 20% off. You can get your 20% off by using code VBAC20. Definitely check that out.Then we are going to be including a lot of things in our blog today like third-trimester ultrasounds, sizes of baby, and gestational diabetes so make sure to dive into the show notes later and check out what we've got. Okay, my darling. I'm so excited for you to share your stories today. I feel like there's part of your story that I want to point out too before you get going, and that is that sometimes you can plan the most ideal birth scenario, and I'm not going to talk about what this scenario is, but a lot of people are like, “Do this. Do this. Do this.” Sometimes you plan it, and then your care falls short or something happens and plans change. If you guys are listening, I just want you to dive in. As you are listening to Abigail share her stories, listen to how sometimes things change and what she did, and then what she did differently to have a different experience. Okay, Abigail. Abigail: Hello. First of all, I just want to say that I'm really happy to be here today. Thank you for having me today. Meagan: Me too. Abigail: Yeah, I guess let's just dive right in. Meagan: Yeah. Abigail: First thing is I am a stay-at-home mom, so my mom is out in the living room with my babies right now, and at this point, my son is 7-months-old, and we are having a really good time over here. I just want to start by saying that. Basically to start with my story, I got pregnant for the first time in January of 2020. Everybody knows what else happened in 2020. I was, I think, about 12 or 13 weeks pregnant when everything completely shifted. Everything started to shut down. There was a chance that I was going to get laid off of work which I did end up getting laid off of work about a week later. It was not a fun time. My husband and I had an apartment. We lived in a place we had just moved to. We had been there for about 3 years. We had a roommate, and everything was totally fine. Everybody worked full-time. I was working out regularly. We had a pretty chill life. Go to the farmer's market on the weekend. I was really excited when I found out I was pregnant. I was like, “Okay, yeah. We are going to bring a baby into this. Let's do it. I love what we're doing.” So again, everything completely shut down and shifted. Our roommate decided he wanted his own space, so he gave us a 30-day notice. We were stuck in a situation where they were raising our rent because our lease was up. We would have had to re-sign. It would have cost us more and everything, so we were looking at having to move because our roommate was moving out. It was all not a very fun time, so we decided to move back to where we were from, rent a room from a family member, and stay with them for the time being. They had a little bit of extra space for us. We thought it would be totally fine and everything. We moved when I was about 20 weeks pregnant. Up until that point, I had regular OB care at a regular office. I had done all of the blood work and everything and the ultrasounds and the anatomy scan and everything up until 20 weeks. When we moved, I decided, “Okay, I think I want to have the baby at home, especially now since the pandemic.” I don't know that I really wanted to go to the hospital, but I wasn't sure that I wanted to do that to begin with. I grew up in a community where home birth was pretty normal. My mom had my younger brother at home. Several of my friends were born at home and their siblings when we were younger. It was a pretty normal thing to me. I reached out to a team of midwives. I talked to them, and got everything set up. I started doing appointments with them. They were coming over to my house fairly frequently. It was pretty nice doing the regular blood pressure checks and the urine samples with the little sticks, and all of that stuff. When it came time for the gestational diabetes testing, I was like, “Okay, is this something I have to do?” I didn't have my insurance set up at that point or anything because we had just moved so we would have to pay out of pocket for it. I would have to go sit in some lab or office some place. Again, during COVID, while I was pregnant, I was like, “I don't know. If I don't have to do it, I don't want to. If I have to, I will. What are we doing here?” They were like, “Well, you're low-risk. These are the risk factors. If you don't want to do it, you don't have to. You just have to sign this form.”I was like, “Okay, cool. I'll sign the form. Seems easy enough.” I totally skipped the gestational diabetes testing. That was on me, but it wasn't on me at the same time because I don't feel like I was given proper informed consent. There was a team of three midwives plus a student, so a total of four that I was seeing. One of the midwives ended up getting switched out at about that point, so it ended up being the student, the same original two, and then one newer one. Everybody was really nice. They were coming over and checking on me and doing all of the things that I thought they were supposed to be doing. I was not weighing myself. We did not have a scale. Again, they didn't tell me that it is important to make sure that you're not gaining too much weight at a time or anything like that. What happened was, I started gaining a lot of weight, but I didn't really realize just how much weight I was actually gaining. I was like, “Oh, I'm pregnant.” I quit going to the gym. I can't even hardly do anything. It's hot out. It's summertime. I was pregnant from January to September, so the bigger I got, the hotter it got.I didn't do much, so I was like, “Whatever. I've gained some weight. It's not a big deal.” I was a pretty small person to start with. Just for reference, I'm 4'8”, and I was 95 pounds when I got pregnant initially, so really small. It started becoming concerning because toward the end of my pregnancy, and toward I guess not even the end, the beginning of my third trimester, I started getting really swollen. Like, really swollen. My feet and my legs up to my knees– not just my feet, but my calves and everything were pretty swollen. Toward the end of my pregnancy, I had swelling up to my thighs. I'm being told this is normal. I'm 23. I've never been pregnant before. I don't have any support groups or anything going because it's COVID. Nobody wants to talk to anybody or do anything. It was a little frustrating for me because they were like, “Just put your feet up. Soak your feet.” If I soaked my feet, they got more swollen. I was not taking proper care of myself either. I went from exercising and eating right and doing all of the things that you are supposed to do to sitting at home and eating a lot of fast food and not walking. I was not having a great time mentally either. We were living some place I didn't want to be living. It was all of it. I didn't think too much of it. Again, I'm like, “Well, I'm being told this is normal. I'm gaining some weight. It's fine.” At one point, one of my urine tests that they did came back positive for glucose, and they were like, “Well, what did you eat for breakfast?” When I told them, I was like, “I had some waffles. I had some orange juice,” and whatever else I had, they were like, “Oh, you just had some orange juice before you got here. That's fine.”I was like, “Okay.” They didn't think to check it again. I didn't think to get a second opinion or anything. At one point toward the end of my pregnancy, I had a blood pressure reading that I checked myself at home with the little wrist cuff. That was really elevated. It was the end of the day. I texted the midwife. I was like, “Hey, my blood pressure is really high.” She was like, “What did you do today?” I was like, “I didn't really do much. I ate this for lunch. I had some soda.” She was like, “Okay, well that's probably fine. Just rest and check it again in the morning.” I checked it again in the morning, and it was still relatively normal, so they didn't do anything. One of the midwives came over at one point and dropped off some herbs for me that they wanted me drinking like some tea or something like that because I was getting swollen. I was standing outside talking to her, and she was like, “Oh my god, I can see your feet swelling up while we are standing here. You need to go back inside and put your feet up.” Again, nobody thought anything of it. How four people missed all of this, I don't know. I feel kind of like the student may have been more concerned, but didn't really know how to say anything or anything, just looking back on the facial expressions she would give and things like that. I go into labor right at 40 weeks. I am planning a home birth. Everything is set up for that. I've got the tub at my house. We've done the home birthing class and how to get everything set up. We've done all that. There was no backup plan in place. They did not suggest that I have one. Again, I did not know any better at the time. I was told that if there was some kind of emergency, I would go to this hospital. That was as far as it went. I didn't have a backup bag ready. I didn't have a hospital bag ready. I didn't have anything planned. There was no, “Hey, this is what we watch out for. This is what you might go to the hospital for.”I go into labor at 3:00 AM. Honestly, contractions started, and they were immediately painful. I've never done this before. I'm like, “Okay well, maybe we're just starting out harder than I thought. That's fine. Maybe there's not going to be early labor.” I labored for a couple of hours. I was really uncomfortable, so I called the midwives. They came over. They checked, and they were like, “Okay, you're only at 2 centimeters, and this is seeming like early labor.” I'm like, “This really painful. I'm not having a good time. This does not feel okay at all.” They checked my blood pressure. My blood pressure was through the roof. They waited a little bit, checked it again, and it was even higher the second time. They were like, “Okay well, this is out of our care. You've got to go to the hospital now.” I'm like, “What do you mean I've got to go to the hospital? That's not part of the plan here. We don't even have a plan B or anything.” Through tears and contractions and everything, I was having contractions maybe every 10 minutes or so, 5-10 minutes. Somewhere around there, I don't remember exactly. I got a hospital bag ready. I got some clothes for the baby together. I got my phone charger, my toothbrush and everything, and we headed to the hospital. I sat in triage by myself for 4 hours because they did not have a bed available for me. They would not let my husband into triage with me because it was COVID. The entire time, I was so uncomfortable. They had me immediately start on blood pressure medication to try to get my blood pressure down. They started me on magnesium, and they told me that the magnesium was going to make me feel yucky which is the biggest lie I have ever been told by a nurse. I don't know if she just never had it or what, but I felt like you have the worst flu you've ever had. My whole body hurt. It made everything feel worse. I felt groggy. I felt sick. It was not fun at all. At that point, I think I got to the hospital at 11:00 AM. They didn't get me into a room until 3:00 or 4:00 that night. So at that point, I'd been in labor for 12 hours. I was still hardly dilated. The doctors, initially when I got there, said, “Your notes say you are only 2 centimeters. Why are you here?” I was like, “I don't know. I was told to be here. I was told that my blood pressure is high or whatever. I don't know. I don't want to be here.” They did all of the things. They ran all of the tests. The doctor comes back in and says, “You are severely preeclamptic. Why did you not get here sooner?” Meagan: So why are you here and okay, why weren't you here sooner?Abigail: Yeah. I was like, “I'm so confused. I don't want to be here.” I'm freaking out. I'm stressing hardcore. My blood pressure went down for a little bit, but it stayed really, really, really high. They put me on fluids and everything which of course, did not help with the swelling. They get me into a room and everything. Things are moving along. It's going fine. I was okay for a little bit, then it got to the point where my legs were so swollen that I felt like they were going to pop. My legs felt like balloons that were going to explode. They were trying to put compression boots on me and stuff in the bed. Every time I was having a contraction, I was trying to get up and get moving because it felt better to get up and move. They were taking the boots on and off. It was miserable. After, I think, 28 hours of labor at that point, I was like, “Okay. I would like an epidural, please. I really don't want to have to get out of bed. I can't do this. I want my legs up. I don't want any part of this.” They got me an epidural. I don't know exactly how many centimeters I was at that point, but things had not moved very far in 28 hours. The doctor kept pushing to try to break my water. I kept telling her, “No, thank you. I don't want that. It will break on its own. I would like to take a nap.” I took a nap. My water did break on its own. That was nice. The water was clear. Everything was fine. We are still moving. I have an epidural. It's working great. I'm laying in bed. My blood pressure was still high. The swelling was still bad, but other than that, everything was maintaining. We were fine.I continued laboring for a while. I was getting checked pretty frequently because the doctors were uncomfortable with the situation. Again, looking back, I realize why they would be uncomfortable with the situation. They kept checking me and trying to want to do stuff. I was on Pitocin at that point. They had started it at some point, I think, shortly before I got the epidural. I had been on that for a while. It had been from being okay to all of a sudden, I was not okay. I don't remember exactly what hour that happened. It was somewhere between probably 36-ish. I was dealing with some stressful stuff with some family members. I was not having a good time. My phone kept going off. I was just trying to rest. It was a miserable time. They said that I was getting a fever all of a sudden. They were like, “You're getting a fever. We're going to see what we can do.”  They tried to give me Tylenol to bring it down. They tried putting a cool rag on my face. They were trying to get me to eat ice. At that point, they had completely stopped letting me eat because initially when I got there, they were letting me eat a little bit, but that stopped. They wouldn't let me drink anything, so they were giving me ice chips and stuff. I started getting to the point where I was feeling really sick, like more sick than I already felt. They checked me again, and depending on which doctor did it, I was at a 6 or a 7 still. They finally called it. They were like, “You have an infection. You are not doing okay. This is not okay. You need to have a C-section now.” Crying, I was like, “Okay, fine. That's not what I want, but let's go.” They prepped me for the OR, got everything moving, got me back. By the time I got in there, it had been 38 hours. I had an epidural for about 12 of those hours, I guess. At that point, it wasn't working super well anymore. It was not working well enough that they could do the C-section, so they put in a spinal as well. I had both of those done. To my understanding, they are two different pokes. Again, I didn't want either initially, and I got both. I was not thrilled about that. I'm laying on the operating table. I was so thirsty. They wouldn't give me anything to drink. They kept giving me this moist sponge. They said that I couldn't suck on the sponge. I could moisten my mouth with it. They gave me some stuff to drink that said it was going to make it so I didn't throw up. I wasn't nauseous at all the entire time. I hadn't thrown up at any point at all. I was like, “I don't want this. I don't need it.” The stuff that they gave me tasted awful, and they wouldn't give me anything to rinse it down. My mouth is dry. I'm gagging from how dry my mouth is, and the stuff tastes bad. They have me strapped to the table. My arms are down. I just laid there crying. The C-section went fine. They got my baby out. She was okay. She was 7 pounds, 12 ounces. For somebody who is my size, I was like, “Wow. That's a really big baby.” That was surprising. So they get me sewn up and everything. They let me look at my placenta, and it was four times the size of any placenta I have ever seen. It was like a dinner plate sized, but a couple of inches thick, like really thick. I was like, “Okay well, that's really weird.” They moved me and the baby to recovery. My husband was with me. Everything was okay. Everything calmed down. We were okay now. We've got this. It's fine. Then all of a sudden, the nurse was like, “I don't like your bleeding.” This is the same nurse I had for two or three nights because at that point, I had been in labor for 46 hours. It was 46 hours by the time they took my baby out. I started labor initially on the 28th at 3:00 AM, and my baby was born on the 30th at 1:00 AM, so almost a full two days. She's like, “I don't like your bleeding.” I'm like, “Okay.” I'm really out of it. I'm not really paying attention. I'm trying to nurse my baby. I can hardly move. I'm uncomfortable. Next thing I know, there are more people coming in, more doctors coming in, more nurses coming in. They take the baby from me. They hand the baby to my husband, and they shove them out. I'm just screaming, “Please don't give my baby formula.” I don't know what's going on. I don't know where they're taking her. I was trying to nurse her, and I'm so confused now. Next thing I know, there are 10 people surrounding my bed. It's three doctors and seven nurses. I had one IV in my hand initially, or in my arm or wherever they put it. Next thing I know, I had two more IVs. There was one in my other arm and in my other hand. They put some pills up my backside, and I'm so confused what's going on at this point. I'm still numb from everything from the spinal and the epidural and everything, so I can't feel what's going on. She's pushing on my belly. She's changing the pads under me. Everyone is freaking out.Meagan: Wow. Abigail: I am fading in and out of consciousness. I don't know what's happening. My husband's freaking out. My blood pressure had dropped to 25/15 I think. Meagan: Whoa. Abigail: I was about to die. They finally got me stable. I don't really know what happened exactly. All I know is the next thing I know, I woke up and I was in the ICU. They wouldn't let my husband come see me. They wouldn't let me see my baby. I'm with a bunch of COVID patients and everything. They gave me two or three blood transfusions. They put a balloon in my uterus to apply counterpressure so that it would stop bleeding, and they had a bucket attached to it. I'm watching them just empty buckets of my blood. It was so scary. I'm laying in the ICU by myself, and the balloon in my uterus hurt so bad, like, so bad. I didn't end up moving. I laid there for the rest of that night, the entire next day, the whole next night, then I think they moved me the next day. It was a night and a half plus a whole day that I just laid there by myself. Meagan: Wow. So scary. Abigail: It was so scary. The nurses came in at one point and were trying. I think it was the lactation consultant maybe. They were trying to get me to pump and everything. I think I pumped once or twice, but I was not up for doing anything. If they didn't come in and sit me up, they didn't really do it. I finally get the balloon taken out because that was what I kept begging for. I was like, “Please take this out. It hurts so bad. The pain medications aren't helping.” I didn't want to give the pumped milk to my baby as it is because I was on so many pain medications and so many antibiotics and everything else. I get the balloon out finally, and I think they took it out that night then they moved me the next day. They moved me to high-risk maternity, and they let me take a shower and eat some food and stuff before they brought my baby back from the nursery because she was fine in the nursery. That was nice to be able to take a shower and wash off all of the blood. I was so covered in blood and everything. I looked at my C-section scar and everything for the first time, and I realized I had a reaction to the tape that was on it and stuff too, so my skin all around it was all irritated. All up and down my arms had been profusely poked and prodded because they were checking my blood every four hours because of the infection and stuff. Depending on the lab tech's skill and everything, it was not going well for some of them. They kept having to poke me. The IVs weren't working for them to take blood from or something like that so they just kept having to poke me more. Again, I was having reactions to some of the tape, so my whole arms are just completely raw and everything. I was still very swollen. I was very, very, very swollen still. They had compression socks and stuff on at this point, not boots at least. They finally bring my baby to me, and then we ended up spending three days in high-risk maternity, so total, that was two days in labor, almost two days in the ICU, and three days in the high-risk maternity. Total, I spent seven days in the hospital. I get home, and they had me on blood pressure medication for a few weeks until I think my six-week appointment when I followed up, and then my blood pressure was back to normal, so I was able to quit taking the blood pressure medication and stuff. I dropped 30 pounds instantly because it was all of the swelling that just came off. I had still gained a lot of weight, but it a huge chunk of it was swelling which is so bad. It was finally over. I was settled. I'm in bed with my baby, and then the family member we were living with decided that they didn't want us living there anymore, so at three weeks postpartum, we had to move. I had only been home from the hospital for two weeks at that point. I didn't know what was going on. I didn't want to be around the situation. My husband was dealing with it. I ended up going on a road trip with my grandma to go stay with a different family member out-of-state just to make sure my baby wasn't anywhere near anything that was going on. Three weeks after a C-section and almost dying, I was driving and doing a whole bunch of other stuff– going out, walking around, and trying to put jeans on. I couldn't figure out why my clothes didn't fit. I didn't realize just how big I had gotten. It was not a fun time. It was about five days out of town, then I moved into a different family member's house temporarily where I was completely isolated by the people that I was living with. They did not understand what I was going through. They thought that I was choosing to be difficult intentionally, so that created additional problems. I ended up getting pretty bad postpartum depression which is really not a surprise. I still didn't understand what had happened to me. I still didn't understand why I had almost died. I still didn't understand. I didn't know if I had done something wrong. I didn't know what was going on. I spent a lot of time really upset over the fact that everything went wrong, and I didn't know why. Life was falling apart around me. I was not doing okay. It turned into really bad postpartum depression pretty quickly. My husband and I got our own apartment when my baby was four month's old. I was like, “Okay, things are finally going to get settled. Things are going to be okay now.” It did not settle. My depression got worse, and I didn't even know what to do. I was eating a lot because I was like, “I'm breastfeeding. I need to eat.” I basically just sat at home, didn't do anything but eat and nurse my baby. I was very thankful I was able to successfully breastfeed my baby after everything that happened to me. All of the nurses at the hospital were surprised about that and stuff. Meagan: Yeah, with the amount of blood loss and everything, that's pretty rare. It's pretty rare. Abigail: Yeah. I never ended up giving my baby a bottle or anything because I was so scared that if I tried to give her a bottle or something that it would mess up my breastfeeding, and that was the only thing that had gone right. I was doing okay for a little while, I thought, but it was not okay. I was really not okay. I was very, very sad. I was fully convinced for a period of time that they should have let me die at the hospital. I was fully convinced that the doctor did me a disservice by trying so hard to save me. Meagan: I'm so sorry. Abigail: Yeah. I finally started therapy. I started trying to get up and do more and not eat so much and get moving. I think finally around the time my daughter was a year or a year and a half, I started to feel a little bit better, and things slowly did start to get a little bit better for me, but I was fully convinced that I did not want more kids. I was like, “I am never going through that again. I do not want another C-section. I don't know what happened to me, so obviously, I would have to have another C-section because we don't even know what went wrong.” It took me until my daughter was almost three. She was about to be three when all of a sudden, my mindset shifted, and I was getting mad at myself for feeling like I wanted another baby because I was like, “I don't want another baby. Of course, I don't want another baby. I made that very clear.” We got rid of all of the baby stuff. I told everybody I wasn't having more. What was wrong with me? I was fighting internally with myself because I wanted another baby, but I did not want another baby. It was insane. I kept it all to myself. I didn't say anything. All of a sudden, my husband was like, “I think we should have another baby. I was like, “What are you talking about? You're insane.” He was like, “No, really. I think we should have another baby.” I was like, “You shouldn't have said that because I want another baby.” Meagan: Yeah. I have been actually thinking the same. Yeah. Abigail: Yeah. I was pretty surprised that I got pregnant right away. Literally, within a couple weeks, I was pregnant. It was a good thing and a bad thing because it didn't give me a chance to overthink it, but also, it was like, “Oh no, I haven't even had a chance to think about this. This is definitely what's happening.”I started going to the doctor right at five weeks. They started doing ultrasounds right at five weeks. They were checking me for everything every time, all of the time. I had so much anxiety. I made that very clear to them. I think that's part of the reason that they checked everything all of the time and were trying to be more reassuring. They did ultrasounds at almost every appointment. Most people don't even get an ultrasound until 12 or 20 weeks. Meagan: And then that's the only one. Abigail: I had four of them before I even went for my anatomy scan. They were trying to watch everything and make sure everything was fine too because again, they didn't do my care last time. This OB place did my follow-up care afterward. They saw the aftermath of everything, and they were concerned and stuff. That's what we were dealing with. I was dealing with some nausea, so they gave me some pills for that. Come to find out, one of the side effects of one of the medications they gave me was anxiety. I was fighting a losing battle with myself because I was taking these pills for the nausea. I wasn't eating because I was anxious, and I wasn't eating because I was nauseous, then I was getting more anxious. It was a rough first 20 weeks I would say. Then I did start feeling better, thankfully, so I was able to start eating and stuff again. Once I felt better, I was eating ice cream and all of those things that I wanted and all of that. It was fine. I was doing fine. I was doing all of my appointments and stuff, then it comes up for my gestational diabetes testing. The doctor says, “You need to do this,” and immediately, I was like, “Yes, please. I need to do that because that's one of the things I didn't do last time. I need to do everything to make sure I'm good.” I need to backtrack a minute, I'm so sorry. At my first intake appointment at five weeks when I met with one of the– they're nurses, but it's not the nurse who actually checks you and stuff. They have an office at the OB's office, and they check in, and they ask, “Do you have transportation for your appointments? Do you need help with anything? Do you have access to food? Are you in a safe relationship?” I let them know what had happened previously with me, and she was like, “Oh, well then you might be interested in this. This is something new your insurance covers. You could get a doula if you wanted since it sounds like you wanted to have a more natural experience last time.”Meagan: That's awesome. Abigail: Yeah. Immediately, I was like, “Hell yeah. Let's do that.” I didn't have a doula last time. Again, last time was COVID. I was already trying to pay for the midwives. It wasn't something I thought about one, because I thought I was having a home birth with a couple of midwives. I didn't think I needed a doula. Also, I didn't fully understand what they were and the actual extent of the benefits of them. I was like, “Yeah, totally.” The first thing I did when I got home was call. They were like, “Yeah, we take your insurance. We can get you set up. We're taking new clients. Let's get you in for an appointment.” I started seeing a doula sometime in my first trimester. I don't remember exactly when, but I remember I pulled up the office and I got out. I was like, “This can't be right. This is too nice. There's no way my insurance covers this.” I was shocked at the care I received from my doula service. I'm just going to go ahead and give them a quick shoutout just because they are amazing, but it's Haven for Birth in Sacramento, California, and they do amazing work for a lot of different things. I still attend lactation meetings and stuff with them monthly. Meagan: That's awesome.Abigail: It's such a great team of people. I got the doulas that they set up for me because there are two of them. There's a main one and a backup one. My main doula's name was Heidi, and the backup doula's name was Francine. They were both so sweet and wonderful. Heidi has been doing doula work for a good amount of time. She owns a chiropractic business and Haven. She's the main one, and she's the one who has dealt with higher-risk pregnancies and things like that, so she was my main source of support and throughout everything. I would text her if I needed something. She was so reassuring. She was like, “Yep. You can totally have a VBAC if that's what you want to do.” I was like, “Really? I can do that, okay. I'm going to talk to the OB about it.” The OB was like, “Yeah. It's completely up to you. As long as you are fine and we watch everything, that's fine.” I really did feel like they were supportive. It wasn't like, “Well, if you are okay, then you can.” It was like both of the OBs that I had seen, one of them was a guy and one of them was a girl, and both of them were like, “Yeah, as long as we keep everything in check, you are totally fine. I don't see why you couldn't.”I started to feel a little more confident in that. I had a lot of anxiety about it and for a couple of weeks, I did contemplate scheduling a C-section just to ease my own anxieties, but I didn't feel right with that choice. I really didn't. I was like, “I need to try.” It was tough, though, because I was like, “I don't know how I'm going to deal with the feelings of trying and not succeeding,” so that was the struggle of, “Do I want to just have a C-section that way? I get what I want no matter what,” but I didn't feel like I wanted to do that. I worked really, really, really hard to get my VBAC is basically what ended up happening. Back to where I was, I get my gestational diabetes testing done, and the first-hour one comes back really high. I'm like, “Okay, that's concerning.” I texted my doula about it. She was like, “It's okay. You're going to do the three-hour one. You'll probably pass the three-hour one, but even if you don't, it'll be fine.”I failed the three-hour one really bad. My fasting number was fine, but the rest of the numbers were very elevated, not even just a little bit. I was like, “Oh, okay.” This is all starting to make sense. I had a lot of anxiety initially about what I could or couldn't eat because I didn't feel the greatest, and I was letting myself eat what sounded good to make sure that I was eating. It was a rough week initially when I got that, then it took them a minute to get me the referral in for the program, the Sweet Success program where I was actually able to talk to nurses and dieticians there. Once I finally got in with them, I met with them a few times throughout the end of my pregnancy. I did feel very supported by them. They were very nice. The dietician was willing to meet with me one-on-one instead of a group setting because I was having issues with eating and not wanting to eat and feeling very concerned that I was going to hurt myself or hurt the baby.They did a very good job making sure that I was cared for. We completely changed up my diet. I started walking after every meal. I started checking my blood sugar four times a day, so first thing in the morning, then after breakfast, after lunch, and after dinner. I basically, immediately after eating, would get up and do the dishes or clean up the food I had made or pick up the house or start some laundry or something so that I was getting up and moving. Only a couple of times, there was only once or twice where my blood sugar numbers were higher than they really wanted by more than a point or two. I did a really good job keeping those in check with what I was doing and watching what I was eating very closely and monitoring my portion sizes and realizing what I could and couldn't eat. Once I got to the point of 36 or 37 weeks or whatever where they were like, “Okay, this is the plateau. It's not going to get worse than this,” and I realized I was able to keep it under control and things like that, I would let myself have a couple of bites of a cookie here and there. It wouldn't spike my blood sugar or anything because I was doing everything I needed and that made me feel really nice because I was able to eat the stuff I really liked as long as that was within reason.We met with the doula multiple times. She came over and did a home visit at 37 weeks. I had been having Braxton Hicks contractions from the time I was 19 weeks because we got COVID. We got RSV, and we got a cold. We got a cold. We got COVID, and we got RSV. Meagan: Oh my goodness. Abigail: Yeah. That was the whole first half of my pregnancy along with dealing with nausea and everything else. I found out I was pregnant the beginning of September. We got a cold in October. I got COVID in November, then in December, we got RSV, and my daughter who was three at that point spent five days in the hospital, so I spent five days in the hospital right next to her dealing with RSV while I was pregnant. I feel like the coughing kickstarted Braxton Hicks contractions almost because at that point, I started having them pretty regularly. From 19 weeks on, I had tightenings all the time. Some days, they would be worse than others, but because I was so active, it definitely– I never got diagnosed with irritable uterus or anything, but I think that's what it was because it would get really irritable when I would do pretty much anything, and I was doing things all of the time. At 35 weeks, my contractions started getting fairly intense-ish. They weren't painful at all, but it was every 3-5 minutes, I was contracting. I drove myself to the hospital. I was like, “I'm fine. I'm not concerned.” I didn't bother my husband or my doula or anything. I let her know I was going, but I was like, “Don't worry about it.” They hooked me up. They checked me and everything. they were like, “You're hydrated. We don't need to give you fluids or anything.” They were like, “How are you feeling? You've got to tell us if they hurt or not because we can see them on the monitor, but you've got to tell us how you're feeling.” I was like, “I just feel annoyed. They tighten up, and it's uncomfortable when they do, but nothing hurts. I'm annoyed.” They were like, “Okay, let's check you.” I was still completely closed with no baby coming down. So they gave me a single pill to stop them and sent me home. It worked. It slowed them down for the rest of the night, then they kicked back up to their normal here and there the next day. But for the next couple of weeks, I kept it fairly easy. If I noticed I started I was having more of them, I would try to go lay down. I was able to have my baby shower at 36 weeks which was wonderful because I had not had a baby shower for my first baby because of COVID. I feel like 36 weeks was almost pushing it because my family had asked if we wanted to have it later to have somebody else be able to join us and I was like, “No, no. Please don't push it later. I don't trust that.” It was like I knew that he was going to come just a little early, but I was doing all of the things and still having the regular Braxton Hicks contractions and everything. They were doing multiple growth scans on my baby because he started measuring small at 28 weeks, I think. At his 28-week scan, they noted that his kidneys were slightly enlarged, so they wanted to follow up on that. They followed up on that at 28 weeks. His kidneys were completely fine. We never had another incident with that, but they noticed he was measuring a little smaller so they started doing regular checks. By the end of my pregnancy, I was having a growth scan every week, so they went from, “Let's check you in six weeks. Let's check you in four weeks. Let's check you every two weeks. Let's check you in a week.” They noticed he was measuring small, and he continued measuring small. Meagan: They were regressing, or he was staying on his own growth pattern but small?Abigail: He was growing but not a lot. Meagan: Okay, yeah. He was staying on his own pattern. Abigail: They didn't want him to drop below the 10th percentile, and if they did, they were going to be concerned. He did get right to the 9th or 10th percentile, so they did start to get concerned. They labeled him IUGR. They were doing non-stress tests on me twice a week. Basically, by the end of my pregnancy, I was seeing the OB, the place for the non-stress tests, the gestational diabetes program, the place for the ultrasounds and growth scans, a therapist, a hematologist because I ended up having to have iron infusions and B12 injections, and the doula's office, so seven places. Almost all of them wanted to see me every week. Meagan: Whoa. Abigail: I was running around, super active towards the end of my pregnancy. I was still taking my daughter out and doing all of the things with her as well. I noticed after my baby shower at 36 weeks that my feet were just a little puffy, and I was like, “Huh. That's funny.” It hit me all of a sudden. I was like, “My toes are kind of pudgy.” I'm 36, almost 37 weeks pregnant, and this is the most swollen I have gotten. It was not up my legs. It was not even in my whole feet. It was my toes and the top of my feet, not even my ankles. They were the tiniest bit puffy. I had this moment of clarity where I was like, “How did nobody notice that something was so wrong with me?” I was shocked because I'm looking at myself and I had gained a total, by the end of my pregnancy with my son, of 25 pounds, and that was it. With my daughter, by the end of it, I had gained 70 pounds. Again, how did nobody notice? I am shook. I thought on that for a long time. I'll come back to that, but I thought on that for so long. I ended up emailing the midwives who had provided me care. I was having a day. I went off on multiple people that day. I was not having it, and I emailed them, and I sent them a four-paragraph email about how they let me down. They should have known better. Somebody should have noticed something was wrong. They should have asked for a second opinion. It was ridiculous. I was shook that they didn't push harder for gestational diabetes testing, and all of the things because clearly at this point, I realized that my blood sugars being in control has made all of the difference. Not knowing, you can't do what you need to do which is why I'm such a big advocate for informed consent and gestational diabetes testing. I know sometimes I see people saying that they want to skip it because they are fine. I had zero of the actual risk factors, and I still had it. I'm just putting that out there. That's my main thing for this. Definitely get checked, and stay active, and watch your blood sugars because it's a really, really serious thing. I literally almost died. Sorry, I keep jumping around. My son was measuring small, so they started doing all of the tests and everything, and they couldn't find anything wrong. They were like, “Your cord dopplers look great. The blood flow looks great. Nothing specifically is measuring small. His head is not measuring smaller than the rest of him.” He was very, very, very low in my pelvis. I was waddling from 32 weeks on. He was low the entire time. I could feel him moving regularly. He was super active. I felt confident in myself. I felt safe. I felt good. they were telling me he was fine. Everything was looking fine. My fluid levels were looking good. My non-stress tests were always good. They make you sit for a minimum of 20 minutes, and if they don't see what they need to see in 20 minutes, then you need to stay longer. I never had to stay longer than 20 minutes. It was always in and out. He was always moving. His heart rate was always good. When they started mentioning induction at 37 weeks, I was like, “I don't want to be induced. I don't. There's really no reason.” They were like, “Well, he's measuring small. Your other baby last time was so much bigger. He is so small. This is such a concern.” I was like, “But I think there was something wrong with me and my baby last time. I don't think she should have been that big for me.” I thought that was the problem. I tried explaining that to them that I think they had it backward. They should have been concerned about how big my last baby was because they didn't check my blood sugar when I was in the hospital or anything. They didn't check it. Everything was fine. I was feeling fine. I was having pretty regular Braxton Hicks still. I was convinced I was going to have him early. I told him that. “I will have him early, and you're not going to have to induce me. I promise you. You're not going to have to induce me.” I told the doula that I promised the doctors and the specialists that I was not going to have to be induced. She was on my side. She was like, “Okay. We can try some midwives' brew if we get to that point. We'll talk about it.” I didn't end up getting to that point, thankfully. I had another scan at 37 weeks and 36 weeks. At 37 weeks, the doctor was like, “Okay, well, I specifically want to see you next week. I want you to come out to my other office next week because I specifically want to see you. I don't want you to see the other doctors. I want to follow up with you.” I was like, “Fine. I'll drive to Rosedale. No problem.” It wasn't farther than the other office I had been going to. I didn't get that far. I went into labor at 37 and 6. It had been a normal day. I had taken my daughter to the jumping place and had gone to the grocery store. I messed up when I went to the grocery store and the jumping place. I parked too far out, and I didn't think it through. I jumped near the jumping door, not the grocery door. Walking in was super close, but then I had to walk all the way back carrying my groceries. The carts didn't go out that far or anything. I'm like, “Oh my gosh. This is so heavy.” I'm still having Braxton Hicks the whole time. I'm feeling fine. I haven't had any kind of mucus plug activity or none of that. There was no swelling in my feet or legs. My blood pressure had been good. I checked it regularly. My blood sugar had been good. I had checked it regularly. I get home, and I'm like, “Man, I'm tired.” I got up, and I kept doing laundry and stuff. My husband gets home from work. He's like, “Hey, do you want to go out to dinner? We can go to the restaurant up the street.” I'm like, “Yeah, it's a beautiful day out. It's the beginning of May. That's a great idea.”It's a 3-minute walk from my house to the restaurant. I'm not kidding. About halfway there, I stopped, and I was like, “Oh. Well, that one was a little more uncomfortable than they have been. Okay. I actually felt that.” It felt like a bad period cramp, but also tightening with the Braxton Hicks at the same time. I was like, “I'm fine.” I kept walking. We get to dinner, and I notice at that point, I'm having mild contractions every 10 minutes. We ate food. I had sushi, and I know that rice spikes my blood sugar, so I try not to eat too much of it, but I was like, “You know what? I feel like I'm going to have them. I just need to make sure that I eat.” I ate my dinner. We walked back home. It was still about every 10-12 minutes that I was having mild contractions. We went about the evening as normal. I put my daughter to bed and stuff. I took a shower. My husband and I were watching some TV. I was bouncing on the ball. I wasn't really telling my husband that I was super uncomfortable at that point yet. It hit all of a sudden. It was 11:00 PM. At this point, it was 6:00 PM when I felt the first slightly uncomfortable contraction. It's now 11:00 PM. I'm like, “Okay. This is actually starting to get a little bit more uncomfortable.” I got up, and I paced around the living room. My husband was like, “Uh-oh. We should probably go to bed.” Yeah, we should probably go to bed. That was a good idea. We went to bed, and I did not sleep. I think I slept for about seven minutes because at that point, it went to seven minutes, not 10 minutes. I started timing them on my phone. I texted my doula. I made sure I had all of my stuff ready just to be safe. I made sure the house was picked up. I tried to sleep. I let the doula what was going on. She was like, “Don't worry about timing them, just get some rest.” I was like, “I'm not trying to time them, but every time I have one, I look up and I see the clock. This is happening.” She was like, “Okay, well I'll start getting up, and I'll be ready to head over if you need me. I want you to take a shower.” It took me a good 45 minutes or a half hour or something like that to actually get from hanging around my house to getting in the shower because I started shaking really bad, and I was starting to have contractions pretty quick together. They started getting closer and closer together. My husband ended up texting her at that point, “Hey, she's int he shower. I think contractions are getting closer together. They are two minutes apart at this point. You should probably head over.” She gets here pretty quickly. My daughter is still asleep. At that point, my doula was like, like, “Yeah, I think you're in active labor. We should think about heading to the hospital.” I'm only 10 minutes from the hospital, but my daughter needed to get picked up. I put my bag in the car. We call family. I get my daughter picked up. She hadn't heard anything. She hadn't noticed I was in labor. I wasn't being necessarily loud, but I wasn't also being super quiet or anything. She gets picked up. She's mad she's awake. It's 2:00 AM. We get ready to go, and by the time we get down the stairs, because I live in an upstairs apartment, so I'd been pacing the whole upstairs in my apartment and everything, I was super afraid my water was going to break in the car so I put on a Depends because I was like, “I'm not going to have to clean that up later because I'm going to be the one cleaning it up later, and I don't want to have to deal with that.” My doula was like, “Chris, get her a bag in case she throws up in the car. Let's go.” She tried checking my blood pressure, but I kept moving and stuff, so we couldn't get an accurate reading which made me that much more anxious. I was so afraid that by the time I got there, everything was going ot go bad. I had convinced myself that it was fine, but there was this nagging voice in my head that was like, “No, no, no, no, no. Everything went wrong last time, so surely, you are going to die this time.” I was like, “Nope. I am fine. Everything has been fine. They are aware. They have blood on deck for me. It's going to be okay. I've got this.” We get to the hospital. It's 3:00 in the morning. It's fairly quiet. We parked in the parking garage which was across the street. We walked through the parking garage. We take the elevator. We take the walk bridge across. We get into the hospital, check in with security and everything. they were like, “Oh, sweetie, do you want a wheelchair?” My doula was like, “No, no, no. She's fine. She will walk.” I'm like, “Yeah, okay Heidi. Walking is a great idea.” I mean, that's what she's there for. It's fine that I kept walking, honestly, because we had to walk from one side of the hospital to the elevator to take the special elevator that goes to the 6th floor. We're about halfway to the elevator, and I'm like, “Oh, I think my water just broke.” My water broke walking into the hospital which was that much more convenient. We get in. We get checked into triage. The nurse is so nice, and she was like, “It's okay if you want to give me a hug,” because they wouldn't let my husband or my doula in at first. I gave the nurse a hug. She was so nice. They were like, “We need a urine sample.”At that point, basically, from the time labor started, I couldn't pee. That was an issue, so they were like, “Don't worry about it. It's fine. Let's get you back on the bed. Let's check on you, and see how you are doing.” They said I was a 4 or a 5 depending on who checked and who assessed.They asked me about pain medication and stuff, and I was like, “I'll get back to you. I'm doing okay.” Contractions are about every 2-3 minutes at this point. My water had broken on the way in. They tried doing one of the swabs to check it was my water and not that you peed, and the nurse was like, “I'm not even going to send this in. It's fine. I know that it's your water.” They got me in pretty quickly. By the time I got into a room, I was like, “I would like some pain medication please.” They were like, “Okay, do you want an epidural? Do you want IV medication?” I remembered when I was in labor with my daughter, the nurse had initially offered me what was called a walking epidural, so I asked because I remembered declining that with my daughter. I was like, “No, no, no. I don't want to do anymore walking. That's the point. I don't want walking. no walking.” This time, I was like, “That actually sounds like I wanted to know more about that.” I asked the nurse more about it. She was like, “It's still an epidural. It's put in your back the same. It's just different medication. It's lower doses or different medication or whatever it is. It's going to provide some pain relief, but you're not going to be numb. You're still going to feel everything.” I was like, “Honestly, that sounds like what I would like. That sounds like it's a really good idea.” I was having a very hard time taking a deep breath. I was having a very hard time relaxing because I was so afraid that something was going to go wrong. At that point, my blood pressure was fantastic. Everything had been normal. No protein in my urine, no swelling, no high blood sugars, nothing. I was like, “Okay, this is going to be fine. I'm going to be fine.” I felt a little weird about asking for pain medication because I was adamant that this time, I was going to do it without it, but they called the anesthesiologist. He comes in, and he says, “Okay, are you sure you want the walking epidural? That's definitely not going to get you were you want to be pain-wise.” I was a little ticked off, but I was like, “Just get me what I asked for, please. If I change my mind, I will tell you.” That's the thing. If you change your mind, all they have to do is switch up your medication. It's not continuous with what I got. It's just a bolus of medication, and the little thing is taped on your back. You're not actually hooked up to medication or anything, but if I wanted to be, all they had to do was hook it up. I was like, “I'm fine. I don't need that. Thanks, dude.” They get me that, and they made me stay in bed for the first hour just to make sure I was okay and my blood pressure was fine and everything. My blood pressure was fine. Everything stayed fine. My blood sugar was a little high at this point. It was two points over the max where they want it to be. My husband ran down to the gift shop and got me some trail mix, cheese, and meat things. I ate that. They checked my blood sugar in a little bit, and it was back to a healthy, happy, normal range, so they weren't concerned. I was like, “I ate rice the night before, guys. That's all it was. You checked my blood sugar in the middle of the night after I had rice. Of course, it's going to be a little high.” At this point, it's 4:00 AMish. I stayed in bed for the first hour. My doula was like, “Okay, let's get you out of bed. Let's get you moving.” I was out of bed almost the whole time. I did spend a little bit more time in bed at one point. I had the initial bolus of medication. That was all I had, so at this point, I can feel the contractions are getting stronger, and I can also feel that the medication is also starting to wear off. It started getting more intense. I was on the toilet for a minute. I was still having the issue where I still could not go pee. My doula kept feeding me water after every contraction, so they were keeping an eye on that. My doula was keeping an eye on that and stuff. It got to where it was 8:00 AM, I think, so at this point, I had been in labor for a total of– from the time contractions actually started being painful at midnight to 8:00 AM– 8 hours. I was on the side of the bed leaned over the bed. They had it at my height. My husband was rubbing my back. The nurses were there taking care of me and making sure I was good. All of a sudden, she's like, “Okay, honey, I think it's time to get you back in the bed.” I was like, “What?” She was like, “We've got to get you back in the bed. With the noises you're making, and squatting down, we've got to get you back in bed.” With every contraction, I was bearing down. Meagan: And they just didn't want you pushing standing up, type of thing? Abigail: I think they wanted to check me and see how I was doing and everything. They had me on continuous monitoring, which initially I didn't really want, but up until that point, I hadn't minded the monitors. It was just at that point because I kept moving, and I was so sweaty. I was so sweaty. My IV kept slipping off. The monitors kept slipping off. My gown was drenched. My hair was drenched. They kept re-taping my IV, and I was like, “Can you please just take the IV out? It's bugging me.” At that point, the IV was somehow more painful than the labor. I was coping with labor, but I kept feeling the IV in my arm because they kept having to poke it and mess with it and stuff because it wasn't staying in. They ended up leaving it in which I was annoyed with, but I was in and out of at that point.They get me back in the bed, and they check me. They're like, “Okay. You're already starting to push. Let's get the doctor in here. Let's do this.”I'm on the bed. I've got the squat bar. I'm up on the bed on the squat bar. I'm kneeling in a lunge position. I've got one knee up and one knee down. Every contraction, they were having me switch my knees which started getting really uncomfortable for me. I felt so heavy, and I was falling asleep in between each contraction it felt like. I wasn't all the way there, but they ended up saying that my son's heart rate was dropping just a little bit, and they were like, “Okay, let's get him out. Let's move this along.” They pulled the squat bar, and they had me on my back. The bed was propped up. I was upright, and they had me holding my own legs. I was having a hard time because I was so sweaty that my hands kept slipping off the back of my thighs. They were like, “Okay, you need to push. Let's push.” I wasn't really listening to them. They were trying to do coached pushing, but if I didn't feel like it, I just wasn't doing what they were telling me. I was more listening to my doula than anything else because I felt like I trusted her and what she was saying more than anything else. I told them, I was like, “I feel like it's pulling up. I feel like it's pulling up.” They were like, “Okay, lower your legs a little bit.” It was really nice that I was able to feel everything. I put my legs down a little bit, and that helped a little bit. I don't know exactly how many pushes it was. I don't know if anybody counted, but it ended up being 13 minutes that I pushed for from the time they got me in the bed and were like, “Okay, you're pushing,” to “Let's get you on your back. Give a couple good pushes.” I think it was two pushes once I was on my back and he was out. Meagan: That's awesome. Abigail: He came right out. I had a small right inner labial tear, no perineal tears, and then I don't think I actually tore up, but I noticed I was sore afterward up toward my urethra, but they ended up only giving me one stitch on my right labia. That was fine. They did numbing shots and everything for that, and I could feel the numbing shots and everything, and I didn't like that. It's uncomfortable, but it was fine. I felt fine. I felt good. They put him right onto my abdomen because his cord was so short that they couldn't put him any further up. I wish they would have waited just a little longer to cut his cord, but they were like, “He's hanging out down here where we need to be,” because his cord was so short, which makes sense that he was head down the entire pregnancy and didn't move. He stayed right there. He flipped and rotated. Meagan: Transverse. Abigail: Sideways. He would put his butt back sometimes and toward the side sometimes, but that's all he would do. His head was in my pelvis the entire time. He comes out. Once they cut his cord, they moved him up to my chest and everything. They got me cleaned up and everything. Everything was fine. I got my golden hour, and he didn't want to nurse right away, but he was fine. They were taking bets like, “Does he look like he's over 6 pounds or what?” He ended up only being 5 pounds, 5 ounces. Meagan: Tiny. Abigail: He was a little, tiny guy. He was barely 18 inches. I had him right at 38 weeks, so he was a little small. He was closer to the size of a 35-week baby. Meagan: Mhmm, and he had IUGR. Abigail: I don't think there was anything wrong with him. I think I'm a very small person, and I think my first baby was too big because when I look at pictures, my daughter's head was coned off to the side, and I know that she did not have room to move around in there. She was stuck where she was stuck. Meagan: That would mean it was asynclitic probably. Her head was coming down wrong. Abigail: Yeah, which is probably why it hurt so bad. I know that now, initially, it started even with early labor. I don't think that even once I had an epidural with her, they were using the peanut ball. They were changing my positions. They were doing all of the things, and she wasn't coming down any further. She wasn't moving, and I wasn't going past a 7. I think that she was too big which I think is from having unchecked gestational diabetes. Even though she was considered an average-sized baby. I'm not an average-sized person. I'm really, really, really small. Me having a 5-pound, 5-ounce baby seems about right.He came out perfectly healthy. There was nothing wrong with him. His blood sugars were good. His blood pressures were good. Everything was great. And now at seven months, he's still slightly on the smaller side, but he went from being in the 2nd or 3rd percentile or whatever he was born into all the way to about the 20th. He's almost caught up. He's healthy. He's chunky. There wasn't actually anything going on with him. I think that says a lot to the fact that I'm just really small and my first baby was the result of an unhealthy pregnancy. I didn't have a postpartum hemorrhage. I didn't need any extra medication. I didn't need Pitocin. I didn't end up getting a full epidural. When they asked me about my experience, I made sure to tell them that the anesthesiologist should choose his words more wisely. It went well. I waited two months afterward to see how I was feeling and everything, and I do not have postpartum depression. Meagan: Good. Abigail: No more anxiety than what I regularly deal with. I have had a great time. Everything is just completely different, and my son is already seven months old, and I am already at a point where I'm like, “I want another baby.” I don't know if I'll actually have another one or not. I mean, there are financial reasons to consider and actually giving birth to another baby and raising another human. It's not just a baby. It's a whole other life. It's a lot, but I have baby fever already. I would absolutely do it again, and I just had him. Meagan: Oh, that makes me so happy. I am so happy that you had such a better experience that was more healing and positive and has left you having a better postpartum for sure. Abigail: It was a completely different experience. I mean, night and day. I'm just trying to make sure that I didn't miss anything. I think the only thing that ended up being different was like I mentioned, I couldn't really go pee. I did end up having to have a catheter at the end of my labo

Pregnancy is hard enough, but what happens when you sprinkle some complications on top of it all? Sarah finds out she's breech this week and learns that labor might get complicated. She shares some ways to flip your baby, combatting Braxton Hicks, and how to wrap your brain around a delivery that might look different from what you planned for. She also talks common Week 34 symptoms, baby's development, tips for the week & a to-do list to help keep us all on track Some Resources Mentioned in Today's Episode: Moves to help "flip" the baby: SpinningBabies.com Medication used to manage preterm labor - Nifedipine Want more from Sarah? Personal Instagram: @SarahMerrill_Hall Share some Laughs: @bigkidproblems Check out the NEW IG @bottleserviceBKP Shop Sarah's Pregnancy/ Postpartum Must Haves on Amazon Shop Bottle Service MERCH!  Learn more about your ad choices. Visit megaphone.fm/adchoices

G-d hides Himself from creation so we can exist.

You get to decide what will work best for you. It's important to plan for the birth you want, the one that will light you up and bring you joy, whether if it's with an epidural, an unmedicated birth, or somewhere in between. You get to pick! Have all the information to make those decisions. Links Mentioned:My Essential Birth CourseMy Essential Birth Instagram3 Free ExercisesGET IN TOUCH!

Merry Christmas and Happy Holidays, Women of Strength! We have another beautiful VBAC birth story for you today from our friend, Georyana. Georyana shares how she went from having an unplanned Cesarean with her first birth to a planned HBAC but unexpected breech delivery!During her first postpartum period, Georyana experienced postpartum preeclampsia, depression, and anxiety. She and Meagan dive into coping tools and resources available for anyone else going through the same.While prepping for her VBAC, Georyana also talks about the power she felt while listening to other stories on The VBAC Link Podcast. She knew she had to give her body the chance to show what it was capable of. “If it could happen for her, it could happen for me. Why disqualify myself? Why disqualify my body?”Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. Merry Christmas to you. It's so fun to be recording today. It's actually not even October. It's September when we are recording, but it's so fun to think how close we are to Christmas. I hope you guys are having an amazing day, and if you are listening the day after Christmas, I hope you had an amazing Christmas. We have our friend, Georyana, with us today, and she is from Florida. Hello, love. How are you? Georyana: I'm doing well. How are you? Meagan: I am so, so great. I was going to say that as you may hear, she's got her little one on board, so we may hear all of the little baby coos and noises. What is your baby's name? Georyana: Her name is Sophia Victoria. Meagan: Sophia Victoria. I love it. I'm so happy she's here. I actually love when we have babies because I don't really hear those noises anymore. I hear them as a doula for a minute, but I miss those little coos. It's so fun. Okay, like I was saying, she is from Florida. She's a stay-at-home mom of two beautiful babies, a three-year-old and this one-month-old that she's got with us. She works part-time remotely and is a Christian and serves as a worship leader for the youth group worship team. Is that correct?Georyana: Yes. Meagan: Awesome. I love that. She says that she's officially started homeschooling her toddler this year which is super exciting. That is exciting. We've had so many moms on the podcast lately who are like, “I've quit my job. I'm homeschooling,” or “My full-time job is homeschooling.” That's amazing. Georyana: Yeah. Yeah. It really is just to be able to soak in all of these moments with your kids. Time flies so fast. You just want to treasure everything. Meagan: It's so true. It really does. I have a 7th grader which is crazy, so yeah. Super crazy. Remind me, you used Needed's iron?Georyana: Yes. I've actually used it for postpartum.Meagan: Yes. I wanted to talk about that because we talk about their prenatals and all of the other things to do during pregnancy. We haven't really talked about the iron, so can we talk a little bit about why you're taking iron and how it's been?Georyana: Yeah, so after this pregnancy funny enough which is something I'll tell during my story, but I passed out after I gave birth. I believe it was due to a lot of blood loss and low hemoglobin, so after I gave birth, I kept taking my prenatals, but my prenatals only had 15 milligrams of iron in them. That's when I decided to go for Needed. I had heard of a lot of amazing reviews. I had heard about it too on The VBAC Link. I'm only taking one additional per day, so I'm taking around 30 milligrams of iron. Meagan: Have you noticed a difference?Georyana: Tremendously. Yeah. Yeah. Definitely less fatigue, more energy. I was getting dizzy a lot during the early days of postpartum and breastfeeding, so that helped a lot too. Meagan: That's what I was going to say. It's probably helping you breastfeed as well. Georyana: Yeah. It's definitely an amazing supplement. Meagan: That's so awesome to hear. I believe in Needed's products wholeheartedly, so it's so fun to see that other people are loving it too. We do have a Review of the Week, so I want to get into that really quickly, then we are going to turn the time over to you to share these stories. This is from nnoah and it says, “Generational trauma”. It says, “This podcast and the Facebook group have been a godsend to me. After my 56-hour failed induction and emergency C-section due to very low heart decelerations with my daughter, I told my husband I would be happily scheduling my C-sections from now on. My sister-in-law told me I could VBAC, but I had no hope that my body could birth after such a drawn-out process that ended in ‘failure'. My mom had three C-sections herself with the first being highly traumatic, and I never realized how much her birth experience has influenced my own physiological state as I approached labor and delivery. I researched everything with my first from breastfeeding to infant development and sleep, but I did not read a single book or take a single class on birth. Now, I realize it was because of how much fear and trauma I was carrying around with me from my mother's experiences. I walked into birth ready to fail because I didn't think I could do it. I wasn't tough enough.”She says, “After listening to this podcast, it has me believing in my body and preparing my mind even more before we try to conceive our next baby. I have begun working through my birth with How to Heal a Bad Birth,” which we absolutely love if you want a good book on how to heal a bad birth. That is one of our favorites. It says, “I've already interviewed a VBAC-Link certified doula to assist me in my next birth when we conceive. The resources, podcast, and recommendations here have had me anticipating my next birth with excitement rather than dread. I couldn't be more grateful for this resource. Thank you.” Wow. So many things within that review. I one, am so thankful for that amazing review, and I want you to know that we are here for you and this community and these stories are here to help empower you even further going into your next birth. I love that she said that she had a doula before she was even conceived. She's found the doula she's going to hire, and as soon as she conceives, she can hire that doula. As a reminder, just like she said, we have a VBAC directory with VBAC-certified doulas. You can go to thevbaclink.com/findadoula and look for a doula in your area.Okay, mama. Oh, look at this cute little baby with a full head of hair. Georyana: Yeah, she had a lot of hair. That's how she was born, with a lot of hair. Meagan: Her hair was probably born first. It's so long, oh my gosh. Oh, I'd love to turn the time over to you to share these stories of yours. Georyana: Okay. Well, just like every VBAC, it starts with a C-section. Mine was in 2021 with my first son. It was an overall healthy pregnancy quote-on-quote. Every prenatal visit was normal for the most part. There was nothing out of whack. I do want to be transparent and say that I did not eat healthy or exercise knowing that I was supposed to. I remember working at this part-time job, and literally after I was done clocking out, I would go straight for the Chick-fil-A. It was Chick-fil-A every day. I ended up gaining around 87 pounds during my pregnancy. Meagan: Wow, okay. Georyana: I was 215 when I delivered. At around 39 weeks with my OB/GYN, she was like, “I want to schedule a C-section because your baby's measuring really big.” We did the whole– I forget the word– where they actually check the baby's weight. Meagan: Oh, like a growth measurement in an ultrasound. Georyana: Yeah, she was like, “This baby is already a 10-pounder.” I was like, “Oh my gosh.” I was freaking out because I really wanted to give birth naturally. That was something I had told her about, but she was like, “No, let's schedule a C-section.” We were going back and forth, and she was like, “Okay, well at least we are going to get an induction date.” She set up an induction date for March 15th. It was a Monday. I started going into labor. I started going into labor on Friday spontaneously. I went into spontaneous labor. I didn't really know that much about laboring at home and all of the things like right now that I know you're supposed to do. Yeah. I had labored at home for an hour or two until contractions started getting intense. I went to the hospital which was an hour away. I checked in. They checked me. I was 2 centimeters dilated, and they took my blood pressure. They were like, “You have high blood pressure.” They didn't give me a reading or anything, but they were like, “We're going to make you stay. We're going to have you stay. We're not going to send you home.” I was like, “Okay. You guys know what you're doing.” I started laboring for an hour or two, and then a nurse came in and I had explained, “I really want to try and go for a natural birth.” She was like, “Okay. I'm going to give you an hour. I'm going to give you an hour.” Meagan: What?Georyana: “I'm going to give you an hour and see where you are as far as dilation and as far as progressing.” I was like, “Okay.” An hour went by. Mind you, I was strapped to the chair because there's something that you're never really taught, to move around while you are laboring. At the one-hour mark, she comes in. She checks me, and I've gone nowhere. She goes, “I'm going to put you on Pitocin.” Things started getting really crazy at that point because it was my first time feeling contractions, and those contractions were horrible. They are so intense, and now having had experienced these natural contractions from my VBAC, you can automatically tell the difference. She puts me on Pitocin. I labor and I had my husband with me. It was back-to-back contractions to the point where I could barely breathe. I had taken one birth class, but it was the standard information. They never really teach you how to breathe or the importance of getting your mind right, and the importance of your mind and how it plays such a huge role in birth.I just kept laboring. I kept literally squeezing my husband's hand. I couldn't allow him to go anywhere. It was horrible. As the hours passed, things started getting worse and worse. They ended up breaking my water. Then it was more Pitocin. It was already Saturday the next day. I hadn't drank anything. I hadn't eaten anything. There was no ice. There was nothing. Yeah. It just felt horrible. I just stayed. At one point, I couldn't handle the pain anymore so I asked for an epidural. Crazy enough, when the anesthesiologist came, he was with a student. He had asked the student to put the epidural inside of me. They had me sign a consent form. I was like, “Oh my gosh, what is this?” I had heard about the epidural and that it was supposed to numb you, but I never expected to get to that point.I got the epidural, then I just started feeling numb. It numbed me completely down. The day went by. It was Saturday, then I eventually reached a 10. It was 10 PM on that Saturday. I was like, “Okay, well I want to try and push.” I tried to push for an hour or two, and basically, that went nowhere because they had me pushing on my back. They were trying to tell me, “Just try and push as if you are trying to go to the bathroom and poop.” It was just so frustrating because I was trying, and nothing was working. Eventually, they were like, “Your son's heart rate is dropping. We just have to do a C-section.” When she told me that, I felt like my world came crashing down because I didn't want it at all. But in that moment, as a mom, you are so vulnerable. You are going through so many emotions mentally, emotionally, physically, and so many things that it's just so hard to make a decision. Obviously, you want what's best for your baby. I was like, “Okay. Let's just do a C-section.” They didn't put me to sleep entirely. It was just my legs, but I just remembered that when they did that, I lost it. I had a very severe panic attack. I was like, “I can't feel my legs. I can't feel my legs.” There were all of these nurses around trying to calm me down. Eventually, we went to the C-section room. My husband was with me, and they did the procedure. My son was born thankfully. They made sure he was okay. They put him near my chest for a minute. They cut the cord and all of the things. But I didn't know what to expect. I thought that was what I was supposed to expect, to have him for a minute and to have him take him away. I didn't have anything else. So nothing, I stayed at the hospital for an entire week because my blood pressure rose drastically. Meagan: Did you have postpartum preeclampsia?Georyana: Yeah, technically. Without the seizures, thank God, but the blood pressure was crazy high. There was a nurse coming in every 2-3 hours to check my blood pressure. I got medication. Yeah. It was just a horrible moment because right there, you just gave birth to this human being while your body is out of whack going through all of these things, and you just feel like you failed. You feel like you failed, and you just did a horrible job. But you know, I just kept in-hospital, and one week later, I was released. The C-section recovery was horrible. It was very, very painful. I couldn't even walk or anything. Taking care of the baby was just really hard for me. Yeah. Eventually, my blood pressure got back to normal, and everything was well. I suffered from postpartum depression and severe anxiety to the point where my husband would go to work, and I would stay alone in the house. I would think that I was going to die of a heart attack. Meagan: Oh, yeah.Georyana: Yeah. My mental health was bizarre. I constantly felt like I was dying. I remember one night, I woke up in sweats. I just felt like I couldn't breathe. We had called the emergency 9-1-1. I literally felt like I was dying of a heart attack. They checked me and were like, “No, you're fine. It's just an anxiety attack.” Postpartum was definitely not the greatest experience for me for the first. Meagan: I am so sorry to hear that happened. Georyana: Yeah, but other than that, I'm so grateful to God that my son is healthy. He's currently 3 years old, and he is just a joy to be around. Meagan: Yeah. Do you have any resources or suggestions for someone who may have experienced that before or just in general for someone listening in case they have any symptoms or anything like that that you want to share?Georyana: For what specifically?Meagan: For postpartum anxiety and panic attacks and stuff to maybe help recognize what it could be or resources that helped you. Georyana: Yeah, definitely my biggest resource was God, the church, and prayer. I think that helped me a lot and just having a community of people who you can count on whether that's a friend or your mom where you can say, “Hey, mom. I'm going through this. Hey friend, I'm going through this. Pray for me. Come over. Please help me. Please help me do some chores,” or anything like that. The weight is a lot. Once you've given birth, you're thinking about a million things– the baby, the diapers, yourself, the kitchen is a mess, and you definitely need to have the support group to lean on. But as far as anxiety, learn where your mind is going. Be able to detect those thoughts that creep in and that tell you, “Hey, you're not doing a good job. You're going to die. This is going to happen.” Learn to stop those thoughts or reframe. Reframe your mind. We have so much power in our minds. Meagan: Yep.Georyana: If we only knew where it could take us. Meagan: Yeah. I agree. Our minds are so powerful, and there is something about that community that can really, really help. There are even more resources like deeper resources. There is postpartum support, Baby Your Baby, and so many things. We talk about this in our course, and I won't go through all of them, but I think it's so important to do a self-care checklist after. Think about, “Have I eaten enough? Have I slept enough?” You want at least 5 hours of sleep. Most of us with newborns can say no to that automatically, so maybe doing something like hiring a postpartum doula, having our mother-in-law come, having our community come in to help and hold baby so we can get really good and effective sleep. Have a bath or a shower. Just getting ready for the day is weird but can help us mentally. It can help us get out of that mental funk. Exercise– now, we can't really do that in the beginning. But have I exercised is another question. Have I allowed myself to laugh today? Have I allowed myself to smile today? These are things. There are many more. Like I said, we talk about those in our VBAC course because it is so important. It's not talked about enough, so I'm so glad that you were able to take this space to feel vulnerable enough to talk about this experience. Georyana: Definitely. I agree. Right now, for this postpartum, I have my mom. She lives 30 minutes away. She comes twice a week and helps me cook meals. Meagan: So good. Georyana: Yeah. They are delicious. You just have to be willing to take the help. There is definitely help. Yeah. It's important that we don't feel alone. Meagan: Yeah, I agree. Well, thank you so much for sharing that. Sorry, we can go on to this next birth story. Georyana: This next birth story– my husband and I knew that we wanted another baby, but we just didn't know when would be the right time. 2.5 years passed. We got pregnant. It was a surprise. It was a surprise and a blessing. All I knew inside of me was that I wanted a VBAC. I wanted a VBAC. I was like, “You know what? I'm going to try for it again.” I was obviously open to the fact that it could end in a C-section. I didn't have a closed mind in that sense. I ended up searching for supportive providers. After finding one, I found an OB/GYN. The first thing that I had asked was, “Do you support VBACs?” They were like,”Yeah, we do. We do.” They had five doctors on board, so basically, every prenatal visit had a different doctor so that eventually when I would go into labor, one of them was going to be assisting my birth. To each one, I would always ask the same thing, “Hey, I would like to do this. Do you support it?” They were like, “Yeah, we do that.” My blood pressure was great at every prenatal visit. There were no concerns. I did change a lot of what I had previously done in my previous pregnancy which is that I started exercising. I started walking 30 minutes 3 or 4 times a week. I started eating healthier because I think that's one of the things that most people don't talk about too is the importance of nutrition. It is important in pregnancy. You're always told that you have another human being and you have to eat for two. You're like, “Yeah, let's eat for two,” and you gain 10, 20, 30 pounds. I tried to be mindful of what I was eating. Long story short, everything was going great. At my 32-week appointment, I met with a provider. I meet with one of the doctors on the team, and my same question pops up. She's like, “Oh, you can't really go past 40 weeks here. You can't.” I'm like, “Why? I'm perfectly healthy. My blood pressure is fine. Why can't I go a day past 40 weeks?” She was like, “No, you can't. You actually have to schedule your C-section date right now. You have to sign a consent form. You have to put your due date as your C-section date.”My due date was August 1st. I was like, “Well, I don't understand.” I was just feeling led on because, during the prenatal appointments, there were subtle signs, but I guess I didn't really want to pay attention to them because I was like, “Oh my gosh. I can't imagine switching providers.” I was 7 months pregnant. I was like, “Okay, thank you. I'm just going to call back and schedule that C-section.” I remember going home and being like, “Wow. This really just happened.” I remember that I started praying. I told God. I expressed how I felt. I was just very overwhelmed and, “Is this really the path that you have for me?” I felt that he just told me, “Do a home birth.” I was like, “What? A home birth? That is not–” Meagan: That's not what I've been looking at at all. Georyana: That is insane. Funny enough, I started researching, is that truly an option for me? After researching, I found a midwife. She is actually Chrisitan, a pastor, a worship leader, and a midwife. Meagan: Wow. She wears a lot of hats. Georyana: She wears a lot of hats. I don't know how she does it, but I expressed to her, “Am I able to do a home birth if I had high blood pressure during my previous pregnancy?” She was like, “Yeah. We will monitor you. We will make sure you are taking care of yourself.” She did tell me, “During labor, if your blood pressure skyrockets, we'll have a plan in place and we will go to the hospital.” We had plan A and plan B. I spent the last 2 months with her. She would come to my house, and check my blood pressure. She had me drinking lots and lots of water which is another thing that we underestimate or is not often talked about. Meagan: We do. We really don't. We usually drink water, but we're not getting enough of the hydration.Georyana: 100%. She was like, “You need to be drinking at least half of your weight in water.” All I remember was that every day, I was chugging water. She actually advised me to take Calm as a magnesium supplement. Meagan: MagCalm? Georyana: Yeah, MagCalm. That helped tremendously. That helped tremendously. Everything was safe and sound. I was doing all of the things at 37 weeks– the Miles Circuit, the red raspberry leaf tea. I was eating the dates and all of the things that they tell you to VBAC. I was listening to a lot of birth stories, especially on The VBAC Link which just helped me tremendously because I was able to get in a right mindset. The birth stories edified my faith to a whole other level. I just remember every day doing dishes and I was plugging in a story. Every story was different, and I was like, “Wow. If it could happen for her, it could happen for me. Why disqualify myself? Why disqualify my body?” That's another thing that we do a lot. We often hear, “Oh no, your body wasn't meant to do it” or “Your body can't do it”.Meagan: Yep, yeah. We hear those things, and then we believe them. Georyana: Yeah, that's the sad part. I think I was 39 weeks and 3 days. I go into labor. My water broke at 3:00 in the morning, but I need to backtrack that. At 38 weeks, my midwife checked me. I had asked her to check me. She checked me, and I was 3 centimeters dilated. The baby was head down. The baby was head down. Everything was normal and everything was looking good. She came back at 39 weeks, and I was like, “Can you check me again to see if I've progressed?” Even though that doesn't really mean anything, I was just so excited. She checks me, and she's like, “I don't know what I'm feeling, but I'm not feeling the head anymore.” Meagan: Oh, okay. Georyana: Yeah. I'm like, “What do you mean you're not feeling the head?” She checks, and she's like, “I don't know if that is her hand or her knees or something like that, but it's definitely not the head.” She tells me, “I think I'm going to have to send you to get an ultrasound to see the positioning of the baby.” We spend a couple of minutes just trying to sink that in. She was like, “But you know what? Let me check again. Maybe I was wrong.” She checked again, and she is still feeling the same things, but then she was like, “Is that your coccyx (the tailbone)?” I thought it was. I genuinely thought it was. I tell her, “Yeah. I think that's it.” We were like, “Okay, I think we should be fine.” We were going a little loopy. I don't know. Fast forward to when my water breaks at 3:00 in the morning, I started feeling contractions, but nothing consistent, so during the day, I just remembered that I texted her. She was like, “What other symptoms do you have?” I had my bloody show. My mucus plug fell out. The contractions were different from the Braxton Hicks that I had been facing all of these weeks. I was like, “Yeah, there's definitely some type of shift here because I feel like they are stronger. They are lasting longer.” Fast forward to Saturday, I ended up walking with my husband. His family was in town, and that also helped pick up the contractions. At around 6:00 PM, I gave her a contraction timer app on my phone so she could see. By the way, I had a doula, so she had the app as well. She was an hour away, and she was like, “Please text me so I can come out on time.” At around 7:00 PM, they both arrived to my home. Contractions were 6 or 7 minutes apart. She had me actually do nipple stimulation with my husband. They went out of the room. We did nipple stimulation, and that just skyrocketed everything because I had all of the oxytocin flowing. Meagan: I was going to say that's natural oxytocin flow right there.Georyana: I had natural oxytocin. I was like, “Whoa. Now I'm in a whole other dimension.” Contractions were 3 minutes apart. I just remember breathing. I had worship music playing in the background. The lighting was dim. It was so different from the hospital. It was so intimate. It was something unforgettable what I experienced on that day and when I compare it to my hospital birth, I had so much tension. All the bright lights, it was so different. She set up the birth pool. I went in, and I sat down. She was like, “Okay. I think it's time to push. You're at a 10.” She had checked me. I was trying to push, but I didn't really get it. I was trying to feel my intuition because they always tell you, “Your body knows when it's going to push.” She had me stand up, and she coached me. She said, “Try standing up and seeing if you have the urge to push.” When I stood up, I got that urge. A contraction came. I did a push, and nothing happened. Then another contraction came, and I did. I just remember breathing in, and I just let it out. She sees knees. Meagan: What? Knees? Georyana: Knees. She sees the baby's knees come out. She screamed. Meagan: What?!Georyana: She was like, “Oh yeah. She's breech. She's breech. She's coming out breech.” Meagan: Oh my goodness. Georyana: I just remember I was moaning during that period. I was just like, “Ooh.” I didn't look at anyone, but my husband tells me that at this moment, I just looked at the doula and she had her jaw on the floor. She was like, “Okay, well, you have to breathe in, and push in during the next contraction.” I remember that during the next contraction, I just let out the biggest roar. It was a roar. She came out entirely. My husband caught her. I just fell. I just fell, and yeah, she was breech. She came out knees first, then her legs, then her whole head just popped out. Meagan: I am dying right now. This is amazing. Oh my gosh. Once her knees came out, her whole body slipped out? Georyana: Yeah. Yeah. Yes. Definitely. It was such a moment of shock. Meagan: Yeah, I bet for everybody. Georyana: Yeah, for everyone because we thought she was head down. I kept telling her, “You were right. You were right. What you were feeling was the knees.” She was like, “Thank God I didn't send you to do the ultrasound because you would have gotten a C-section automatically at the hospital. That would have been an automatic C-section.” Meagan: Yeah. They wouldn't have entertained that at all. Georyana: Yeah. He put her on my chest. It was so surreal. I was like, “Wow. My body did this. God really did this to me.” We went on over to the bed. They weighed her. She was 6 pounds and 3 ounces. Meagan: Aw, your tiny little thing. Georyana: Yeah, she was tiny which also helped me. Yeah. Shortly after, I started breastfeeding. With my first, with my son, that was something I really wanted to do, but he never really quite latched so I just pumped for 2 years. For this one, I didn't really expect to breastfeed, I was like, “If it happens, good. If it doesn't, then whatever.” But when she started breastfeeding, I was just like, “Wow, my body is doing this too.” The connection that I just feel with her that I have is just out of this world. That was my experience. Meagan: Wow. Had your midwife done breech before? Georyana: She says that obviously when she was in training with other midwives before she went solo, she had experienced breech births, but this was her first time solo and alone. Technically, she's not allowed to deliver breech babies under law. If she knows, she needs to automatically send me to the hospital. Meagan: But if the baby's knees are coming out, and baby comes out like that, what are you going to do?Georyana: Yeah, exactly. You don't really have any other option than to just deliver the baby.Meagan: Oh my goodness. Wow. That's an amazing story. This is so awesome. Oh my gosh. This postpartum has been much better?Georyana: Yeah, it has. During the first one, like I said, I suffered from anxiety and panic attacks. I didn't really get that this time around. What I got this time around was anger. Meagan: Hmm, okay. So some postpartum rage? Georyana: Yeah, it was rage, and I guess just handling two kids and the transition from one to two hit me hard. I didn't really know how to understand that. But the same thing around, just being able to give myself grace, I had a postpartum session with my midwife and my doula being able to let them know how I felt was very good. It was very helpful. Speaking with my pastor and just letting them know my feelings and how I felt really helped me. It really helped me. I'm doing so much better now. This postpartum has been amazing. A lot of breastfeeding, a lot of cuddles and snuggles. Seeing my son play with his sister was something I always dreamed of, being able to have two kids. Meagan: Oh, what a beautiful story. Thank you so much for sharing. Huge congrats. This little ball right here is just stunning. Her head, oh my gosh– her head of hair is just insane. She has so much hair. That is just so much fun, and I'm so happy for you.Georyana: Thank you so much, and thank you for having me. Meagan: Absolutely. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Hey ladies! Join me for a special 'To The Core' episode of the RevitalizeD Womanhood podcast as we jump into baby month with all things babies and birth stories! This week, I'm sharing the hilarious, twist-filled birth story of my second son, Hayes. From unexpected contractions to the unforgettable moments at the hospital, it's a rollercoaster you need to hear! Plus, I'm offering tips for maintaining mindfulness and intentionality during the holiday season. Don't forget to download my free guide to make this Christmas magical for you and your family. Merry Christmas and see you in the Revitalized Sisterhood community! Chapters: 01:23 Hayes' Birth Story Begins 02:22 The Hospital Visit 04:44 Contractions at Home 07:51 Back to the Hospital 08:09 Reflections and Lessons Learned 10:33 Family and Support 14:41 Christmas Message and Conclusion Connect with Revitalized Womanhood online: ✅ Facebook: https://www.facebook.com/revitalizedwomanhood ✅ Instagram: https://www.instagram.com/revitalizedwomanhood/  

Ever thought about starting your own HIT business but you have no budget or background in fitness?   Static Strong founder Andy Omel joins us to talk about how he pivoted from a different industry into starting a HIT Business on a shoestring budget. Now, Andy is a successful strength trainer who helps clients get into great shape — all without moving an inch!   Andy is a great guest, and if you've ever thought about starting your own HIT Business but you're unsure about the seemingly high barrier to entry, you should tune in to this one! ━━━━━━━━━━━━ ⚡ Want to GROW your HIT business? Go here ━━━━━━━━━━━━

On this episode of Japan Station, we talk about Japanese abbreviations/contractions, give 12 examples and discuss their origins.

We introduce our Halloween candy bracket, reminisce about Dance Clubs, and more!

We introduce our Halloween candy bracket, reminisce about Dance Clubs, and more!

We introduce our Halloween candy bracket, reminisce about Dance Clubs, and more!

We hear SO many of our listeners say things like, “I wish every first-time mom listened to these stories” or “I wish as a first-time mom I heard these stories because I truly believe it could have helped me avoid my Cesarean.” First-time moms, we want to educate you to make informed decisions during your birth. We want your first birth to be an empowering experience, no matter the outcome. And if possible, we want to help you avoid an unnecessary Cesarean.  Meagan shares some of her best tips for first-time moms regarding induction, big babies, ultrasounds, and more. We also asked members of our VBAC Link Community to send in their best tips for first-time moms. We hope this episode becomes a great starting point for you to then go on and listen to the powerful stories shared in our other episodes!VBAC Link Supportive Provider ListEvidence-Based Birth: Evidence on Inducing LaborThe VBAC Link Blog: The ARRIVE TrialNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. This is Meagan and you are listening to The VBAC Link Podcast. I am so happy that you are here. Normally, we have episodes that are filled with VBAC stories, CBAC stories, and guests sharing educational pieces on VBAC. However, today, I'm going to a quick episode for our first-time mamas out there. For years, we have had people write in a review saying things like, “Oh my gosh, I wish every first-time mom listened to these stories. This is not only for VBAC moms or VBAC-hopeful parents. This is for anyone who is giving birth,” or again, going back to the first-time mom, people saying, “I wish as a first-time mom I heard these stories and learned this education because I truly believe it could have helped me avoid my Cesarean.” Women of Strength, if you know someone who is expecting or if you are a first-time mama, listening on how to avoid unnecessary and undesired C-sections, listen up. This is going to be an episode specifically for you. As always, I have a Review of the Week so I'd like to dive into that but then get back into what first-time mamas and what our community wants first-time mamas to know. Today's review is from Emmalyn. I don't even know how to pronounce the last name, but Emmalyn. It says, “Uplifted and educated. I have been binging this podcast since I found it a couple of weeks ago and I'm addicted. As I prepare for my HBA2C” so for the listeners who are new, HBA2C means home birth after two Cesareans, “I have experienced so much healing and inspiration through hearing these stories after two attempts for vaginal deliveries with my first two kids. One preeclampsia hospital birth and HBAC (home birth after Cesarean) transfer to the hospital. The content they provide is diverse, thoughtful, and inclusive. There is so much stigma around home birth and VBAC and this is the first and only community plus the Facebook group I have found to truly be welcoming and nonjudgmental. I feel like this is going to be an instrumental tool to my birth prep for my baby coming this Christmas Eve.” You guys, I could not agree with her more. This is a place where we want you to know that you are safe, that you are heard, that you are understood. We in no way, shape, or form believe that there is only one way to birth. There just simply isn't. We just want you to know your options and feel empowered to make the best decisions for you along the way. So if you are one of these first-time mamas listening today, I am so excited that you are here and I do encourage you to continue going on through all of the other episodes. Women who are sharing their stories likely have had a Cesarean before and I think this is such a great opportunity for you to learn how to avoid a Cesarean by listening through others who have come before you and have given birth and have also learned along the way. I'll tell you right now that with my first baby, I was not ready to give birth. Although I felt ready, all I knew was that I was pregnant and I was going to have a baby and I could not wait. But there was so much more that I didn't know that I wish I knew. I have learned throughout the way and I'm going to be sharing some more experiences with you along with, like I said, really tips from our own community members. You guys, I reached out on Instagram and asked for tips for first-time moms and I'm going to go over some of those tips along with learning how to avoid a Cesarean and unnecessary interventions. Here we go. Okay, everybody. Welcome to the show. Thank you for joining me. If you are new to the podcast, my name is Meagan Heaton and I am a VBAC after two C-section mom and a doula who wants to help educate and empower anyone who wants to learn more about their options for birth after Cesarean as well as learning how to avoid a Cesarean from the get-go. I had a Cesarean when I was pregnant with my first. I went into labor at 39 weeks and 5 days spontaneously with PROM which is called premature rupture of membranes. What that means is my body went into labor as far as my water broke, but then nothing really followed for quite some time. Contractions didn't really get going and labor itself did not start. I, along with many first-time moms, was told that if your water breaks you go straight to the hospital. I went to the hospital and from then on out, it was induction. They wanted to induce my labor and they wanted to intervene instead of just letting my body do its thing. I started getting Pitocin and that led to an epidural. It unfortunately led to a Cesarean. Now, I want to tell you that Pitocin and an epidural do not always lead to a Cesarean but these are going to be common things that you're hearing in women's stories along this podcast that do seem to impact the end result of a Cesarean. With my second, I really wanted a VBAC, a vaginal birth after a Cesarean, and I went looking more into what it was and what my options were and what I should do. I ended up staying with my same provider who was a great guy. Do not get me wrong, but he wasn't the provider for me and I didn't learn that until after my second Cesarean. I stayed with him and I went into spontaneous labor again with premature rupture of membranes. This one took a lot longer for my body to kick in and unfortunately, I really never was allowed the time. I ended up walking down for a second repeat Cesarean with that one because I was told that my body just did not know how to do it. This is also another very common, common thing that so many Women of Strength are being told. Their body doesn't know how to do it. Their body can't progress. Their pelvis is too small. Women of Strength, if there is any pet peeve that I have, it is someone telling another person that their body is not capable of giving birth vaginally. I might sound grumpy about it. Let's be honest, I am. You are capable of giving birth vaginally. What are some of the things that I would suggest you do as you are going along as a first-time parent?Number one, I really believe that provider is key. If you have a provider who is on board with your birthing desires, that is going to help you so much during your labor and your pregnancy journey. If you have a provider who is very induction-happy, intervention-happy, and pushing you to even schedule an induction before you even reach 39 weeks or 40 weeks or 41 weeks, that's a problem. That is a red flag. Take a moment if you can. Go to thevbaclink.com/blog or just click the link in the show notes and check out how to find a supportive provider. Now, this blog that we have is how to find a provider who is supportive in VBAC, but I think all around it goes in line with any provider whether you are a VBAC or not. You want to find someone who doesn't put stipulations on when you have your baby and what happens during pregnancy meaning that if they are requesting or demanding that you do multiple growth scans in your third trimester and there is really no medical reason to indicate the reason to do that, that's a problem. If they are talking about the size of your baby early on or the size of you and how you look and, “You must be carrying a big baby. You are so petite,” there is already doubt that is being placed. As I mentioned, if they are encouraging an induction at 39 weeks or just getting it on the schedule, let me tell you right now that being pregnant at 39 weeks is not always fun. Being pregnant at 40 and 41 weeks is not fun. There is a lot that goes into it. Your hips hurt. You're tired. Your pelvis hurts. You're peeing all of the time. You can't sleep. Okay, it doesn't sound that great, right? But it really is such a great time and it's a time that we need to cherish and really just embrace but it's hard to do that. That's the fact. It's sometimes really hard to do that so when we have providers giving us an “out” to give birth sooner, it's very enticing. I don't shame anyone for taking that opportunity of being induced and picking your baby's birthday, but there are a lot of things that go into that. Now, as a first-time mom back in 2019 I want to say, a study came out and they called it the ARRIVE trial. The ARRIVE trial is where they had a whole bunch of people, and really actually not that many people, but a whole bunch of people in two groups. They had one group where they induced at 39 weeks and they didn't always have a “favorable” cervix. Favorable versus unfavorable meaning the cervix was showing signs of readiness to give birth. They had these moms in one group who were induced at 39 weeks then they had another group who chose not to be induced or to wait for spontaneous labor but would not let them go past 42 weeks. There were a lot of things that their goals were to point out and study in this trial which you can find out more about on our blog. It's in the show notes. We'll make sure that we have the ARRIVE trial link in there. But they really wanted to also see what it did for Cesarean. In the induction group, 79 out of 82 people were induced at 39 weeks. The people in the expectant management group, meaning they were waiting for spontaneous labor or didn't elect to induce at 39 weeks, 79 out of 80 waited. 44% of them gave birth spontaneously and 56% of them gave birth after induction for medical reasons. Now, medical reasons. There are a lot of things people can talk about or providers can talk about why you should be induced. So let's talk about some of the main reasons for an induction or some common reasons for an induction that you'll see but then always, I want you to know that you can question. If someone is saying there is a medical reason for you to be induced, question them. It's okay for you to question them. It is always okay to say no and question, always. No matter what it is in any medical scene, birth or not birth, you are always able to question and say no or no, thank you. What are some medical reasons? Medical reasons may be preeclampsia. Maybe you're having blood pressure issues or HELLP syndrome where now your liver is being affected. We've got high blood pressure or elevated liver enzymes and it really is best for you and baby to be born and to give birth. So preeclampsia may be one. Maybe you've got a unique health condition that is now impacting your personal health to stay pregnant. That may be a reason for induction. IUGR, intra-uterine growth restriction. Maybe your baby is no longer thriving inside the uterus and inside the womb and needs to come out so they can thrive on the outside. If IUGR is happening, that is a medical reason to consider induction. Those are just a few that you may encounter. Some other things may be low fluid– that one can be debatable for sure. It can be serious, or high fluids. There are so many situations. Just know that if you have a situation or if someone is suggesting an induction at 39 weeks or at any point due to medical reasons, discuss that with your provider. Definitely discuss and question and make sure that you are all on the same page and you are really understanding what the medical reason is for your induction. Don't fear to question the evidence saying that induction is the best route. Okay, so the people in the expectant management group like I said– 79 out of 80 waited. 44% gave birth spontaneously 56% gave birth after induction. So what did this study really show, really, really show about C-section? Well, let me tell you. They really tried to show that it lowered Cesarean rates from 19% to 22% but if you really dig into it deeper, it really doesn't say if Cesarean really is lowered or not. Between the two groups, there really were no significant difference in birth outcomes for the baby so again they showed that maybe 19% versus 22% were likely to end up in a Cesarean and then they also showed that they were less likely to develop high blood pressure– 9% versus 14%. That is a thing. We do know that blood pressure can elevate in the end, but overall, as of 2024, there really are a few studies that have been able to look at the effects of the ARRIVE trial and have concluded that the elective rate has significantly increased or decreased the Cesarean delivery. This is the problem though. It's being so heavily– and maybe heavily isn't the word– done. It's being so heavily performed all over the world now after this trial came out. For some reason, we looked at that and we're like, “Yep. See? It impacts the Cesarean rate. It lowers it.” But we are still having a really high Cesarean rate and first-time moms are still, still, still, still having Cesareans after induction is happening. Induction. Women of Strength, that is what we call the women who listen to our podcast, if you are being proposed for an induction or being offered an induction, maybe take some steps back. Do some research. Read our blog. Talk about induction methods. There are also a lot of different types of induction methods. I want to also say that coming back to your provider, if you have a supportive provider who is willing to induce very gently and understands the process of induction especially for a first-time mom whose cervix might not be favorable or ready, you may have a higher chance of giving birth vaginally. But if you are at a place where they like to push inductions really fast on you and all of the things, increase all of the interventions, you are going to likely have an increased chance of Cesarean. In 2023, the rate of C-sections in the United States was 32.4%. 32.4% which is really the highest it's been since 2013 and just astronomically gross in my opinion. Years and years and years ago, it was 10-15%. Even before that, it was 5%. We are seeing a peak. We are seeing a serious peak and what's happening is we are seeing a lot of the times first-time moms will have a C-section for whatever reason and then people are being told that they cannot have a vaginal birth after Cesarean, that the option is now gone or they won't even approach VBAC as a topic. It's just, “For the future, you will have to schedule a C-section.” Okay, now this is another one. If you are a first-time mom who has a friend who had a C-section and doesn't know their option, please share this podcast with them. This is such a great place for them to come and learn and know their options. Okay, so let's dive in. I asked our community. I mentioned that before. What do our community members want a first-time mom to know? What do they wish they would have known before as a first-time mom?One of our followers, Elizabeth, mentions, “Wait as long as it takes for baby to come and to change positions frequently.” Oh my gosh, I cannot agree more. This is what we are talking about, right? Waiting for our baby to come and not inducing unless it really is medically necessary and letting our bodies do what they are made to do and are totally capable of doing.Changing positions frequently is something I highly encourage and as a first-time mom or any mom giving birth, I highly suggest a doula. Doulas are amazing. I know they are not always affordable and I don't know if you have ever heard of this, but you can go to behervillage.com and you can actually register for a doula so instead of getting all of the million onesies and wipe warmers or a million sized-newborn diapers, you can register for a doula and people can help pay for a doula. It is absolutely amazing. I highly encourage it. Check out behervillage.com. We also have doulas at thevbaclink.com/findadoula. They are VBAC-certified doulas but these are doulas who are trained and educated and certified in helping you avoid a Cesarean so I highly suggest a doula because they can help know what positions to change to and they can help guide you. If you don't have a doula, that is okay. Change positions frequently. I mean, every 5-10 contractions, if you went from hands and knees and you want to stay on hands and knees, go hands and knees but put a pillow under and elevate that left leg or that right knee. Change things up because changing the dynamics of your pelvis is going to help bringing baby down. One of the main reasons for a Cesarean is that babies are in a wonky position or failure to progress or failure to dilate. That, a lot of the time, is because baby is not in a really great position and movement will help baby get in a better position and help your labor speed along. Okay, our friend, Emily, says, “Wait to go to the hospital.” I mentioned this earlier that I was told when my water broke to go straight to the hospital. Do your research to wait. Learn how long to wait, how long is too long, and again, that's when a doula comes into play. They are really great on helping to guide you on knowing when to go. Emily also– she has a couple of tips here. She says, “Trust your own intuition and what your body is feeling in the moment.” I could not agree more. Your intuition is huge and if you continue listening to this podcast, let me tell you that you are going to hear about intuition a million times. Intuition is huge. You have it and it's amazing. It's super important to follow. Sometimes we question our intuition and that is hard. Try not to question your intuition and again, do what your body is feeling in the moment. Emily says, “I didn't have a doula and it's my biggest regret.” Okay, so we were just talking about that. Doulas are amazing, you guys. I didn't have a doula for my first two. That was also a big regret. My husband was not on board with my second. After I learned about a doula and after having a doula, he said that there is no way we would have another baby again without a doula. They are just incredible you guys and there are actual statistics on doulas. They lower the chance of Cesarean. They lower the time of birth by 45 minutes. 45 minutes might not sound like a lot, but 45 minutes in labor is impactful. They also lower the chances of induction and interventions and they overall help you walk away with having a better experience. Okay, another follower says, “Trust your body. Don't accept interventions. Plans can change and breathe.” Love that so much. We have Sarah who says, “Ask for help even if you feel fine.” I love that. It's okay. Use your voice in labor. Use your voice during pregnancy. Use your voice during that postpartum experience. Even if you think you are feeling okay, it's okay to ask for help or if you have a question that is bobbling around in your brain, ask it. Don't be scared to ask it. Another follower says, “Be patient with yourself and your baby. Enjoy your pregnancy and push with an open lotus.” I love that so much. Oh my gosh, that just made me smile. We have a follower named Ash. She says, “Be informed so you can make decisions you are happy with under time and pressure.” Okay, this is something, Women of Strength, that we have found through many of these stories. These first-time mamas are going through labor who have not had a lot of education, me being one of them, going into birth. You guys, birth is a very big event. It is a very important day and impactful day. Sometimes things can change just like what one of our followers was saying. Plans can change and that means sometimes things can be offered to you that you don't really know about. You don't really know what is being offered to you so you feel like you have to say yes or no. You don't really know what you're making the yes statement to so being informed is so important.We have a blog at thevbaclink.com/blog that shares so much information along with this podcast and then we actually have a course for parents to learn how to avoid Cesarean and how to navigate through labor and avoid a Cesarean so if you are interested in learning how to avoid a Cesarean and learning more about what this VBAC stuff is even like, check us out at thevbaclink.com. Gracie says, “Don't let your doctor pressure you into unnecessary induction.” It goes along with the theme in the first part of the podcast. If you can tell, induction and pressure is something that a lot of first-time, even second and third, oh my gosh, many-time moms have. Ash says, “Have a clear but detailed birth plan.” I love that so much. Birth preferences are so important. As you get informed and get educated, you are going to learn what is important to you, what you want, what you don't want. We had a story not too long ago how as a first-time mom, she didn't realize how much her birth experience meant to her until she didn't have that birth experience. You guys, this is such an important day. Oh my gosh, it's just incredible and if you can be informed and you can have that clear birth plan– now, let me tell you that some of these birth plans don't go exactly as you've written them down. Go in with an open mind but know your desires and know the evidence and the information behind those desires and why they are important to you. Okay, M says, “Be open to birth preferences changing.” This is just going right along here. Okay, like we were just saying, sometimes they change and it can be really hard. I have a sweet and sour view on birth plans because birth plans are incredible. It helps our team and reminds them what we need and what's important and what we want, but sometimes if we write them down on paper and they don't go as planned, we can view them or view ourselves as having failed or like we did everything and it didn't work so it failed so what's the use in trying that again or wanting that again? I also want you to know that if you can go into it having an open mind, it can help you. It can help you a lot and knowing again that birth preferences change is so important. Okay, so we have a photographer here. Lilabqz_photography. She said, “It's not pain. It's power. Breathe and it will be all over soon.” I love that. These contractions are powerful. They are amazing. Oh my gosh. Okay, hypnobirthingnorthyorkshire says, “You are amazing. First-time mamas, you are. You are amazing.” Everybody listening to this podcast, let me tell you that you are incredible. You are such a Woman of Strength and you are capable of more than you have ever known. Okay, we have another follower who says, “Give yourself all the grace. You did a big thing. You are your baby's best mama.” Birth is amazing, you guys. It is a big thing and you are incredible for doing it. Another follower says, “Educate yourself and get a doula.” The next one also says, “Hire a doula.” You guys, hiring a doula is a common theme. Like I said, if you are not in a financial means or don't have the financial means, check out Be Her Village. It is absolutely incredible and can make it possible for you to have the support that you deserve. Rachel says a couple of things here. She says, “Just because you feel good to do all the things so soon doesn't mean you should. Find someone who will listen to your birth story without interrupting or opinions.” This is more for postpartum. I agree. Take it easy. Even for pregnancy, take it easy. Just because you feel like you can run a marathon doesn't mean you should. Rest up. Rest easy. Give back to your body. Hydrate. Fuel with good nutrition and find someone who will listen to your birth story without interrupting or opinions. You guys, opinions will come in all around even before you have your baby. I mean, here I am. I'm sharing some opinions. Just find someone who will listen and validate you. You deserve it. Okay, Lauren says, “If you don't want a C-section, listen to The VBAC Link. You'll learn so much.” Oh my gosh, Lauren, thank you so dang much for that. That is what this episode is all about, to help you learn how to avoid a Cesarean. Our friend, Jess, says, “Eat to replenish yourself from birth and pregnancy. Meal trains are great.” Oh my gosh, I can't say that enough. If you haven't set yourself up for a meal train before and you haven't had your baby yet or even if you had, they are incredible and they will help your birthing partners so much. Julie says, “Surrender. Surrender it all. Birth is incredible. You're going to feel so many sensations.” Even if you don't want to go unmedicated, you guys, you're still going to feel so many sensations that are new and somewhat shocking but also incredible. You're birthing a baby. It's just absolutely amazing.Then Rachel says, “Do your research. Be mentally prepared for either type of birth and recovery and have a postpartum plan or a birth photographer and take pics.” Okay, you guys. Such incredible information. I echo all of them. Obviously, we've also been talking about some of those topics. You are strong. You are capable. Don't let anyone doubt you. Okay? Don't let anyone doubt your ability. Keep listening to these stories. These stories are meant for you as well. They are meant to help you learn, to help empower, to help grow, and honestly, one mama at a time, we're going to see the Cesarean rate drop, you guys. We're going to see it drop. Thank you so much for joining me today. I'm absolutely honored that you are here listening to the podcast and like I said, if you want to learn more about The VBAC Link and what we have to offer along with so many free resources, you can join us at thevbaclink.com. We've got the podcast, the blog, the course, resources, and so much more.Oh, and for kicks and giggles, I want to throw out the fact that we have a supportive provider list so if you are looking for a supportive provider whether it's a VBAC or not, don't forget to check out our provider list. You can find us at thevbaclink on Instagram, click on linktree, and you'll find the supportive list there. Thank you so much and take care. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Proper hydration is important for physiology whether male or female, and if female… hydration in pregnancy is important for proper uterine blood flow and proper amniotic fluid production. Interestingly, water recommendations do not specify differential water needs or hydration status recommendations by pregnancy month or trimester, nor do they take into account body composition, knowing that overweight and obesity increase the probability of being underhydrated. During pregnancy, dehydration is thought to contribute to Braxton-Hicks contractions possibly due to lactic acid buildup in the myometrial cells or via reflex secretion of ADH (vasopressin). But this is theoretical. Here is where IV hydration comes into clinical practice. What's hoped for in administering intravenous (IV) hydration is that the fast fluid volume increase will stop uterine activity and hence avert cervical change. Theoretically, hydration may reduce uterine contractility by increasing uterine blood flow and by decreasing pituitary secretion of antidiuretic hormone and oxytocin. Does mild-moderate dehydration lead to preterm labor? Is IV hydration a way to prevent preterm birth. There has been data since the 1980s up until 2021 which says, “No”. Listen in for details.

In today's episode, Carla takes us through her 37-hour birth story. Although she aimed for a 'calm birth' there was nothing calm about baby Denny's arrival! Although we have an amazing happy ending we better put a trigger warning on here. As Carla says... it was wild!This is what we spoke about during the episodeAt 38 weeks, Carla had an acupuncture session, 1 of the 2 'induction sessions'. In the end she only needed one! Contractions began soon after.Carla's intense lower back pain indicated posterior pregnancy. This was the worst pain she has ever felt in her entire life. There was nothing calm about this birth.Carla got the epidural and Talia, one of the midwives, internally turned the baby anterior so Carla could finally push him out.She experienced the "ring of fire" moment where the head was coming out and the epidural did not mask the stretching pain.When baby Denny went out and started crying, it was the most amazing sound in the world.Flexibility in birth plans is important and breathwork is very helpful.Nothing can prepare you for what it feels like and for what you experience in the first couple of post-birth months.Cherish each fleeting moment and be present, especially in parenthood.If you want to share part of your story with us or if you loved this episode or have more questions about this, we would love to hear from you, send us an email to carla@themerrymakersisters.com or emma@themerrymakersisters.com or message us on our Facebook and Instagram accounts @themerrymakersisters.Always merrymaking,Emma + CarlaP.s if you ever need further help or guidance please contact Lifeline or Beyond Blue. Asking for help is pure courage. Hosted on Acast. See acast.com/privacy for more information.

Jill Barton spent the first decade of her career working as a journalist, with the Associated Press Stylebook always at hand to determine word usage and punctuation choices. But when she became an attorney, she says, she realized that there was no single equivalent style guide when it came to legal writing—and she had to adjust to using the Oxford comma. As a professor of legal writing at the University of Miami, she also began to notice a contrast between the classic 19th and 20th century court opinions her students were being given to read and the style of writing coming out of the U.S. Supreme Court in the 21st century. Standards were changing at the highest court of the land, but the wider legal community wasn't necessarily aware of it. Barton spent five years analyzing more than 10,000 pages from Supreme Court opinions, and The Supreme Guide to Writing is the result. In this episode of the Modern Law Library, Barton and the ABA Journal's Lee Rawles discuss her findings, and what some of the bigger surprises were. One of her biggest takeaways is that the justices are not a conservative bunch when it comes to writing style. For example, during most of Justice Antonin Scalia's tenure on the court, he was a strident opponent of contractions—can't, don't, shouldn't were always cannot, do not, should not. But in his final years, Scalia did sprinkle in a few contractions, and his replacement, Justice Neil Gorsuch, is “King of the Contractions,” Barton says. The justices were willing to depart from grammar rules if adhering to them caused stilted writing, Barton found. Chief Justice John Roberts uses commas based on cadence rather than simply following strict English grammar guidance. All the justices showed a marked preference for active verbs and shorter, simpler phrases. They have adapted to using pronouns that match litigants' gender identities, and to using the singular “they” rather than “he or she.”  The Supreme Guide to Writing notes when the court shows unanimity in a usage rule, and when there is disagreement. While each justice shows internal consistency with how they show a possessive when a singular noun ends in “s,” there is no group consensus on apostrophe-s versus a single apostrophe. Barton discusses her research process, offers more insight into the way legal language is evolving, and shares how practitioners can use her book to modernize their own writing.

Jill Barton spent the first decade of her career working as a journalist, with the Associated Press Stylebook always at hand to determine word usage and punctuation choices. But when she became an attorney, she says, she realized that there was no single equivalent style guide when it came to legal writing—and she had to adjust to using the Oxford comma. As a professor of legal writing at the University of Miami, she also began to notice a contrast between the classic 19th and 20th century court opinions her students were being given to read and the style of writing coming out of the U.S. Supreme Court in the 21st century. Standards were changing at the highest court of the land, but the wider legal community wasn't necessarily aware of it. Barton spent five years analyzing more than 10,000 pages from Supreme Court opinions, and The Supreme Guide to Writing is the result. In this episode of the Modern Law Library, Barton and the ABA Journal's Lee Rawles discuss her findings, and what some of the bigger surprises were. One of her biggest takeaways is that the justices are not a conservative bunch when it comes to writing style. For example, during most of Justice Antonin Scalia's tenure on the court, he was a strident opponent of contractions—can't, don't, shouldn't were always cannot, do not, should not. But in his final years, Scalia did sprinkle in a few contractions, and his replacement, Justice Neil Gorsuch, is “King of the Contractions,” Barton says. The justices were willing to depart from grammar rules if adhering to them caused stilted writing, Barton found. Chief Justice John Roberts uses commas based on cadence rather than simply following strict English grammar guidance. All the justices showed a marked preference for active verbs and shorter, simpler phrases. They have adapted to using pronouns that match litigants' gender identities, and to using the singular “they” rather than “he or she.”  The Supreme Guide to Writing notes when the court shows unanimity in a usage rule, and when there is disagreement. While each justice shows internal consistency with how they show a possessive when a singular noun ends in “s,” there is no group consensus on apostrophe-s versus a single apostrophe. Barton discusses her research process, offers more insight into the way legal language is evolving, and shares how practitioners can use her book to modernize their own writing.

Is "purple pushing" or slow, controlled pushing a better option?  What is the "fetal ejection reflex"?  Does your body even need your help to push your baby out?  That's what we're talking about today!     Helpful Links:   3 WAYS TO WORK WITH LORI:   --> Sign up HERE for the Your Birth, God's Way Online Christian Childbirth Course! This is a COMPLETE childbirth education course with a God-led foundation taught by a certified nurse-midwife with over 20 years of experience in all sides of the maternity world! Learn more or sign up HERE!   —> Having a home birth and need help getting prepared?  Sign up HERE for the Home Birth Prep Course.   --> Sign up for your PERSONALIZED Pregnancy Coaching Midwife & Me Power Hour HERE These consults can include: birth plan consultation, past birth processing, second opinions, breastfeeding consultation, and so much more!  Think of it as a special, one-hour appointment with a midwife to discuss whatever your concerns may be without any bias of practice policy or insurance policy influencing recommendations.   Get Christian pregnancy and birth merch HERE   Lori's Recommended Resources HERE   Sign up for email updates Here   Be heard! Take My Quick SURVEY to give input on future episodes you want to hear --> https://bit.ly/yourbirthsurvey   Got questions?  Email lori@yourbirthgodsway.com     Socials: Follow Your Birth, God's Way on Instagram! Follow the Your Birth, God's Way Facebook Page! Join Our Exclusive Online Birth Community -- facebook.com/groups/yourbirthgodsway   Learn more about Lori and the podcast at yourbirthgodsway.com!   FREE Bible Study Course - How To Be Sure Of Your Salvation       DISCLAIMER:  Remember that though I am a midwife, I am not YOUR midwife.  Nothing in this podcast shall; be construed as medical advice.  Listening to this podcast does not mean that we have entered into a patient-care provider relationship. While I strive to provide the most accurate information I can, content is not guaranteed to be 100% accurate.  You must do your research and consult other reputable sources, including your provider, to make the best decision for your own care.  Talk with your own care provider before putting any information here into practice.  Weigh all risks and benefits for yourself knowing that no outcome can be guaranteed.  I do not know the specific details about your situation and thus I am not responsible for the outcomes of your choices.    Some links may be affiliate links which provide me a small commission when you purchase through them.  This does not cost you anything at all and it allows me to continue providing you with the content you love.

Expatriée au Mexique, Armelle souhaitait un accouchement classique et sans douleur, mais sa rencontre inattendue avec une doula a tout changé. Dans cet extrait elle raconte la naissance de son fils sans péridurale. Teaser avant de découvrir l'épisode intégral.

I'm so excited to finally share my birth story with you! It was an unforgettable experience—both magical and incredibly intense. In this episode, I dive into all the juicy details, picking up where we left off in the last pregnancy journey podcast. I walk you through the final four weeks of my pregnancy and end with a look at what these first 7.5 weeks of postpartum life have been like.  In this episode, we dive into: ✧How I lived my highest joy the last 4 weeks of pregnancy ✧Letting go of control and surrendering to Leo's perfect arrival time ✧All the juicy details of my birth story, including trusting my intuition to make a surprising change in my birth plan that worked out way better than I expected ✧An inside look at my postpartum journey, covering everything from breastfeeding and sleep to navigating partner resentment and healing—both emotionally and physically. ✧Last 4 weeks of pregnancy  Thinking every day could be the day and it wasn't Didn't want to spend the last moments or weeks wishing it away Focused on living the highest now joy, given what is vs waiting and obsessing over baby arriving.  And when i couldn't stop obsessing, i knew there was emotions/energy that needed to be felt so i'd feel it until i couldn't feel it anymore and on the other side, i'd be at peace with not knowing when baby would come almost daily chats with IV date nights, getting nails done, weekly chiro/massage, baths When you think you've surrendered, surrender more 4 days before going into labor, i started feeling like “omg when is he coming?” again Inner voice said “you feel complete because you are - you literally are completing pregnancy soon”. Haley said same thing. IV also said baby is waiting for best timing: best state of my body, best hospital staff, best state for trevor, all of the pieces i couldn't put together mentally he was waiting until there was the most ideal arrangement Was doing all the things to induce labor starting around 37 weeks Daily stretches, red raspberry leaf tea, evening primrose oil, pumping at 39 weeks, chiro, massage, labor inducing yoga, acupuncture, sex All in alignment Skipped dates because it didn't feel aligned Mild period cramps started around 38 weeks like once a day Felt more emotional around 39/40 weeks Once I passed my due date, I was having very mild period cramps a little more often - a few times a day instead of once and i had to pee constantly 40+1: happy hour with trev on rooftop & helena's for dinner ✧Spam email “from” Leo 2 days before going into labor - felt like sign and message from him saying im coming soon ✧went into labor 40+3 ✧6/30 530am woke up to go to bathroom and had contraction First few were lower abdomen like period cramps, then shifted to lower back Felt like strong period cramps I had to breathe through  Lasting 30-45 seconds  Went on walk like 715 Felt like they were like 10 min apart on walk and getting stronger Had to sit down on walk a few times Every 20 min first 2 hours Then next 2 hours they were 10 min apart Child's pose for every contraction ✧5 min apart: noon-3pm Got sub delivered around noon, couldn't really eat much, no appetite and really had to focus Around 1 called hospital and gave them heads up - they said doctor would call me back but never did Talked to haley a lot On the ball most of this time with tens unit Inside and outside Contraction “I can't do this”, Break “Okay I can do this” ✧3.5-4 min apart: 3-430pm Called hospital again just because i wanted to share what i was experiencing with doctor  ✧430 went to hospital (after laboring at home about 11 hours) Bc decreased fetal movement: was perfect timing Car ride would have been bad any later ✧By time we got there contractions like 2 min apart and was having intense contractions in lobby for like 20 min before they could take me back ✧One nurse walked me up while Trevor dealt with car she rubbed my arm the whole time and said you're doing great and it brought me to tears - just felt so supported and cared for and was so grateful  ✧5cm when they checked after like an hour of monitoring in triage, -2 station  ✧Heart rate wasn't varying (like 150 constant) so they monitored me for a while in triage until like 630 Was really uncomfortable in triage, contractions were very intense and i had to lay down for the monitoring and i didn't know when i'd get a room ✧Was so ready for our private room - big constant noise through every contraction at this point im sure I scared other moms ✧Had to get back on continuous monitoring in the room they strongly advised against intermittent because of his heart rate pattern and the continuous monitors required me taking off my tens unit and I was past the point of having the capacity to test if they would get worse if I stopped it  ✧Labored on ball with continuous monitors and still had decent movement ✧Trevor on counter pressure every contraction - couldn't have done it without him ✧Contractions were back to back from then on super intense in back and no relief in between - next one was 30 sec to 1 min after the last  ✧8 - asked for epidural, felt so clear and good about it, no question it was the right move  ✧830 got epidural (I think I was in or right at transition) ✧Looked at trev after feeling so happy i gave him relief too Trev went to get our stuff Only things that would have been good to have earlier were speaker for music & puzzle mat Hospital bag blog ✧Rested from 10pm-3am, contractions stayed back to back though - they told me from monitors ✧7cm at like 11pm ✧Recommended i break waters - i said let's wait and see what body does ✧AROM 3am 10 cm right after once they could measure  ✧Started pushing 404am Did poop a little at first and could feel it Alternated between on knees hunched over bed and side lying with top leg lifted and bent Delivered on hands and knees Didn't have push urge but felt contractions so pushed with those - felt right and aligned for my body  Prayed to IV right near the end of pushing: IV I need help. Help me get through this as easy and smooth as possible. I need your help now. Baby came very soon after. ✧Born 609am Incredible bliss/relief Held him right away Nothing else mattered - i remember seeing them collecting blood with all the cloths and counting the cloths Very little labia and urethra tearing that they did stitch, no perennial tearing ✧8 lbs 7 oz Baby was measuring > 99% all 3rd trimester (i never made it a big deal and neither did providers - i trusted my body was making the correct size baby for me and my baby. he ended up being 8lbs 7oz.) ✧i think it was back labor (i only felt everything very intensely in my low back, nothing in the front besides like the first 2 contractions) ✧My goal was unmedicated but in the moment, i felt so clear from my intuition it was the right choice and timing for me to get an epidural and had an incredible experience with it. Everything “bad" i thought would result because of the epidural didn't... I thought it would stall labor - it didn't I thought it would make me not listen to my body - i still felt very connected to the process and was able to push in sync with contractions I thought i'd tear more - i didn't tear besides minimal labia and urethra tearing i thought recovery would be worse - i've never met anyone with as easy of a recovery as mine i thought i wouldn't feel the oxytocin bliss and connect to my baby when he was born - i felt the most incredible bliss and connection when he was born i thought i'd have to push on my back - i switched back and forth between all 4's and side lying i thought i'd feel like a failure - but i felt so strong, confident and good about my decision and was so grateful to relieve my husband as well (he was doing counter pressure non-stop basically i thought i'd have to have pitocin and other meds - i only got the epidural ✧Transferred to PP room after like 2 hours Showered after like 5 hours prob Trev got us amazing food Avocado toast, eggs, coffee Sixty vines salad North pizza pasta dinner Avocado toast, eggs, coffee again before leaving  1st night in hospital was the worst part of experience was dying to be home and not be bothered every hour or 2 First night of BF was stressful was so tired and worried he wasn't going to eat and was trying too hard. Lac consult the next day came and told me I was doing great and it was all normal and I was able to completely relax and trust process and it was much easier after that point because I dropped idea that he “should” latch fast or even at all. Left hospital after about 30 hours after delivery ✧First 7.5 weeks postpartum overall really great, definitely very challenging moments but it's amazing how you just do it and now I'm able to do what's required without resistance whereas in the beginning there was a lot more releasing that needed to happen to be at peace with going from doing whatever whenever to basically being on-call 24/7 for another human Postpartum resources blog High first few days on adrenaline Def more emotional/anxious first 2 weeks - allowed myself to cry when i felt like it and feel anything else coming up as best i could like overwhelm, anxiety and resentment  Continued to get better and easier. By 6 weeks I felt a big shift in just feel more grounded, settled and confident overall. SOOOO glad I've been practicing feeling and releasing emotions for a few years now.  I was able to feel really intense emotions come up (more intense than I'd had in a long time) and be on the other side of them sometimes within a few minutes or always within a few hours. Very easy physical recovery overall BF going really well overall Struggled with latch first week but after that it was pretty smooth sailing and has only gotten easier and now it's pretty much effortless, painless and resistance-less If I could go back I would start with my brest friend pillow And tell myself to just trust the process, your best is all you can do, the rest you can let go of, it's all happening as it should and it gets easier Sleep  Night nurse Taking cara babies Crib after a few nights in my room Now sleeping through night sometimes or 1 feeding Partner resentment What I'd say to a friend about to give birth: Speak from the heart

Want to send us a message? Fan mail? Thoughts on the episode?In this episode Rachel and Katie dive into the fascinating topic of waterbirth (excuse the pun, but it was too good to leave out!). I ask Rachel my burning questions and she stirs up the cauldron exploring everything from the history of waterbirth to the practicalities and the science behind it. Listen in as we find out about:·      When did women start birthing in water?·      What does the research say about waterbirth improving outcomes?·      Why are some women told they can't get into the pool until they are 5 centimeters dilated?·      Do water-born babies take longer to start breathing?·      Guidelines recommend women get out of the pool to birth the placenta, but do they really need to?·      And lastly, does waterbirth alter the baby's microbiome?So,  place your order with the barista, pop your coat on, or press play as you get those headphones over your lugol's, and let's dive into the deep end of waterbirth. LINKS:https://bmjopen.bmj.com/content/12/7/e056517https://www.sciencedirect.com/science/article/abs/pii/S1871519216302190?via%3DihubWant to listen to the new podcast 'The Feeding Couch'? Find it here or on all good podcast hosting platforms! Get 10% off Katie's Breastfeeding & Lactation: the fundamentals online course today with code POD10 at checkout. Support the Show. Please support the show via Patreon or BuyMeACoffee MERCH here! Music Joseph McDade Like this podcast? Leave us a review here Want more from Katie and Rachel? Katie's website Rachel's website DisclaimerThe information provided on this podcast does not, and is not intended to, constitute medical or legal advice; instead, all information available on this site are for general informational purposes only. The Midwives' Cauldron podcast reserves the right to supplement, change or delete any information at any time.The information and materials on the podcast is provided "as is"; no representations are made that the content is error-free. Whilst we have tried to ensure the accuracy and completeness of the information we do not warrant or guarantee the accurateness. The podcast accepts no liability for any loss or damage howsoever arising out of the use or reliance on the content.

Hey there! I'm Dr. Russ, and in this episode of The AnxietyRX Podcast, we're diving deep into some real, raw emotions. Molly Carroll, a psychotherapist, joins me to talk about anxiety, grief, and the rollercoaster of parenting. I'll share my personal journey with anxiety, and Molly opens up about the emotional turmoil of sending her kid off to college—it's a wild ride, trust me. We'll chat about self-compassion, the power of community, and how to find balance between thinking and feeling. It's a heartfelt conversation that'll help you navigate life's ups and downs with more ease. Thank you for listening and you can find me on IG: @theanxietymd if you have any questions. PS. If you would like to join the MBRX family of 3700+ anxiety WARRIORS who are shifting from coping with their anxiety to actually HEALING it, click the link below: https://www.theanxietymd.com/MBRX ______________________________ TIMESTAMPS 00:00 - Introduction 01:49 - The Wounded Healer 02:54 - The Somatic Experience of Grief 05:15- Community and Connection 09:05 - Coping Strategies and Shadow Work 10:55 - Feeling and Processing Grief 14:50 - The Sensation of Grief 17:20 - Reflecting on Separation at 18 19:47 - Healing the Wounded Child 20:38 - Coping Mechanisms and Cognitive Explanations 22:14 - Acclimatizing to Anxiety 23:04 - Cognition and Emotional Healing 25:53 - Survival Physiology and Healing 26:47 - Breath and Body Connection 31:48 - Compassion in Relationships 33:04 - Presence, Awareness, Compassion 37:45 - Integrating Trauma and Self 40:34 - Present Moment Awareness 41:12 - Tears of Joy vs. Tears of Sorrow 42:36 - Vulnerability and Coping Mechanisms in Men 44:05 - Raising Emotionally Aware Children 46:06 - The Role of Trauma in Healing 48:47 - Authenticity vs. Reactivity 49:52 - Addressing Root Causes of Anxiety 53:05 - Faith and Trust in Healing 56:54 - Daily Healing Practices 01:00:17 - Creating Chaos 01:01:12 - Contractions of Creation

With her first birth, Amy hired a doula and planned to birth at a birth center. During labor, her baby kept having late heart decels which led to transferring to the hospital. At the hospital, Amy stalled at 9.5 centimeters. Baby was having a hard time descending and continued having decels. Amy chose to have a Cesarean and while she was at peace with the experience, she knew she wanted another chance at a vaginal birth. Amy proactively prepared for her VBAC by educating herself and working with her provider to find common ground. Her labor progressed well, Amy coped beautifully, and was able to push out her 10-pound baby! Amy talks about how recovering from birth can be difficult no matter what type of birth you have. Our VBAC Link Doula, Desiree, joins as Meagan's co-host and touches on the importance of breathwork. As a licensed therapist, Amy also talks about how she uses breathwork with her own clients. “Practice it before you are in labor because then it's easier to do while you're in labor.”Desiree's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome, Women of Strength. It is an amazing day to listen to another VBAC story. We have our friend, Amy, from Massachusetts coming your way sharing her VBAC story with you. Then we have one of our VBAC Link doulas, Desiree, with us as well. Welcome, ladies. Desiree: Hi.Amy: Thank you. Meagan: Hello. Thank you so much for being with me today. We do have that Review of the Week so I'm going to actually turn the time over to Desiree and read that. Desiree: Yeah, so the Review of the Week this week is provided by Ashley on the VBAC Doula course which I am very familiar with. I am so excited to read this one. Ashley says, “TOLAC/VBACs should be treated just like any other birthing person but there is certain preparation and information that needs to be offered to them. Your course covered that. The value is held in your careful recognition of how to best support our clients who are doing a TOLAC. I cannot praise you two enough for the fear-release activity. Honestly, it is something I can apply to even myself before and after birth and even in life in general. Thank you for that. It has already helped three of my VBAC clients.” Meagan: Oh, that's amazing. That just gave me the chills. I love that. Fear release is so important. Women of Strength, if you are listening, we have that in our course because we truly believe in it. I think fear release in anything in life. We could just be scared to go in and take a test and fear release of that. But when it comes to birth specifically, I don't know if both of you would agree, but we've got to do some fear releases and let go and also process the past, right? Desiree: Absolutely. Yes. I would say it's good for everybody going into birth, but definitely, if you're a VBAC or going for a TOLAC because you take your previous birth experiences into the room with you and if you haven't done the work, then you are just setting yourself up for roadblocks. Meagan: It's so true. I will admit that I did fear releases and I did lots of processing and I still had little bits of bouts of roadblocks in my VBA2C birth. That was really hard, but I was so grateful for the knowledge of how to do that fear release and work through it in those moments in my labor and because I had already done so much beforehand, the little roadblocks that were there even though they were roadblocks, I was able to get through them so much faster and more efficiently. Okay, Ms. Amy. Thank you so much for joining us. Amy: Sure. Meagan: Yes. We would love to turn the time over to you. Amy: Okay. So I actually gave birth to my two kids and then I gave birth in two different states. My C-section story was from when I lived in Massachusetts then I moved back to Minnesota and had my son which was my VBAC and now we are back in Massachusetts. Yeah, so with my daughter, I hired a doula. I gave birth and wanted to give birth at a birthing center that was outside of the hospital but it was connected to the hospital system but it was run by midwives and more holistic, more of what I was aiming for. Just like with your first births, you have all of the plans and I think partly that is some anxiety mitigation of if I feel like I have a plan then maybe I know what to expect. I worked with a really amazing doula. We didn't take a birthing class through the hospital. She did that education and I was feeling relatively prepared as much as you can with a first birth. I had a week's worth of prodromal labor. I always am very cautious. I always call it prodromal labor because I feel like the term false labor is so demoralizing when you're in it like this isn't real labor and I'm like, No, it is. It just isn't progressing the way I want it to. Meagan: Well, but it's still your body working. I think that's what a lot of the time we forget. It's not progressing the way we want but our body is still very much working and making progress behind the scenes whether or not a number of centimeters or a number of effacement is reflecting. We are still doing work and making progress. Amy: Yes, exactly. But my prodromal labor liked to happen only at night so I was going off of probably three or four nights of really not sleeping through the night. Again, as a first-time mom, I didn't really know. I was up with adrenaline because I didn't really know 100% what I was experiencing. I did stop going to work. I was going to work up until labor and then I just stopped going to work the last couple of days because I was like, I'm not sleeping. I'm stressed and tired.I went into labor the night before my daughter's due date and felt the contractions getting a little bit stronger around 10:30. I went to bed. I woke up around 12:30 and told my husband, “Okay, I think this is really actually happening now.” We labored through the night. At 4:00 AM, I called my doula. We met up at the birth center. I was already 6 centimeters. I was obviously so thrilled about that. I was like, “We're going to have this baby by mid-morning. It's going to be great.” Then they started checking her heartbeat. From the beginning, she was having a lot of decels and they kept monitoring it, monitoring it, and monitoring it for 20 minutes which again, wasn't really the plan that I was going to be sitting in bed monitoring her heart rate the whole time. I wanted to be up and moving around but they just couldn't get her heart rate to stabilize at that point so they moved me over to the hospital then. It's a birth center but they are across the street from the hospital so they literally put me into a wheelchair and rolled me across the road. That's when all of the interventions started. From there, I progressed I think to about 8 centimeters but she was having those decels off and on the whole time. Then I think we ended up getting an epidural. I wasn't planning to but I got an epidural about that time. I don't know what time of day this was, maybe noon just because it had been a while now. I was tired and they were like, “Maybe if you rest a little bit, we can get her into a better position or something.” Really, what ended up happening was because of her decels, they wanted me to be on continuous monitoring which made it so I couldn't move around as much because the nurse didn't know how to apply the wireless ones. That happened so it was just one thing after another and my doula was great. She was really supportive. We did try a few different positions, but it was like every time I got in a position that felt good, they were like, “Oh no, we lost her heartbeat. We have to have you move again.” I think the process was frustrating. I did get the epidural. I got all the way to 9.5 centimeters dilated and then we just sort of stalled. And then of course probably around 5:00, this had been close to 20 hours of labor and they were like, “Yeah, I don't know. We could try a few more positions but I think this is just going to keep happening and now we are worried that she's going to get distressed.” So it wasn't really an emergency C-section at all. They were like, “Here's what we think. We'll give you a few minutes to talk about it with your husband and doula and see what you guys think.” It was definitely hard. I was discouraged and frustrated by that but at that point, I just wanted her out. Now that I've read, and when I was listening to The VBAC Link and listening to so many other stories where we probably could have given it more time and all of these other things, they did a C-section and they actually found that her umbilical cord was wrapped around her neck twice. She never really descended into the birth canal fully. She never really engaged in my pelvis. Part of me wonders if it was partly that where she had that umbilical cord and that was going to be tough for her through the birth canal. I don't really know. But she was healthy and everything was good. I honestly didn't feel super traumatized by that experience but obviously I wish it had gone a different way. That was my first birth and then about two years later, well, my daughter was 2.5 when I got pregnant with my son. I was the middle of the pandemic. It was 2020. Is that when I got pregnant? Yeah. It was the fall of 2020. I definitely started looking into VBAC and found your podcast and was like, I would like to really try for a vaginal birth this time around. I think what was challenging about that and as you are talking about going in with fear is that I felt like even though it was my second baby, I felt like I was going through the process like a first birth because I never pushed. I never got to that point with my daughter so I felt like I had that anxiety almost like I was going into my first birth again. That was hard for me, I think, mentally. But we had moved to Minnesota at that point so unfortunately, I didn't get to use the same doula that I had before. I found another doula and I think she had a lot of knowledge and I think she did a good job but I think overall, we just didn't connect as well emotionally. Honestly, I realized that was almost more important to me. Obviously, knowledgeable and certified is good but not feeling like we were always connected, I struggled with that at times. Meagan: Sorry, not to interrupt you but I was just going to say that can impact the way you are feeling and walking into any experience so that connection is really, really key. Amy: Yes. Yeah. I'm a therapist. That's my job and so obviously, I say that to my clients all the time about therapy too. I never got to the point where I was like, Oh, maybe I should look for somebody else, but I think looking back, sometimes I wish I had. But during the labor and stuff, I think she was great. Yeah. It was different than my first time. So yeah, I did a lot of research about Spinning Babies. My doula helped me with some of those exercises. It was stuff I was aware of before, but I didn't look into it as much. Then one of the things I was curious around because when I had my C-section, my OB was like, “Oh, well you have a flat pelvis so it is going to be hard for you to ever have a baby vaginally” is what she said to me. My doula was like, “Well, you know. Around pelvis shapes and stuff like that, that's a very gray area. Generally speaking, we don't subscribe to that because your pelvis is moving and it isn't a shape.” But I was curious about that so I looked into that through Spinning Babies and some of those other resources and about how babies engage in your pelvis and how does baby engage to progress labor.Meagan: Yeah, different stages. The baby can be in sometimes different– I mean, we all have different shapes of pelvises so the baby has to come in different positions and sometimes that even means posterior so sometimes we do all the things to avoid posterior babies, and then our babies still go in posterior but that's actually because of the way our pelvis is shaped or the way it was that day that our babies needed to get into the pelvis in that position. Sometimes they can kind of hang up until we find those positions that can help them navigate down. Amy: Yes. I mentioned that to my doula and we both did some research on it because I think that was part of the issue with my daughter. There wasn't a consistent engagement. Even though my labor progressed for the most part, I was sort of wondering about that. I also was– I can't remember when this exactly happened but I think around 32 weeks, I started measuring big. Of course, my OB who I would say was VBAC tolerant. I wouldn't say she was VBAC-supportive. I did like her quite a bit but she was like, “Okay, your baby is measuring big and because of your history–” she goes through the whole, “here's your percentage of having a successful VBAC.” I'm 5'9”. I'm larger. I'm not a petite person so even if I had been, I don't subscribe to that because of listening to VBAC podcasts and stuff, your body can birth a large baby, but also, I wasn't as worried about it because I know that sometimes those projections are completely off and so it was part of that process of learning to respectfully disagree with a medical professional who I did have respect for and did feel like they had some expertise but to say that we don't have to agree on everything for me to work with you. That was a huge turning point for me just in my life in general working with medical professionals of, I don't have to completely throw everything you say out the window but I also don't have to agree with everything that you say and we can respectfully disagree on that issue. So I was like, “Respectfully, I'm not going to schedule a C-section at that point.” She didn't pressure me at all. She was like, “I understand. Let's move forward with the plan.” That's what we did. I think that was empowering. As we moved closer to my due date, he was big. I was not sure at the time, but I was like, I'm going to go into labor early. That was a mental block for me. Then as it gets closer and closer and closer to my due date, I'm going out of my mind just losing patience. I'm not a good, patient-waiting person as it is so I'm having prodromal labor for the whole week before my due date and at that point, I actually did schedule a C-section for the following week because I needed mentally an out-date. That was what it was in my mind of, Okay. If this goes on for another week, I have an out, even though that's not what I wanted. I think honestly mentally, it took a weight off my shoulders which is counterintuitive to what you would think when everything in me was working toward this VBAC then I was like, No. A couple of days before he was born, I needed that second date in my mind somewhere. Meagan: Well– oh, sorry. Go ahead, Desiree. Desiree: I was going to say I think it actually makes a lot of sense. You say it's counterintuitive, but you're right. We spend so much time and energy thinking about achieving our VBACs and having our babies. Sometimes having– well, even if I don't do all the things, I can still have my baby and then relaxation happens. That's when we see labor starting to take off for a lot of people. Amy: Yep. Yeah, I definitely think that was a piece of the puzzle. Yeah, and I think it was helpful.So yeah, I'm trying to think of how this went. Yeah, so we were doing some Spinning Babies things. We did some side-lying releases all throughout the pregnancy and then on June 4th which was actually my son's due date, having prodromal labor all week and then I felt like there was a little bit more intensity in the contractions I was having that morning so I sent my daughter off to her grandparents' and was like, Okay. I'm just going to focus today. I'm going to focus on getting my body in gear. It wasn't that I was in this mindset of, I'm going to make myself go into labor today, it was just this intuition around I needed to be able to focus on what was going on. We had that plan that my daughter would go stay with her grandparents while I go into labor and I thought that maybe she was just going to go earlier than I thought she would because I wasn't in any kind of active labor. Then I had my doula come over at 10:00 AM and we did more different exercises. I can't remember all of the ones we did because what would happen was that I would have contractions 15 minutes apart, 15 minutes apart and then they would just stop and that would be the end of it and then the next day, the same thing. Or they would be 10 minutes, 12 minutes, 20 minutes– nothing consistent so what we found was if I laid on my left side in the flying cowgirl position, then my contractions were more intense and more consistent. It was again this think of, in my mind I was like, While I'm in active labor, I'm going to be walking around and trying all of these different positions and all of this different stuff, and what I ended up doing is honestly just laying in bed and watching TV in that position almost all day. So again, it was this thing of that's not what I've heard is helpful or whatever but I just think that was where he needed to be to engage in my pelvis at that stage. Then every hour or so I'd get up. I'd do curb walking. I would just get out, walk around, and be active but it was way more laying down than I ever planned to do. You hear that's not how you get your body engaged in labor, but that was what worked for me so that was an interesting, Release what you think is going to work for you and do what your body is telling you is working for you. But it was actually kind of nice. It was relaxing. My daughter wasn't there. It was the summer. We had the air conditioning on in that room. My husband brings me a bubble tea or whatever and I was like, This is actually not so bad. This is okay. Contractions were probably 15, 10 minutes apart that whole day then in the evening is when it ramped up. I turned toward active labor and we called my doula again at 8:00 PM and the contractions were very intense. I was leaning on an exercise ball. My husband was trying to do some counterpressure to get me through it and then she did– and again, this is something where my doula and I were not always on the same page, but I was explaining to her my contractions. “They are about a minute and half long. They were maybe 7-8 minutes apart,” and the first thing she said was, “Oh, well that contraction isn't long enough to progress you at all,” or something like that. She said something about my labor process and it was so discouraging because I felt like I had taken so long to get to that point that when she said that, I was like, Oh, so all of this was for nothing. I know that's not what she meant but I remember just feeling very discouraged by that comment. So that was tough. Then she did the abdominal lift and tuck. I do feel like that helped get my son into my pelvis and more engaged in my pelvis because from that point, contractions were two minutes apart. They were very intense. I ended up signaling. I was like, “I'm ready to go to the hospital.” We agreed to labor at home as long as possible, but I was like, “I think this is the time.” Again, my doula was like, “I think we should wait longer.” My contractions were two minutes apart at that point and I was like, “I don't think we should. I want to go.” I'm glad we did actually because that ended up being the right time. But I remember rolling into the hospital at 12:01 AM and I remember my husband saying, “Well, I guess we're not going to be having the baby on his due date,” because my daughter was born on her due date. I was in active labor on my son's due date and then we just missed it. I remember being like, “That's true. We're not going to make it but that's okay.” So yeah, we walk into the hospital and go through triage. My water breaks while we are in triage and of course, they bring out their little testing stick and they're like, “We're going to make sure this is actually your water breaking.” I was like, “Okay, but I've never wet myself during a pregnancy. This is what it is.” Then we go back in the labor and delivery room and the doctor who is on call is not my doctor. I find out later that this is the most anxious, not-nice-to-work-with OB in that practice. So that was tough. I could tell from the beginning she was just very brusk. She didn't have a great bedside manner at all. She was like, “I see that he's measuring big so we're going to make sure that–” she was really worried about shoulder dystocia. I was very glad again that I had read up on that and that I was not concerned about that. So she was like– they had big birthing tubs there but they don't let you birth in them. They just let you labor in them. I was in there and feeling like I wanted to push for a while and I remember I went to the bathroom and she comes in the room and she's like, “Well, let's get you on the table.” I'm like, “I'm just going to the bathroom.” I don't know if she thought that I was going to try to have the baby without her or something, I don't know. Her whole vibe was very anxious. That was hard. That was definitely discouraging. I think at that point, I actually had asked for an epidural. Both times, I asked for an epidural at transition and then once I'm through transition, I'm fine. They didn't come in time and they checked me and I was already at 10 centimeters so they were like, “Okay, it's time to push. We don't have time for the epidural.” I'm like, “Okay, this is what it is.” That was okay and then I pushed for about an hour on my back which was again, not my choice but the OB was like, “No, I need to be able to see what's going on. I don't want you in any other position,” because again, she was so worried about shoulder dystocia and him being big. Halfway through pushing, she was like, “Okay, you can try on all fours.” But at that point, I was so exhausted that I couldn't even imagine myself getting on all fours. I was like, “That ship has sailed.” That was tough because I had planned the whole time to try to push at least for a little while on all fours because again, knowing about big babies and how that can be a really good position for that, but I just didn't feel like I could advocate for myself. I don't know. In both of my births, when I get in labor, I go very inward. I think having a doula was great, but both times I don't think my doula was super outwardly advocating. But again, maybe they were looking for a signal from me and I was just in my own world. It was okay though. I pushed for an hour. He came out just fine. It was that euphoric moment of, Oh my gosh. That just happened. That was crazy. Having only pushed for an hour felt great with my first vaginal birth. They took him out and they weighed him and he was 10 pounds, 4 ounces. Meagan: Yeah!Amy: Yes. It was so funny because the nurses were trying to guess. They were like, “9 pounds. He's big.” Yes. I felt great and actually, it was funny. The next morning, my OB came in. She was on then. She comes in and she goes, “Well, he was big.” I was like, “And I did get him out, so we were both right.” We were able to laugh about that. Meagan: I love that you said that. Like, “Hey, I was right too.” Amy: Yes. Yes. Yeah, and I felt like it was a good ending. I felt like she was like, “Yep, you're right. You did.” I did tear. I had two second-degree tears which again was maybe not as bad as I expected with a baby that size, but it was no fun. I think that's the other thing that I talk about often is either way, with a C-section or with that kind of a birth, I felt like it took me about two weeks to be able to feel like I could even walk normally. I think the difference with the vaginal birth is that I do feel like I made improvements every day where I gradually got better whereas with the C-section, it was really hard for two full weeks and then it was like then I felt better. It was a different recovery but I would say– and I think other people have talked about this here before but either way, it can be a tough recovery. Meagan: For sure. For sure. Amy: It's hard because my sister had two vaginal births and her second one, she was up and walking. We walked a mile when she was two weeks postpartum and I'm like, gosh. I couldn't even walk down the block at two weeks postpartum after my son. I think obviously not to compare yourself one or the other but I had a big baby and there was some trauma down there and that takes time as well. But it was a great feeling and I think that obviously, it ended up really good. Yeah. That's my story. Meagan: I love it. Thank you for sharing it and congratulations. I think that it's so hard to sometimes have providers who will meet you in the middle. It sounds like you both met in the middle along the way and I think in a perfect world, I just wish that this would happen where providers would meet us a little bit more but there are so many providers who won't even come in. We talk about it all the time with finding the right provider and if the provider is not right for you and if they are not willing to budge at all and meet you in the middle or be a part of the conversations where you were saying things and she was like, “You know what? Okay. Okay. Let's go back to the original plan then.” She said her piece. She said her suggestions. You were like, “No. I don't feel comfortable with this. This is not what I want,” and she was willing to be like, “Okay. Okay. All right. Let's go back to that original plan.” Look what would have happened if you weren't able to advocate and stand up for yourself and be like, “Actually–”, it could have been a very different outcome. Amy: Yes. Yes. For sure. Meagan: Desiree, do you have anything to share on that just as a birth worker or anything to share as far as tips go when we've got situations like that where maybe it seems like it could get really combative but it doesn't have to be? Desiree: Yeah. I mean, I just want to commend you, Amy, for being able to voice your opinion in that way because I think that's really hard for a lot of us to stand up in spaces with doctors who we think are in a position of authority. Yes, they have experience, but no one lives in your body. No one has the lived experience of your body except you. That makes you an equal expert in what's happening. I think it's great that providers bring advice and recommendations and they have a plan for what they want to see, but I think a truly great provider does meet you at least halfway. Ideally, you're right Meagan, they're coming a little bit more than halfway, but I mean, it's nice to hear that your provider was willing to listen to you and follow your plan and probably have hers in her back pocket as the fallback. But that's just great that you were able to advocate for yourself in that way. It doesn't always have to be combative, right? It can be as simple as, “Thank you for your advice. I appreciate your expertise. This is what I'd like to try and if it doesn't work, then we can try something else.” Amy: Yeah. I think that I was feeling anxious about that too and this big realization of, I do. I like her. I trust her as a doctor. I feel like we're on the same page, but that doesn't mean that I have to agree with everything she says and it also doesn't mean I have to fire her and find a new provider. Again, there is a happy medium there. You're right. I was taught that doctors have this authority. They know. They go to years of schooling. Of course, they do. But also keeping in mind that their worldview and perspective might be very different and the lens that they are looking at this through is very different than mine and how do I keep this in mind that they have this medical perspective of what they've seen. They've seen the worst of the worst medical scenarios but also to keep in mind that there's this whole other worldview around that so that ws helpful for me. Meagan: Yeah. That was definitely something that stood out to me with your form. It was, “Disagreeing with a provider doesn't mean that you can't work with them.” You said it in your story too. That is so, so true. It doesn't mean we can't work with them and if it gets to a point where it's like, “Okay, there is no working with this,” and it is actually not working, then we can make a different choice. We can change things up, find a different provider, look at our VBAC Link provider list, and see if there is someone else. But if you can work with it and everything is feeling good and there are a couple of things but we are working together, that is so great. That is so great. Amy: Yeah. Meagan: Awesome. Well, I just wanted to let Desiree share a couple of tips. I love when we have our VBAC Link doulas come on because it's so fun to get different tips and different perspectives from other doulas around the world. Desiree is in California with Be_Earth_Mama. Is that right? Desiree: Yeah. My husband gives me a hard time about this all the time because I guess nobody gets it but it's Birth Mama. Meagan: Oh, I thought it was Be Earth Mama. Desiree: That's what he says. Meagan: That makes so much sense, so much sense. She is in California. Remind us exactly where in California because California is ginormous. Desiree: California is ginormous. I am in the San Francisco Bay Area so Northern California. Meagan: And you do birth and education. Desiree: I do birth and education primarily. Meagan: You do webinars and all the things, right? Desiree: I do webinars. I do online classes. I teach in-person classes. I'm getting ready to start a prenatal belly dance class that I think is going to be in-person for now but might go to virtual if there is an interest so all things birth preparation essentially. That's my niche. Meagan: Really, really cool. Awesome. I know there were a couple different topics that you were talking about and I was like, ooh. Breathing and active relaxing. Tell us all the things. Desiree: Yeah, it's one of my favorite topics and I feel like it's one that is on the list but it's low on the list because you think about breathing. Why do you need to practice breathing? You just naturally do it but if you've been in labor, you know that when that intensity starts to pick up, breathing is the first thing that goes out the window so having a strong breathing practice is the first step to staying really calm and grounded in labor. But even beyond that, I think having a practice is about the process and I think especially for me in my VBAC journey, it sounds like Amy was sort of like this where contractions start and they stop and they start and you are in this waiting game. Is your body going to do the thing or is it not going to do the thing? What's wrong? I feel like having the practice to fall back on gives you a way to stay grounded and centered in your body as you are waiting for labor. So it's two-fold. Keeping your body nice and relaxed while you're actually working through labor but giving yourself the time to be nourishing yourself in those last precious days and weeks leading up to labor I think is almost more important. Something that I work with all of my clients on is having an established breathing practice. It's not about the breathing technique because there are so many different ones out there. There is the up breathing. Up breathing is my favorite, breathe in for 4, exhale for 8. There is box breathing where you breathe in for 4, hold for 4, exhale for 4, and hold that for 4 counts. And for some people, it's just simply breathing as slow and controlled as possible. I think it's about finding something that feels natural and intuitive to you that you can lean into but it's about finding time and practicing really dropping into your body and dropping out of everything that's going on around you and playing into your senses with that. That's something I like to talk about to my clients is hacking your body. Building muscle memory because it's so hard to relax and stay calm when you're going through surges, the contractions are really building, and telling you to stay relaxed is not really going to work. Nobody wants to hear that. But if you have this practice and if you've built in sensory cues– I like recommending people to pick a birth scent either an essential oil or a candle or a lotion, picking a song or a sound, it could be even a meditation track and setting aside just 2-3 minutes every day to run through whatever your breathing technique is with your scent or your sound, maybe you have something to hold onto and practice just actively relaxing every single part of your body through the process of breathing when you get into labor, your body is going to remember that once you launch into this breathing routine and you put on your birth scent and you have your sound or your meditation track playing, your body is naturally going to relax because you've told it that that's what this time is for. I think it's a really special thing that we can do for ourselves to give ourselves this time and this practice where we are just nourishing the deepest parts of us. It's of course helpful for labor, but I think it's also a helpful practice to take into postpartum and into parenthood. I can say I've been doing this for 5 years. My oldest daughter is 5 years old and I still do it every day. I have to run through my breathing practices. Yeah. I think it's especially important for VBAC mamas to have this type of self-care routine. Meagan: Yes. Oh my gosh. I love that so much. Like you said, it just becomes intuitive if we can practice this so much and instill this into our lives, it just becomes intuitive in that labor journey. There are going to be times where we were talking about roadblocks and stuff earlier, but those might come in and breathing in itself is something that can get us through those things. When you talked about the box breathing, I've done that before and I have this weird thing when I do box breathing. My body moves and I'm creating a square. Desiree: I do too. We don't have our cameras up, but I have to do the square. Meagan: Same. I do a square. I literally draw a square with my whole body and my torso and everything looks like a tree swaying in the wind and I can just feel it. I literally, the relaxation from head to toe just comes in. Like she said, there's not any specific way. You don't have to choose one way. You can use them all. You can use anything, just really, really, really having active relaxation practices before you go into labor is so good. And I think it can help along the way. Even when we have a provider who comes at us with, “Hey, we're going to meet you in the middle,” it still can be in our head. We can be like, Okay, she said this. I said this. This is what we're going to do. You've just got that whole conversation and it's just that you're breathing through that and you're processing that and you're going to apply it later on in labor. I don't know. I just love breathing so much. Desiree: I do too. I think it's the most important tool that we have that everybody has. It's the most powerful tool that's available to us. Meagan: We have to do it to live. Desiree: Mhmm. Meagan: We just have to. It's intuitive. We have to do it and we talk about intuition here and tuning into our intuition. If we are really, really tuning into our intuition, that breathing is part of that. Then our minds and our bodies can respond. Amy, did you ever do any breathing or anything like that? Have you ever heard about any of the things we are talking about? Amy: Yeah, yeah definitely. It's something I use in my therapy practice a lot. Meagan: I was wondering if you did. Amy: I work with college students primarily so this is a lot of time for some of them that they are facing some of this but I love what you were saying Desiree about practicing ahead of time because that's what I'll say. They'll be like, “Oh my gosh. I had a panic attack. I practiced your breathing and it didn't work.” I was like, “Did you practice that ahead of time?” When you're in crisis, it's hard to do it then. But if you've practiced it before and cued your body to that place, that's where it is so useful. Ironically, it was something that I didn't use a ton during my labor process as far as intentional breathing practices. I think I wish I had because I think that would have been useful, but my doula would coach me about some forms of taking deep breaths and sort of how you are breathing through some of the surges and stuff. But yeah, I love that. I love the practice it before you are in labor because then it's easier to do while you're in labor. Meagan: Mhmm, absolutely. Such a powerful message. Okay, one more time, Desiree, tell everyone where they can find you. Desiree: Yeah. I'm on Instagram. You can find me at b_earth_mama pronounced “birth mama”. You can find me on my website which is www.b-earth-mama.com and that's primarily where I'm at. Meagan: Awesome. Well, go give her a follow everybody especially if you are in California and looking for a doula. And Amy, thank you from the bottom of my heart for joining us today and sharing your amazing stories. Amy: Awesome, thanks for having me. It was great. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Women of Strength, how many of you have “failure to progress” on your operative report as the reason for your Cesarean(s)? Meagan and Julie talk ALL about failure to progress today– how it led to their own Cesareans and how after breaking it down, they both realized that neither of them actually qualified for that label. When is it failure to progress and when is it failure to wait? What does failure to progress actually mean? This is an episode you will want to listen to over and over again. From learning all of the ways a cervix changes other than just dilation to all of the possible positions you can try during a lull in labor, Meagan and Julie share invaluable current research and personal experiences on this hot topic! ACOG Article: Limiting Interventions During Labor and BirthAJOG Article: Safe Prevention of a Primary Cesarean DeliveryThe Journal of Perinatal Education: Preventing a Primary CesareanOBG Project ArticleThe VBAC Link Blog: Failure to ProgressHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. I am with Julie today and we are going to be talking about failure to progress. If you have been diagnosed with failure to progress– and I say diagnosed because they actually put them on our op reports like it's a diagnosis of failure of progress meaning our cervix does not know what to do. It cannot make it to 10 centimeters or it hasn't or it will not in the future, then I am telling you right now that this is definitely a great episode for you. Even if you haven't been told, it's going to be a great episode because we are going to talk about some other great things in the end about what to do in labor position-wise and all of the things. So we're going to get going, but Julie apparently has a Review of the Week. We weren't going to do one, but she says she has a Review of the Week. So, Julie? I will turn the time over to you. Julie: This is my review. Are you ready? Meagan: I'm actually really curious. Julie: “I'm so excited. Thank you so much, Meagan and Julie. I love The VBAC Link!” Signed, lots of people everywhere. Meagan: I love it. Julie: We don't have a Review of the Week so I just made one up. Boom. There. Signed, AnonymousMeagan: All right, you guys. Failure to progress: what it is and what it isn't. Let's talk about what it is. What does it mean? Essentially, it means that your provider believes that your cervix did not progress in an adequate amount of time and there's also failure to progress as in your body may have gone into or you are going in for an induction and then they couldn't even get labor going which we all know is usually not the case that your body really couldn't do it, but failure to progress is when your cervix does not continually dilate in an adequate amount of time. Would you change anything about that, Julie, or add anything to that? Julie: Sorry, I didn't hear half of that. I was just going through it. I was going through the things just to make sure that we are 100% accurate on what we are about to say. Whatever you said, yeah. That sounds great. Yeah. Let's go with it. Meagan: Failure to progress– the cervix is not dilating in an adequate amount of time. Julie: Basically, yeah. Your cervix isn't changing so you've got to do a C-section because it's not working basically. Meagan: Okay, so what it isn't– do you want to talk about what it isn't? Julie: What it isn't? It isn't– sorry, I'm trying to say it. Meagan: It isn't true most of the time. Julie: Most of the time it's not true. It isn't what we think it is and if it is, it's not a sign that your body is broken. It's not exclusion. It's not a reason to exclude you from trying for a VBAC. It's not your fault. It usually is a failure from the system where people are in a rush or in a hurry and just not knowing how to move past a stall in labor or not understanding the true flow of how some labors take. I mean, I was diagnosed with failure to progress. You were diagnosed with failure to progress and I know that both of our literal clinical outlook at the time we were diagnosed with failure to progress was not true failure to progress. Meagan: Mhmm. Julie: According to what the actual guidelines and requirements are. So I always say, yeah. What you said, it is not true. Meagan: It is not true.Julie: We joke about that and use it loosely. Sometimes it is true. I've seen one true failure to progress diagnosis in over 100 births, but I feel like most of us listening and most of us who have C-sections have them because of failure to progress. Now, mine when I was in labor, I was not told failure to progress. I was told fetal heart tones, but that's another topic for another episode– what we are told versus what is in our op reports. So yeah, let's do a little plug-in about getting your op report. Find out what is actually in the notes that say why your C-section was called because it's not uncommon for what it was written down to be different than what you were told in the moment. I feel like having an accurate clinical understanding of what your Cesarean looks like on paper to another doctor who is reviewing your birth is super important. Meagan: Absolutely. I agree and also, I think that it's important to note that if you have been told this and you have doubt in your body, that it is normal to have doubt because we have been told that we can't do something and that our body can't dilate, but I also want to plug-in that really try not to believe that. Try your hardest. Do whatever you can to not believe that. It's going to help you. Believe the opposite. Believe that your body can do it. Believe that you were most likely set up in a less-ideal circumstance that created that result, right? Like an induction– it was a failure to descend, not progress, but I just recorded a story the other day where her water was broken at 6 centimeters, baby came down wonky. They couldn't get baby out and they diagnosed her with CPD. There are these things that are happening a lot of the time where we are walking in to be induced way too early or really any time we are being induced could be too early especially if it's just an elective. It can definitely be too early and our body is not ready so our body is not responding or our body is overwhelmed because it's been given so much so fast and it doesn't know what to do so it doesn't react the way a provider wants it to by our cervix dilating. It almost is reacting in the reverse way where it's tense and tight and like, No. I'm not ready and I'm not letting this baby out. Don't you feel like you've seen that? Julie: Yeah. We've seen lots of things. I feel like that's the tricky thing. We as doulas and birth photographers really do get to see the whole gamut of everything from home to birth center to hospital and everything. I feel like we have such a unique perspective on how labor is managed in and out of hospitals and how stalls or lulls in labor are managed in both places. Let me tell you, it's often way smoother and in my opinion way better outcomes when you are out of the hospital and that happens. Meagan: Mhmm. Labor at home as long as you can. Yeah. I mean, one of the stories that I just recorded was an accidental home birth. It was not her plan, not even close, and it will for sure come across that way when she is telling the story, but there were so many things that she did within that labor like movement from the shower to the toilet to walking down the stairs to moving back to the toilet. There was all of this movement that sometimes doesn't happen in a hospital or we've got, like I said, “Let's break your water. Let's do these things.” We've got these interventions that may help, but doesn't always. It may also cause problems. Okay, so we have some updates for you on the safe prevention of a primary Cesarean delivery that Julie has found and then we also want to talk about what is adequate labor too? What does that mean and where do we decide or where does a provider decide if labor is not adequate? Julie, do you want to talk about this for a minute on what you found from the OB/GYN Project? Julie: That's just a really nice summary. I really like it because it is all laid out really nicely. I am seeking out different pieces of information because there is updated information so I'm just looking for that. I'm not quite 100% certain I can speak to when it came out. Evidence-Based Birth has some great information. They did a podcast episode on the Friedman's curve. We know that dilating 1 centimeter an hour is based on the study that Friedman did. That's incredibly flawed but there is new updated, more evidence-based information that has come out. I'm trying to find out when it came out actually because the Friedman curve was established I think in 1956 and let's see. In the 2010's there were big shifts in the evidence. In 2014, ACOG had a study. Maternal Fetal Medicine published new guidelines on labor progress. Okay, so 2014 it looks like which is actually not that new anymore because it's 10 years later. That was, I think– I don't think it's actually shifted that much at all. I'm just trying to figure that out right now. I'm sorry. Let's see. The Practice Bulletin– yeah. You go. Safe Prevention of the Primary Cesarean Delivery. Meagan: I think we are looking at approaches to limit interventions during labor and birth, but we know that a lot of the time when we are introducing interventions, that is where we often will receive a failure to progress diagnosis because we are really introducing things, like I said earlier, when the body is not quite ready or the baby is not quite ready. Maybe the baby was already too high and was trying to make their way around and into the pelvis but now we've got an asynclitic baby or a transverse baby or an OP baby.This one, Number 766 which we will have in today's show notes actually originally replaced the committee of 687 in February 2017. The 766 was in 2019 and reaffirmed in 2021. Something that I like that it goes through is recommendations for women who are at term and spontaneous labor it happening. It talks about admission upon labor. It talks about premature rupture of membrane or rupturing of membranes which I think is a big one. Really, through my own experience but also doula experience, I've seen so many people go through membrane rupturing whether artificially or spontaneously and then nothing is happening so we go in and we get induced. Or we are told the second our water breaks that we have to go in, then labor has not started yet so we are intervening. One of the things it says is, “When membranes rupture at term before the onset of labor, approximately 77-79% of women will go into labor spontaneously within 12 hours. 95% will start labor within 24-28 hours.” I just had this experience with a VBAC client just the other day. Her water broke and within about 9 hours, she was starting to contract and within less than that, she actually progressed really quickly. Baby was born. That was really great but then there are situations like myself where it takes forever for labor to even start. It took 18 hours for my very first contraction with my second baby to even start and then by 24-28 hours, I was in a repeat C-section because my body didn't progress fast enough according to my provider.It says that, “The median time to delivery for women managed expectantly is 33 hours and 95% had delivered by 94-107 hours after rupture of membranes.” I think that is something also really important to note that if your water breaks, it doesn't mean we're just having a baby right away. It doesn't mean that our body is failing because we haven't started labor. 94-107 hours after the rupture of membranes is when the baby had been born. That's some time. We need to allow for the time. Julie: That's why I hate it when hospitals say, “If your water breaks, come in right now.” No. Meagan: I know. My provider did that too because it makes sense in our heads. They're saying, “Oh, just come in because we have to monitor baby because of infection and all of this stuff.” But we also have to take a step back and realize that once we go into that environment, one, that's a new environment. We're not familiar with that. All of those germs in that environment, we're not accustomed to. We're not immune to them. And then two, we know that the second we go into labor and delivery units, what happens? They want to check our cervix which means–Julie: Bacteria. Meagan: There is bacteria that is possibly being exposed to the vaginal canal, right? Even if it's a sterile glove, that still raises chances. Julie: Yeah, sterile gloves really are not as sterile as people think. Meagan: There are these things to keep in mind, but it's so hard because for me, I had premature rupture of membranes. My body didn't start labor, but I was told failure to progress after 12 hours for only reaching 3 centimeters. I was told failure to progress. I just really liked that. I mean, I like a whole bunch of this but I really liked that part of the rupture of membranes because I think so often we are told, “Oh, your water is broken. You're not progressing. You are a failure to progress.” Or we are not progressing so we have to break our water to try and speed our labor up and then that doesn't happen and then we are failure to progress. Can you see the problem here? Julie: Total problem. Meagan: It's a problem. Julie: It is a problem. So many problems. It's fine. I just dropped two different links to the updated guidelines because it's really funny. I've been going down the rabbit hole now while you've been talking so if I'm repeating things like I tend to do on you sometimes, please forgive me. I just think it's interesting. There is starting to be a shift in pulling away from Friedman's curve and going into a different way to consider an actual progression of labor which is a really cool, nice little shifty-shift here. I feel like maybe let's talk about what failure to progress really is. What are the guidelines for it? What is real failure to progress versus what you've probably been told about it? First of all, let's just talk about– nothing. Meagan: Can we use my own birth example just as a starting point to what this evidence is showing us or what the guidelines are? My water had broken spontaneously. It took a little bit to start labor. Within 12 hours, I was 3 centimeters and was told that my pelvis was too small and that I was failure to progress. Water broken, I was 3 centimeters 12 hours into labor. all right, Julie. What am I? Am I real, true failure to progress or not? Julie: No, you're not. Absolutely not, are you kidding me? Because you were still in the first stage of labor. That is the number one thing. According to clinical guidelines, it is not failure to progress until you're in the second stage of labor which is at least 6 centimeters dilated. So guess what, friends? If you got called failure to progress before you were 6 centimeters dilated– mine was labeled failure to progress at 4 centimeters so that rules me out. I mean, there are lots of things that rule me out and Meagan. But if you are less than 6 centimeters, it is not failure to progress. Meagan: Yeah, it even says right here. “Active phase arrest is defined as a woman at or beyond 6 centimeters dilation with ruptured of membranes who fails to progress despite 4 hours of adequate uterine activity or at least 6 hours of oxytocin administration with an adequate uterine activity and no cervical change.” Can we talk about that too? Adequate uterine activity. You guys, at 3 centimeters with my water broken, I was still not in an active pattern to progress. It takes time. Our uterus doesn't just start contracting regularly and adequately. It takes time. Then at that, I was only on oxytocin for 2 hours. Julie: Pitocin. You were on Pitocin. Meagan: Sorry. That's what I meant. Pitocin. I'm looking at the word oxytocin administration. Pitocin. Julie: We all know the truth. Meagan: We all know that Pitocin is not oxytocin. Julie: That is a soapbox for another day. Meagan: I was only on Pitocin for 2 hours. 2 hours. At the top, it says, “Slow but progressive labor in the first stage of labor should not be an indication for a Cesarean. With a few exceptions, prolonged late phase greater than 20 hours in a first-time mother and greater than 14 hours in a multi (so a mom who is not a first-time mom) should not be an indication for Cesarean as long. As the mother and the baby are doing well, cervical dilation of 6 centimeters should be the threshold of an active phase of labor.”Julie: Exactly. That's it too. Later on after this, we're going to talk about all the different ways a cervix can change because can I just tell you what? Someone says, “I'm 5 centimeters. I'm still 5 centimeters, great. Cool. What else has your cervix been doing? We're going to talk about that in just a second.” But yes, that's the thing. It's not failure to progress before 6 centimeters. It has to be 4 hours of adequate uterine activity which means strong, consistent contractions. Contractions that are strong enough. We could talk about the Montevideo units which is another measurement of the strength of contractions. We're not going to talk about that because we just don't have time, but are your uterine contractions strong enough? Yes? Then it's got to be at least 4 hours without cervical change. No? Then great. Let's do Pitocin and the inadequate amount of uterine activity. It says 6 hours or more of Pitocin without adequate uterine activity. If you've been on Pitocin for 6 hours and your contractions– which has caused that adequate contractions– and there is still no cervical change, then you are failure to progress Let's talk about cervical change though because the cervix goes through so many things. When I was doula-ing, I talked about this a lot in our second prenatal visit about how a lot of times you'll be like, Oh, cervical change. Yeah, dilation. Am I 4, 5, 6, 7, 8? But listen. The cervix goes through changes in 6 different ways. It moves forward so from posterior pointing backward toward to your spine. It straightens out to a more downward position. It softens so it goes from hard like your forehead to hard like your nose to softer like your chin. It softens. It effaces which means it thins out so it starts thick. It thins out which is effacement. It dilates obviously which is the opening and then baby's station like where baby is in the pelvis. Baby drops down, rotates, and descends. If you were 3 centimeters at your last cervical check and 60% effaced and 2 hours later at your next cervical check, you are 3 centimeters and 80% effaced, your cervix has thinned by 20% which is a good amount of cervical change. Meagan: Good change, yeah. Julie: If you were 6 centimeters and your baby was at a -2 station and at your next cervical check, you are 6 centimeters and your baby is -1 station which means your baby is lower in the pelvis, that is a cervical change. All of these things are shifting so I feel like it's important that when we are talking about failure to progress or when we are talking about labor progress that we consider all of the things the cervix does.I was just at a birth yesterday– not yesterday, two days ago. I don't know. It was all night and it was long for me. All night is long. It doesn't matter if i was there for 6 hours or 20 hours. If it was all night, I'm going to call it long as I'm getting older. The client was still 4-5 centimeters but the cervix was a lot softer or stretchier I think at the one before this. Oh yeah, your cervix is super stretchy now. Those are all great cervical changes even though the dilation number hasn't changed. Meagan: Yeah, so coming forward, thinning out, really softening up, baby dropping– all of these things are signs of progression and so it's something to keep in mind if a provider is like, “Well, you've been sitting at 6.5 centimeters now for 9 hours,” or whatever, but at the same time, your cervix went from 40% to 80% thinned and it went from super posterior to more mid-line and baby went from -3 to a 0. These are changes. These are absolutely changes and there are so many things that go into that. If a baby is high and not well-applied because they are trying to work their way down to the pelvis and our cervix is working on coming forward, there is so much that goes into that where now we're going to have a baby. If that change was made, now maybe we can have a baby that was well-applied to the cervix creating good pressure. Uterine activity is getting stronger. Things are progressing in the right way.So in the ACOG thing, it does say that in contrast to the prior suggested threshold of 4 centimeters which we know is very outdated, the onset of active labor–Julie: Right, that was according to the Friedman's curve. Friedman's curve called active labor at 4 centimeters but now we are getting all of this new information that yeah, it's probably at 6. I feel like when you and me started as doulas 9-10 years ago, it was 4 centimeters, but a couple years after that, everything started shifting into 6. So it's actually not that new, but kind of new. Sorry, keep going. Meagan: Yeah. I want to get into our positions really quickly, but it does say even in here, the onset of labor for many women may not occur until 5-6 centimeters. May not occur until then and then we know that sometimes around 6 centimeters, it takes some time. We're going to make sure all of these links here are in the show notes so you can check it out. Meagan: But we only have a few minutes left so I really want to talk about positions, okay? So positions in my opinion can truly change failure to progress. Julie: Yes. If there is a lull in labor, they're getting close to calling a C-section, what can we do about that? Nobody wants to hang out at 4 centimeters forever. Nobody does so what can we do about that? Yes, Meagan? Sorry, go ahead. Meagan: Movement. If you do not have an epidural, obviously movement is a lot more free. Moving around, just walking. Just flat-out walking. If we've got a higher baby and we're trying to get a baby down, really think about that femur rotation turning out. You can walk and sometimes I've had my clients do this little step dance thing where you step really wide and out and then left and right and left and right. We are doing this weird-looking dance thing, but you're grooving. Julie: You're grooving. Meagan: That can really help. Or thinking about really big asymmetrical movements so put your leg up on the bed or on a stool or on a whatever and leaning over. Bigger movements and outward movements. If you have an epidural at this point, same thing. Rotate on your side and really open those knees up really, really wide. Try to keep those movements consistent. If you're exhausted and you have an epidural because you need sleep, I really, really believe in sleep and I think it's very powerful. Find a good position. Sleep in that position and when you wake up, get going. Get active. But every 5 or so contractions, if you can, if not, make it 8, make some changes. It doesn't have to be too dramatic. It sounds weird, but if you are at home, crawling up your stairs. Crawling up your stairs on your hands and knees is weird but it works or standing up and down going from the side– one side going down, standing back up, turning and walking back up, turning around, doing the other side down and coming back up. Those things are going to help. Doing big figure 8's or hip dips. As the baby gets lower, all of those things are really still important. We are going to be less focused on big open wide because now we're going to want to get baby in and then down. So if you think about a pelvis, when the femur rotation goes out, the bottom goes in. Femur rotation in, bottom goes out. Thinking about these movements as you're laboring and as you're working through these things, as you're in these positions. Think about our hips, our pelvis, and even doing some cat-cows in labor is really good. We know there is the flying cowgirl. That is a really good one in labor too to get baby down and in. Julie: Walcher's. Meagan: Walcher's is not as fun, but it can be very good. Julie: It is magical. I've seen it push labor through so well. I had a doctor once at the U come in. I had a client who was 5 centimeters. Baby wasn't looking too great. She had been 5 centimeters for a while and we were doing Walcher's. They came in because the heart rate– Walcher's sometimes makes it hard to get a fetal heart rate so the nurses come in. They were talking about C-section and they were prepping, bringing in all of the C-section stuff for her partner to get ready. They were like, “You can't do this. Baby's heart rate is not tolerating it.” I'm like, “No. It's just not picking up the heart rate.” I'm like, “Okay, just one more contraction.” One more contraction later, she comes up and starts pushing 2 minutes later and her baby is born. the doctors are freaking out because, “Oh my gosh, the bed's not designed to labor like this.” Not everyone, sorry, but those are a little couple of pushbacks I've gotten sometimes. Meagan: It's weird-looking. It's funky. It's uncomfortable. Julie: Yeah. It's curious and some staff at hospitals do not– if they see something new and they don't know about it, they automatically assume it's not good because they need to keep everything in line and to the protocol and all of those things. But yeah, it's just really a magical thing. Meagan: There's also the abdominal lift. You can abdominal lift. I think actively moving through the contraction which can get really hard in that active phase, but through the contraction can actually help. Hands and knees, sacrum, and all of those things. Holy cow, there are so many positions. Julie: Yeah, can I just touch back? When you said about the epidural, I love when you're not resting, I think sometimes it's easy to get discouraged if you want an epidural but you also want to move during labor. I want to expound on that a little bit because you can move with an epidural still and here's how you do it. My favorite labor position with an epidural is sitting up in the throne. You lay the head of the bed all the way up, drop the feet down, then you crisscross your legs. Put the peanut ball under your right leg. Five contractions later, peanut ball under your left leg. Five contractions later, criss-cross your legs again or stretch them out straight and then repeat. Do you know what? There are so many magical ways that that helps. It keeps your pelvis moving and shifting and growing. I swear that is the most magical position for laboring with an epidural because you are upright. Baby is going to move down. The pelvis is moving and shifting so it creates lots of movement and space and I have seen that progress labors relatively quickly to how they have been going before we set up the throne so many times. I love that. I will swear. I will die on that hill. If you are failure to progress and things aren't moving, sit up, drop your legs, get the peanut ball. It doesn't even have to be the peanut ball. Maybe you don't have one in your hospital but stack a couple of pillows but put one leg up. Put your foot flat on the bed so your knee is making a triangle. I don't know how to describe it the right way and then drop it and put the other leg up and then criss-cross your legs then stick them out straight like two little sticks. Meagan: Every five. Every five, have subtle changes. Every five, subtle changes. Keep that in mind when you are laboring. Women of Strength, know that failure to progress is rarely truly failure to progress. We get it. We've been told the same thing. We see it all of the time as doulas. There's more. There's more and don't feel like you have to say, “Okay” to a Cesarean if your cervix hasn't dilated to a certain amount that the provider is wanting. Assuming you and baby are doing well, you can always ask for more time. Okay, we are on a soapbox. We could probably continue for a whole while longer, but Julie, thank you for joining me today and talking about failure to progress and what it is and what it isn't. Julie: You're welcome. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

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the final episode....   BEFORE THE BABY WAS BORN! I can't believe the next day we welcomed our new baby girl. Let's play some games today, talk all things membrane sweeps, final baby thoughts, and contractions LOL.    Also, hear Wyatts thoughts on being an only child and let us know what you think.    TRY THE GAME WE PLAY AND TAG US!    NEED PARENT ADVICE? we aren't experts but we are real parents who have gone through a lot in the past 4 years. ENTER HERE: https://forms.gle/UmgdKvVYYCLaKrrR7   Rate, review, subscribe - and share with a friend today.   You know what the best part of my podcast is?! NO RULES. Welcome to the fam.   ♡SHOP HYDROJUG, code desb for 10% off: https://bit.ly/DESBhydrojug ♡MY BEAN BAG: https://amzn.to/4a5QWR6  NEED THERAPY? bit.ly/betterhelpbrunch use code DESB for 10% off your first month at BetterHelp online therapy ---- Time Stamps: (3:00) HAWK TUAH (6:00) living in distress (8:45) A CREATOR FOR CREATORS (12:00) I am contracting.. (13:42) MEMBRANE SWEEP 101 (17:30) a huge sweep fail (22:20) idgaf anymore (26:00) money talks (28:30) ONLY CHILD SYNDROME (35:37) lets play a game (49:00) ending on NUTS ______________________ ♡ Join BetterHelp today - bit.ly/betterhelpbrunch code “desb” for 10% off your first month! #ad #sponsored   leave me a voicemail: https://bit.ly/voicemail_bwd tell me a secret/ask for advice: https://brunchwithdesb.com ♡MY SKINCARE AND MAKEUP: https://www.shopltk.com/explore/desb  ______________ FOLLOW WYATT: https://www.instagram.com/notjustanotherdad_ TIKTOK: https://www.tiktok.com/@notjustanotherdad    ♡JOIN MY APP FOR LESS THAN $1 A DAY: https://bit.ly/bfittrainingplans   code "brunchwithdesb" for $10 off your first month.   find all my codes and discounts: https://bit.ly/desblinks DM me on IG: https://bit.ly/brunchwithdesbIG    ♡SHOP MY FAVES: Follow my like to know it: https://bit.ly/ltk_bwd   Follow up amazon store: https://amzn.to/46ff4zi   OPEN FACEBOOK FITNESS COMMUNITY: https://bit.ly/dbftcommunity_bwd

“It was perfect. It really was. I would do it again and I would do it the exact same way. I felt safe and I felt respected and I felt like there was never a moment in it that I was scared.”Emmy's first birth was a medicated hospital birth turned C-section after two hours of unsuccessful pushing. Her greatest trauma was being so out of it that her first thoughts after her baby was born were, “I don't care.” Her multiple failed epidural/spinal placements caused intense postpartum spinal headaches. Overall, Emmy's difficult experiences were a recipe for postpartum depression and anxiety.After finding The VBAC Link, Julie and Meagan became Emmy's virtual friends helping her through tough postpartum days. When she became pregnant again, Emmy knew that Julie Francom needed to be on her team. Emmy shares how she made the choice to switch from planning a hospital VBAC to an HBAC and how home birth relates to cows! Her birth was powerful, intuitive, and healing.After her husband caught their baby and Emmy pulled her up to her chest, she shares the most healing moment of all. “I wasn't thinking in my head, ‘I don't care'. I was thinking that I had this beautiful little baby in my arms. It was what I had dreamed of. “CDC ArticleThe VBAC Link Doula DirectoryThe VBAC Link Facebook CommunityDown to Birth PodcastDr. Stu's WebsiteThe VBAC Link Blog: Choosing Between Home Birth or VBACBirth Becomes You Birth Photographer DirectoryHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Julie: Hello, hello. Surprise! It's Julie here and I'm super excited to be here with you guys today. I always love coming on the podcast with Meagan you guys know. I love to get a little bit salty and a little bit straight-up talk on the podcast. I quite enjoy my time here but I am a little extra excited and a little bit less spicy and salty because I have a client of mine. Her name is Emmy and she just had a VBAC about 3 weeks or 4 weeks ago. Has it already been 4 weeks? Oh shoot, I owe you your gallery already. It'll be done in a few days. But I photographed her birth and she is incredible. It is super exciting because she is going to tell you more about this. She actually reached out to me 2 years ago when I was still doing doula work at the beginning of her journey after her C-section baby and it's just super fun to be here full circle with her and have her share her story. I want to hear it from her perspective. I haven't heard it from her perspective yet. We are just going to have lots of fun chit-chatting. You guys are going to come to love Emmy just like I do. But before we do that, Meagan has a Review of the Week for us. Wait, did I say it's Julie? Did I introduce myself? Meagan: Yes, you did. Julie: I feel like some people don't know. You have been doing solo episodes for a really long time and I feel like some people don't know who I am anymore which feels kind of weird to me. Meagan: You are the famous Julie. Julie: The famous Julie. Anyways, Julie Francom, co-founder of The VBAC Link. I separated a couple of years ago but pop in every once in a while to get a little bit salty. If you know, you know. Anyway, here's Meagan. Meagan has a Review of the Week for us and I'm going let her do the rest of the things. Meagan: If you know, you know. Okay, we have a review. It's from lar23 and it's titled “Love Your Podcast”. It says, “Hi Meagan. I love your podcast so much. I always end up crying at the end of them. So happy for these moms who get their VBAC. Thank you for creating this podcast. It's so inspiring to hear these stories. I'm 38 weeks pregnant currently and hoping to get my VBAC here soon. Keep doing what you're doing. You're helping so many people and doing so well to achieve their birth dreams knowing that we are not alone. Thank you for that.” That was left on Apple Podcasts and that was actually just about a year ago so lar23, if you are still listening, we always love to know how things went so maybe write us in at info@thevbaclink.com. If you haven't left us a review yet, please do. We love them. They make us smile and guess what? I actually even still share them with Julie today. Julie: It's true. I love getting a good screenshot of a review. It makes my heart happy still. Meagan: Right? They do. Every single time they come in, my smile immediately grows from ear to ear. Okay, are we ready? Julie: Yeah. Meagan: Julie, Emmy, let's do this. Let's hear this amazing birth story. I was reading a little bit of her bio part and can I just tell you that there is one little thing that stuck out? It all stuck out, but there was one little thing. “I found a doula I loved. I hired Julie Francom as my birth photographer. You bet I felt starstruck.” It says, “I interviewed multiple midwives before choosing one. Originally, I planned a hospital birth, but the more research I did and after listening to the podcast with Dr. Stu, I felt very strongly that a home birth was right for me. I was just as shocked as the guy that I told the next day that I felt that way.” Can I just say that stood out to me? You hired the doula. You found an amazing photographer who is also a doula. You interviewed multiple people. All right. I'm just going to leave that right there for the intro to your second story and let's cue the first story. Julie: Let's go. I'm excited. “I felt starstruck”. It's still weird to me when people are like, Oh my gosh. I don't know if that's what you were like, but it's just so funny. Anyway, sorry. Go ahead, Emmy. Emmy: Yeah, we'll start with the first one and then I'll talk about my starstruck interview with Julie. Yeah. It was 3 years ago almost exactly because I had my kids a day apart 3 years apart– March 14th and March 15th so it was 3 years ago, I was teaching 6th grade and it was a new subject and a new school so that was my focus. I did zero prep, but I was so optimistic. I'm like, Everyone goes in and has a baby. We did nothing. Suddenly when my water at 39 and a few days started to leak, we were like, Okay, we go straight to the hospital. My water hadn't even broken. It was just a leak. Meagan: That's what you're told a lot of the time. If your water breaks, you go in. Emmy: Yeah, so you'd sit down and a little gush would happen. We high-tailed straight over to the hospital. I was feeling Braxton Hicks contractions. They weren't even painful yet. They checked me and to quote, I was maybe a half-centimeter dilated. I said, “Great. When can I get the epidural?” She was like, “You can get it right now.” I'm like, “Fantastic. This is greater than my wildest dreams right now,” because at that moment, I had done no prep so my fear was of the pain. The fact that I was getting this epidural before I even felt pain was amazing in my head. I get the epidural at maybe a half-centimeter dilated and I lay on my back on a bed for 30 hours. I did do the peanut ball a little bit back and forth. There was some movement there, but as far as any other real movement, there was nothing. Little did I know, he was OP and now I've done a lot more research on OP babies and learned a lot about how OP babies need movement. I read a whole article from Rachel Reed that was just talking about how the most important thing for an OP baby was movement and I did not move. It was probably no surprise now looking back that I started to have really horrible back labor having an OP baby which if you've had back labor, it's not like a normal contraction where you have a 60-second contraction and then you have a 10-minute break. It is continuous and it is awful. Meagan: Not great. It's not great. Emmy: Excruciating and it goes all the way up your back. I'm numb from the waist down but it was going all the way up my back to my neck and it was continuous. I was just in excruciating pain for hours and hours. I was just holding on to the side of the bed just dying.Meagan: I can already relate so much. I was holding. I'm like, Help me. Do something. Emmy: That's so funny. Do something. I was dying. I finally get to complete and I pushed for 2 hours and I remember the OB pretty vividly. I remember him being like, “Okay. You've pushed for 2 hours. When I went to school, they said to let a mom push for 4 hours and now they say to let a mom push for however long she wants.” She was like, “You can either keep pushing or you can just go in for a C-section and we can get this over with.” I mean, I was done. I was like, “Cut him out.” Meagan: Sure. Yeah. And if you are given that, it's like the golden ticket. You could have your baby right now and not continue this. Sign me up. Yeah. Emmy: So I was like, “Yep, please cut him out.” So they wheeled me into the OR and sorry. While I was pushing, I guess from the hours of back labor, my back had seized. I could not bend it. While I was in that pushing phase, he kept saying, “Okay, do a crunch. Sit up in a C formation.” I was like, “My back is not moving. It is unresponsive. It's not that I won't. It's that I can't.”Then they wheeled me into the OR and I'm getting a spinal block and they are telling me, “Your epidural needs to be a C position.” I'm like, “My back is not moving. I've never experienced this before. It is unresponsive right now.” He tried three times to get the spinal block in. Two times it came out and the needle was bent because it was just hitting. Meagan: Oh my gosh. Emmy: Third time's the charm. So I had five. Three times from the spinal block and then it had taken the epidural twice to get it in so I had five punctures which makes more sense when I talk about my spinal headache later on. They finally get the spinal block in and they lay me flat on my back. It went from the back labor had been agonizing, but for some reason when they laid me on my back, it was intolerable. I started thrashing. I was like, “My back, my back!” I started thrashing. I'm under the impression that he gave me morphine, but whatever he gave me, I went warm. My whole body went warm and numb. I couldn't move anything and in my head, I'm like, Thank heavens. I don't care what he just gave me but I'm so grateful right now that this pain has gone away. But then like I said, I believe it was morphine. It moved up into my lungs and my breath started getting shallower and shallower and shallower. I'm like, I'm suffocating right now. My breath was getting more and more shallow and I started to panic more and more. Meagan: Scary. Emmy: I turned to the anesthesiologist to say, “I can't breathe.” Nothing came out. The morphine had also affected my vocal cords and so I'm looking at him, I'm like, I can't breathe. I'm just mouthing the words and he's not looking at me. So then I look over at my husband who is also not looking at me. I'm like, “I can't breathe.” I'm looking between these people like, I'm going to die on this table and nobody is going to even know because they are not looking at me and I can't talk right now. Meagan: Oh my gosh. Emmy: Yeah, finally my husband looked at me and he's like, “She says she can't breathe.” He looked at my stats. He's like, “No, her oxygen levels look fine. She's fine.” In my head, I'm like, No, I'm dying. He put an oxygen mask on me and in that moment, I closed my eyes and I'm like, I'm just going to focus on breathing because right now I'm in a complete panic attack that I'm dying. They got him out. I heard him cry. They took him to the NICU and for however long they were gone, I remember a nurse saying to me, “Do you want to meet your baby?” In that moment, in my head, I was just like, I don't care. I don't care. Colin comes walking in with a swaddled baby with tears rolling down his face. Colin is my husband, sorry. Colin comes in with tears running down his face holding a swaddled baby and I could have truly cared less. Out of all the traumatic things that have happened to me in my birth up to that moment, that is the moment that sticks with me the most where it's like that is the moment you dream of as you are preparing especially for this first child to come into the world. It's that moment when you get to hold your baby for the first time and for me that first moment in my head was, I don't care. That really slingshotted my passion for this next birth. It was going to be amazing and I'm going to make sure of it. I heard a quote recently that was like, “Passion a lot of the time stems from trauma.” I felt that so deeply in my bones at that moment. I was like, I look back at the last 2 years and some months since I've had the baby and I've been so passionate about it. It definitely stemmed from my trauma from my first birth. Julie: Oh my gosh, yes. I relate to that too. That is why I'm so salty dang it. Meagan: I know. It's hard. It's hard when you do have that passion and then you are seeing people going in the direction that we were going that created that passion and possibly trauma. It's hard because you are like, No, no, no, no! Don't go there. Come over here. We want to help and save and yeah, do whatever we can do, right? Emmy: Yeah, and unfortunately, my postpartum experience wasn't really that much better. I really struggled with postpartum as I not only was recovering from a C-section but a few days later, I developed a spinal headache which is where they have punctured the membrane around your spinal cord so it starts leaking fluid. You'll sit up and it starts leaking fluid and it's an immediate migraine. You're trying to go to the bathroom. You're trying to feed your baby and you are dying from a migraine. It's kind of a peculiar thing because the moment you lay down, the moment your head hits the pillow, it goes away. When you sit up, it's leaking this fluid but when you are lying down, you're not leaking the spinal fluid and it goes away. I called my sister and she was like, “Oh, I've heard of that. It's a spinal headache.” I called my OB and told him my symptoms. He was like, “Yeah, you can either go into the hospital and get a blood patch or it'll go away in two weeks.” I'm like, Two weeks? I'm not waiting two weeks for this to go away. I can't even sit up to try and feed my baby let alone function. Meagan: Oh, so did you go get the blood patch? How was that? For someone who may have experienced this or if they experience it, can you explain the process of that? Emmy: Yeah. I mean, it's uncomfortable and kind of painful. You go in but it's also pretty amazing too. You go in and lie down. They pull quite a bit of blood from your arm. They numb the spot that is leaking which was where I had five dots from all of the different needles and they put that blood into that spot and so the blood goes in and it clots where it is leaking and you lay there for about a half hour and you sit up and it's gone. It was pretty amazing. I sat up and I was scared and it was immediately gone, but you add so much blood into that area that it is filled with pressure for three days so it's like you can't really bend your back. That's kind of the theme of my story I guess is I can never bend my back. For three days, I couldn't bend my back or it would spasm from that spot. But it did get away from the spinal headache and if I had another spinal headache, I would do it again. Meagan: Okay, good to know. Emmy: But yeah, so I did go in and get the blood patch. It fixed the problem, but I recovered from a C-section. I had this blood patch. I really struggled with breastfeeding. I know now that I had a lactation specialist, an IBCLC come to my house after my second birth. She looked at his tongue and she was like, “Oh, he's got a heart-shaped tongue. That's a severe tongue tie.” I didn't know that at the time. I know about tongue ties now but I didn't know about it then. I was just really struggling with breastfeeding and the pain from it. I was like, Something has to go and the only thing I have control over right now is breastfeeding. I chose to exclusively pump which comes with a whole other host of pros and cons but I chose to exclusively pump because I was like, Something needs to go pain-wise here and breastfeeding is the only one I can let go.Looking back, I really had a recipe for postpartum depression and anxiety. I had a traumatic birth and recovery from a C-section. Breastfeeding wasn't going well and he was a terrible sleeper for 3 months. I was extremely sleep-deprived and I didn't really plan my postpartum care well. I got one week that my mom and my husband were home at the same time and then they were gone but I still needed care after that for at least another week or two. My nutrition was poor because I was worrying about my nursery and cute clothes and my baby shower and stuff. I hadn't really thought about postpartum care with freezer meals and snacks and things like that so I was just starving which I'm sure didn't add to helping with postpartum depression and anxiety when your nutrition is poor. I was still worrying about work and had to go back to work 6 weeks later which was a stressor. Isolation is a big contributing factor to depression and anxiety and I just hadn't found a group of mom friends yet too. I was just giving out so I was home all day for the first 6 months. For the first 6 months, I really struggled with postpartum depression but I learned what a VBAC was the first week post C-section. I was like, What is this? What is this VBAC they speak of? Then I found The VBAC Link about the same time because I was Googling VBAC and I found your website which led me to the podcast. I was taking multiple walks a day at that time because I was just bored and I was just devouring The VBAC Link. Julie and Meagan were my best friends for the first– they were my only friends for the first 6 months. Meagan: Aww. Julie: I love that but it's also kind of sad but I also kind of love it. Emmy: Yeah. I was listening to your guys' voices. You were the people I talked to the most each day for a while. I just devoured it and I went from believing my C-section was necessary to seeing how one thing probably led to another and led to the cascade of interventions and just being like, Oh, I actually think I really could have done this if I had done things differently and prepared differently. I think I actually would have been able to do this the right way. Then listening to people talk about having this redemptive second birth, I'm like, Wow. People have births and like their births. I thought everybody just hates birth. I'm like, No. People are actually having births and enjoying their births. How do I get that? So it really spawned into this passion which came out of trauma but turned into a really great thing and about a year postpartum, I reached out to Julie because I was anticipating getting pregnant probably in the next year. I was like, I know I'm going to build the greatest team that I can in this area. In my vision, Julie is on that team. I reached out to her and you said in that first interview, you were like, “Okay, I am still doing doula work but I am starting to switch over to photography but I will honor your request for a birth doula.” I was like, “Great! Do you know any hospitals or midwife groups in-hospital who are VBAC friendly?” That was still in my head was that I was going to end up in a hospital. Julie gave me some midwife groups and some hospitals that she had good experiences with for VBACs and that was my plan moving forward. It wasn't until a year and 3 months later that I ended up getting pregnant and by that time, Julie was like, “I'm really just doing photography.” Julie: I told the Universe that this is the thing and Katie, your doula, will attest to this. I struggled going back and forth where my passion was and where my heart lay. I was like, Okay, I will do doula and photography for a little while. I told the Universe 16 times that I was only doing photography and then I felt like I had to stay committed to it and I really thought that you would be best served by a fully dedicated doula. In the end looking back, I think that was super the right choice. Anyway, yeah. That's kind of where that was. Emmy: Yeah, I'm really just doing photography now but I have a really great friend who has done the VBAC Link course and I'd love to do your photography. At the time, photography was not in the realm of my birth vision at all. It was actually something that was kind of weird to me. I thought, People photograph their births? But Julie was such a core keystone part of my birth that I was like, I don't care if you are there to be my massage therapist for this. You will be there. I ended up hiring a photographer because I wanted Julie to be there so badly. I wanted her knowledge there and then it ended up in the end being that I am so glad I have photos of this. This is so cool. I think all around we made the best choices having Katie. Shoutout to Katie who is the doula that Julie recommended. Meagan: She is amazing. Emmy: Yeah, she was not a bad recommendation at all. It was amazing. So I think in the end it turned out great to have Katie there and have Julie there. Everyone was in their right place. But yeah, when I reached out to Julie, I hadn't even thought about home birth. Home birth to me was woo-woo. I didn't have an interest in natural birth but I actually ended up listening to Dr. Stu who I know you have had on your podcast, but the first time I heard him was actually on the Down to Birth podcast, episode 111 if anyone is interested where he talks about his journey from being a regular OB/GYN to being a home birth OB/GYN. He dispelled the fears around home birth and the questions that everybody asks like, “What if things go wrong?” In those 45 minutes, I literally went from, I'm only having a hospital birth to I'm going to have a home birth. It spoke to my heart and I immediately was like, This is what I need to do. I felt really strongly. It was really bizarre. I've never had a full shift in what I was thinking before. I just felt very inspired that that was what I needed to do. I was a little worried about convincing my husband, Colin, but I showed him that podcast and he seemed immediately on board. He's a dairy farmer actually and listening to the podcast, there were a few things where he would pause it and say, “That's very interesting. I actually see this in cows.” I was like, “Great. I'm glad that you feel really connected to this.” Meagan: I love that. Emmy: Yeah. Julie: Okay, but seriously now, we have all these animals in the wild giving birth in these natural ways and nobody thinks to interfere but we humans need all of this help. It doesn't make any sense. Emmy: Yeah, like for example, Dr. Stu said a woman will be home laboring and the labor–what's the word I'm looking for? The contractions are coming regularly. Let's say it that way. The contractions are coming regularly and she comes into a hospital which is an unfamiliar environment with people she doesn't know who are touching her bits and stuff and it's really not common for your labor to slow down or completely stall. He's like, “We are mammals. If a mammal in the wild comes into an unfamiliar place or feels that there is a predator or feels nervous or anxious, the labor is going to stop until she feels safe again.” Colin was like, “I see that with cows. You see a cow in a pasture laboring great and the legs are poking out. We bring them and we bring them into the barn where we have fresh straw. She'll be by herself. In our heads, we think we are helping her but we have just done an intervention and her labor will stall. She'll sit there for hours without any progress. We see that with cows.” Meagan: You know what? We as doulas see that too. We are laboring at home. We are laboring at home. Things are going really well and then we transition to the hospital or a birthing center or that other location. Even just that move that makes you think you would be more comfortable and this is where I wanted to give birth, you still have to acclimate to that space. Like you said, it's an intervention. Emmy: Yeah, so he trusted my gut and I”m going to be forever grateful for that because he was very trusting so the prep really began once I got pregnant, it was like, Okay. We've got Julie and my number-one priority was building a strong team. I interviewed Julie in person and went out to lunch with Katie who became my doula and felt really connected to her right off the bat. Julie also gave me a list of home birth midwives in the area. I probably interviewed 5 or 6 midwives and for me, I wanted somebody who was really experienced, had a lot of years, had seen the good, the bad, the ugly, and had a good, calm energy because I have a lot of energy. I was like, I feel like in my birth, I just need calmness. So after interviewing them, I picked a midwife who I thought was the best for me and had the most experience. She truly was amazing in the birth and I think I made the right choice for sure. Midwife care is so different than OB/GYN care as well. You have a 5-minute appointment with an OB/GYN but you have an hour long appointment with a midwife where you do the same things but more. They sit and talk to you about any symptoms that you have. I really, really liked the midwife care. I was really impressed. I didn't know what I was stepping into but it is leaps and bounds better care than I had at an OB/GYN office. That was my first priority. I felt like I built a great team from the get-go then it was all about educating myself and preparing for postpartum. That was a big part. One thing I did was instead of having a baby shower, I did a mother's shower. I had all of these people come and we made freezer meals. It was really fun. I planned better postpartum care. Colin came for a week. My mom came after that for 10 days so I just did a lot better focusing on my postpartum care which has made a huge difference. Colin and I took a Bradley Method class which ws intense but I'm so grateful that we did because really, Colin was my doula for the next birth for the 23 of the 26 hours and he was doing hip squeezes, counterpressure, acupressure, talking me through each of the contractions, massage techniques– he was amazing and it really came down to us preparing really well. He was my little doula for 23 of those 26 hours and I will never forget that. It was very bonding for us and special. I guess for my second birth which was a much better experience, the contractions started at about 3:00 AM and they were about 10 minutes apart. My labor was 26 hours and interestingly enough, until I hit transition at 23 hours, my contractions did not get closer together than 10 minutes apart the whole time even though the intensity increased. I had a 60-second contraction 10 minutes apart the whole day. I texted Julie and Katie at 8:00 AM, “Contractions have started guys! I'll let you know.” 4 hours went past and I'd be like, “What's the update?” Julie: “Are you doing okay? How are things going?”Emmy: Then I'd be like, “Yeah, sorry nothing.” Then four hours later, they'd be like, “Are you good?” I'm like, “Yep. Still contracting 10 minutes apart, guys. Sorry.” So yeah. I contacted them. I had a chiropractor appointment already just by coincidence at 10:00 AM. I went to that. It didn't really seem to kickstart anything like I hoped but I just figured it couldn't hurt to get in. I think Meagan, didn't you go to the chiropractor? Meagan: I sure did. I actually did twice during labor. Emmy: Wow. Meagan: One in early, early labor and then one in that middle stage. Well, a little bit less. It was early, early and late early labor. I got adjusted and I swear to you that even though like you said that it didn't kickstart or dramatically change one contraction to another, I know that it changed the outcome for me. I fully believe that it helped change the outcome by helping me balance out my pelvis. Emmy: Okay, yeah. My doula, Katie, felt very strongly about it too that she felt like going to chiropractic in labor was very helpful for her too. She said that her contractions immediately changed afterward. Meagan: Yeah, and I have seen that happen. Emmy: I didn't feel like for me that was the case and I still didn't have her until 15 hours later, but still being aligned and having things be in the right place was probably still very helpful. It just wasn't immediate. So we labored and we had fun. We watched Survivor while he was helping me and I was laboring all around the house which I didn't think I would care that I was in my own house, but I actually in the end really loved being in my own shower and being in my own bed, being on my own toilet and laboring in my own environment actually ended up being really helpful for me and I enjoyed that. It wasn't until I did the Miles Circuit at 11:30 at night. I was like, I'm going to do the Miles Circuit. When I was doing lunges on our stairs, that's when my contractions were 10 minutes, 9 minutes, 8 minutes, 7 minutes– immediately they just started boom, boom, boom, boom getting closer together and I started to shake. I called my midwife, “Can you come check me? I think I'm getting closer now and it's really intense.” She showed up at about 12:30 AM and she checked me. She said, “Okay, you're dilated at about a 6 with a bulging bag and I think you're in transition right now. You're shaking.” So she stayed and then it was like the parade came in. Kate shows up. Julie shows up. Another midwife shows up and it was go time at that point. I really felt like they all came at the right time becuase I was really struggling through those last contractions for the last few hours. Between Katie doing hip squeezes and everyone, I remember laboring on the toilet because they say that's the labor station, right? What do they call that?Julie and Meagan: Dilation station. Julie: I got there when you were on the toilet and Katie says I got there right at the time when things were really picking up but I just remember because it was a 40-minute drive for me and when she said that you had a bulging bag and were 6 centimeters, every time I go to a birth, I have a heart attack that I'm going to miss it because 2 years ago, I missed three births in a row because things went so fast. Two of them were VBACs. I'm just like, Oh my gosh. I'm praying, like, Please, Jesus. Let me get there before this baby is born. This would not be fair if I miss it because I have had this relationship for 2 years. I'm begging. I think we got there right at the right time. Maybe a little sooner would have been better, but really, I think that I'm just so glad everyone arrived for you when they did. Emmy: Yeah. I thought they were like, “Why don't we try the toilet?” I honestly thought that was where I was going to die. I thought that was a cruel, cruel joke that you guys played on me. Those contractions were no joke on that toilet. So I was like, “Get me out of here.” That was the first time that I think I was like, “I can't do this.” You were like, “Yes, you can.” Just that resounding– all of the women in the room were like, “Yes, you can. You're doing it.” It was amazing. Julie: It's this weird diad between seeing a woman– I don't want to say in pain but I don't know what other word to use. But because all of us look at each other and smile whenever someone is like, “I feel like I'm going to throw up,” everyone in the room just looks at each other with this knowing look. We smile and we are like, “Yes! I'm so excited that you are going to throw up,” because it means that things are getting closer. We have seen this so many times. We know that it just means labor is progressing well and you are doing great even though that feels like the moment where you are really going to die. It's really good that you feel that way. Emmy: Yeah. Yeah, I was like, “I can't do this.” You were just like, “Yes, you can.” We labored on the bed a little bit after that and I started to have the urge to push. We moved to the tub which we had set up in the living room and Colin took his place in front of me holding my hands and then the doula and the midwife both did counterpressure on me and I started to push and that was intense. I think that was the only time. I didn't make a lot of noise besides breathing, but that was where I started to feel like the animal grunting. I also had this outside perspective in that moment of, I know this sounds weird probably to Colin in his face, but I was like, This is working. I was feeling pretty powerful at that time that I was going to be able to push this baby out. My water broke while I was pushing in the tub and I mean, it felt like a half an hour. I remember they told me afterward that it was an hour and a half of pushing. I think that was the most suprrising part of my birth was how long everything still took. It was 26 hours with an hour and a half of pushing. I was surprised at that but I also now look back and am like, Man, had I gone to the hospital, because I still felt like even with an epidural, without an epidural, going natural and pushing, I still felt like it took me a minute and took me a while to figure out the pushing and to feel like I was being fully effective. I was like, Man, if I was in the hospital with an epidural on my back, I bet the same thing would happen to me again. It still took me an hour and a half with no pain meidcation to figure out how to push and push this baby out. What would have happened on my back in the hospital? Quite possible, the same thing. They may have gotten to 2 hours and been like, “Do you want to keep pushing or do you want to call this?” It might have ended up in a C-section again. I'm really grateful that I feel like this is how it was meant to be because I pushed for an hour and a half which was really intense and hard. I was on all fours and then I ended up on more of a squatting pushing. It was just like, “Get her out!” Everyone was just encouraging me all the way around. Colin, once I was in the squatting position, was behind me and it was really special to me. When she was about to come out, Colin was like, “Colin, come switch me places.” He came up to my knees and he was able to be the one who pulled her out and hold her for the first time and bring her up to my chest. Well, bring her up to my chest, I was the first one to hold her, but he pulled her out and brought her up to my chest. We were just able to have that moment of holding this baby and I wasn't thinking in my head, I don't care. I was thinking that I had this beautiful little baby in my arms. It was what I had dreamed of. It was 3 years. It was exactly 3 years in the making of this very moment right now and this is what I knew it could be. Then we went to the bed and got to have that golden hour– not hour, golden hours– with her. It was perfect. It really was. I would do it again and I would do it the exact same way. I felt safe and I felt respected and I felt like there was never a moment in it that I was scared. I remember that there was one moment where I was like, Oh my gosh. I'm having a VBAC right now. Do I feel any scar pain right now? Nope, I feel great. Then I never thought about it again. It was wonderful. I am so grateful for this podcast and for the prep work that I did, the team that I built and to be able to have done that with Colin. It was very special and bonding for us. Julie: First of all, you are amazing. Second of all, are you going to do it again? Because sign me up for it.  I'm inviting myself. Third of all, yes. We need shirts this time. I can't believe we didn't order three amigo shirts. That was a missed opportunity. Emmy: We will not forget that this time. Julie: Fourth of all, I want everyone to know that this is probably the coolest trade for services I have ever done. I literally traded– I don't know how many pounds of natural, grass-fed, antibiotic-free beef. Half of my payment, I feel like I got a quarter of a cow or half of a cow maybe. It's cool. We are still eating it. It's the best beef ever. My husband, every time I make some of it for dinner or we go to a restaurant– we were at Zion National Park for spring break and he had a steak or something for dinner and he was like, “This steak is awful compared to the stuff we cook ourselves.” Meagan: Amazing. Emmy: That's right. Julie: If you want, next time, you obviously should have whoever you want, but I am fully open to trade for more cow. It was seriously the coolest trade ever and the fourth thing is that first of all, I can't believe it's been 4 weeks. I feel like so much h as happened since then that it also feels like last week for real. I have been sitting here just polling through your photos as you are telling your story and reliving all of these moments as you are telling them and I am just so inspired by you first of all hearing your story and second of all, just being able to look through these. I will have your gallery to you by this weekend for sure. I like to say 3-4 weeks turnaround and I've been just a titch behind in the last few galleries. I'm off my groove or something. I cannot wait for you to see them. I remember after I sent– I don't know. I was talking to Katie about this the other night at the positive birth group. Sorry, I'm not trying to center this around me. I promise. It might seem like it's going a little bit that way. Anyway, Katie hosts a positive birth circle for expecting parents and things like that because I love hanging around pregnant people. We were talking at the end and I was like, “I sent Emmy her gallery,” and her first words were, “Those are some real rough photos of me.” I was like, “I hope she liked them,” and Katie was like, “Actually, I talked to her about that at her first postpartum visit,” and the thing is that me and Katie go through all of these pictures and I love seeing that rawness and that vulnerability and your power and your strength and those are the ones I am naturally drawn to. I see all of that and yes, I guess even the one on the toilet which I think is so cool. It's super cool. There is so much power and strength, and the one of your husband catching the baby as he is coming out in this beautiful white birth pool in your beautiful white house. Those power ones are the ones I am super attracted to and Katie was like, “I think she maybe would have liked just a couple of just her and the baby holding the baby softly after the birth.” I was like, “Oh. Oh. Okay, yes. I've got to be more mindful of that when I send these sneak peeks to people sometimes.” Because it's true. I feel like as birth workers, we are drawn to that rawness and that vulnerability and that space. It is super cool. Especially you not quite being super 100% on board with birth photography ahead of time, I feel like yeah. Maybe I should have thought about that. I'm sorry. I've edited a few more that you can use. I sent them to you. Emmy: They were wonderful. Julie: There are plenty of those. It's interesting the relationship of your birth photos and how it evolves over time when you first get them, you will feel completely different about them in a year or in 2 years or in 5 years. My kids are 6, 7, 9, and 11 now. We go through all of their birth photos and their videos from their birth every year and it's so exciting and the emotions are just so different as we look at them over time. I feel like they get more valuable the farther away I get. I'm super excited for you to see those. I also recorded a full video for you so if you ever want a video, let me know because I have all of it. I record video at every birth. Meagan: And you can share it with this community. Julie: I have specific instructions for what I'm allowed to share or not and we are going to go over all of the ones I want to share after I deliver her gallery, but yes. I just think it is so cool because when I tell people I am a birth photographer– see, now I am centering this around me. I'm sorry. When I tell people I'm a birth photographer, I get one of three reactions. People are like, “Ew, why would you want photos of that?” Or people are like, “What's that like?” Or people will be like, “Oh my gosh. That is so exciting. I had a birth photographer. I love looking at birth photos.” I think that people who have that disconnected reactions are the people who really don't know the true power that the imagery holds especially for the birther so I think it's really cool to just listen to your transition or your transformation around that and have it evolve. I seriously am going through all of these. You are going to have 400 pictures I think. Okay, so my camera was in lower light. Sometimes it struggles to focus so I shot a little bit more than I usually would because I was scared of missing focus and normally I shoot about 600-800 photos at a birth and go through them and narrow them to about 150 roughly in that range. At your birth, I shot 1276. Emmy: Oh my gosh. Julie: I'm going through and– Emmy: Not a moment missed. Julie: No. Not a moment missed. I'm super excited. You'll probably get between 150-200 final photos but seriously, I'm like, “Yes. That hands picture and that hands picture. Oh yes. I see everybody squeezing her hips right now. That's super awesome. Colin is right in front of you squeezing your hands.” I don't know. I think it's just priceless to be able to relive these moments through the imagery. I think it's so cool and so powerful to see how awesome you are if you didn't know. I have photo and video evidence. Meagan: You are awesome. I love your journey. I love your journey from– I don't love that someone has a bad experience, but I love that someone can grow from a bad experience and truly, hearing you transform into the person you are now, I mean, I feel like for me, I changed as an individual after my birth. We talked about that earlier with the passion and stuff, but it's more than the passion. There was something inside of me that changed. It's amazing to hear when we have these stories. You can hear the shift. If you are listening, Women of Strength, keep going through these episodes and you can hear this shift. It is just so cool. It's so cool. It's actually one of my favorite things about being a doula. There's a CDC National Vital Statistics report that was sent out in 2022 and it shows that the percentage of U.S. home births rose from 1.26 in 2020 to 1.41 in 2021 which is a 12% increase since around the 1990s. It's kind of an interesting thing and there is so much more about home birth. That's just a really quick CDC stat, but it's really cool to see that people can feel comfortable at home. Like you said, in your own bed, on your own toilet, in your own shower, in your own kitchen, kneeling on your own floor. I just think there is something cool about that and home birth. So if you are exploring home birth listening to this, definitely go listen to all of our other HBAC stories and go listen to Down to Birth– what did you say it was? Emmy: Oh, 111. Meagan: 111 with Dr. Stu. Go check out our episodes with Dr. Stu or just go even listen to him and Blyss talk about home birth on their own podcast because home birth can be a safe, reasonable, and amazing experience and something that, like Emmy said, shocked her too. It shocked her as well. I think that you never know until you explore the option and get the facts. We also have a home birth blog and all of those things. We are going to have all of those links in the show notes. I'm going to find the Down to Birth podcast and link it in the show notes so it is easy to find. Thank you so much, Emmy. Your energy is just so fun. I am so happy for you and I hope that I get to see some more of these photos and if you decide to share a video, I love videos and it was honestly one of my biggest regrets. I was so focused on my VBAC that I forgot about the photography aspect. I'm so glad that you got looped into that because Julie became just a photographer because still to this day, like Julie said, my son actually just turned 8 this month so I tend to look at those images at those year marks and I really still to this day cherish it and look at it differently every time. I'm so glad that you have them and obviously for anyone listening, if you want a birth photographer, check it out. It is worth it. Emmy: It is. It is worth it. Julie: I think we should put a plug-in. To find a great doula, build the right birth team obviously. You can find a list of supportive VBAC providers on the community on Facebook in the documents and you can a VBAC doula at thevbaclink.com/findadoula and if you are looking for a birth photographer which I obviously think you should, there's a really good group called Birth Becomes You. It's kind of like The VBAC Link but for birth photography. You can follow them on Instagram. You can follow them on Facebook, but they have a database just like we do for VBAC doulas for birth photographers all over the world. You can find their search database at birthbecomesyou.com/find-a-photographer. That will be linked in the show notes too. I'm putting Paige to work here. Obviously, if you want to reach out to anyone of us, me or Meagan, to support you in your birth, we are happy to do that as well. If you need to find out information about Katie, she is in The VBAC Link Doula Directory as well. I am super excited that there are so many resources available. I feel like it's even way better than when I was having babies. There is just so much more information available and it wasn't even that long ago. It's just so cool that there are all of these resources that we have to help parents find the right support team for them no matter what that looks like. I don't know. I think it's really amazing. Meagan: Absolutely. Okay, well thank you again so much, Emmy, and have a wonderful day. Emmy: You too. Thank you so much for having me on. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Sierra Schultzzie, Riayn Christina & Paloma Malfavon enjoy one last episode before Sierra's maternity leave! They chat the realities of giving birth, IUD's and more!Find Twenty Whatever on Other Podcast Platforms//Youtube: https://www.youtube.com/channel/UCW7gxdcCY7rDteu3VRj7K3w Apple Podcasts: https://podcasts.apple.com/us/podcast/id1470690716 Google Podcasts: https://www.google.com/podcasts?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy9jNjFmODgwL3BvZGNhc3QvcnNzWoo Girl Minute!We will pull comments from Youtube, IG, & this Google Form