Podcasts about hbac

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Best podcasts about hbac

Latest podcast episodes about hbac

The VBAC Link
Episode 403 Chelsea's HBAC + The Impact of Birth Choices on Self-Identity and Empowerment

The VBAC Link

Play Episode Listen Later May 21, 2025 58:00


”This VBAC has changed who I am as a woman.” Proactive preparation matters in birth!!While we don't want to obsess about it in an unhealthy way, prep work can make a huge difference in your birth experience. Chelsea is an amazing example of how that prep pays off. After a very long, exhausting 40+hr labor and Cesarean birth, Chelsea knew she needed a different experience the next time around. Chelsea took charge of what she could during her second pregnancy. She did deep internal work, vigorously prepped her mind and body, educated herself, and invested in an empowering birth team. Her intuition led Chelsea to birth at home, and it was a completely different experience from her first in so many powerful ways!Chelsea's Podcast: Growing Up Raising UsNeeded Website: Code VBAC20 for 20% OffCoterie Diapers - Use code VBAC20 for 20% OffHow to VBAC: The Ultimate Prep Course for ParentsSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Life With Lizzy
#36 Exclusive Interview w/ HBAC Mom + Stage IV Cancer Survivor Zoe, TheJungleFairy

Life With Lizzy

Play Episode Listen Later May 21, 2025 95:30


Today's interview with Zoe is one of my favorites. Her vulnerability and story telling kept me captivated for the entirety of the interview. She inspires me daily, in her authenticity, strength & courage to be herself and stand for what she believes in. Tune in to hear how she went from cesarean delivery with her first, to an HBAC with her second -to beating her cancer diagnosis & building a flourishing suncream company all while mommin' and homesteading. Check out the links below on how to connect with Zoe further ❤️

Healing Birth
Trusting Again: Jackie's Homebirth After a Placental Abruption

Healing Birth

Play Episode Listen Later May 19, 2025 56:06


Jackie had been planning a home birth for her first baby, but at 35 weeks, she received the shocking diagnosis of a placental abruption. This led to an emergency cesarean, a NICU stay, and years of processing why it had happened to her. (You can listen to Jackie's full first birth story in her initial appearance on this podcast, here.) After enough time had passed, Jackie felt the desire for another child, found the courage to get pregnant again, and planned for another home birth. This time, she got it. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator
59. Why I'm Choosing NOT to Have an HBAC

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator

Play Episode Listen Later May 14, 2025 9:15


I have previously said that I would love to have a homebirth after cesarean (HBAC) if I had a third baby. Well, I've changed my mind and I'll go over why in this episode. I am an advocate for choice and informed consent. I believe everyone has a right to weigh the risks and benefits and decide what type of birth is best for them. Whether that be a hospital VBAC, birth center, or homebirth. There is no right or wrong way to give birth, only the way you feel safest and most supported.Text Hannah! First 3 Steps to VBAC Guide: https://www.thehannahgill.com/firststeps Quiz - Is Your Provider VBAC Supportive?: https://thehannahgill.com/quiz Doula VBAC and Repeat Cesarean Guide: https://www.thehannahgill.com/newdoulatips

The VBAC Homebirth Stories Podcast
EP161 | Yoga for Homebirth: Beyond the Mat with Claire Holloway

The VBAC Homebirth Stories Podcast

Play Episode Listen Later May 14, 2025 89:31


This week I'm joined by Claire Holloway, homebirth mother, yoga educator, and fierce advocate for reclaiming autonomy in pregnancy, birth and matrescence. Claire shares her own HBAC story and how her experience with both an emergency C-section and a homebirth transformed her relationship with her body—and with yoga.We dive deep into the true essence of yoga for birth, stripping away the fluff of 'prenatal stretch classes' and exploring how ancient philosophy offers a powerful framework for navigating birth on your terms.In this episode, we explore:⭐ How yoga for homebirth is radically different from mainstream birth prep ⭐ The yogic principles that can guide your pregnancy and birth journey ⭐ Why breathwork is about awareness, not perfection ⭐ Pain management strategies rooted in presence, not performance ⭐ Why physical postures are the least important part of prenatal yogaWhether you're pregnant, planning a homebirth, or supporting women through birth, this conversation is an invitation to go deeper—beyond the mat, beyond technique, and into the heart of what it means to birth in full awareness and autonomy.

The VBAC Link
Episode 400 Reflecting of 400 Episodes of The VBAC Link Podcast.-

The VBAC Link

Play Episode Listen Later Apr 30, 2025 17:01


We are celebrating a HUGE milestone over here: 400 episodes of The VBAC Link Podcast! Beginning as a phonecall in Target from Julie Francom to Meagan Heaton in 2018, The VBAC Link Podcast now has over 1.3 million episode downloads, guests from all over the world, a management and production team, parent and doula education courses, a thriving social media platform, and a legacy of stories from YOU that have allowed VBAC to be accessible more than ever before. Your stories have provided the inspiration and education to show women just how many options there are when giving birth after a Cesarean. Whether it is VBAC, HBAC, CBAC, VBAMC, RCS, MAC, or anything in between, it has been a privilege to connect with you and learn from you. We love you, Women of Strength!Coterie Diapers: Use Code VBAC20 for 20% OffNeeded Website: Code VBAC20 for 20% OffHow to VBAC: The Ultimate Prep Course for ParentsSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Birth Choices
20: Sammy's HBAC — from unplanned caesarean section with private OB to homebirth with private midwives + doula

Birth Choices

Play Episode Listen Later Apr 22, 2025 60:33


In this episode we speak with Sammy Veall, artist and former yoga teacher and studio owner, about the contrasting pregnancy and birth experiences of her two boys. Sammy shares her experience of an unplanned caesarean in a private hospital under obstetric care, and how that experience shaped her decision to have a homebirth after caesarean (HBAC) with private midwives for her second son. Sammy speaks beautifully about the ripple effects of her positive and transformative birth experience on not only her mothering, but career and life choices more broadly. A content warning — Sammy speaks openly about a non-consensual stretch and sweep late in pregnancy with her first baby, and the physical and mental impact this had on her both in the lead up to and during that labour, as well as in preparing to birth again. We discuss epidurals, and the impact of that loss of sensation for Sammy, physically and emotionally. Sammy speaks about the importance of following your own instincts and listening to your own inner voice, of choosing a care provider that not only aligns with your wishes for birth, but the preparatory work you are doing. She shares her experience of care from a private midwife and doula in pregnancy, and how those relationships, and that of her husband, supported her through her own crises of confidence in the lead up to labour, as well as through the intensity of her labour and physiological birth of her baby and placenta at home. 02:59 Initial visions for birth and choosing her first care provider06:13 First pregnancy08:21 Stretch & sweep leading into labour 12:07 Epidural and unplanned caesarean18:38 Postpartum experience and coming to terms with first birth experience24:07 Preparing for a second birth, working through previous trauma26:46 Navigating societal and family's views on homebirth and HBAC28:00 Choosing private midwifery care31:39 Choosing doula support 38:21 The onset of labour53:58 Postpartum experience and support56:37 Empowerment beyond birth Links:MAMA Midwifery Practice MAMA Midwifery Birth Class - VBAC Rhea Dempsey's Birth Debrief & Embracing the Intensity birth course Jo Askham doula 

The Hypnobirthing Podcast
Birth Story: Leanne's Empowering HBAC

The Hypnobirthing Podcast

Play Episode Listen Later Apr 7, 2025 52:02


Hello and welcome back to a brand new season of The Hypnobirthing Podcast. In today's episode I am joined by Leanne from Doula Diary as she shares her empowering HBAC story. A big thank you to Leanne for joining me! Thank you to Wild Nutrition for sponsoring this episode. For 50% off for three months, visit www.wildnutrition.com/hypnobirthing To learn more about my doula packages visit https://www.thenurturenest.co.uk/doula-services To purchase one of my courses, please visit https://www.thenurturenest.co.uk/courses If you have benefitted from this podcast and would like to say thanks, you can now buy me a coffee! https://www.buymeacoffee.com/thenurturenest View my birthy book recommendations here https://www.amazon.co.uk/shop/influencer-e2ad919d  Follow me on Instagram here https://www.instagram.com/the_nurture_nest/ Follow me on Facebook here https://www.facebook.com/thenurturenesthypno Get 10% off your birth pool here https://go.referralcandy.com/share/JKHGBJ3 Get 10% off a BabyCare TENS Machine. USE CODE 10NURTURENEST http://babycaretens.com?afmc=46

Geburtsgeschichten
180 | Thea zu Gast im Schweizer Geburtspodcast - Vom gewaltvollen, traumatischen Kaiserschnitt zur HBAC

Geburtsgeschichten

Play Episode Listen Later Apr 5, 2025 76:38


Die Gründerin vom Geburtsgeschichten Podcast Thea Maillard spricht in dieser Folge mit ihrer Kollegin Nadja vom Schweizer Geburtspodcast über ihre gewaltvolle erste Geburt, PTBS, Geburtstrauma und den langen Weg zur Hausgeburt nach Kaiserschnitt. *** Hier findest du Infos & Anmeldung zu Theas VBAC Circle. Die Wiener Hausgeburtshebamme Margarete Wana braucht unsere Unterstützung, um die Anwalts- und Gerichtskosten im Strafprozess gegen sie zu stemmen. Jede Spende hilft! Hier geht's zum Crowdfunding. Mehr Infos zu dem Fall gibt es hier. Die Shownotes findest du hier. Hier geht es zum Geburtsgeschichten Newsletter. Unterstütze den Podcast auf buymeacoffee.com/geburt Folge direkt herunterladen

The Homebirth Midwife Podcast
Taking Your Questions: Purple Pushing and Birth Work While Pregnant

The Homebirth Midwife Podcast

Play Episode Listen Later Apr 2, 2025 35:09


In today's episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about pushing during labor and practicing birth work while pregnant. The conversation begins with a deep exploration of various techniques for pushing during labor, focusing on whether to hold one's breath ("purple pushing") or to breathe through contractions. They go on to unpack their personal experiences as midwives and mothers, sharing firsthand insights from the intersection of their profession and their maternal lives. Tune in for a warm, humorous, and informative talk that supports and educates expectant mothers through the journey of childbirth. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Healing Birth
Induced, Transferred, and Healed: Alyssa's Path to a VBAC

Healing Birth

Play Episode Listen Later Mar 31, 2025 60:45


Alyssa is the oldest of six children and grew up with the unique privilege of witnessing her mother give birth at home to her five younger siblings. Naturally, choosing a home birth for her first baby seemed like the obvious decision. She selected a local birth center and midwife. However, like many first-time mothers, as Alyssa approached 42 weeks, the pressure to induce labor began to mount. During her 41st week, her midwife performed several interventions to induce labor, including breaking her water, which put her on a tight timeline. She now had 24 hours to deliver the baby or face a transfer to the hospital. The transfer occurred, and the birth ended in a cesarean and a NICU stay. Alyssa didn't get to hold her baby until his eighth day of life. It was a traumatic experience, but both she and her son eventually healed. Around 15 months postpartum, Alyssa became pregnant again. By this time, she had been researching VBAC (Vaginal Birth After Cesarean) and was determined not to give birth in a hospital again. Immersed in positive birth stories, she went on to have a completely different, redemptive second birth experience. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

The VBAC Link
Episode 390 Johanna's HBAC + PROM + Supportive Provider + Postpartum Planning

The VBAC Link

Play Episode Listen Later Mar 26, 2025 56:15


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. 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The VBAC Link
Episode 388 Liz's HBAC After an Unexpected Cesarean Following a Late Hypertension Diagnosis

The VBAC Link

Play Episode Listen Later Mar 19, 2025 65:32


Liz, a mama of two from Long Island, New York, joins us today sharing her experience with preeclampsia, an unexpected C-section, and her successful VBAC with her second. Liz had a perfect health history and never had any surgeries before her C-section. It was so frustrating to feel so out of control. In between her birth and her second pregnancy, Liz's mom unexpectedly passed away. She shares how she has been processing the intense grief from her mother's passing and from the positive birth experience she wasn't able to have. Liz made lots of changes going into her VBAC birth including diet, switching providers, and choosing to birth at home!Liz's DoulaCoterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan Hello, everybody. We have our friend, Liz, from New York with us today. She is a mom of two and almost two years old. Right? Your VBAC baby?Liz: Yes.Meagan Almost two years since your VBAC baby.And then an almost six-year-old. And yeah, like I said, she lives in New York, and she's going to be sharing her stories with you guys today. With her first birth, she actually had preeclampsia, so she's gonna talk more about that. And then with her second birth, she didn't have preeclampsia. I think this is an important thing to talk about because we know that having preeclampsia again is a possibility, and it might be slightly increased if you've had it, but it doesn't mean you will. So I'm hoping that we can talk a little bit more if you did do anything to try to avoid it. The second one, we'll talk more about that in a little bit. But knowing that it's still okay. If you have preeclampsia, you can still VBAC. Now, in her second one, she didn't have preeclampsia, but you can still VBAC if you have preeclampsia. So we're going to talk about that a little bit after your first birth too, because I want to know more. All right. We do have a Review of the Week today, and this is by jess2123. It says "Best Podcast for VBAC". It says, "I listened to the podcast after my son's birth. I learned so much that I knew I wanted a VBAC for my second birth. When I became pregnant again, I would listen to this podcast during my walks. Thanks to the wealth of knowledge that I gained, I had my unmedicated VBAC in 2023." Congratulations, Jess, on your VBAC, and thank you so much for your review. I know this year we're tossing it up between reviews and educational pieces, but I just do want to remind you really quickly that if you haven't left us a review yet, we would love it. You can push "pause" right now and listen or leave a review on Apple Podcasts or Spotify. You can go over to Google. Google "The VBAC Link", and leave us a review there. These reviews really do help us and bring us so much joy. So without further ado, I want to turn the time over to you.Liz: Thank you so much. I guess every VBAC story starts with the Cesarean story, or at least there's one in there. My pregnancy journey did start with a Cesarean as far as the first birth. As Meagan mentioned, I am a mom of two. With my first son, I fortunately have been reproductively very healthy and otherwise healthy my entire life. I was able to track everything. I had regular cycles and really no issues there, so I feel really, really blessed in that regard. I was able to get pregnant pretty easily. I believe I got pregnant in about February 2018 for the first time. I found out mid-March after I tested in my bathroom and just ran out with the test to my husband, nothing super special. I think I was just shocked. I remember I had gone to a St. Patrick's Day parade and felt so tired that I said to my friend, "I'm going to go home and nap in between that and another event." They were all like, "Why are you napping?" I was like, "I don't know, I'm just really tired." I took the pregnancy test to rule out pregnancy. It was immediately positive which was amazing. My EDD, my estimated due date, was supposed to be Thanksgiving that year, so it was November 22nd which was Thanksgiving 2018. That just made me laugh because I was like, wow, what a far cry from Thanksgiving Eve spent even a decade previous. But yeah, so my pregnancy started out pretty status quo, I would say. I definitely experienced that nausea. My morning sickness was definitely an all-day thing, so it was a little tough. I think it threw me for a loop because I didn't know what to expect. I had always wanted to eat healthier, especially being pregnant, but it was like my body would not allow me to eat what I wanted or what my brain wanted me to eat. It was a lot of carbs to start out. I know that's pretty common. I remember when I went for my first appointment, I had called an OB's office. I'm trying to think. I think I had gone for one well-woman visit before, but I had two friends, actually three friends who had delivered with this OB and had good experiences, so I figured I would give it a try. The funny thing is, pretty much from the jump, I could tell that we weren't very aligned. I didn't really see eye-to-eye with him, but he had this nurse practitioner who was wonderful, and I feel like she drew people in because she was just very nurturing and calming, and she just had that great energy. I knew, obviously, she wasn't going to be at my birth, but I still stayed there.Meagan Oh yeah. So can we talk about that a little bit? So you had one provider that you're like, "I don't know, our energy doesn't match." And then one that you're like, "Our energy totally matches." But then they wouldn't be birthing with you. So tell me a little bit more of what that provider was that wasn't matching your energy.Liz: Yeah. So I guess because I had always been so healthy, my experiences with medical professionals were very limited. I had just gone to doctors for routine checkups my entire life, and everything was always fine. I think because I wasn't very experienced in the medical world, I almost had this aversion to it. I just was like, they're there if there's an emergency, but it'll be fine. Everything will be fine. I'm trying to do this as naturally as possible. He seemed very old school. I don't know how to describe it, just very set in his ways. I remember, I'll circle back around, but towards the end of the pregnancy when I had finally gotten the gall to tell him that I really wanted to try and do this unmedicated because I was so nervous to say that, he was like, "Well, don't expect this baby to just fall out of you. You're a first-time mom."Meagan Wait, what?Liz: He literally said that to me. And I was like, "Okay, I didn't think that." Meagan: I wasn't saying that. Liz: Yeah, I wasn't saying that I didn't think I wouldn't have to work hard. That's not what I'm saying. So just comments like that. The bedside manner just didn't seem very nurturing. He was very by the book, quick appointments, and asking me his little checklists of items, and that was it, whereas I felt like his nurse practitioner was very warm, had great bedside manner, and really just cared about mothering the mother in that situation. It wasn't just about the baby and how I was going to give birth or how I preferred to give birth. It was the entire experience. I remember at one point, she even said, "Obviously, there is a need for testing certain things and for keeping an eye on everything, but I really just feel like if we left women more alone to go through their pregnancies, they might be better off because we're so hands-on in the United States, and it just causes sometimes more anxiety throughout a time that's supposed to be really beautiful."So she did mention that she reminded me of, I don't know, a woman who crouched down in the field and gave birth to her babies in the woods. That's who she reminded me of. I don't know if that's the truth for her. I never did ask anything about her birthing experiences, but that's who she reminded me of. Just super warm and nurturing. I think also I maybe just aligned more with a female provider. It could have been just that too.Meagan: Yeah, it could have been. But I mean, what you were saying, comments like that, if I'm being super straight, we've interviewed providers on here that have come across really great, and then the more I've interviewed them, I'm like, "Oh, I don't know if I like that. I don't know."That can just happen. I think that's where it comes with vetting your provider and going with who makes you feel warm and fuzzy. But at the same time you're in this place where you're like, well, we've got this medical. We'll see how it goes. I've got this to also like, I've got this warm, fuzzy, filling-my-cup over here. So it seems like it's an okay match, right?Liz: Yeah. And I also manipulated it to the point where I would only make appointments when she was available throughout my pregnancy where the office was like, "You have to see the OB. You have to. He is going be the one who's attending your birth." I'm just like, "But I don't want to. I don't want to do that."Meagan: Yeah.Liz: I just stuck with the practice, I think, because I was nervous. I was new to it and like you said, I was getting my warm and fuzzy cup filled by that nurse practitioner's presence. Things progressed. I finally outgrew that morning sickness. By the second trimester, it was week 12 or 13 and it let up, and I was feeling good. I was pretty energetic. I was doing yoga on a somewhat regular basis. Nutritionally, I do want to mention because I think this does play a role in how things may have gone with the preeclampsia. But nutritionally, I was actually coming off of a vegetarian diet. I had been a vegetarian for a few years. I had gotten really deep into yoga in the early 2010s, and I became a vegetarian when I was doing teacher training for that. So I was purely vegetarian for a few years, and then I started integrating poultry back into my diet. I ate very little because my husband also doesn't consume a lot of meat, so we just didn't eat a lot of meat. I feel like I'm already a picky eater even as an adult. I definitely was as a child, but even as an adult, I still have things that I just don't like, so I feel like my diet was pretty limited, and I perhaps was not getting the nutrients that I needed, especially when my body underwent this or got pregnant and was going through this stressful event.Meagan: Yeah. Growing a placenta and a baby. Yeah, it needed its nutrients.Liz: Yeah. So I feel like during my pregnancy, especially once I started to feel good again, I ate whatever I wanted. So that whole like, I'm just going to eat so healthy, I was just like, yeah, no. I'm eating for two. I totally knew that's not what you're supposed to do. Meagan: I did the same thing. Liz: Yeah. I was like, whatever. I'm feeling great. I'm going to eat it. It's there. I'm going to eat it. So I get to my 20-week anatomy scan. I'm not even sure if it was exactly at 20 weeks, and everything goes well. Fortunately, no complications with the baby. Oh, I had also gotten a NIPT to find out the sex of the baby, so I knew I was having a boy. The anatomy scan did validate that. But that week, I don't know if it was right before or right after my anatomy scan, I noticed that I was starting to swell just on my right side of my body. My right foot was swollen. My right ankle leg was a little swollen. I remember reaching out to my social media friends. I just put out a status like, "Hey, pregnant lady here. I don't really know what's going on. Is this normal? Is this something I should bring up to my provider? What do you guys think?" There were plenty of people who were like, "No, it's totally normal to be swollen at that point." I even said, "It's only on one side though. It's weird."Meagan: Yeah, yeah.Liz: So they were like, "Just elevate your feet. See what happens." It would always go down, but it was just odd that I happened to notice just the swelling on one side of the body. So definitely interesting. Yeah. So I keep going. I'm getting bouts of pretty much every pregnancy symptom, but it would always be very short-lived. I definitely had some reflux, short-lived. I got sciatic pain so bad one day that I couldn't get out of the car. I remember I was sitting in the passenger seat and I said to my husband, "I can't walk on my right leg right now because of my sciatic nerve." So I was doing all these exercises to try and get the baby off my nerve and all of that, and everything just waxed and waned. Nothing was long-lived by any means. So I get to 30 weeks. I think it was at my 30-week appointment, and I believe it was the medical assistant who come in and took my blood pressure and wait like they always do. I don't know if it was her or the nurse practitioner who said that I had my first high blood pressure reading. Like, "Oh, it's elevated a little bit." And I was like, "Oh, that's so strange. I've been a 120/80 girl this entire time, and my whole life, I've never had blood pressure issues." And they're like, "Okay, well it's something to keep an eye on. Let's see. We're going to let you lay on your side, and see if we can have it come down. We'll take it at the end of the appointment again." And it did. It would come down, but they definitely were like, "We're going to keep this in our back pocket, and we might have to have additional monitoring if this progresses." I didn't really know what high blood pressure and pregnancy could mean, so of course, I go to Dr. Google like a good pregnant lady does, right?Meagan: Yep. A lot of us, I'm guilty.Liz: Guilty. Yeah. I was like, okay, so it could be hypertension in pregnancy or it could turn into preeclampsia. I was reading all the things, how this could turn and what that all meant. So in the back of my head, I always thought like, okay. I'm aware of what could indicate preeclampsia, but that's not going to be me. I am a healthy person, right? I've always been healthy my entire life. There shouldn't be any issues while I'm pregnant. And that wasn't the case, unfortunately. But I did go in a few more times, and I did get elevated blood pressure readings. So I don't know what week I was, but I know it was the beginning of October. I saw this other nurse practitioner who was not warm and fuzzy. She was new to the practice and she saw me. She took my pressure, and you could see the alarm in her face, but she wasn't saying much. This stuck with me to this day. It's just so crazy. She handed me this paper. The hospital that I was delivering at is a small community hospital, but it's affiliated with this Catholic healthcare system where I live, so they have a few different hospitals that are also within that same system. She just gave me this paper that had a listing of all these numbers for these different departments at these hospitals, and she just said, "You need to call them and make an appointment." And I'm like, "I have literally no idea what this is about." She's like, "Your pressure is high. You need to go make an appointment with them," but that's all she said to me. Meagan: For what? Yeah. Liz: Yeah, what is happening right now? I remember even that day, she asked me about my face. She was just like, "Is your face swollen? Does your face normally look like that?" I was like, "I have a very round face. I have big cheeks. To me, my face doesn't look different." Yeah. So she handed me that paper, told me to call, and like the good patient I am, I was like, "Sure, I'll call." So I called. I found out it was maternal-fetal medicine, which for those of you out there that don't know what that is, that's a high-risk doctor, and I had no idea. So this is my first experience with that. I did call. I made an appointment, and my OB office had me do a 24-hour urine drop or urine drip, however you want to call that. Meagan: Urine catch? Urine catch, probably?Liz: Yeah, so for those of you who don't know what that is, they give you a jug from a lab, and you have to put your urine into that jug for an entire 24 hours. They test it, and they're checking to see if there's any protein that is spilling into your urine because that could indicate decreased kidney function. Meagan: Preeclampsia. Yeah.Liz: Yeah. That is a symptom of preeclampsia. So I did do that. I went and saw MFM, and in the office there, my pressures were labile. They even called them that-- labile. It had elevated a little bit, probably in the 130s over 90s, but then by the end of the appointment, it had come down. My labs for that urine catch did indicate that there was protein present, but it wasn't within a diagnosable threshold. It was below that lab threshold, so I basically wasn't diagnosable. But they were like, "Now we're going to watch you." Most people like to see their babies on ultrasounds. That's an exciting thing. I became so fed-up with having to go in. I was, at that point, a frequent flyer. I was going in weekly earlier than a pregnancy that wasn't having any sort of complications. I was getting not only an ultrasound, but an NST every time I went in, so I'd have to lay there for 45 minutes while they looked at the baby's heart tones and everything. Yeah, at that point, I was just really stressed out because I was like, is that what this is turning into? But I don't have preeclampsia. I think I also saw my OB within that timeframe and he mentioned, "If this progresses, we will be doing a 37-week induction." And I was like okay, so I'm going to keep that in mind. But again, this isn't going to progress to that because I'm healthy and we're going to make it past 37 weeks. I probably wouldn't get the type of delivery that I wanted. And that's probably something I should mention. If I was induced at 37 weeks, I was preparing to have an unmedicated birth, a vaginal birth, and I was even taking a HypnoBirthing class to try and labor as long as I could at home. My whole thing was that I didn't want to go to the hospital until I needed the hospital or until I felt I needed the hospital. So here I am thinking, okay. I want this unmedicated, low-intervention birth, but I'm having all these interventions right now because they need to monitor me. There's some sort of issue that might be brewing. Yeah. I already said I went to MFM and all of that. My symptoms, at that point, were mostly swelling. I was getting very swollen at this point. I had that pitting edema in my legs, so I could press my finger into my leg. Meagan: It stayed. Liz: It stayed, and then my feet were like little loaves of bread. My feet will never forget what they went through. My husband would just massage them every single night, trying to get the fluid to move out of my tissues. It was crazy. I had another experience with a different OB who was not my OB, but I was out at a family event at this restaurant, and this woman approached me, told me she was an OB, and asked me if I was okay because my legs and my feet did not look so great.Meagan: What?Liz: Yeah. I was just standing in the lobby minding my business, and she's like, "Are you okay?" as if I'm not being monitored, but do you think I'm just going through this free and unaware of what's happening? Yeah. So that was interesting. She said that she was an OB. Yeah. So I went for weekly NSTs, the ultrasounds, and everything looked great with the baby. He was never under any sort of distress. No concerns of intrauterine growth restriction, nothing like that, but my pressures just kept being labile. I actually borrowed a blood pressure cuff so I could monitor at home. There were some mornings where I'd lay down on the couch after I woke up, and my blood pressures were reaching into those like 140s over 90, 91 maybe. I just would cry. I was just hysterical. Like, why is this happening? I don't want to go to labor and delivery right now. I don't want to be monitored. I'm already being monitored so much. There were probably some weeks towards the end where it was more than once that I went into my OB's office for monitoring. So fortunately, we made it through that 37-week mark. We made it all the way to, essentially, the end. And we get to Thanksgiving Eve, right? So my due date is the next day. I'm at 39 and 6. This was one of those appointments where they said, "You have to see the OB." I know I just kicked and screamed, not really, but in my head like, "F"ine, I'll see him. So the medical assistant comes in, takes my pressure and my weight, doesn't say anything, and leaves the room. He comes in, takes my pressure in my weight, and he asks me to meet him in his office.Meagan: Really?Liz: Yes. So I get myself dressed out of the gown that they had given me, and I go meet him in this fancy office. And he's like, "Your pressure is very high today, very high. So you're going to be going to labor and delivery straight from here." He's like, "I have a few meetings that I have to attend to here, but I will meet you over there in a few hours." And I was like, obviously, on the verge of tears. I'm just like, "Can I please stop home and get my stuff? Like, I have bags, I have a dog."Meagan: If you can go to your meetings, I can go to my house.Liz: Right. And yeah, my OB's was maybe 12-13 minutes away from my house, and the hospital was about five minutes down the road. So I was just like, "Can I just go home and grab my stuff?" And he's like, "No, no, no. Go straight to the hospital." And he goes, "And you're probably going to have a Cesarean."Meagan: What?Liz: This is after I tell him my natural birth, or my unmedicated, definitely wanting a vaginal birth. I was like, what? Literally, that was when the tears of waterworks really started. I was just like, "there's no shot at me having a vaginal birth?" And he's just like, "Well, I'm going to be putting you on medication to prevent seizures, so you can either labor with that and have it cancel out my induction medication, or you can just be calm and go to a Cesarean." Like, go to the OR, essentially.Meagan: What were your pressures?Liz: 170/110 that day.Meagan: Okay. Okay.Liz: So, high. Meagan: Yeah. But he's like, "You can do this, but it's not going to work, or you could just calm down and do this."Liz: Yeah, yeah. It was like, those aren't options, so that's not really an option. Right? That's what you're telling me. Meagan: Yeah. Liz: Yeah. So I called my mom. I called my husband, frantic. I was just flipping out. I get out of the office, I'm crying in the parking lot telling everybody. They're telling me to go right to the hospital. So, of course, my husband rushes home from work. He was at work. It was a Wednesday, and he got my dog. He had to bring my dog to my mom's, grab our bags to the extent that they were packed, and he met me there. I was crying. I walked myself into the hospital. It was the most surreal thing. I checked myself in knowing that I was going to come out with a human being, which was bizarre. And when I finally got to labor and delivery, my nurse was so sweet, but I was crying so much that she was just like, "Are you going to be okay?" And I was like, "I really want a vaginal delivery." And she's just like, "Honey." She goes, "I understand. I do think he's making the right choice. I do think you're making the right choice," which again, I don't really feel like I had a choice in that.Meagan: Yeah, you're like, "I wasn't really given a choice."Liz: She was also trying to relate. She's like, "I've had three Cesareans. I promise you're going to be okay. You're going to be okay." I was just like, "I've never even had a tooth pulled. I don't know if I could do this."So my husband arrived again. I'm just crying. He's trying to cheer me up, trying to keep our eyes on the prize and the fact that we were going to hopefully have a healthy baby at the end of all this. I want to say between check-in and when my OB arrived and scrubbed himself in, it was probably about three hours. Yeah. And I walked into the OR, another bizarre experience. I just walked in.Meagan: Yeah. Yep.Liz: Okay, so everybody scrubs in. There's a whole host of people in there, including my nurse. I had never had surgery, so they're giving me all the instructions as to how I need to lean forward so that they can put a spinal block, I think, at that point, the anesthesiologist, and it was so bizarre. It felt like the most claustrophobic thing. If any of you have ever had Cesareans, hopefully you can relate to me, but feeling the numbness just go up your legs.Meagan: It is very strange. I walked in for my second one. With my first one I just had an epidural, but the second one I had a spinal.Liz: Yeah, yeah. So I mean, so bizarre. Then, like I had already mentioned I was so swollen, so they had to just take my very swollen-- I felt like a beached whale-- body parts and put them onto this operating table because I couldn't move once. Obviously, the spinal had activated. So that was bizarre. But my husband, I mean, this man is the calmest person and the nicest person I know. Thank God for him and his presence on that day. He kept me nice and calm. Everybody was really, really nice in the OR. The only thing I happened to notice at one point was they had my blood pressure cuff on. That's why I'm here, right? Because my blood pressures are so hig,h and it had slipped down to my wrist, so I had my arms out. I don't think my arms were strapped down. I don't remember that. I had them out, and I look over to the extent that I could to the anesthesiologist, like, "Hey, does somebody want to maybe put this cuff on? Because that's why I'm, here. That's why we're in this position right now." But yeah, my husband and I just chatted and laughed the entire surgery. Everything worked out really well with the spinal. I did not feel any pain. They did talk me through to an extent about what I would feel as far as tugging or pulling or pressure. My son was fortunately born really healthy, screaming, great Apgar score, the whole nine. He came, and oh my god, what a feeling. Obviously, I was so emotional because of how the birth had gone and what had led me there. But becoming a parent and seeing your child for the first time, you can't really describe that. It's amazing. I have really nice photos and video that the nurse took. They brought the baby over to me. They did not do skin-to-skin with me. Again, I had all of these birth plans, preferences, and, none of that came to fruition. None of that pertained to my or situation. I was so, so happy and also so sad. I don't know how to describe it. It was like the happiest and saddest day of my whole life up until that point. So recovery was interesting. I feel like I got maybe 5 hours of sleep in the hospital total. I was on a magnesium drip. People had told me that the side effects could be a little bit gnarly with that, but I fortunately didn't find anything abnormal. I think I had so much adrenaline. But I did try to get my son to latch, and he was having a really hard time latching. They had a lactation consultant from the hospital come in and see me, and I could not get him to latch. I happened to notice that his tongue was really tethered, super tethered. I could see the tie was really far forward, and he couldn't lift his tongue. So I kept telling them, I was like, "He can't lift his tongue up the way that I feel like he needs to." They just kept telling me how to hold my own body to try and breastfeed properly. I'm like, "I don't think that that's the problem though." So that was really challenging. They did want me to stay extra time for some monitoring. So the next day was Thanksgiving. I don't think my OB wanted to be there. It was a holiday, right? He took his sweet time coming in because they wouldn't even let me eat. That was the thing. I was on magnesium. They brought breakfast in at like 7:00, and he strolls in at like 10:30. I just watched my breakfast get cold in the corner. So that was interesting. But yeah, I think at that point, if you had had a Cesarean without complications, they were looking at about a 48-hour stay. But they asked me to stay an additional day because my pressures were still labile. They were still elevated. I did get put on-- I can't remember the name of medication, but it was blood pressure medication. I was taking Motrin for pain management, the hospital-grade Motrin for my Cesarean. I cannot even describe what it was like trying to get up and walk around that first time after surgery. It's insane. That was something I didn't expect. But yeah, I didn't get much sleep. The last day that I was there, my dog had gotten into a place in my mom's house that she couldn't get him. He had gotten into something, and she couldn't reach him, so she was flipping out. She called my husband. She didn't call me and just told him, "Listen, you have to come get the dog. I can't get him." So he did. I told him, "It's fine, it's fine, you can leave." While he was gone, I had friends come and visit me. They were still visitors pre-COVID. The covering physician came in. I had my son on Wednesday. Thursday was Thanksgiving and I saw my OB, and then there were covering physicians for Friday and Saturday. So we're at Friday now, Friday evening. He came in and saw me and he's like, "You know what? I might be able to discharge you tonight." I got so excited because I was like, this is my first experience having a newborn baby. My husband is trying to go deal with my dog. How awesome would it be if we could just go home tonight?So I got super excited. He said this right in front of my friends, too. He comes back in a short while later and was like, "I just looked at your chart. I looked at your pressures." He didn't clear out the room, nothing. And he's like, "You know what? I can't discharge you. Not with pressures like this. I can't do that." And he's like, "And the covering physician tomorrow won't be able to discharge you any sooner than late afternoon, early evening because that is when he will be here." I was like, okay. So here I am in my head thinking I could go home tonight, and now you're telling me I might be able to go home tomorrow afternoon or evening. I'm already very hormonal. I'm very emotional. My husband's not here.My friends wound up leaving, and I just sobbed. I just sobbed in my room like, oh my god. this is a nightmare. Why can't my body get it together? Why can't I just have normal blood pressures again?Meagan: Yeah.Liz: Yeah. We did wind up getting discharged the next day, but I remember that physician just being so the last straw for me in that experience. You didn't have to say anything at all, and then you also set it in front of all of my friends.Meagan: Uh-huh. Yeah. So you didn't stay with this provider, did you?Liz: I did not stay with this provider.Meagan: For your VBAC? Okay.Liz: No, absolutely not. Absolutely not. Yeah. I guess I should probably get into that story, right?Meagan: No, this has been great. This has been great. Yeah. Yeah. So you were done. You went home. You're like, last straw, no more, never again.Liz: Yeah. Yeah. And I did have my. My son assessed by a lactation consultant, and she said that was one of the most severe tongue ties that she had ever seen. She did recommend a release. I was four days postpartum at this point. I wound up supplementing with formula which was something I so didn't want to do, but I was just like, this kid is starving. He can't latch properly. I did. I went and saw a specialist, and I had his tongue and lip ties both revised, and it was severe. That was a severe tongue tie. I know people have mixed feelings about that, but he needed it. Even in my opinion, as a lay person.Meagan: Yeah. Yeah.Liz: But yeah, pretty much immediately I knew I wanted things to be different the following pregnancy and birth. I think I started thinking about my VBAC probably that day. It was probably the day I gave birth to my son. This cannot be how this goes every time.So it took me a really long time to even want to conceive again. Not only did I have all these complicated feelings about my birth because yes, I did have a healthy baby. Yes, I ultimately weaned off of blood pressure medication and my body came back to however you want to phrase normal, but I had had this experience that I was holding onto a lot of trauma from, and unfortunately, my son was four months old and my mom suddenly passed away. So yeah, it was unexpected. It was sudden. I still to the day am shocked that I didn't lose my milk supply, but I was able to pump in the hospital and get my son milk. That is a crazy, surreal experience losing a parent, but I don't think that there's much more cruel than losing someone that you care about so much. My mom and I were so close in a postpartum period that's already complicated by birth trauma. So now I had this grief for my mom. I had this grief for the birth experience I didn't have. I think that largely contributed to me waiting to conceive again. I also wanted to try and find out as much as I could about what causes preeclampsia. What exactly goes on in the body that would cause that to happen? Funny thing is the verdict is still out there. They're not exactly sure what causes it.Meagan: Yeah. And there are things that we can do to try to help avoid it, but there's nothing specifically that's like if you do this, you for sure won't have it.Liz: Yeah.Meagan: The same thing with gestational diabetes. It's within the placenta, but we don't know. It needs to be further studied.Liz: Yeah. I have heard that it has to do with the father. Have you heard that too?Meagan: I have heard that as well, that there's a connection. Yes.Liz: Yeah. So I wound up, I remember I saw a home birth my wife just for blood work between having my son and conceiving my daughter. She did mention, "Preeclampsia is largely a first-time pregnancy illness. Largely. It doesn't mean you can't have it a second time," but she was the one who mentioned to me you have a higher instance of getting it again if you have the same father for your child. And I'm like, "Well, I'm married."Meagan: Well, I am going to have the same father.Liz: Yeah. So that was always in the back of my head. It's like, okay well, subsequent pregnancy, less of a chance. But same father, more of a chance. So I was just wondering what my odds were. It definitely was there on my mind for a long time. I studied as much as I could about what could cause it. I've read Lily Nichols, Real Food for Pregnancy, cover to cover. Obsessed with her. Obsessed with everything she has to say. There it is right here.Meagan: And right here and right here. Real Food for Gestational Diabetes. Real Food for Pregnancy. Food is powerful, you guys. It's very powerful. But it's changed over the years.Liz: I know. I love how she presents the research because she's the one who really delves into it and presents it in such a digestible way. It was such an easy read. I was like, okay. Okay, here are some things that I can control. Can I control everything? No. But here are the things that I intend to do the next time.Meagan: Yeah.Liz: So my mom passed away in April 2019. It took, again, a few years, but by spring 2022, I was feeling ready. And my husband and I kind of discussed it. It was in little passing. "Hey, should we try and get pregnant again?" And it was one time. It's not lost on me how lucky I am in that sense that it took me one shot to get pregnant.Meagan: Which is awesome. Liz: Yeah. I found out my EDD for that pregnancy was going to be on Christmas Day.Meagan: Oh my gosh.Liz: Yeah. And I just said, "Wow, I can't avoid major winter holidays, apparently, with my pregnancies."Meagan: Yeah. Oh, my gosh.Liz: So we did not find out that we were having a girl, but she did wind up being a girl. Spoiler alert. But, yeah, I was really not feeling well that pregnancy. It was like aversions times 1000. I had this really bizarre one that I had never even heard anybody discussed before, but I had so much extra saliva in my mouth. I'm sorry. That might sound disgusting. It felt like when right before you're going to get sick, how your mouth fills up with saliva but all day.Meagan: Like your saliva glands were just excess all the time, giving you all the spit possible.Liz: Yeah, it was disgusting.Meagan: That is interesting. I don't think I've ever heard of that.Liz: Yeah, it was terrible. Fortunately, I was working from home. I was working full-time, but I was at home. I would just walk around with a spit cup. Like, how disgusting. It disgusts me to even talk about it. It's just like, what is happening? I was waiting for those aversions to let up because I couldn't stand the smell of coffee, which, I love coffee. Basically the sight of anything that wasn't pure oxygen was disgusting to me. The sight of opening up my refrigerator was like, ugh. Exactly. The gag reflex. That lasted my second pregnancy until 22 weeks. So it was rough. I joked that I was horizontal for 2022, and that's not even a joke. I really was lying down. I had so much guilt because my son was so energetic at this point. He was nearly four years old, and he had so much energy. He wanted to do things, and I could not muster up the energy most of the time. My husband was the default parent, and I never thought that that would be the case. That was really, really hard. That was probably the hardest part of the pregnancy. But yeah, so I started to really actively plan for that VBAC. I started to see a hospital-based group of midwives. I loved them. I had gone for well-woman visits between as well. But every provider that I saw was just amazing. I didn't have any bad things to say. I knew that I would be with them if I was in the hospital. But deep down in my heart, I really, really wanted to be at home. I had seen so many beautiful home birth videos when I did HypnoBirthing. And I also associated hospitals with sickness. I had been there because I developed preeclampsia.Meagan: Uh-huh.Liz: I had been there when my mom was sick and passing away. It was a sick place. I wanted to be at a place where I felt most safe. For me, that was home. I know people have a lot of feelings and opinions about that all over, but for me, that was what I wanted to do. I wanted to do all of the things to keep myself low-risk and able to birth at home if possible while still making plans for transfer and even surgery if it was needed again. So I wasn't ignorant to the fact that it could turn into that, but I was going to try all of the things.Where I live, there actually aren't a lot of home birth midwives who support HBACs, VBACs at home. But I found one and we clicked immediately. When I spoke to her on the phone, I was like, she is my girl. I need her. I need her energy at my birth. We met in person a few weeks later, and she was so, so gung-ho about it. She had mentioned that her mom actually had an HBAC, and she witnessed her mom having that HBAC. It was just ingrained into her. She really supported me with advice on diet. She helped me with supplementation. I was on a lot of supplements for this pregnancy. I'm not even going to front. I had so many alarms set for all my supplements daily. So yes, I was trying to support myself with diet, of course, but I was trying to also fill in any gaps that might be there with supplementation. I just know my diet's not perfect, and it certainly wasn't when I was feeling terrible.Meagan: Yeah, no one's is. No one's is. That's just the reality of it. We can be eating the best we can, and we still are often falling short. That's why supplements are really great.Liz: Yeah. Yeah. I was seeing a Webster-certified chiropractor the entire time to get myself into the best alignment to have that vaginal birth. The supplementation, I was doing reformer pilates. I had started it the year before, and I did it all the way until the very end of November 2022, so I was staying active. I was really trying. I basically said that I will do almost anything to keep myself at home. That was really my motto. Yeah, I really can't say I was totally worry-free. I was waiting for something to go wrong. I was. I was trying to keep this brave face as like, okay. I can do this. I can birth the way that I want to. I can have this complication-free birth and pregnancy experience. And in the back of my head I'm thinking, when is the next shoe go going to drop?Meagan: I mean, it's what you've experienced in the back story, the last story. And it's hard. Even if we've processed through things, there's still sometimes those little creeping thoughts that come in.Liz: Yeah. That is for sure. My midwife did recommend that I get a third-trimester ultrasound. That was more for her, but it was also for me. She never ever said, "You have to do this." Everything was really a conversation. The appointments, especially with a home birth midwife were an hour long or more sometimes. Just amazing. I loved going to see her. So I did get that third trimester ultrasound. It was more to check to make sure that the placenta wasn't compromised in any way and whether it was in a good position. There was no accreta. That was something that we really wanted to rule out to keep me low-risk and at home. I agreed with that. I am not anti-medicine by any means. I just want to put that out there just because I chose to have a home birth. I do respect medical professionals and their jobs and the need for surgery but I also wanted to keep myself in a place, again, that I felt safe, and that's really what it came down to. So in my head, I had mentally prepared to go to 41 weeks. I think that's where I prepared to go because I had learned that many, many women, especially first-time laboring women, because I did not labor with my son, I neglected to mention that I didn't labor at all. So first-time laboring women will go into labor typically, but somewhere between 40 and 41 weeks. Post-dates is very, very common. So in my head I prepared to go to 41 weeks and we got there. We got to Christmas. We through there. I was like, I'm going to go somewhere before New Year's Eve. No, nothing. So we got to New Year's Eve and here I am in my 41st week, and I'm just trying to keep myself calm. What am I going to do? I cannot go to 42 weeks. I can't do it. Mentally, I can't do it. Physically, I can't do it. I'm going to wind up at the hospital. Of course, all of these negative thoughts are swirling. I went for another adjustment with chiropractor. I went for an acupuncture session. I went for a few of them, but I did induction points with my acupuncturist. I was just trying to do all the things-- curb walking, I did the Miles circuit and all the things to try and help this baby engage. So we get to 41 and 1 for me, which is a Monday, and I was woken up with contractions that felt like period cramps. That's how I would describe them. Around 2:00 AM, I started timing them. They were 12 to 15 minutes apart at that point, but they weren't letting up. They were consistent. I woke up my husband getting all excited like, "Oh my gosh, this might be it. Here we are." And they weren't getting closer, but they weren't easing up. So they just continued like that for the rest of the day. I had gotten up from the couch at one point, and I felt like this small trickle. I went into the bathroom, and it didn't look like anything to me. It didn't look like much. There wasn't a huge gush of fluid, nothing. So I was like, oh, I think it's probably just discharge or maybe part of my mucus plug. I have no idea. I have literally no idea. But I was like, nothing seems off to me, and it wasn't enough fluid to be concerning. I did text my midwife to update her and she mentioned to me, "A lot of women will drop into more active labor when the sun goes down. Things get quiet. It starts to get calmer. I can almost guarantee that we're going to have a baby at some point in the next 24 hours." So I go to bed that night and thinking, I'm going to wake up Tuesday probably either be having a baby or have a baby already. I woke up Tuesday, and I was still pregnant. Here I was.Meagan: You're like, this is not what I was thinking.Liz: I remember I would wake up with a contraction, but again, they were 12 to 15 minutes apart. I would go to sleep between no issues and just wake up, breathe through the contraction, and go back to sleep. And that's how the whole night went. I just couldn't believe I was still pregnant. I really was starting to get a little down on myself. I was like, these aren't coming closer together. They're not intensifying. They're not letting up, but there's nothing really happening at this point. I texted my midwife again that morning, Tuesday morning, and she said she needed to come see me for the 41-week appointment anyway, so she said that she would come by that day. She was going to come to my house. And then we get to the mid-morning. It was probably around 10-10:30 and my contractions stopped, like literally up and left. Like, what is happening right now? I can't. I was in shock, literally in shock. Especially because labor had been going on for over 24 hours. It was absurd to me. But she's like, "Don't worry. I'm going to come see you for your appointment anyway." When she arrived later that day, I did ask her to do a cervical check because at this point I'm like, "Something has had to happen whether the baby moved down into a better station or I'm a little bit more dilated or just more engagement. Whatever it is, I just want to know at this point."Meagan:: Yeah.Liz: So she did. She said, "I'll go in there. I can do a cervical check and if I can get in there, would you like me to do a membrane sweep?" And I was like, "I would love that. Anything to get this going. Let's get the party started." I'm at my house. She does the cervical check. She's like, "I can do a membrane sweep." And as she basically finishes up, I feel this gush of fluid.Meagan:: Your water.Liz: Yeah. She stopped, and I said, "Was that fluid?" She's like, "I'm going to make sure it's amniotic fluid. I have the test strip," and of course, it lit up like a highlighter. She's like, "Yes." She goes, "So guess what? We're going to go after baby today. We're going to get this. We are going to get this party started." I had kept telling her, "I can't go to 42 weeks," and she kept saying, "Let's not go to 42 weeks. You'll be fine. We're going to get it moving." And here we are. She did mention, I was at that point, about 3-4 centimeters dilated, so pretty good. But she was like, "I can offer you, I have a Foley. I can offer you a Foley balloon just to put a little bit more pressure on the cervix and maybe we can get those contractions to start to start up again, and then hopefully come closer together." Yeah. So she did. She put that Foley in and she waited with me at my house, and we just chatted. It came out a short time after. It took very little. I didn't have discomfort with that, thankfully.Meagan: That's, good. I mean, your cervix was starting to come forward. Things were going.Liz: It was going. Yeah, yeah. So again, she stayed with me and once the Foley came out, she just advised me to put on some sort of protective underwear whether it was the adult diapers or a pad because now we knew that my fluid was at least leaking, but it wasn't coming out consistently anymore. I don't think it fully came out. It wasn't a big enough gush for it to be all of the fluid, if that makes sense.Meagan: Yeah, yeah, yeah.Liz: So she told me to do a few things. She's like, "I'm going to head out. You're going to call me when you need me," which, at that point, I was like, I have no idea what that means, but okay. And she's like, "Here are the things that you can do. Obviously nothing in there anymore, because we know that your amniotic sac is open.Meagan: It's broken. Liz: Yeah. Yeah, exactly. But she said, "You could do some pumping. You could use some clary sage essential oil." She gave me her TENS machine, and she's like, "You could try the TENS machine." I had never known that you could actually use that not for pain management. I only thought it was for pain management. So I was like, "That's so interesting." So she's like, "Do the pumping. Do that." So I did. I did one session, I think, before I put my son to bed for the last time as an only child. I did. I went and laid down with him and just knew that was probably going to be the last time that he would wake up or the last time he had woken up as an only child. And then I did it one more time, and not only did my contractions come back, I started timing them on the app, and I'm watching them get closer. They're going from 10 minutes to 8 minutes to 7 minutes to 5 minutes. I'm just watching them like, oh, my gosh. So we get to 11-11:30 at night, and it's just me and my husband there, and they are three minutes apart, and they're not easing up, and they are getting intense. So there it was. They came back.Meagan: And labor begins.Liz: Oh, it began. It began. I have so many interesting photos that my doula wound up taking. Thank God for her. Not only for the photos, but for everything that she did during the labor and delivery. It was intense. It gets intense, or in my experience, active labor when you get the breaks between the contractions and you are able to rest. I took every opportunity to rest. My doula was trying to guide me into different positions. She would help by putting a warm compress on my back at times. She would encourage even location changes in my house just to see if I could use the toilet. She told me to get into the shower at one point. I was like, "I'm too claustrophobic in here." I didn't like that, but she was trying to get me to try different things. But it was so intense. The craziest part for me was transition. That was truly an out-of-body experience. Everybody was doing these hands-on manipulations, my husband and my doula. But I could not do anything but just sway. I was standing, swaying back and forth in my living room, arms up. Why were my arms up? I have no idea, but they were up. I was doing that horse lips, breathing. Yep. It was just what my body did intuitively. I just, at that point, wasn't really getting a break. It was just insane. So that was intense. Out-of-body. I cannot replicate that level of pain in my head. There's just no doing that, but I knew that even if I needed to transfer, which I wasn't planning, but even if I needed to do that for pain management, I couldn't sit down in a car. I was at that point, so I thought to myself, the only way to this is through this. Like that is it. You've got to do it. We're just going to do it. So I knew that in my head. At no point did the pain concern me though. I mean, was it so intense and crazy? Yeah, but it was never like, there's something wrong.Meagan: Uh-huh. Yeah.Liz: So that was really good. I didn't think anything negative during that time except that I was in an intense amount of pain. But it was like pain with a purpose, if that makes sense.Meagan: Productive.Liz: Yes, yes. In the meantime, my doula had set up a birth pool because I definitely wanted to try to be in the pool when I gave birth, but I wasn't sure how I'd feel about the water since I didn't really like the shower experience. It took a while because the hose kept slipping off of our faucet or whatever, so they had to boil pots of water. I just remember my doula walking back and forth. In the meantime, they did call my midwife. Somebody did, and she showed up with her assistant. So there were like three or four adults trying to hold me in transition or do some sort of physical manipulations and then pour hot water into this birth pool.Meagan: Oh my.Liz: Yeah, it was very interesting. But yeah, my contractions, at that point, were 30 seconds apart and they were lasting a minute and a half. It was intense, yes. But the pool was finally filled at 6:45 in the morning on Wednesday, and the only reason why I know that is because we have pictures of me right before I got into the pool. When I got in, my body just relaxed. I didn't think I was going to be wanting to be in a supine position at all, beyond my bottom at all because I couldn't have even tried to sit on land. But once I got into the pool, everything relaxed and it was like, oh, this is what I needed. This is what I needed. I needed some relief. I also kept telling everybody how tired I was. Anybody who walked past me, I was like, "I'm so tired." They were like, "Yeah, no. We know. We know, but we're going to keep working."Meagan: Yeah.Liz: But yeah, I was in there for a really short time and I had heard of this before, but to actually experience it is next level. I had the fetal ejection reflex.Meagan: Oh yeah.Liz: So I did not even have another cervical check. Nothing. My body just started pushing that baby down and out. I couldn't have stopped it if I wanted to. I was making the most primal sounds. I have video of it, like low guttural sounds. It was probably going on for about 15 minutes. My son walked down, I heard his little pitter-patter of his feet, and he walked down. My stairs go right into my living room where I was. And the whole time the most nerve-wracking part of having a home birth for me was that I knew he was going to be home with us, and there really wasn't an adult aside from my husband and my birth support team who I wanted in my birthing space. So there was no other option of anybody to take care of him besides my husband if it came to that. I think in the back of my head, that was the most anxiety-inducing part of this.Meagan: Yeah.Liz: So down he walks. And of course, he's hiding. He sees these three other adults in our living room. I'm in the tub groaning.Meagan: Yeah.Liz: He's a little nervous. He's a little guy. Fortunately, I think it was either the birth assistant or my doula handed him his little digital camera that I had actually bought as a gift from the baby for him. Yeah. She encouraged him. She's like, "Why don't you take some pictures? Take some pictures of mommy and daddy." The minute that she said that and he started to do that, he calmed down and just wanted to be in it and part of it.Meagan: Yeah.Liz: Yeah. And I told him, "Mommy's making some interesting noises, but I'm okay. I'm safe. I'm okay." And he was just really good about it. I feel like all that anxiety went away, thankfully.Meagan: Yeah. Yeah. That's awesome.Liz: Yeah. I noticed my midwife was starting to gather her supplies and in my head, I actually probably said it out loud like, "Wait, we're doing this here?" And she was like, "Yeah." I was like, "I'm having a baby here in this room." She's like, "Yeah." I was like, "I don't need to go to the hospital?" She's like, "No, no, no. You're okay."And, yeah. My body just kept pushing the baby out. And it was an hour, not even an hour. It was less than an hour from when I first got into the pool until my daughter was out. My husband got to reach down and put his hands there. As she came out, he felt her really chubby cheeks. She has big cheeks like me and her ear, and brought her up to my chest. I was just in shock. I couldn't believe that I had done that. But then, of course, I look and I see that she's a girl. I just knew my mom had sent me her. That's how I felt.Meagan: Oh, that just gave me the chills.Liz: Thank you.Meagan: Oh my gosh. That is so beautiful. I love that your son was able to be involved, and you could feel your mom. Oh huge. Congrats. Liz: Thank you so much.Meagan: Yes. Liz: My mom's name was Faith, and so my daughter's middle name is Faye because everybody who loved my mom called her Faye. She was Aunt Faye to everybody, every cousin. So my daughter's name is Luna Faye. So she is her namesake, and she's amazing. And like you said, I can't believe she's almost two. I can't believe this was almost two years ago.Meagan: Two years ago. I know. We get so many submissions and sometimes we can't get to everybody, but it does take a while sometimes. I'm so glad that you were able to come and still record your beautiful stories and give us so much detail of each one and guidance, and the experience. Yeah. I'm just so happy for you.Thank you so much. I don't think I'll ever come down from that high, that birth high. Like, I think I'll be riding it out for the rest of my life. I'm not sure I'm going to have any more children. I think we're pretty much done, but I would love to give birth like that a thousand more times. It was the redemptive story that I needed. It helped so much with my previous birth trauma, and it made me feel so strong. I have never felt more strong and more powerful than that experience. I don't think I ever will.Meagan: Yeah, well, and there's so much that went into it-- time preparing, research, finding this team, and then even dealing with the prodromal. I mean, that could be defeating within itself. You're so tired, but then you just kept going.Liz: Yeah, I kept doing the things. I mean, that was one thing that my doula and my midwife both commented on. They were like, "You did everything that you could, and you tried to control everything that you can control, and look what happened. That's amazing."Meagan: Yeah. Thank you again so much.Liz: Thank you. I'm so happy to have been able to talk to you and share my story.Meagan: Me too. Do you have any final advice to any of our listeners?Liz: I think my ultimate advice for any birthing person is to find a provider that you align with. I think they can really make or break that experience. No matter where you choose to birth or where you wind up birthing, have that provider that you trust, that you feel like you could have open conversations with. If you say you want a natural birth, they're not going to scoff at that, and somebody who's going to have conversations with you instead of talking at you.Meagan: Yeah, I agree so much. I want to add to just vet them. If they're feeling good at first, okay, stay. And if something's happening, keep going. Keep asking the questions, and if something's not feeling right, don't hesitate to change.Liz: I know. And I not only hesitated, but I knew I had to change with my first provider, and I just didn't. I think at that point, I was so tired.Meagan: Yeah well, it's daunting. It's a daunting thing. I mean, I was there too, so no shame in it. It's just hard when you realize looking back, oh, I could have. I should have done something different. I didn't, but that's okay. We've learned, we've grown, and we've had healing experiences moving forward.Liz: Yeah. 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

The VBAC Homebirth Stories Podcast
EP156 | She trusted her body and it led to a surprise breech HBAC at 39. Emilie's birth story is pure magic!

The VBAC Homebirth Stories Podcast

Play Episode Listen Later Mar 19, 2025 98:09


In this episode, we dive into the incredible story of Emilie, a yoga instructor from Bribie Island, Queensland, who embraced her intuition and unapologetically stood in her power to navigate her birthing journey. Emilie's story is one of resilience, trust in her body, and the beauty of natural birth after a Caesarean and surprise breech birth. (HBAC).Her journey includes a surprise breech birth, navigating care with private midwives, and staying centered in her inner strength. Emilie shares how yoga, mindfulness, and her connection to her inner wisdom played pivotal roles in this transformative experience.Key Topics Covered:Trusting Her Intuition and Inner Power: Emilie's ability to listen to her body and instincts led her to make empowering decisions throughout her pregnancy and birth, even when faced with unexpected situations.Surprise Breech Birth: The unexpected twist of birthing a breech baby naturally and how Emilie worked through this experience with determination, trust, and the support of her care team and husband.Supportive Partner Role: Emilie's husband was an active and supportive presence in her birthing journey. He may join us as a guest to provide insights from his perspective as a birth partner in a future episode so stay tuned.Yoga and Mindfulness in Pregnancy and Birth: How her experience as a yoga instructor helped Emilie stay grounded, focused, and connected to her body during birth.Enjoy this podcast episode! More from Ashley:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The VBAC Village⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Insta: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@ashleylwinning⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.ashleywinning.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ VBAC Homebirth Support ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Group here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Love the podcast? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Buy me a⁠⁠⁠⁠⁠ coffeeDisclaimer: The VBAC Homebirth Stories Podcast is for educational and inspirational purposes only. The stories and opinions shared are personal experiences and should not be considered medical advice. Every birth journey is unique, and we encourage you to research, trust your intuition, and consult with a qualified healthcare provider before making decisions about your pregnancy, birth, and postpartum care.The host and guests of this podcast are not liable for any outcomes resulting from the information shared. By listening, you acknowledge that you take full responsibility for your own health and birth choices.

The Homebirth Midwife Podcast
Taking Your Questions: HBAC and Giving Birth with PTSD

The Homebirth Midwife Podcast

Play Episode Listen Later Mar 18, 2025 38:16


This podcast episode contains potentially triggering content related to sexual trauma, including discussions of abuse, assault, and recovery. Listener discretion is advised. In this episode of The Homebirth Midwife Podcast, Sarah and Charli answer listener questions about home birth after cesarean (HBAC) and trauma-informed care in birth. They unpack the risks, safety considerations, and holistic midwifery support for those planning a VBAC in a home setting, as well as compassionate strategies for birthing with PTSD, vaginismus, or a history of sexual trauma. Learn how individualized midwifery care fosters empowerment, informed choice, and a deeply supportive birth experience. Whether you're exploring out-of-hospital birth, postpartum healing, or holistic prenatal care, this episode is filled with insight and encouragement for your journey. If you like what you get here, you'll like our online childbirth education course even more. It's a more detailed look at the stages of labor, how to cope, and what to do along the way to set yourself up for success. It also shows partners what to expect from their point of view and what they can do to support you in labor. Stay Connected With Us! Website: https://hearthandhomemidwifery.com/ Instagram: https://www.instagram.com/HearthandHomeMidwifery Facebook: https://www.facebook.com/HearthandHomeMidwifery YouTube: https://www.youtube.com/@hearthandhomemidwifery1206 The Homebirth Midwife Podcast is for general informational purposes only and does not constitute the practice of midwifery, medicine, or other professional health care services. The use of information on this podcast or materials linked from this podcast are at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Homebirth Stories Australia
S3 EP: 3 Ellena - Two Births, Emergency Caesarean, HBAC, Homebirth, Eclampsia, Miscarriage, ICU, NICU, Special Care, 42+1 weeks, 2nd Degree Tear.

Homebirth Stories Australia

Play Episode Listen Later Mar 18, 2025 136:07


Send us a textIn today's episode, we are joined by Ellena, who shares the deeply personal and transformative stories of both of her births. Ellena's first birth journey was marked by unexpected challenges, as she faced an emergency caesarean at 34 weeks after being diagnosed with eclampsia. She opens up about the subtle, often overlooked signs of the condition during her pregnancy and reflects on the surreal experience of having her son under general anesthesia after suffering an eclamptic seizure. Ellena describes the emotional and physical hurdles she faced as her baby spent time in NICU and she herself was in ICU, while also navigating the complexities of breastfeeding a premature baby.For her second birth, Ellena sought out a private midwife and chose to have a homebirth, giving birth to her daughter at 42+1 weeks. She discusses how she took a proactive approach, conducting extensive research and preparing herself mentally and physically, aware of the slim possibility of experiencing eclampsia once more—yet this time, her journey was different. Ellena beautifully recounts how she created a birth experience that felt empowering, culminating in the peaceful birth of her daughter on her own bed, in the comfort of her home.Ellena's Instagram Links:Eclampsia in Australia & NZ: A prospective population-based studyAustralian Action on Pre-Eclampsia Website RANZCOG - high blood pressure & pre-eclampsia The great birth rebellion podcast - preventing preeclampsia The great birth rebellion podcast - so you've got preeclampsia Support the show@homebirthstoriesaustralia Support the show by buying us a coffee! Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

Healing Birth
A (Breech!) Homebirth After Cesarean Without Fear

Healing Birth

Play Episode Listen Later Mar 17, 2025 42:17


After two relatively routine hospital births, Shiloa's third baby was discovered to be breech late in her pregnancy. Her care providers presented her with no option other than a c-section, which came as a huge shock. The surgical birth left her feeling traumatized. As a birth worker herself, Shiloa was also attending births during this time and had developed an unshakable trust in the birth process. She learned that some midwives were comfortable supporting breech births at home, viewing it as a variation of normal rather than an emergency requiring surgery. For her fourth pregnancy, Shiloa planned a home birth with a midwife. Once again, the baby was found to be breech toward the end of the pregnancy. However, she didn't let the combination of a VBAC and the breech label shake her trust in the birth process. In fact, she had a strong sense that this baby was meant to be born breech for a reason. Shiloa successfully birthed her breech, VBAC baby at home with her midwife, as planned. This empowering experience helped to heal the trauma from her previous birth. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / Outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator
Pelvic floor exercise after c-section and to prepare for VBAC with Dr. Jessica London, PT, DPT, PCES

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator

Play Episode Listen Later Mar 10, 2025 43:31


In today's episode I dive deep into pelvic floor PT with Dr. Jessica London, PT, DPT, PCES. I also hear a bit about her birth stories (unplanned c-section and HBAC).Here's what you can expect:How Jessica's first birth experience shaped the decision for a second homebirth, and the mental preparation involved.Differences in preparing for a VBAC attempt and how that preparation evolved from the first to the second homebirth.Insights from a pelvic floor therapist's perspective on the unique experiences of both c-section and vaginal births.How postpartum recovery differs between c-section and vaginal births, and what it means for recovery and birth prep from a professional standpoint.Connect with Dr. Jessica London:Website: https://www.yourpostpartumpt.comIG: @yourpostpartumptPodcast: “What about Mom?” ---> COMING SOON!Text Hannah!https://thehannahgill.com/firststeps First 3 Steps to VBAC Guide: https://www.thehannahgill.com/firststeps Quiz - Is Your Provider VBAC Supportive?: https://thehannahgill.com/quiz Doula VBAC and Repeat Cesarean Guide: https://www.thehannahgill.com/newdoulatips

The Motherwhelm
31 Adelle | Motherhood | Reparenting, self-work, traumatic birth, postpartum rage, VBAC journey, HBAC, EMDR therapy, perinatal counselling, self-acceptance

The Motherwhelm

Play Episode Listen Later Mar 5, 2025 133:13


In the thirty-first episode of The Motherwhelm, Adelle shares her journey of healing and empowerment after a traumatic birth. She opens up about her HBAC experience, the role of reparenting, self-work, and EMDR therapy in her recovery, and how perinatal counselling helped her find self-acceptance. This powerful conversation explores the strength it takes to reclaim your birth story.

The VBAC Link
Episode 382 Alice's Safe HBAC After Healing From an Abusive Relationship + Domestic Violence Support

The VBAC Link

Play Episode Listen Later Feb 26, 2025 30:51


In this powerful episode, we hear the story of Alice, who shares her brave journey through two contrasting pregnancies and the impact of intimate partner violence on her mental health. Co-host Sarah joins as one of our VBAC Link certified doulas to discuss the importance of mental health awareness, especially during pregnancy and postpartum. This episode dives into the significance of having a strong support system and the need for open conversations about postpartum mood disorders and trauma-informed care. Alice is a beautiful example of resilience, healing, and the strength that women possess.National Domestic Violence HotlineNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength. Hello. How are you doing? I hope you are having an amazing week. We have another story coming your way today, and we actually have a co-host today, my friend Sarah. Hello, Sarah.Sarah: Hi.Meagan: Thank you so much for being here today.Sarah: Yeah, I'm super excited to be here.Meagan: I love having our VBAC Link doulas on the podcast here and there. It's fun to not only share you with the world and let people know who you are and where you are, but really just to hear from you guys and hear your educational pieces and just have you guys in the story and giving your input, and I just love it. So thank you so much for being here.Sarah: Absolutely.Meagan: Guys, today, like I said, we have an HBAC coming your way. But I did want to let you know that today's episode may have mention of partner abuse and suicide. I really, really, really think it is so important to really not mask stories and share the rawness of people's stories because I think the rawness and the real story is what makes us who we are today and really creates the story to be true. I just wanted to give you guys a heads-up. But I'm going to turn the time over to Sarah. She is in replace of our review today doing an educational piece and actually talking about mental health.Sarah: Yeah. Hi. So again, I'm super excited to be here. I'm Sarah Marie Bilder. I'm located in the upstate South Carolina area and I do birth and postpartum doula work. I really just wanted to cover the topic of mental health because in the story that we're gonna hear today, it's pretty relevant and it's one of those things that aren't often talked about. I don't wanna say that that's not talked about because when we say that it kind of, I feel, diminishes the people that are talking about it. It's important to really highlight when we are talking about it. But a lot of the times when we're preparing for pregnancy, we're focused on the physical aspects or maybe mindfulness or something along those lines, but we don't really dig deep into postpartum mood disorders or when there are mood disorders that are still occurring in pregnancy or even that might exist before we're pregnant that will still continue throughout pregnancy. So it's really important to make sure that we're having these conversations and that we're being open and honest with the people around us. Maybe if you aren't in therapy or have somebody sort of set up along those lines, you still have a close friend or a support person that you can be sharing this information with or really opening up about the feelings that you're having because they are very real feelings, and even into postpartum, it goes more than just the baby blues. There are a lot of different things that can be occurring and happening that it's really important to continue to have those support people. So as a doula, this is something that I make sure my clients are aware of and open to, and I try to be as much of a support person as possible, but knowing when professionals need to step in and when situations need to be handled I think is really key. So making sure that you have people to talk to, making sure when you listen to these stories that you are considering different situations and different aspects and that we're talking to our mom friends too. If you're not the one currently going through it, if you're hearing somebody else going through different situations, we're continuing to stay open and stay together and stay supportive.Meagan: Yes, I love that. Thank you so much for that message. I also want to add through to it that after we have our babies, we are given a six-week follow-up. You do not have to wait six weeks to talk to your provider. If you are feeling these feelings, you do not have to wait until then. You one, can get in sooner. But two, there are other resources, and we will make sure to have those resources shared at the end of this episode and in our show notes. So if you or anyone that you know and love are experiencing these things, please know that there is more help. Okay, Alice and Sarah, thank you so much again for being here today. I want to turn the time over to you, Ms. Alice.Alice: Hello. Thank you so much for having me. I'm very excited to be here and share my story.Meagan: Me too.Alice: So I have had two pregnancies, two births, and they were both very, very different. My first pregnancy, when I think about when I found out I was pregnant with my first, it was the lowest point of my life. I was nine months into being married to my abuser and had really lost my entire sense of self. I was at this point where I just didn't understand how I had gotten there. I didn't understand how I had married him. I found myself hospitalized from a suicide attempt. I also had no social support. I had no family in the area. I had no job. My husband was an attorney, and I relied on his friends and his family for emotional support. I was hospitalized and felt very lost. About a week into my hospitalization, the staff, who were constantly running tests and blood draws, pulled me out of a group where I was learning how to deeply breathe, and to my shock, told me I was pregnant. I had no idea. It was just a very out-of-body experience being hospitalized for mental illness. Some people can find it really helpful in healing, and it can also be a trauma in itself, and it was that for me. So to be in this setting where I had no freedom, and then these people were telling me what was inside of my body. It was-- I couldn't process it. I was very disconnected to my pregnancy at first. The next five days of being hospitalized, I was presented with a lot of information about pregnancy and intimate partner violence. It's information that I think is really important for providers to know, but it was presented to me as a new pregnant person in an abusive relationship in a way that felt really coercive and fear-mongering. They told me that the leading cause of death in the United States for pregnant women was intimate partner homicide. Meagan: Okay. Alice: Yeah. I remember one provider telling me, "Your options are to terminate the pregnancy or to leave him now. It's our professional opinion that if you stay in this relationship while pregnant, it's very likely that he will kill you before you give birth." Meagan: Gosh. Alice: I remember feeling so shocked and afraid. I knew I wanted to be a mom. I think the decision to continue a pregnancy or not when you're faced with, it's always a difficult decision. It was for me because I was afraid, and I knew I wanted to be a mom. I also knew that I couldn't leave yet. The leaving is really complicated, and it's not a direct line to safety. I remember feeling when they were talking to me about leaving, like, "Well, you could go here or you could call this person," thinking like, don't you think I've already thought of this? Don't you think I've thought of every way to keep myself safe? Now I was pregnant, and I wanted the assumption that I was making decisions that were best for me and my baby. My pregnancy was difficult. I had hyperemesis and I had this pregnancy rash that was really itchy my whole pregnancy. They kept testing my bile levels, and they were all normal and never knew what was going on. I have scars on my body from scratching. I'm pretty sure now that it was just stress and breaking out in hives throughout my pregnancy. I had broken ribs in my third trimester. When I think about that pregnancy, I remember it being a time of suffering and fear. I feel sad for myself when I think of myself during that time experiencing pregnancy like that. At the same time, I had an incredible midwifery team based out of a hospital. I can't say enough about how supportive and trauma-informed they were. They never pressured me to leave. They asked questions like, "What can we do to help? How can we make you safer?" They trusted that I was doing everything I could and that I knew how to keep myself safe and how to keep my baby safe. I was living with my in-laws when I went into labor with my first. I had moved in and out of our home depending on how safe it was. I didn't have anywhere to go other than his parents'. I was living with them and my waters had been leaking for a few days and I knew. I was like, I know I'm not peeing this much all the time. I knew that my waters were leaking, but I didn't want to go to the hospital yet because I hadn't started contracting, and I knew they would induce. I started having contractions at midnight. I went in about 24 hours later. It was really slow. I tried everything I could to get things moving, but it just wouldn't speed up. I ended up being induced. I don't necessarily regret the decision to be induced. It did lead to a C-section, but when I went into the hospital, I didn't know what home I would go to. I wanted to be there. I remember thinking, I want to stay here. If that means I have to get induced, that means I get induced. But I felt much safer being in a hospital at that point. They started the induction process. I had a doula come, and I also had my therapist come. She was with me through my entire labor at the hospital and birth for-- she was there maybe 45 hours. We had made a contract and it's pretty innovative to have my therapist there as a support person at my birth. I think it's an induction story that we all know my body wasn't ready. I was on Pitocin for a very long time. Baby's heart rate started decelerating, not tolerating labor, and made the decision to have a Cesarean. It wasn't the birth that I wanted, but it was the safety that I wanted. I had support there. They made sure to tell me specific things that were in my birth plan that were triggers for me. When I was laid on the table for the C-section, someone got very close to my ear and said, "No one's tying you down. I know your arms are out. It might feel like that, but know you are not restrained." At one point, the anesthesiologist started petting my head because he was sitting by my head. The obstetrician who was just there to do my C-section, wasn't there for very long. She had read my birth plan and said to the male anesthesiologist, "She doesn't like her head to be touched." He stopped. I felt very seen. I did skin-to-skin in the delivery room. My therapist was in the operating room with me. It wasn't a terrible Cesarean experience. So postpartum was pretty hard. When I left the hospital, I was living alone with my baby. My in-laws agreed to encourage my husband to live with them so that we could be safe from him during the postpartum time. But living alone after a C-section with no family or friends and no doula was very, very difficult. My husband had substance-use disorder, and he took my pain medication when I got home. I just remember being in a lot of pain. I also was in this haze of falling in love with my baby. It still shocks me that I did not experience postpartum depression with my first. I was depressed through my pregnancy, and I also think I was in such a survival mode during the first year of my first baby's life that I didn't have any space to process or space to grieve. I was surviving. One year after giving birth to my first, I did file for divorce to get a restraining order and safely flee with my child, but it was a very long, difficult road.Meagan: If you are someone who is experiencing domestic violence during pregnancy, postpartum or just in general, there is help. You can reach out to the National Domestic Violence Hotline at 800-799-7233.Alice: So that was my first birth experience. Fast forward to four years later, I've memorialized the day that I found out that I was pregnant with my first because it was such the lowest point of my life. I think of it as this time where I was ready for my life to end. I'm gonna cry, but instead my life doubled and it led to this beautiful little human who I get to be a mom to and really changed the trajectory of my entire life, so I call it my life day. Four years later, on my life day, I was in a loving relationship with the most gentle man. I still am in that relationship. I felt like things were a little wonky with my body. I woke up and took a pregnancy test and saw on the exact same day that the hospital told me that I was pregnant, four years later, I had a positive pregnancy test. I was in a home that I owned, a home that was safe and filled with love and a relationship that was safe and loving. It was just so different. I went and I laid in bed with my then 3-year-old and said, "We're gonna be just fine." And I knew that we were going to be. My second pregnancy was also different. It was very healing. I experienced a lot of sadness again because I think I had space to grieve the first time. It also happened because I got pregnant right around the same time. It was like this weird re-do of my first one now with a loving partner and safety and getting to be pregnant. I think about what I wanted for my body and how to stay healthy. I didn't take a single vitamin during my first pregnancy. I was just focused on, how do I stay safe today? I can't even count all the supplements I was on this time. I knew pretty soon that I wanted a home birth. I feel like I was pretty educated on VBAC. I had been listening to The VBAC Link since I was pregnant with my first. I don't know why because I hadn't had a C-section yet, but I had loved the podcast and I knew the rates of repeat Cesareans. I also work in labor and delivery units and I know that they're very risk-averse. I felt like it was the safest option to birth at home. I also felt the weight of how precious it was to have a safe home that I could birth in. It was very meaningful for me to give birth in a space that was mine and was safe. My partner, who knew nothing about home birth, I broached the subject with him early in pregnancy was like, "I want to let you know. I don't know what you think about this, but I want to have a home birth." And he was just like, "Great." I was pretty surprised that he was so on board, but he trusted me, and he trusted me the whole way through. I did not have hyperemesis the second time. I didn't have the rash problem. I didn't have the broken ribs. I did have a lot of pain from pubic symphysis. Yeah, the second half of my pregnancy was like very difficult to even walk. I broke my pelvis in my teenage years and was a little unsure of how that healed. I broke it in two places. I have had this fear of, what if there's a bunch of scar tissue around a bone and baby's head couldn't get through? So I had that fear as well going into my home birth. My midwife was very skilled and very kind. It was a different experience of prenatal care. I also really loved my hospital prenatal care. I think given that I was in a high-risk situation, I loved my hospital prenatal care. It was exactly what I needed. And in my second birth, my home birth midwife was exactly what I needed. In my second birth, I went over my due date by 11 days which was such a mind game. I was so over it. I was just this crazy person who was doing everything that I could to get this baby out of me, but also was like, "No, I wanna be holistic. I don't to be induced. I'm not gonna--," so there were two parts of myself that were battling each other. But I, finally went into labor. My mother was here as well. My family lives far away, but my mother came to support me this time. It was just my mom and my partner and my three-year-old. I labored at home. I had my music. It was just a lovely experience of laboring and of joining in this experience that so many women have had of pain and beauty and endurance and strength. I felt so connected to the world and to women and to my mom. My midwife came. I started laboring at 7:00 PM. At 2:00 PM the next day, my midwife came. I labored in the tub. I had a blow-up birthing pool. I felt like labor was pretty straightforward until the last five hours that I was fully dilated, but he just wasn't descending. The midwife checked me and said that his head was stuck on my pubic bone. He was stuck there for five hours. It was a lot of pushing, but I wasn't really pushing the right way.It felt like contractions that just weren't producing anything. It wasn't opening anything. It wasn't moving him down. It was just nothing. I started to get really discouraged. We joke a lot about how belligerent I was towards the end. Right before I gave birth, I got very bossy and I decided it wasn't go going to happen. Like, "He's not going to descend. I'm over this. Call 911. Tell them to bring drugs. I need them here now." My midwife was like, "That's not how it works." I was like "No, call the police. Tell them to bring narcotics. I need to stop feeling this." I was being ridiculous. My midwife was encouraging me saying, "He is coming down. I know you're not feeling it, but I feel his head and it's right there. I think you're gonna have a car baby if we get in the car. and I don't want that to happen." I'm not a rude person, but I guess in labor, I am. But I stuck my finger in my vagina, and I was like, "Well, I don't feel him." They were loading up to go to the hospital because I was so insistent that this was not happening. I was standing in the living room and I said, "Wait." My partner was like, "She said wait." I could feel him coming down. It was the first time I really felt his head coming through my birth canal. It was such a different feeling. In 30 minutes, I pushed him out standing in our living room. It was just beautiful and lovely, and he was on my chest. My 3-year-old was there. Baby was on my chest. I was lying on my partner's chest. Nothing else mattered in that moment. Yeah. It was a lovely, beautiful, healing experience to come full-circle. I also gave birth on the four-year anniversary of filing for divorce and getting a restraining order from my abuser. It's like all of these things lined up just to give me this healing experience of new life.Meagan: Yeah. Seriously, these milestones that you're able to overcome from the past and replace with joy and beauty and excitement and healing. Oh, I have chills through the whole episode. How about you, Sarah?Sarah: Yeah. There's just so many parts of your story that are so unique and so fitting. There's so much strength in it, and there's so much emotion in listening and feeling all of the things that obviously you were going through. And some were external, but a lot were very internal. Thank you for sharing your story. The ability to be able to share your story takes so much strength in itself. Yeah.Meagan: We could see that and could see it in your eyes. You had my eyes welling up a few times. I was just feeling all the emotion as you were sharing and all the heartache in the beginning that you were sharing. And I loved how you were like, "I was in this. I was going through this really terrible, scary experience," but you were able to stay in this haze of bonding and you two together, you two thriving and surviving in this really unfortunate circumstance, but I am so glad that you were able to have that and grow and then now have this safe, loving home, and two cute babes.Alice: Yeah, they are cute.Sarah: Yeah. Yeah. And although your story's so unique, it's also in very many of our VBAC stories. We have that traumatic experience and then it leads to that very healing experience. I think it's just one of those things. You had mentioned having that space to process and getting out of that survival mode too. I think that's really amazing to honor that and mention that because sometimes we are just in that survival mode, and we don't allow ourself or we don't have the ability to give ourselves that time to really process what is occurring and what is happening. And a lot of the time we just need to do that, and we need to allow ourselves the time to do some fear-clearing and release a lot of that anxiety and other fears that are happening and going on.Meagan: Also on the end of the story, when you were talking about five hours where baby was just kind of hanging out there and you were stuck there pushing, but not really pushing, but in this weird, funky spot in labor, we have seen this where people are pushing and they're like, "Your baby's not descending." We are actually given a diagnosis of failure to descend as a reason for Cesarean, but then simply standing up and moving-- and I'm sure you were moving and grooving along the way, but it just sometimes is one specific motion. It might have been the quickness of you standing up like, "Okay, I'm going. We're going to do this," that did it. We don't know.I love seeing too that you were saying, "I had a broken pelvis in the past. I don't really know how that healed." In a lot of ways, a lot of providers would be like, "You had a broken pelvis. You don't have a proven pelvis. I don't know. I don't think I'm comfortable with this." But then here you did it, right? But that movement and I don't know, I just feel like there's so much power within our bodies that it's just incredible, and I love seeing that. And then your partner was like, "Wait, hold on. Don't go anywhere. I think we're staying." I love that that is exactly how it unfolded and that your other baby was able to be there with you, and just so many amazing things about your story. Thank you so much for being vulnerable and just being here with us.Alice: Thank you. Thank you for having me.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

Homebirth Stories Australia
S3 EP: 2 Ellen - Two Births, Caesarean, HBAC, MGP, Induction, Reduced Variability, Epidural, Purple Line, Physiological Birth, 1st Degree Tear, After Birth Pains

Homebirth Stories Australia

Play Episode Listen Later Feb 25, 2025 142:59


Send us a textToday, we're joined by Ellen, a mum of two, who shares the story of her evolving birth journey. Her first experience was in the MGP program at her local hospital. After experiencing reduced fetal movement, Ellen was advised to have an induction. The induction led to complications: a fever, blood in her urine, and an accelerated heart rate for her baby, culminating in an unexpected caesarean. Ellen felt a deep sense of disappointment with her first birth experience.Determined to approach her second birth differently, Ellen took the time to educate herself, preparing for a more empowered experience. She chose a homebirth (HBAC) and found the difference to be profound. She was more present, more aware, and felt a deeper sense of control over her body and the process. Ellen reflects on how natural contractions were far more manageable than the synthetic ones from her induction. She also shares the intense afterbirth pains she experienced—pain so severe it caused her to vomit—but despite this, she felt an overwhelming sense of peace and empowerment.Ellen's story is a powerful reminder of the importance of self-advocacy, birth education, and trusting your instincts to shape the birth experience that's right for you.Links:The Great Birth Rebellion - Episode 86 - Internal Release Work with Fiona Hallinan.Birth After Caesarean - Hazel Keedle Mothers & Babies Report 2022Maternal and perinatal outcomes by planned place of birth in Australia 2000-2012: a linked population data study. Perineal Bundles - The Great Birth Rebellion Perineal bungles - The Midwifes' CauldronPerineal ‘Bundles' and Midwifery - Midwife Thinking - Dr Rachel ReedSupport the show@homebirthstoriesaustralia Support the show by buying us a coffee! Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

The Hypnobirthing Podcast
Birth Story: Alice's Unexpected HBAC

The Hypnobirthing Podcast

Play Episode Listen Later Feb 24, 2025 44:29


Thank you so much to Alice for sharing the beautiful story of her unexpected HBAC following a previous caesarean. Alice so kindly has offered to share some meditations with you to help you through your pregnancy and labour. To get a copy of these meditations please send Alice a DM on Instagram (link below) and she will send them directly to you free of charge.  Follow Alive on Instagram here www.instagram.com/alicesaritherapy To learn more about my doula packages visit https://www.thenurturenest.co.uk/doula-services To purchase one of my courses, please visit https://www.thenurturenest.co.uk/courses If you have benefitted from this podcast and would like to say thanks, you can now buy me a coffee! https://www.buymeacoffee.com/thenurturenest View my birthy book recommendations here https://www.amazon.co.uk/shop/influencer-e2ad919d  Follow me on Instagram here https://www.instagram.com/the_nurture_nest/ Follow me on Facebook here https://www.facebook.com/thenurturenesthypno Get 10% off your birth pool here https://go.referralcandy.com/share/JKHGBJ3 Get 10% off a BabyCare TENS Machine. USE CODE 10NURTURENEST http://babycaretens.com?afmc=46

Healing Birth
Homebirth After Cesarean (HBAC) With a Radical Birthkeeper

Healing Birth

Play Episode Listen Later Feb 17, 2025 65:53


Chandani was a doula working within the system when she became pregnant with her first baby. Witnessing the trauma and high cesarean rate in the hospital, she knew she didn't want to give birth there and decided on a home birth. Although she entered the pregnancy with extensive knowledge about birth and hired a midwife, her birth ultimately ended in a cesarean after her midwife transferred her during labor. In the immediate aftermath, Chandani struggled to accept that this was her birth experience. However, as time passed, she began to reflect and realized that there had been red flags in her care, and her intuition had indeed been speaking to her. She also started examining other areas of her life where she wasn't being true to herself. By the time she was pregnant with her second baby, she was fully ready to step into her power and birth in a new way. Rather than hiring another medical midwife, Chandani chose a non-medical birth keeper who also became a friend. She emerged triumphant from that birth experience, feeling as though she could do anything. If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / outro music: Dreams by Markvard Podcast cover photo by Karina Jensen @karinajensenphoto

Geburtsgeschichten
172 | Isabelle - Sternchen, Kaiserschnitt, VBAC mit PDA, Saugglocke und Dammschnitt, HBAC

Geburtsgeschichten

Play Episode Listen Later Feb 5, 2025 51:17


In dieser Folge erzählt die Oldenburger Doula Isablle von ihren drei sehr unterschiedlichen Geburtserfahrungen. *** Die Wiener Hausgeburtshebamme Margarete Wana braucht unsere Unterstützung, um die Anwalts- und Gerichtskosten im Strafprozess gegen sie zu stemmen. Jede Spende hilft! Hier geht's zum Crowdfunding. Mehr Infos zu dem Fall gibt es hier. Die Shownotes findest du hier. Hier geht es zum Geburtsgeschichten Newsletter. Unterstütze den Podcast auf buymeacoffee.com/geburt Folge direkt herunterladen

The VBAC Link
Episode 374 ​​Julia's HBAC with Labor Beginning at Almost 43 Weeks + The Evidence on Postdates

The VBAC Link

Play Episode Listen Later Jan 29, 2025 40:47


Julia knew something was off during her first pregnancy and birth experience. She knew she didn't feel right about consenting to a Cesarean, but it wasn't until she started diving into research that she realized how much her care lacked informed consent. She discovered options that should have been offered to her that never were.Julia's research led her to choosing the midwifery model of care in a home birth setting. She felt in control of her experience and free to birth the way she felt she needed to. Meagan and Julia discuss stats on uterine rupture, stillbirth, continuous fetal monitoring, induction, due dates, and how our birthing culture can highly influence what we think is safe versus what scientific evidence actually tells us. Evidence-Based Birth: The Evidence on Due DatesThe Business of Being BornNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. Women of Strength I am so excited for today's guest. Our friend, Julia, is from Texas. She is a wife and a stay-at-home mother living in, it Spring, Texas, Julia?Julia: Spring, Texas.Meagan: Close to Houston, yes, with her two sons. And she has had a Cesarean and then an HBAC. We get a lot of questions in our inbox every day, but a really common question is dates. "Hey, I'm 40 weeks. My doctor is telling me I had to have my baby by tomorrow or even approaching 39 weeks." People are being told they have to have their babies or really bad things will happen. And Julia's story is proof that you don't have to have a baby by 40 weeks or 41 weeks, would you say? Almost 42 weeks is what you were. So we are excited to hear this story. And I know if you are one that goes past your due date and you're getting that pressure, you're definitely gonna wanna listen. Julia: Thank you so much for having me, Meagan, I'm really, really happy to be here.Meagan: I'm so happy that you are here. I would just love to have you share your stories.Julia: Okay, so my firstborn, he came during the height of the COVID pandemic. It was August 2020.I just saw my OB who I had been seeing for regular gynecology visits. And from the very first appointment, it just, I just kind of got an off feeling. She had seen a small subchorionic hematoma on my ultrasound at my very first appointment at eight weeks. And she just told me, "Don't Google this. It's going to scare you." She basically just said, "Just enjoy being pregnant now because when you come back next week, you may not be." So as a first-time mom, it was obviously pretty upsetting and caused a lot of anxiety. When I went back for my next appointment, she just kind of shrugged it off after she saw the ultrasound. She just said, "It cleared up on its own." There really wasn't any explanation of how it resolved.But that being said, that start to my prenatal care kind of set the tone for the rest of that pregnancy and birth. From then on there was just a lot of fear-mongering going on, and a lot of problems were brought up that really never turned out to be an issue. Around 20 weeks at the anatomy scan, they saw that my son was in the bottom 10th percentile.She had said that she classified that as IUGR, intrauterine growth restriction. We had a lot of extra testing done. Everything was normal. I felt confident and very comfortable just waiting it out. And that really wasn't what she wanted.Actually, starting around 35 weeks, she had started talking about delivering early. I was pressured at each appointment by my OB and the nurses to stay that day and deliver solely because of his size, even though everything was looking great on the monitors. Keep in mind, you know, during COVID, I wasn't able to have my husband or anyone with me during these appointments. And so just being asked that question each time I came in as a first-time mom by myself was just really hard and made me second guess a lot of things and second guess my intuition. I had explained that, "I think he's just a small baby. He needs more time to grow."She basically just said at my 38-week appointment if I didn't deliver that day, it would not be her fault if my baby died and that she or the hospital was--Meagan: What?! Julie: Right?Meagan: She said that she or the hospital, if I walk out that day, they're not liable if something happens because I'm going against her recommendations. I was even seeing a high-risk doctor as well at that point. And even he was saying, "Everything's looking fine. There's no problem with waiting if you want to."The reason she wanted to schedule the C-section because he was breech. I knew that I wasn't even going to have the opportunity to go into spontaneous labor. There were really no alternatives presented at the time. I knew nothing about out-of-hospital birth or about midwives. She offered an ECV, but she said she didn't recommend it because of his size.She didn't really explain why. So I just kind of felt backed into a corner. I remember I had left the office that day at 38 weeks and called my husband immediately and explained what she had said. We felt like, "Okay, well, I guess, we obviously don't want our baby to die, so maybe we need to just stay." I remember pushing my gut feeling aside the whole time. As they were prepping me, I just felt, This isn't right." I wanted to give my baby more time to grow and also to flip so that I wouldn't be backed into a C-section. Had I known then what I know now, I definitely would have opted for a home birth with my midwife who's trained in breach delivery.Just at the time with COVID, I didn't have the resources or the information, so we went through with the C-section that ended in a four-day hospital stay. I didn't sleep at all. Meagan, I'm not even kidding you. I did not sleep those four days. The nurses were really concerned about the baby's size, even though he was growing. He was actually back to his birth weight by the time we were discharged.But I'll never forget this one-Meagan: That's quick!Julie: Right? I know. And so there was so much fear-mongering, so much uncertainty by medical staff, despite how great my baby was doing. And I remember this nurse frantically coming into the room just a few hours after my C-section with this Medella hospital-grade pump. She was just like, "You need to start pumping now on top of breastfeeding because your baby's small. He's not going to grow."It just kind of left me feeling like, I feel confident in what I'm doing, but now all these medical professionals are telling me like, I'm in danger, my baby's in danger. It triggered a lot of feelings of postpartum anxiety. I really struggled that first year. And so it wasn't a very good experience.I just felt like my power had been taken away in the birthing process and felt defeated and like I didn't have a say for my first birth.Meagan: Yeah, I was just listening to an episode the other day, not on our podcast, on another podcast about that experience after baby is born and that postpartum within the hospital and how crazy it is that sleep is one of the best things we can get when it comes to energy, milk production, getting our babies fed and helping them grow, and doing all these things. But then we're not allowed that time. And then on top of it, it's all the fear-mongering and the doubt when it's like we should be being built up like, "Oh my gosh, look how good you're doing. Look how good this baby's doing. Look how good you're doing. Let's keep doing this." Instead of making you doubt that what you're doing isn't good enough and not letting you sleep and doing all these things. It's just weird to me. It doesn't make sense.Julia: Right, and as a first-time mom, you're just like, okay, they know what's best, obviously. I'm going to listen to them and what do I know about birth? They're the doctors. But yeah, it was just really eye-opening, and I really knew I wanted a completely different experience the next time around.Meagan: Yeah, I don't blame you. I don't blame you for wanting a different experience.Julia: So after I had my C section, pretty soon after that, I started digging and doing a lot of research and realized I felt really cheated by the lack of informed consent. I had mentioned that my doctor just had said, "You need a C-section because he's breech."I had no idea that there were even midwives and out-of-hospital birth options where they delivered breech vaginally and not only that, but were highly trained and qualified to do so. I had no idea that in other parts of the world of similar economic status to the US that they were routinely delivering breech babies vaginally with better outcomes than we have here in the US hospitals. So I really didn't feel like there was informed consent there. Even the fact that she didn't even want to try the ECV was upsetting to me. I just felt like I really wish I would have done more research at the time. But I just put all my energy into this next birth. I knew even before I got pregnant that I wanted a VBAC.Pretty early on in the process of my research, I became really fascinated with physiological birth and I knew that I really wanted to experience that. For someone who may not be familiar with that term, physiological birth is natural unmedicated childbirth with no intervention unless medically necessary. It sees birth as a safe biological function rather than a medical event or something that that's inherently dangerous which is how I felt I was treated my whole first pregnancy and birth. I felt like a walking hazard, to be honest, when in reality I was an extremely healthy 25-year-old, first-time mom with a healthy baby with no issues. So the fact that I was gaslit into thinking there was a lot of danger was sad. So I knew that for my next birth I wanted to do a physiological birth and I knew that it would kind of be a fight to achieve in the hospital. I did a lot of research, I watched The Business of Being Born. I read a lot of natural childbirth books. I also knew that on top of the regular hospital policies, I would have some excess restrictions because of the fact that I was a VBAC.Meagan: Yeah, yeah. Julia: I did go back to that same OB at first. I presented my birth plan early on to her and it included things like I didn't want an IV. I wanted freedom to eat or drink. I didn't want any drugs whatsoever for pain relief. I didn't want them pushing an epidural. I would have liked a water birth, but I knew that wouldn't have been possible in the hospital. But I at least would have liked water immersion in labor, minimal cervical checks. I wanted to go into spontaneous labor. I wanted no coached pushing and fully delayed cord clamping.I could tell, right away she was more so just VBAC-tolerant rather than supportive. She really used a lot of fear-mongering. Right away she mentioned the uterine rupture risk. She had said, I think she had said she had just had a mom die from a VBAC not too long ago.Meagan: Goodness. Holy moly.Julia: Without any explanation. Who knows where she was going with that? But she had also said, it may be better to just have a repeat C-section because with the risk of rupture, you may need a hysterectomy after giving birth. She commonly used the word TOLAC which also I didn't really like. I didn't want to feel like I was having to try. I felt like I'm planning a VBAC. I don't need to try for it. It is what it is. I wanted someone to encourage me. She really also highly, highly recommended I got an epidural because she said, "Well, with your increased risk of rupture, if something should happen, then they're just gonna have to knock me out."She also said, "Unmedicated moms tear the worst," which was not at all the case for me. She was saying that because it hurts so bad that you just can't control your pushing. I knew all of this was not true. I was kind of in a funny position because I didn't want to be fighting with her, but I knew the evidence in the back of my mind and all of that scary language. I knew it was not evidence-based. I really wanted someone on my team who was really going to believe in me, who knew the evidence, and who believed in my ability to have a VBAC.  I didn't want to spend all of my energy and labor fighting for this VBAC and for this birth experience that I knew was possible and that I knew that I deserved.My heart really had always deep down been set on a home birth from the very beginning. I loved watching home birth videos and hearing positive home birth stories. I just loved everything about it and also about the midwifery model of care and how much more comprehensive that was. I had heard about a local group of midwives on a Facebook group that I'm in for holistic moms in my area. I found out that this group of midwives offered a HypnoBirthing class. So my husband and I signed up for that. We took the six-week course and we just never looked back after that. We knew that a home birth VBAC would be the way to go. I felt deep in my heart confident about it and that's really what I wanted. I just knew I had found my dream birth team.My midwife was just amazing and I just really couldn't imagine birthing anywhere other than in my own home with her and my husband by my side and someone that didn't look at me differently because of my previous Cesarean.Meagan: Right. And I love that you just pointed that out. Someone who didn't look at me differently because of my previous Cesarean. This is the problem, not the problem. It's one of one of the many problems when it comes to providers looking at VBAC moms. We talk about this in our VBAC course. We should just be someone going in and having a baby, but we are not viewed that way. And it's extremely frustrating because not only do they not view us that way, they make us know and feel that they don't view us that way.Julia: Right, right.Meagan: It's just, it feels crummy.Julia: Absolutely. We knew we were making the right decision. I was really excited about the whole thing. That was another thing that I talked to my OB about. I was like, "I'm excited to be in labor. I want to welcome all these sensations of birth. I know it's going to be hard work, but that experience means something to me and I want that." And she had said, "Well, if you ask other moms who had been through labor, they would say it's painful, it's hard." She was basically saying, I shouldn't want this birth experience. I just didn't want to be fighting that or dealing with someone who had this view on birth that it's just this dangerous medical event. I didn't want to go through feeling defeated like I did last time.Meagan: Absolutely. Good for you for recognizing that and then doing what you needed to do to not have that experience.Julia: Right? Thank you.So I had mentioned that I really wanted to go into spontaneous labor. I didn't want to be induced at all. That's another reason why I'm so thankful that I was with my midwife because I went almost all the way to 43 weeks pregnant. I went into labor at 42 weeks and 5 days in the middle of the night. Had I had been with my OB, I'm positive that I would have had to deliver much earlier and I would have probably been scheduled for a repeat C-section. So I'm just really happy that I was with my midwife and I felt really confident about waiting. I had NSTs and BPPs, non-stress tests and biophysical profiles done daily starting at 42 weeks just to monitor baby's health and to make sure that everything is normal and it was.So we just opted to wait for spontaneous labor. I'm really glad that I did so that I could go through with the home birth.Meagan: Absolutely. What you were saying, yeah, I know I probably would have been scheduled Cesarean and definitely would have been pressured. I mean, even if you would have said no, the pressure would have been thick, especially going over 41 weeks.Julia: Right.Meagan: And then, let alone 42.Julia: Right. Yeah. The pressure was there. Everyone was well intentioned, asking, "Have you had your baby yet?" But I was getting these questions as early as like 38 weeks, 39 weeks. I'm like, "Whoa, I'm not even at my due date yet."Everyone was just excited to meet the baby and had friends asking about that. But my immediate family was so supportive and I'm so, so happy that I had that support because just feeling that from my midwife and from my parents and my husband, knowing that they all really believed in me and we were confident with waiting. As long as everything looked good with baby, that was really what was most important. So I just kind of tuned everything else out and tried to relax as much as possible.We just went out to dinner a few times and cherished these last couple weeks as a family of three. It finally happened in the middle of the night at 42 weeks and 5 days. I remember when the contractions were first starting. I'd had some contractions on and off for the past few weeks, but nothing consistent. So I just kind of thought, okay, well, this is just some Braxton Hicks or something like that.I noticed that around 2:00 AM, they started getting more consistent. I told my husband and they were getting more intense and a little closer together. We called our midwife around 6:00 AM and she was like, "Yeah. Sounds like you're in early labor." I was just so, so happy and grateful to be in labor.Yes, it was hard work, but I can honestly say I really enjoyed the experience. I thought it was extremely empowering. I just remember thanking God through the surges. We called them surges in HypnoBirthing. Just knowing the awesome work that my body was doing from within to give birth to my baby. I really, really enjoyed the freedom of just being able to eat and drink in labor freely wherever I wanted in my home without any restricting policies. I wasn't tethered to any IVs or monitors. I think that's another thing. In the hospital, that would have added anxiety seeing the monitor constantly. We know that continuous fetal monitoring isn't really evidence-based and leads to more C-sections. I knew in the hospital that would have been something that would have been required so I'm really glad that that wasn't the case at home. I just think the freedom and the autonomy is really what helped my labor to progress so smoothly without any complications.There weren't people coming in and out of my room, and I just really enjoyed the whole experience. Listening to birth affirmations helped me. I was swaying through the surges. My husband had helped me put up twinkle fairy lights in our room, and we had some flickering votive candles on my dresser. It just created this really nice ambiance and a calming atmosphere.It just felt so good to know that my husband really, truly believed in my ability to do this. I mean, I really have to give him a shout-out because he was right there with me not only through all of labor, but when I knew that I wanted a VBAC from the very beginning, he was right there with me reading all the natural childbirth books, doing all the research on VBAC with me.He was just really supportive. That's something I would say is very important for a VBAC mom is to have a support person who's not just present, but truly supportive of you and knows what you're going to need and does the work with you ahead of time so that you can just focus on laboring and they can be there to make sure you have water, and you're fed if you're hungry, so I was really blessed to have him and to have his full support.Meagan: Absolutely.My husband told me, he said, "I just don't understand." He just didn't understand. I get that he didn't understand, but I love hearing this where we're learning together. I want to say to couples or to partners, even if you don't understand, understand and trust that it's important to your partner and be there for them because, like you were saying, it can make such a big impact in the way you feel, the way you view your birth, and your overall experience.Julia: Right. No, and that's so true because I feel like, most people's support person is their husband, and a lot of men feel like maybe they can't really help as much or just say, "Well, the doctor knows what to do. I'm just here, like, for emotional support."But it's so much more than that. My husband learned ahead of time how to do counter pressure, and I actually really didn't need it. I think he had done it once, but what really helped me the most was just leaning on him. I did that most of the time. Just leaning into him, and letting him support my weight. He also did a really great job of reminding me to just focus on my breathing techniques and just relaxing between the surges.All of those natural pain relief remedies were really, really helpful. I bought a TENS machine and a heating pad, but I ended up not needing any of those.Meagan: But you at least were prepared with them.Julia: I was. Yeah, I was definitely prepared. We also had hung up all my birth affirmations. We had done a lot of meditation and visualization exercises throughout pregnancy, and so I used some of those as well. He was really great at reminding me just saying, "I love you. You're doing it. You're doing a great job." That was very helpful just feeling him there.Meagan: Yeah, absolutely.So with postpartum, this is also another common question. Is it better postpartum from my Cesarean versus my VBAC? What would you say? And any tips that you have for healing through your VBAC?Julia: Yeah, so my postpartum experience this time around is so much better. It's a night and day difference, not just physically healing like that. My VBAC is nothing compared to the C section. I think a lot of people fail to realize that a C-section is major, major abdominal surgery. Anyone else who had major abdominal surgery would be sent home to be on bed rest for weeks and you have to care for a newborn on top of that. With my C-section, I was a first-time mom. It was so overwhelming. Everything was new to me. I had a lot of pain with breastfeeding at first. I attribute a lot of that to the nurses making me pump. I was never sized for flanges. I just used the ones that came with the Medella and they weren't sized to me.I think that caused a lot of nipple damage. I ended up getting mastitis at two weeks postpartum the first time around and had to go back into the hospital for that and just had so much pain with latching that I ended up exclusively pumping for my son. I'm really proud because I was able to do that for two years, so he had breastmilk for two years.Meagan: That is a commitment.Julia: Yes, it was such a commitment. But I'm really, really happy that I did it and it was worth it to me. I just didn't want that negative experience of the birth and all that damage that happened early on from the pump to affect this because I really knew I wanted to breastfeed, and I was able to do it with exclusive pumping.And then this time around, it was just so much better. Breastfeeding is going great, and I've seen some research on that too. When you have a positive birth experience, that can also affect breastfeeding and even the first latch and everything.Just your emotions surrounding postpartum, when you go through something like that and you feel supported and in charge of your birth, you go into motherhood feeling the same way.Meagan: Yeah.Julia: I can't explain how much better it is this time around. That's why I really encourage all moms to know that you can do your own research and especially VBAC moms, there's so much out there about uterine rupture, and when you look at the relative risk versus the absolute risk, these are the kinds of things that you may not know to do because your doctor is just going to present the statistics one way. But we know that the way that those statistics are presented really greatly impacts what decision you make. And it's important to understand that.And so I would say my biggest tip for VBAC moms is to just really do your own research and find a provider who you feel like in your gut is going to be there for you, and is going to really believe in you. Meagan: Absolutely. Absolutely. And that's what I was looking for with my crazy interview process was someone who I didn't just think would be there to be there, but be there to support me and really root for me and really be on my team, not just be there. I just think it makes such a big, big difference. And kind of going away from provider but coming into due dates and waiting longer. When I say longer, past the traditional 39 to 41 weeks. Now you were mentioning, people were even saying at 38 weeks, "Hey, have you had your baby? When are you gonna have your baby?" Oh my gosh. And these people, most of the time, I would say 99% of the time, they really just are excited for you to have your baby. And so if you're listening and maybe you have this situation, do say things like, "Hey, oh my gosh, I'm just so excited for you," not like, "When are you going toa have this baby?" Because it does start taking a toll sometimes on mom's mental health at the end.I wanted to also talk a little bit about due dates because Evidence Based Birth-- Rebecca Dekker, she's incredible. If you guys don't know them yet, go check out Evidence Based Birth. They've got a lot of really great blogs. But there is just a little part of a large blog that I wanted to read about and her little bullet point says, "Is the traditional due date really your due date?" I think this just fits so well here because you were 42 weeks and which day again?Julia: 42 weeks and 5 days.Meagan: 5 days, that's what I was thinking. So 42 weeks and 5 days. So obviously your traditional due date that you were given weeks before wasn't really true. Right? So it says, "Based on the best evidence, there is no such thing as an exact due date, and the estimated due date of 40 weeks is not accurate. Instead, it would be more appropriate to say that there is a normal range of time in which most people give birth. About half of all pregnant people will go into labor on their own by 40 weeks and 5 days for first-time mothers or 40 weeks and 3 days for mothers who have given birth before. The other half will not." Then it says, "Are there some things that can make your pregnancy longer? By far, the most important predictor of a longer pregnancy is family history of long pregnancies, including your own personal history, your mother, your sisters, etc. and the history of the baby's biological father's family history as well." In 2013, there was a large study that was looked at with more than 475,000 Swedish births, most of which were dated with an ultrasound before 20 weeks in that they found that genetics had an increasingly strong influence on your chance of giving birth after 42 weeks. Okay, there's so much more you guys. It talks about if you've had a post-term birth before, you have a 4.4 times more likely chance of having another post-term, if I can read, with the same partner. If you've had post-term birth before, then you switch partners, you have 3.4 times the chance of having another post- term birth with your new partner. And if your sister had a post-term birth, you have a 1.8 times the chance of having a post-term birth. You guys, it goes on and on and on. This is such a great article and eye opening in my opinion. I'm going to attach it in the show notes and it does continue to go on for risk for mothers, risk for infants.What about stillbirth? We know that is a huge topic when it comes to going past your due date just like uterine rupture is a huge topic for VBAC. I feel like when due dates come in, it's stillbirth. And she actually says that. It says up until the 1980s, some research thought that the risk of stillbirth past 41 to 42 weeks was similar to the risk of stillbirth earlier. She's going to go back and talk with how it definitely is a different measurement here, but the stats are there. The evidence is there. But look at you. You went. You trusted your body. You went with your body. You did what you needed to do to take extra precautions and had a beautiful, beautiful experience.Julia: Yeah, I'm really happy that I did trust my intuition and I did the research. All those things that you were talking about like risk of stillbirth and everything that you hear, there's a common thing that goes around social media like, "Oh, nothing good happens past 40 weeks." But that's just not the case.If you look at other countries that are like very similar in economic status to us in the US, due dates are calculated differently everywhere, so who's to say that this mythical 40-week due date is the end all be all? A lot of other countries won't even induce prior to 42 weeks unless there's like an issue. In the US, we see so many people routinely getting induced at 39 weeks, so I just think's it's really a cultural thing, so we we come to believe that it's the safest thing.But when you step back and do your own research, you can get a full picture and you can see, why are we inducing without any, any contraindication? Like why are people being presented Cesarean section as if it's just a minor procedure?I feel like in the Business of Being Born documentary, if you haven't seen it, I would highly recommend everybody watching it really, because it shows how C-sections have become so much more popular and the reasons why they think that is and just the flaws in the medical system. It was just really eye opening and really encouraged me on my VBAC journey. It gave me a lot of tips and information and led me to find other resources. VBAC Facts was another really great thing that I referenced a lot. Evidence Based Birth like you had mentioned, and then of course, listening to The VBAC Link Podcast and podcasts of moms who have really positive VBAC stories because you only hear the negative a lot of the time.With birth in general, I feel like, it's just presented as such a scary thing. I really want to encourage women to know that birth is made to be this way. It doesn't have to be some scary out of control thing where you're at the mercy of a doctor or a provider telling you when to push or telling you to do something that you don't feel comfortable doing. When we trust nature and we surrender to the power of labor, it's really sacred. It's beautiful. It's normal, and most of all, it's safe in most cases.We don't have to fight it or medicalize it. And in the words of Ricky Lake, who gave birth in her bathtub in that stellar documentary Business of Being Born, she had said, "Birth is not an illness. It's not something that needed to be numbed. It needed to be experienced." For anyone who's planning or would like to plan an unmedicated birth, you can get a lot of resistance or people who don't understand. But I really encourage you to know that you can do it, that women have been doing it for generations. And just keep those affirmations in your mind and believe in yourself. You have to do that.Meagan: Exactly. I love that you pointed that out. There are so many times that we do treat birth as this medical event, this illness, this problem, and it's just not. It's not. It's not. I don't know what else to say. It is not. And we have to change our view. And just like you were re saying, it's a cultural thing. We have to change or it's just not going to get better. It could get worse. We're seeing the Cesarean rate. We're seeing these things happen. And there's a problem. There's a problem out there. We have to start stepping back and realizing that birth is not that medical event and we can trust this process. And our bodies were meant to do this. And they do it every day. Every day, all over the world. Every single day, a baby is born, probably thousands. I don't even know the exact number. But we can do this. We don't have to, we don't have to treat it like that.Julia: Right. That's what I really liked about the midwifery model of care. It was just so different to my experience with, with my OB. I think a lot of people fail to realize that in most other parts of the world, low-risk women are attended by midwives and the obstetricians are there to take care of the percentage of women who are having issues. With home birth, you can think, oh well, what if something goes wrong and you're not in the hospital setting?But what a lot of people don't realize is that oftentimes these interventions that are routinely done in the hospital that most of the time they don't even ask for permission to do, or they present it in a way that they're helping you actually lead to some of these devastating consequences, like low-risk women going in and then ending up with a C-section for reasons that they often can't even understand.And so that's something that I really feel passionately about is just encouraging women to advocate for yourself and to know ahead of time, what is routine and why are they offering this? Is this for your benefit or for the doctor's benefit? With all these risks of these different things that can happen, like Pitocin, which is commonly used to induce or augment labor, you might not need that. Or did you know that if they started that you can ask for them to shut it off?You should be in charge of your birth. When you're in that setting, it can be intimidating and you might feel like you don't have a voice, especially when you're already in a vulnerable position in labor. So I was really confident with my midwives' ability to look out for anything that may go wrong. But I love her hands-off approach. She didn't intervene. She just stood back and was just there to witness. There was no telling me when to push. I was able to experience the fetal ejection reflex which was really cool. I just felt my body pushing for me and surrendered to that. She was there to make sure that everything was going smoothly. I was the one who picked my baby up out of the water and she just stood back while my husband and my baby and I met each other for the first time. It was just all really special. That's something I want to say. With the risk of uterine rupture that you hear about with VBAC, that wasn't even in my mind. I didn't have someone there constantly telling me, "Oh, well, we're seeing this on the monitor," or scaring me with the very, very slim chance of rupture.Meagan: Exactly. Oh, so many good tips, such a great story. I am just so grateful that you are here today sharing it with us.Julia: I'm really grateful to be here and to share my story with everybody.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

Birthing at Home: A Podcast
Dad's experience supporting homebirth after cesarean (HBAC) || Cian's experience supporting birth at home (Queensland)

Birthing at Home: A Podcast

Play Episode Listen Later Jan 24, 2025 34:04 Transcription Available


Hello! I would love to hear what your fave part of the ep was. Send me a msg by clicking here :)This is another partner episode in the partners supporting birth at home series.Today Cian, dad to 2 girls, shares his experience witnessing two very different births, a c-section and then a homebirth after caesarean. As with all the partner episodes be sure to share them, as we reflect in this episode, they are powerful and play an important role in understanding, choosing and feeling comfortable with homebirth. Resources: The Purple Line in Labour https://www.sarawickham.com/questions-and-answers/evidence-for-the-purple-line/Birth After Caesarean by Hazel Keedle https://coreandfloor.com.au/products/birth-after-caesarean-your-journey-to-a-better-birth-by-hazel-keedle?srsltid=AfmBOoog7Eytny_gtQdPDC5wasYBifyofjiweadXdzIp2IZ3I3OzbFCkEpisode 28: How to be a great birth support https://www.melaniethemidwife.com/podcasts/the-great-birth-rebellion/episodes/2147895640Support the showConnect with me, Elsie, the host :) www.birthingathome.com.au @birthingathome_apodcast@homebirth.doula_birthingathome birthingathome.apodcast@gmail.com

The VBAC Link
Episode 372 Ali's VBAC + Fear Release and Advocacy (166 REBROADCAST)

The VBAC Link

Play Episode Listen Later Jan 22, 2025 58:48


We are so excited to be joined today by our friend, Ali Levine. You will instantly feel her bright energy as she shares her awesome VBAC story with us.A celebrity stylist and TV personality, Ali is no stranger to being in the limelight. With her first pregnancy, she had glamorous photoshoots, went to flashy events, and made a dreamy birth plan. When the natural water birth of her dreams quickly turned into a traumatic and invasive C-section, Ali was left confused, disappointed, and depressed. Ali drastically changed her approach to birth with her second pregnancy. Once she began researching VBAC, Ali was determined, intentional, and never looked back.Ali's VBAC journey is one of a life-changing, spiritual awakening that we absolutely love and know you will love too. You can also listen to Ali's HBAC story on Episode 264!Additional linksAli's Podcast: Everything with Ali Levine How to VBAC: The Ultimate Preparation Course for ParentsFull Transcript under Episode Details Julie: You are listening to The VBAC Link podcast and we are so excited. We have been chitchatting with Ali today and she has a really amazing birth story to tell. We cannot wait for you to hear it. I am sitting here in my dentist's parking lot. I literally just got done getting a filling. I had to rush out so that I could be on the call to listen to Ali's story today. And so before we do that, Meagan is going to go ahead and give us a Review of the Week.Meagan: Yes, I am. Oh my gosh, you guys are in for a treat. Ali is so fun. We have just been talking to her for like, five minutes and I am just already giddy to hear her story. She has got such a fun, live personality to her. It's going to be awesome. This review is from jovannaf1 and in parentheses, it says “Germany.” So, I am wondering if she is either in Germany or her name is German.Julie: Ooh, that would be fun.Meagan: I know, right? Her title is “Love it.” This is from Apple Podcasts. It says, “Thank you so much for spreading such an important message, ladies. I am currently pregnant with my third child and your podcast has given me so much help and resources to know that VBA2C is possible. I find women's stories so inspiring. Thank you.”And we want to thank you for leaving that awesome review and thank all of you who are listening and support us along this journey. This podcast has been absolutely so much fun. We are so excited to be able to continue offering all of the stories and continue to get submissions. We get submissions all the time and it is always just so awesome to read them even if they are not all shared. We read every single one. They are all incredible. So, thank you, thank you, thank you and if you haven't already, please drop us a review. It means the world to us and we will read it on a podcast one day.Julie: Do you know what is so funny? My mom, I don't even think she knows what a podcast is still. It is so funny because sometimes when we are chatting, I will say, “You know, Mom? Look. Look at these reviews. See? I am actually helping people with what I do. I am really making a difference.” She looks at me and she smiles and she is like, “I know you are.” I am like, “No but really, Mom. Look at all my reviews!”It's just so fun. We really do love them and thank you guys for helping my mom know that I am actually helping people.Meagan: Okay, so we are going to jump into this episode because like I said, you guys are in for a treat. You're going to notice right off the bat, Ali is just such a fun person to listen to. She has had a VBAC and we just need to give her a little introduction if you would not mind, Ali. First of all, can I just tell you? Maybe you've heard this before. This is not VBAC-related. This is in regards to your Instagram page. I don't know why. So, it is Ali Levine and I always read it like “Avril Lavigne” every single time. When you started to contact us, I was like, “Avril Lavigne is contacting us?!”Julie: “He was a skater boy. She said, ‘See you later boy.'”Meagan: I was like, “Oh my gosh.” So, it is not Avril Lavigne. It is Ali Levine and, is it LaVINE or LaVEEN?Ali: No, it's LaVEEN. It is so funny because I have had this said to me several times. People will be like, “So, do you know her?” I am like, “I think she is a distant cousin.” Same with Adam. You know what I mean? It's so funny. I have actually styled Adam back in the day when I was styling different celebrities. It is just so funny when people say that to me because I crack up. So, yes, no. I am not Avril Lavigne, but I bring the same kind of flavor, I think, as she does.Meagan: You are so awesome. Yeah, it is just so funny. It is just how it reads. It just automatically goes to Avril Lavigne in my mind, but you are so awesome. We think you are awesome. And, yeah. As you were saying, you are a celebrity stylist, which, how cool is that? Motherhood, fashion, lifestyle expert, and TV personality. I mean, you are going to hear it coming out right here. You are going to see it on her Instagram page. If you haven't, go right now. It is @alilevinedesign. So, it is @alilevinedesign. Go check her out. It is super fun. I think you actually have a couple, like Everything with Ali Levine, right? Like, you have a couple of pages.Ali: Yes, that's my podcast.Meagan: That's your podcast.Ali: Everything with Ali Levine is my podcast, yes.Meagan: Yes. Ali Levine. So, go listen to her. It is just so fun. So, okay. I am just going to read your bio. Is that okay?Ali: Whatever you want.Meagan: Whatever I want, all right. So it says, “Ali Levine believes that no matter where you roam, from the laundry room to the red carpet, authenticity is your superpower and confidence is your best accessory.”I love that. The week your podcast goes on, we need to make a little word blurb and put that and put your name in that. It's amazing.Julie: I can make a shirt. I want to make a shirt.Meagan: Do it. Let's do it. “The New York-hotshot-turned-Hollywood style maven delivers a real, raw look at her own motherhood journey amid the treasures she's uncovered in the universal search for authenticity, spiritual wholeness, and happiness.”Seriously, so excited to have you. I know that you have two beautiful daughters. We are excited to hear about both of their births. So, before I take up all the time ranting and raving about how awesome you are, let's let everyone hear about how awesome you are from you and your awesome story.Ali: Aw. Well, thank you so much for having me. I was telling you before we started recording-- truly, I am so honored to be here tonight. I listen to you guys literally every day still, now. I was listening my entire pregnancy. My doula, Stacey, has given your podcast to so many different clients when she is like, “Hey, this client is struggling. What should I have them listen to?” And I am like, “Have them listen to The VBAC Link.” You guys have been such a godsend, truly. Especially during the pandemic, and everything that was going on with my birth, and plans changing every day, the only solid piece I had was with you guys. I literally had you in my ear as much as humanly possible to keep putting the intention that I was going to get my VBAC and I did with my second daughter. It was so freaking magical and healing. It makes me cry still.Meagan: Well, I love it because one of the things that I feel sometimes weird about even though it's my own podcast is, I still go back and listen to all the stories. I am not having babies anymore. I am not preparing for a VBAC, but all of these stories are just so inspiring. And honestly, they help me because I can send these to my clients. So many of these are powerful and educational for my own clients, so I am excited to hear that both you and your doula are still with us. You're still hanging out with us even though you rocked your VBAC and, yeah. We are just so excited that you are with us.Ali: Well, thank you. I agree with you completely and if there is anything I have learned from my social media and my own podcast, it is that beautiful authenticity, that sharing of that real and rawness, and being able to be vulnerable and share all of that. Not only is it so healing and beautiful for the individual, but it is so empowering for the other women listening and for the moms that are going through it. It is like, we are all there for each other and in that sense, we are all really going for our VBAC and when you get to hear these other stories-- like, during my pregnancy, I remember finding you guys randomly when I was searching for VBAC support and I was listening. I just started falling in love with the stories and I was like, “Oh my gosh. I could picture myself in that position. Oh my gosh.” And to feel like I could do it, it was such an empowering feeling. So, kudos to you guys, truly, for this show.Meagan: Oh, thank you so much. Thank you. It has been so rewarding. It truly has.Ali: That's amazing.Julie: Yeah, thank you. It is fun to come full circle, where we have people who were listening to the podcast and are on the podcast. I just feel like it is really cool when you were listening to the stories, and you were getting inspired by the stories, and then you get to share your story now and inspire other people. Then, we have this domino effect where people are listening to the podcast, and then sharing their stories, and then others are listening to their stories and then sharing their stories. It is just this really cool community and platform that we have built. It just makes me really happy.Ali: No, I love it. And you can hear that with you guys. Like, truly. Every time you listen, you hear that happiness and how much you guys celebrate everyone who is on and their stories and it is like-- something that I have learned with my second daughter is, birth is truly beautiful. It is something that I honestly with my first, especially after having quite a traumatic C-section, I really was in a fear-based place. I am so grateful that I switched from that fear to that love, and that transformation, and all that because it really is. As intense as it can be, the more you can be intentional, the more you can empower yourself, no matter what the circumstance, it is transformational and it is life-changing and so many ways. Not just in, of course, the fact that you give birth, but in my opinion, you are reborn. There is a spiritual awakening, at least for myself. It has just been so magical for me to get to really, really dive into it. And so, I am excited to share it with you guys.Meagan: Well, we are excited to hear it.Ali: All right, so going back to Amelia. When I got pregnant-- we talked about the fact that I am a celebrity stylist and I do a lot with television and Hollywood and all of that. And so, when I got pregnant, I had just come off of being on a show on Bravo, so people nationally knew my pregnancy. A lot more eyeballs were watching my pregnancy than I expected them to be and watching my journey, which was really amazing and cool, but also a lot of pressure at the same time.I really didn't realize how much it played into my actual pregnancy and birth. When I was in the midst of thinking about what I wanted to have for a birth plan, I was of course very much in the mindset of like, “I really want to have a natural birth, and I want to have a tub birth, and I want it to be beautiful, and I want flowers, and I want this, and I want that.” I am a more natural person in general in how I like to do things. I like to seek out natural options before I go to something else. And so for me, it felt like it really aligned and it was what I wanted to do.I honestly didn't really do my research or homework into what that looked like. I got a midwife. I got a doula, but I didn't do research beyond that. I didn't really look into what it potentially could be. It was more just like I made sure I had my team and I made sure I had a backup doctor with that team in case things didn't go that way just to make sure I was safe, and that was it. I didn't really do much research I guess I would say.And so, once it came time for me when I went into labor-- First off, I will share that I was getting really fed up with everybody asking me when I was going to pop when I was going to have the baby. My parents were sitting and looking at me like this balloon that was going to pop and I am like, “Oh my gosh. It is okay. I am fine. They checked. The baby is fine. I am fine.” But every two seconds it was like, “Why haven't you gone into labor? How come she hasn't come yet?” I was like, “I don't know.” It was a lot of pressure, honestly. I got so fed up at around-- I think it was at 40 weeks and I said to my husband, “I can't deal anymore. If one more person asks me, I am going to lose it.” So, I took castor oil, which I don't advise.Meagan: I did that with my first birth too.Ali: Did you? Okay.Meagan: Yes, and everyone was asking me the same questions. I had one coworker who was like, “Do I need to get you a wheelbarrow to wheel you around the office?” I am like, “Shut up.”Ali: Right. Nobody wants to hear that. It is funny for a minute and then you are like, “Please, just let me be because clearly, I am uncomfortable, and I am trying to be at peace with this, and I am trying to allow my baby to come when they are supposed to come,” which, you know. It is easier said than done. And then you're sitting there and they are like, “Well, you haven't popped yet.” My mom was like, “Well, I had you and they had to induce me. Well, what if that is what you need? What is going on?” And I was like, “Oh my gosh. Let's just leave all of the pressures off of me please and let my body do its thing.” I couldn't deal.So, I took castor oil. It did definitely jumpstart something because all of a sudden, five hours later, my water broke and I was going into labor. But I went into pre-labor and pre-contractions because of the castor oil. And so, we think that now, obviously in hindsight, that it probably pushed her too fast and she wasn't ready. Because first off, it made me feel really uncomfortable. I went into my birth center to my midwife and I wasn't really dilated past even a 3, and so she sent me home and was like, “You know, go home and go to sleep. Try to do this and try to do that.” Of course, I couldn't do any of those things. I was losing it at home trying to stay calm and wait for her to come. We went back to my birth center and then I was finally progressing a little bit more. I still wasn't active, but she took me because I think she felt bad that I was struggling.And so, we go to my midwife's birth center and we are there. Hours of really hardcore, manual, full-blown natural labor, really doing the work. Squatting, on the toilet, on the ball, in the shower, in the bed, on all fours, just constant, constant, and it was a good day of full-blown movement trying to get my body to do what I needed to do, and progress, and make things happen.I finally started getting too active and she was like, “All right. Let's transition you to the tub so that we can get you ready and get you comfortable if that's where you want to be. I got in the tub and I immediately felt super sick, and super overwhelmed, and dehydrated, and also nauseous. I threw up. She was like, “All right. Let's get you out.” So, I got back on the ball. I got back on the toilet and I felt awful.So then, they lowered the water in the tub and everything. My doula was putting a washcloth on me, and essential oils, and trying to calm me. I could feel that I just felt off. We went back into the tub because I told her that I really wanted to give birth there and so she was like, “All right. Let's breathe, and take our time, and see where we are.” At that point, I was in the tub and I was almost at 30 hours of being in labor. She was like, “You know, you are only at the beginning of active labor. I think I was technically at 6-6.5, something like that. I wasn't fully progressing. She was getting concerned that things weren't really fully progressing and I was really losing my stamina and my strength because I had been pushing and moving for so long.She was like, “Let's talk about interventions.” Of course, being someone who did want natural and had a “birth plan” and all that, I wanted nothing to do with that. I was like, “No, no, no. I want to just stay here. Let me just progress. Leave it alone.” She stepped out of the room, my midwife, and made a phone call to the backup doctor at the hospital to let him know what she was thinking. I guess, of course, they advised each other that I should go in. And so, they got me out of the tub. That was a whole scene in itself. That could have been on a freaking reality show. It was like, getting me out, my parents are in the waiting room. We asked them not to be there, and they're pacing, and they're flipping, and everything is a mess. Everyone is flipping out. “Am I okay? What is happening?” It was just so much pressure.I get into my husband's truck. I am fine. I am in active labor, but I am totally fine. Baby is safe and I am fine. We drive over to the hospital. I get there and they check me in and I get to my room. They checked me and they were like, “All right. You progressed a little bit more, but she is stuck in the birth canal at this point. So we are going to give you some Pitocin to ramp things up and try to move her.” They put me on-- I think it was 15, I think, is the highest you can be? I didn't go from a small amount. It was like literally, they cranked me up and I went from full-blown natural-- it was awful. I went from full-blown natural at the birth center in the dark with my music, with my oils, all of that to bright lights, fluorescent, hospital, screaming, panic, everybody in your shit if you will. It was just crazy and then it was like oh, and then this Pitocin that was cranked to no end. I couldn't handle it. I immediately was like, “Oh my gosh. I can't breathe. I feel uncomfortable.” I'm like, crying. I was really struggling. So then they were like, “All right. Well, let's give her an epidural.” They cranked that all the way up. I went from feeling like I couldn't handle it to I couldn't feel anything and then I felt super sick.I threw up again. I just felt awful. I just remember in that moment feeling so down and feeling like I failed at what I was trying to do. I remember even now, that heavy moment of, “What just happened? Why am I here? What is all of this? This is nothing of what I wanted. I was so overwhelmed.” And so fast forward, I got to 40 hours. We spent 10 more hours at the hospital. We got to 40 hours. My doctor came in and was like, “All right. Well, at least you have progressed now to basically complete. We are going to give this a go and have you really push and make this happen.” I am like, “Okay.” And so I am pushing, but I really couldn't feel it to be honest. The epidural, they said, was supposed to wear off, but it was like I really could not-- I just could not feel it.They were like, “Push. Push. Push.” I am pushing. I am pushing. They are like, “Push harder.” I am pushing as much as I could. She comes down. I obviously, really couldn't see her, but everybody else could and they were like, “But then she shot back up in the back birth canal,” which I obviously didn't even know was a thing. And so, she shot down, and then she shot back up. Then they were like, “All right. We are going to go again.” She shot down again. He went to grab her and she shot back up. I just remember my doctor looking at me and being like, “Okay. We are going to take a break and then I will be back.”He went and actually said to me, “I am going to go get dinner and then come back.” At first, I was like, “Oh, that is so rude,” but my doula and midwife advised me because they were still there with me. They advised me that the reason he did that was to buy me more time because if he wasn't present technically there shouldn't have had me had a baby without him unless it was an emergency.So they were like, “He is buying you time.” So I was like, “Okay.” I didn't realize at that time that there were a lot of decisions that needed to be made. What are we going to do? What are we going to keep trying? Are we going to do something else? C-section hadn't even been in my mind because I hadn't even been talked to about a C-section, prepped around a C-section, like nothing. So I was not thinking that at all. I was just thinking, “We are just going to wait longer. I am going to rest and we are going to go again.” Everybody leaves the room. My husband sits with me and he turns to me. We were at almost 42 hours at this point. He looks at me and he goes, “Don't you want to meet her now?” I started bawling. I am like, “Are you kidding me? Like, are you kidding me? Of course, I want to meet her now, but I have done so much work. I want things to go the way I want them to go. They weren't already going the way I wanted them to go when we were at the birth center.”He's like, “I know, but you are so tired. You have been such a warrior. Don't you just want to meet her and let yourself rest? We will have her.” Of course, I burst into tears and I was just like, “Fine, I guess.” I just let go. I remember being so upset and feeling so defeated in that moment because I got to those 42 hours and I had gotten to basically complete. So much had played out and I was convinced that “Okay. At least I was going to have her vaginally in a hospital.” And then it was just like, “Nope.” I get rolled Into the OR and have my C-section. Thank God, it was so fast. It was probably not even 10 minutes. They were really, really quick and she was right there. I have to say that they did an amazing job and I was so grateful. But it was just so not obviously what I envisioned or imagined. I just remember after getting back in the room and the initial shock and then putting me with her and everything, I just remember feeling like, “Oh my god, I am so happy to have her in my arms,” but I just felt like I had failed and my body had failed.It was such a debilitating feeling. I felt so numb in me, even though I was so blissfully happy about her. It was like a wild rollercoaster of emotions, you know? Because I was so happy to have her and so excited to finally hold my baby, but at the same time, I was almost dead inside. Like, what happened? Why did things play out like that? What is that? Do you know?For those that have followed my story, you know shortly after having my first daughter, I had pretty heavy postpartum depression. I do believe a lot of my birth played into that. When I got pregnant again with Arley, I really made the intention of, “I really don't want to go through that again if I don't have to. I really want to be smart about doing my research this time around my birth. What can I do to prepare my body? How can I be more intentional internally and not externally?” Because I felt like with Amelia-- again, I was a new mom. I had no idea what I was getting into, so to me, it was like, “Oh, you just give birth. No big deal. Everybody does it.” I didn't prep my body. I didn't do anything. The only thing I did was take maternity photoshoots that were glamorous. I just did all of the checkboxes of the things in the external world and all the glam. With Arley, I was like, “No.” I am going to be so intentional about what I am going to do, what I need to do, and do my research and talk to my birth communities around me now that I know them from sharing my experience and everything with Amelia.Luckily, I had so many incredible people around me who advised me to get a chiropractor right when I got pregnant to get my body aligned. So I found a chiropractor who specialized in VBACs and aligned with her right at three weeks when I was pregnant. I stayed with her my entire pregnancy. I found people who could do labor stimulation massage for later in the game and a doula that had also been a part of VBACs. Just all of these different entities that I didn't realize were so important. And then most importantly, when I got pregnant with Arley, I went to my regular prenatal doctor, and the first thing she says to me after “Congratulations” is, “Okay, now let's schedule your C-section.” I looked at her and I said, “Whoa. First off, I am just swallowing the fact that I am pregnant again. Secondly, I don't want to do a C-section.” She was like, “Well since you already had one, I am advising you to have one.”I was like, “Well, with all due respect, I know that I can have a VBAC.” She was like, “Well, I really don't advise it. I really think you should have a C-section.”Julie: Wow.Ali: Isn't that wild? That was my reaction. Julie: Like, right off the bat, even. Not even discussing anything.Ali: Nope. No discussion. It was like, “I know better. Here is this information.” Gave me a folder, the whole nine yards of my risks, the whole thing, the whole fear-mongering. Thank God I had so many people around me in the birth community from Amelia that they had all told me that just wasn't true and that the success rate was way higher than people realize and discuss. It was funny because I actually learned about VBACs when I was on Berlin's podcast. I'm spacing on his name. Dr. Berlin.Meagan: Elliot? Elliot Berlin?Ali: Yes, thank you. Yes. And so, I was on his podcast and he wanted to share my birth story with Amelia. After I was on it, he turned to me and he goes, “You know, you could still have another baby vaginally.” I was like, “No, I can't.” He was like, “Yeah, you can.” I was like, “What do you mean?” He was like, “It's called a VBAC. They happen all the time.” He was like, “It has nothing to do with the way--” and this and that. It was like this reality of what had been told to me and preached to me all of a sudden just burst in front of me. It was like, “Wait. Unlearn everything you were just told and pay attention. Zoom in to what you're being told now and learn.” And so, I did. Once I got pregnant with Arley, I knew I wanted to at least attempt a VBAC and get myself aligned body-wise, intentionally, mind-wise, soul, everything to do that. Once that doctor said that to me, I was like, “Well, I am sorry but I am not going to stay with you because you are not for me if you are not going to at least try to let me have a VBAC.” And so, I parted ways with her. I was so grateful she showed me her true colors right from the beginning because I know some doctors can bait and switch from what I have heard. She let me know right from the beginning and so then I started reaching out to different doulas and people to give me references. I landed on Dr. Brock who is in Los Angeles who is literally known as “The VBAC King”. You guys will appreciate that.That's literally what people call him. “The VBAC King”.Julie: I want to know more about The VBAC King, but it's okay.Ali: Totally fine. It's all good. So actually, it is funny that you guys bring up Elliot because Elliot and he have actually worked together in several births. Because a lot of people in LA go to him, if a baby is breech, they go to Dr. Brock because he is the only doctor known in Los Angeles to turn a breech baby. He is amazing. And so, I went to him. I asked for a referral to go see him because he is really hard to get into. I sit with him and I am twiddling my thumbs when he comes in. I am pregnant and he is like, “What is going on with you? Why are you so nervous?” I remember looking at him and I said quietly to him, “I want to discuss a VBAC.” He is like, “What?” “I want to discuss having a VBAC.” And he is like, “What is there to discuss?” He was like, “I did three this morning. What is the problem?”Meagan: Oh my gosh! Yeah.Julie: Best feeling ever.Ali: It was the best feeling ever. I looked at him and I was like, “Oh my gosh, that's it?” Because I felt so shamed and wronged with that other doctor. And so, when he was so open to me and he was just like, “Yeah.” The nurse was so funny that was in there. She was taking my stats and she was like, “He does them literally every day and sometimes three times. It is not a big deal.” I was like, “Oh my gosh.”He was like, “Yeah. We will just monitor you. We are going to check your scar and make sure everything is together. As long as everything looks good, we will plan to do it, and if things down the road change, we will have a conversation.” He was like, “But I don't see why not. You look like a great VBAC candidate.” He was all for it day one. I was so grateful that he was so supportive and his team and everything. And so fast forward, he checked my scars several times and everything looked good, thank God. Baby was growing great and everything was happening. We get to when the pandemic hits. The world changes. I went from, “Okay, you can't have your doula” to “Now, you can't have your husband at the hospital.” It was becoming really intense for me because here I am, I really want to go for my VBAC and I want to have my support system, and now I'm not going to even have anybody. How is this going to work? Am I going to be able to have my VBAC? I am not going to lie, I was in a lot of fight-or-flight mode. I started researching home birth and HBACs at home. I started really doing research and talking to midwives and other people who were home doctors in case my husband couldn't be with me. Because to me, it was one thing not to have Stacey, my doula, but it was another not to have my husband. I just felt like he had been through so much with me through Amelia that I couldn't imagine not having him with Arley. Thank God, I think Arley knew. She held on because she literally came right at 42 weeks and they had just opened the hospitals back up a week before. And so, my husband was allowed to come and be with me. I really felt like she held out for him. But it was funny the week before, actually a week and a half probably before, Dr. Brock, as great as he was, he is still a doctor. Near the end, especially with the pandemic and everything, he was just like, “Well, you know, you're getting close and you still haven't gone into labor. Maybe we should just induce.”I was like, “No. I don't want to. I really want to give my body a shot.” He kept pushing me. He was like, “Well, let's do a sweep. Let's do this. Let's do that.” I finally got a sweep a week before. Nothing happened. It was just painful for me. He was like, “All right.” We did another sweep a few days later and nothing was happening. He was like, “Let me just induce you. Let me just--” and I was like, “Dr. Brock. With all due respect, you have been so supportive of me through this whole experience. Please, just let me get to the final mark, and if things don't happen then, then fine. We will do it.” I think it was maybe four or five days before and he kind of, not went back on his word, but I think he had moments because all of this was going on with the pandemic. He was just like, “Look.” He was like, “I am going to schedule the induction. It is going to be tomorrow,” and this and that. I remember leaving there and I felt really powerless. I was really upset and I came home. It was my eight-year anniversary with my husband. I turned to him and I was like, “I don't want to do it. I don't want to go in tomorrow.” He was like, “All right. Let's talk through it.”He is very logical and he was like, “Let's talk through it. What's going on? Why don't you want to?” I just told him, I was like, “It just doesn't feel right. I have worked so hard to be so intentional around this birth from my chiropractor to finding a supportive doctor, to the right doula, to even different workouts, meditation, The VBAC Link podcast, just all kinds of things that I really surrounded myself with material-wise and tool-wise.” So I was like, “It just doesn't feel right. It doesn't align.”He was like, “All right. Well, if you feel that way, then don't go.” I called my doula and she was like, “Look. At the end of the day, you would be your own advocate. Everything is good with you and the baby. They run tests. Everything is cool. So at this point, it is really just a waiting game. So if you really don't want to, then you voice that. You call and you cancel and you cancel the induction.” I remember calling Cedars-Sinai and canceling. I called and they were like, “Oh, we don't even have your name on the list.” I was like, “Oh.” They were like, “But we will let Dr. Brock know.” It was funny because it was such a build-up to call. I felt like I was being a bad kid in school. So I was so nervous to call and cancel. I was dancing in my room for hours to call. I finally called and they were like, “Oh, you're not even on the schedule.” I was like, “Oh, okay. Well, just let them know I am not coming.”The next day, I got a call from my doctor and Dr. Brock is like, “Come in. I want to do a nonstress test on you.” So I go in, everything is cool. He was like, “All right, so you pushed against me.” He was like, “Message received. You're not doing it.” I am like, “No. I am not.” And he is like, “All right.” He is like, “It is fine.” He is like, “Everything is good. Tests are good. I just thought you'd want to have her birthday. Don't you want to have her already?” I am like, “I do want her here, but I want her here on her terms. If there is anything I learned from my first birth, it's not about me. I don't want to do it on my terms.” He was like, “Okay, fine. It is fair.” So then he was like, “If you don't go--” because now, I was at the end of 41 weeks and 8 days or whatever. You know, when you get close to 42. He was like, “This weekend if you don't go, on Monday, we are going to schedule the induction.” I was like, “Fine. That is fair.”So that weekend came and it was Friday. I wasn't getting any kinds of signs of going into labor. I was getting a lot of that prodromal labor that you guys always talk about which is the start-and-go, and you actually contract, and you think you're in labor, but then it stalls out. That was happening for weeks to me. I was like, “What is this?” It kept happening and happening. That happened again on Friday and it just like-- nothing. My doula sent me to get acupuncture. I did that to stimulate things. That actually, I think, really helped. I did that Friday and I did that on Saturday. I went back-to-back and it really stimulated things and moved things around, I think, from what I could feel. My husband was also doing acupressure with my points at home that she had shown me.At this point, my doula had said to me, “Okay. In my opinion, I feel like there is something more to this than your body.” It reminded me of one episode, well, many episodes I listened to with you guys, but there was one specifically where you guys really hone in on fear releasing. She was like, “I really feel like there's something going on with you and we need to work through it.” So we did a recording of my birth story of Amelia‘s birth with her, just her and I recording everything, getting it out. She was like, “Okay. Now it is out. Let's process it. Let's release it. Wrap it up in a pretty bow and that's it. We are going to move past it.” I was like, “Okay.” We did that on Friday. And then, we did some more rebozo and this and that. We met up outside at a park and everything and talked things through. Saturday came and she was like, “All right. I know you are getting close and you are getting concerned.” She was like, “What else can we do to help you release this?” I was like, “I don't know. I am just so afraid of a C-section. I am so afraid of this. I am so afraid of that.” She was like, “All right.” She goes, “When you get home, you are going to write down--” And I remember learning this from you guys. She said, “You are going to write down what you told me you listened to on The VBAC Link, which was to write down your fears and release them.” She was like, “I want you to do that because I feel like there is more to this.” And so, I went back and listened to a bunch of your guys' episodes and I wrote down on pieces of paper all of the different things I was afraid of. Getting an induction, stalling out, getting a C-section, getting stuck in the birth canal, all of the things. Being on Pitocin, getting an epidural, all of the things I was truly afraid of and I burned each and every one of them. There was such a relief when I burned them. I felt it in my energy and in my body. I started crying. I just felt so good.So then, my husband and I took a walk with our toddler, Amelia. We went around the block and we were just talking and he started talking me through stuff. He was like, “What do you think it is?” I was like, “I don't know. I think I'm just afraid to wind up in another crazy, traumatic birth.” He was like, “Okay. And if God forbid, that happened, what is the worst thing? We come home. You heal. We have our second daughter. It is the four of us as a family. The overall things are fine and we have our girl.” This and that, you know, putting things into perspective for me. I was like, “Yeah, no. You are right.” He is a golfer, a really good golfer. And so, he was walking me through all the strategies for a big tournament and comparing it to getting ready for a birth of the mentality and this and that, but actually, it was really helpful for me. So we come home and we have dinner and he was like, “Let's hang out, and just stay up late, and have a good time.” So we have a little dance party with Amelia. We are playing music videos and just having a good time, dancing and laughing. And then, I go to lay down in bed. I turned on my essential oils and I do a little more acupressure. I say a little prayer. I got in bed and I put meditation in my ears and get the room really dark. I am meditating. I am like, “I am going to go into labor. Things are going to happen. Things are going to happen.” I wake up a couple of times in the middle of the night, nothing is happening. I am getting a little crushed. But I am like, “No. I am going to let it go. Let it go.”I started getting hungry and I was like, “I'm going to go downstairs for a snack.” It was probably around 1:30, maybe 2:00. I start walking down my stairs and I feel this cramp and I am like, “Ooh,” and then I feel it again. I am like, “Ooh.” I get down and I am like, “Ooh, ooh, ooh,” and I can't. I get down on my knees and I can't get up.Julie: I love that.Ali: I am like, “Oh, maybe I'm not going to have a snack.” And so, I crawled up my stairs and I'm like, “Oh, okay. Could this be?” I honestly didn't believe it because I had had so much prodromal labor. I had had so much start-and-go that it was like, “Oh, here we go again.” So I am just like, “Okay. I am just going to go lay back down.” I am crawling, but as I am crawling, it is getting more and more intense. More tightening and I am barely able to crawl. And so, I get up my stairs. I get in my room. My husband is sleeping and snoring. I am like, “Okay. I'm not going to wake him because I have told him so many times that this could be it and nothing is happening.” So I am like, “I am just going to chill.”So I call my doula. I could barely get the words out because I am in quite a bit of squeezing pain, feeling the surges, and she was like, “All right. Do me a favor. Draw your bathtub. Get in the tub. Put in a little bit of your oils and call me back. Let me just hear your breathing.” So I turned the tub on and I had this overwhelming feeling while I was sitting there in my room, just talking to myself of going into Amelia‘s room. I didn't know why. So I crawled into her room and I opened the door and crawl in. She is asleep. I crawl into her chair. I'm sitting there and I start bursting into tears. I am hysterical out of nowhere and I just start babbling and I am like, “I love you. I hope I can be a good mom when I am a mom of two. I have made such an amazing relationship between the two of us so far. I don't want to fail you.” I am just pouring my heart out. She is passed out. I am just crying and crying, just sharing my heart with her and my fear of being a mom of two. I don't want to let her down.And then I remember I said to her, “Okay. I think your baby sister is coming. So the next time I see you, she is going to be here.” I was hysterical. Then I crawl back out, crawled into my tub. I think this was maybe 2:30 or 3:00 at this point. I get in my tub and I call my doula. I start breathing and she was like, “All right. Let's do some meditation.” I had also done some HypnoBirthing between learning for Amelia's birth and then for Arley's birth. So I am doing HypnoBirthing in the tub. She is guiding me. My contractions were 11 minutes apart, so they weren't that close. So she was like, “Okay. We are just going to let you stay in the tub. Meditate. Stay in your zone. Let's see what happens.”Shortly after, not even an hour, she was like, “Okay. You are eight minutes. You're seven. Oh, okay.” She was like, “Okay, Ali. You need to wake Justin up. You are getting to be close to six minutes apart. You have got to get ready to go.” I was like, “Wait, what?” You know, because I was so in the zone at that point. I wasn't even listening to her count. I was so in my zone in the tub, in the darkness, meditating, really bringing the affirmations of having my VBAC and talking to Arley. I was just so in it, more so than I think I even realized I was. And so she was like, “You need to get out. You need to get up. You need to get to the hospital.” Justin, of course, doesn't know. My husband doesn't hear me. He is sleeping and snoring. I am screaming from the bathtub and he doesn't hear me. I'm like, “Babe. Babe! I am in labor. We have to go to the hospital.” He doesn't hear me, so my doula calls him and wakes him up. He is like, “What is going on?” She is like, “Ali is in labor. You have got to get ready to go.” He goes into the bathroom and of course, he is making fun of me as he usually does and his sarcasm. He is like, “Oh, I hear a ghost or something.” I am like, “Oh my god.” He literally is like, “Oooh. Ooooh. What is that noise? Ooooh.” I am like, “Ha, ha. That is so you.” I am like, “Come over here and squeeze my hands. I am losing my shit.” That is his personality, by the way. He gets me out. We are getting everything ready to go and getting everything in the truck to leave. My doula ended up coming down to make sure I was okay, but also because my friend was supposed to be here for Amelia had I gone into labor in the middle of the night, but wasn't picking up her phone because they probably just thought, “Oh, I am going to hear my phone go off.” And so, my doula came rushing out so that we could leave so that somebody could watch her since we couldn't bring her, especially with COVID and everything.She comes and she sees me off. I get in the truck and I am in full-blown active labor. I am transitioning. I am shaking. I'm convulsing. I am screaming. I'm trying to stay zen. I am screaming while I am meditating. This whole thing in his truck. We arrive there. I am screaming when we get out of his truck. They pull up. They bring the wheelchair. I won't forget. They put me in a wheelchair and they were shoving this mask in my face. I am screaming through the mask. I am trying to rip the mask off because I'm screaming. It was a whole thing.I get into the room. They get me in and my doula was immediately on my FaceTime. Stacey was like, “Okay.” Thank God for her. She was like, “Turn the lights down. Let's get it to be zen for her again. Get her out of the bright lights. Let's calm things down. Justin put out her crystals. Let's get her intention cards up. Get the little lights up.” Stacey is orchestrating everything from FaceTime. Justin is getting everything together and I am sitting there and breathing through. I am still natural at this point. I am just breathing through my contractions as much as I can and screaming at all of that. They checked me and I am 6.5. They're like, “All right. Well, you're definitely active and ready to go. You are progressing, so we are going to let you progress.” I think I got to almost a 7, or out of 7, and I really was having a hard time. I was really having a hard time breathing. It was getting really intense. Stacey was like, “Look. If you want to get an epidural, just get the epidural.”But, I had so much fear around getting an epidural because of Amelia‘s birth. I was like, “I don't want to. I am too afraid. I don't want to get stuck. Let me just keep going.” But I wasn't fully progressing because I was struggling. I was like, “Okay. I'm going to get an epidural.” Luckily at Cedars-- I know some hospitals don't have this, but Cedars does. I had been advised by a couple of other doulas to get a walking epidural if I could, even though I wouldn't be walking anywhere, obviously, because of the world, but I could walk in my room. And so, I got a walking epidural and for me, that was just enough to take the edge off, but not enough to numb where I could walk around and I could be on the ball. I could do hip exercises on the side of the bed. I could get on all fours. I could keep switching positions. Even when I was in the bed, I had a peanut ball being switched between my legs. I was moving constantly. I was never still. I think that was a really big game changer and helpful for me when it came to progressing because shortly after, I was at complete.We arrived at the hospital around 6:00 a.m. and by noon, I was complete. It was pretty fast for me compared to Amelia. It was like, “Oh, wow. This is happening. I have got to complete.” The doctor comes in. Dr. Brock is like, “All right. You are complete, but you are not--” I forget the stations when you are at the last station, but you're not fully there where the baby can come out. What is that called?Julie: Yeah, like +2 or +3 station.Meagan: Yeah, or even +4.Ali: Yes. Yeah, whatever it was, like the lowest one. I was almost there, but I wasn't there yet. He had said that. I was like, “Oh, okay.” He was like, “But don't worry. We are going to figure out getting her down. Let's get you to move more. Let's do some more pushing. Let's do this.” You know, I didn't realize that because of Amelia‘s birth, even though the labor was so intense with her, my body remembered that, which is wild. The muscle memory of that.I hadn't really fully pushed with Amelia, so it was pushing like a new mom, which I didn't expect to go through. I pushed for 2.5 hours after we had been told I was ready to go and was complete. I was really working, working. I had the squat bar. I was pushing. I was on the ground. I was on all fours. I was doing everything possible to move her, and keep going, and move her down and everything.She was just right there, but just wasn't happening and then I spiked a fever. Dr. Brock came in and he was like, “Okay. I was all for everything you were doing, but now you spiked a fever. I am concerned for you and the baby. I am sure everything is fine, but I don't want to take any chances, so these are the last pushes and then we are going to have to figure something out because I am not going to let you go longer because of the fever.” Of course, they had given me medication at this point to bring the fever down.And so, he had turned to me and he was like, “All right. We are going to do a vacuum to try and help you get her out. Once I get the vacuum, you are going to have to push with all your might. It is just going to be to assist and then you're going to have to push her out.” He was like, “When I tell you to push, I mean you'd better push with every single thing in you and push until you can't breathe.” I was like “Oh, okay.” I remember being in the bed, and looking at Justin, and even reflecting on it myself, and being like, “Oh my gosh. I cannot believe I got this far and here we are again. I am freaking going to have a C-section.” I was really starting to go into fight-or-flight. I was getting really, really upset. My doula was trying to calm me over FaceTime. She was like, “It's okay. We are still in control. It's okay. Breathe. Just allow things to play,” and I am in total panic at this point. I looked at Justin and I said, “Can I have my earbuds please?” I put them in my ear. I turned on one of my fear-releasing meditations. I shut my eyes. I remember praying really, really hard and just being really intentional. Like, “I can make this happen. This is going to happen. I can do this. Come on, Ali. You can do this.”Before I knew it, it was like, “Push.” I pushed so hard and the next thing I knew, there she was on my chest, screaming. I was hysterically crying. I couldn't even believe that she was there. I honestly didn't even feel her fully come out because everything was happening. It was so wild. I remember them putting her on my chest and I was bawling because I was like, “Oh my god, I did it. Oh my god. Oh my god. She's here. Oh my god.” It was the most surreal experience and so healing in that moment for me of just being like, “Holy crap. I did it. My body did it.” Even now, I get choked up because I still can't believe it happened.Meagan: I'm sure in that whole moment there was just such that rush.Julie: Yeah, wild.Meagan: Yeah, okay. I have to do this right now. And then, boom. You did it.Julie: Yeah. It sounds like she came so fast when it was time.Ali: Yeah, well once he put the vacuum on and was like, “Okay, push.” He gave me that bar--Meagan: The assistance, yes.Ali: Yeah, the assistance and gave me that bar and was like, “Push down.” I just remember I pushed with everything in me. I pushed and holy crap. She was here. She was 9 pounds, 3 ounces, by the way.Meagan: Yeah, girl!Ali: Amelia was 8 pounds, 7 ounces and I thought that was big. Arley was 23.5 inches long so it was like, oh my gosh. I couldn't believe that I got her out. It was truly amazing to me. It was so empowering. It was like, “Holy crap. My body did it.” It was so amazing. After having her on my chest and holding her, I was just bawling. I just couldn't even believe it happened.Meagan: Yeah. I'm sure it was just such an amazing moment. It sounds like she just needed to come into that pubic bone and then she was there. Oh, well congratulations.Ali: Thank you.Meagan: So awesome.Ali: It was so magical. It really was. I just felt so much support around me through my whole pregnancy. It's funny you say the pubic bone too because my chiropractor-- she kept adjusting me. Even the day before I went into labor, she adjusted me. She kept adjusting me and adjusting my hips and doing this, and my sciatica and everything to make sure I was as aligned as possible. But I think in a way it was kind of like me being tested, like how bad do you want this thing? Because when you guys were saying “the rush”, I felt like I could have either gone into fight-or-flight and I could have been like, “Oh my gosh,” in panic and allowed myself to not have that release that you guys talk about all the time, but I think because I did release, and I did allow her to come, and I got really intentional and listened to the fear releasing in my ears, I think it was all divine. And there she was.Julie: Yeah. It's incredible what can happen when you have that release of emotions. Fear in the birth space is real and it can really hold you up if you let it.Ali: Mhmm, yeah. You're right.Meagan: So awesome. Now, she is just crawling around and being such a big girl.Julie: Oh, such a fun age.Ali: It is wild how fast. I feel like I just had her and I am like, “Oh my gosh, she is already crawling everywhere.” I literally turn around and she is down the hallway and I am like, “Oh, hey girlfriend.” It is crazy.Julie: Wow.Ali: You know, but in a wild way, this whole thing with the pandemic and 2020, for me, is such a blessing because it has been such a healing time for me between my VBAC, and having the family time, and having my husband home to be there with me with my girls, and truly not experience postpartum depression. I am just so grateful for it.Julie: That's awesome. That is really cool. We are living in a really crazy world right now and whenever we hear incredible birth stories coming out of this pandemic, it warms my heart. I don't know. I could go off on five or six different tangents right now, but Meagan, what should we talk about? What should we talk about for an educational piece?Meagan: Well, I love that she talked about fear releasing and self-advocacy. One of the things that I love that your doula did-- so birth workers, listen up if you are listening. They sat and they recorded. I love that she was like, “We are going to wrap it up, and seal it with a bow, and send it off.” That is so cool. It is such a powerful way, just talking about it, and getting it out there, and hearing yourself say it, and then maybe even watching it, and then saying, “Okay. That is how I felt and this is how I feel. This is why I am moving on from this fear because of this.” And then of course moving on and doing the other activities. It is so powerful.I know I probably have talked about this until I'm blue in the face, but it really came down for me-- like, I had worked through so much and there was still stuff that I found in the very moment of labor that I didn't realize that I had worked through. It's just so, I don't know. It is just so crazy how you think you have worked through it, and then it comes up, and you are like, “Oh, wait. That didn't come up during my pregnancy,” and you have to work through it again. But if you have practiced and worked really, really hard processing during your pregnancy, then it won't be so foreign. That's the word that is coming to my mind and maybe that's the wrong word.Julie: Unfamiliar, maybe?Meagan: Yeah. It just won't be so unfamiliar and foreign in the moment to process. I know it would make processing during that time easier.Julie: Yeah. I agree, 100%. Gosh, I mean, Meagan and I have both seen the same thing with our individual doula clients and working with parents through our VBAC preparation course. I actually just had a one-on-one consult with somebody preparing for VBAC a couple of weeks ago. Most of the time when we get hung up, and when there are things holding us back, and we feel like something's not quite right, it is stemming from fear. When you can take out that fear, and write it out, and tear it up, and break it apart, and figure out where it is coming from, that is when you can really move past it in order to create a really, really clear birth space that is conducive to a nice, peaceful birth that is just happy and that you can look back on with really fond memories.Ali: Yeah. I love that. I think it is so well beautifully said and so true. You know, it is so crazy because again, when we were talking at the beginning of this podcast, with Amelia, it was obviously a normal world. I was at events and doing all of this glamorous stuff. I was doing maternity photoshoots and all of these things. And you know, fast forward to Arley and it was like, stuck at home and especially in California, very much locked down. You know, everything. It was so wild how different in that sense the world was, but yet, even in such a chaotic world, it really was such a peaceful birth. And then in such a normal world, Amelia was such a chaotic birth. So I just find that, like you were just saying, so telling when it comes to that fear and that processing of all of that and the actual intention around it. It really does, in my opinion, make such a difference. I have seen it in my own birth.Julie: Yeah. It absolutely does. Well, Ali, not Avril. It was so great to talk to you. Oh my gosh, I feel like we could just sit here and chat about everything for hours. I feel like we are friends. I just love at the end of the episode, all these podcast episodes that we do where sometimes, it's really hard to say goodbye. It's like, “No, you hang up.” “No, you hang up.” “No, you hang up.”Meagan: I know. It is so true. So true. We are like, “Wait. Can we hang out, like, tomorrow?”Ali: Right?Julie: Let's go to lunch. Where do you live again?Meagan: California.Ali: Yes, please. When we are open and normal, please do. I mean, I am so honored to be here. I truly love everything you guys are doing with your show and everything at The VBAC Link. I truly, like I said, still listen. I tell everyone to listen. I just think it is such an amazing space for women who need that kind of support. Especially women who really do want to have a VBAC and don't have those kinds of resources. I think that too many times we are told so much in birth, but especially with VBAC, “No,” and they put the fear around it from the beginning.I was so grateful that when that woman tried to really instill the fear in me that I knew better and that I was able to work past it because I feel for so many who just don't have that. That's why I was so grateful when I landed on The VBAC Link podcast because I was like, “Oh my gosh. Look at all of these amazing stories. I could be one of them too.” And like, holy crap. Here I am.Meagan: You are one of them.Julie: Full circle. I love it.Ali: Yes. Yes.ClosingWould you like to be a guest on the podcast? Head over to thevbaclink.com/share and submit your story. For all things VBAC, including online and in-person VBAC classes, The VBAC Link blog, and Julie and Meagan's bios, 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

The VBAC Link
Episode 368 Gesa's HBAC with PROM + Differences Between OBGYN & Home Birth Midwifery Care

The VBAC Link

Play Episode Listen Later Jan 8, 2025 45:52


What are the typical differences between hospital OB care and home birth midwifery care? Throughout her VBAC prep, Gesa was able to directly compare the two side by side. She was planning a home birth with a midwife but continued to see her OB at the hospital for the insurance benefits. Some differences she noted: Her OB used ultrasound to determine baby's position. Her midwife palpated her belly.Her midwife ran a blood test to check iron levels, and then suggested an iron supplement. Her OB did not track iron.OB visits were typically a few minutes long. Visits with her midwife were an hour or longer in her home. The hospital required cervical checks, laboring in a mask, continuous monitoring, and only allowed one support person. The way Gesa navigated her care is so inspiring. Her midwife was hands-on during pregnancy in all of the best ways and just as hands-off during birth to let the physiological process take over. Gesa's story is exactly why we love HBAC so much!Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Julie:  Good morning, Women of Strength. I am really excited to be back here with you. This is Julie, and it is my first official episode back doing regular episodes. Just like we talked about a couple of weeks ago, I'm going to be doing– or was it last week? I can't remember what week it is. But we are going to be doing every other episode alternating between me and Meagan for the most part. I'm really excited to be back here. We have a really special guest with us today. But before we get into that, I want to say that I just got back from South Korea two weeks ago. No, two days ago. If you haven't listened to Paige's episode for her maternal assisted C-section, go listen to the episode that launched on December 2nd. I do believe it was maybe episode 357. Me and Paige are talking and sharing her story. I am literally so jet-lagged right now. It is going to be a morning for me for sure. If I'm a little clunkier than usual or my brain doesn't work just right, just be a little patient with me, please, because the jet lag is absolutely real. Before we do get started though and introduce our guest, I want to read a review. Meagan sent me a review this morning, and I think it's really interesting because she sent me this review this morning. It's a 1-star review, and you might be curious as to why I'm choosing to read a 1-star review, but I'll tell you a little bit more afterward why I picked that. This one is on Apple Podcasts. This person said, “Listened to 10 episodes, and found that the stories they choose to share are usually always the same with a twist. Didn't find any episodes that said ‘A C-section saved me and my baby's life' so lots of bias and fear-mongering from people who are selling female empowerment. Maybe I'm missing the episode where the hosts say that sometimes it's okay to have a C-section. With all of these birth stories, you would think I could relate with one, but I find that the anecdotes shared in this podcast are a really easy way to avoid talking about women who are actually statistical outliers.” I think that episode is really interesting. First of all, I appreciate everybody's views and perspectives. But also, I think that review is a little bit interesting because she said she has listened to 10 episodes. I'm just assuming it's a she. Maybe that's not the right way to do that. She said she has only listened to 10 episodes. It's interesting because I wonder what 10 she picked. I feel like, isn't it maybe a sign that all of the stories are similar because our healthcare system needs a lot of work? Clearly, if so many women are having trauma and unnecessary C-sections, isn't that a sign that something needs to change? I know that a lot of us have struggled with unnecessary C-sections and really traumatic treatment in the hospital systems, so I don't know. I wanted to bring that up because first of all, we do have many, many episodes where C-sections were necessary. We've talked a lot about that how C-sections are lifesaving procedures when they are necessary. I feel like we do a pretty good job leaving space for all of the stories, but let me know what you think. Go to the Instagram post today about this episode, and let me know. What do you think? Do you think we do a pretty good job? Do you think we need to have a little bit more talking about C-sections that are actually necessary and lifesaving? Do you think it's unequally represented? Let me know. I want to start a discussion about this. Go ahead and leave a comment. Let's talk about it. But I do know that me and Meagan have been very intentional with sharing a wide variety of stories and outcomes and necessary and unnecessary C-sections. Hopefully, you feel well represented no matter what side of the view you are on. Anyway, we are going to go ahead and get started now. Today, I have a really awesome guest. Her name is Gesa, and she lives in Charleston, South Carolina. She is a mom of two boys. She had a C-section with her first baby. The C-section was because of a breech presentation after she tried everything to turn him. Knowing that she absolutely did not want to have a C-section for her second baby, she navigated the difficult search for a truly supportive provider and ended up having a successful HBAC, or home birth after Cesarean, after having some challenges to get labor started. We are super excited to hear her story. We are going to talk more at the end about how to find the right provider for your birth and your birth after a Cesarean after she goes ahead and shares her story with us. All right, Gesa. Are you there?Gesa: I'm here. Julie:  Yay. I'm so excited to have you with me today. Thank you so much for joining me, and again, for being patient with all of my technical issues this morning. Gesa: Of course. Julie:  But I will go ahead and would like to turn it over to you. You can share your story with us, and yeah. I'm excited to hear it. Gesa: Thank you so much. I'm so excited to be here and share my story. Okay, let's start with my first birth which was my C-section. Everything was going well at the beginning of the pregnancy. I was feeling a little bit nauseous, but overall, feeling well. Then at the anatomy scan, I found out that my baby was breech. I was like, “Wait, what does that mean? What does that mean for birth? What's going on with that?” We had so much time left. The provider was not worried at all. It was around 20 weeks so we thought we had plenty of time at that point. Babies are little. They flip-flop around. I was not concerned at all. As time progressed, he continued to stay breech, so he did not flip on his own. During one of my OB appointments, I was basically told, “Well, if your baby does not turn head down, we're just going to have to have a C-section.” There were really no other options given. At that point, I was actually planning a natural birth at a hospital, so that was not really what I had in mind. We had also taken a Hypnobirthing class which was awesome. We learned so much about birth and pregnancy that I had no idea about. Hearing that I was going to need a C-section if he wasn't going to turn head down was really not what I wanted. I started looking into things I could do to help him turn. I started doing Spinning Babies exercises. I started seeing a chiropractor. I did acupuncture. I even did moxibustion at some point which is really fun. It was a Chinese herb that you burn by your toe, and that's supposed to create fetal movement and help the baby flip which unfortunately did not help. I was out in the pool doing handstands and backflips about every day. I was lying on my ironing board at some point with a bag of frozen peas on my belly. I really tried everything possible to get this baby to flip. Nothing worked. I ended up trying to have the ECV at about 37 weeks. That's the version where they try to manually flip the baby from the outside. She gave it a good try to attempt, and he would not move. It was that his head felt stuck under my ribs. It was very uncomfortable. He was very comfortable where he was at. They had me schedule the C-section which I was really unhappy about, but at that point, I didn't really see any other option. It was about my 37-38 week appointment, and the OB wanted to talk a little bit more about the details of the C-section which made me really emotional because that was not what I wanted. I started crying during the appointment, then the nurse comes in and says, “Hey, we actually forgot to check your blood pressure. Let's do that really quick.” I was like, “I'm sure that's going to be great now that I'm all emotional and crying here.” Of course, the blood pressure was higher than it was supposed to be. The OB started joking, “Oh, maybe we'll have a baby today. Maybe we're just going to do an emergency C-section,” which was not what I wanted to hear at all. It made me even more emotional. I remember sitting in the office crying. Now, I had this high blood pressure. My husband handed me this magazine of puppies or kittens. He said, “Sit here. Chill out and just relax. Look at the kittens. They'll retake your blood pressure, and I'm sure it's going to be fine.” I was like, “Oh my god. Nothing is fine right now.” It ended up coming down a little bit. They still sent me to the hospital for some additional monitoring. It was all good, and we ended up being sent home. But I just felt so unsupported and so unheard in that moment. When I was thinking about the C-section, I was even considering at some point what happens if I just don't show up for my C-section appointment and just waited to see if I'd go into labor? But then I thought, “Maybe an emergency C-section would not be any better than a planned.” I had a friend who had an emergency C-section, and she said that the recovery was really difficult so that's also not really what I wanted. I went ahead and showed up to the hospital for my scheduled C-section at 39 weeks and 1 day. But I was so emotional. I was crying on the way to the hospital. I was crying at the hospital. Everybody was really nice at the hospital, but it was just not what I wanted. The idea of them cutting my body open and removing the baby was just so far away from what I had envisioned. The C-section went well. I really did not have any major issues. But recovery was pretty rough. He was pretty big. He was 9.5 pounds and 21 inches long. Recovery was a little rough. He had also a really difficult time with breastfeeding. He had a really weak suck. I just kept thinking, “What if he was not done cooking? What if they got him too early? He wasn't ready to be born yet.” We found out later that he had a tongue and a lip tie that the hospital failed to diagnose which just made things even more difficult. I, overall, hated my stay at the hospital. I felt like I was not getting any rest at all the whole time I was there. My son didn't like sleeping in the bassinet because why would he? I felt like there were people coming in all of the time and interrupting the little bit of rest that I was trying to get. They were checking on me, checking on the baby, taking temperatures, the photographer, the cleaning people. It was just like people were coming and going. The only person who did not show up who I hoped would show up was the lactation consultant. She did not show up for almost two days which was really, really disappointing. The first few months were pretty hard. I would say they were pretty rough emotionally and physically. When people ask me about my birth, a lot of times, I got comments like, “Well, at least he's healthy” or “Oh, your baby's really big, so it was probably good that you had that C-section.” That really upset me because I understand that it's important for my baby to be healthy. Yes, that is the most important thing. But at the same time, my feelings are valid about it, and my emotions. I felt really robbed of that experience to birth my own child. The fact that I had never felt even a single contraction really was upsetting to me. I felt that my body had really failed me. Yeah. I knew that if I ever were to get pregnant again, I would not want to have another C-section. So let's fast forward to my second pregnancy.I got pregnant again when my son was a little over a year and a half. Like I said, I knew exactly what I didn't want, and that was to have another C-section. When I found out I was pregnant, I pretty much immediately jumped on Facebook group and mom groups trying to do my research and find a truly supportive provider. I did call a birth center here in Charleston, and they told me right away, “We don't do VBACs. Sorry. You can't come here,” which was pretty upsetting because they basically see a VBAC or having had a C-section before is a high-risk pregnancy for your next which really does not make a lot of sense because every pregnancy is different. Just because you had a C-section, there can be so many different reasons. You should not be considered high-risk for your next pregnancy. I found a provider who I thought was VBAC-supportive. It seemed like that was my only option, so I started seeing her. As I was seeing my OB further into my pregnancy, I started asking some questions about birth. I really didn't like some of the answers she had for me. I asked about intermittent monitoring. She said, “No, we can't do that. Hospital policy is that you have to have continuous monitoring.” I didn't love the idea of being strapped to the bed. I wanted to move around freely. That was not going to be an option. I asked about eating. I got the answer, “No, we don't really allow eating while you are in labor. You can have clear fluids.” I was just thinking, “I don't want to eat ice chips while I'm in labor. If I'm hungry, I want to be able to eat.” I asked if I could labor in the bathtub because they did have tubs at the hospital. She said, “No, because of the continuous monitoring, you're not going to be able to get in the tub.” Hearing all of that made me really uncomfortable. Whenever I did ask questions, it almost felt like she didn't really want to talk about it. She didn't really want to talk about my birth plan which was really important to me. Now, at the same time, it was also COVID. I got pregnant with my second literally the week before people started quarantining for COVID. On top of all of these things that I didn't like about the hospital, there were also the COVID restrictions. I had to show up to my appointments in a mask which was totally fine, but the idea of having to labor in a mask made me a little uncomfortable. I was thinking about hiring a doula, and because they were only allowing one support person at the time, that was also not going to be an option. I knew my son wasn't going to be able to see me at the hospital which was something I was really looking forward to. I kept thinking, “Maybe there has to be another option. This can't be my only option here.” I started looking at places farther away. I was like, “Maybe I can travel to another place further away.” I was looking into birth centers around the area and all over South Carolina, really. At some point, I did come across a website that said they were offering VBAC support. I didn't really know what that meant, but I filled out a form. I said, “Hey, I need some help with a provider. I'm seeing an OB, but I'm not feeling super comfortable.” I submitted that form. I want to say that maybe a couple of days or a couple of weeks later, a midwife called me. She was like, “Hey, I'm not in your area, but I actually know a lot of people all over the state. Let me send an email to my network, and we'll see if we can find somebody who can help you.” One day, I got a call from a home birth midwife here in Charleston. She was like, “Hey, I got your message. Tell me how I can help you.” We talked a little bit about home birth. At that point, I was like, “Do I really want a home birth?” It was not something I had really considered.” During that HypnoBirthing class when I was pregnant with my first son, we watched a lot of videos of water births and home births. I always thought it was really cool, and I would love to have that experience, but at that moment, when she asked me, “Hey, would you consider a home birth?” I was like, “I need to think about that for a second.” I talked about it with my husband. I did a lot of research on home birth. I ended up sending her all of my medical records from my first pregnancy. We continued talking and checking. I continued to see my OB, and that was really for a variety of reasons. First of all, I had really good health insurance. All of my visits were covered, so all of the DNA tests, and things like the anatomy scan were covered by my health insurance, and it was just easy to coordinate those things with my OB. I also wanted to continue my care just in case there was something that would pop up that would prevent me from having a home birth and those plans would fall through. I'm a big planner, so I like having not just the plan, but also a plan B and a plan C. Yeah. I also like that established relationship just in case I needed a home birth transfer to the hospital. I've heard stories where moms were treated very differently when they arrived at a hospital with a home birth transfer, and in the case that I would have needed that, I could have just shown up to the hospital and said, “Hey, I'm a patient. I'm here. I'm in labor,” without them knowing that it was really a home birth transfer. I did not tell my OB that I was actually planning a home birth. I think she would have been pretty upset. Maybe she would have fired me. I don't know. But the difference in care that I received from the OB and from the midwife was really, really interesting. It seemed like at my OB appointments, there was a lot of focus on different tests and procedures like my weight. Further down, they wanted to do lots of cervical checks which I all declined. At the same time, when I talked to my midwife, the focus was a lot more on nutrition and on exercise. She was asking, “What do you do to prepare for your VBAC?” Lots of education on birth. There were lots of books that she suggested for me to read. I also started seeing a chiropractor pretty early in the pregnancy. I was doing my homework. I was doing my Spinning Babies exercises. I was so focused on doing everything I could to have the birth that I had envisioned. At some point, my midwife had me do some extra blood draws. She wanted to make sure that my iron levels were okay for the home birth, and they were actually slightly lower than they were supposed to be, so she put me on an iron supplement for a couple of weeks. That was an example of something that the OB never asked about or really cared about. At some point, I was a little bit nervous about the position of my baby. It almost felt like he was lying sideways, and I couldn't really tell. I brought it up to the OB. She was like, “Yeah. Let's get in the ultrasound machine. Let's take a look.” She was trying to feel, but she couldn't really tell. Everything was good. He was head down. Well, I didn't know he was a he because we did not find out the gender. Baby was head down. Everything was okay. I brought up the same thing to the midwife, and it was so funny because she did not need an ultrasound. She just felt. She felt really good. She was like, “Yeah. I know. I feel all of the different body parts. You're head down. You're good.” Of course, she was right. It was just so interesting to see how different things were approached by the two providers. I also hired a doula, and I made sure she was VBAC Link certified. It was really exciting. She was familiar with the podcast that I was, of course, listening to at the time to prepare for my VBAC. At some point, I had a situation with my OB that made me pretty uncomfortable. It was time for the GBS testing, and I had done my research. I made an informed decision. I let her know that I was declining the test. She was not happy to hear it. She kept saying, “Well, if your baby dies–”, and she kept saying that multiple times. It was like, “If your baby dies–”, and I was like, “This is so unprofessional to say it like that.” I totally understand that they need to–Julie:  Oh my gosh. I can't even believe that. Gesa: Yeah. Isn't that horrible?Julie:  That's horrible. Gesa: I understand she needs to educate me on the risks that come with declining certain tests, but that was just not a proper way to communicate that. Julie:  Yeah. Find another way. Find another way. Gesa: Yeah. Right. That situation really confirmed for me home birth was the way to go. I did not want anything to do with this hospital or this OB anymore at that point. I was fully committed to the home birth. I was planning on it. I continued my OB visits more just to check a box. At 37 weeks, my midwife brought over the birthing pool and some supplies. I gathered everything that I needed. She had sent me a list of all of the different supplies that we needed to buy and gather, so I started getting all of that. I created a beautiful birthing space for myself in our bedroom. I had my affirmations up. They were taped to my mirror in the bathroom as daily reminders. I had them hung up in the bedroom with some twinkle lights. I had the picture of the opening flower, and everything was ready. I had my Spotify playlist ready, and I was so excited for baby to come here. Then, at 39 weeks and 1 day, it was early in the morning, like maybe at 6:30 AM. I was lying in bed, and our toddler had climbed into bed with me. I felt a little pop, and I was like, “Hmm, that was weird,” but I didn't really think much of it because pregnancy is weird, and our bodies do all kinds of weird things that we can't explain when we are pregnant. I didn't think much of it. I went back to sleep. An hour later, I got up to go to the bathroom. I sit down on the toilet, and water is gushing out. I was like, “Shoot. What is going on? I'm not peeing. What's happening?” I just realized, “No, my water broke.” I wasn't expecting it at that point because you hear about a lot of women going into 40-41 weeks, 42 weeks, especially with their first pregnancy that they are going into natural labor, so I was so surprised that it happened at 39 weeks and a day. I was feeling a tiny bit of cramping, but definitely did not have any contractions. I texted my husband, “Oh my gosh. My water broke.” He was out for a workout, so he rushed home. I also texted my doula and my midwife just to let them know what was going on, but then the whole day was really uneventful. I was ready and waiting for labor to start. It just didn't. I went on a lot of walks. I tried some curb walking. I bounced on the yoga ball. I ended up getting a last-minute appointment with my chiropractor for a quick adjustment. I really spent all day just trying to get labor started. I took some naps. I also tried using the breast pump for some stimulation to get things going. I got some tiny little contractions. At that time, I thought they were contractions, but now that I know what contractions actually feel like, I realize that was not actually the case. I got some tiny contractions going, but then they fizzled out again. My midwife stopped by a few times to check on me and baby. She had me take my temperature every 4 hours and text it to her just to make sure I wasn't running a fever. Baby was moving normally. She wasn't overly concerned. She assured me that my body was probably just waiting until nighttime when my toddler was in bed and I was relaxed for things to start then. It was weird because I was leaking amniotic fluid all day, so I tried to stay super hydrated and replenish all of that water I was losing. I went to bed and thought, “Okay. This is it. We're going to have a baby maybe early in the morning. Labor is going to start.” Nothing happened. I woke up really early and really disappointed that nothing had happened. My midwife had sent me some information on PROM, so premature rupture of membranes, just to make sure I was making an informed decision. She always gave me the option to go to the hospital. She said that I could go in the evening of when my water broke. She said I could wait until the next day and do whatever I felt comfortable with, but she wanted me to be aware of the dangers with having a long time of broken waters. She also had sent me a recipe to the midwives' brew. That was something we talked about to get labor started. She said, “Something to consider for the next day if you don't have your baby overnight.” My husband went out. He bought the ingredients just in case. It was castor oil, almond butter, apricot nectar, and champagne. It was absolutely disgusting. It actually ruined almond butter for me for at least 2-3 years. I could not have it anymore. It was so gross. Julie:  Oh my gosh. That is so funny. That is funny. Gesa: I took it around 10:00 AM in the morning. At that point, my water had been broken for over 24 hours. I layed down for a nap, and maybe 2 hours later, I started feeling some contractions. They were coming in. I was just laying in bed breathing through them and listening to my HypnoBirthing affirmations and some relaxing music. My husband was actually taking a nap at that time with our son. At some point, things were getting pretty intense. I texted my doula and my midwife. I was trying to time contractions but it was also difficult. They both came over around 2:00 PM and realized pretty quickly that labor was going. They needed to fill that pool because that actually takes a while which was not something I was even thinking about.They quickly got the birthing pool filled. Once I got in the water, it was such a difference. At that point, I had some really, really heavy contractions and I think I got in there around 3:00 PM. It was such a night and day difference. My doula was awesome. She was rubbing my back. She was giving me cold washcloths on my neck. Yeah. She was super helpful. I was laboring in the tub. At some point, I needed to get out to go to the bathroom. As soon as I got out, I instantly regretted that decision because it was so horrible and the contractions were feelings so much stronger when I was not in the water. My husband was still sleeping at that point. I was like, “Okay, is somebody going to wake him up before baby comes?” But I also lost track of time of how long I even was in the pool. They did wake him up at some point. It was really funny because when he lay down for a nap, it was just me laboring in bed by myself. They woke up from the nap, and I was in full, active labor in the birthing pool with the doula and the midwife there, full action going on. He was just like, “Whoa, what's happening?” Yeah. He jumped right into action and helping me out and massaging and all of that good stuff. It was really sweet because my son kept bringing toys. He was a little over 2. He was 2 years and 3 months at that point. He kept bringing over toys. He was playing right next to the pool. He was checking on me. It was just really sweet and really special to have him there. Our dog was also walking around the pool and was really interesting in what was going on. I really lost track of time and of how long I really was in the pool. At some point, I felt some really, really intense pressure. It was almost like my body was pushing on its own without me really actively doing anything. I had heard of the fetal ejection reflex, but I didn't realize that that was what was going on. I didn't realize that baby was already coming. My midwife just looked at me. She was like, “Feeling a little pushy, huh?” I was like, “Yeah, I guess that's what's going on.” It all happened really quickly. My husband got our son situated downstairs because we wanted him to be there, but we didn't want him to be there right as baby was born. We thought that may have been a little bit too much for him, so we got him situated downstairs. Yeah, things happened really quickly. All of a sudden, his head was out. It was really fun because we got to feel his hair, and I did not have another contraction for a minute which was weird because his head was out. It was underwater, and it felt like a really, really long time between contractions. But then he was out with the next one, and my midwife caught him. He came right to my chest. My husband got to announce that he was a boy which I knew all along. We didn't find out his gender, but I just knew he was going to be a boy. My pregnancy was just so similar that I was like, “There's no way he's not a boy.” But yeah. He was born a little after 4:00 PM, so really just 6 hours from when I had the midwives' brew, so that really worked for me. Of course, I cried tears of joy. The amount of emotions I was feeling was just absolutely incredible. The rush of endorphins, I felt so empowered and so strong in that moment, like literally the strongest person in the world. It was awesome. We brought my son up and he got to meet his baby brother within minutes of his birth which was so special and such an amazing experience. Once we got settled a bit, I got to take a shower. I got to eat pasta in my bed, and then also safely cosleep with my baby in my own bed and in my own home which was just the complete opposite of that hospital C-section experience. Yeah, the home birth experience was really healing for me in a way. It gave me closure from my C-section experience. I think because I had the C-section, I just knew what I absolutely did not want, and I think that really helped me fight and prepare for my home birth experience. I still had to call my OB and cancel my 40-week appointment which was probably one of the weirdest phone calls I've ever had to made because I was like, “Yeah, I need to cancel my appointment because my baby is actually here.” They were like, “Wait, where was your baby born? We have no records of this.” I was like, “Yeah, he was born at home.” They were like, “You need to get him checked out immediately.”Julie:  You're like, “Yeah, accident.” Gesa: I was like, “No, we had a professional there. It's all good. Don't worry about it. Let's not talk about it anymore.”Julie:  I love that so much. Okay, I want to talk about a couple of things or maybe just comment. When you were talking about your C-section and how you felt guilty about how maybe he was having trouble nursing or whatever and you were feeling guilty that maybe he had been taken too early or he wasn't ready to be born yet and stuff, I felt that so hard with my C-section baby. I just wanted to validate that because I feel like that is not an uncommon thing. I feel like a lot of us have that concern when we have either a scheduled C-section or an induction that results in a C-section or maybe even an induction that results in a vaginal birth. You can look back at it and feel like, “Oh, maybe I made the wrong choice,” or “Maybe he was taken too early,” or things like that. I just wanted to validate that. Know that I see you, and I hear you, and I feel you. And everybody, not just you, but everybody. Try not to be too hard on yourself. I'm not speaking just to you, but everybody. Try not to be too hard on yourself because you were making the best decisions that you could with the information that you had available to you at the time. So give yourself some grace. Give yourself some love. I think that's really important is that we navigate our pregnancies and birth after having an unwanted C-section or an unwanted birth experience. Giving ourselves that grace is a really, really important part of it. I did want to talk about the difference in care. You highlighted a few things in your episode about the difference in care between a hospital OB and having a midwife or especially a home birth midwife. In the hospital, you're still going to see a little bit of similarities between midwifery and OBs, although midwifery care in a hospital is a lot more hands-on and a lot more personal and a lot more trusting, generally speaking, of the birth process. I just was thinking this morning about a post. There was a post in not even a VBAC group. It was just a local mom's group in my community. This woman was talking about how it was her first baby. She hasn't had an ultrasound or seen the baby since 10 weeks. She had a 10-week scan, and she hadn't seen the baby since then. She wasn't 20 weeks pregnant yet, but she was almost. She was just like, “I'm just wondering if this is normal. Every time I have an appointment with my OB, I only see him for 2 minutes. I don't feel like this is normal. I have some concerns, but I'm not being able to ask questions,” and things like that. It made me sad. It made me sad for this parent not being cared for in the way that she needs to be. It also made me sad because her experience is not that uncommon. I wanted to say that unfortunately, this is normal. You're not going to usually see your OB for more than a couple of minutes per visit. You're not going to have time to ask a lot of questions and get a lot of answers because hospitals are busy and OBs are busy. Most of them don't have the time or intentionally make the time to give you that kind of attention. It's just how it is. Now, I say most of the time because there are some OBs. I saw briefly an OB for my third pregnancy, and I love her. She was always 45 minutes late. Our appointments were always 45 minutes late. My appointment would be at 1:45, and I wouldn't get in there until 2:00 because she was giving everybody the attention that they needed. A lot of people get frustrated because she was an hour late for the visits, but I wasn't frustrated because I knew that she was giving other people the same attention that she gave to me. That is so, so rare in a hospital setting. I love that you highlighted that. I love that you talked about how your midwife took time to address your concerns, how she monitored your iron levels and gave your iron supplements and your OB didn't. It wasn't even on his or her radar. I don't know if your OB was a boy or girl. I can't remember. Their radar, right? And how your OB needed an ultrasound to confirm baby's position, but your midwife just palpated your belly because midwives are more hands-on. They are more intimately connected to the female body, to the baby, and to the physiologic birth process. Gesa: Yeah. She was more hands-on during the pregnancy, but then during the actual birth, she was very hands-off. She let me do my own thing. Julie:  Yeah! Yeah. Gesa: She wasn't constantly in my space and interrupting my labor. Julie:  Right. Gesa: She would come in very quietly and very softly. She would check on the baby and check on me, and if everything was good, she was back out the door. She let me labor in my own space and at my own pace which was awesome. Julie:  Right. I was going to talk about that next actually. I've been keeping notes while you have been talking because during your labor, you said you felt that fetal ejection reflex, and your midwife was like, “Oh, feeling pushy are we?” I know exactly what that looks like. I'm not a midwife, but I'm a doula. I've been a doula and a birth photographer, and I know what it looks like when a woman's body is progressing. But in a hospital setting, what do we do? We connect you to monitors. We put an IV in you. We sit at a nurse's station and watch the monitor. That's how we know how you are doing. We use ultrasounds to determine baby's position. We use data and numbers. We look at data to decide how the parent and the baby are doing. But in midwifery care, especially out-of-hospital midwifery care, you use a completely set of tools. We use observation. We are watching. We are listening. We are seeing. We are noticing the movements that are shifting and the sounds as they evolve and change. We are seeing the belly moved. We are seeing all of the different things, and it's a completely different approach. I know exactly what an unmedicated parent looks like as they are getting close to transition. I know the noises that change, what sounds are made, what different subtleties there are. You just learn these things when you actually just watch a laboring person, and notice what is happening. But they don't do that in a hospital. An OB and nurses– probably nurses because they are in the room a little bit more, but your OB won't show up until you start pushing. They don't know what the signs are. All they have is the data on the machine to see if you are doing. I know what approach I approve. Let's just say that. It's no secret that I'm a big fan of home births, especially for VBAC, when the parent feels comfortable there. I just really loved that. My appointments when I had my three VBACs at home, every time I saw my midwife, we would chat for an hour. She did talk about nutrition. I had preeclampsia for my first. My blood pressure was high. I was like, “I don't want high blood pressure,” so she gave me all of these nutritional things to do to help take care of my heart and help make sure that my blood pressure wasn't high. But then what would happen in the hospital? They wait until your blood pressure is high, then they treat it. They don't work on preventing it or making you healthier or things like that. I just feel like there is such a big difference in care. It's not for everybody. That's not where everybody feels safe, but I wanted people to know that home-birth midwives are very skilled. They are very hands-on throughout the pregnancy and oftentimes hands-off during the delivery because we trust these bodies to do what they need to do. Sometimes they do need help, but also observing and watching can help us know when a little bit of extra help is needed. It's such a fun little dance that can be done throughout pregnancy and labor. It's kind of like an art form as much as it is a medical side of things. Midwives are not chicken-dancing hippies that run around your room with incense and pray for a safe delivery. They are skilled medical professionals that have high levels of training and care and can practice in very similar ways that you see in a hospital setting just without all of the extra crap and interventions that are there. Obviously, they can't do surgery, and depending on your state and where you live, there are different restrictions about what out-of-hospital midwives can and cannot do. But a lot of people are surprised to find out how much training and knowledge and skills and procedures that out-of-hospital midwives have access to, so I wanted to talk about that. Yeah. Anyway, Gesa, do you want to give one piece of advice to anybody preparing for a VBAC right now? What would you tell anybody?Gesa: I think a lot of people, when they go to the doctor, they see their OB and they heavily rely on what they are telling them. They almost glorify the OB's advice in a way. We have got to remember that these doctors work for us. We don't work for them, so if we don't feel comfortable with what they are saying, we have the option to go somewhere else, and to take our business somewhere else. The doctors work for us. We don't work for them. It is never too late to switch your provider. I was going back and forth whenever I was pregnant with my first, and I was very late into my pregnancy. I kept thinking, “What if I just find a provider who does breech births?” In a way, I wish I had, but then you never know what actually would have happened, so it's hard to say how that would have changed my experience. I could have still ended up with a C-section, but I could have. I could have changed my provider at 38 weeks if I had contacted somebody, but I was just so overwhelmed by the whole situation that I didn't. But I was so glad that when I wasn't feeling comfortable with my OB during my second pregnancy and with what she was saying, that I took the step to find somebody who was truly supportive and who was able to help me with the birth that I had envisioned. Julie:  Yes. I absolutely love that. I think that's great advice. You make a very good point. It's never too late to switch providers. I think that the single most important thing that you can do to affect your birth outcome is to choose a provider who operates in the way that you want to birth just naturally. It's just what they do anyway. I feel like if you do that, then that's half the battle. Gesa: Yeah. 100%. I know some people feel very comfortable at the hospital, and a lot of people are not good candidates for a home birth. Julie:  Yeah, and that's where they should be. Gesa: When I told people that I was planning a home birth, I got a lot of people saying, “Are you sure? That's so scary.” If that's scary to you, then you shouldn't do it. If you feel safer in a hospital, go ahead. There's nothing wrong with that. Go to the hospital. Have your baby there if that's where you feel comfortable. For me, just the thought of having to fight for certain things while I'm in labor and very vulnerable wasn't something I wanted to do. I wanted to focus on laboring and birthing and just having that experience. I did not want to get into fights with OBs and nurses over whatever I could or could not do while at the hospital. That just did not sound like a good idea to me. Julie:  Yep. Absolutely. I agree, 100%. All right, well thank you so much for joining me today. Thanks for sharing your story with us. I'm super proud of you. You said that after your baby was born, you felt like the strongest woman ever. I agree. You are the strongest woman ever along with all of the women listening right now. We are truly Women of Strength, and no matter how your birth outcome ends, you are strong. You are powerful. I'm very grateful to each of 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

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator
Why you may choose to have an HBAC. Chelsea's Homebirth After Cesarean Story.

Motherhood Flow with Hannah Gill | VBAC Doula and Birth Educator

Play Episode Listen Later Jan 6, 2025 53:27


Text Hannah!On today's episode, Chelsea shares her beautiful HBAC story. Chelsea is a podcast host, teacher, and mother who lives in Melbourne, Australia, with her partner and their two daughters. Chelsea had an unplanned caesarean-section in hospital for her first birth and after 2+ years of preparation and research, had a beautiful, transformative VBAC at home for her second birth, surrounded by her beautiful birth team. Connect with Chelsea:Podcast: Growing Up Raising UsInstagram: @growingupraisinguspodcasthttps://thehannahgill.com/firststeps First 3 Steps to VBAC Guide: https://www.thehannahgill.com/firststeps Quiz - Is Your Provider VBAC Supportive?: https://thehannahgill.com/quiz Doula VBAC and Repeat Cesarean Guide: https://www.thehannahgill.com/newdoulatips

The VBAC Link
Episode 364 Georyana's Surprise Breech HBAC + Postpartum Anxiety

The VBAC Link

Play Episode Listen Later Dec 25, 2024 43:36


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

The Tranquility Tribe Podcast
Ep. 305: HBAC (Homebirth After Cesarean) with Angel Coleman

The Tranquility Tribe Podcast

Play Episode Listen Later Dec 18, 2024 76:08


In this heartfelt episode of The Birth Lounge podcast, host HeHe and guest Angel dive into a rich conversation about VBACs (Vaginal Birth After C-Section) and home births. Angel shares her personal birth stories, including the challenges of having multiple C-sections and her journey to successful HBA2Cs at home. They discuss the importance of trusting one's intuition, the value of a supportive birth team, and the ongoing debates around midwifery regulations and doula advocacy. With insights from her extensive experience in family education, HeHe guides listeners through the evidence-based practices and options available for expecting parents, aiming to empower them for a confident and informed birth experience no matter the setting and no matter their goals.   Diving into Birth Stories Navigating Complicated Pregnancies The Challenges of C-Sections Triumphs and Traumas of VBAC The Importance of Intuition in Birth Advocating for Your Birth Plan Navigating Intuition and Anxiety Finding Peace in Decision Making Personal Home Birth Story Labor and Contractions Begin Active Labor and Delivery Postpartum Care and Experience VBAC Preparation and Tips Advocacy and Regulations in Midwifery Doula Advocacy and Challenges   Guest Bio: Angel is a Certified Lactation Counselor, Registered Kangaroula, Lamaze Certified Childbirth Educator, Certified Microbirth Approved Provider, and Doula, dedicated to providing essential support to women during pregnancy, childbirth, and breastfeeding. With seven years of experience as a breastfeeding counselor, 5 years as a doula and childbirth educator and 10 years of mom experience with 6 children, Angel pulls on her personal and professional knowledge to educate women on the long term effects of modern health care practices that affect women during pregnancy, birth, and breastfeeding. Angel is the proud owner of Fruit of the Womb Perinatal Services, delivering breastfeeding, prenatal, and birth support to women in the greater Cleveland area. Listeners can also tune in to The Birth Rebel Podcast, hosted by Angel.   INSTAGRAM: Connect with HeHe on IG  Connect with Angel on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Connect with Angel  

Births at Home
35. Chelsea's Beautiful Homebirth After Cesarean Story - A Redemptive HBAC Story

Births at Home

Play Episode Listen Later Dec 9, 2024 53:06


Chelsea shares with us her traumatic hospital birth and then her redemptive and beautiful homebirth after cesarean story. We also touch on intuition and postpartum. Homebirth Story Submission Form: https://airtable.com/appIpUj5HcMj8xspE/shrugm504HmilhpS9 The Empowered Homebirth Course: ⁠⁠⁠⁠https://birthsathome.com/pages/empowered-homebirth-course⁠⁠⁠⁠ Follow Esmeralda on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/birthsathome/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠My website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://birthsathome.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠More links: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://msha.ke/birthsathome⁠⁠⁠⁠⁠⁠⁠

Moms Off The Record
#48: Being Versus Doing When Attending Birth with Birthkeeper Ali Coulas

Moms Off The Record

Play Episode Listen Later Nov 15, 2024 96:36


Kat's Birthkeeper Ali Coulas joins us today. We learn about her spiritual path to becoming a Labor & Delivery as well as what led her out of the system and into the sovereign birth world, where Kat was her first sovereign birth she attended. We venture to answer questions like: What does it actually mean to “hold space” for women? How can birthkeepers hold just enough space without encroaching to closely on a woman or just being a distant fly on the wall?How do yin (feminine) and yang (masculine) energies manifest themselves in labor and birth, and what does this mean for the type of birth we can expect to experience?We also delve into Kat's false pre-eclampsia diagnosis which Ali discovered after reviewing Kat's medical records from her first birth. You won't want to miss this! Unfortunately, birth sabotage happens all the time in the system, and you get to hear a few stories of this blatant practice in today's episode. Connect with Ali at @mindbodywomb on Instagram!Brilliant Beaver Guidebook - Audio VersionEngage kids aged 6-9 with fun, screen-free activities from the world of scoutingJOIN OUR NEW, PRIVATE COMMUNITY! DONATE (Thank you!!

The VBAC Junkie Podcast
71. What VBAC, HBAC, FBAC, VBAMC & TOLAC is

The VBAC Junkie Podcast

Play Episode Listen Later Oct 24, 2024 18:21


In this shorty solo episode, I give you a quick guide to the most common acronyms you'll hear on your VBAC journey Connect with me, Petra ⤵️ Instagram:⁠⁠⁠⁠⁠@birthing_come_true⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠Birthing Come True⁠⁠⁠⁠⁠ Website: ⁠⁠⁠⁠⁠Birthingcometrue.com⁠⁠⁠⁠⁠ Email: Petra@birthingcometrue.com The International Cesarean Awareness Network:⁠⁠⁠⁠⁠ https://www.ican-online.org/⁠⁠⁠⁠⁠  ✨ ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Free Fearless VBAC Workbook-⁠⁠⁠⁠⁠ It's time to face your fears and grow through them! ----------------------------------------------------        Let's Connect! ✨ The Journey to VBAC Website: ⁠⁠⁠⁠⁠www.birthingcometrue.com/vbacpodcast⁠ ✨ Follow me on Instagram: ⁠⁠⁠⁠⁠@thejourneytovbac ⁠and ⁠⁠⁠⁠⁠@Birthing_Come_True⁠⁠⁠⁠⁠ I'd so appreciate it if you'd rate and review this show wherever you're listening from. I'm grateful you've taken time out of your day to listen, thank you!

The VBAC Link
Episode 344 Advice for First-time Moms: How to Avoid a C-section From the Get-go

The VBAC Link

Play Episode Listen Later Oct 16, 2024 32:20


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

Birth Journeys Podcast
Natalie's Journey: Freebirthing After Cesarean for the Second Time

Birth Journeys Podcast

Play Episode Listen Later Oct 14, 2024 99:20


Today Natalie shares her second freebirth story. We also chat about her holistic lifestyle, MTFR gene mutation, and precipitous labor.  This episode covers cesarean birth, VBAC, homebirth, freebirth, MTHFR gene mutation, precipitous labor.  Resources:  Birthing Instincts Podcast: https://open.spotify.com/show/5IYrdNqDATUbK7FDAk2EKc?si=P77Uho1-S4SIrN8tsiekMg Whole grain milling YouTube video: https://youtu.be/A9XNQii8k-4 Homebirth after Cesarean Resources: Dr. Sara Wickham study: https://www.sarawickham.com/research-updates/hbac/ Choosing HBAC:  https://www.thevbaclink.com/home-birth-vbac/ Bayrampour et al. Birth. 2021 Sep.  Study on HBAC: https://pubmed.ncbi.nlm.nih.gov/33583048/

Moms Off The Record
#46: Kat's Sovereign, Intuitive Homebirth After Cesarean (HBAC): The Birth Story of Baby #2

Moms Off The Record

Play Episode Listen Later Oct 4, 2024 120:36


Get in touch! Be Sure To Leave Contact Info for a Reply!Hello, friends! We're back just the two of us like old times.Kat kicks off this episode reflecting on how wildly different her first birth with her son was compared to her redemptive, sovereign homebirth outside the medical industrial complex with her daughter just 26 months later.Kat's initiation into motherhood in 2022 involved bait-and-switches, homebirth medwifery sabotage, and an unhealthy fixation on blood pressure resulting in fear mongering, a distrust and pathology of birth, an unnecessary hospital transfer, false pre-eclampsia diagnosis, and ultimately a c-section.Fast forward 17 months when Kat discovered she was pregnant with her second baby after just the first try (thanks Anisa Woodall!)Kat recounts her journey from deprogramming and unlearning everything she thought she ever knew about birth, to becoming fully embodied, taking radical responsibility for her birth choices, and completely surrendering to and trusting every step of the process.All of this laid the groundwork for having a mother-led, intuitive, homebirth in the absence of any licensed provider in favor of the unconditional support of her husband and radical birthkeeper Ali. NO cervical checks, membrane sweeps, inductions, doing anything to “get labor going,” ultrasounds, Doppler, suggestions or threats of a hospital transfer, coached pushing, or management of the third stage of labor.Kat also discusses the process of obtaining a birth certificate when you choose to give birth outside of the system (if that's the route you wish to take) and answers questions you posed about the birth on Instagram.Resources we referenced:Complete Guide to FreebirthHow to avoid birth certificate and SS#Anisa Woodall Resilient Motherhood (code MOTR for $100 off) SubLuna tinctures for pregnancy, birth, and postpartumKristin Hauser's tinctures and Postpartum herbs for sitz bath/peri bottleKat's Wild Pregnancy EpisodeOur Episode with Anisa WoodallSupport the showDONATE (Thank you!!

The Doula's Guide to... Preparing For Your Birth
S2 EP26: HBAC - all about giving birth at home after a cesarean

The Doula's Guide to... Preparing For Your Birth

Play Episode Listen Later Oct 1, 2024 40:52


Welcome to The Doula's Guide To... Podcast, season 2 episode 26, everything you need to know about giving birth at home after a cesarean. Well not quite everything, this is a bigggg topic but we cover the reasons why you might want a HBAC/FBAC, if it is safe, what the risks and benefits are and how to prepare.*Please note this podcast is not medical advice, all opinions are my ownLinks mentioned in this episode:Perinatal outcomes of planned home birth after cesarean and planned hospital vaginal birth after cesarean at term gestation - click hereWomen's reasons for, and experiences of, choosing a homebirth following a caesarean section - click hereVaginal Birth After Cesarean in German Out-of-Hospital Settings: Maternal and Neonatal Outcomes of Women With Their Second Child - click hereMaternal and Perinatal Outcomes in Women Planning Vaginal Birth After Cesarean (VBAC) at Home in England: Secondary Analysis of the Birthplace National Prospective Cohort Study - click hereVBAC Facts: The Real Truth About VBAC - click hereHomebirth after cesarean - click hereVBAC/HBAC The Ultimate And Comprehensive Q & A - click hereUnleash your VBAC power - click hereNEW! Join my mailing list here - thedungareedoula.substack.comClick here to find out more about my brand new prerecorded online courses: thedungareedoula.co.uk/onlinecourseUse code 'PODCAST' for 20% off!Love the podcast? support me by leaving a tip via buy me a ko-fi: ko-fi.com/thedungareedoulaBook a Power Hour: calendly.com/thedungareedoula/power-hour?month=2024-02If you enjoyed the episode please give it a like, review and click follow so you never miss out!New episodes are out every Friday at 7am so stick around.Connect with me:thedungareedoula.co.ukinstagram.com/thedungareedoulafacebook.com/thedungareedoula

Healing Birth
A Homebirth after Cesarean on Kauai

Healing Birth

Play Episode Listen Later Sep 30, 2024 66:00


Step into paradise with me this week as my friend Taylor opens up about her deeply transformative journey from an unexpected cesarean with her first child, to the empowering experience of a homebirth on the beautiful island of Kauai with her second. Taylor's story is one of resilience, healing, and the power of trusting your body. Find Taylor on Instagram @mahina.risssing If you love the show, I would greatly appreciate a review on  Spotify or Apple Podcasts!  Follow me on Instagram @healingbirth Do you have a birth story you'd like to share on the podcast, or would like to otherwise connect? I love to hear from you! Send me a note at contactus@healingbirth.net Check out the website for lots of other birth related offerings, and personalized support: www.healingbirth.net Intro / outro music: Dreams by Markvard

The VBAC Link
Episode 337 Lauren's Surprise Unassisted HBA2C with a Special Scar & Gestational Diabetes

The VBAC Link

Play Episode Listen Later Sep 23, 2024 76:41


Lauren joins us today from Australia sharing her two Cesarean stories and her surprise unassisted HBA2C story! Lauren's first birth was a crash Cesarean under general anesthesia at 40+1 due to nonreassuring fetal heart tones. Her second birth was a TOLAC going into spontaneous labor at 40+3 under the midwifery model of care. She labored naturally, had an artificial rupture of membranes at 6 centimeters, baby was posterior, and didn't descend. She pushed for an hour then had a spinal given to help baby manually rotate. Lauren's birth ended in a CBAC which she later learned included a special scar along with the diagnosis of CPD (Cephalopelvic Disproportion). Two years later, Lauren was vigorously planning for a VBA2C. She had her birth team picked out and was ready to go to the hospital for when baby would come at what she thought would be 40 weeks again or later. At 38 weeks and 2 days, her husband went on a work trip 3 hours away and her mom, who was planning on caring for her boys during the birth, was an hour away on a day trip. Lauren's labor began in the evening while she was alone with her two boys and ramped up extremely fast. With the help of her doula and paramedics supervising, Lauren labored and gave birth to her baby on the bathroom floor in just 2 hours from start to finish!Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. You guys, we have another story coming from Australia for you today. We just recently had an Australian mama and I love our Australian episodes because I cannot get enough of your accent. I love listening to you guys. We're so excited. We have our friend, Lauren, and we have our little baby. Lauren: Yes. Little Wren's awake and joining us. Meagan: It's 11:00 PM there so she stayed up extra late to record with us today. We are going to get into her stories. You guys, she had two C-sections. Lauren: Yes, two Cesareans. Meagan: And then a surprise. I feel like you really had very unique things. You had an OB and you were under general– Lauren: For my first. Meagan: Then you were with midwifery care and then a surprise which you are going to be sharing here in a second. You guys, I'm really excited to hear her stories. We do have a Review of the Week and it's called, “So Grateful I Found This Podcast” by shinefortheworldtosee. It says, “After having an emergency C-section last year, I struggled with all of these displaced emotions. Here I was so grateful for my healthy baby but I found myself feeling hurt like I had something taken from me that I struggled finding a safe place to share and it felt as if no one around me had ever experienced the same thing I did. This podcast and group of women are my safe place. I am expecting baby number two and am so, so grateful for the empowerment that those stories told here have given me. I am so excited to try for a VBAC this time and the more I learn here, the more confident I become.“Thank you from the bottom of my heart for making this podcast.” You are so welcome. I love this podcast so much. I love all of the stories. I love the empowerment, the encouragement, the education, and also, I'm a big person who relates. I love relating. I think it brings validation to my heart when I can relate to someone because like this listener said, she felt alone. She didn't have anybody else in her space and this space is so amazing because even if it's a different outcome or there are different parts of the story, there are usually little blurbs of each story that you can truly relate to. Thank you so much for your review, shinefortheworldtosee. As always, if you haven't yet, please leave us a review. We are always so grateful for them. Meagan: Okay, cute Lauren. Oh my gosh. Thank you so much for staying up way late because by the time we are done recording this, it's going to be midnight. Oh my goodness. Oh my gosh, thank you. Lauren: That's okay. I got the time and said, “Oh, it is late,” but I was so excited anyway. I just can't wait. With that review, I was thinking the exact same thing. I remember when I found the podcast, I can't even remember. I was trying to think how it popped up. I didn't even know VBAC was a thing after my first birth. I just remember listening to it and so much of it resonated. I could relate to those little bits. It was like I was meant to hear it. I just had that strong feeling when I started listening to the podcast. I'd be crying in the car and it was just so powerful. It definitely was life-changing when I found the podcast. Huge. I feel like there are so many situations where you've never met them ever in your life. Sometimes we don't even know where they are at and it feels like they are literally sitting on the phone talking to you. Lauren: Speaking to you, yes. Meagan: Speaking to you. Yes. Lauren: Yes, exactly. I felt it. I was just like, This is what I'm supposed to be listening to at this exact time because it was speaking directly to me. It is so special what you have created. I think there is a podcast now in Australia for VBAC but there was never anything before and I would just eat them up. I'd be waiting every week for the podcast because I would be–Meagan: Is it Ashley's? Lauren: There's that one. I think I've listened to her podcast with you actually. There's the “Australian VBAC Stories” as well. They are only maybe up to 8 or 10 episodes so they are quite fresh. Meagan: Yay. Lauren: I just love all VBAC stories. I could listen to them all day. Meagan: Absolutely. Well, let's get going on sharing yours. Lauren: Yes. Okay, so my first birth was– I got pregnant in 2017. We've got three little ones now. Nate was our first baby. We had private health insurance. A few of our friends had gone private. Some of them had gone public. Some had Cesareans. Some had natural births. I hadn't really had a plan of what I wanted to do. I always knew I wanted to have children but I hadn't really given much thought to the pregnancy or the way of birth or anything like that. We just signed up with a private OB. I think from our GP, you get a referral then you start seeing them from about 16-20 weeks. You get all the regular scans. Everything was really straightforward. We were really fortunate with our pregnancy. We found out we were having a boy. We found out in– I think I've written it down– January. I had morning sickness for the first 3 months then I had a bit of Vitamin D deficiency so I had to take supplements throughout the pregnancy for that. I had a growth scan around 36 weeks. Now, I obviously know after doing a lot of research that there's no real need for it and it's just something to give them ammunition to schedule the big baby and the scan actually came back that he was measuring fine. I was like, “Yep, that's good.” Being a first-time mum, I was so excited to see him on the ultrasound anyway. Meagan: That's what I was going to say. I feel like they get you especially for first-time moms but really in general because it's so fun to see our baby. Yeah. Lauren: Of course I want to see him. Definitely. Meagan: We get in there and they're like, “We'll do this plus you'll get to see your baby.” You're like, “Well, I haven't seen my baby since 20 weeks, so okay. I'll do that.” Lauren: And you don't know any different so you're just like, “Yep, that seems fine.” I think we even did a gender reveal and I think my husband's cousin mentioned something about her friend doing Hypnobirthing. I remember I just wasn't in the right place to hear that at the time. I'm like, I wish I would have listened but it just wasn't meant for me at that time. I took maternity leave. I had 4 weeks off because I thought, Whoa, from 36 weeks the baby could really come any time. Looking back, I know 40 weeks is not even your due date. It could be any time, anywhere. Meagan: Estimated. Estimated. Lauren: A guess date I've heard a lot of people refer to it. And first-time moms tend to go over the 40 weeks so it's not uncommon. I remember it being such a mind game toward the end when I was getting closer to the due date. I think my OB offered me a stretch and sweep around 38-39 weeks and I was like, “Yep. I'm ready. I'm over it. Anything that we can do to get the baby.” I didn't really think of it as being an intervention. I didn't really know what the word intervention was at that time. I do remember her saying to me afterward something like, “Oh, I hope we're still friends after this,” after she did it. Meagan: Oh. Lauren: I was like, “Oh, that's a funny thing to say.” Then yeah. I think it was around 39 weeks and there was nothing. It didn't get anything moving. I was just automatically booked in for an induction at 40 + 1 for postdates which is not even near postdates but I was just like, “Yep, great.” I think like you said before, being a first-time mom, I was just ready to see my baby and over it so I was like, “Yep. That's great and exciting.” We got booked in. When I went back through my records, I saw on my induction paperwork that it even said, “Small mummy and postdates,” because I was small apparently. Meagan: Nuh-uh. Lauren: Yeah. I'm quite short. But they were already preempting that I probably wouldn't be able to anyway. We went in. I think we got admitted at 7:00 in the evening. We got ready to do a CTG monitoring and just an initial assessment. When we got in, they said I was having uterine activity but I couldn't feel anything. It was showing on the monitor I was having some Braxton Hicks or some contractions. They were concerned that the baby wasn't really reacting very well to that at the time so they called the OB who just happened to continue with the induction. They did a vaginal assessment and I think I wasn't obviously at anything. They did another CTG for the fetal heart rate and it had gone down, I think, to 90 BPM and had recovered within 2 minutes with a change of position and it had come back to what they were happy with. About an hour after that, they did an intravenous drip in and they did another exam. I was 1 centimeter and my cervix was posterior so obviously, I wasn't anywhere near ready. I think maybe half an hour after that, there was another decel and it said, with pointless uterine activity. It wasn't doing anything, but there was something. Then the OB was asked to come in for that. Obviously, the baby wasn't doing very well when I wasn't really even in active labor and they were a bit concerned with that thinking he wouldn't be able to tolerate full-blown labor at that point. So then it was 9:00– so two hours after we got there– when the OB was in the room. They did an ultrasound and were able to determine that I had a calcified placenta and a pocket full of fluid. There was discussion around maybe booking in for a Cesarean just because of the nonreassuring CTG they were having. I awfully now remember feeling a sense of relief and being like, “Oh, good. I don't have to go through labor and all of that,” because I think probably admitting to myself, I was a little bit scared about the whole labor because I hadn't done any preparation or any planning. The only thing we had done was the antenatal appointment– what's the word? The antenatal class at the hospital where they go through it. After we left, my husband was like, “That all sounds awful.” It was just really interventions and how to get the baby out. He was like, “None of those options sound good.” When they said “Cesarean”, I was like, “Oh, perfect. That will be great.” I think at 9:30, we got prepared to go to theater. My husband got in a gown. My mum had actually just arrived into the hospital so it was all exciting. We were going to meet the baby. This was at 9:30. We didn't know it at the time, but there were a few alarms going on outside our room and there were a few people milling around. I don't know. I don't think that was related to us. We got wheeled out on the bed to go to theater and then all of a sudden, Josh disappears and they were rushing us to the theater room. I was like, “What's happening?” I'll never forget. I remember– I don't know who was pushing me, but he said to me, “I don't think you understand. Your baby needs to come out right now.” We just thought we were going in for a normal Cesarean. We didn't realize it was changed to a general anesthetic so I started getting upset. I said, “Can I just say goodbye to my husband?” They rushed him back. I quickly kissed him and said goodbye. He gave them his phone and we went into theater. I was sobbing at this point because I just didn't know what was happening. There was somebody putting a catheter. They were putting the general anesthetic in then I think my OB popped her head in. At least, I knew some sense of calm. She said, “It's me. I'm here. We're just going to get the baby out.” I remember I could see them prepping my stomach under the mirror and the anesthetist was lovely. He rubbed my cheek and said, “It's going to be okay. We're just going to get the baby.” That's it. That's all I remember and then I was gone. After that, I think at the time, I read back on the notes that it was 9:45. It got upgraded to an emergency call. I went under at 9:50 and he was born at 9:52 so it was very quick. He came out. He cried. He was fine. His APGARS were 9 which are healthy. Meagan: That's great, yeah. Lauren: So fine, yeah. I think he was 3,000 grams which is 6.8 pounds and the surgery was complete at 10:05 so it was super quick in and out. Meagan: Wow. Lauren: He went to Josh straightaway. Poor Josh was obviously just waiting and didn't know what was happening. They brought Nate out and he said, “Well, that's great, but where's Lauren? Where is she?” So then I didn't make it into recovery until 20 minutes later which I know is still really fortunate compared to what some people experience. It was really quick. When I came to, I was still sobbing I think it must have been because I went under crying. When I came out, I was in tears and I could just see Josh sitting on the bed next to me holding Nate. Instantly, I knew he was okay and he was fine. I was able to hold him and breastfeed him so I think from then on, everything was really quite lucky. We got in straightaway. I think we were in recovery maybe another 20 minutes and then we got taken to the ward. At the time, I don't think I really registered how full-on it was. I just had a healthy baby. I was okay. Postpartum was a beautiful experience. We were in the hospital, I think, for 5 days together because we were private. Josh got to stay with us. It was like a second honeymoon. We were in there. It was like a hotel where we were getting food. That side of it, I think, was just beautiful and I didn't really feel like I missed anything birth-wise at that point. That was it I guess with that. Then in 2019, we started thinking about having another baby. I hadn't really thought too much about a VBAC or what I would do. I guess I was like most people where you just are once a Cesarean, always a Cesarean and there wasn't another option. I really wish I could remember how I came across it because I can't remember at all, but I must have found your podcast and I remember listening to it even before I was pregnant. I was just like, I have to try and do this because I never got to experience any labor at all with Nate and then with this pregnancy, I really felt like I missed that and I wanted to have something. I wanted to go into labor and at least try and be given the chance. We were really fortunate and fell pregnant straightaway. That was in 2019 and I knew I wasn't going to be doing private obstetrician this time so I did a bit of research before I was even pregnant actually with a public hospital that had a midwifery program attached to it. You attended all of your appointments at a clinic and they had a VBAC-specific clinic then you birthed at the hospital. Meagan: That's awesome. Lauren: Yeah, but you have to apply straightaway. As soon as I got the positive, I filled out the application form and applied directly with them. I got accepted and I was like, If I'm going to go for this, this is going to give me my best chance to go and have a VBAC. I think, I can't remember how far along I was but I still went. The hospital we were going to is a half hour away but all the appointments with the midwives were only 10 minutes away. That was really good. I knew the drive was a half hour but it was going to be okay. I also had signed up to do the VBAC course with you guys. I got my handout for that and I ate it up. I love that. I went through it and was doing it at night time. After listening to the podcast, I also knew I wanted to do Hypnobirthing so I did Hypnobirthing around 7 or 8 months which was when COVID started to come into the picture. It wasn't around in Australia but it was happening. The course was supposed to be a group environment with a few classes. We ended up doing an online course which was actually really lovely because when Nate was asleep, Josh and I would sit in bed. We would do all of the Hypnobirthing courses, listen to the tracks, watch the videos, and then we had one in-house visit where we went through all of the positions and acupressure and things like that that I wanted for pain management during birth. That was really good then I think from 37 weeks, I started doing all of the things. I was doing raspberry leaf tea, eating Medjool dates, and sitting on the birth ball. In my head, I felt like I was really getting prepared in the best way possible. Now I know in my third birth, I thought I was but I wasn't as prepared as I probably could have been. I was still doing more than what I did for my first birth. I had one chiropractic appointment at 38 weeks to get everything balanced and aligned. I never had chiro before so that was all new to me. Then at 39 weeks, I had an acupuncture appointment. I had never done acupuncture before and I loved that. I felt that was really nice. I think it was just my hands and my ankles and then they just put the music on and I felt so relaxed. I really loved that. That was good. I remember when I went in, I said, “I hope I haven't left it at too late.” They said, “You're pretty much a first-time mom. You've never had labor. Your body has never been through that.” He did some statistics and he said to me that from 40-41 weeks was the average time. I remember with Nate, when I got to 40 weeks, I thought the baby was going to come any day so with this pregnancy, I pushed it out to 41 weeks. In my head, that was when my due date was. I don't know what I would have done if I got to 41 and I hadn't gone into labor but I had that I was going to 41 weeks. I had an online hospital tour. We couldn't go in to see it because of COVID then I had an online appointment at 39 weeks. When you have midwifery care, you still have to be signed off by an obstetrician in the hospital to give you the okay and run through all of the stats and everything. I was prepared to be up against an uphill battle when I went to that appointment. They were pretty supportive. They just talked about postdates, the risk of rupture, and things like that. I said I was comfortable going to 41 weeks and reassessing then so I think that was around 39-40 weeks and then we were rebooked in for 41 weeks if I hadn't gone in. So then I think I was 40– oh, sorry. I'm jumping around a bit. My due date was a week after Nate's second birthday so in my head, I just wanted to get to Nate's birthday and then the baby could come after. We had a little birthday celebration for Nate a few days before I went into labor. We were happy that was done then at 40+3, in the afternoon at about 4:00 I felt a few little tinges but obviously, I didn't know what anything was so I was thinking this might be it or this could be prodromal labor or Braxton Hicks. I just wasn't sure. I was like, well, I know from the podcast that I don't pay attention to it. I'm just going to go about my normal routine with Nate. I'll get dinner, do bathtime, all of those things, and try not to focus on it too much thinking it might either go away–Meagan: Or fizzle out. Lauren: Yeah. In my head, I'm like, It can take days. By 4:00 it started, then by 7:00, I was getting Nate ready for bed. He was in a cot at this stage. I remember taking a big breath in and slowly exhaling like in Hypnobirthing. I noticed I was having to do that as I put him to bed. I remember being so excited like, This is happening. My body was doing it naturally. I really wanted to try to not get induced if I could avoid it. I remember I really had to focus on my breathing. I was leaning on the bed with my knees on the floor leaning on my bed and just breathing and really trying to relax and listening to my Hypnobirthing tracks. The plan was my mum was going to come over and watch Nate if I went into labor at nighttime. I think it was around 10:00 and I think someone said from one of the podcasts as well to gauge the distance you need to go with how well you are managing and how well the drive is going to take if you're going to be okay. I called my mum to come. I was like, “I feel like I'm not struggling but it is ramping up a little bit.” I was like, “I don't know how much longer I can be at home and sitting in the car for a half hour to go.” She arrived. We called the midwives and we let them know we were going into hospital. My mum came and you could just see she was like, “Oh gosh.” She had me naturally. She had three naturals and then her fourth was a Cesarean. She couldn't understand why I wasn't trying for a Cesarean because I already had one and why would I not just have another one?Meagan: Why would you not just do that, yeah? Lauren: She came and I remember walking out of my room to the front and I had to stop a few times on the way and stand in the garage and just take a few breaths between each contraction. I went to go sit in the car. In my head, I thought I was going to be on my knees leaning over the chair. I just couldn't even fit down in that area so I was up against the back of the chair. Obviously, it was not comfortable but I was just thinking if anybody was driving on the freeway and looking, it would have been such a funny sight. I still had my podcast in and I was really focusing on breathing. Josh was just driving. He had never been to any of the appointments with me because of COVID. He hadn't been to the hospital so we were almost there and his navigation was doing funny things. I had to in the middle of labor try to direct him on how to get to the hospital. We pulled up and I just automatically went to where I would park for all of my appointments which wasn't in the front of the hospital. I went to get out of the car and I was like, “I can't walk to the front of the hospital,” so I had to get back in. We drove right to the front and then we went in and we had to get assessed for the COVID triage which was a real pain. We had to wait and do that before we could walk in and get triaged. I think we arrived at the hospital around 11:00. We got admitted at 11:00 at night and then we were triaged maybe at 11:30. By that stage, my contractions were every 3 minutes and lasting about 40-50 seconds. I had a vaginal exam and I was 4 centimeters. I remember just being so excited because I was already progressing. I was hoping I would be further along, but I was like, “4 centimeters is good.” I was 90% effaced and I was thin and soft so I was like, “Oh, that's good.” I think by midnight we had gone to the labor and delivery suite. They dimmed the lights per my request. I asked to go in the shower because I really wanted to be in the shower. They told me I had to wait until my midwife had come because she wasn't at the hospital. Meagan: They checked you and got everything assessed. Lauren: Yeah, so I had to wait. That was fine. I was at the stage. I was leaning on the bed swaying. Josh was doing a bit of acupressure on my back and I was really enjoying it at that time. My midwife got there at about 1:00. I was still coping well through it. By 1:30, I don't think it was my midwife. I think it was one of the hospital midwives who came in and assessed me again. I was at 6 centimeters and I was -2. There were a little bit of complicated decels on the CTG and momentarily in my head, I was like, Oh no, not again. It evened out and it was okay so I think it just must have been a bad reading because of the bulky monitors that they had to put on. They didn't have the mobile ones. It was the bands that you had to be attached to and monitoring. They suggested to artificially break my waters and I hadn't felt too much about that in my prep. I think I was just focused on going into labor naturally as opposed to actually being in labor. They asked to break my waters. I had gas for that and I remember getting on the bed to do that which I think was one of my first bad things because then I never got off the bed once I got on there to do that. I couldn't manage to get back off. I wish I would have known or asked to be helped to get taken off but I was just not in the position to get off the bed. I was stuck there. Yeah. I didn't remember this but when I read in my notes, they offered me a Cesarean at that point and I was like, “No. I'm trying for a VBAC,” so they said, “That's okay.” We tried repositioning some fluids and then the CTG was back to where they were happy with it. Then at about a half hour later, I was on my side. I felt a bit of pressure and my sound changed a little bit. I remember my midwife saying to me, “Oh Lauren, that sounded a bit pushy.” It felt a bit pushy so I was like, “Oh, that was really exciting.” That was at 2:00 and at 2:30 in the morning, they assessed me and I was fully dilated. I was so excited. They were seeing some complicated decels on the monitor. I think they said– do you know what the normal heart rate is? I've written them all down but they were saying it was 140 without a contraction and then they'd ask the registrar to come in the room so the registrar came in to see what the CTG was doing for progress and pushing. I had a bit of a funny moment. When I was doing the pushing, I was on gas. I must have taken a big inhale of the gas and my vision went dark. I couldn't see anything. I remember getting a bit scared at that point. I didn't know what was happening. I could hear everything and I could feel everything but I just couldn't see. I think it was just from inhaling the gas and the contraction and something. Meagan: It was just too much all at once. Lauren: Yeah. It was really scary but it was a one-off and it was fine after that. Then I think at 2:40, the ped was paged to come in and attend delivery so I think at this stage they still thought things were happening and we were going to have a baby vaginally. 5 minutes later, they gave me an in-dwelling catheter to drain my bladder in case that was creating a blockage for the baby to come down. Meagan: Which is actually something that does happen. Lauren: Yeah. Meagan: If baby is not coming down, sometimes it's urine blocking. Lauren: Yeah. They said, “Only 50mL came out so it wasn't a lot,” but I was like, well that was good. At least they tried that. They said the registrar did an IV and said that it was ROP so right occiput posterior so not in a great position and at my spine. They said there was some descent with pushing but not enough. I think that's when they decided to call to be transferred to theater. The plan was to have a spinal and try for some instrumental assistance to get the baby out. I think at that point, it was quite quick. It was quite intense and I was relieved. I didn't think I had it in me to push anymore so I agreed to go up to theater and have forceps or manual rotation to help assist the baby out. We got up to theater and I think they called them at 2:40. We got to theater at 3:20 so it wasn't that long of a wait but it felt like an eternity when my body was contracting and pushing and they were telling me not to push and just to pant through the contractions. I just remember it felt like a really long time. I will never forget that we got to theater. I had to sit up on the edge of the bed and the person trying to put my spinal in asked me to scoot up the bed. I was sitting there mid-contraction and I just remember looking at my midwife and I was like, “You'll just have to wait until after this contraction and then I can just move up for the spinal.” I got the spinal and they discussed the options of an episiotomy and using forceps to aid the baby. At that stage, I said, “Yep, whatever we need to do,” I would really like to try to get him out. They tried a manual rotation while pushing and his heart rate dropped to 93. They assessed the position and then maybe decided to do the forceps. They must have said that then changed to apply a vacuum because then they did a vacuum and they went to do the first pull and his heart rate dropped to 67. They did another pull and his heart was up at 133. Then a couple of minutes later, they decided to do forceps. They attempted to do the forceps. They applied them and his heart rate dropped to 86 then they reapplied to get a better position around his head and his heart rate again dropped to 75. The baby, even though he had changed position and was now facing– I think his head was facing my back which was OA and he was at a -1 station, they obviously thought he was just not in a great enough position to aid him out so they decided to convert to a Cesarean. I remember at that point, I didn't feel like it was a failure or I hadn't done it because they had given me every opportunity to try and I still got to experience so much more than I had with my first birth. Even though I still didn't end up with a vaginal birth, I got 95% of the way and I was still so happy and proud of my body for getting to that point. I was just like, if they couldn't even get him out with forceps, there was no way I was going to be able to do it. I was quite happy and content with the decision. They did say he had been down there quite a bit so he might come out not great. Because he was so far down, they did have to– and they did write the word “extract” him which I thought was quite an interesting term to use but the extraction was breech because he was so far low. He came out. His APGARs were 8/9. He was 7.4 pounds and a similar size in length to my first. I think we were there maybe for an hour or two in recovery. He fed straightaway and then we returned to the ward. On my notes, it said, “Repeat C-section due to failed TOLAC.” I was just like, I had that word “failed” but I understand that's the terminology they used. It says that about an hour later, we had a debrief. They came back into the room and went through all of the happenings and made sure I was okay with it all. They actually discussed any future deliveries and the recommendation for an elective Cesarean. I don't even remember that conversation. Meagan: Oh really? Lauren: Yeah. I don't even remember so when I went back through my notes, I was like, “Oh, that's interesting.” Then in the notes, it also says, “CPD?” I can't pronounce that word either. Cephalic Pelvic Dysproportion. They said that and then they also said there was a small extension to the upper midline of my Cesarean incision. I had my normal scar and then it obviously had come farther up and it said it was sutured separately on the uterus. I'm reading it in real-time now but I didn't realize that until my recent birth when I went back through my notes with my midwife. I was like, Well, that's really interesting. They obviously told me but I must have not registered that at the time. Then obviously we were in hospital due to COVID so Josh wasn't allowed to stay with us. An hour after his birth, he had to leave and being a Cesarean, I was in hospital for a few days and my other son, Nate, wasn't able to come in to visit us. I really missed out on us being a family of four for those first few days. Yeah. We got home. I think I was in there for two nights then we got discharged. They met us at the hospital and that drive home was really special. That was the first time they met was in the car driving home. We always knew we wanted a third but it was a lot, the transition to two, and we probably weren't ready straightaway. We gave it three years then when Call was two, we decided we would try again for baby number three. We fell pregnant really quickly with the first two so we just assumed that would happen this time and we were trying for a few months and it just didn't really happen. We were trying for 6 months and gave ourselves a bit of a breather and just let it take its natural course because we took the pressure off and then the both of us were saying before the boys were born a week apart in May and we found out we were pregnant with our third in between the middle of their birthdays. It was really special. May has always been a special month but yes, we had Nate's birthday. I found out we were pregnant then a few days later we had Call's birthday. So it was really special timing. I knew I wanted to try again. It would be our last baby. If I was going to have a natural birth, it would be this pregnancy. I went to go through the same model of care that I was with Call, but they had changed their practice. The midwife group that I went to no longer existed. It was the MGP so Midwifery Group Practice. They were based in the hospital this time so all of my appointments were in the hospital and they were VBAC-supportive. I think we went in and then you still have to have your OB appointments around 36 weeks and we didn't find out our gender with this one. We had the two boys and for our third, we weren't going to find out what we were having. I had the same sort of morning sickness with my third. I was a lot sicker this time. I knew this time I was going to have a student-midwife and a doula. I got a visit. Obviously, The VBAC Community group on Facebook, I posted in there and I also posted in a Western Australia VBAC support group there about recommendations for student-midwives and doulas. Then I spoke to a few of them and then obviously whoever I felt that connection with, I went with them. The doula– I did research doulas with Call, but I don't know why I didn't do it that time. I think that would have made a difference. I was like, this is the time I'm going to do it and I'm going to have a doula. We did that. I did a bit of a refresher for the Hypnobirthing as well. I met my doula at about 25 weeks and we sat. We met at a park and we just chatted for hours. She had a VBAC as well herself. Meagan: Oh, that's awesome. Lauren: Her second was a home birth and a surprise as well. She had a boy and then she had a surprise for her girl. So much was similar with our situations. I just felt like she was meant to be our doula. Yeah. So that was at 25 weeks and I think at 6 months, we had a suggestion of a fetal growth scan again which was the same and I was like, they were already preempting that but I was more prepared even if I went to that scan and it was a big baby that I would be okay with that. Then at 28 weeks, I did the normal blood test and the fasting for gestational diabetes. I didn't have it with the two boys and I had it this time around. That was a bit of a surprise. I didn't really know much about gestational diabetes. You have to do your three blood sugars after your fasting and the third one had to be under 8.5 and I was 8.5 so I was just on the cusp. I remember my midwife saying to me, “Who knows? If you had waited another 15 minutes before your blood test, you probably would have been fine.” Meagan: Yeah, it could have been lower. Lauren: I started snowballing with all of the things. I thought it was going to mean I was going to be induced for bigger babies and I didn't want to be induced. I had gone to 40 weeks with the boys so I didn't assume I would be having an early labor so I started really worrying about my chances of having a VBAC at that point. I did a lot of research and listened to podcasts with people who had gestational diabetes. I tried to get in a good headspace again. I just took it as a positive to eat healthier and watch what my weight gain and things like that this pregnancy. I had to check my blood sugar four times a day– after fasting in the morning first thing when you wake up, and then every two hours after a meal. I was able to manage it with just my diet which was really good so I didn't have to have insulin. Meagan: Insulin, yeah. That's awesome. Lauren: That was really good and then the diabetes, they were checking with me and I could change to testing every alternate day. Thankfully, I was able to manage it from that side but it just meant there was increased monitoring of the growth of the baby and my weight and things like that.I also had low iron which I never had with my first two pregnancies but this pregnancy was just a real curveball from the start. Yeah. So then at 29 weeks, I went in for my next appointment. I checked diabetes and everything was still fine. My youngest tested positive for COVID so that was a little bit of an interesting one. None of us got it which was really lucky so I didn't know how that would go being pregnant and getting COVID. I had noticed I started to lose a bit of my mucus plug which I've never experienced before and it was quite early but my midwife said, “That's fine. It doesn't mean anything. It can happen. It builds back up again.” But that was a bit different and exciting. Then I think at about 32 weeks was my appointment with my midwife and that was when we went through all of my previous births just as a debrief. Meagan: Op reports.Lauren: Yeah. That was a bit of an eye-opener because I think those things that we highlighted in Call's birth weren't really brought to my attention until this one. You could see as my midwife was reading it that she wasn't really aware of that either in the notes. It just said there was a sign of obstruction, a loss of station between the manual and the vacuum rotation, an inability to place the forceps, and an understanding of why the labor was abandoned and the vaginal birth. Then it says that a VBAC was not recommended. The midwives would still support me if I wanted to try for a VBAC after two and if I wanted an elective that they would support with that. I remember leaving feeling so disheartened. I was only 4 weeks away from my due date. I came home and I remember Josh and I talking it over and I was like, “Is it worth going through all of that over again just to get to that point of pushing and not being able to fit through my pelvis and being through a scary C-section again?” We went through all of our options and Josh was happy to support what I wanted but I was so torn. I didn't know but I kept coming back to a VBAC. I just didn't feel content with a Cesarean. I just said, “I'll never know if I don't try.” I spoke to my doula and I said that I was just frazzled. My head was all over the place. I had a good chat with her over the phone that stuck with me. She said, “Different baby, different birth.” Meagan: Absolutely. Lauren: I just kept saying that to myself. I think I listened to one of The VBAC Link podcasts and they said the same thing. It just was the right information that I needed to listen to at the time and the whole CPD with the pelvis. She said, “You don't even have an official diagnosis.” She said, “That's just somebody's opinion as to why they are saying that the baby didn't descend. He just wasn't in a great position.” She highlighted that they broke my waters at 6 centimeters before he even descended which maybe led to him being even more stuck. All of these things, and then I remember just trying to focus on positive VBAC stories and get my head in the right space so I was listening to lots of podcasts at this point and I was following a lot of Instagram pages about pelvic mobility. I didn't really do a lot of research about that with my first or my second pregnancies about your pelvic inlet, your pelvic outlet, internal and external rotation. This was all news to me and I really, really enjoyed that. It made sense that the pelvis is not rigid. It can move and I just kept visualizing that when I was trying to be positive toward this labor. I was doing a lot of exercises for only a couple of minutes at night before bed. I was doing a lot of window wipers where you lay back and rotate your knees from side to side, deep squats in the shower, I was doing a lot of lunges and just creating a lot of space and room that I felt like I could in my pelvis. I did a lot of visualization. I remember I just kept putting my hands between my legs and imagining feeling my baby's head. I don't know why I did that and it probably might seem a bit strange but I just really felt that and I was imagining going through labor and having that moment. Yeah. Meagan: It doesn't. Lauren: That was really quite powerful at that point to get back on the right track for having a VBAC. There were two other podcasts I was listening to which are Australian-based– The Great Birth Rebellion and that's really, really good, and The Midwife's Cauldron. They just question a lot of things that are expected or standard and not to question. I thought that was really good. One of the ladies who does The Midwife's Cauldron has a book called Reclaiming Childbirth as a Rite of Passage. I didn't get all the way through it but it was another thing like finding your podcast. It just really resonated with me and everything I read, I felt was meant for me. It was really, really powerful. The two Instagram pages that I followed were The Body Ready Method and they have little reels of exercises and things to do to get your body ready. Then I got to 35 weeks. We went through my last appointment and I was happy to go through with the VBAC and that they would support me. They advised of the standard guidelines of having an IV, CTG monitoring, and regular vaginal examinations. At 36 weeks, I had my OB appointment and I had my growth scan. The baby was in the 90th percentile. I thought I was going to have to say, “I know they can be inaccurate.” But the OB wasn't worried about that at all and he said, “Yep. Baby's size is fine.” He discussed the pros and cons. He pulled out graphs and figures and I was like, oh gosh. Here we go. He's going to tell me all of these problems. He was so pro-VBAC and supportive. He was from the UK and he said, “I came to Australia and I didn't realize what the problem with VBAC is.” They are so supportive in the UK with VBAC and the hospital I was going to has a 60% VBAC success rate which I was like, well that's pretty positive. I did my GBS screening and then he rebooked me in for 39 weeks. I'll never forget he said to me, “I'll see you at 39 weeks if you are still pregnant.” In my head, I was like, Of course, I'm still going to be pregnant because I went to 40 weeks with the boys so we will see you at 39 weeks and reassess.You don't have a set obstetrician either so you get whichever one is there. I was really hoping he would be at my next appointment and when I went into labor. At 37 weeks, we went on a little holiday down south. It was a big drive. We came back. I was having regular chiropractic appointments I should say. I had my chiro appointment when I got back. I had been sitting in the car and she mentioned that the baby was sitting asynclitic which is the head tilted. I thought, Oh no. I was so focused on getting the baby in a good position. She said, “It's probably because you were sitting for such a long time. It's no concern.” She realigned me and then gave me some pelvic tilt exercises to get into the right spot. Then on the 14th of January which was around 37, just before 38 weeks, we had a meet-up with my doula again just pre-birth to run through everything. She got to meet Josh and we left feeling really positive and excited and happy with everything. She was on call. I got to 38 weeks. I had an appointment on Thursday with my chiro and then on Friday, I was working from home. I still had another week. I was sitting on the exercise ball pretty much all day doing lots of circles and pelvic tilts. I had maybe one or two twinges and I was like, Oh, that's interesting. Nothing eventuated from that. Nothing through the night so I didn't really read too much into it. The next morning which was the 20th of January which was 38+2, Josh had to go down south for work which was a 3-hour drive away. A lot of people were like, “Oh, that's a bit dangerous.” I said, “Oh no, I'd rather he go now and be back for my due date.” I said that. I said, “I'd rather have you go now and be around for 40 weeks.” He headed off first thing Saturday morning. He did the drive. He did a full day's worth of work. It just was a normal day. At 4:30 in the afternoon, I got two boys in the car. We went to the shops. I had to do a bit of shopping for a birthday the next day. Then at 5:00, I do Click and Collect. I don't know if you have that but you do your grocery shopping. You pull up. They just put it in your boots and then you drive home. Meagan: Yes. We do have that. Grocery pickup is what we call it. Lauren: They came out from COVID and I just haven't stopped doing that. It's so handy with children. That was at 5:00. We did that. We got home. At about 7:00, I'm getting the boys ready for bed. They were in the bath. I was just tidying up a few things. I squatted down to pick a few things up and I had a bit of a leak. I was like, I just felt like I wet myself a little bit, but not a gush. Not anything. I had a pad on so it was just a little bit of water. I called Josh. I said, “I don't know if this is anything, but maybe just have an early night. If things do start to happen, you might have to drive home early in the morning to get back.” This was at 7:00 then at about a quarter past 7:00, I sent a photo to my friends because they were out. I was just at home. I bought a special birthing robe. I just for some reason put it on that night. I was sitting on the couch in my birthing robe. I took a photo and sent it to them completely oblivious of what was about to unfold. I got the boys in their pajamas and brushed their teeth. We were getting ready for bed and it was about just before 8:00 and I had a little bit of a cramp so I was like, Oh. It was really weird because with my previous birth, I didn't notice the contractions or take note of them for a long time. But at 7:55 was my first contraction and then 10 past 8:00 was my next one. I was like, Oh. That's weird. It was 15 minutes later. The next one came 5 minutes later. I was like, That's weird. The next one was 4 minutes. I was like, That's weird. I stopped writing them down. I was like, Obviously, I'm not writing them down properly. I must be doing something wrong because that just can't be right. During that, I must have gone to the toilet and there was a slight tinge of red in the bowl. I remember taking a photo of it being like, I'll just keep it. Meagan: Like some bloody show?Lauren: Yeah, but not a lot. Really faint in the water. I took a photo because I wasn't even sure if it was there. Then at about 8:20, I called Josh again and said, “Maybe start heading back because things might be happening. The contractions don't seem like they are slowing down but we will just see what happens in the next few hours but it's 3 hours so maybe start heading back.” I called my mum at that point as well. She was an hour up north. She never goes up there but she had just gone for a day trip so she was away as well. At that point, the boys were still awake and I couldn't get them. I wasn't capable of getting them into bed and doing all of that. I said, “Just pop on the couch,” and they were watching Bluey which is a TV show they love. They were watching that and I just hopped in the shower. It must have been 8:30 at that time and I called Megan, my doula. The plan was I was going to labor at home as long as possible and she was just going to meet us at the hospital. I called her and I just said, “Josh isn't here. My mum's not here. I'm alone with my boys. I'm going to try and put them to bed and focus and get into my breathing techniques and then I'll check in and touch base with how I'm going.”That was about 8:30 then 10-15 minutes after that, I jumped in the shower and things started to ramp up quite a bit. I was really upset because I was in the shower thinking that would be my mode of pain relief and it just was not. Meagan: Uh-huh or slow it down. Lauren: Yeah, I've heard that as well. If you hop in the shower, it will slow down if it's not the real thing. It did nothing and I was like, Oh no. This is not good. I remember thinking to myself, I just need to press pause. I just need to stop this because it can't be happening right now because I'm literally on my own. This is not how it was supposed to happen. I was in the shower and then I had a little bit of a bloody show in the shower and then at that point, I called my doula again. I was like, “I think you need to come over. I just need a little bit of support just to watch the boys.” In my head, I was still thinking I had hours to go. In my head, I was like, If you could just watch the boys until Josh gets here, then you can head home and we can give you a call when we head into hospital. At that point, I got out of the shower because it wasn't doing anything. The contractions started to feel different. It felt like I was having to bear down a little bit. I was like, Okay. But I still feel like I was oblivious because I just– it was so quick. In my head, it wasn't happening that fast. I remember thinking, When I get to the hospital, I'm not going to be able to do this all night. I'm going to get the epidural because it's too much. I got out of the shower and Megan had given me a TENS machine. I was like, that is in the bedroom. I'll get the TENS machine. I couldn't even make it to my bedroom to get my TENS machine. I was like, oh goodness. I put a nappy on and then I went and I sat down. I think I must have made it to the toilet so then I sat back on the toilet and that was a really comfortable, familiar place that I was sitting and I was sitting down there. That was really nice for the contractions to break through. My boys wouldn't have known what was going on. They kept coming in and checking and asking if I was okay. I said, “Yeah, mummy is fine. I think the baby is coming.” They knew something was going on because I was making some noises. My eldest was a little bit scared but he was okay and then I was sitting on the toilet and I remember I had locked the whole house up. We've got a side gate security door and a front door. I thought, Oh my god. When Megan arrives, she's not going to be able to get in. Nate found the keys for me and he gave them to me. He was so happy with himself that he gave me the keys and I managed through contractions to walk. It was probably 5 minutes to the front door and I only had a nappy on at this point. I was completely naked because I just got out of the shower and had a nappy on. I unlocked both doors. I was in a little side area and I thought, Goodness if anyone walks past and hears me and sees me– thankfully, it was late and nobody saw it but I don't know how I managed to do that. I got back in and I was on the toilet. I think that was around maybe 8:50 at that point when I had moved to the toilet. The light was off in the toilet and the hospital bag I had packed had lots of candles and LED lights to have to set the mood. In the boys' bathroom, I have one candle on which is just for their nightlight if they need to go to the toilet. That was the little nightlight that I had on in the toilet. That was actually quite nice to have a dark room with a little candle on. At this point, I'm sorry. I unlocked the door at about 9:00 and then it was 9:23 that my doula arrived. She came in and my eldest son, Nate, ran into the door and he was just so excited that somebody was there to help mum. He's like, “Mum's there. She's in the toilet.” I remember Megan coming in and she was so calm and she was so relaxed. She looked at me and she said, “Lauren, are you pushing?” I remember looking at her and I was like, “I think I'm pushing.” She just said, “Okay. I'm just going to call the ambulance.” She was on the phone and she was calling. I think in my head at this point, I still hadn't registered it was that sudden. I still just thought I was– Meagan: And this has been maybe 2 hours. Lauren: Yeah. 2 hours. You can push for hours so in my head, I was like, We've still got hours. We're fine. It was intense, but I was just so excited. Things were happening and it was all going. Then I don't know how we got to it but we called my neighbor to come over because my doula was trying to support me but then the boys were there. She said, “I just need somebody else to watch the boys.” My beautiful neighbor came over. We are friendly but not in the middle of birth naked friendly. She comes and the toilet is off the hallway so I remember her walking in and she's like, “Hi.” I was like, “Sorry, Adrienne.” I was pushing and she was walking off the hallway to sit with the boys on the couch. I was about to have a baby. It was so crazy. Yes. I think that was just about 9:30. Megan gave me some water and she was rubbing my back. She put a cold towel on my back and I was still sitting on the toilet at this point and my legs were quite shaky. I just felt a bit sweaty then I instinctively just got up to move to sit on my knees in the toilet and that toilet's not very big. You can put your arms up and hold the walls. I was on there on my knees. I had one leg up and I was rocking, circling my hips. I was doing all of the things and just instinctively. I didn't really notice that I was doing them. Then I think she had towels and she had pillows. She was still on the phone to the ambulance that were coming. I'll never forget. The guy on the phone was just like, “Put her on her back. She needs to be. Can you get her on her back? You need to be able to see.” They were asking her to tell them when I was having contractions. I remember we were looking and each other and I'm like, “He can hear when I'm having a contraction. I'm starting to make the noises.” Megan would just be like, “Now.” He could tell when I was having contractions. Obviously, he had a script to read off but it was so obvious when I was contracting and when I wasn't. The head wasn't there but I could feel bulging. I remember putting my hand down there and I was just so excited and happy. I was just so calm. I don't know how because none of it was planned. It was happening so quickly. I guess there was no time to really process it or even think about it or get scared about it. It was just happening. There were two paramedics that arrived. This was just before 10:00 at this point. I was there. I could feel bulging. There was still no head or anything yet. They came in and they turned the lights on in the toilet and I was like, “Oh no.” It was too bright. They turned it off. They looked at me and said, “Lauren, are you okay? Do you need anything?” I don't even know if I could speak. I just shook my head. In hindsight, we couldn't have gone. It was too late. We couldn't have gone anywhere anyway but they just stood back. They turned the light off and they literally just watched which was so special. They didn't interfere. They didn't try to take over. They just sort of let me go and I don't know how it happened but the doula gave the paramedics my phone and they recorded the birth. Meagan: Oh that's awesome. Lauren: Yeah, which was not planned. I guess it was so special because Josh was still an hour away. Meagan: Yeah, and your mom? Lauren: My mum wasn't there so at least they could see it. I'm so glad that they thought to do that and to record it. They were recording it and I was getting close. I remember in the video, you can hear me say, “I can't do this anymore.” Obviously, I was very, very close and I put my hand down. I was just saying, “Ow, ow, ow, ow,” because I could feel the stretch. I know people call it the ring of fire but I tried not to think of it like that. I tried to just visualize the stretching of everything. Then I could feel the baby's head and then I just remember sobbing because I was so happy. I could feel and I was saying, “Ow, ow, ow, ow,” and then her head– I didn't know it was her at the time, but her head sort of popped out through my contraction. You could just see my relief. I was so happy and she cried. Her head was out and she made two little cries. Meagan: She did? Lauren: I've never heard of that happening before. Meagan: I have never seen that ever.Lauren: Yeah, it was incredible. Even the doula was like, “What in the world?” I knew she was fine at that stage. I heard the little cries then it was maybe a minute before the next contraction then I was like, “She's coming out.” The doula had her hand under. She guided her head to me and then her shoulders and I just pulled her up to me. It was just– yeah. The look on my face. I just could not believe it. I had done it. I think I just kept saying, “Oh my god. Oh my god.” I just held her. I keep saying her but I held the baby. I just could not believe that she had come out just so quickly and so easily. I was so worried in the lead-up that the baby would get stuck or I wouldn't be able to get the baby out and none of that was even in my mind at that point. She just was there. I was holding her and it was the most incredible, special moment. Even now, even when I hold the top of her head, I always remember feeling her head coming out. Yeah. I don't even know if I'm doing it justice because it was just the most incredible feeling. I was holding her. Our neighbor brought the boys down so within the first minute, she's walking down the hallway and she had Nate and Call and they were both in the doorway of the toilet looking at me holding their little baby. My youngest sort of looked in and was like, “No.” He just walked away. It was all a bit much for him. Then my eldest walked straight in. Stuff was everywhere and he was so brave. He walked straight in and was like, “Mummy had the baby. The baby is here.” I said to him, “We don't know what it is. Do you want to have a look and see if it's a boy or a girl?” He looked down and I said, “Is there a vagina or a willy?” He looked down and the whole time he said he thought she was going to be a girl. He goes, “I think it's a girl.” He looked down and I don't know what he saw, but he said it was a boy. I was like, “Is it another boy?” He must have seen something that he thought looked like a willy. Meagan: Maybe an umbilical cord or something. Lauren: Yeah, maybe the cord or swelling but they get quite swollen so he might have thought it looked like little testes so he said, “It's a boy,” and Megan whispered something in his ear and in that split second, I was just like, Oh my gosh. It's not a boy. I'm like, “Is it a girl?” I just couldn't believe it. The fact that she was such a surprise, her birth, and the way she came, and then that she was a girl as well and then we were just sitting there in the toilet for so long and then we were like, “Oh, we'd better call Josh.” Megan was like, “I'll call Josh.” She said, “You need to pull over Josh. Can you pull over?” He was on the highway doing 110 to get back to us. He was like, “Okay.” So we FaceTimed him and I'm just sitting on the floor holding Wren on the toilet saying, “She's here. We had the baby.” He was so happy. He was still an hour away. My mum– I think we just sat in the toilet. My mum arrived 20 minutes after she was born. She just came and sat on the floor of the toilet with me. We just sat in there. She couldn't believe it. Then about maybe 40 minutes after, we walked up and I was able to sit in my own bed and I sat in the bed. They were sort of a bit worried about the placenta and things like that. I hadn't birthed the placenta yet. They asked if I wanted to cut the cord. I said that I wanted to leave it as long as possible until it goes white. We were hoping for Josh to come at that point so then I was sitting down. I stood up for a little bit and I remember my mum was in the bed with me and my doula was there. I said, “Oh, I'm so sorry. I think I need to do a number two.” Then she was like, “No, I think that's your placenta.” Meagan: Probably your placenta sitting in there. Lauren: The placenta came straight out and she caught it in one of my mixing bowls because we didn't have anything prepared. She stayed attached to that for a while. Because they had gestational diabetes, they had to do a heel prick on Wren. Her sugars were fine. Josh was still about an hour away. We didn't even have a capsule for the car so I hadn't picked up the capsule so we got transferred because she came so early. We got transferred to the hospital in the amublance and Josh met us there at 10:30. I should say she was born at 10:09 which was just pretty much 2 hours. Meagan: So 7:40-something to 10:09. Lauren: I remember the midwives when we got to the hospital were like, “Why didn't you know?” I was like, “I just had no idea that it was happening that suddenly.” Now looking back, obviously, the signs were all there but it wasn't happening that quickly in my head. We got to the hospital and Josh got to meet us at the entrance and it was so special. I just still could not believe that it had happened and I was on this high. I was just so incredibly happy. We went in and they just didn't know what to do with us. They didn't know to put us in labor and delivery or to take us to the maternity ward. We went to labor and delivery. They did all of the assessments. She was my biggest baby. She was 7.8 pounds so 3.5 kilos compared to the boys so it's quite funny that Call wasn't able to come out but she was able to come out. I think it was just positioning and I was relaxed. I was at home. I didn't have any interventions or anything played a huge part in it. They did an assessment. I think her APGARs were in the hospital but she was 10 and 10. She was perfect. They did assess me for a tear and I remember saying, “Oh, I don't think I teared,” because in my head if I had torn, I thought it would have been a painful feeling. I actually had a 2nd-degree tear which I didn't realize so I had to have some local anesthetic which was probably the most painful part of it all. It was excruciating. I had to have stitches for that and then just a superficial tear at the top. Josh actually went home at that point because we still had a few hours before we could get discharged. He drove 3 hours in the morning, worked the whole day, drove 3 hours, hadn't slept for 24 hours. I said, “You go to your parents. Have a quick sleep.” He came back. They did a few checks on Wren. She had to go to the special care nursery just for some monitoring really quickly because there was a difference on some of her monitoring with her heart rate. They did an echo which came back fine so there was no follow-up. It must have been a funny reading. They were all fine so I think we got discharged at about 9:00 the next morning. She was born at 10:00 at night. We went to the hospital at midnight. We left there at 9:00 in the morning and were back home literally within a few hours with the boys. It was just so surreal and so special compared to the other two birth experiences that I had. One, to be able to get up and walk around and just do things without being conscious of a scar and recovery and things like that and even when I walked in home– because my mum had stayed at home with the two boys, she said, “You don't even look like you just had a baby.” I just felt like I was on top of the world. It was such a different experience. I remember saying to her that obviously I didn't know what it was going to be like but now that I've experienced it, I can't imagine going through life never having experienced that and having birth that way. It was just so– I remember a few of the midwives looked at me as if I had planned to have a home birth and I was like, “Absolutely not. There was no way I would have planned it like that with no support, with nobody here.” Meagan: Yeah. You're like, I would not have planned to do that. Lauren: My boys didn't know anything about natural birth. I was going to the hospital to have a baby and coming back with their baby brother or sister. There was no way that I was– that was a bit funny. I was like, no. It was not planned. It was all very sudden. I remember my doula said to me in the coming days after Wren was born, “How special for Wren to have been born that way and then also for you

Births at Home
26. Hedi's Military Base Homebirth After Cesarean

Births at Home

Play Episode Listen Later Sep 23, 2024 38:13


Heidi shares her journey of choosing an HBAC as a mama who's family is in the military and stationed on base. After her first birth taking an unexpected turn from a natural birth center birth to a cesarean in the hospital, Heidi decided to take authority over her birth and have a VBAC at home. Heidi's Instagram: https://www.instagram.com/outside.mama/ Homebirth Starter Bundle FREEBIE: ⁠⁠⁠https://births-at-home.ck.page/26dda2ba06⁠⁠⁠ The Empowered Homebirth Course: ⁠⁠⁠https://birthsathome.com/pages/empowered-homebirth-course⁠⁠⁠ Follow Esmeralda on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/birthsathome/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠My website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://birthsathome.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠More links: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://msha.ke/birthsathome⁠⁠⁠⁠⁠⁠

The VBAC Link
Episode 333 Shelby's HBAC after Placental Abruption + Faith Over Fear + Defining True Physiological Birth

The VBAC Link

Play Episode Listen Later Sep 9, 2024 53:26


“My birth stories are my testimony…I have never trusted God more with any situation in my entire life other than with the lives of my children and bringing them into this world.”Shelby's story is one of faith, trust, and surrendering. Shelby joins us today from Indiana sharing her wildly traumatic Cesarean story due to a placental abruption and her peaceful, healing home birth. Shelby was on vacation at a cabin in New York at 34 weeks when she woke up to regular contractions and heavy bleeding. She rushed to the nearest hospital, was put under general anesthesia for her Cesarean, was transferred via a separate ambulance from her baby to a hospital 3 hours away, and had a 23-day NICU stay in the height of COVID 800 miles away from her family and community.She and her husband were certain they would not have any more children. But as they fought for healing through faith-based counseling, their hearts yearned for another baby and a chance at a healing birth experience. She completely surrendered, found holistic prenatal care, and created a birth space for herself where she knew she felt safe. She was brave and vulnerable, and her second birth was everything she hoped it would be. As Meagan says at the end of this episode, “Get educated. Love yourself. Have faith in you and your body and your baby. You are amazing. You are a true Woman of Strength.”How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength, we have our friend, Shelby, here with us today sharing her HBAC story. In addition to her HBAC story, she's got some other unique things that I think are going to be important for us to talk about today. One is placental abruption. That is something that is definitely a reason for a Cesarean and one of those absolute needed reasons for a Cesarean. We are going to talk a little bit more about that and then we are going to talk about faith and how faith in whatever faith looks like to you, it's so important to cling onto that. Shelby has some messages about that. Then we really want to talk about physiological birth. We hear it. We see it online. I mean, if you go on Instagram and you go into the birth world, you're going to see it almost 100% guaranteed but what does that really mean? We're going to be diving in with that today. Shelby, you are in– where did it say, Indiana? Shelby: Indiana, yeah. Meagan: I have to look at my notes. Indianapolis, Indiana. She's in Indiana so Women of Strength, if you are coming from her area, definitely listen up as well. Okay, so we have a Review of the week and this is by birthing confident. It says, “Invaluable information. I love this podcast. As a mom planning a VBAC and a VBAC-trained birth doula, the information shared on this podcast is invaluable. I have become so passionate about helping all women know their birth options and avoid unnecessary C-sections. I think this podcast is great for all expectant mothers” and I 100% agree with that. This podcast is for anyone and everyone because like she said we are wanting to help people avoid unnecessary and/or undesired Cesareans. We have a ridiculous Cesarean rate. It is through the roof. I would love to see it start dropping and I don't know if this podcast truly is going to impact the Cesarean rate the way I would love it to, but I do believe that it's a starting point. It's a starting place for you guys to learn your options for birth after Cesarean and to learn how to have a better Cesarean experience if you have one because that's also a really important factor that I think a lot of people forget about. Not only do we share just VBAC stories, but we do share healing, beautiful CBAC stories and repeat Cesareans. Thank you so much, birthingconfident, for your review. As always, please if you haven't yet, leave us a review. You can do so on Apple Podcasts. You can message us. You can rate us on Spotify and all of the places that you listen to your podcast. Meagan: Okay, cute Shelby. Welcome to the show. Shelby: Thank you. I'm so excited. Meagan: I am so excited. So let's dive in. I am actually really excited to talk a little bit more about placental abruption as well and hear about your experience. Shelby: Yeah. I don't think I even knew it was a thing honestly before it happened to me. I think it's something that people don't really talk about and it's probably a good thing because it's really scary but also, it would have been good to maybe know what was going on. I know it wouldn't have changed the outcome, but yeah. I just had no idea that was even something that could happen. With my first pregnancy, it was very run-of-the-mill. Everything was good and I was planning on birthing at a birthing center in Indianapolis so I was still going for that natural, unmedicated birth. I didn't really know anything that went into that as you do with your first and I feel like you do the typical making the baby registry and doing all of these things that don't really actually help you with your birth. Not that I would have gotten the chance to even try anyway. I feel like I just definitely didn't really have much knowledge and I think the problem is that you don't know what you don't know which is why I literally recommend this podcast to all of my friends who are even pregnant with their first baby because I'm like, “Just learn the things. Learn all of the things.” We took a very basic birthing course through the birthing center and it was just virtual, like four sessions and it was not super helpful honestly but we also didn't get to implement it. The pregnancy itself was just very normal. I mean, I have pretty much all of the symptoms which is the worst like really horrible rib pain and nausea and heartburn and all of the things. What was crazy though, this was in 2021 and I actually got COVID while I was pregnant also. Everyone I've talked to thinks that's probably why I had a placental abruption.Meagan: That's interesting to know. Shelby: Yeah. I had it in about my 5th month of pregnancy in September and I was due in January. It was horrible for a week but then I recovered and I was back to working out. I was totally fine. I didn't have any blood pressure issues after that. Everything reallly seemed okay. We decided at 33 weeks that we were going to go to New York which is really far away from Indiana on vacation for Thanksgiving to gather with all of my husband's family. My midwives cleared it. Like I said, I was working out. I was healthy. I was fine. The trip was going super well. I was working out while we were there. I was doing barre obviously so I was doing safe things. Fitness is a really big part of my life but also, it's not something I added in during pregnancy. It was just normal for me. Meagan: I used to take barre too. I took barre and was teaching barre with my second TOLAC. It's a very low impact but very, very good for strength and cardio. Shelby: Yeah, and my husband and my father-in-law were doing them with me so we have some really awesome videos of me at 34 weeks pregnant working out with my husband and my father-in-law doing barre. But yeah. Everything was going well and anything that was slightly risky which really even wasn't, I wasn't doing. They did this office chair floor hockey where they were pushing each other around in office chairs and playing hockey in a building and I didn't do it. I sat on the sidelines and observed. I was being really what I feel like was cautious. Meagan: Responsible. Shelby: Right, yeah. We even took family pictures on Saturday and everything, I have pictures of us smiling and laughing and then literally the next day we had a baby which was crazy. I start having Braxton Hicks contractions at 20 weeks. For both of my pregnancies, I just feel like I start having them really early so they are not shocking for me. But that Saturday, I remember several times looking at my husband and being like, “These feel a little stronger than I remember them being,” but with your first, you don't know anything. I kept mentioning that to him but they weren't super regular and there were no other signs of anything, just Braxton Hicks contractions. Then that night when we went to bed, I couldn't really sleep. I was laying there by myself the only one awake. We were all staying in this big cabin together which was great. My husband and I were in our room. At 4:00 AM– this is so funny to me now that I know what labor is actually like. At 4:00 AM, I started timing contractions and they were less than 5 minutes apart when I started timing them. I'm like, What was wrong with me?So after an hour of them being like that, I woke my husband up and I was like, “I think you should go get your mom,” because she is actually a midwife which was good. Meagan: Oh, convenient. Shelby: She was in the room next to us. Yeah. I was like, “I think you should go get your mom because this is not right.” They were not just less than 5 minutes apart. They were pretty uncomfortable. She came over and checked things out. I know now that she definitely knew that something was going on but she was really good at keeping her cool. She was like, “Why don't you go shower and try to relax?” When I went to go to the bathroom and shower, I started bleeding. Like I said, I knew nothing about labor, so I was like, “Oh, well maybe I am in labor” which was really scary because I was only 34 weeks but it was a lot of bleeding. I was like, “Well, I don't know what's normal,” but I know that obviously, my mother-in-law knew what was going on. She was like, “It's okay. We'll have Chad (my father-in-law) just go start the car and we'll go in and get everything checked out.” So we were in the middle of the Adirondacks which is literally nowhere. We had a 25-minute drive to the nearest hospital and this hospital, I mean we were probably the only people there. It was 5:30 in the morning maybe. They didn't have an OB there. They didn't have a surgical team there. They were all at home so we come in and the front desk lady is like, “What's your occupation?” She's typing like a sloth. I was like, “Girlfriend, I am bleeding and I am in full-on labor. Can we just go inside?” So that was crazy. She's asking me to sign stuff and I'm telling my husband, “You have to sign.” At this point, contractions were pretty back-to-back and they were super strong. I could tell I was bleeding with every one. I could feel it. They got me back into the ER and the poor nurse. I know that this was probably so scary for her, especially with an OB not even there but she was asking me, “Have you felt her move recently? I can't find a heartbeat.” I was like, “I don't know. I'm in labor. I don't know if she's moving or not.” Every time I'd have a contraction, she'd just be like, “Oh wow, that's a lot of blood.” I'm like, “Thank you. I know.” Meagan: You're like, “I can feel it.” Shelby: Yeah, it was wild. By the time the OB got there, she checked. She said I was fully dilated and effaced. Meagan: Holy cow. Shelby: This was maybe 2 hours. It was not long. Now that I've been through a full labor, I'm like, that is crazy. My body had to have just been in panic mode like, We have to get this baby out right now.She checked and something that was kind of cool was I knew that my baby was head down. She had been from 20 weeks. She was perfectly always in the same spot because I could always feel her kicks really high and one of the times the OB checked, she goes, “Oh, and she's breech so we're just going to have to go.” I was like, “She's not breech. Check again. She's not breech.” She checked again and she was like, “Oh, you're right.” I was like, “Yeah.” So the nurse brings in all of the scrubs and stuff for my husband to put on and as he's getting dressed and everything, he's fully ready to go. He's all excited because he wasn't really super scared. Meagan: He didn't understand what was going on. Shelby: Yeah, but also, he's like, “I'm going to meet my baby today. This is so cool.” And the literal most gut-wrenching thing of my life was when the OB was like, “No, we don't have time. It's going to be under general. You can't come.” She wheeled me out of the room and I looked back and saw him standing there fully dressed just like yeah. It was awful. In that moment, I wasn't even worried about myself and I wasn't worried about the baby. I was just like, He's going to be traumatized from this. This is horrible. They took me back there and I'm in labor holding onto the top of the bed. I was only in there probably for a minute, but it is scary. The whole room is white and there is somebody over here counting instruments. They stick a mask on your face and you can barely breathe and then the next thing you know you wake up in recovery. I woke up as the only person in this room. There were maybe two guys sitting at the desk but that was it. Nobody else was there. They didn't say anything to me. Nobody told me if she was okay. I knew nothing. Yeah. I was just laying here. Eventually, my husband came in and he showed me pictures of her. He was like, “She's okay. She's on oxygen but she's doing all right.” But yeah. It was totally crazy. Then they moved me to– I don't even know. It probably wasn't actually a postpartum room. I don't even know if they have those at this hospital. I feel like they probably try to send everybody everywhere else. Then basically, they told me, “Hey, you have 10 minutes if you want to go see her and try to hold her before the ambulances get here to transfer you guys,” because there wasn't a NICU there and they probably weren't even– they couldn't have cared for her. I think as soon as we got there, they must have called Albany Medical Center because it's 3 hours away. She was born at 7:30 in the morning. I started timing contractions at 4:00 AM. We didn't leave until after 5:00. The whole thing was so fast. I'm getting ready to get out of bed and get in a wheelchair to go see her and they didn't warn me how much pain I would be in and they didn't really help me get out of bed either. As I went to stand up, I leaned back a little and after you've had a C-section, I almost passed out. Meagan: Oh my gosh. Oh my gosh. Shelby: Yeah, so I get in this wheelchair and I get in the room where she is. She's got the oxygen mask on and she's got all of these tubes and all of the things and you could tell in the pictures I was barely with it. What I remember bothering me the most is I had obviously been intubated so I felt like there was stuff in my throat because it was so swollen. My mouth was all dry and I got to hold her for a couple of minutes but it didn't even feel real. Then the NICU team got there. She was on one ambulance and I was on a different one and my husband was in a car so we were all separated for 3 hours to Albany. Halfway there, my ambulance– so hers left first, and halfway there, we passed hers pulled over on the side of the road. I started panicking. There was no communication between the two ambulances. Meagan: Oh my heavens. I'm dying right now. Shelby: Yeah. The EMT, bless her heart, was amazing. She was like, “It could be anything. It could be one of the monitors isn't hooked up right and they're just stopping to do that or they need to change out an oxygen tank and they can't do that while driving.” She helped me calm down a little bit. She probably shouldn't have said this, but we got closer to Albany and she said, “We don't need to panic.” I don't remember if she actually said this but she said, “Unless they pass us again going fast.” I kid you not but we were 5 minutes out from the hospital and her ambulance went by us with lights and sirens on. I had maybe seen her for 10 minutes before this and she couldn't contact the other ambulance. So just traumatizing, all of it. Thankfully, when we pulled into the hospital, the first thing that the guy on the baby's ambulance did was come over and say, “Everything is okay.” It was just something. They had a lead or something come off so they needed to stop and take care of it so it wasn't a big deal but it made it feel like a big deal. We are in New York still for all of this. We get in there and I have to get settled in the postpartum section and she has to get settled in the NICU and then finally, hours later, I was still bleeding a lot so they were trying to take care of that. They were doing the fundal rubs and I remember texting my mom and I was like, “If they do it again, I'm going to punch someone in the face,” because it was so awful. They were saying, “It's because the EMT didn't do them on the ride over that you are bleeding so much,” so they kept coming over and doing them. It was so awful. So then we had a 23-day NICU stay in New York, just my husband and I because no one else could even visit us because it was 2021 in New York which was pretty bad for COVID. Once I was discharged after 4 days, technically, the only visitors allowed were my husband and I with our NICU bracelets to see her. Even if they had someone come, they couldn't even come into the hospital. We didn't really want to leave the hospital because we wanted to be there with her. We were Ubering to Target. We didn't have a car because we flew there. We are Ubering to Target and thank goodness they had a Ronald McDonald house there so we were staying there and they supplied a lot of dinners and housing which was the biggest blessing in the world. I literally don't know what we would have done otherwise. Getting discharged without your baby is super horrible and she was only 4 pounds, 10 ounces so she was really little and nursing just never took off for us. I didn't get to try for a while even because she was being tube-fed and she could barely stay awake because she was so tiny. Every nurse that you'd have would tell you their tips and tricks which is great but not helpful when every 3 hours you are being told something different. We tried so hard and eventually got to the point where it was like, “Let's just get home. We are 800 miles from home and if it takes a bottle, that's fine. We just need to get home.” Yeah. After 23 days, my amazing mom drove to New York because we didn't even have a car seat. It was all at home. She picked us up and drove us back home. Meagan: Oh my gosh. Shelby: Yeah, so then you are coming home with this little 5-pound baby and you are like, “How are we even allowed to do this? She doesn't even barely fit in the car seat.” It was so crazy. After that, we were really unsure if we'd have more kids. Especially right after, we were like, “I don't know if we can do that again.” My husband and I always wanted lots of kids and a big family. That has always been something that we wanted so after that first experience– and you do a quick Google search of placental abruption and they say, “Once you've had one, it's 15% more likely that you'll have another one.”You're like, I can't go through that again. That was horrible. I knew that if we got pregnant again, I was like, I'm going to feel like a ticking time bomb. All of these also quick Google searches tell you that it can happen as early as 20 weeks. Thank goodness we made it to 34 but I'm like, If that happens at 20, baby is probably not going to make it. Meagan: That's a scary thought. That's a really scary thought. They really have advanced the medical world so much to a point where even when babies are born really, really preemie, there are higher chances than there used to be, but the thought of that in general is just too much to think about. Shelby: Oh yeah, and my mom who drove to New York to get us– which is probably part of the reason they discharged us. She's a NICU nurse so she actually knew how to feed this litle 5-pound baby who was still causing us feeding issues and all of the things, but I've obviously heard from her too the stories of the really early babies. I mean, even 29 weeks and I was like, It's just too much. But we also knew that we couldn't stay in that place because we both were not in a good place with it. My husband was obviously so traumatized for different reasons and I was too. It was just a lot. We started seeking out some faith-based counseling basically like spiritual reconciliationing kind of to work through it all because I knew even if we weren't going to have more kids, I could not just live with that raw the way it was. Meagan: Both of you needed to process that. Shelby: Yeah. We were just praying for the release of that and we even prayed over our poor baby because I was like, She's probably holding trauma from that too. The losses that I was experiencing were also losses for her. She missed out on the golden hour and a peaceful entry into this world. It would drive me crazy thinking that her first moments in this world were with people she didn't know and it was bright in the room and being hooked up to machines. I was like, That was probably so scary for her too. We could tell for a long time, probably her first 7 months that she was so sensory. I mean, just screamed and hated the car seat, hated transitions, hated bedtime. I mean, it was basically non-stop screaming for 7 months. I was like, You were supposed to be in the womb for 6 more weeks and instead, you were in the NICU with lights and sounds and all of the things. We just started praying really hard over all of it and speaking to some really trusted friends who worked through trauma with people. I started listening to The VBAC Link. This is probably when it started obsessively. I was doing Amazon deliveries just for fun on the side. I could take the baby with me so I'd put her in her car seat. This was eventually when she stopped screaming in the car seat so it took a while. I would put my AirPods in and while I did all of these deliveries, I would just listen to back to back to back episodes forever and for months. I think honestly that was probably what started getting me thinking even about more kids. I started learning about VBACs and how really the odds of having a VBAC are not that horrible and that it's really not any riskier than a second C-section and I was like, I really don't want another C-section because that was– I mean, I couldn't even roll over in bed by myself. My husband told me, “You don't usually need me, but that was the one time you actually needed me.” He was like, “Honestly, that was really hard to see you in that much pain and struggling that much.” I was like, “Yeah. I couldn't even pee by myself.” Meagan: Oh, I remember my husband literally helping with my second. He had to hold me up in the shower. I was like, “I just can't stand the whole time in the shower. Can you just hold me up and shower me?” I remember feeling so vulnerable and I was frustrated because I'm like, This isn't my personality. I'm very independent. Why is this happening? Yes. Shelby: Independent and strong. Yes. But also in my fashion, I was walking to the NICU by myself very slowly by day two. I'm like, What was wrong with me? But also, we didn't have a choice. I was about to be discharged. We had to figure something out. Thankfully, I didn't need to stay for 4 days, but because I had nowhere else to go, they were like, “You can stay all 4 days if you want.” I was like, “Okay, great.” But yeah, so I just started learning everything and consuming as much information as I could about physiological birth and about VBACs and there really isn't a ton of information about placental abruption. There are risk factors which I had none other than COVID which no one talks about yet because it had just started, but I didn't have high blood pressure. I obviously didn't do drugs. Meagan: You didn't have multiples. It was a singleton. Yeah. Shelby: It never happened before. My placenta was in a good location. Meagan: Your membranes hadn't ruptured. Shelby: Yeah, my water never ruptured with her so it was crazy. But around when she was probably 9 or 10 months, I couldn't even believe it, but I told my husband, “I'm not totally opposed to having another baby.”He was like, “For real?” We talked about it and we prayed about it a lot and I told God over and over again, “If I get pregnant again, this is going to be the biggest test of my trust in You ever because I know that if I try to worry about it, I'm going to go crazy. If I try to control the outcome which I can't, I'm going to go crazy.” So it basically was like, “If it happens, I'm just going to have to trust you with it fully. No holding back.” Actually, before we were even pregnant, started shopping around for providers. Meagan: That is key. That is so important. Shelby: Yeah. We do have one hospital locally that has midwives and birthing pools. I was like, “Okay, that sounds like a pretty good option for a VBAC.” We went to talk to them– well, I went by myself. I had my list of questions ready. I walked in ready to not take any crap because I also knew a lot about what they were probably going to say and they said, “Yeah.” First of all, they wouldn't call it a VBAC of course because nobody wants to do that. Meagan: TOLAC.Shelby: That was the first thing. I was like, “No. I'm going to do this.” Yeah, so they were like, “We'll allow you to try.” I was like, “Okay.” They were boasting about their VBAC rates and it was 60%. It was not very high and I was like, “Umm, okay. That's not that awesome, but all right.” They started listing off the things you have to do because I had all of these questions ready because I knew. So you have to have an IV hooked up. I was like, That's annoying. I was like, “Can you at least have the hep lock?” They said, “Yeah, that would be fine.” Then they said, “But you have to have continuous monitoring.” I was like, “Okay. I really, really don't want continuous monitoring,” and they try to make it sound better like, “Well, it's waterproof and it's mobile so you can still move around with it,” but I also knew about the statistics of continuous monitoring and how a lot of times they indicate things that aren't actually an issue and then especially if you are a VBAC patient, they're like, “Well, time for another C-section because baby's heart rate is dropping.” Baby's heart rate is supposed to fluctuate as they are descending. Meagan: Just like ours. Shelby: There was that and then they also said, “You can labor in the water, but VBACs aren't allowed to push in the water.” I was like, “Doesn't that defeat the purpose?” Especially if it's a VBAC patient, we should be doing everything we can to ease the labor. Why would you make them get out right when they are feeling like they need to push? They were like, “Oh, well it makes the OBs uncomfortable.” I was like, “Well, the OBs aren't delivering this baby so I don't really care what makes the OBs uncomfortable.”So they made me schedule out all of my prenatal appointments and I went to one of them but I told my husband, “I just don't want to have to fight for it. I know I can. I know that I can go in there and say ‘No thank you' and be confident in myself, but I don't really want to.” So I had never ever even considered a home birth. I don't even remember how, but we somehow heard about the only home birth midwife in our area and I scheduled an appointment with her. I didn't even get established with her until I was 19 weeks. I pushed out the OB care for a really long time when we found out we were pregnant because I knew we didn't really love them. So I just didn't go for a long time. I felt like everything was good. I felt like I was pretty in tune with everything. But yeah, I skipped a little bit but when we got pregnant with our second, it was a lot more immediate where I started praying about it all like, Okay God. This is for You because You are the only one who knows how long this baby is going to gestate and you're the only One who knows if it's going to end how we hope it does. I started praying. This is something. I started praying really specific prayers. I believe that God cares even about the little things which really aren't little things in this, but I prayed that my placenta would be in a good spot and I prayed that my placenta would be strong and that it would make it all the way to term and I prayed that this baby would make it all the way to term. Literally every little concern I had, I pretty much sat in the shower every day and just spoke it aloud. I was like, God, I know that You are a God of healing and restoration and I know that You can do that for me. I believed that through this birth, He was going to heal the trauma from our first because I was like, that feels like this is how it has to go at this point. We went and we met this midwife. She didn't doubt for a second. She didn't say anything that was like, “I'll let you try.” She was like, “You sound like a perfect candidate for a VBAC.” I told her that I had COVID and she was like, “Well, that's probably why your placenta ruptured.” She told me that the placentas she had seen throughout COVID and recently, she was like, “They are not healthy and they are not sustaining a lot of them until the end of pregnancy or if they are, they don't look good by the time they get there.” She wasn't surprised. But yeah, she said, “You sound like a perfect candidate. I think you can do this.” At every appointment with her, we'd sit there for an hour and we'd talk and she totally respected all of my wishes. She'd ask me if I wanted to do something. I'd ask her for information and then she'd let me decide either way which was cool too. With our second pregnancy, we didn't use a Doppler until I was in labor. I could feel her moving first of all so I knew that she was well but we actually started using a fetoscope which was really cool. You can't start using it until after 20 weeks so we had to wait for a really long time to hear her heartbeat but our toddler would watch us do it too. It was really cute because she would walk around with this fetoscope around her neck and she would go put it on daddy's belly and say, “I'm listening to Daddy's baby,” or she'd put it on her belly and it was really sweet. Yeah, we took a full 180 with this pregnancy. I had learned so much at this point that I was so confident in my body and in my instincts and all of it. We didn't find out the gender which with our first one, we found out at 8 weeks with the blood test. We didn't find out gender. I didn't do much prenatal care. We didn't do genetic screening anyway with the first one either because that didn't really matter to us. But yeah, I didn't even do an ultrasound until we were 32 weeks or something. We waited a long time because I had learned a lot about ultrasounds and how we actually don't know as much about them as we might think we know. Meagan: Might think we know. Yeah. Shelby: I read about how sometimes the techs are like, “Oh, they're moving away from it,” because they can feel it and I'm like, “We're not going to do that.” We waited and just had the technician who worked in our midwife's office which was perfect because we could tell her we wanted a very minimal one just to check basically the heart and vital organs and the brain to make sure everything was okay. She would pause the screen and take the measurement she needed and take the Doppler off and everything so it was very minimal. I was like, “I don't really care if they have 10 fingers and toes. We'll figure that out later. Just check the important stuff. Don't tell us the gender.” We did that and she basically was like, “Everything from as far as I can tell looks good.” That was pretty much all we did. My lifestyle was still very active and I was eating as best as I could. I didn't really feel like I had anything that was anything of concern which was perfect. I remember at my 30-week appointment, my midwife looked at me. We hadn't really talked about specific expectations I think for the birth because I didn't really know what I needed or what I wanted but she looked at me at my 30-week appointment without prompting and said, “I think what you really need from me in this birth is for me to just be there and for you to just do your thing.”Meagan: I love that. Shelby: I was like, “That's actually perfect. That's exactly what I want,” because at that point, I had listened to hundreds of birth stories and watched hundreds of birth videos and shown them all to my husband. Everything I was learning, obviously I was soaking it in but if there was anything I felt was pertinent to me, I was showing to him too. He really benefited from that because we went into birth also with him not being afraid. He would watch birth videos with me and he'd be like, “Wow, that's amazing.” That's one of my things. Knowledge is power and educate your husbands too or whoever is going to be with you at your birth. Physiological birth especially, they should be comfortable with it. They should know what it looks like and how it progresses and how to best support you in that. That was huge for us. I made him watch a lot of birth videos and he wasn't even weirded with it by the time it came around. But yeah. She said that and I was like, “Yeah, you know, that sounds great.” We made it all the way to 40 weeks and I just felt completely at peace the whole time. I wasn't worried and I was like, “She's going to come when she's going to come.” Another thing they had told me at the hospital was, “We only let VBACs go to 41 weeks and once you go past 41 weeks, you have to have a C-section.” I was like, “I'm not going to do that. I don't even know what my typical gestation is because I haven't made it term.”Meagan: I was going to say, you didn't even make it to 40 weeks. Shelby: Yeah, so my midwife was like, “Well, if you get to 42 weeks, we'll do an ultrasound and make sure everything is okay,” but she wasn't putting a timeline on it which was so great. I did a lot of courses. I stay at home with my daughters so I just listened to a lot of courses. I did the Christian HypnoBirthing one, our midwives did a course. It was really cool. They got us all together at one of their houses and went through a course with us and our spouses with all the moms who were about to have babies. I also did the Free Birth Society course which I was kind of so/so on but I was like, “If I want to know how to home birth, I just want to know about everything. I want to know about the complications that could happen and what you should do in those situations,” so even though I wasn't planning to free birth, I still wanted to learn all of the things. That was one of the things that I did and I was just listening to constant everything. When we made it to– I guess it was two days before my due date, so July 29, I was having fairly consistent contractions in the evening and so we were all excited. We're timing them and we were texting our moms but then they stopped the next morning which was a Sunday before church so we were getting ready to go to church but then I lost my mucus plug in the shower. I was like, “Okay, just in case something is going to happen, we should probably watch online.” We stayed home, watched online, and nothing was happening all day. We knew that we shouldn't get our hopes up but also you make it that far and you're like, “I'm just ready.” Our church had a picnic that night at a local water park so I was like, “Well, nothing has happened all day. We might as well go because we didn't go to church.” We went to this picnic and we were doing the mini playground with our 1-year-old at the time who is water crazy. I think I jumped to get into one of the tubes and felt something kind of funny then around 8:30 PM, I had a really strong contraction. I was like, “Okay. That was unusual.” I went to the bathroom and had bloody show so I went back out and got my husband. I was like, “We've got to go home.” On the drive home, contractions were 8-10 minutes apart. I showered and we called the midwife and our photographer and my mom and grandma who were coming to get my daughter and the dogs because we didn't know how it would go so we didn't want anybody else there who needed care obviously. Meagan: Well and your last labor was actually pretty dang fast. Shelby: Right, yeah so I was like, “I don't know how this is going to go.” My mom came and helped us clean up the kitchen which is where we were going to put the pool and everything. The midwife and her student arrived at around 10:30 PM. At this point, I was between the coffee table and the couch on my knees holding a comb and my husband was pushing on my back. I labored just in that one position for a long time and that felt as okay as it can feel. Then at around midnight, the midwife heard one of my contractions and was like, “That one sounded a little different. Let's get in the pool.” So I got into the pool and that was instant relief. I was able to sit between contractions and try to relax then after a little while, I was too afraid to feel. We did zero cervical checks. I didn't want to know. I was like, I just want to go. After a while, it was so cool how in tune she was with it all. She goes, “Why don't you see if you can feel your baby's head?” I was like, “Are you serious?” So I reached up and I could feel her head. I was like, “Okay. That gave me a little bit of encouragement to keep going.” I would say probably about an hour after I got into the water, my body started pushing. I didn't push voluntarily once. It was wild. I felt something at one point. We were about to change positions again. I had been in the tub for a little while and they were getting the bedroom ready. I was like, “Hold on, something just happened.” I reached down and a big hand-sized bulge of my amniotic sac was sticking out still full of fluid.Meagan: Yeah, I've seen that. It's so cool. Shelby: I told my husband, “Do you want to feel it?” Meagan: It's like a water balloon sticking out of your vagina. Shelby: Yeah, then the midwife was like, “Okay, we're not going to move. We're going to stay here. Obviously this position is good.” I held a comb in my hand the whole time and I had my husband push on my back because with both labors, I have had total back labor. I don't know why. I just have. I mean, she said I pushed for less than 40 minutes which was crazy. I felt her head come out but we didn't know it was a girl yet so that was fun and then I tried to slow down because I knew that sometimes you need a push or a contraction between and you don't want to get pushed too hard and tear but I couldn't. My body literally just pushed her all the way out in one push. That fetal ejection reflex is definitely a thing. So at 2:14 AM was when she was born and my first contraction was at 8:30 PM. I caught her by myself in the water and pulled her up. She had her cord on like a backpack. It was around both arms and her neck so I had her head out of the water but I could barely get her up. The midwife came over and untangled her and I mean, my husband and I just sat there for probably over 5 minutes before we even checked what the gender was because we were just in awe. We didn't even care. We were like, “Whatever. It's fine either way.” So when we finally looked, we saw it was our girl and we already had a name picked out, Elowen Ruth so we got to hold her for a long time but obviously, my midwife could tell that I was bleeding a lot so she had me get out and I had planned not obviously to do Pitocin unless I really needed it especially before baby was born but it was a lot of bleeding. I tried one of our tinctures first and it didn't really slow it down. So we did some Pitocin. She just did it. I didn't even notice. I was sitting there holding my baby and I was like, “You can't make this moment not perfect.” So we did some Pitocin and delivered the placenta. Then we went out and just sat on the couch and my husband made a snack plate and we all– the photographer and the midwife and her student and my husband and I just sat there talking about the birth and eating snacks.Then after a while, my husband got to hold her while I got cleaned up. I did end up having a lot of bleeding.Meagan: I was just going to ask if the bleeding resolved or did it continue?Shelby: I mean, it stopped pretty well. I didn't end up having to go get checked, but about a week later, my mom and when I took the baby into her first appointment at our nurse practitioner, I wasn't even there for me and she was like, “We are running iron labs on you because you look super pale.” I was really anemic and we didn't know so I think that probably was something. Now I know for the future, if I have a lot of bleeding again, I need to get it checked out really fast because I think it really slowed down my healing. Other than the initial pain of a C-section, my vaginal birth recovery was much more difficult. I could barely walk or stand for 4 weeks. I could not believe it. I remember going to my appointment and I was like, “Is this normal?” The birth went so well. I know it was fast but I think it was because my iron was so low. My body just couldn't heal. I did end up having a little bit of tearing but we didn't stitch it or anything. It healed pretty well on its own. It was super painful when I would have to pee and all of the things but eventually, it healed up on its own. But yeah. I mean, we got to sleep in our own bed. Well, I mean, the husband and the baby got to sleep. I could not. That high we were on, my midwife told me, she was like, “Okay. She's probably going to sleep for the next 5 or 6 hours and you should try to also.” I laid there and I was like, “There is no sleeping. There is none.” After that, she's like, “It's time to nurse 24/7.” Meagan: Of course. Shelby: She's 9 months today and we are still breastfeeding which is huge because with my first, I exclusively pumped for 8.5 months and that was so hard. I was so determined. I also took breastfeeding courses leading up to this baby because I was like, “We are going to make this work because I do not want to pump again.” I love nursing. I have to leave for an Army training here in a couple of weeks and I'm planning to take her with me and still nurse her at night time. I'm like, “We're going to make this go as long as we can.” Yeah, I mean, it was wild but so good. Meagan: Wild but amazing. Shelby: Yeah. Meagan: Did you find it healing? Because sometimes I feel like when you have a harder postpartum where you're like, “I'm not walking as well and I'm feeling gross with the iron,” that can be defeating and frustrating. But did you find that healing or were you like, “I would still take this over the other?” Shelby: Oh absolutely. I mean, I definitely had times where I would just break down not only because of the hormones but everything else. With my husband, I'd be like, “I did it. Why is this so hard?” I had prepared for postpartum. I made sure we had help lined up for our daughter and for meals and for everything so I was really able to take the time I needed. I think if I hadn't done that, I don't know what would have happened honestly because I needed it. I couldn't even sit on the couch. I had to be laying down in the bed or I was in pain. Meagan: Dang. Shelby: I think preparing for it definitely helped and the birth itself made it all worth it. Now, I'm like, Yeah, that was really hard for a couple of weeks but that experience made up for it for sure. Meagan: Worth it. Shelby: Overall, with the recovery, I'm like, Man, that was really hard with the C-section. it was two really hard days with the C-section but everyday is a little better. With my vaginal birth, I was like, Man, everyday is gettig worse. It's hurting more. But it was still really good. Meagan: What was it that was in pain? Was it your pelvic floor? Was it your abdomen? Shelby: It was probably my pelvic floor honestly and also because I think I had torn and she came so fast and there was no slow stretching, I mean– Meagan: Fetal ejection. Shelby: From the first one, it was crazy. I think it really was pelvic floor. I remember one of my friends describing it as she just felt heavy. I was like, “Yes. That is what it is.” It just felt heavy and it ached. Yeah. That was hard. I mean, even being in the shower didn't fix it and that was how my husband and I had planned to bond postpartum was showers together and stuff and I would be in there and I'm like, “I cannot stand up. I have to go back to bed.” Meagan: Too much pressure. Shelby: Yeah, for sure. Meagan: That makes sense. Okay, so let's talk about faith and getting yourself through a really, really rough first birth and you finding that faith. Do you have any advice for the listeners to gain faith in their ability?Shelby: Yeah. I mean, for me it was just knowing that God created my body to do this. No matter what had already happened, my body knew how to birth. I think what helped was I was like, Okay, it's already gotten fully dilated and effaced in my first labor. Maybe not gradually or the way it should have, but I was like, I've kind of already done it. I didn't get to the pushing but just knowing that I was designed to do it and through a lot of prayer and speaking and speaking, “God, you created me to do this. You gave me this baby to grow and to birth,” and just the knowledge is the same thing. Learning about how your body was made to do this is just huge and like I said, just praying those specific prayers for me was so important and proclaiming the promises that God has that He is a healer and a redeemer and He cares about our birth stories. He totally does. That was part of His plan from the beginning. I think for me personally, my birth stories are my testimony. I feel like until these two babies, I really was like, Oh, I grew up in the church and I don't really have a cool story which is fine but also with these babies, I'm like, I have never trusted God more with any situation in my entire life other than with the life of my children and bringing them into this world. For me, that was something I didn't really realize until recently too. That same friend was like, “I think this is your testimony.” I was like, “You're so right.” Meagan: That's cool. Shelby: It totally brought beauty from the whole experience. From the first one, you are like, Why in the world did this happen to me? What good could possibly come of this? We're traumatized. My baby is having sensory overload and I'm not at home. It was all of these things and then realizing that I shared about my story and I was able to connect with so many other moms who were like, “I had an emergency C-section” or “I had a really scary birth story” and now when I hear that a mom had a baby, my first thought is, How did her birth go and how is she doing? Did it go the way she planned and is she hurting? Those are my first thoughts instead of, Oh, is the baby okay? Okay, the baby is okay. It's made me really passionate about postpartum moms and at some point, I'd love to do something with that not while I have a 9-month-old and a 2-year-old but just knowing that there can be beauty that comes out of every story because in the moment, it totally did not feel like it with our first baby. Meagan: Right, yeah. That is the case a lot of the time. It feels like there is no beauty at all anywhere in that story and then you go and you listen to these stories and there is beauty in every single story and growth in every single story. There is learning. I think there is just so much to take from these stories. Then I wanted to go over physiological birth. There's a women and infant's blog or website and it says, “A normal physiological birth and birth are defined globally by midwife organizations as a birth that is powered by the innate human capacity of the birthing person and fetus.” The innate human capacity. “This means that there are no interventions performed that disrupt the normal physiological process in the absence of complications that warrant interventions supporting the physiological process of labor and birth has the potential to enhance birth outcomes and experiences.”I do believe so wholeheartedly that there are sometimes here. You had a real thing happening, a real medical–Shelby: Right. Thank goodness for the medical system in that situation, you know?Meagan: Yes. Thank goodness for intervention in that situation but that doesn't mean that we always have to just get all handsy with birth. It does show the benefits of supporting and fostering physiological birth of individuals include reduced Cesareans, increased breastfeeding success, improved birth experience, and reduced cost of care. Now, this world is very cost-minded especially with insurance and all of those things, but in the end, if you look at the reduced amount of money that we are spending when we are not paying for all of the interventions that happen during birth– and they don't always happen. We know that this is not a blank statement where it's like, “Every birth ends this way,” but usually when there's one, there are more. That adds up. Right? In the end, it's like, is that experience worth another experience? Even if you're in the hospital, you do not– you can totally have a physiological birth in a hospital. I love that so much. Some people don't feel safe out of the hospital. Shelby: Right. That's physiological birth. The key is being where you are safe because your body cannot progress as it needs to if it doesn't feel safe. I majored in animal science and I think about how animals won't have their babies if they don't feel safe. I think that we are mammals and our bodies are the same way. If you feel safest at home, awesome. If you feel safest in the hospital where you know you can get care right away, awesome. Yeah. You definitely just have to make that decision for yourself. Meagan: Yeah. I had a client who really wanted a home birth really, really badly. She decided not to, but decided to labor at home as long as possible and she was laboring and she was laboring and she was laboring and I was like, This labor. Something is off. Something is off. It was going but it wasn't really going and through chatting with her and doing a fear-clearing and fear-release to see if we could get over to that next stage, she never said, “I want to go to the hospital.” She didn't say those words but everything else that she was saying to me, that's what I heard. I said, “Why don't we go to the hospital? If we end up coming back home, that's okay but let's go and let's just see how things are going.” She was like, “I don't know,” because she was steering off of her plan in her mind of laboring at home. I said, “Okay, cool. It's going to be your decision.” About 25 minutes later, she was like, “Yeah, let's do it.” I'm not kidding you. The second she got into that car, it was a game changer. Shelby: Oh my gosh. Meagan: Because her mind was like, I'm going. She immediately felt better and safe. She didn't realize that's where she felt safer. We went. We had a total physiological birth. In fact, we didn't know if we were going to make it. She had the baby on the bed and the doctor was not there. Shelby: There's so much mental work that goes into it and everything. For me, knowing that I was going to my house. I hate packing and knowing I didn't have to leave and go somewhere, that was how I felt safe but I know a lot of people who are like, “No, I want to be in the hospital.” I'm like, “Great. Do it. Just make sure you are informed.” Meagan: Make sure you are informed. That is the ending tidbit here to this story. Be informed. Take a VBAC class. We have our VBAC class online. If you have any questions online, you can always email us on Instagram or in our email at info@thevbaclink.com. Hire a doula if you can. Hire a provider that you really, really trust to support you. Find that birthing location. Get the information. Learn what is important to you because what's important to you is going to stand out that day that you are in labor. Get educated. Love yourself. Have faith in you and your body and your baby. You are amazing. You are a true Woman of Strength. Shelby: Yes. So good. Thank you so much. Meagan: 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

The Empowered Birth Podcast
Aly's 3 HBAC Stories on the Motherhood Flow Podcast with Hannah Gill

The Empowered Birth Podcast

Play Episode Listen Later Sep 9, 2024 46:33


I had the opportunity to be interviewed on the Motherhood Flow Podcast and share my birth stories. We had a great conversation together about the lessons I learned at each of my births.    Here's a sneak peak: 1st Birth- Unexpected and traumatic c-section 2nd Birth- Redeeming and Nearly Pain Free HBAC 3rd Birth- "I want to feel it all!" Fetal Ejection Reflex 4th Birth- Sticky Shoulder and power of community birth   Check out the Motherhood Flow Podcast with Hannah Gill    New Araza Beauty Lip Gloss Sale!! Get 15% off New lip colors with the code "empoweredbirthlips" Join our Private FB Group- Facebook.com/groups/peacefulhomebirth Want to have a healthy pregnancy and a peaceful homebirth but not sure where to start? Check out the 3 Step Starter Guide to your Peaceful Homebirth! ---> bit.ly/phstarterguide  

The VBAC Link
Episode 332 What The VBAC Link Offers & What is Important to Know with Meagan Heaton, VBAC Link Owner

The VBAC Link

Play Episode Listen Later Sep 4, 2024 20:13


Women of Strength, so many things are important to know during your VBAC. Meagan Heaton is flying solo today telling you how to get the most out of what The VBAC Link offers. She goes through all of the resources from the Parents' Course to the Doula Training to The VBAC Link Community and CBAC Community Facebook groups to blogs, newsletter emails, Instagram Q&As, and more. What do you need to know to have a better birth after an unexpected or difficult Cesarean? What is included in The VBAC Link Parents' Course?While all of the information can be compiled and found through our hundreds of podcast episodes, blogs, and social media posts, the course is concise and comprehensive to have quick access to it all including: The history of Cesarean and VBACPreparing your mind and body for VBACEvidence-based stats on uterine rupture and moreHow to find a supportive provider How to choose between a repeat Cesarean and a VBACVBAC after multiple CesareansCoping tools during labor Family-centered CesareansRisks, benefits, and alternatives of interventionsHow to avoid an unnecessary CesareanWhen a Cesarean is necessaryThe VBAC Link Doula DirectoryThe VBAC Link Community Facebook GroupCBAC Support Facebook GroupHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Doula TrainingFull Transcript under Episode Details Meagan: Hey guys, this is Meagan today and I am solo. I don't have a VBAC story coming your way today but I wanted to talk a little bit more about VBAC and what we need to know and what we need to do to prepare. If you've heard my own personal stories on the episodes a while ago, I think they are number two, go check it out. If you haven't heard my VBA2C story, go check it out but during my journey, I've talked about how I felt alone in my journey. I had a couple of people within my space who were definitely cheering me on and my rocks, but the majority of the people in my life were very, very skeptical or judgmental or honestly just ignored me. That's what would happen. I could tell people didn't support or like the idea of me having a vaginal birth so they would just ignore me. Today, I wanted to talk a little bit more about the things that I did and then the things that Julie and I as we were writing our VBAC Prep Course were really truly the most important things that you should know. I want to talk a little bit more about what's in our course and how you can prepare. I'm going to do that but I am going to share a Review of the Week. It feels weird to not be having somebody come on after but I'm going to share a Review of the Week and then I'm going to go into it a little bit more about what I did to prepare. This review is actually on our ultimate prep course. It says, “This course gave me the knowledge and confidence I needed to move forward with my plan to have an HBAC. When you realize VBAC is just birth and you hear the studies and the insights, they eliminate the myths that invoke a lot of the fear in C-section mamas, you realize you've totally got this. I was empowered to find a provider who truly supported me and realized how much my gut was telling me my previous provider was not the way to go. I can't wait to share my HBAC story when the time comes. Thank you so much for all you do.” Okay, so going right into that, you guys. Like I said, when I was preparing, I did feel really alone. Number one, I think in preparing is finding that provider. Really truly, find that solid provider as soon as you can. We've talked about it here on the podcast that I suggest even finding a provider before you become pregnant because there is just this different thing about it where you're not as vulnerable. You don't feel as rushed. You feel more confident in your decision earlier on because you're not feeling that rushed feeling. So sometimes I think we can choose a provider who seems kind of VBAC supportive but maybe isn't as VBAC supportive as we would like, but we just choose them because we are pregnant and we need to start care. Find a provider for sure but something that we haven't really talked about is finding your support system within your own circle. If that means that people in your family aren't supportive, it's such a hard line because you don't want to just put your family aside, but at the same time, it's really not going to benefit you if you have people within your circle bringing negative comments and opinions. I wanted to share one of the experience where I finally felt like I could share my desire. We were at a luncheon with my family members and someone asked me, “Where are you birthing or when are you having your baby?” I just said, “I am looking at possibly birthing out of a hospital.” Someone in my family turned to me and said, “No. You can't do that.” I immediately felt defensive and adrenaline running through my body. I just wanted to say, “Whoa, whoa. Who are you to tell me I can't do that?” Because at that point, I had really done so much research and decided that I was pretty comfortable with any risk of giving birth out of the hospital. I also had come up with a plan for if anything were to change to have a hospital plan as well. I felt very confident. I just looked at her and said, “Okay.” I just ignored it. But I quickly realized that that was not the space that I was going to be able to freely talk about my feelings and my desires because people just didn't support it. Looking back, it really was that they just didn't know. There are so many people out there even to this day in 2024 when I'm talking to people about birth stories and what I do, they say, “Wait. That's a thing?” Still, in 2024, people do not know that vaginal birth after Cesarean is an option. That's where it's concerning. It's just that so many people do not know. It is up to us to find that education but I felt like at that moment, I wasn't in a place that I wanted to try and educate them because they were already coming at me so strongly and they already had their opinion formed. I also had some friends who I think were falling in line of a VBAC-supportive versus VBAC-tolerant or friendly provider where they were like, “Okay, yeah. You go do that Meagan,” but in their minds, they probably thought, “She's crazy and I don't think this is going to happen for her.” That was hard because I definitely felt that. I felt that feeling of, “You're definitely not in my circle either.” Quickly, I really found that I needed to find that support. I encourage you to find that support within your own circle that is filled with people who are going to lift you up, build you up, and really truly support you along your journey. All right. We find the provider. We find our support system. Now we have to educate. What is really, really important or what was really important and is important for us as parents to get the education? We wrote this whole course. It's over 100 pages in the manual and so amazing. Obviously, I love it to pieces but I wanted to go over a little bit more of what is included because we often do get questions about one, what's included in your course and two, what do I really need to know? So let's talk about it. In our parents' course, the very first section is preparing your mind and body. You guys, we have to prepare our mind and body. I think this really does go into finding that support because as we are preparing, we have to have that support surrounding us and building us up because as we are mentally going through this, there are a lot of back and forth, Should I? Should I not? Should I? Should I not? Is it worth it? Is it not worth it? Mental preparation– we need to mentally prepare ourselves for birth whether you are going medicated, unmedicated, or whatever. Maybe you don't even know what you want yet. Mentally preparing ourselves is so important. That really starts with honestly processing the past. Let's process those past births. Even if you don't think you processed that as a traumatic experience, you never know what may come up that may not be described as traumatic, but less ideal and something that offers tension. We also want to do physical preparation. Physical preparation is something that I am very, very passionate about because with my second baby– so with my first baby that I wanted to have a VBAC with– I really dove headfirst into physical prep. I believe that changed so much for me within my recovery, my pregnancy, and really just everything. Even though I had a C-section, I feel like I was able to “bounce back” both mentally and physically faster. Hydration was huge. I did not hydrate enough with my first. I was borderline preeclamptic. I never tested positive for it but I was swollen beyond swollen and I gained so much weight. I just really wasn't as healthy. Hydration. Make sure you are hydrating. Watch what you are eating. Be mindful of what you are eating. Really get your protein in and your vegetables. Eat colorful foods and really take those good supplements. I know that there are so many, so many supplements out there and we really truly believe in Needed and their supplements so much. Get on a good prenatal. Make sure you are getting that protein in and if you need extra protein because it is hard to get protein in, get some collagen protein. That will help so much. Try to focus on exercise. If you didn't exercise before, it doesn't mean you have to just go an run a marathon. We've talked about this with MamasteFit. Just staying active, moving your body, walking, and if you can incorporate lifting weights, that's great too but really being mindful in our physical and mental prep is so important. And then along the rest of the course, we are going to be going over things like the VBAC and Cesarean history. You guys, that is such a fascinating thing if you haven't dove into that. It is kind of complex. There's a lot to it and we really wanted to make sure that we brought it into an easier way to digest but really understanding the history of VBAC and the history of Cesarean and where we are today. We talk about women of color and the reasons for Cesarean and uterine rupture. Repeat Cesareans versus VBAC and what are the pros and cons? Because there are pros and cons to both. We are going to talk about the annoying calculator. Have you ever had a provider come to your visit in your prenatal room and say, “Okay, let's talk about your previous Cesarean,” then typing things into their computer and tell you, “Oh, you have x% change of having a VBAC?” That's the VBAC calculator and if you have been with us for a while, you know that we can't stand it but it's there and it happens and so we really want to educate you on that calculator because when we are given a percentage, it can impact. Women are told anything just like I was told in my second C-section that he was so glad I didn't have a VBAC because I for sure would have ruptured. You guys, those things stick with us so when we get these weird numbers, they stick with us and they place doubt and fear. We're going to talk about special circumstances. We're going to talk about what ACOG says. That is a U.S.-based recommendation, but we are going to go over it because we really do look at the evidence that ACOG does provide. We're going to talk about the contraindications of VBAC– when VBAC is safe and when it is not. We're going to talk about providers and locations and hiring a doula. P.S., if you are looking for a doula, you guys, we have so many incredible doulas. You can go to the www.thevbaclink/findadoula and type in your state and area and it will pull up all of the VBAC doulas near you. We highly suggest a doula and if you can't hire a doula, that's okay too but we're also going to talk about how to essentially get through birth without one as well. We're going to talk about all of the benefits and risks and alternatives and assessing interventions. We know that there are lots of them.Sometimes there are interventions like stripping our membranes, or the stretch and sweep or scraping our membranes. Everybody calls it something different but even that, sometimes it's not viewed as an intervention because we're not putting something in an IV or something like that, but even those are interventions. We're going to talk about the pros and the cons. We're going to talk about when you are due. What does that mean? What does that 40-week mark mean? Does it mean you have to have a baby right now? First of all, no. It doesn't. But we're going to talk about what that means and what the evidence shows about going over your due date and the chances of even going into labor before your due date or on your due date. We're going to be talking all about that. We're also going to be talking about VBAC epidurals. A lot of people contact us saying, “Oh my gosh. I want to have a VBAC. My provider says I have to have an epidural and I don't really want to because I'm worried about what it's going to do or if it's going to impact my labor.” Or we have the opposite where they are like, “I actually want an epidural. I don't really want to go unmedicated but my provider is saying I can't have one.” So we're going to talk about that. We're going to talk about laboring and positions and coping and tools to have a really amazing, positive experience. We're going to talk about fetal positioning and how that can impact it. We know that that is one of the biggest reasons why Cesareans happen. Fetal positioning, failure to progress, failure to descend— those all three kind of go hand-in-hand. We want to talk about that more. We want to talk about uterine rupture and the signs of uterine rupture. We're going to talk about C-sections and how to create a family-centered Cesarean. There are so many people in our community who after learning about VBAC and the risks of both, the VBAC risk is still not acceptable to them and that is okay. Or we know that a lot of people go in and they have a TOLAC or they are going to VBAC and then end in a repeat Cesarean so let's talk about how to help these Cesareans be better experiences. You guys, and recovery. There are so many things that are so important to know during your VBAC. Then I want to just drop this little note right now that although we are doing all of these amazing things to prepare and understand and to get tools to navigate through our VBAC journey, we have to remember to not forget the postpartum experience. Women of Strength, it's so important to make sure that we are cared for during postpartum. The way the world works today, it's just not happening enough. We are getting right back into the busy hustle and bustle. We've got multiple kids. Work is not supporting paid time off so we are just getting right back into life, just life, and it is so important to take care of ourselves postpartum.If you haven't been to thevbaclink.com, if you've only been here with us on the podcast, one, I'm so glad that you are here, but two, I highly suggest checking out thevbaclink.com. We have blogs that are amazing. We have so many blogs on so many topics– on ECV, on breech, on VBAC after multiple Cesareans. We have VBAC doulas, stats on VBAC doulas or just doulas in general. We obviously have our Find a VBAC Doula Directory. We have a VBAC Resource page filled with so many things and so much more. I highly, highly suggest checking out thevbaclink.com. Another place where you can find love and support is through our Facebook community at The VBAC Link Community. Answer all of our questions and we'll get you in there so you can be surrounded by so many like-minded people that are really just wanted to know similar information to you and wanting to feel supported just like you are. We know that our family and our friends sometimes really aren't those people and that's okay. We love them, but this group is so solid. It's so amazing. I can just feel the love every time I'm in it. I'm just blown away. I'm so stinking in love with this group. Check it out at The VBAC Link Community on Facebook. You can also follow us on Instagram. We are constantly giving out tips and suggestions and referrals. We have our Q and A's every single week so you can check that out. You can go into our highlights and check out the past Q and A's. We try to make sure to get all of them in there so you can go look at frequently asked questions and the answers as well as all of the sites and recommendations. Women of Strength, I hope that through this podcast, even though it is short and sweet and you just have me today, that you feel like you know more of what The VBAC Link offers and what you can get from us. We love you so much, so, so, so much and we want the best for you. We love to support and love and educate. With all that being said, I'm going to let you go and wish you the best of luck. I will be hoping to see you guys in the community. If you ever have any questions and you'd like to write us personally, you can reach out to us at info@thevbaclink.com. Again, that is info@thevbaclink.com and we will make sure to get back to you. Love you all and we'll see you later. 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

The VBAC Link
Episode 331 Lauren's 2VBACs + A Frank Breech Vaginal Delivery

The VBAC Link

Play Episode Listen Later Sep 2, 2024 49:36


In this episode of “The VBAC Link Podcast,” Meagan is joined by Lauren from Alabama. Lauren's first birth was a Cesarean due to breech presentation where she really wasn't given any alternative options. Her second was a VBAC with a head-down baby, and her third was a breech VBAC with a provider who was not only supportive but advocated on her behalf!Though each of her births had twists and turns including PROM, the urge to push before complete, frequent contractions early on, and NICU time, Lauren is a great example of the power that comes from being an active decision maker in birth. She evaluated pros and cons and assumed the risks she was comfortable with. Thank you, Lauren, for your courage and vulnerability in sharing not only your birth stories with us but also your incredible birth video!Lauren's YouTube ChannelCleveland Clinic Breech ArticleThe VBAC Link Blog: ECV ExplainedNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. If you have ever wondered if a breech vaginal birth or a breech VBAC is possible, let me just tell you right now, the answer is yes and our friend Lauren today is going to share her story to confirm that it is 100% possible. Obviously, we do have some breech VBAC stories on the podcast but they are few and far between. I mean, Lauren, when you were going through it, did you hear a lot of breech births in general let alone VBAC? Did you hear a lot of people having those? Lauren: No. I had heard a few on The VBAC Link but that was really it. I did a lot of research. Meagan: Yes and it's so unfortunate. This story is a double VBAC story but also a breech VBAC which we know a lot of people seek the stories for this because as she just said, there is not a lot of support out there when it comes to breech birth in general. We have a client right now who was just told that her baby was breech and they've already said, “We're going to try to flip this baby but if not, it's a C-section.” They didn't even talk about breech vaginal birth being an option and it makes me so sad. I'm really, really excited to get into your episode. You are in Alabama. Is that correct? Lauren: I am. Meagan: Awesome. So any Alabama mamas, listen up especially if you have a breech VBAC but VBAC in general. If someone is willing to support a breech VBAC, I'm going to guess that they are pretty supportive of VBAC in general. We do have a Review of the Week so we will get into that. This is by sarahinalaska. It says, “HBA2C attempt”. It says, “Thank you, thank you. Your podcast came to me at such an amazing time. You ladies are doing something amazing here. I'm planning on (I'm going to) have an HBAC after two C-sections in February. I look forward to listening to your podcast on repeat to fuel my confidence, ability, and knowledge.” Sarahinalaska, this has been just a minute so if you had your VBAC or just in general, if you are still listening, let us know how things went and congratulations. Late congratulations because this was a couple of years ago. Meagan: Okay, everybody. Lauren, thank you again for being here. Lauren: Thank you for having me. Meagan: Yes, so okay. Obviously, every VBAC journey starts with a C-section so if you want to start right there. Lauren: Yeah. So my first son was about 7 years ago. He was born by C-section. He was also breech. Meagan: Oh, interesting. Okay. Lauren: He was breech through the entire pregnancy. We had talked to my doctor about doing the version but at 36 weeks, my water broke. Meagan: Okay. Lauren: So once your water breaks, you can't attempt a version. I went to the hospital and they said that it would have to be a C-section at that point. I really didn't have the knowledge that I do now and basically, it was worded as “I don't have an option” and that's just it. So that's what we did. Meagan: Yeah. It's so common. Even with non-breech, there are so many times when we come into our birth experience and we are left feeling like we don't have an option. Lauren: Yeah. Meagan: It's just so hard to know. Obviously, that's why we created this podcast so you know all of your options. And then talking about flipping a baby and doing an ECV after your water broke, that is something I've only seen one time in 10 years of practicing so most providers will be like, “Nope. I won't even attempt it.” I was actually floored when my client was actually offered that. Obviously, it's a more difficult experience and it can be stressful on the baby as well so there's that to consider. She ended up trying it. He tried it twice and it didn't happen and then they ended up going into the OR. So okay. Baby was breech. Do you know why baby was breech? Did they say anything about your uterus or any abnormalities there? Lauren: No. They said sometimes it just happens. They knew how badly I wanted to have a vaginal birth and they said, “You are an excellent candidate for a VBAC.” So I was like, “Okay, great.” Meagan: Awesome. Lauren: That's when I really took a deep dive into birth in general because the stuff that they were saying just didn't sound right to me. Meagan: They said you were a candidate. So where did your VBAC journey start as you were diving in? How did that begin? Did you do that before pregnancy or after you fell pregnant? Lauren: Before pregnancy. Probably before the time I came home from the hospital with my son, I was already researching. Meagan: Baby was a couple of days old and you're like, “And let's figure this out.” Listen, I get that. That's exactly how I was too with becoming a doula. It was literally two days after I had my C-section. I signed up to become a doula. Okay. You started diving in and what did you find? Lauren: It was very shocking to me how most providers don't practice evidence-based. I found out the difference between evidence-based versus the standard of care. I was shocked about that too. I was just like, How can you do that as a doctor when you've got all this evidence here? But another doctor is practicing this way so it's okay for you to do that. Meagan: Right. It becomes the norm or it has become the norm. Yeah. Okay. So you get pregnant and you know VBAC is possible. Tell us that VBAC story. Lauren: So that was just a wonderful experience but part of my research, I joined ICAN and I wanted the most VBAC-supportive provider out there. I did switch providers and I switched even before I was pregnant. Right when we were trying, I was like, I need to get in with a provider who is supportive. I found a wonderful provider. The pregnancy was great. I did all the things. I sat on the birth ball instead of on the couches. I made sure to take walks every day. I kept up with my chiropractic care. All of that were just tips that I had seen so I did that. She was head down by 20 weeks so I was super excited about that and she waited until 40+3 which was also a big thing for me because with my first son, they took him to the NICU so I did not want the NICU. The NICU was a horrible experience. I was like, Please, please, please hold on until 37 weeks. 40 would be great.She did. She held on until 40. It was funny too. It was like a switch flipped at that point and I was like, okay. Now I want to get her out. I was eating the spicy food and everything to try to get labor started. But 40+3, my water broke with her as well before labor started. I panicked a little bit because I didn't want to be on a clock. Although I felt that I was with a good provider, I still hadn't birthed with her yet and I've heard stories about people having this doctor who tells them everything they want to hear and then they get in the birth room and it's completely different. Meagan: The bait-and-switch, yeah. It's so hard because they talk about how we have to have this proven pelvis to be considered the best candidate or to have full faith in our ability, but at the same time, I feel like sometimes from us at a patient's standpoint, they need to prove to us. They need to prove to us that they are supportive throughout. Lauren: Yes. For sure. So pretty quickly after my water broke, I started pumping and while I was pumping, the contractions started so I felt so much better. I was like, Okay, good. Now we've got contractions going. I had a doula at that point as well because I felt like having a doula was going to be extremely important for a VBAC. I called her and let her know. She came over and she just hung out a little bit. We did a henna on my belly and we just talked and talked through some fears and excitement and stuff like that. Then she said, “Well, I'm going to go get my stuff. Why don't you lay down and take a nap and see if once things pick up, we can go to the hospital?” I said, “That sounds great.” This was my first time experiencing labor because with my son, even though my water broke, I never had contractions. They just went straight to the C-section. I went upstairs and I laid down on my left side. Within a minute, I was just like, Whoa, these feel totally different. This is crazy. Probably within 30 minutes or so, I was having contractions every 2-3 minutes. Meagan: Whoa!Lauren: Yeah. I was just like, This just picked up really fast. I think I was supposed to already go in by now. Meagan: Were they intense as well on top of being close or were they not as intense but just close? Lauren: In hindsight, they were not intense but it was my first time having labor and they were more intense than the beginning contractions. “Okay, they are more intense. They are close together. I've got to go now.” I was panicking. We made it to the hospital. They checked me and I was 2 centimeters. Meagan: Okay. Lauren: I was like, “You've got to be kidding me.” Meagan: Yes. That's the hardest thing because we are so focused on the time. We are told if they are this close together, it's time to come in but we sometimes forget about the other factors of intensity and length and what's the word I'm looking for? I was going to say continuous but they are that pattern always. They are sticking to that pattern. They are consistent. They are consistent, yeah. Okay, so you're 2 centimeters which is great by the way. It's still great. Lauren: Yes. Oh, and I forgot to mention too that another that was like, Okay, I probably am with a good provider, I did call her after my water broke and she said, “What are your plans?” I just said, “I'd like to stay home as long as possible and contractions haven't started yet but I'm going to try to start pumping and get them started.” I said, “I'd like to wait until tomorrow morning to come in if nothing has started.” She was like, “Okay. Sounds like a good plan. Just let me know what you need.” I was like, Wow. She let me go past 24 hours. Meagan: Yeah. I just love that she started out, “What's your plan?” Lauren: Yes. Meagan: Versus, “This is what you have to do now.” Lauren: Yes. Exactly. She is wonderful and you'll see through the story how amazing she is too. But anyway, we get to the hospital and I actually started out with a wonderful nurse. The hospital policy is continuous monitoring. Meagan: Yeah, very common. Lauren: But I did not want that. I was so lucky because the nurse who started, she was about to leave. Her shift was about to end but she let me start on intermittent monitoring so I was able to get up, walk around, get on the birth ball just to help things moving. Shortly after that, she left and the next nurse was not so nice about it. She told me, “It's our policy. Yada yada.” I said, “Look. I've been doing the intermittent. I'm fine with the intermittent. That's what I'm going to stick with.” She said, “You're going to have to sign a form.” I said, “Bring it on.” Meagan: Yeah. Lauren: I signed the form and I was just like, “That's fine. I have no problem signing a form to say this is my choice.” Then we labored in the hospital room for several hours and my doula suggested I got in the shower at one point and that was amazing. It was euphoric. It felt so good to get in the hot shower and I was progressing slightly more than a centimeter an hour which I know is what they look for so things just progressed pretty slowly and then that night at around– oh, well actually once I hit 6 centimeters, my body started pushing. Meagan: Oh, yes. That can happen. Lauren: I was terrified when I found out I was only 6 centimeters because they kept saying, “You need to stop pushing or you're going to the OR.” I was like, “You don't understand. I'm not pushing. My body is doing it.” It was several hours of working with my doula to try to stop my body from pushing. Every time I had a contraction, and they were still going every 2 minutes–Meagan: Did they give you any tips on how to cope with that or how to avoid pushing like horse lips or things like that?Lauren: The thing that worked best for me was opening my mouth and saying, “Ahhhh.” So that helped a lot but I would still say that 50% of the time I could not stop the pushes. I still remember that nurse saying which was not helpful at all, “Are you pushing? That's the quickest way to the OR.” Meagan: Ugh. Not very kind. You're like, “I'm trying not to. Can you see what I'm doing here?”Lauren: Yes. Then my doctor came in around 11:00 that night to check me and she said, “Oh, you're complete.” I just remember being like, “Thank God.” I said, “Does that mean I can push now?” They're like, “Yes.” That was the best thing I had heard because that was all I wanted to do was push. I was already in the bed because they had me on the monitor at that point. I was on my back so they just leaned the bed back. I didn't really want to push on my back but at that point, I was like, “I'm not moving. I'm just going to push how I am.” I pushed. It took about 20 minutes and she just slowly came out. It was– oh, I'm going to get emotional. It was wonderful. My doula was also my birth photographer and she got some pictures. She got a picture of my husband. It's really sweet. I hope he's okay with me telling this but she got a picture of him crying. It was when she was almost out. I asked him about it and he said, “I just knew at that point you were going to do it. I knew how important it was to you.” Sorry. Meagan: I'm sure he had that overwhelming flood of emotions like, “I know this is important and I can see it. She's there. She's going to do this.” Lauren: Yes. It was wonderful too and then I got to hold her on my chest for a while but they weren't too thrilled with her breathing so they never took her out of the room but they did take her over to the table and they were suctioning her and stuff like that. I started feeling a little panicky because with my son, what happened was after my C-section, they showed him to me. I got to kiss him and touch him and all that but then they started leaving the room with him. I was like, “Whoa, where are you going?” They were like, “Oh, we've got to take him to the NICU because he's having trouble breathing,” but nobody told me anything. They just started leaving with him. I was panicking thinking that was going to happen with my daughter. I was like, “Please, please, please just give her to me. All she needs is me. She's going to be fine. Just give her to me.” The nurse was like, “No. She needs suction. We need to do our job,” but my doctor was so wonderful. She came over and said, “What they're doing right now is suctioning her because they are not happy with her oxygen level.” She sat there and she told me, “Okay, now she's at 94.1%. Now she's at 94.2%. Now she's at 94.3%.” Every time that thing went up, she would tell me. She was just so calm and it was like she got me. She understood. Meagan: She understood what you needed in that moment. Lauren: Yes. Yes. Another thing too which I thought was really interesting is that first off, she did ask before she did anything. We got half of my daughter's head out but she got a little stuck so the doctor was like, “You know, we really want to get her out.” She said, “I think the vacuum might help or are you okay with me manually helping you?” I said, “What do you mean by that?” She said, “I could just insert my fingers and tilt her chin. I think that will get her out.” I said, “Yeah. Let's do that one.” So she did. She went in and popped her little chin and then she came out.Meagan: Awesome. Lauren: But it was nice to be asked instead of told what needed to be done. Meagan: Well not even told and just have it done. Lauren: Yeah, just do it. I've heard that a lot and it was crazy because that actually was going to happen with my first son. Before my nurses knew I was breech, they came in and they started. They were about to put medicine in my IV and I said, “Whoa, whoa, whoa. What are you doing?” She's like, “Oh, this is Pitocin. We need to get your contractions started.” I was like, “No, I don't want Pitocin.” She's like, “We need to birth him within 24 hours or he's going to be a C-section.” So it was just crazy the difference in being told what was going to happen and being asked for not only my opinion but my consent. Meagan: Yeah, absolutely. That's so important. Women of Strength, if you are listening to this, please, please, please I beg of you to help you know. I don't know how we can let you know even more but you guys have the power to say no and consent is so important. Your consent is so important with anything, even just getting Pitocin drips. If anything is happening to your body, you have the right to say no and you always can question. You can pause and say, “Tell me all of the risks here” or whatever. You don't just have to have it be done to you. You do not have to. Lauren: Yes. Meagan: It's hard to say no in that moment. Lauren: It is. It is. Meagan: It's hard to say no especially when they are coming in and making it sound like something you need. Whether it's something you need or not, you still deserve to have consent. Lauren: Yes, exactly. Then they throw that at you where it's like, “Oh, the baby will be in danger.” You're like, if you're not knowledgable then you'll be like, “Okay, then. I don't want my baby in danger.”Meagan: Exactly. Of course, we don't. Duh. Of course, we do not want our baby in danger but most of the time rarely is our baby in danger if we are not starting Pitocin right away. Yeah. Awesome. So you had this beautiful vaginal birth with support. It was a way different experience with good, true informed consent even into the postpartum period which should keep continuing anytime you are under care with anyone like this no matter in hospital or out of hospital. This kind of consent should continue. Lauren: Yes, for sure. Meagan: Awesome. Awesome. And then baby number three. Cute little baby. I don't know if I'm allowed to say his name so I won't. Lauren: Oh, yeah. You're fine. Ollie, yeah.Meagan: I was going to say I got to see on the recording just before we got started that he was another breechie. Lauren: Yes, he was. I was just like, Oh my goodness. His pregnancy was so similar to my first son. It was a little freaky. I had a lot of anxiety to work through because of that. I was like, This can't happen again. He was breech the entire time and basically stayed in the same position. He moved his little head around and that was about it. This time, I was I guess a little more– I don't know if cocky is the right word but confident that everything would be fine. I was a little more lazy. I didn't do as many walks as I should have. I sat on the couch a little more than the birth ball and things like that. I was like, Oh, he'll be fine. So at about 20 weeks when he was still breech, I was like, Maybe it won't be fine. Maybe I need to get this going. I started trying to do a little more of that stuff. Also, my doula had moved out of state so I was like, Oh no. Meagan: Dang it yeah. Lauren: I know it's so important and having a doula was definitely important for me. I started the search for a new doula which ended up turning out great. I loved both doulas so I was very pleased but I was very nervous. But yeah. I found my doula while I was pregnant and then I just had so much anxiety about my first son's birth that I needed a plan ahead of time basically. I talked to my doctor about it and I went in there just nervous to even bring it up. I said, “So he's still breech. I know that he's got plenty of time to turn but I am nervous because I have a history of this with my first son. He was breech and I had to have a C-section.” I said, “What are your thoughts on a breech vaginal?” She goes, “Well, I don't see why we couldn't.” I was like, “What?”Meagan: You're like, “I wasn't expecting that.” Lauren: She's like, “You've already had a VBAC. You did fine. He can't be sideways. He's got to be to where he could actually come out breech. It's just something that we'll talk about.” She did mention an ECV as well and she was like, “We've got a long way away but I don't have a problem doing a breech VBAC with you.” I immediately just felt so much relief. Meagan: I bet. Lauren: Yes. So we went along the pregnancy like that and then at 37+3 at 5:00 in the morning, my water broke. Meagan: 3 for 3 water breaking, you and I. They say 10% but when you're 3 for 3, you're like, “Hmm.”Lauren: That's what I was thinking and the breech stuff is only 3-4% are breech and I had it twice. It's like, How is this possible? But yeah, my water broke around 5:00 AM and me running to the bathroom, I woke my son up and he came in. It was really sweet. He got in bed with me and we just cuddled for about an hour and I talked to him about how his baby brother was going to come today. It was just a really nice moment to cuddle with him. Meagan: Oh yeah. Those moments are so precious because you're like, these are the last moments of just us as a family of 4 and now we're adding a 5th and these are the last little moments together without little siblings. I'll always remember that. So we did that. We cuddled for about an hour and then the contractions actually started without me having to pump. This time, I was going to wait a little bit longer before pumping because I wondered if the contractions every 2 hours with my daughter for the whole labor was maybe because of the pumping. Having contractions that close made things really difficult. Meagan: Oh yeah. Not a lot of a break. Every 2 minutes, there's not a ton of a break especially when they were a minute long. Not a lot there. Lauren: No. So I was like, Maybe that will change. I knew I could handle it but I was like, If I don't have to, that would be great. They started pretty slow about 6 minutes apart or so really gently. At around 6:00, I went ahead and woke my husband up and let him know. I called my parents. I had texted my doula but I went ahead and called her just to let her know. I called my doctor. She again just asked me, “What are your plans?” I just said, “Stay here to let things pick up and then head to the hospital.” She was like, “Okay, that sounds good.” I just labored at home. My parents live 2 hours away but they were coming to get our older two kids. I was going to try to pack the hospital bag because I had not done that yet. Meagan: Well, at 37 weeks. Lauren: That was the plan for that weekend. I kept having to sit down because of the contractions. My husband said, “Let me do it. Tell me what you need.” I would just give him the instructions as I just bounced on the birth ball. We got that done and my parents showed up. They brought me a big smoothie because I was like, “I want to eat but I don't want to chew so get me a smoothie.” That was really nice just to have something in my stomach and give me some energy and stuff. They got here at around 9:30 and at around almost 11:00, I was like, “These contractions are starting to feel real.” I had a first birth reference at that point. Meagan: Yeah, like more intense and frequent and strong. Lauren: Exactly. Oh, but I will say by 7:30 again, at 7:30 that morning, I was back at 2 minutes apart. Meagan: Oh man. It's just something your body does. Lauren: That's just me, yeah. But they weren't intense and this time, I knew. I was like, Okay. I know this is not intense. I'm still able to talk through them. I'm able to recover very well, but then right around 11:00, I was like, “Things are getting really intense now so I think we need to go.”We left for the hospital and let my doula know. I called my doctor as well and it was really wonderful talking to her too because she said, “You know, when you go in there, make sure you are confident. Tell them this is the plan. You are going to do a breech VBAC. We have already discussed this.” I think she was worried too. The hospital, I will say, I do not feel was supportive. I think it was mainly that they were scared. I think she knew that too, but having her in my corner was what I needed. Meagan: Yeah, very huge. Lauren: We got to the hospital and she had gone ahead and called them to directly admit me so I didn't have to do triage and all that. That made it so much quicker. We got there probably around 11:40 or so and we were already in our room and the doctor was coming in by 12:00. She came in and she checked me. She was like, “All right. You're already at about a 5 or a 6 so you're doing great.” She's like, “I'll be in the hospital for a while so they'll just call me when you need me. Just do your thing. I was like, “All right. Here we go.” I did get in the bed for a little while so they could do the IVs and stuff like that. I told them I wanted the wireless monitor. They were having trouble working it but they still never made me do any monitors because I told them I can't do continuous unless it is wireless because I need to be able to move. They didn't argue with that so that was nice. Once they got all that done, I got on the birth ball. We played some music that I had preplanned and my doula and my husband both helped me work through the contractions then it was 12:58 which was less than an hour when my body started pushing again. I'm like, You've got to be kidding me. I can't do this.They called the nurse in because I was like–Meagan: Last time this happened at 6 centimeters. Please don't tell me. Lauren: They came to check and she was like, “Oh my gosh, she's complete and he's right there.” I was like, “What?” Meagan: Yay!Lauren: Yes. They called my doctor. I was panicking a little bit but she wasn't there. She was in the hospital but because she wasn't in my room and I went from a 5 to complete in less than an hour, I'm like, “Is this baby just going to shoot out of me?” I was like, “I need her to be here.” Anyway, she got there very quickly and this time, I knew I didn't want to be on my back so they had me just try some different positions but I really liked when the bed was sat up and I was facing the back and leaned over it so I was upright. Then I was able to move my pelvis around and just find a comfortable position. I really liked that. I started pushing because I could. He just very, very slowly came out and my doula was recording because I wanted a recording of my last birth but I was just too out of it to even ask for it so I had let my husband and doula ahead of time that I wanted it so my doula took care of that. She was there recording it. Meagan: Awesome. Lauren: Yeah. I was pushing I remember this one hurt a lot more than my daughter. I think they stretch you differently. I remember panicking to my husband, “Oh my gosh. This hurts.” He was just slowly coming out but I couldn't see what was going on. With my daughter, they rolled out a mirror so I could see what was going on. I felt like I was pushing wine. I didn't ask him to but my husband stepped in and he was like, “Okay, I see a leg now. Oh, there goes the other leg.” He started just telling me body parts and I was able to get a visual which was so helpful to be able to know how much was coming out. When it got to his chest, it felt like my body was just like, Okay, we're done. The contractions just stopped and I was like, “What's going on? They were coming so fast and now they're just chilling out or whatever.” They were like, “It's fine. We'll just wait until the next contraction.” They did start coming back but it didn't feel as strong and it felt slower. I don't know what that was about. It could have just been my perception too. He came all the way out up to his neck and then he wasn't really coming much further after he got to his neck. The doctor was turning him because he had the cord wrapped around his neck twice. He just didn't seem to be moving like he was supposed to. She said, “I need to check and see if his head is flexed,” and it was not. She had to put both hands inside to flex his head so that it was in the correct position and she had turned him over to try and get some of the cord off as well. It got a little intense there for a minute. She said, “Okay. I need you to get on your hands and knees,” so I did that and that wasn't working. She said, “Okay, mom. I want to get you to flip over. I just need a different angle to get him out.” I flipped over on my back which I was completely fine with at that point. I wasn't panicked. I had a little bit of anxiety and fear but I wasn't really scared because my doctor seemed so confident in that she's got this. We just need to do something a little different to get him out. We flipped on my back and she got his head exactly where it needed to be. I did two more pushes and he came out. He had gotten stuck longer than they wanted him to so she said, “We're going to go ahead and cut the cord and get him to the nursery team who was coming in” because they needed to resuscitate him just from the time it took. Meagan: He was shocked Lauren: She said too, “He's going to be okay. He's trying to cry but he needs help.” I said, “Okay.” I felt good at that point. I knew that if he was trying to cry that he was still conscious. The NICU team– it was charted wrong how long he was stuck. I think they panicked a little bit because they just went and they intubated him immediately and they said, “Okay, we need to get him to the NICU.” I hadn't even touched him at that point. I said, “Can I touch him or kiss him or talk to him before you take him?” I asked my doctor that and she said, “Can you bring him over here so she can give him a little pat before you take him?” The nurse looked over and she goes, “She can see him from where she's at,” and they left with him. Meagan: Oh. Oh. Oh boy. Lauren: To me, it did feel like a punishment for doing a breech. They went back and looked and they charted that he was stuck for 5 minutes. We had a video and he was stuck for a minute and 40 seconds. Huge difference. Meagan: Very big, yeah. Lauren: They went immediately to what they would do with a baby who had been stuck for 5 minutes. They charted his APGAR as 0 but my doctor said, “It can't be because he whimpered when he got out so he's got to have at least something.” It was all just a big overreaction at that point. They were supposed to monitor him for 4 hours to make a decision and they immediately just made the decision to admit him to the NICU which meant he was stuck in NICU for at least 3 days. Then within– when I went to go see him, it was within 2 hours. They had already extubated him. He was already breathing on his own with no problems whatsoever. Meagan: He was fine. Lauren: Yeah, he was fine.The next morning, my doctor went and talked to the doctors–Meagan: The pediatricians? Lauren: Yeah. Yeah at the NICU and just let them know, “This is wrong in the chart. This is wrong in the chart,” educating them about breech VBAC. She also did talk to them about the behavior of the nurse and she said, “It was unacceptable.” They talked about that. Oh, because that same nurse, when I finally got up to the NICU to see him, she had her back turned and she didn't see me coming and I heard her talk. She goes, “Well, you know, he came out the wrong way.” Then she realized that I was behind her and she walked away. I never saw her after that. Meagan: She probably was avoiding you. Lauren: I was like, Oh my goodness. I can't believe that just happened. Meagan: Seriously. Obviously, she's got a chip on her shoulder toward people who are doing things that are actually normal, just a different variation. Lauren: After my doctor talked to them that morning, as soon as she left, they called me and they weren't going to let me breastfeed or hold him or anything like that because he had a central line in his umbilical cord and they said, “It's too risky. It could fall out.” As soon as she left, they were like, “We're going to actually let you try to latch and hold him. We'll just have to be really careful.” Meagan: Good for your doctor for advocating for you guys. Lauren: That was one of my things that I just really love about her. That's not something that she had to do. She took the time out to review everything that night. I had him on a Saturday so she reviewed everything that night, got up early the next morning, went to the NICU, advocated for me, and I'll just never forget her for that. She's my angel.Meagan: Yeah. That's how it should be. That's really how it should be. Are you willing to share her name for anyone looking for VBAC support and especially for breech? Lauren: Yeah. Her name is Dr. Robinson and she's at Alabama Women's Wellness Center in Huntsville, Alabama. Meagan: Awesome. Lauren: Yes. It's really hard to find a VBAC-supportive provider in Alabama but breech VBAC? That's hard anywhere. Meagan: I have Alabama Women's Wellness Center because we have our supportive provider list that we are working on right now to perfect so everybody can get access to that in a better way and we don't have her on there so I'll make sure to add her. Lauren: Yes. Thank you. Yeah. She's amazing. That's probably an understatement. Meagan: She sounds absolutely incredible. I'm just so happy for you. I'm so glad that you had that advocate through a provider and it sounds like the second time, it was a little bit more of that informed consent, truly wanting to incorporate you into this experience with a little less of that the second time, but holy cow. Amazing. A minute and 40 seconds, that might feel like an eternity to someone watching, but really, that's actually pretty quick and your provider knew, “Okay, let's change positions. Let's move. Let's get this going,” and baby's out. It can be common for babies to come out a little stunned breech or not breech. Sometimes they come out a little stunned and you also had a really fast transition so you went from a 5 to a 10 really fast. There are a lot of things to take into consideration there for sure. Lauren: Yeah. I think she said that they charted from the time his butt came out is what they told her and with a breech, you're supposed to chart once the shoulders are out. Meagan: Yeah, the shoulders and the neck. That makes sense that they got that mixed up. Well, I wanted to go over the different types of breech. You already said this earlier that it's kind of crazy that 3-4% of people will have a full-term breech and I know baby number one was 36 weeks but pretty much right there right around the corner of full-term. But 3-4% and you've had two so it's pretty low but we know that breech is happening. It's just not being supported. I wanted to talk about a couple of different things.There are different types of breech and that is something that I think is important to know. We've got frank breech and that's where the baby's butt is down into the vaginal canal or down and the legs are sticking right up where the baby's feet are in front. Do you know if your baby was frank breech? Lauren: Yeah, they were both frank. Meagan: Yeah. That's typically where a provider, if they are supportive, will allow a vaginal birth, and then complete breech is where the butt is down and both the hips and knees are flexed. Footling is where one or sometimes both– it's like they are either standing inside or where they are being a flamingo and doing a one-foot thing facing down. Or we know that there is transverse where the baby is sideways. Footling and transverse– I mean, transverse for sure cannot come out vaginally. Footling has some more concerns so most providers will not support that. Anyway, overall, my suggestion is if you have a breech, one, know the options to try to help rotate a baby. If you so choose, there are also risks to ECVs. We have a blog around ECV and we want to make sure it's in the show notes. We are going to link some more about breech babies as well but know that you have options. You do have options. It's not like Lauren's first where she walked in and was felt that she was stripped away of all the options. If you're looking for a VBAC-supportive provider, something that I always tell my clients and I need to suggest this more on the podcast is while you are asking questions like, “How do you support VBAC?” and all of these questions talk about, one of those questions is “What if my baby's breech? What does that look like?” I think that's a really great question to add in there because then you can know, “Okay, not only is this provider VBAC-supportive, but they are even breech-supportive.” We never know. Sometimes babies just flip and sometimes they flip in the very end. It's very rare but it happens so it's just really important to know. Add that to your list of questions as you are going through and asking for support for VBAC how they are for breech. Do you have any other things that you would suggest for someone maybe going to have or deciding to have a breech birth in general? Lauren: Just try to be as knowledgeable as you can about it because that gave me a lot of peace just knowing all the facts and just the knowledge. It made me feel a lot more comfortable with it all. Meagan: Absolutely. It sounds like you did. You just told me a stat just barely so it sounds like you are very confident and you know about breech. I would suggest the same thing. Know the pros and the cons of all three– ECV, breech vaginal, and Cesarean. Let's learn all of them. Well, thank you so much for being here with me today and sharing all of your beautiful birth stories and letting me meet your sweet Ollie via Zoom and sharing these stories to empower other Women of Strength to make the best choice for them. Lauren: Yes. I really appreciate it. I was very excited when you asked me to come on. Meagan: Oh my gosh. We are so happy to have you. Lauren: 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

Informed Pregnancy Podcast
Ep. 421 Sheridan Hathaway: After Birth

Informed Pregnancy Podcast

Play Episode Listen Later Aug 22, 2024 37:41


Sheridan Hathaway returns to share the birth story of baby #2. She was hoping for a home birth after cesarean (HBAC) with a midwife and an empowered natural birth experience. Are you prepared for postpartum? Start safeguarding your relationship now before baby arrives with The AfterBirth Plan™, an online course created by Dr. Alyssa Berlin, PsyD. Having a baby is one of the top 10 stressors you will experience in your life. Having a solid plan to follow when you are in the trenches can be the difference between bringing a couple together or pushing them apart. You've spent a lot of time, effort, and love building a relationship with your partner. Let's ensure that it survives the transition into parenthood. Prevention is better than cure! Take the first step in "baby-proofing your relationship" with The AfterBirth Plan™. Dr. Alyssa Berlin has over 15 years of experience working with pregnant women and new parents as they take their first steps into parenthood. Dr. Berlin has created a game plan for you and your partner to help you navigate these crucial steps. Start your FREE TRIAL of Informed Pregnancy+ and get access to The AfterBirth Plan™ and all of our curated pregnancy and parenting content: informedpregnancy.tv  Keep up with Dr. Berlin and the Informed Pregnancy Project online! informedpregnancy.com @doctorberlin Facebook X Learn more about your ad choices. Visit megaphone.fm/adchoices

The VBAC Link
Episode 327 Adriana's HBAC + What Does the Science Say About VBAC?

The VBAC Link

Play Episode Listen Later Aug 19, 2024 57:19


Adriana is a scientist and professor at New Mexico State University in Las Cruces, New Mexico. During her first pregnancy, Adriana was faced with the possibility of her baby having a severe genetic disease. She became so involved in researching the details of it that she didn't consider the need to research her birthing options as intensely. However, after a long and difficult induction process which ultimately ended in a Cesarean, Adriana was left feeling like she failed as a scientist. She was determined to take charge of her next birth and apply her years of research skills to learning everything about VBAC.Adriana went on to have a peaceful home birth surrounded by a big support system and empowered by her research. She also gives listeners tips on how to interpret published articles on VBAC and explains terms like abstracts, confidence levels, and p-values. “I just found the data is so strong in showing that VBAC is super safe for non-high-risk individuals. Again, having a previous Cesarean does not automatically make you high risk…I had three high-risk factors if you will and still, with those factors counted in, I knew that VBAC was really safe for me just based on the data that I found.”Dr. Adriana L. Romero-Olivares' WebsiteNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Women of Strength, we have another amazing VBAC story for you today. This VBAC story follows a C-section that was unplanned which let's be honest, most of ours are, and it had a lot of interventions. We have our friend– oh my gosh. I can't speak today. Adriana, hello. Adriana: Hi. I'm so excited to be here. Meagan: Oh my gosh. I'm so excited for you to be here. Tell me. Okay, so you're currently in Mexico. Where were you when you had your VBAC? Adriana: I'm in New Mexico, so the U.S. Meagan: Oh, you're in New Mexico. Adriana: Yes, exactly. In New Mexico in the U.S. and I had both my unplanned Cesarean and VBAC here in New Mexico. Meagan: Oh, you did? Very good to know. You guys, she is a scientist and a professor. She spent many years researching microbes which is really cool. Do you say fungi? Is that how you say it? Adriana: You can say it fungi, fungi, fungi. People say it in different ways and they are all correct. Meagan: It's like fungus, right? And bacteria? Adriana: Yes. Meagan: I have so much interest in that weirdly enough because it is in our gut. I have a really weird interest in gut health right now. Anyway, and how they are impacting the global climate. Something that's kind of cool about her science journey is it really seems like it was spun after VBAC, right? Adriana: Yeah. I mean, I've had an interest in sciences forever, but I guess I had no idea how much science was behind VBAC and getting into this VBAC project that I had for a while, I feel like it really ended up helping me to grow as a scientist which was really cool. Meagan: So cool. We're going to maybe talk a little bit more about the science of VBAC here in the end so make sure to stick with us. I do have a Review of the Week before she starts sharing her story. This is from eoliver14 and it says, “Love this podcast.” It says, “I'm not one to usually listen to podcasts but ever since I came across this one, I haven't been able to stop listening. I'm preparing for my VBA2C” so VBAC after two Cesareans “and these stories have been so amazing and helpful.”eoliver14, I hope all went well if you have had a baby since then or if you're still preparing, I hope that this podcast is still inspiring you. And if just like eoliver14 this podcast is inspiring you and helping you and building you up, please leave us a review. We love them so much and I really truly, truly, truly believe that so do honestly all of the listeners. I think a lot of listeners love these reviews. It's so fun. You can leave that at Apple Podcasts, Spotify, or really wherever you listen to your podcasts. Even if you Google “The VBAC Link”, you can review us there. Meagan: Let's get going into this story. So unplanned C-section. Adriana: Yes. I want to give a very brief background of my life just to get into the mindset that I was when I had the unplanned Cesarean. My husband and I have been together for a really long time. We are going to celebrate our 20th anniversary this year. We met our first year of college and then we've been together ever since but we only had our first child in 2021. That is because we prioritized our careers for a really long time. We are both scientists. We are both professors so we did our Bachelor's together then we did our Master's and then we did our PhD's together. Then we did long distance for a while because we were doing post-doctoral research which is a thing. Then in 2020, we both landed a job in New Mexico State University where we are right now so in August of 2020, we moved across the country from New Hampshire and from New York City to New Mexico. We sort of started our new life in a new city during the pandemic with a new and very demanding job. In April of 2021, which was just a few months after we moved to– we live in Las Cruces, New Mexico. When we moved here, the biggest surprise of our life happened which was that I was pregnant. It was a surprise pregnancy. The pregnancy was just overall uneventful in the sense that I just didn't have any sort of discomfort or anything. I was just tired and that's pretty much it but then when I was around 16 weeks pregnant, I got a phone call out of nowhere. I got the news and this is the way that it was told to me. They were like, “You have a 50% chance of your child having a fragile X chromosome which is a genetic disease.” I was like, “What? What is it? What's that?” I had never heard about it and I was like, “50% chances? That's pretty high.” I remember I was in my office and Jovani, my husband, was there when we got that phone call. We were just very confused then when we started to look into it, it's actually a pretty terrible genetic disease to have so all of a sudden, our whole life shifted. We were very concerned. Since the very beginning of my first pregnancy, there were a lot of interventions just because I was of advanced maternal age. I was 36 at the time and after 35 you are of advanced maternal age. It doesn't matter if everything looks good but if you are older than 35, that's it. They were like, “Oh, we recommend this testing and this other testing and this other one” and so on. One of those testings was genetic testing which I think we wanted to do either way just to be prepared in case of anything. So then we started to look into, “What is this genetic disease?” Once again, it was pretty bad. So then yeah, it was 50% chances. That's pretty terrible. That's where I brought in my scientist skills. I was like, “Wait a minute.” So then I got in touch with a genetic counselor. I don't think this is just the way it is for everyone, but the particular genetic counselor that I spoke with wasn't really helpful even though I told them, “I'm a scientist and I have a pretty strong molecular biology background. I understand DNA and genes very well.” I was looking for very specific information and they were just not really helpful. So then both Jovani and I spent so much time digging into the scientific literature and trying to find information about this disease. That's how we came about some newer testing that really looks deep into the DNA sequence that they find in your baby and then they're able to tell very precisely what your chances are of your child having this disease or not based on the genetic sequence. Then we just spent a lot of time looking into that, finding that information, then advocating for my baby to get this genetic testing done because it was not something that my insurance wanted to cover. Long story short, after a few couple months looking into that and making calls and so on, we found a way for that testing to be done. Then when we got the results back, 50% chances were wrong. The information I got was wrong. Meagan: That's some pretty wrong information to get. Adriana: Yes. It got me thinking how many people are probably given this information with the statistics totally wrong? So then the 50% chances when I looked into it went down to 5% chances and then when we did the additional testing, it went down to 0.1% chances. Essentially, null almost. Meagan: Oh my gosh. Adriana: Yes. Yeah. You know, even though we were very grateful for that, it sort of set this tone in my pregnancy where I was so stressed the whole time. I just didn't put any time in researching how I have to prepare to give birth. I was just in survival mode if that makes any sense just grateful that I didn't have to worry about the genetic disease. I think at around week 35, they were like, “Because of advanced maternal age, we recommend an induction at week 39.” I was like, “Okay. They're recommending this. Let's just go ahead and do this.” I'm a very tall person and Jovani is tall as well so we make big babies kind of. I knew the date of conception of my baby and I knew that based on that date of conception, I was going to be 40 weeks on December 31st. Then somewhere around 30 weeks, they were like, “No. Because of what your baby is measuring, your due date is actually December 22nd so then that means we–” Meagan: 10 days earlier. Adriana: Exactly. They were like, “That means we would like to induce you on December 15th.” Once again, I was like, “Fine. Yeah, sure.” So then on December 15th, we went into an induction. It is a very long story, but long story short, the induction lasted three days and nothing happened. I was given Cervadil and Cytotec and nothing happened. I didn't dilate. Nothing. Meagan: Your body was really not ready. Adriana: It was really not ready. I was really desperate. I was like, “What's going on? Why are things not happening?” No one was giving me any information even though I was asking, “What's going on?” They were like, “Just relax.” I ended up asking a nurse because the doctor came in and was like, “Well, we tried Cytotec and Cervadil and it's not working so the next thing to do is Pitocin.” He was like, “Is that what you want?” I was like, “I don't know. Let me think about it.” I asked a nurse, “What do you think about me getting Pitocin?” The nurse was like, “No. No. They are setting you up for failure. You haven't dilated at all. No. Just say no.” So then I just was desperate for any advice. I ended up saying no and I was discharged. They were like, “We're going to discharge you but you have to come back.” It was a Saturday when I was discharged and they were like, “You have to come back on Tuesday for a second induction. But a lot of times after a failed induction, people go home and they come back in labor a few days later.” I wasn't. On Tuesday, I went back. This was December 21st I think or something. So I went back for a second induction and then when I went in, I was already soft on my cervix. I felt things were advancing really well and I was excited. Then it was almost a three-day induction once again. So they started giving me the same thing. They gave me Cytotec first and they waited for a few hours then I had the Foley bulb inserted. It's like a blur because there were just so many interventions. People were coming in and out of the room the whole time. I was still sort of having a hangover of the last induction because for three days I was so tired. I was so hurt. They couldn't find my vein so then I had multiple bruises in my arm. It was just so many things. I felt kind of a hangover if that makes any sense. Meagan: Yeah. Adriana: I started dilating with the Foley bulb. It came out so at the beginning, things seemed to be going well. Meagan: Better. Adriana: Yeah, better. I was like, “Okay.” I think when I– I don't even know how much I dilated, but at some point, the OB/GYN came in and she was like, “You know, I recommend to you that we rupture your waters just so that things start going.” I was like, “Yeah, sure. Things seem to be going well so let's do it.” They ruptured the waters and then that was pretty much it. I don't feel like things started happening or anything. I was getting cervical checks very, very, very often. I think that sort of messed up my head to some level. They hurt me. They are not the most comfortable things to go through. Meagan: Especially early on in labor.Adriana: Exactly. Meagan: Right when your Foley just came out, you probably had a posterior cervix, pretty closed still. Adriana: Exactly, yeah. There was some bleeding going on. It was really terrible. So then a few hours after my membranes were ruptured, I think maybe the doctor could see that I was not relaxed for obvious reasons and she suggested getting an epidural. She was like, “Oh, I suggest you get an epidural because I think that would help you relax. That can speed up things.” I was like, “Okay.” So then I ended up getting an epidural and then I got one and it only worked on half of my body so then I had to get another one later on. After many, many, many hours, things were not happening. I did end up getting contractions after the Pitocin and the contractions, I could feel on half of my body and then eventually, I just couldn't feel them. I could just feel the pressure. That went on for hours. I mean, I think I got the Pitocin. It started at 8:00 PM maybe or 5:00 PM and then they were increasing the dosage and then around 6:00 AM I think they had gotten to the highest dose that you can get and I was not. They checked me and I was at 5.5 or 6. Then the doctor was like, “Okay, we're going to stop the Pitocin and let your body do things.” My body didn't do anything. The contractions completely stopped once the Pitocin was removed and we waited for an hour or two and this time, my waters had been ruptured for over 24 hours so she was like, “You know, there's nothing else we can do. We've tried everything. Nothing is happening. I recommend having a C-section.” I mean, I think when I really felt I had no other option, I was like, This is what needs to happen and what I have to do, so sure. Let's go ahead and do it. Fortunately, it wasn't an emergency C-section or anything. We still waited for 4 or 5 hours just sitting there waiting for I guess the team to get their act together. They took me to the OR and my baby was born around noon. Everything went fine. I had no complications. My baby had no complications so it was pretty nice but the recovery was so tough. It was just that something inside me didn't feel right. I was like, “What just happened? What just happened? Why did I end up having a C-section?” I would just think about it over and over and over at night when I was nursing and when I was alone with my thoughts and so on. I was like, “What happened?” Those sorts of things and why when I asked questions why no one answered the questions. They were just treating me as if I was an uneducated person. They just didn't want to engage and I think that's wrong in general to everyone just the way that you are dismissed when you ask questions is pretty terrible. They are on a schedule and they have no time or interest in my opinion or in engaging. Then I started to think about it a little bit more and then in my mind, I was like, Well, I guess if I have another child, I can always do things differently. That was the mindset I was in for a few months. Then when I went to my 6-month follow-up appointment to check me and make sure everything was okay. I asked the doctor, “So, if I have another child, I would like to have this child vaginally so I would want to know why did I end up having a C-section? What happened? I know it was failure to progress according to your notes but what does that mean?” She looked at my chart for 10 seconds and she told me, “You cannot deliver vaginally because your pelvis is too small.” I was like, “What?” I was like, “No. No. That cannot be.” I know that your body doesn't. You can have your pelvis one way and it doesn't really mean anything based on your body but I have a pear-shaped body so I was like, “I don't think my pelvis is too small.” So then I asked her, “How do you know that my pelvis is really small?” She was like, “Because you failed to progress.” She did not want to engage. She did not want to. I just left that room and I was livid. I was so angry that she did not want to engage. She did not want to have a conversation. I didn't even know if I was going to have another child at that point but I was like, If I ever get pregnant again, I'm just not going to come here. I just kept thinking about it over and over and over. I was like, I just need to reach out to someone who can help me understand this a little bit better. I reached out to a local doula and asked for information about VBAC in general. I didn't know it was called VBAC at the time. I was like, This happened to me. If this were to happen to me again, can I deliver vaginally? She invited me to a VBAC course and the course was super awesome. They shared a ton of statistics on inductions and VBACs and so on. She also suggested doing a birth story processing which was pretty awesome too. So then 18 months later, I got pregnant with my second child and I knew exactly what I wanted which was not what I had before. I knew that I wanted a VBAC ideally and that I wanted as few interventions as possible. I wanted a provider who would engage with me and I wanted a provider who would follow evidence-based facts and of course, a provider who was VBAC-supportive. I looked for all of those things around my town. We have two hospitals. It's not a huge city and I asked around. Basically, the information that I got was that they were VBAC tolerant but because I was of advanced maternal age, probably none of them would be comfortable having me as a patient. So then I ended up finding a midwife practice and that was what I ended up choosing because they were all that I wanted. They were amazing and I did end up having the most wonderful experience throughout my pregnancy with them. Throughout my pregnancy, I did a lot of research on my options. I educated myself on physiological birth and I also took classes on a home birth. I did a bunch of other things. I did a fear-release hypnosis. I did the birth story processing which was I think one of the most helpful things that I could do throughout my pregnancy. I didn't really think that I had trauma related to my past pregnancy or fear of any sort, but then through the birth story processing, I ended up finding out that I did have some birth trauma and I had a lot of fear for this new pregnancy associated to my experience with my last pregnancy. Then I did the Daily Essentials of Spinning Babies every day. I didn't skip any day just in case position was an issue last time. I ended up getting my documents from my last pregnancy like my records–Meagan: Your op reports. Adriana: Yeah. I ended up getting them actually one week before my VBAC. It was always something that I knew I needed to go get this done but then I kept forgetting. Then before my VBAC, I was like, I need to get this report and I need to read it so I can get some closure. I ended up finding out some really interesting things. This is a parenthesis. They said that my uterus was boggy when they were doing the C-section and they said that they had to take out the uterus and massage it because it was boggy. I was like, What is that? I looked into that a little bit more and I ended up finding out that my uterus was so tired from the Pitocin and the contractions that it was not working. That gave me some closure if that makes sense. I was like, It's not because my body wasn't working. It was just overtired. I had listened to the VBAC Link podcasts every day also. I did daily walks and you were my companion throughout those walks and just listening to all of the different stories gave me an idea that birth can go in many different directions and it helped me understand that you really have very little control over your birth experience. You can prepare all you want but then at some point, you have to let go because you can't really control the situation. As a scientist, that is very frustrating because we are always in control of our experiments. But in a way, we can never control the outcome of the experiment so in a way, I was like, Okay, this is one more experiment. Yes. I did have spotting on week 18 of my pregnancy and I was diagnosed with marginal placenta previa and possible accreta so for a few weeks I was like, Well, maybe this is just not meant to be and that is okay. But then it ended up resolving by week 28 so I was cleared for VBAC. Throughout the pregnancy, I kept my plans secret from almost everyone including my parents and my in-laws. I told Jovani, “You are forbidden to talk about this with anyone.” As you start getting closer to your due date, people start asking questions which to me is like, why do they want to know such specific information like where are you giving birth? I never ask that but some people really want to get all the details. I just told him, “Just lie and tell them that it's going to be at a hospital. Just say whatever you want. I don't care. I just don't want people asking questions and just getting reactions over my birthing plans and decisions.” Exactly. I don't want to give explanations to anyone. I don't have the energy to educate anyone at the moment. I know that I am making the right decision for me and that's pretty much it. So that was really difficult keeping that information from some friends but as my due date got closer of course, we shared the information with my parents and just our families in general and our in-laws. I did share my plans with a few very, very close friends of mine. Most of them were supportive. Some of them– I guess I had to deal with some anxiety on their side. My doula helped me a lot with that because I was getting almost angry that they were anxious. My doula was like, “You have to remember that they love you and they love your baby. They are scared for you and your baby so try to understand them.” It gave me that perspective like, yeah. If I didn't know, if I wasn't educated enough on facts, I would probably be anxious too. Especially around week 35, their anxiety passed on to me and I started to have a lot of doubts about my decision. I was like, Is this the right decision? Is this really what I want? By then, I was so soaked on data and stats because I just put so much time into researching all of that, that it was how I calmed myself down. It was like, You know the data. You know the stats. You know the chances of things going wrong. Of course, there are chances of things going wrong, but the chances are so low that it's almost impossible for this to happen. If something were to happen, okay. You were one of those improbable chances, but it was a chance that I was willing to take based on the statistics. Once again, that really helped me deal with the anxiety and if I would have had energy at the time, I would have been more than happy to share all the data and stats with friends and family. This is also how my husband ended up being convinced that I wanted a VBAC and that I wanted a home birth as well. I remember this one day, I think there was some sort of miscommunication between him and I at the beginning. At first, he wasn't super happy that I was going with a midwifery practice but then I was like, “They are trained professionals. It's not like Call the Midwife where she shows up with a tissue.” I was like, “No. These people come with equipment. That's how it is.” So that calmed him down but I think he thought I was going to give birth at the hospital so then one day I was watching, I don't know if you hear of this terrible thing that could happen with an uncertified midwife where the baby was footling breech and it was a really terrible story. I was watching something on YouTube and it came up and Jovani was like, “I don't understand these crazy people who want to give birth at home.” I was like, “Hello, I'm planning to give birth at home.” He was like, “What?” So I told him, “Yes, Jovani. I am planning to give birth at home. This has been the plan the whole time.” He was like, “No, I thought it was going to be at the hospital.” I was like, “No. It's going to be at home.” He was really, really, really nervous for a while so once again, I shared statistics and data with him. The midwives also were like, “Bring him in. Have him bring all the questions that he wants and we will answer them. We are here to help.” All of a sudden after a couple weeks after having that conversation, I shared a lot of resources with him. I told him, “Do you want to come with me to the midwife's appointment so you can ask any questions you want?” He was like, “No, it's okay.” I was like, “Oh, so you're cool with me having a home birth?” He was like, “Yeah, if that's what you want. I respect that. I respect your choices. I trust you as an individual and the choices that you make so that's totally fine.” Giving him resources so that he could see the data I feel like really, really helped him. Then with some of my family members like my brother, for example, he was like, “Why do you want to do this? Why don't you just, why? Why do you want to do this that isn't the norm?” I explained to him my rationale and he was like, “Okay.” I had some other conversations. I have a family member and she is a physician and she was also like, “Why would you want to do this? Cesareans are so easy especially if they are scheduled. You just go in. You don't suffer and then you just come out with a baby.” I was like, “Have you had a Cesarean?” Of course, she hasn't. I was like, “It's not really that easy. The recovery is really, really, really tough and there can be some very serious complications. If it's needed then that's wonderful,” but I know that I did not need one for my first pregnancy and I know that I did not need one right now. So then at 39 weeks, I started to feel very anxious because nothing was happening and I was very worried that I was not going to go into labor on my own because I never went into labor last time even though I know I was early. But I was still worried that, What if I never go into labor on my own? I'm going to start getting very nervous if I go past 40 weeks. Then at 39+5, I had prodromal labor at night so I felt excited to experience real contractions I guess for the first time. I was also very worried that I was not going to be able to go unmedicated because the prodromal labor was quite intense and I got thinking about all of these people who have shared their stories that they had prodromal labor for weeks. I was like, Oh my gosh. That's horrible. I reached out to my doula and I was like, “Okay, I had prodromal labor last night. I'm very worried about not being able to handle the unmedicated birth that I want to do.” She suggested we do a welcome baby hypnosis session and to focus on relaxation so I guess once again, as a scientist, I never thought that I would be into hypnosis. It just ended up being this wonderful resource that helped me a lot during my pregnancy and during labor. On my due date exactly, so I woke up and noticed that I had lost what looked like pieces of my mucus plug and then within a few hours, I started having some mild contractions around 1:00 PM and then the contractions continued to get more intense throughout the afternoon and the evening. At midnight, my contractions were super intense but they were not consistent. I couldn't get any sleep because of the intensity of the contractions but I did try to rest as much as possible. Around 4:00 PM, my doula checked in and she was like, “What's going on?” I was like, “I've been having these contractions on and off.” I felt the contractions where you feel period cramps and they were more in my abdomen. They were so intense in that area but just according to what people said, they were like, “We could feel them in my whole belly.” I was like, “These are just weird. I don't know. Are they real contractions or not?” Just because they were not consistent, I would get them every 3 minutes, every 5 minutes, every 7 minutes. Sometimes they would last a minute but sometimes less and sometimes more so I was just super, super, super confused and my doula told me, “You're probably having prodromal labor again.” I was like, “Oh my gosh. No. This cannot be. It cannot be because I'm not going to be able to withstand this for much longer.” It had been 15 hours or so at that point. So I was tired and I hadn't slept at all. This was around 4:00 AM so then my doula once again suggested I reach out to the midwives and ask them if I could have a cervical check. She was like, “That's going to give you an idea of if this is actual labor or if this is prodromal labor. I was like, “Okay.” So then I texted my midwife. I didn't want to call them because I didn't want to bother them at 4:00 AM so I texted them and I was like, “Can I go to your office?” even though I don't know why I suggested that because it would have been horrible to get in my car and drive to their office. I was like, “Can I go to your office in the morning so that I can get a cervical check?” They replied and they were like, “Yeah, sure. You can come to our office. We will see you there at 8:00 AM.” At this point, it was 4:30 AM and I think it was at 7:00. I was like, “I just don't think I can do this for one more hour.” I texted them again and I was like, “Can I go to your office now? The pain is pretty intense. Can I go now?” Then one of them replied and she was like, “Actually, we can go to your house. We can go to your home and we can check you there. Are you okay with that?” I was like, “Yes, yes.” They ended up coming at 8:00 AM and they checked me. She was like, “You're 6 centimeters dilated.” I was like, “Oh my gosh. Thank you.” I was so excited. I was like, “Oh my gosh. Yes. I knew this could not be prodromal labor for so long.” She was like, “You're 6 centimeters dilated.” I was also leaking some amniotic fluid so she was like, “Things are about to get more intense now.” She offered some pain medication. I don't remember what it was but she was like, “This is the pain medication that I can give you. Yes. It's going to reduce the pain but it's also probably going to slow down things. Are you okay with that?” I was like, “No. Don't give me anything. I just want to get this over with.” I knew understanding– I feel like the first part of labor was very confusing. I was like, “Are these contractions? Are these not? Am I dilating? Am I not?” But understanding physiological birth, I knew very well that after 6 centimeters, things are about to get really intense but they are also going to be faster ideally. I guess I sort of trusted that. I was like, “Things are about to get more intense. I know that for sure and ideally, they're going to get faster so I think I can keep doing this for a few more hours so no pain medication, thank you.”She was like, “Okay. I'm going to check in again with you at 11:00 AM.” It was 8:00 AM at this point. She was like, “If anything happens, just let me know.” She left and I think as soon as she left, things got really intense. I lost my mucus plug and then I had bloody show and I continued to labor peacefully at home. I was just in my room quietly. My mom and my dad were here because they live out of town and I asked them to please come to support me and to help with my son, my toddler. They were here but they were in the living room so it was only Jovani and I in the room. I sort of continued to ride the wave. That was my main coping mechanism. I was like, “Okay. A contraction is about to happen and then I would just count and Jovani helped me with back pressure.” Sort of the next few hours are a blur again. I think I was just so focused on coping with the pain, I was just counting over and over and over. I used a comb for a little bit but just was counting and riding the wave is what helped me the most. At some point, my doula and her student showed up. I think Jovani texted them. I don't know. Meagan: 4-1-1, come!Adriana: Yes. They came in and they helped me. They did some massage and helped with back pressure as well. That made a huge difference. I got into the shower at some point. Huge relief to get some hot water on my belly. That really helped. Also, at some point, I had two midwives and one student midwife. At some point, they showed up as well. They started setting up the birth pool and then at some point, I noticed my contractions were not as back-to-back as they were a few minutes before. Once again, understanding physiological birth, I was like, “I'm getting close. I know my contractions are not back to back anymore so I know I'm getting close to being done.” My midwife– I had asked some questions to her before and I was like, “How do you know? I don't want constant cervical checks so how do I know that I'm about to be done?” I remember she told me, “We know. We are trained to listen to the birthing person and we can tell when they are getting close.” So I guess they could tell and around that time, she was like, “Okay, I think it's time for you to jump into the pool.” I think this was around 11:30 or something. I was on my knees and my arms were on my bed. That was the position that I felt most comfortable laboring in so when I stood up, I felt something coming out. I was like, “Oh my gosh. Something is coming out.” I went into the pool and within a few minutes, I started to feel very strong contractions in my whole abdomen finally. Up to this point, the contractions were only on my lower belly. My body started to push and after two pushes, the head of my baby came out and on the third push, all of him came out. I don't know how long that took. It short of felt like forever to me but they told me it was pretty quick so I don't know, maybe 15 minutes. I have no idea. It's really funny how you lose sense of time. Meagan: Mhmm, yeah. Adriana: During that time. There were so many people in the room at that point. It was the two midwives, the student midwife, the doula, the student doula, my mom, and Jovani but it was pretty interesting because the ambiance was so quiet. Everyone was really quiet the whole time. It was really, really peaceful and then when baby came out, everybody was clapping and so on. My dad was outside the room and he was like, “It was so quiet. I was getting worried then all of a sudden, I could hear excitement and clapping.” I was able to catch him and we did immediate skin-to-skin. I couldn't believe it. I was like, “Oh my gosh.” I couldn't believe it. I got a shot of Pitocin and then birthed the placenta within a few minutes. My midwives tucked me into my bed. My baby was still attached to the placenta. My doula brought me a donut. Jovani got me coffee. My mom brought me a sandwich. Meagan: Oh my gosh. I love it. Adriana: Yes. It was one of the best meals I've had in my life. I was so happy and so excited. I had a very small tear so I didn't need any stitches or anything and the recovery was so easy. It was nothing compared to recovering from a Cesarean in my experience after a long induction. Then it was really nice too because in the next days and weeks, my midwives visited me in my home. The checkups and everything were at home so that was pretty wonderful. I guess throughout this whole process once again, understanding, it was really interesting to me how– I don't want to call it a project but I guess it was a project and like an experiment, like the things we do in the lab. You look for background information. You prepare everything. You inform yourself with data and what other people have found. You look at statistics so it was really interesting to me how this VBAC journey helped me grow as a scientist. That was one of the nice outcomes. Something I forgot to say is that after my Cesarean and when I did the birth story processing– because you give a bunch of information to the person who is doing the processing for you and one of the things that I couldn't point out was why I was so bothered with the experience. If everything had gone well, what was it that was bothering me? She was the one who brought it up because one of the things I kept bringing up was, “I do research for a living. This is what I do. This is what I do every day. I research. I look at data. I look at stats. I read the literature. This is what I do. Why didn't I do any research for my first pregnancy? Why didn't I prepare myself? Why didn't I second-guess what the medical doctors were suggesting me to do? If I'm always second-guessing what everyone says, especially in science, you are always like, where is the evidence? Can I see the data? Why didn't I do that?”It was really interesting that she brought this up. She was like, “It seems like you feel like you failed as a scientist with your first birth experience. It seems like you feel like you failed as a scientist.” I was like, “Yes. That is exactly how I feel. Yeah. I feel like I failed as a scientist. Why didn't I put any work in researching one of the most important events of my life? Why didn't I do that?” I think a way to cope with that in my second pregnancy was doing the opposite and really doing all of the research, looking at all of the data and all of the stats. At some point, I was like, I've done all of the work so whatever the outcome is, it's not on me.Meagan: It's out of your hands. It's out of your hands. Adriana: Exactly. It's out of my hands. So that was something that really helped me throughout my pregnancy and throughout labor. I'm happy that I had the outcome I wanted but I think at some point, especially in the last weeks of pregnancy, I was like, Whatever the outcome is, I've made peace with it because I've done all I can to prepare and that's it.Meagan: Yeah, that's such a great message to share because in the end, just like you said, I actually love how you said it. I prepare. I gather. I do the experiment and not that birth is an experiment, but in the science lab, and then the outcome is really unknown. Adriana: Yeah. Meagan: It's really unknown. Sometimes you can control it by adding whatever into it and sometimes you can't. It's like labor. Sometimes we go to the hospital and we can control it with Pitocin or an epidural or whatever and sometimes we still have these outcomes. Such a great message. Just in the end, it's so hard for the not-average scientist, the average person, not the scientist, to really decode all of the literature out there. Do you have any tips for the listeners on how they can go about taking the preparation like what you did? Obviously, we have blogs and our VBAC course and all of the things to try and help break these things down into English because sometimes they are very hard to understand. Adriana: Don't get me started. Meagan: Yeah, but what suggestions would you give to any of the listeners? Adriana: Yeah, I have a few. The scientific literature– I feel so annoyed having to write the findings of my experiments in that type of language, but I guess that is sort of how things are done. One of the things that I recommend people doing is not one that a lot of people think of, but you can reach out to the authors of the papers. I get so excited when someone reaches out to me and they are like, “I saw this paper. Can you explain to me what it means?” Most scientists are just going to be so excited to have people reach out to them and tell them, “Can you help me understand this?” Most of them are going to be so excited about that. That's one thing you can do if you feel like reaching out to someone.Maybe sometimes they are not going to reply, but I would say most scientists–Meagan: Worth a shot. Adriana: Exactly. It's definitely worth a shot and most scientists are going to be so excited that you are reaching out to them. The other thing is that most papers come with a short summary at the beginning. It's usually called “summary” or “abstract” and in that summary, they summarize the findings in a way that is way easier to understand than if you look at the results in the discussion because sometimes also the plots are impossible to understand, the statistics are very difficult to understand if you are not trained in statistics, so reading the abstract and the summary, especially toward the end, there is usually one to three sentences with the main outcome of the experiment. They are not going to give you statistics or anything, but they are going to tell you what they have found. You will see that most scientists are really conservative on what they conclude from their study. Even if their data and stats are really strong, they are usually very conservative on the way that they conclude and then sometimes that conclusion gets lost somewhere when the information is given to you by your OB/GYN for example so I would really encourage folks to look at those last few sentences to really understand, Okay. My OB/GYN brought up this scientific article. Let me go and see what is actually written there and what they are actually saying. By reading those one to three sentences, you're going to get a better understanding of what the scientist actually found. Meagan: Overall, with VBAC, what was the overall finding? Obviously, I kind of know a lot of the overall findings, but what was the overall finding that you found in your own research when it comes to VBAC and the safety of it? Adriana: Yeah. I just found the data is so strong in showing that VBAC is super safe for non-high-risk individuals. Again, having a previous Cesarean does not automatically make you high-risk and I guess if you think about it, I was “high-risk” because I had a previous Cesarean. I am of advanced maternal age and I also have a higher than average BMI so I had three high-risk factors if you will and still, with those factors counted in, I knew that VBAC was really safe for me just based on the data that I found. Then if you add in too the reduction of interventions, that makes the chances of VBAC really high. Meagan: VBAC high, rupture risk is lower. Adriana: Exactly. If you keep adding things, I found especially when researching for home birth, the data is really messy out there. It's not desegregated and by this, I mean that when they show you the statistics for home birth, they show you the statistics of everything together like people who had unplanned home births for example. The outcomes of those can be very different than that of a planned home birth and they also add people who end up having spontaneous abortions at home and that's included as a home birth. That is ridiculous so we really need desegregated data so sometimes when you go into the scientific literature, you can get the desegregated data in the scientific paper. Once again, I know that is not in an available format for people who don't have the training but again, you can reach out to the authors of the paper and to the scientists for them to explain to you what is the actual finding or read the abstract so that you can see. Most of those papers are like, “We need more research on planned home births.” Meagan: Right. Oh, such great information. I know we have so little time but I have one more random question because in a lot of these articles, they say, “Confidence level blah-blah-blah.” Can you describe what that means as someone who is reading that? What does that mean when an author says that?Adriana: When an author says that, they are taking percentages as their confidence level. When they say 95% confidence, it's that they mean that out of say 100 individuals, the chances of this occurring is less than 5% when there is a 95% confidence interval. Once again, it could mean depending on the type of data that out of 100 people, 95 people we know for sure backed up by statistics that 95% out of 100 individuals are going to have this outcome. That's basically it. They are just giving you a percentage so that it is a little bit easier to understand and we also use this same thing with P-values. P-values are something that you see all the time in scientific literature. It is the exact same thing. We consider P-values smaller than 0.05 as significant so essentially, this means that there is a less than 5% chance that whatever you are studying is happening out of chance. Essentially, it's telling you there are 95% chances that what you are seeing is actually happening and it's not something that is happening out of chance if that makes sense. Meagan: That totally makes sense. Adriana: Yeah. Meagan: Oh my gosh. We could probably talk about this for a long time, but I will not keep you any longer. I appreciate you so much. Congratulations on your birth. Thank you so much for sharing with us and have a wonderful day. Adriana: Thank you for inviting me. 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

The VBAC Link
Episode 326 Jolie's HBA2C + Finding the Right Provider + Surprise Big Baby

The VBAC Link

Play Episode Listen Later Aug 14, 2024 51:20


“I leaned back in the tub and I think what I said was just, ‘I've never held one of my babies after they were born before.'It was interesting how there was an element that was sort of mundane about it but I liked that. It was just the normalcy of it all that shocked me if that makes sense.” Since her only experiences with her previous births were in a sterile, surgical, hospital environment, the simplicity and freedom of a home birth felt shockingly normal in all the best ways!Jolie shares her first C-section, her planned home birth turned CBAC, followed by a 15-hour home birth at 43 weeks to an almost 11-pound baby with her third. She gives invaluable advice on how to REALLY know if you have the right provider for you and how it may not always be the VBAC-supportive provider everyone recommends. Jolie's Photography and Coaching Contact InfoTransforming BirthNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. It's Meagan here. We have another VBAC story for you today and we have our friend, Jolie. Hello, Jolie. Jolie: Hey, Meagan. Meagan: How are you today? Jolie: I'm good. How are you? Meagan: I am so great. I am so excited to record your story. There were a whole bunch of little snippets through your story that I'm like, Oh, I want to talk about that. But I wanted to tell everybody that I've been starting to do this. I don't know if you've been noticing but we get a lot of emails of, Hey, where was this person located? What state was that? I'm curious if it was my state so I can try to find that provider. We are going to have her providers and stuff tagged in today's post but you say you are in North Georgia, correct? Jolie: Yes. Meagan: Is that just where your VBAC was or is that where you are residing now? Jolie: Nope, this is where my VBAC was, in North Georgia. Meagan: Okay, so North Georgia people, listen up. This is going to be a great story. I'll tell you guys a little bit more. Okay, so you're a birth worker and a photographer. Are you a doula? Jolie: Yes. Yep. I was trained as a doula in 2020 but I'm exploring different ways to support people in the birth community because, with three young children, I'm just trying to navigate the on-call life and doing things. But yes, I do have experience being a doula. Meagan: Awesome. So cool. Like she said, she has three kiddos. She is a Christian wife to a Biblical counselor. That's awesome. I love how you guys said that you have a vision of a multi-generational team on a mission to God's kingdom. I just love that so much. I am so excited to record your story here in just a few seconds. I do of course have a Review of the Week as always. We always have reviews and just a reminder, if you haven't left a review yet, we would love them. They really do help the show. They help other Women of Strength find these amazing stories and honestly, they just put a ginormous smile on my face. This review says, “Love these ladies and this podcast.” It says, “I love listening to your podcast. I listen almost every day in the car. So often that my oldest son knows you both by name. The stories shared here have inspired me so much. I wish I had all of this information with my first baby. I have had two C-sections. I'm not pregnant at the moment and still have to get my husband on board for a third, but I am so excited to start planning for a VBAC after two C-sections when the time comes. Thank you, Julie and Megan, for creating this amazing VBAC community. I'm so thankful for the education and support.” Okay, seriously, I love that. We keep hearing this. I love that other kids know who we are because they are just so used to listening to the podcast because this is what I love even more than just they know who they are. They are learning. These kids are sponges. We know that. They are always taking stuff in that we are saying and if they're listening to these stories, they are learning. So hopefully if your kiddos are learning and listening, they are going to have a different outcome in their future for their future births if they so choose to because they're going to know, right? They're going to know all of these stories. Anyway, that makes my heart smile. Jolie: That's awesome. Meagan: All right, girl. Are you ready? Let's do this. Jolie: All right. Meagan: All right. Let's turn the time over. Jolie: Okay, so yes. I had a home birth in November, November 5th. That was a home birth after two Cesareans so an HBA2C. I'll just do a small synopsis of the first two births because I feel like that always helps preface the background of where I'm coming from. I think everybody's journey to their VBAC is totally different. Meagan: Yeah, totally different and at the same time, there are so many listening who are like, Oh my gosh, this is just like me. I think sometimes we hold on to those past experiences even if we've processed them. We know that was our past so sometimes we even doubt ourselves because of that so hearing someone's story who is pretty similar to yours and then hearing them go on to have a VBAC is pretty impactful. Jolie: Yeah, absolutely. I can relate to that as well with listening to podcasts and finding those stories of women's journeys to their VBACs. I definitely clung onto the ones I related to. With my first baby, our daughter, she was born in 2019 and I mean, that was like so many, a typical cascade of interventions situation where I was aware of home birth and natural childbirth. I knew that I wanted that, but I also was just young and didn't know and wasn't aware of the resources I had. It's pretty much what I chaulked that up to. I just was getting into birth and eyes wide open and reading what I could but I didn't really know obviously what the future was going to hold for me. I didn't know all what was available to me either. I was seeing a traditional OB group and was planning a hospital birth but wanted just a natural childbirth with no interventions at all. I just wanted in in the hospital. I ended up getting fear-mongered to just put it simply out there. Fearmongered into an induction at 41 weeks and yeah. Quite frankly, it just didn't work. My body was not ready. I was not open at all and I was so determined. I stayed in that hospital working with an induction for a whole week before I had my C-section. I was trying to go slow and steady and I was going a little stir crazy there at the end of that week. I obviously was confused and just downcast and so just sad about what was happening. I was shocked that I was there in that situation. I remember reading Ina May's book and skipping the C-section chapter because I was like, That's not going to be me. Why do I need to read this? Meagan: That's really normal. Even here with the CBAC stories, I think it's really common to be like, I don't want to listen to that CBAC story because that's not going to be me. But at the same time, I think it's good too. Jolie: Yeah. Yeah. There's definitely a balance to that. I found myself at the end of that week pushing 42 and was kind of again just had fear within me and had fear coming from my providers of, “You've been at this for a week. You're not in labor. Your options are to leave or have a C-section.” I was just like, “Leave? I've been here for a week. I'm not going to leave here without a baby.” We opted for the C-section and she was fine. We handled that whole week together perfectly fine. There were no emergencies or hiccups in the road. It was just like, “All right. This is just what we do next,” kind of at this point. She was born at 32 to the day via Cesarean and yeah. That was that. I definitely processed the birth very traumatically because any trauma is how you process what's going on. I know there are births out there that could look like that and people handle it differently. So anyway, for me, I processed it with a sense of trauma. I spent that next year just working through that sorrow and trauma. I started seeing a Biblical counselor which is why I included in my little bio that my husband is one because I saw one and the change that he saw in me is what spurred him on and encouraged him to become one. That was a really cool moment in our family where I was going to this wonderful woman for help and just handling my birth. Anyway, that was really helpful for me in growing and changing the way I was looking at my birth. I was very determined to have a VBAC. My husband I have always said that we want however many children the Lord would give us. I assumed that wouldn't be just one. I wanted another one so I was very determined for a VBAC for my second pregnancy. We conceived my second when my daughter turned one. It was a year later and I was just– the way this pregnancy and birth happened which was a repeat Cesarean, I just put my blinders on and put my head down and was like, I just need to hire a home birth midwife and she's going to give me my VBAC. That was my attitude. Surely if I plan a home birth, I'm not leaving my house. There's no way it will end in a C-section. I was very– I don't know if stubborn was the right word, but there was a sense that I was covering up all that I went through with this first birth to just have the VBAC, have the VBAC. It was almost like that was going to fix the first one. That was how I felt. In hindsight, I see that now. In the moment, I probably did not recognize that that was how I was operating. I hired a home birth midwife who came recommended to me. I knew friends who used her. So then here we are towards the end approaching 41 weeks like the last time and my water broke on 41 weeks. It was the first sign of labor and I had no signs of labor with my first child so that was so exciting. I was kind of scared too. I was surprised. My water broke at 41 and I was talking to my midwife and whatnot. I had some little pitter-patter contractions that night and then nothing the next day. That was on a Sunday. My son ended up being born that Thursday via Cesarean. What happened within that week or a little less than a week was not the funnest of times. I pretty much realized there at the very end when I was needing– you're here at the end and you're like, What's going to happen next? I realized, I hired the wrong midwife, but what do I do now? Meagan: No way. Jolie: Yeah. Like I said, I'm not going to speak ill, but I believe that every care provider is not the right fit for everyone. So just because I heard wonderful reviews, that's not negating the fact that she was wonderful for some people, but looking back, this is pairing it where my head was down and my blinders were on. Now I can see in hindsight the red flags that were coming up. I was like, Oh, she's just tired. Maybe she just got back from a birth and that's why she seems grumpy. She's been doing this for a long time. I was just giving reasons to why she was the way she was. It was nothing more than that we just didn't click well. After my water broke, she took on this fearful attitude. She was very concerned and just didn't know what to do. She really fed into fears that I had and new ones in my head. I was just like, This is not helping. What's going on? All that to say, I think she wanted me to have a biophysical profile done since my water had broken and I was 41 and labor hadn't begun. Obviously, the profile came back that there was low fluid which I knew because my water had broken but there was nothing else concerning with my son. But because of that report, she transferred me to the hospital. She transferred care and she called my husband after the report came back to her and said, “Y'all need to go to the hospital. I'm not going to be able to support you. Just go.” That moment from the report to the hospital was scary for me but on the way there, I had this peace come over me because I was going back to the hospital that my daughter was born at and before this birth, I was very much even just seeing the hospital– I would just not look at it by the side of the road. I had all of this emotion attached to this place. I knew a few people who worked there in the labor and delivery ward. I had their numbers so I messaged them. I was like, “Is there any chance y'all are here?” Long story short, I'm coming. I don't want to be here, but I'm coming. They were. I had a friend come and she prayed with me and I had seen another nurse there who was there when I had my daughter and she remembered me. It was just this very healing moment in the sense of I was respected. People totally were not judging me for coming in as a home birth transfer. I was worried about that that I would get a side-eye or judgment because I was a home birth mom. I was actually going to the hospital and I didn't have a provider there. But no, they were all so very much like, “We are so sorry that you are here because we know that you don't want to be here but we are taking care of you. We understand that this is hard for you to process everything that's going on right now.” That was healing in itself. That healed my emotional attachments to the hospital that were negative. He was fine. They monitored him for a few minutes when we got there. He was fine, but they also– I did tell my husband when we were on the way, “I just know that it's going to be another C-section because I don't even have a doctor here. My water's broken. I'm already a VBAC.” I kind of had accepted that outcome before even getting there and decided to opt for it again. The doctor there was also very respectful with all of that just like the nurses were. He was born at 41 and 5. He was fine even though the water had been broken for some time. So that was that. In processing that birth, it was a little bit different than my first. I definitely felt like I was at a fork in the road though because here I am. I've just had two. I was technically a home birth transfer. I was determined to get this VBAC. What in the world happened that time? I just realized that I had taken any sort of trust and responsibility in the medical community or within myself and just put it in the hands of this midwife and put her up on this pedestal of, You're going to give me the birth that I want. I misplaced that into the whole home birth community. I was like, I can't do that again. But then that is some deep internal work then. If I am realizing that I am making all of these other people responsible for my birth and my outcome and it's not working out great, I need to figure out what the root of this is and really work on it. That began the year journey of just doing some more internal work and more counseling and therapy and stuff like that. I remember it might have been this podcast episode that I listened to or it could have been another birth podcast. It was honestly a lightbulb going off. I didn't realize I could do this. I can't remember. I think it was your podcast but one of y'all said, “I interviewed seven providers before I became pregnant again to pick one out.” Meagan: Yeah. I actually interviewed 12. Jolie: Yes, okay. I wrote that down. I heard that and I was like, Wait a minute. How am I going to do that if I'm pregnant and scrambling to find the perfect provider? I heard you say that and it was almost like, Whoa. I didn't realize I could interview people when I'm not pregnant, but why couldn't I? So that helped me. Meagan: It sounds weird. Why would you go talk to a doctor if you're not pregnant? Jolie: Yeah, but that gave me so much peace and confidence. It was a clear path of, Oh. I'm not pregnant. I've got time. I started. I didn't want to figure this all out until my son turned 1 so I was just like, You need to take a breath. Everybody talks about your next baby right after you had one and I'm always like, Can you just slow down? I just had a baby and I'm going to enjoy this time. So I waited a year not to get pregnant the third time but a year to go after my provider, find my plan, and really do the deep work again. So I did. I started interviewing all of these people. I found my midwife a little over a year before I conceived my third baby. I found her early when I wasn't pregnant. It was just such a God-ordained, perfect experience where my husband and I went and had a conversation with her. She just aligned with us on a biological level, on a spiritual level. That was something I didn't realize how important it was going to be to me to find a fellow Christian who really walked out their life with the Lord and she did. I developed a close friendship with her actually even before I was pregnant. Being in the birth world, I would work with her. I had attended some births with her before I became pregnant so I really just saw her live it out and I knew she was amazing. What's so funny, just the way the mind and body and spirit are connected was when I first met her and did the interview with my husband, I hadn't started my cycle back. I was telling her, “I'm just looking. I need a VBAC. I want a VBAC. I'm not pregnant yet, but I haven't started my cycle either so I have no idea when.” The very next day, I got my period. For me, I felt like it was my body coming into alignment with the fact that I just found somebody who was going to be amazing for my birth. Meagan: You're ready. Jolie: I emailed her, “This is so weird but I literally just started my cycle.” Anyway, that was just a really cool moment for me to recognize that connection.That was when I found my midwife and that was such a key part to my VBAC. Then it was about a year later when I got pregnant with my third. I hired her and we were just so excited. Okay, so one of my big things with interviewing people for my third was, “Okay, I have had two pregnancies and two Cesareans. Historically, I have gone postdates with both of them. I need to know what your deal is with due dates and the whole ‘let me' language and all of that.” I was trying to figure out what I aligned with in that regard and what they would support me with. So here I am approaching 42 weeks. She was very much like, “Whatever. We'll check on you more when you're past your due date if you want and we'll obviously take care of you but I have no cutoff or whatever.” Yeah. So I was 42 weeks and I started losing a little bit of my mucus plug. That was exciting but then another pretty much week went by and here I am a couple days before 43 and I have two nights of prodromal labor where the contractions would wake me up in the night but then I'd go back to sleep. That was the first night on a Thursday night I would have those contractions. Friday rolls around. I am so pregnant and so tired. It was definitely emotionally very challenging that last month. But Friday night comes around. They pick up again and that night, I really couldn't sleep so I would be on the birth ball. I would get in the bathtub and yeah. I knew I was going to need some support on Saturday because of my other children so it did fizzle out Saturday morning, but I had a friend come and play with my kids. We just all hung out together on Saturday. I did have some contractions that were strong every 30 minutes to an hour during the day on Saturday. I was pretty much– that Saturday I was 43 weeks I think. Either Saturday or Friday I was 43 weeks. That evening it started picking up a little bit more and my birth team, so my midwife and her assistant who was going to come to the birth and my husband. They came over around 10:30 Saturday morning and then 30 minutes later– so they got to my house at 10:30-11:00 PM. My kids were asleep so that was fine. I wasn't really sure if I was going to have them around or not. I was going to play it by ear because I wasn't sure what kind of support I'd need from my husband and how they were going to handle it. Through the night they slept which was great and I was laboring that Saturday night. My water broke at 11:00 PM Saturday night 30 minutes after my birth team got there and that was something that I was having to really work with in my mind because of the second birth having my water break as the first sign of labor and then not have the baby for several days. I was really wanting to not have my water break early. Meagan: Yeah. Jolie: But my water breaking actually when it broke at 11:00, I was in labor before then. That was a different situation and I just had this wave of peace come over me again because I knew I was finally in labor and my birth team was going to stay. It wasn't going to be, “Oh, nevermind. We're going to go home now.” They were here and the water was clear. I had no worries. I was actually really excited after my water broke because I thought I wasn't going to be because of my second birth but I was so thankful. Pretty much from there on, it started picking up pretty intensely. The nighttime was a blur. I just did squats and walked around and swayed and just clung to door frames I feel like. I was just sort of, yeah. I definitely struggled with holding tension in my body in the contractions. I did labor pretty much all night on Saturday and then later in the night maybe around 4:00 or 5:00 AM, I finally found a great place to relax and just a position. It was actually just laying in the bed reclined is what did it for me. I was able to melt into the contractions and I could tell that I was opening and progressing. I just slept around 4:00 or 5:00 until 7:00 AM so early into Sunday morning now. I was definitely still laboring intensely but I was sleeping. To somebody on the outside, you would just think, Oh, she's just taking a nap. I was in transition actually. I did not think I would want a cervical exam because of my previous two births– never dilating, all of that. I had to move past that whole belief that my body was not going to open and things like that so I wasn't sure how I was going to do with exams and stuff. But at that time, being a doula and hearing so many birth stories, I was already pregnant for so long, I was just like, I need to know if I have a whole other day of this. I don't want to hear a number but I want her to check me and at least tell me if my energy needs to be hunkered down, conserved, you're not that far, or is it okay, let's pick it up. You're almost there? I did want her to check me but I didn't want to hear a number. I just wanted her to give me a general frame of, “Here's where you need to be in your headspace with this information I've just received.” It was 7:00 AM maybe. She checked me. She was like, “Are you sure you don't want to hear a number?” I could just tell the way she asked that question. I was like, Okay, she knows I'm going to like the number I'm going to hear. I was like, “Okay, go ahead and tell me.” She was like, “You're an 8 and I can stretch you completely open very easily.” I was like, “What? Oh wow, this is amazing. Okay.” She was like, “I think all it's going to take is some different positions. We're going to do a circuit to get the baby's head lined up just a little bit more straight and that will open you up all the way if we just move the baby just a little bit.” I was like, “Okay, let's do it.” I did two circuits of excruciating positions. Side-lying was not the most fun thing I've ever done but I was very much just like, “Tell me what to do and I'll do it.” We did side-lying, knees to chest, and dip the hip where I was standing and I would swap and turn. I don't know how to explain the sensation, but it was probably just the baby moving through my pelvis. It was pretty intense. I did two circuits of that and I was just like, “I need to feel some comfort again and not do this circuit again.” So I was like, “I think I want to get in the birth pool.” I had the birth pool set up. I had tried to get in earlier in labor but got right back out. It was just not for me. I was like, “Maybe I'll try the birth pool.” I stepped in and was like, “Nope. I don't want to do that.” The second time now, this was around 11:30 AM. I was like, “I think I want to get in the pool.” I got in and I was like, “I'm not 100% sure but I kind of think I feel pushy.” It was just one of those things that in a lot of ways I felt like a first-time mom having this labor where I never had a pushing phase with the others. I was just sort of doubting myself a little bit, but the assistant was like, “Well, we can't tell you if you feel pushy.” I was like, “Okay. I know. I know.” Meagan: We can't tell you. Jolie: Yeah. Meagan: That's hilarious. Jolie: I was like, “Okay. Well, I'll just be in this for a few more contractions and see if whatever sensation I'm feeling stays or gets stronger. I think I'll be confident when I am ready to push or if it changes and whatever.” I just was trying to figure out again where I needed to be. So I did feel that pushing sensation and started to in the water. That was definitely such a switch in the way I was experiencing the sensations of labor because the contractions were painful to me, but when I started pushing, it was like relief and very relieving. I felt like, Oh, I'm doing something. This is different. I'm not just getting through this. I'm moving through it in a way where I have this sort of control over it. I really enjoyed pushing and I was in the tub and again, reclining on my back. I never thought I would be in this position for birth because it's usually the hospital stereotype of on your back on the bed but that's where I felt relief and got through transition on my bed so in the birth pool, that's actually how I pushed was kind of reclined back. I was just able to do it better that way. I had 5 minutes between each contraction so that was really nice because I ended up pushing for about 2 hours. That's kind of a long time. I think from start to finish my labor was 15 hours so it was those last 2. I never felt exhausted as in, I can't do this, but I do remember I wasn't really aware of the time. I knew it was Sunday afternoon. I got in the pool at 11:30 and my son was born at 2:05. I was pushing but I had those 5 minutes of breaks so I was able to doze off and float in the water. I genuinely enjoyed those 2 hours. It was just peaceful but I felt myself getting sort of impatient because I didn't know what time it was, but I was just like, Okay. The water is kind of cool. I know I've been in here for a while so I don't know. I really wish this was over now. So finally, there was a candid moment where I saw my midwife getting baby stuff together and I was just like, “Oh, what are you doing?” She was like, “You're pushing. I'm getting the baby stuff out. You're doing this. It's actually happening.” I was just like, “Oh wow. Okay. I guess so.” It was so funny. I don't know. I think there is just this part of where I was just so zoned into what I was doing and what I was feeling that I wasn't really processing it, Oh, this is happening. This is happening. As she told me, I could feel my baby's head and that was mind-blowing. Once I could reach out and feel his head, which we didn't know at the time it was a boy. We were waiting to find out. That definitely brought me into a sense of reality when I could feel the baby's head. It was just like, Whoa, okay. This is happening. There was a slight burn when his head crowned, but there was so much adrenaline when his body was coming out that I don't even really recall that being painful just kind of a burning sensation. His head crowned. I changed positions after his head was born. I was still in the water, but I sort of think I was on my back. I moved up a little bit onto my hands and knees and stayed in the water. My midwife ended up guiding his head and shoulders down and then his body came out. She handed him to me and I just remember knowing it was a boy even though I hadn't seen yet. I leaned back in the tub and I think what I said was just, “I've never held one of my babies after they were born before.” That feeling of an immediate, My baby came out and they are in my arms. That was just so surreal but at the same time it was almost so seamless and intuitive that I was just like, Okay. I just gave birth and it's just a normal day. Everybody around me– I think I had thought built it up in my mind to be this incredible experience which it was. I don't want to say, It wasn't all that, but in a way, birth is so natural and normal that after it happened, it was just like, I'm in my bed and the birds are chirping outside and the day is going on, where before I was in the hospital and it felt like this whole different world. It was interesting how there was an element that was sort of mundane about it but I like that. I don't know. It was just the normalcy of it all that shocked me if that makes sense. Meagan: Yeah. No, I really actually can totally relate. I remember after I had my VBAC after two C-section baby, I was at a birth center. I was in the bathroom on the floor when I gave birth and they were like, “All right, let's get you up and move you to the room.” I was like, “Okay.” I just remember going in there and laying down and starting to feed my baby and just looking around almost like, Did that really just happen? But at the same time, it was like, Yeah, it just happened and now I'm just feeding my baby. Jolie: Yeah, that was it. Meagan: It was so weird. It was so weird. There was a slight disconnect in my brain that what had just transpired transpired. Jolie: Yes. Meagan: So yeah. I really can relate to that so much. Then about how you were saying, “I was pushing for a really long time and I just looked over and realized my midwife was putting the baby stuff together and getting stuff ready,” and you were like, “Oh, yeah. Yeah.” I had that moment too where I was just laboring on the toilet and then all of a sudden, my midwife was just coming in here guiding me to the stool and I was like, Wait, what? She was like, “Let's come have a baby.” I'm like, “What, really?” I couldn't believe that what was happening was happening but I was so zoned into doing this birth, having this VBAC, and then all of a sudden, I realized I was doing that. I was actually doing that. Jolie: Yeah. I think when you have C-sections and when you have any sort of difficulties in your births, your mind clings onto those phrases that people say like, “Oh, your baby is too big. You're not going to open.” Meagan: Oh yeah. Oh yeah. Jolie: It makes you feel like this miraculous thing must happen for me to give birth because it didn't work the other times so how in the world? Trumpets need to be blaring and some crazy thing has to happen for this to work but it doesn't and it was just like, Oh. That was it. Meagan: This is normal. Jolie: Yeah, the thing that didn't feel normal was actually the surgical births but the thing that felt normal was the VBAC so it was very interesting but after he came out, they were like, “That's a big baby.” He pooped twice before we got out of the tub like pretty big poops so then by the time my midwife weighed him, she knew that he had already pooped, but I think he weighed 10, 14 so she was like, “He totally was 11 pounds coming out. If I weighed him before he took those ginormous poops.” That was shocking and not expected at all. Meagan: Yeah girl! Jolie: That was really cool that it was not even a part of it because I didn't get any late-term ultrasounds. Looking back, people definitely kept asking me if I was having twins. They were like, “Wow. You look really big.” I just was like, “Ha, ha. I get it. I'm pregnant.” You know the things people say. I'm like, Maybe I actually did look larger than normal because this child could pass for two babies as twins. Yeah. He was almost 11 pounds. I did have one tear that I chose for her to not suture, but that was it. That was the birth. Meagan: Wow, and a surprise big baby. Think about how there are a lot of times in the provider's world of the hospital where they see someone who is a larger baby and they are wanting to do those third-trimester ultrasounds and growth scans and they are like, “What?” When really you didn't need any of those things, you just needed time. And a 43-week baby. I had one of my beginning doula clients and she was 43 weeks and 1 day as well. I mean, it was a 10-pound baby as well. It was 10,12 I think. That girl just powerhoused that baby out but she was getting pressure to get induced at 39 weeks. She was feeling all of that pressure. “Oh, your baby is looking big. You look so big. You are small. I don't know if this is going to be possible.” Then she switched at I think 41 weeks then she went to 43 and 1 and just had a beautiful, vaginal birth. I love that. Okay, so there are so many things. Something that I caught in your story was with your second midwife or with your second provider with your second baby. Everyone said, “This midwife, this midwife,” so you went with this midwife then you realized it wasn't the midwife for me. I think that is something that is important to note especially when we have our supportive provider list, right? We have this list and we're providing these names where people will rant and rave for days and days and days about some of these providers so you're like, Yeah, great. The whole community is going to this provider or whatever. Then you're in that situation and you just take that word for it, but then you get into that situation of birthing and you're realizing, Oh crap. This isn't right. There were red flags and I didn't recognize them because I was just going off of what everybody else said. I just think it's important to note that even though everybody or people might say this provider is the only provider or the best provider that it doesn't mean they are the best provider for you. It really comes back down to what that provider is looking like for you in your mind. Close your eyes. Envision your birth. Think about what they are saying, what they are doing, how they are caring for you. Think about the questions you want to ask them and go and really ask these people these questions that are really something for you. I love that you talked about that with your third midwife how you were like, “These are the qualities I was looking for.” It took you a while to find it but you found it. I love also that you pointed that out. Really you guys, I can't say it enough. Finding a provider when you are not pregnant is night and day from finding a provider when you are. Jolie: Yeah. There was no pressure. I felt like I could be so much more confident in saying no because I didn't feel like I had to say yes. Meagan: Yeah and honestly, our minds are in a different space. Even Dr. Fox a few episodes back talked about that how that is a really great thing to do because we are emotional. We feel pressure. There's time. Our baby is growing and each week matters to find that provider. It's a very different thing. It's a very different thing. Okay and then in your form, we talked about this a little bit before but you talked about radical responsibility and the word radical just stands out to me now because of our radical acceptance episodes that Julie and I have done. We've done two of them so if you guys haven't listened to those, go back and listen. There is a part one and a part two. How would you describe radical responsibility or finding radical responsibility to our audience? Jolie: Yeah. I think that it comes with a lot of coming face-to-face with some core beliefs because for me, when I was realizing was that we all day, “You are the one that cares the most about your baby and your body.” Okay. I think most people can agree that's true. But then how do you actually walk that out when you are pregnant? Because what can happen is you can be subconsciously deciding that this person over here is going to make sure I'm safe, is going to make sure my baby is safe, and is going to do all of these things for me when in reality, I believe that nobody outside of you can guarantee that safety. As a Christian, I believe that I don't even hold the keys to life and death. If that's what we're going to talk about, at the core of all of this stuff, people when they are pregnant, you want your baby after you are born and that's a thing. So that's kind of your basic line. I had to come to grips with even just the reality at its deepest core of, Okay. So if I'm pregnant and I have this baby growing inside of me and I want to birth this way for these reasons, I need to own this. If my midwife recommends I eat this way or do it. She's not going to come over and feed me. She's not going to text me everyday and ask if I took my supplements or went on a walk.That's goes into something else I'd like to mention if we have time of just handling all the things in birth. But with the responsibility aspect, it's hard to pin down but I think that it just boils down to realizing where you have control and where you don't have control and are you giving any control to someone else or are they just there to support you? There was an element where I was at where I wasn't wanting to do a free birth. I know there are very strong opinions for that or with unassisted– different terms and all of these things– but I did glean a lot from books I was reading about unassisted birth because I wanted to feel like I could make decisions with my midwife's support and not the other way around. It wasn't her making the decision and making sure I was on board with it. It was more like, This is what I want to do and I'm going to work with you because I did hire you and I actually hired you more for the essence of womanly support. Midwife means “with women” so I wanted this relationship. The relationship I cultivated with midwife was more of a sisterhood/friendship where I was like, “I need you in my birth. I hired you because I know you have incredible skills and I know that you can use these skills if something arises where I need to do something different in my birth, but more than that, I know that you know that you're not responsible for certain things and I'm not responsible for certain things but we are working together and you are there for me on an emotional level.” That was more important to me. Meagan: I love that. Jolie: Not everybody is going to be there for our births but I think if you're listening and that resonates with you like, I've taken some power and put it in other people or I'm holding my provider responsible for x, y, z at the end of the day, I would just work through that and base those thoughts and beliefs and see if you think there needs to be a change in your perception on responsibility and what we control or don't control. We have to surrender which is incredibly difficult. Meagan: Yes. It is but I love that you are talking about that. We have to walk in. We have to own it but we also have to work together. I like that you said, “I don't want her to have to convince me of this. I want to know what I'm talking about and work with her with this situation.” A lot of the time we have to do that with providers where we need to come in and work together and not be patient versus provider. It just needs to be a collaboration but at the same time, we have to take ownership into everything that we can. Okay, so we were talking about this and you mentioned that you wanted to talk about all the things. We talked about getting enough food, making sure we get the right supplements which we know here at The VBAC Link, I'm very passionate about getting the right supplements and then finding the right provider and figuring out what to do with the kids. There are so many things. Jolie: There are so many things. Yeah, I can talk about that for a minute because I think there are so many things that you can obsess over or shut down over. So one of the things that this goes into my tips of if you are going for a VBAC, here are some tips. A holistic approach– when I say holistic, I mean body, mind, and spirit. There are a lot of things we can do for our bodies when we are pregnant– the nutrition, the walks, the exercises, the Spinning Babies gymnastics. There are all of these body-focused things but you also need to be working on your mind and how you are doing in your mind which was huge for me. I found a birth course and worked with this incredible group of people. They are called Mind Change, but her birth course I think I sent you is called Transforming Birth. It's all about subconscious stuff and rewiring your brain to have different pathways for your birth. Anyway, that's my plug for that. But going into it, prepare your mind for birth. Actually think about what you do want and not what you don't want. Think about what you don't want. Have a plan. You need to have a plan for your provider. Of course, that's responsible. But put that away and spend the real-time immersing yourself in what you want it to look like. And then just your spirit. You could make a whole list of all the things you need to do, but the key is in how you approach it because I remember in one of my previous births, one of them that was a C-section, somebody had said one time– it might have just been on social media, “Oh, I went to the chiropractor every week for my birth and I got this wonderful, fast labor and I know it is because of the chiropractor.” I thought to myself, I went to the chiropractor every week. Why didn't I have a vaginal birth? It's not in the things. That's my main point which is so simple. You might hear that and be like, Duh. But it's in how you approach them. Going to the chiropractor regularly is great for your health but if you are doing it from a place of stress and control like, If I miss an appointment or if I don't hit 3 miles today, then actually, that's not helping you anymore and you should probably not do that and not go on that walk if you are feeling stressed out about having to go on the walk. Don't do it. Approach it from a place of peace and joy and acceptance going back to your radial acceptance. All of the things that can help you in your pregnancy are wonderful, but take them one at a time and make sure that when you're going on your walk, when you have your supplements, you're taking them from a place of peace and acceptance and then it can be helpful for you. One of the– I'll just share one small example of how I did this with my third pregnancy that I didn't really have this frame of mind with my previous two. There was a certain supplement. I can't remember what it was called. It was a combination of herbs that helped ripen your cervix. A lot of people recommend it for VBACs at the end. Meagan: Like Birth Prep? Jolie: It wasn't Birth Prep. It was 5 weeks or something. It had something to do with 5 or 7. There was a number in it and it's like a holistic supplement that has supportive herbs in it for ripening your cervix so I remember coming across this information while I was pregnant and just thinking, Okay. I looked it up. It was all sold out on line and I was like, I feel like in my mind I'm thinking I have to do this to get the VBAC. This is going to help me. If I don't get it, then what's going to happen?  I ended up talking to my midwife about it and she actually had some. She was like, “Oh yeah, I do love this supplement. I have some and they are all sold out right now.” I was like, “I'll take it. I'm going to let you know if I'm going to start taking it. Please ask me if I'm taking it out of a stressful, controlling way or if I'm taking it from a place of peace because depending on the way I answer, I need accountability to not actually do it,” because I wanted to be able to receive it in a way of support in general. That's what she told me. “It's not going to hurt you. They are wonderful herbs that will just strengthen and tone your uterus so you can take it,” but I knew I needed to be in a frame of mind where it wasn't like, this is going to be the thing. This is just a small example of how I embodied that reality of if this is going to stress me out, even if it's a good thing, I'm not going to do it. Meagan: Yeah, okay. I love that so much within our own community and other communities where it's like, You guys, I have 5 days to get this baby out or they're going to make me have a C-section, so then we have this stressful overreaction to do anything we can to get that baby out and actually what it's doing is creating more stress in our body which is not going to help our cervix. I love that message. I do not know what you're talking about exactly like what they used. Herbs are great, but I love that. Do things with intent and purpose. Don't do things out of fear or out of worry or out of pressure. Do things because you think they are right and because you think this is what you need to be doing, not because you're stressed about something. I'm just going to leave that right there because I love that message so much. Thank you so much again for sharing your stories and congrats on your HBAC after two C-sections. Jolie: Thank you, yeah. 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

The VBAC Link
Episode 317 Brittany's HBA2C + VBAC Education, Big Babies, Provider Support, Preterm Birth & More

The VBAC Link

Play Episode Listen Later Jul 15, 2024 53:16


“The 9 lb 2 oz baby that they said I could never push out and could never have had her vaginally– I ended up going on to have a 10 lb 10 oz baby girl.”Brittany first gave birth to twins via Cesarean at 34 weeks and 1 day. She didn't get to meet her babies until 36 hours after delivery and they had to stay in the NICU for 10 days. While Brittany was so thankful it was not a longer NICU stay and the babies got to come home at the same time, she grieved the introduction into motherhood that she thought she would have. Brittany's next birth ended in a difficult CBAC under general anesthesia. Once again, she was not able to hold her baby right after birth like she so badly wanted. Her physical and mental recoveries were intense and tough. Not long after her third baby was born, Brittany felt called to understand more about her births. She wanted to learn why things happened to her the way they did and if there was a way to help prevent other women from going through the same things. She became a doula with Joyful Beginnings Doula Care and absolutely loves it!With her fourth baby, home birth was on Brittany's heart. With the education from doula work and her own births, Brittany set herself up for success by surrounding herself with a beautifully supportive birth team. Her HBA2C was quick, uncomplicated, redemptive, and empowering!Brittany's WebsiteThe VBAC Link Blog: Preterm CesareansTVL Blog: Everything You Need For Your HBACTVL Blog: Provider Red FlagsTVL Blog: VBAC/HBAC PreparationTVL Blog: VBAC MidwifeTVL Blog: Big BabiesHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. We have our friend, Brittany, today with us sharing her HBAC. If you have not been with us very long or are still unsure about all of the crazy terms in the VBAC world, HBAC is home birth after Cesarean but she is a home birth after two Cesareans so HBA2C so similar to what I am. I am a VBAC but I was in a birth center, not a home. I'm so excited to share– well, I'm not going to be sharing it, but she is sharing it today so welcome, Brittany. Thank you so much for being here with us. Brittany: Thank you so much for having me. I'm excited to get to share my story. Meagan: Absolutely. Me too. We will get right into that. I'm just going to do a quick review then we will do our intro and we will dive right in. This review was left by Brianna Moody and this was left in 2023 and it says, “So binge-worthy.” Okay seriously, I could not agree already with her because I feel like this is the type of podcast that when you are looking for your options for birth after Cesarean, you just want to hear every story and I get into those binges especially with podcasts so I could not agree more. I believe that this podcast is bingeworthy. It says, “I found The VBAC Link Podcast in my second trimester after my midwife suggested that I start listening to positive stories to get in a good headspace as I prepared for my VBAC.” Okay, I also love that her midwife is suggesting that. I 100% agree there as well. It says, “What I didn't expect was to hear so many different types of birth stories in one place. I was floored by the amount of information in each episode and by how much these stories impacted me. I found that I love listening to all of the different stories, even the CBAC stories. Honestly, I think those helped me process some of my fear about potentially having a CBAC.” Okay CBAC, Cesarean birth after a Cesarean, just want to make sure we know what that means. It says, “--as could be something that could still be beautiful and empowering. I tell everyone I know about the podcast, even first-time moms because there is truly something that could benefit every birthing mama on here. I am so happy to say that I had my VBAC baby in January.” Ah, so amazing. Congratulations, Brianna Moody. It says, “--in January and it was the most beautiful experience. I still cannot believe I really did it. I took so many things from the podcast that helped make it possible. Thank you so much for sharing your heart and passion for VBAC with the world.”Okay, I'm obsessed with this review. So many amazing things right here. Yes, binge the podcast. You're going to learn so many incredible things, like so many. Every story, just like she said, has its similarities but also it's very different. That's something that I love about birth then I love that she pointed out that CBAC could even be viewed as beautiful and empowering. I love that because I want you to know, Women of Strength, VBAC doesn't have to be the right answer. If it's not feeling right for you, that's okay. You can go and have a Cesarean birth and it can be absolutely beautiful. Know that it's an option to do both and you can still have a beautiful, empowering experience. Okay, all right. I'm going to let you guys go. We're going to get to the intro and then we're going to dive into Brittany's HBAC after two Cesareans. Meagan: All right, Brittany. A long intro. It's time for you to share with us your beautiful stories. Brittany: Yes, thank you. Okay. So I'm going to start at the beginning and give a little brief overview of my history and kind of what led me to pursuing an HBAC after two C-sections. In 2019, I had my first pregnancy and I was actually pregnant with twins so that was a big, exciting thing for us. It was very unexpected and overall, I had a pretty normal pregnancy. I didn't really have a whole lot of issues until the end. My blood pressure started to creep up here and there and then at 33 weeks, I went in for an appointment and I was diagnosed with preeclampsia. That was very overwhelming. I did not have a lot of knowledge about birth really in general. I was one of those who went in and just trusted everything my OB said. I just rolled with it and they looked at us and they said, “We need to admit you. Your blood pressure is too high. You have protein in your urine.” So my husband and I went over to the hospital immediately following and realized that we were going to be staying there for a little bit. They were able to manage my blood pressure for about a week and then I needed to deliver the twins at about 34 and 1. So it was actually July 5th, so it was right after the 4th of July and it was hard. It was definitely a hard, all of a sudden transition that we weren't expecting. We were thrown into the hospital. My husband had to come out of work and things just continued to get worse. At 34+1, we did another ultrasound and both were breech like they had been the entire pregnancy so we really were not given any options besides a scheduled C-section. I didn't really think twice about that. I just thought, “Okay. This is what you do. We have breech babies. We need to do it.” So at 34+1 on July 5th, I went in for my scheduled C-section. I had the twins and obviously, being born early, they were taken to the NICU so it was a very abnormal experience in the sense that I had these babies. My body knew I had just had babies, but the babies were taken from me. They were instantly taken from me and I had to go back on magnesium for my blood pressure post-C-section so I actually did not even get to see my babies, hold my babies, or touch my babies until about 36 hours later. So it was just a very abnormal experience, especially for a first-time mom. I got wheeled to recovery and they were like, “Here's a breast pump. You need to start pumping.” It was all of these things that I just wasn't prepared for and I hadn't done before. It was such a new experience. Thankfully, they were only in the NICU for 10 days, but as you can imagine, recovering from a C-section, going back and forth to the hospital, trying to figure out pumping and how often to pump. It was just a lot. It was a lot and it was very unnatural. It is just not a natural experience to be separated from your baby or babies after they are born, but we made it and we got through that trial. We were very, very, very lucky that they got to come home together 10 days after being born. Meagan: Wow, 10 days? Brittany: Yes. A miracle within itself. Meagan: That is very fast. Yeah, that's great. Brittany: It was very fast. They were doing great. They were just considered those eaters and growers. They really didn't have any major issues. My son was on CPAP for maybe 48 hours but after that, they were just learning how to eat and grow and they got to come home together which is also very rare for twins. Meagan: That's awesome. Brittany: Yes. We were very thankful for that. Following that pregnancy, we got pregnant again unexpectedly when the twins were only 9 months old. As you can imagine, that is a lot. That was in 2020 and it was right in the thick of COVID. Things were different. Things were crazy. They weren't even really, at least at the practice I was at, allowing women to come in for appointments until the second trimester. Just all of these different things. It was a lot. It was a lot to process that I was pregnant again. I was wondering if I was pregnant with twins again. There were so many questions that I had and I just was not getting any answers or any support during that beginning period.So at about 13ish weeks, they finally allowed me to come in person and be seen in person. We were pregnant with just one which we were thankful for. It would have been a lot to have twins back to back. But I didn't have a significant amount more knowledge at this time. I knew a little bit more about birth. I knew I didn't want to have another C-section. I knew that there was something called a VBAC. I was hoping to be able to do that. I didn't want to have to go the same route, but I really didn't have much education. So we kind of just went with the flow. We were at a smaller hospital closer to us this time around and looking back, I would 100% say that my provider was VBAC tolerant, not VBAC supportive. I don't think that I could identify that at the time not having the knowledge and the resources, but definitely now, I can tell that they were very just VBAC tolerant. Meagan: Sorry to interrupt you, now looking back–Brittany: No, go ahead. meagan: I was going to say that at the time you weren't able to identify which is very, very, very common but now looking back, what were some of those very first signs? Is that what you were going into? brittany: Yes. We kept having conversations about can I have a VBAC. Do I have to have another C-section? It was like, We'll see. When we get closer, we'll see. We don't want to risk anything. It was a lot of the nonchalant I'm going to beat around the bush, but really, I'm probably going to pull the rug out from underneath you at the end. There were a couple of appointments where I left really discouraged and in tears like, I feel like this isn't going to happen. I don't understand. But again, I just didn't have the knowledge to really be able to question what they were saying. I just assumed that if this isn't going to work out, it's not going to work out because it's not safe or x, y, and z reasons. My pregnancy went on and of course, in the back of my mind, there was the concern of preeclampsia again because I had it with the twins, but I had no blood pressure issues. I had no issues with that pregnancy. Obviously, carrying a singleton compared to twins is very different and so we got towards the end and at about 38 weeks, they started talking about wanting to induce me. I was like, “Why are we doing this?” But again, I just didn't have the knowledge to really question their reasoning behind it. So they had actually scheduled me for an induction at 39 weeks. My husband and I left that appointment and we knew enough to know that we didn't feel good about it. We were like, “This just doesn't feel right. Something feels off about this. Why are we brushing this?” So when the time came, we actually canceled that induction and didn't show up. We went to just another regular appointment that following week and I was getting ready to go into my 40th week. They were okay with the fact that I had not done the induction, but they were really, really pressing an induction for 40 weeks which was a couple of days after. meagan: Which is also another red flag. brittany: Yes. Yes, very much so. Again, something I couldn't identify at the time besides the fact that I felt insecure about it. So we decided to do the 40-week induction and when we got there, we were going to start with a Foley bulb but it ended up that I was already 3 centimeters dilated. My body had made some good progress. I was already effaced, so they jumped right to the Pitocin induction. Because this was in the thick of COVID, there were no doulas allowed. I did have a discussion with my husband about potentially hiring a doula. I knew of doulas. I was like, I think this would probably be going for trying for a VBAC, but that was not an option. You had one support person allowed. That was it. My mom couldn't be there. Nobody could be there. No doulas could be there. It was just a really, really hard time in the hospital system. We did the best we could to prepare for what was to come but just did not have the education and the support that we needed going into the situation that we were going into. To make a very long story short, it was intervention after intervention after intervention after intervention. It was basically the definition of the cascade of interventions from Pitocin to epidurals to just everything in between.Thankfully, by morning, the induction started at about 6:00 PM, and by 9:00 PM, they were like, “Oh, we're going to have a baby. This is going to be before lunch.” I was almost 10 centimeters dilated so we were really excited about that We got to the pushing phase and things just didn't move. I mean, I was making very little progress and knowing and having the knowledge that I have now, I look back and realize there was very much a disconnect happening with my mind and body which I've seen happen in some other women sometimes when having epidurals. We pushed. I pushed for a total of about 5 hours. meagan: Wow. brittany: We did have some breaks in between. Yes. There was actually not an OB on the floor so it was with a nurse. She left to go home and the one that I was going to have was in the office, so they basically just let me keep at it and the nurse did try. I will give her credit in that she tried to get me into some different positions, but we just could not make any progress with her and we did know when my water broke that there was some meconium in my fluid so we knew that that was there and that we needed to be aware of it.But after about 5 hours, we were exhausted. It was like, “What is going on? Do we need to make some decisions? Why can't we get an OB over here?” So finally, the OB I guess had finished her shift across the way in the office and made her way over. At that point, it was about 6:00 PM. It had been a very, very long afternoon and she came in and she did an assessment and she said, “There is a lot of meconium, so we need to make a decision. We either need to get this baby out with a vacuum or we take you back for a C-section.”I was like, “Well, what's a vacuum?” We had no knowledge of what that was or what the pros and the cons were. They literally brought in a pamphlet and were like, “Here's a pamphlet to read about it.” meagan: They didn't just tell you all of the pros and cons right there? brittany: No. meagan: They gave you a pamphlet after 5 hours of pushing and feeling exhausted? brittany: Yes. They gave one to us. meagan: I'm sorry, but that's silly. brittany: It's terrible. Yeah, it's terrible because I was in no head space. I was just beyond exhausted. She said, “I'm going to give you about 30 minutes and we are going to prep the OR. When I come back, let me know what you want to do and we can try the vacuum or we can go back for a C-section.” I was like, “Okay.” My husband and I are talking through this and really have no idea what to do. Reading a pamphlet in that time and place is just not okay and not adequate. So she came back in and she gave me another assessment and she said, “Okay, I'm really sorry but we need to go back for a C-section right now. Meconium is very thick and this is becoming very problematic.” She took the vacuum option off the table and said, “We need to go and we need to go now.” So we went back for what I consider more of just an urgent C-section, not an emergent C-section and it was an experience. About halfway through, I started to feel what I felt like was way too much. They actually did end up putting me to sleep fully after she was born. meagan: After she was born?  brittany: She came out, and she actually– after she was born. So when she was born, she didn't cry. I panicked about that and my husband was like, “It's okay. It's okay,” and we found out that she did have a lot of meconium and she did need to be resuscitated. She actually had an APGAR score of 2 which was much, much less than my twins who were born at 34 weeks so thankfully, they got that addressed very quickly and by that 5-minute mark, the APGAR score was back up to an 8, but at that point, I told them, “I am feeling way too much of what you are doing to sew me back up.” I started to really panic. My pain level was very high so I saw her briefly and then they took her to the NICU and then they actually ended up just putting me to sleep because I woke up back in recovery following. She was a 9-pound, 2-ounce baby. They very much threw the label of big baby, this is why you couldn't push her out. She was stuck, and things of that nature. She was sent to the NICU again. She was my third NICU baby. This is my third baby that I haven't held or touched post-delivery. Just a weird, weird experience. So this C-section was much, much more challenging for me than my first. Obviously, I had labored down for many hours. I had pushed for many hours and then went into a C-section which makes a huge difference but I also had an infection post-birth which one of the OBs said was probably from the numerous amount of cervical checks that they gave me after my water broke. So I just had a really, really hard time. I went into postpartum already struggling. I was struggling before I even had left the hospital. Thankfully, our little girl only had to stay in the NICU one night. She was able to be with me the second night and then was able to come home with us, but still, it was just a very abnormal situation where you wake up from the surgery. You just had a baby. Your hormones are all over the place but your baby is not there. You are in pain. It was just a very unnatural situation. I really went into postpartum already a few steps behind. I just was really struggling physically. I dealt with a lot more pain this go around and mentally, I struggled a lot emotionally. I didn't know it until later on, but I really believe that it's healthy to grieve a birth that doesn't go the way that you had maybe envisioned or planned and that's such a healthy thing to do. It felt so silly to me at the time. You're like, Okay. My baby's healthy. My baby's here. Why can't I get this together? But really, it's so much more than that. I know so many people will say, “But we have a healthy baby,” which is what you want and is so great. It is not the only thing that matters though and I think so many people, so many women don't realize that. People mean so well. Family and friends come in and say, “Oh, but thank God the baby's okay.” Yes, of course, thank God the baby is okay, but it's not the only thing that matters. You essentially have a grieving mom in the thick of postpartum who also just had a major surgery, so it was a lot. It was a lot. It was honestly a really miserable postpartum recovery for me and I also had twins who were 17 months old. It was just a lot. So at my 6-week visit, the OB who did my C-section said, “Okay. That's it. It will be C-sections from here on out. VBAC is off the table. You just need to know that.” I left that appointment and I actually remember texting my cousin just about it and I was like, “Okay, I guess that makes sense. I've had two C-sections.” Then weeks following, I just was more and more unsettled with that. I really was grieving the whole situation. I was grieving the fact that I had three babies and somehow hadn't gotten to hold one of them after delivery. It was all of these emotions that I was trying to process and through that, I became very obsessed with birth like, I need to understand. I need to know. I need to educate myself and I want to know as best I can what happened in Lyla's birth. How did we end up here? I really began to educate myself. I delved into all of the things. A few months later, I really felt the Lord calling me to pursue becoming a doula. I mean, we had three kids under two-years-old, so it was crazy to think about taking anything else on, but I remember it was that following July, I went to my husband and I was like, “Listen. I know this is crazy. I know we have so much on our plate, but I really, really feel like the Lord is calling me to pursue becoming a doula so that I can help educate and empower other women and hopefully help them avoid being in the same situation that I was.” He, being the man that he is, was like, “I think you would be great.” He was like, “I'm totally supportive. I'm totally on board.” So then that started my journey of becoming a doula and it was about a year where I went through my program. I worked with those first initial moms. I did all of those things and I really, really loved it. Then I found out I was pregnant again and that was January of 2022. I knew for sure I needed and wanted a different situation. I could not walk through the same scenario that I walked through, especially with my second daughter and I wanted things to be different. I really had home birth on my heart and where I live, I live near Charlotte, North Carolina, there was actually only one hospital that would allow you to pursue a VBAC after two C-sections. meagan: Really? brittany: All of the other hospitals will not, yes. So I started to pursue home birth but then also thought, Maybe I'll do co-care because then I will have something lined up if something does go wrong, blah blah blah. So I tried to get into that hospital with their OB/GYNs and at all three of their locations, they were not accepting new patients. Initially, I was very discouraged. I remember crying that day, texting my husband, What are we going to do? This is the only hospital that will even allow this and that will even potentially let me come in and try. He very simply said, “The Lord closed that door to co-care. Focus on home birth. That's where your heart has been.” At the time, that overwhelmed me, but looking back, it was one of the best decisions and I'm so thankful for it. I do believe there is a time and place for co-care for certain women, absolutely, who want to do home birth but want to have that co-care piece, but for me, looking back, I think co-care would have destroyed me mentally just with all of the appointments, all of the extra things being said even though I knew and had that VBAC knowledge. It's hard when you are constantly getting little bugs in your ear of, “You shouldn't do this. We need to induce,” or things like that so in the end I was very thankful for that. I simply pursued home birth. I interviewed a lot of midwives and I ended up with, I'm very biased but, who I think is just the best midwife ever. She's really, really awesome and received just such amazing care. My visits were an hour long. It was very proactive care trying to stay ahead of things that could come up just with nutrition and supplements and things like that. So I hired my team, my midwife. I hired a doula because I told my husband, I said, “I know I am a doula but I also know what happens when you are in labor.” I said, “Everything goes out the window and you go to labor land.” I said, “I want somebody there who I know can be my brain and can help me with all of the things when I can't think straight.” He was super supportive of that and I hired a really awesome doula. So once I had my team in place, I felt really, really good about it moving forward. My husband was so extremely supportive. He's one of those where anybody who is a doula, their husband is extra educated at birth. I feel like he has to listen to all of my stuff all of the time, but he was so supportive. At that point, I had a really standard pregnancy. The biggest things that I did were to continue, I used The VBAC Link a lot just whenever that doubt crept in my mind of Am I making the right choice? Is VBAC after two C-sections really safe?” I would go back to some of those resources that you guys put out. That knowledge that I had just to read through again to give myself that sense of peace that I made again. I listened to every VBAC after multiple C-section podcast that you have and really tried to focus on those positive birth stories. The biggest thing I did was that I really made the effort to protect my mental health meaning we kept the decision we made very, very private from family and friends which was hard because everybody, especially after my last experience was like, “Where are you giving birth? What is the plan?” But I knew that I didn't need the opinions of everybody. I didn't have the time or energy to educate everybody around me in the decision that I had made. My husband, myself, and our birth team were confident in the decision that I had made in moving forward so we just kept it very private. My best friend and my sister-in-law knew and they were my support throughout then once we got toward the end and I reached that full-term mark of 37 weeks, we did tell all of our parents because we wanted our parents to know. My mom was going to be there and his mom was going to come at some point. Thankfully, our family was very supportive. My mom used to be a labor and delivery nurse so she had a lot of questions, but my midwife sat down with her and let her ask all of them. So our family was on board, but I really just made the point to protect my mental health and only view and read things that were positive and only talk to people who I knew were going to be encouraging and positive about it. That was truly one of the best decisions I made throughout my pregnancy. Fast forward, we get to 39 weeks and 4 days. I thought for sure that I was going to go over 40. With that doula mindset, I always tell my clients, “Prepare to go over 40 weeks so that mentally you're not distraught when 40 weeks comes.” Oh man, I was like, “It's going to be over 40.” I was so secure in that that when it happened, I was not ready almost. I was a little overwhelmed like, “Oh my gosh. I'm not 40 weeks yet though.” I'm 39 and 4. We had actually went out with some friends that morning. We took our kids somewhere and my mom was there. I remember my mom putting us back in the car. She got all emotional and she was like, “I just feel like it's going to be so soon.” I was so frustrated I remember because I was like, “No, mom. I'm not 40 weeks. It's fine.” She's like, “Call me as soon as something happens.” I'm like, “Mom, we have time.” Little did I know I was going to have a baby that night. Later that afternoon, I decided, I need to go to Costco. I need to stock up. My best friend was like, “You are crazy to go to Costco on a Saturday. That is going to put you into labor.” Sure enough, that is exactly what it did. I went to Costco and got everything I needed. I ran into Target and my first contraction started. I had Braxton Hicks most of my third trimester so I was very aware that this was different the first time it happened. But again, that doula mind, I was like, This could be nothing. I'm just going to ignore it. We're going to continue on. They kept coming as I finished my shopping about every 10-15 minutes apart so when I left, I decided to text my husband and say, “Hey, this could be nothing but just so you know, I've had some contractions. They are about 10-15 minutes apart. We'll see what happens.” They had started at 6:00 PM when I was out. I finished up getting when I needed, came home. My girls were already asleep on the couch and my husband put them to bed. We ate dinner. My son hung out with us for a little bit and things continued to pick up. I was like, Okay, this is definitely happening I think. At about 7:00, I alerted my midwife just to let her know, “Hey, it's probably going to be a long night, but I'm definitely having contractions.” I let my doula know and our photographer. I got everybody in the loop. After I ate, I was like, “I'm going to get in the bath with some Epsom salt and try and relax. See if I can relax these contractions enough to maybe get some rest.” In my mind, I was like, This is going to be an all-night thing. Let's see if I can get some sleep. But that is not what happened. I got in the bath for maybe 10 minutes. I had a few contractions and was like, I cannot sit like this. This is not comfortable. I called my mom and I was like, “Hey, I'm having contractions. Don't worry about coming over yet though. We've still got plenty of time.” Thankfully, she ignored me because she was about 50 minutes away at the time. She ignored me and got in the car and came anyway which was a huge blessing because things continued to pick up really quickly. My husband continued to set our room up and the birth pool up but also tried to support me through contractions. Thankfully, all of our kiddos at this point were asleep upstairs which was something we had just prayed about because I wanted them close by, but I also knew that I just needed my space especially with them being so young. So that was such a blessing. They were all asleep. It was just me and my husband. So around 9:00 PM, my mom thankfully arrived which was a blessing because moments before, I was like, “Okay, you need to tell my mom to come,” because things were just moving really, really quickly. I particularly found a lot of relief in one position and that was the position I wanted to stay in. I was on all fours on the ground rocking back and forth on my yoga ball and everybody said, “Hey, try this. Try this.” I was like, “Nope. This is what's working for me. I just want to continue doing this,” so that's what I did for a long while. Shortly after my mom got there, we called my doula to tell her to go ahead and come because she was about 45-50 minutes away as well. With that phone call, she was able to tell because I had prior talked to her as well that things had definitely picked up. We were definitely probably in full-blown active labor. She had told my husband, “Go ahead and start filling the birth pool,” because anybody who has had a birth pool knows that it can take some time. He went ahead and started to fill the birth pool while my mom stayed by me, helped support me, and my doula left and was on her way. Shortly after that, my water broke. A lot of pressure, a lot of pressure, then my water broke. I remember being so panicked telling my mom, “Please check for meconium,” because I just kept thinking about Lyla and the situation that I had with my prior daughter. I said, “Check for meconium. Check for meconium.” She looked and everything looked fine. Following my water breaking, I moved right into transition. It was game on at that point. My husband called my midwife. He said, “Okay. We definitely need you to leave and come.” Thankfully, he had gotten the pool all ready so the pool was ready. Warm water was in. I was able to get in and that was about 10:45 PM. I was able to labor through transition in the water which was a huge blessing. I'm one of those who loves to be in the water. I love to be in the bath. I find it to be very relaxing. I remember at this point telling my mom, “I feel like I'm getting no breaks.” I still at the time did not know I was in transition. Looking back, I was very easily able to identify the phases, but when you are in it, even having that knowledge, you're like, “No. There's no way. This is going to go all night. How am I going to do this? I'm not getting any breaks.” But I had so much great support and my doula arrived not long after I got in the pool. She was doing some counterpressure and giving my husband some things to do to help. I have a lot of tension in my face so giving him some suggestions of things he could do. Not long after getting in the pool, that fetal ejection reflex definitely kicked in. I had heard obviously people talking about it. I had studied it in my work becoming a doula, but until you really experience it, you're like, Wow, this is no joke. People are like, “How am I going to know when to push?” Oh, you will know. Your body is going to do it whether or not you want it. That is exactly what happened. My body was doing these little pushes without me even doing anything. Soon after, I started to really lean into that and continue with that pushing. I remember feeling such relief when I got to the pushing phase because it was very challenging. It was giving me that purpose through contractions and something I could focus on. I actually got a little bit of relief when I was doing some of the pushing. I remember being really thankful for that. My photographer arrived. My mother-in-law arrived during that time and my midwife team got there at about 11:15. I already started pushing a little bit, but I remember although yes, it's challenging to not have an epidural, it was also so amazing because having had the experience of Lyla where I pushed for 5 hours and they were like, “Well, she's not moving. She's in a bad position. She's stuck.” I could feel nothing. I could feel everything. I could feel the progress of my baby being moved down frequently during pushes. I could feel her in the birth canal. I could almost feel the progress I was making at different times with her which was so motivating and so helpful for me. That was just such a night and day experience from my prior experience pushing with Lyla and then after about an hour and 15 minutes give or take a little bit, my daughter, Charlie, made her way into the world. It was about 12:25 AM and it was a beautiful, beautiful, beautiful experience. She was born in the water. Literally, my overwhelm of emotions following was like nothing I could ever really articulate in words. The oxytocin was on full blast. I was on this birth high and having had prior C-sections, one of the downfalls of a C-section is that you are on so much medication and so many pain meds that I always felt like when I came out, I was in a haze like I didn't really know where I was and things like that so to be so present and to literally feel my hormones doing what they were designed to do was such an overwhelming experience. I remember talking to my husband about that days later and I was like, “It was just such a high after she was born.” This was obviously my first experience getting to hold the baby post-birth so that was very emotional for me getting to pull her up to me and have her right there and just be able to hold her. My husband was there and people who we loved most were just surrounding us. It was a very, very beautiful, overwhelmingly positive experience. One of the benefits of home birth is that you get to move from the pool or wherever you gave birth to get comfortable in your bed. So that was just awesome. I remember when they got me comfortable in my bed, I was looking at my birth affirmations wall. I had a bunch of stuff hanging up by the pool and I remember thinking, “Oh my gosh. Thank God that's done. that was the hardest thing I've ever done,” then a minute later, I was like, “I feel like I'm going to have to do this again.” I was so overwhelmed with the experience and the emotions. My husband and I got to lay in bed. We got to cuddle our girl and pray over her. Everybody was so great. They were cleaning everything up. My mother-in-law was making food for everybody. It was just such a beautiful experience. Then about an hour into it, we decided to do just her newborn checks and have the midwife look her over, weigh her, and stuff. We knew she was big. There was no denying it when she came out, but never once did I look at her and be like, “Gosh, she's a giant baby. She's so much bigger than Lyla,” or anything like that.We weighed her and everybody made their guesses. She ended up being 10 pounds, 10 ounces, and 22 inches long. The 9-pound, 2-ounce baby that they said I could never push out and could never have had her vaginally, I ended up going on to have a 10-pound, 10-ounce baby girl. She also had a nuchal hand. Her hand was up at her face when she was born which can make things a little bit more challenging, but I delivered her and I had no tearing. It was just such an amazing redemptive story after being told, “You never could have birthed this 9-pound baby. You're never going to have a vaginal birth. The door is closed for you,” and really have the exact opposite happen. I went on to have a much larger baby and she was great. She was healthy and had no issues. My children were just thrilled the next morning to wake up and come and meet her. To this day, they will still bring it up. “Do you remember when Gigi brought us downstairs and we had a new baby?” It was such a beautiful, redeeming story for all of us, my husband included. I think sometimes we forget how much of an emotional experience it can be for the dads and especially to see their wives go through so much so it was just so healing for both of us. It was just such a beautiful experience. I feel like I could go on and on about it. I had the best postpartum care. For those who aren't familiar, with a home birth, your midwife comes to see you multiple times. Mine came to see me six times. She came at 24 hours, 48 hours, 72 hours, one week, and two weeks, so she was constantly there checking on me, checking on my baby girl, and it was just care like no other. All I had known was I had major abdominal surgery then 6 months later, they brought me in and were like, “You're cleared for everything.” It was so overwhelming and this go around, I had somebody who was like, “How are you doing mentally? How are your emotions? How are things healing? How is your nutrition? Are you resting?” All of these things are so, so important for postpartum, and I think so many women don't even realize these things about what postpartum should really look like. I will forever be thankful for that care as well. That was just unlike anything I had prior experienced obviously as well. So yeah. I mean, overall, it was such a beautiful experience. I'm so thankful for how it played out. The Lord had answered so many of our prayers throughout and I'm so, so thankful to my midwife who believed in me and in my body's ability to birth my baby no matter the size and that team of people who I had, I will forever be grateful. Meagan: Are you willing to share your midwife with those in your area who might be feeling restricted because of the lack of support in your area?Brittany: Yes. I will say I had a certified professional midwife. I live in North Carolina. I live outside the Charlotte area in Monroe. We are very lucky. We have such a fantastic group of midwives in the Charlotte area of certified professional midwives. There are truly multiple great midwives. My midwife's name is Brooke. She is just the best of the best. She is a dear friend of mine and I have been really lucky as a doula to get to work with some of her clients and still see her at births and things following. If you are in the Charlotte area and you are considering home birth, things can be a little bit hairy because we do have some restrictions in regards to certified nurse midwives compared to certified professional midwives, but feel free. I think in the show notes, my information will be there. I would be so, so happy to help guide anybody in this area and give you a list of names of some really, really great providers who support VBAC or VBAC after multiple Cesareans because it can be a hard world to navigate whether you are in the hospital system or planning a home birth. It still can be really hard to navigate if you don't know where to look. Meagan: And can people find you somewhere if they have any questions they can write you to on your own doula page? Brittany: Yes. Yes. You can find me at Joyful Beginnings Doula Care. You can find me on Facebook and Instagram. I also have a website at joyfulbeginningsdoulacare.com. Please feel free. I love nothing more than helping guide moms in finding that right support and then also obviously, I love working with VBAC moms as a doula. But you can find me there. Feel free to reach out. I love doing whatever I can to just help other women have more positive experiences especially when it comes to VBAC because that's really, really hard sometimes. Meagan: Absolutely. It is. It's hard and it's frustrating that it's hard so it really takes a village to find the right support. Let me tell you. I've been taking little notes along the journey of your story and there are so many things.One, you had a preterm Cesarean so that's a thing and we don't even have time to go through all of these things so while she was sharing, I was like, “Ope, we have a link for that. Oh, we have a blog for that.” We have so many blogs. We have all of it. I already sent it off to our amazing transcriber, Paige, who will make sure that this is all in the show notes. But preterm Cesarean, then a close duration between Cesarean and her TOLAC that ended in a CBAC. Talking about red flags in finding the right provider, processing the birth, and co-care– I wanted to explain for anyone who didn't know what co-care means. I love that you pointed out to the fact that it's really, really great for some people and it's not great for others. I think that if you're interested in co-care or if you are interested in it, you need to tap into you as an individual and the type of place that you're in because co-care can be amazing and it can be tricky because of what Brittany said where you can go and you can be getting this information from a hospital and then this information from your home birth midwife or your birth center midwife and they are not the same. They can pull your mind out of a very positive space and start putting a lot of doubt and questions. So if you're going to do co-care, I think it's super important no matter what, but you really, really need to know your facts because it's going to be important and it will likely come into play where someone might say something and it's the opposite of what the other professional is saying so you need to know what the evidence is. Big baby– I'm going to include a blog about big baby if you are being told that you have a big baby or if like Brittany, you were told that you would never, ever get a baby out of your pelvis because your babies are too large and it was a whole pound plus bigger baby for her VBAC. Oh my gosh, what else? I love that you also talked about something that is so unique to home birth in my opinion and I just wanted to touch on it really fast. That is the care after. Here in the U.S. and I know that if you are not listening from the U.S., it's very different outside of the U.S. Here in the U.S., it is very standard to have the type of care like what Brittany described even with a Cesarean. It's an abdominal surgery. It's a pretty big deal to have surgery or to have a baby vaginally and to not be seen, called, or asked anything for six weeks. Six weeks– let me tell you how much can happen in six weeks. A lot can happen. I love the uniqueness that home birth does offer and I love that you even felt that and that you saw it yourself. You saw the difference of 24 hours, 72 hours. You're getting those mental checks. You're getting, “How are you sleeping? How are you eating? Where are you at? What are you doing?” We're getting those check-ins. It is so important. It is so important. So if you are birthing at a hospital and you are likely going to be in the traditional line of the six-week follow-up, I highly suggest with checking in with a postpartum doula or getting someone who is a professional that can check in on you– a therapist even if you have gone through therapy. Have a 72-hour checkup with your therapist after birth. If that means you just talk and you're like, “All things are peachy. Great.” There are things in the U.S. that we have to do where we, unfortunately, have to take it upon ourselves to take care of our mental health because it's just not the way the standard care is. I'm going to leave it at that. Brittany is shaking her head. She's like, “Mhmm, yeah.” Do you have anything to add to that? Brittany: The only thing I would add to piggyback off of that especially if you are a VBAC mom, take the time. Do the research. Reach out to a local doula who you know is VBAC supportive if you need extra help doing this but take the time to find a provider who is supportive and not tolerant because your providers and your birth team, the people you are allowing into your birth space, can truly make or break your birth experience. I have witnessed it. I have experienced it so do your due diligence on the front end. It is not always easy, especially navigating the hospital system, but there are people out there. A lot of local doulas do know, “Hey, I've had a lot of great experiences with this OB/GYN when it comes to VBAC”, or “Hey, stay away from this practice.” Do your due diligence. Find a team who really believes in your body's ability to birth your baby vaginally. They need to believe in it as much as you do and just take the time to educate yourself. I believe that education is the key to empowerment. That's such a big piece of the work that I do with my moms leading up to birth with both birth and postpartum but take that time. Educate yourself. Find a team who believes as much as you do in your VBAC. Meagan: I am just going to leave it right there because I think that is a nice way to zip it right up and complete this beautiful episode. Thank you so much for sharing. Congratulations. I love so much that your kids still talk about, “Remember how she brought us downstairs?” So awesome. I'm so happy for all of you and congrats again. Brittany: Thank you so much for having me. 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

The VBAC Link
Episode 315 Emmy's Empowering HBAC After Failure to Descend

The VBAC Link

Play Episode Listen Later Jul 8, 2024 50:40


“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